"Animal / Human Bonding
Grieving, Coping, Counseling"


Dave Johnson
Cascades Biomedical Consulting Intl. Inc.

Contents:  Human-Animal Bond - Response - Urgent Actions - Grief - Coping - Personnel Management - Counseling

Introduction:

This presentation provides a focus on the emotional impact of a disaster to the research animal staff. The devastating loss of animal lives, providing care to the injured and ill animals, ongoing chaos, hardships of the working conditions, uncertainty of the near and long-term future of the institutions solvency, along with personal and family crises issues, places a serious emotional burden upon the staff.


Human-Animal Bond

• Domestication of Animals ~ 20,000 BC developed bonding of humans & animals
• Relationship encompasses food, fiber, sports, security, assistance to disabled people, companionship, education, and research
• Degree and definition of bonding depends on the intended relationship
• Humaneness always important

Early human history recordings of cave art work clearly identifies the close working and bonding relationships of animals to people. Dogs provided key support for hunting as well as serving as a guardian to the human clan. The companionship bonding occurred simultaneously with this working synergism. As civilization developed, animals provided activities for sporting, agricultural, food and fiber sources, improved companionship, breeding for specific strains characteristics for multiple purposes such as showing, exhibition, and sporting.


Bond with Research Animals

• Experimental animals began in early Greece and Egypt
• Experimental animals have continued to improve understanding of biology
• Cartesian philosophy separated humans from nature: I think therefore I am
• Renaissance philosophy promoted the unity of nature and humans

Research with animals began with studies to demonstrate nutrition and anatomy. Advances of experimental research led to key understanding of basic physiology and anatomy. Ethical definitions paralleled animal use whether for research, sporting, or as companions. The Cartesian viewpoint considered animals as a mechanical aspect of life, therefore, void of emotions. Renaissance philosophy served to stimulate the current philosophy that animals were integral aspects of the whole of nature and the universe. Today, it is generally accepted that animals have cognition, feelings, and thinking. Thus the Cartesian quote of “I think therefore I am” can be paraphrased to include animals: “They think, therefore they are”.

• Darwinism forged the biological connection of nature and animals: evolution and the survival of the most adaptable
• Scientific advances in behavioral studies: “Critical Anthropomorphism”
• Animals have a sense of awareness and “self-awareness”
• Rephrasing Rene Descartes:
• They “think” therefore they “are”
• Ethics of animal use and care (IACUC)

These emerging ethical issues of animals including their sense of being, cognitive abilities, ability to feel and express emotions, along with related behavioral attributes have led to increased sensitivity of their use by society including biomedical research. The concept of animals having rights serves as the centerpiece of dialogue, ethical debate, as well as a rallying point for activist groups. Institutional Animal Care and Use Committees are on the cutting edge of addressing these ethical issues.


Initial Response

• Human Safety
• Emergency Care for the Animals
 – Triage
 – Intervention
 – Salvaging
 – Medical and Husbandry Care
 – Humane Considerations

During an emergency or crisis situation, the first priority is human safety. The research animal staff must follow the emergency preparation programs to assure their safety from injury or death. Only once the facility is deemed safe as well as their activities within the animal facility, can steps be taken for emergency care for the animals animals. Upon entering a research animal facility after a crisis situation, triage veterinary medical care is implemented. Injured and ill animals are quickly assessed into three categories. The first category identifies those animal in urgent need of medical care that have a good prognosis. The second category identifies those animals not requiring immediate treatment and have a good chance of recovery. The third category are those animals whose prognosis is poor whether treatment is provided or not. Once this triage of definition is provided to the ill and injured animal, the priority of care is given to category one first, then category two, and lastly, category three. Animals in category three in pain should be quickly euthanized. The emergency care of the animals encompasses triage, intervention, and salvaging as many animals as possible. Medical care and appropriate husbandry are synergistic to these efforts in meeting humane considerations.


Urgent Actions Staff Effects

• Emergency Adrenalin Rush
• Thriving on Chaos
• Problem Solving
• Creativity
• Assessing the Damage
• Exhaustion
• Psychological Well Being

An emergency crisis stimulates and energizes many of the animal care providers since they possess the skills required for intervention. This adrenalin rush and call to duty activates the staff to extraordinary efforts of productivity. The chaos and urgent problem solving stirs creativity and problem solving. It also leads to exhaustion, frustration, and a sense of being overwhelmed. The psychological well being of the research animal staff is clearly stretched.


Grief: Dead and Dying Animals: Dead and Dying Animals

• Delayed return to animal facility
• Anxiety of their condition
• Frustration of barred from animal facility
• Dilemma of lack of urgent attention to the animals
• Physical Condition of dead and dying animals
• Shock of the Death Scene
• Psychological trauma of mass death
• Coping with surviving animals

The shock of reality rapidly sets in as the staff witnesses the delay of being allowed entrance back into the animal facility until safety officials deem it safe. This is followed by the shock of seeing many dead and injured animals. The psychological trauma of mass death and then coping with surviving animals can lead to serious emotional consequences for the staff.


Grief: Surviving Animals

• Dealing with surviving animals
• Medically ill
• Injured
• Non clinical conditions affecting long term health e.g. smoke inhalation of lungs
• Immediate and future value as animal models
• Re-Qualification criteria for research studies
• Euthanasia: mass numbers of animals

After triaging the animals, the staff then carries out the difficult tasks of providing intensive care treatment to the animals. Witnessing the non response of certain animals to treatment leads to frustration. An additional emotional factor is having to euthanize clinically normal animals whose exposure to the effects of the disaster no longer qualifies them for future research. Examples include inhalation exposure to smoke, drenching from water, and exposure to unknown environmental chemicals. For animals that do recovery, they need to be re-qualified for new studies. Re-qualification is frequently undefined and thus places further new challenges to the staff. On top of these factors, there is the need for mass euthanasia for animals too injured or ill. Although this is intrisinically ethical, the process of euthanizing hundreds of animals can take its emotion toll on employees who are also feeling the emotional stress of the surrounding crises as they think of their immediate families, personal health, and future career.


Grief: Post-Disaster

• Animals
• Co-workers
• Facility
• Organization
• Self

The grief following the aftermath of a disaster, poses challenges to the research animal staff as they must deal with post disaster issues of animals, co-workers, facility destruction, chaotic organizational responses, and for themselves.


Coping

• Grieving Cascades of Emotions*
 –Denial
 –Anger
 –Bargaining
 –Depression
 –Acceptance
• Staff will demonstrate an array of these emotions
 –Adds to the stress for Supervisors and Managers
*Elisabeth Kubler-Ross: Death and Dying

The stages of coping with grief are well defined with the seminal studies of Elisabeth Kubler-Ross. The cascades of events are denial, anger, bargaining, depression, and finally acceptance. The staff may demonstrate a variety of these emotions and in any order. Even if they are close to acceptance, emotional factors can trigger them back to re-start this process. Depending on the event that they are coping with, they may have a multitude of these feelings whether their focus of event is loss of animals, facility destruction, inner feelings of their own loss, and response to co-workers. Supervisors and managers require the skill to deal with their staff displaying a wide array of emotions. In addition, supervisors and managers are coping with their own grieving feelings.


Personnel Management

• Staff Uncertainties (real or perceived)
 –Future employment
 –Financial resolve of the institution
 –Investigators seeking other employment
 –Housing and personal financial losses
 –Family willingness to stay in the community
 –Temporary layoff, reduced work hours and loss of income while Institution renovates

Uncertainties facing the staff may be real or perceived. Yet perceived uncertainties trigger feelings that are genuine requiring equivalent coping responses. Personnel management unknowns include future employment, financial stability of the institution, key investigators with major grant awards relocating to a different institution, personal financial hardships, and family members wishing or insisting to relocate to a different geographical location. Meanwhile, there may be a temporary layoff and reduced work hours with a loss of income during the facilities recovery process.


Counseling

• Prearranged Counseling Services
 –Confidential
 –Management encouragement
 –No cost to employees for initial sessions
 –Follow up sessions, covered by medical plan
 –Prior to disaster, this counseling service is helpful for a variety of issues: family, alcohol and substance abuse, depression, etc.

A disaster preparation plan can incorporate counseling services to deal with these emotional and coping issues that will arise. These counseling services are readily available and many organizations provide them as part of their Wellness Programs. Fully confidential services are available to employees for emotional issues such as family problems, marriage strains, drug abuse, alcoholism, depression, etc. The counselors can be briefed about the organizational disaster plan so in the event of a catastrophe, the counselors are better prepared to provide professional counseling to the staff. These Wellness Programs are usually fully paid by the organization for multiple initial sessions. If long term counseling is needed, then this care is transferred to the employee’s medical insurance program.


Counseling - Post Disaster

• Counseling Service immediate
• Established contractual relationship with the Institution and Counseling Service
• Counseling Service will be busy, therefore, a prior arrangement essential
• Workshops for staff to deal with disasters along with the recognition of emotional stress: pre-disaster training & post disaster support

Having this post disaster counseling services pre-arranged through these contracted Well Programs, allows readily available counselors to help the staff. Emergency training programs related to disasters can include participation from these Wellness Program counselors. By addressing these emotional and coping issues prior to a disaster, it complements the organizational Disaster Plan and gives excellent resources for the employees.


Conclusions

• Develop an Emergency Plan
• Include Counseling
• Post Disaster Consultants
• Enlist Two Golden Retrievers for the staff
 –Comfort
 –Care
 –Conciliation
 –Companionship

In conclusion, preparing for the emotional stresses to the staff is as important as training them in triage, emergency veterinary care, and urgent facility maintenance. Pre and post disaster counseling is key to any Disaster Plan. Employees will require comfort, care, conciliation, and companionship. Even arranging for certain employees to bring their own pets to the employee staff lounge following a disaster provides excellent emotional support.

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