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November 6, 2009

The echoing pain of traumatic news events

Posted: 02:46 PM ET

By Caleb Hellerman
CNN Medical Senior Producer

Yesterday I gave a short talk at a meeting for psychologists and others who work with people suffering from psychological trauma. Our panel was about how the media handles stories about mental illness. It’s a topic that felt especially poignant a few hours later, when a gunman shot and killed at least a dozen soldiers at Ft. Hood, a U.S. Army post in Texas. The alleged gunman: a military psychiatrist. At this point we don’t know what led to the shooting – was it a premeditated terrorist attack? A case of workplace rage? Was the gunman unhinged by fear of his upcoming deployment? Did he suffer some kind of a breakdown after hearing too many stories from traumatized soldiers?

Those are mysteries we’ll have to unravel in the coming days. What’s clear is that many people at Ft. Hood – a virtual city of more than 30,000 people – have just been through a terrifying experience. That doesn’t mean they'll develop a pathological condition – like post-traumatic stress disorder – but especially if they witnessed the shootings or lost loved ones, they are at risk for lasting problems.

Beyond that, news coverage of a violent event can itself be deeply painful for readers and viewers, especially if they’re trying to recover from an unrelated trauma of their own. At our panel yesterday, people raised some issues that I hadn’t much thought about. Reader comments, for instance. Two clinicians pointed out that people sometimes post hurtful comments online, which can re-traumatize the people being written about – for example, a rape victim in a crime story.  A handful of news organizations, including CNN, moderate message boards and eliminate comments that are overtly offensive or full of profanity. But one very animated audience member – he described himself as a former reporter – said that’s not nearly enough. He thinks it’s a disgrace that any news organization would publish anonymous reader comments – that it only encourages damaging words.

What do you think? How should news outlets like CNN strike a balance between telling the story, getting feedback from you and not making life worse for the people we cover?

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Filed under: Health • Mental Health


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Susan   November 7th, 2009 10:18 am ET

the medical world struggles with ethical considerations and especially during these times of increased need for medical care, questions regarding who will get the vaccine and who will not, and many other issues which are part of bioethical considerations.
The media seems to hype the issues and yet not mention the fact that those involved in treating patients and distributing medications and vaccines are governed by established rules of bioethics.
Shouldn't we be teaching the public about the decision making processes that take place to insure fairness and equality?

Janice Kneisley White   November 7th, 2009 12:56 pm ET

Recovering from coma these days is rather common, but recovering from a 2 month coma in 1964 was rare. I did, but I understand I was breathing erratically for several days. (My Mother, who was an RN was allowed to stay in my room 24 hrs. to help the specialists
since I was thrashing violently.) IWhen I "awoke" I had to re-learn walking, talking, and how to feed myself. I struggled to finish my college education, but I couldn't. (I had been a 3.5 student at Oberlin College-definitely not an easy school.) It took me 11 years to find a doctor to help me. After he took my first CAT scan, he told me that essentially my brain had been crushed. I now have the simple partial seizures under control with dilantin and neurontin., and have motor and sensory neuropathy and fibromyalgia, but I'm alive. Somebody up there likes me!

Elle   November 8th, 2009 1:27 am ET

I've worked in various jobs for a newspaper, and they too have this situation of "How do we keep it safe?" The only thing I can think of is, if you can't keep it safe, you can keep at least keep the comments pertinent.

it's a sign that you're doing your job that people feel they can debate their arguements via CNN; however, as I just said, the comments need to be pertinent, even if they're not considered 100% nice.

Any person not strong enough emotionally to handle this shouldn't put themselves at risk by reading possibly negative views, or post on places like CNN.

ACinCincy   November 17th, 2009 2:11 pm ET

I don't see any reason why reader comments shouldn't be moderated exactly as submitted letters to the Editor would be. Publishing a select, respectfully written few that effectively cover the "pro", "con" or "alternate" side of the story (while allowing readers the option to to "recommend" the point of view they agree with) should suffice.

Hoping that the community will police itself (via "report abuse" button) is a pipe dream. Why wait around for a reader to report someone has made an abusive remark? By then, 1000s of people may have already seen it.

What I don't understand is why "real time" comments are permitted at all on stories that deal with violent, traumatic incidents, such as the death of that beautiful 5 year old girl, or Jaycee Duggard's story.

I will have to say that CNN.com does a MUCH better job of monitoring sensitive stories than other news outlets. It's part of the reason I like visiting this site.

ACinCincy   November 17th, 2009 2:14 pm ET

Another idea I had was one that my local newspaper does... They "hide" all comments by default. If you want to see the comments &/or contribute, then you can "Click here to see comments."

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