LIVING WITH GRIEF COPING WITH PUBLIC TRAGEDY EDITED BY MARCIA LATTANZI- LICHT AND KENNETH J.DOKA Foreword by Jack D.Gordon, Chairman, Hospice Foundation of America Brunner-Routledge This book is part of Hospice Foundation of America’s Living With Grief® series. Support has been provided in part by the Foundation for End of Life Care. ® © 2003 Hospice Foundation of America All rights reserved. No portion of this book may be reproduced or transmitted in any form or by any means electronic or mechanical including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. ® This book is part of HFA’s Living With Grief series. Ordering information: Brunner-Routledge 29 West 35th Street New York, NY 10001 To order by phone, call toll-free: 1–800–634–7064 Or send orders on a 24-hour telefax: 1–800–248–4724 www.routledge-ny.com For bulk quantity orders call Hospice Foundation of America: 800–854– 3402 This edition published in the Taylor & Francis e-Library, 2005. “To purchase your own copy of this or any of Taylor & Francis or Routledge’s collection of thousands of eBooks please go to www.eBookstore.tandf.co.uk.” Or write: Hospice Foundation of America 2001 S Street, NW #300 Washington, DC 20009 800–854–3402 www.hospicefoundation.org Managing Editor: Judith Rensberger Copy Editor: Pat Tschirhart-Spangler Cover Design: Patricia McBride Typesetting and Design: Pam Page Cullen Cover Photo: Mario Tama/Getty Images Library of Congress Cataloging-in-Publication Data Coping with public tragedy / edited by Marcia Lattanzi-Licht and Kenneth J.Doka ; foreword by Jack D.Gordon. p.cm. -- (Living with grief) Includes bibliographical references. iii ISBN 0-203-50518-2 Master e-book ISBN ISBN 0-203-57710-8 (Adobe eReader Format) ISBN 1-893349-04-7 (pbk.) 1. Disasters--Psychological aspects. 2. Disasters--Social aspects. 3. Crisis intervention (Mental health services) I. Lattanzi-Licht, Marcia E. II. Doka, Kenneth J. III. Series. BF789.D5C67 2003 155.9'35-dc21 2003001429 DEDICATIONS To Mike Licht, my love and my strength, and to Steven Lattanzi, my son and my delight. —Marcia Lattanzi-Licht In loving memory of Catherine Sanders, a wonderful colleague whose pioneering work and life illustrated the transforming power of grief. —Kenneth J.Doka For all whose lives have been touched by public tragedy, and in appreciation of all first responders. —Marcia Lattanzi-Licht and Kenneth J.Doka CONTENTS Foreword viii Jack D.Gordon Acknowledgments x PART I: DIMENSIONS OF PUBLIC TRAGEDY 1 1. What Makes a Tragedy Public? 3 Kenneth J.Doka 2. 9/11: A Grief Therapist’s Journal 15 Sherry R.Schachter 3. HurricaneAndrew 26 Rick Eyerdam 4. Looking Back at Columbine 40 Larry Beresford 5. When a Public Figure Dies 51 William M.Lamers PART II: RESPONSES TO PUBLIC TRAGEDY 60 6. Loss, Grief, and Trauma in Public Tragedy 62 Charles A.Corr 7. Effects of Public Tragedy on First 77 Responders Dana G.Cable & Terry L.Martin 8. Public Grief and the News Media 86 Paul R.Dolan 9. Different Faiths, Different Perceptions of 91 Public Tragedy Janice Harris Lord, Melissa Hook & Sharon English vi 10. Funeral Directors and Public Tragedy 110 Elizabeth M.Bradley & LaVone V.Hazell PART III: COPING WITH PUBLIC TRAGEDY 119 11. Critical Incident Stress Management and 122 Other Crisis Counseling Approaches Louis A.Gamino 12. Talking to Children about Terrorism 139 Linda Goldman 13. Schools, Children and Public Tragedy 152 Barbara L.Bouton 14. Meaning Making in the Wake of Public 167 Tragedy David A.Thompson & Edward J.Holland 15. Memorialization, Ritual and Public 182 Tragedy Kenneth J.Doka 16. A Healing Ritual at Yankee Stadium 194 David Benke 17. Public Tragedy and the Arts 205 Sandra Bertman 18. Victim Advocacy in the Aftermath of 221 Tragedy Marlene A.Young 19. Lessons from Combat Veterans 234 Alfonso R.Batres 20. Workplace Interventions 249 Rachel E.Kaul 21. Public Tragedy and Complicated 268 Mourning Therese A.Rando vii PART IV: THE ROLE OF HOSPICE IN PUBLIC 281 TRAGEDY 22. Collaborating with Relief Agencies: A 282 Guide for Hospice Nadine Reimer Penner 23. Hospice: A Resource in Community 295 Tragedies Marcia Lattanzi-Licht Resources 308 Jacqueline Garrick FOREWORD Jack D.Gordon Chairman, Hospice Foundation of America The year 2003 is a momentous one for both the hospice movement and Hospice Foundation of America. It is the 20th year of the Medicare Hospice Benefit. In 1983, Congress formally recognized the importance of compassionate care for the dying by institutionalizing hospice as a reimbursable service. One of the core services of hospice is the commitment to ongoing bereavement counseling to the family. In fact, hospice is the only Medicare benefit that continues service to the family for up to a year after the death of the patient. In the 20 years since the start of the Medicare benefit, and because of the growing societal importance of bereavement services, hospices have become an important community resource on grief and bereavement. Maintaining a high level of quality in grief counseling, spiritual care, and emotional support is difficult to attain. To assist in that, Hospice Foundation of America provides as one of its central services innovative free or low-cost educational opportunities for grief counselors. The year 2003 also finds HFA celebrating the 10th anniversary of the Living With Grief® teleconference series, of which this book is the companion volume. The application of bereavement services has evolved in many ways over the past decade, and we at HFA are proud that this series has been a part of that evolution. When we select a topic for each year’s teleconference and accompanying book, a key consideration is how we can help hospices broaden their community outreach. I believe that hospice has many contributions to make to a community, primarily as the basic resource for bereavement counseling, but also as a major influence in increasing patient autonomy in the health system. ix This year’s topic, Living with Grief: Coping with Public Tragedy, also is designed to give local hospices an opportunity to make known their capabilities in helping their communities when terrible events occur. The chapter by Marcia Lattanzi-Licht reviews hospice participation in a number of community disasters. It is a record in which everyone involved in the hospice movement can take pride. From television, radio, and daily newspapers, we get detailed and sometimes graphic accounts of the results of natural disasters such as hurricanes, tornadoes, and forest fires, as well as man-made disasters such as multiple shootings, auto accidents, and, of course, the devastating terrorist attacks that occurred on September 11, 2001. These events affect everyone, because there is always the thought, there but for the grace of God, go I. So when we deal with such events, we are concerned about the feelings and thoughts of everyone including, obviously, family and loved ones. That is what makes this topic such a difficult one to understand. We bring our own experiences, as well as our own attitudes toward life and death, to the attempt to understand what has happened. What we bring is not only our impression of the event, but also the memories and fears that it stimulates. Because everyone’s experience is different, we have to think hard to arrive at a common basis for discussing how we can help others and ourselves. It is the Foundation’s hope that a careful reading of this book will provide readers with a better understanding of the nature of this kind of trauma. Ideally, we would never again have to face this problem, but we know that is not possible. Being better prepared can only make the aftermath less disrupting for everyone affected. •