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13

altruistic reactions and risk their lives trying to save

other people, even if they are strangers.

Any reaction that would seem surprising and ama-

zing in any other situation, becomes normal at this

point. For this reason, we should not judge our per-

formance during the event, or try to assess it and

think whether or not it met our expectations and

those of others, if we could have done things diffe-

rently, or if we failed to do something. Survival reac-

tions are not the result of reflection. Our degree of

control in these situations is, whether we like it or

not, very small.

Post-impact phase:

Once the impact phase caused by the blasts du-

ring the attack is over, the priority shifts to rescuing

and ensuring survival. Some of the previous reac-

tions may be extended, or new ones may appear.

Confusion, lightheadedness, and denial of what ha-

ppened are common reactions in this phase. Some

people may walk for hours, feeling disoriented,

without even being able to provide relevant infor-

mation about where the people who accompanied

them when the bombs went off were. Reactions re-

lated to a high alert and activation state, such as tre-

mors, rapid heartbeat, feeling of inability to breathe

or vomiting, frequent jolts, sudden and uncontrolled

flashbacks, and deep sadness and hopelessness, are

also frequent at this time. This may be accompanied

by intense emotional reactions and outbursts of

anger, hate, crying, screaming, or wailing.

Recovery phase:

This is a prolonged phase that is estimated to begin

weeks after the impact, after the rescue phase of the

victims is over, and continues until those affected go

back to their daily routine and activities. Its duration

depends, to a great extent, on the damage suffered.

Activation reactions, sleeping and concentration diffi-

culties, nightmares, difficulty to deal with one’s own

memories, situations related to the attack, feelings

of guilt, disorganized memories, even partial memory

loss, as well as other reactions that we already dis-

cussed in previous sections are quite common.

At the beginning of the recovery phase and soon

after the attack, there is usually a period of time in

which the victims receive a great deal of support

and protection that stems from solidarity reactions

from society. Then, they move on to a disillusion-

ment and abandonment phase, when the support

initiatives organized begin to withdraw, tributes and

expressions of support cease, and victims begin to

suffer the reality of their loss, and the problems and

constraints of bureaucracy, while facing all the chan-

ges and losses resulting from their new situation.

It is necessary to keep on providing accessible so-

cial and psychological support for the most severely

affected during this phase.

Feelings of guilt, trying to give logical explanations

for what happened, sleeping and concentration

difficulties, fatigue and difficulties in interperso-

nal relationships and at work are also common.

However, in time, these reactions usually decrease,

and those affected manage to regain some sense

of normalcy. Even if we have sad memories, and

things change for good after the attack, we must

realize that this experience will always be part of

us, as this will allow us to feel that we have regai-

ned control of our lives.