Trauma fears cloud upbeat picture of Thai boys rescued from cave

Motorists pass by a billboard displaying a photograph of the Thai children’s football team ‘Wild Boar’ and their coach with a message reading ‘welcome home brothers’ in Chiang Rai, following their rescue. (AFP)
Updated 11 July 2018
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Trauma fears cloud upbeat picture of Thai boys rescued from cave

  • Despite the positive health assessments so far experts said they would all need to be monitored closely for signs of psychological distress that could take months to manifest itself
  • The boys are expected to spend a week in hospital in Chiang Rai and six months of psychological monitoring

CHIANG RAI, Thailand: The dramatic rescue of a dozen boys from a flooded Thai cave ended a harrowing two-week ordeal that most seem to have weathered with astonishing mental and physical resilience — at least for the moment.
Despite days trapped in the gloom of a cramped, part-submerged chamber the youngsters’ psychological state is “very good,” Thongchai Lertwilairatanapong, Inspector General of the Public Health Ministry, told reporters on Wednesday, adding that they were now “free from stress.”
The upbeat assessments were surprising given that the boys and their football coach initially survived for more than a week in pitch darkness on a narrow ledge — with the passing days marked by hunger and fear that they might never be found.
When they eventually were rescued it involved an extremely hazardous extraction — guided one-by-one, using underwater breathing equipment, though a series of long, flooded sections of narrow tunnel.
Despite the positive health assessments so far experts said they would all need to be monitored closely for signs of psychological distress that could take months to manifest itself.
“Their journey is not over yet,” said Jennifer Wild, a clinical psychologist at the Oxford Center for Anxiety Disorders and Trauma.
“It’s possible after an ordeal such as this that similar cues will bring back feelings or memories from the trauma ... being in the dark, being in rooms when the doors are closed, having a scan such as an MRI and possibly swimming,” Wild said via the expert database Science Media Center.
“In the weeks after such an ordeal, it is common for people to have unwanted memories, feelings and flashbacks,” Wild said, adding that while such symptoms usually clear up after a month, any longer could indicate post-traumatic stress disorder (PTSD).
The boys are expected to spend a week in hospital in Chiang Rai and six months of psychological monitoring.
Doctors said the weeklong quarantine period was necessary to ensure they had not contracted any infections from inside the cave, but parents were allowed to visit the first group wearing protective gear on Tuesday.
But even after they are fully reunited with their families and discharged, their recovery will remain an ongoing process — especially in the short term.
“They may become fearful, clingy, or jumpy,” said Andrea Danese, a psychologist at king’ College London.
“They may fear for their safety; they may become very moody or easily upset — or, in contrast, become detached or numb,” she added.
The boys — all members of the same football team — may have been helped during their ordeal by the fact that they were already a unit rather than a group of strangers.
“The important things will be helping each other, returning to school and getting back into their community,” said Boonruang Triruangworawat, director-general of the Thai Heath Ministry’s Mental Health Department.
Wild stressed that the boy’s youth and collective spirit could also play to their advantage in terms of processing what they had been through.
“If they can view the ordeal as an unusual adventure rather than dwelling on how the event could have cost their lives, they will be more likely to have a good emotional outcome,” Wild said.
“If they focus and dwell on what could have happened, they’ll have a harder time,” she added.


US House of Representatives passes war powers resolution backing Trump’s attacks on Iran

Updated 8 sec ago
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US House of Representatives passes war powers resolution backing Trump’s attacks on Iran

WASHINGTON: The House narrowly rejected a war powers resolution Thursday to halt President Donald Trump’s attacks on Iran, an early sign of unease in Congress over the rapidly widening conflict that is reordering US priorities at home and abroad.
It’s the second vote in as many days, after the Senate defeated a similar measure. Lawmakers are confronting the sudden reality of representing wary Americans in wartime and all that entails — with lives lost, dollars spent and alliances tested by a president’s unilateral decision to go to war with Iran.
While the tally in the House, 212-219, was expected to be tight, the outcome provided a clarifying snapshot of political support for, and opposition to, the US-Israel military operation and Trump’s rationale for bypassing Congress, which alone has the power to declare war. At the Capitol, the conflict has quickly carried echoes of the long wars in Afghanistan and Iraq, and many Sept. 11-era veterans now serve in Congress.
“Donald Trump is not a king, and if he believes the war with Iran is in our national interest, then he must come to Congress and make the case,” said Rep. Gregory Meeks, the top Democrat on the House Foreign Affairs Committee.
House Speaker Mike Johnson warned that it would be “dangerous” to limit the president’s authority while the US military is already in conflict.
“We are not at war,” said Johnson, R-Louisiana, a close ally of Trump, contradicting others. He said the operation is limited in scope and duration, and the “mission is nearly accomplished.”
Republicans largely back Trump, and most Democrats oppose the war
Trump’s Republican Party, which narrowly controls the House and Senate, largely sees the conflict with Iran not as the start of a new war, but the end of a government that has long menaced the West. The operation has killed Iran’s Supreme Leader Ayatollah Ali Khamenei, which some view as an opportunity for regime change, though others warn of a chaotic power vacuum.
Republican Rep. Brian Mast of Florida, chairman of the House Foreign Affairs Committee, publicly thanked Trump for taking action against Iran, saying the president is using his own constitutional authority to defend the US against the “imminent threat” the country posed.
Mast, an Army veteran who worked as a bomb disposal expert in Afghanistan, said the war powers resolution was effectively asking “that the president do nothing.”
For Democrats, Trump’s attack on Iran, influenced by Israeli Prime Minister Benjamin Netanyahu, is a war of choice that is testing the balance of powers in the Constitution.
“The framers weren’t fooling around,” said Rep. Jamie Raskin, D-Md., arguing that the Constitution is clear that only Congress can decide matters of war. “It’s up to us.”
Crossover coalitions emerged among those in Congress. Two Republicans joined most Democrats in voting for the war powers resolution, while four Democrats joined Republicans to reject it.
The war powers resolution, if signed into law, would have immediately halted Trump’s ability to conduct the war unless Congress approved the military action. The president would likely veto it.
Trump officials provide shifting rationale for war
Trump has scrambled to win support for the nearly week-old conflict as Americans of all political persuasions take stock. Administration officials spent hours behind closed doors on Capitol Hill this week trying to reassure lawmakers that they have the situation under control.
Six US military members were killed over the weekend in a drone strike in Kuwait, and Trump has said more Americans could die. Thousands of Americans abroad have scrambled for flights, many lighting up phone lines at congressional offices as they sought help trying to flee the Middle East.
Trump said Thursday he must be involved in choosing Iran’s new leader. Yet Johnson, R-Louisiana, said this week that America has enough problems at home and is not about to be in the “nation-building business.”
Defense Secretary Pete Hegseth said that the war could extend eight weeks, twice as long as the president first estimated. Trump has left open the possibility of sending US troops into what has largely been a bombing campaign. More than 1,230 people in Iran have died.
The administration said the goal is to destroy Iran’s ballistic missiles that it believes are shielding its nuclear program. It has also said Israel was ready to act, and American bases would face retaliation if the US did not strike Iran first. The US said Wednesday it torpedoed an Iranian warship near Sri Lanka.
“This administration can’t even give us a straight answer of as to why we launched this preemptive war,” said Rep. Thomas Massie, the Republican from Kentucky, an outlier in his party.
Massie and Rep. Ro Khanna, D-Calif., who had teamed up to force the release the Jeffrey Epstein files, also pushed the war powers resolution to the floor, past objections from Johnson’s GOP leadership. Republican Rep. Warren Davidson of Ohio, a former Army Ranger, also voted for it. Democratic Reps. Henry Cuellar of Texas, Jared Golden of Maine, Greg Landsman of Ohio and Juan Vargas of California voted against.
“Congress must stand with the president to finally close, once and for all, this dark chapter of history,” said Rep. Michael McCaul, R-Texas.
Rep. Yassamin Ansari, D-Arizona, said that as the daughter of Iranian immigrants who fled their homeland, she opposes the regime but is concerned that a democratic transition for the people of Iran never seems to a priority for Trump or the officials who briefed Congress.
“War carries profound and deadly consequences for our troops, for the American people and for the entire world,” she said. “It’s the most serious decision that a nation can make.”
Other Democrats have proposed an alternative resolution that would allow the president to continue the war for 30 days before he must seek congressional approval. The House also approved a separate measure affirming that Iran is the largest state sponsor of terrorism.
Senators sit in their desks for solemn vote
In the Senate, Republican leaders have successfully, though narrowly, defeated a series of war powers resolutions pertaining to several other conflicts during Trump’s second term. This one, however, was different.
Underscoring the gravity Wednesday, Democratic senators sat at their desks as the voting got underway.
Senate Democratic leader Chuck Schumer of New York said that every senator will pick a side. “Do you stand with the American people who are exhausted with forever wars in the Middle East?” he asked. Or with Trump and Hegseth “as they bumble us headfirst into another war?”
Sen. John Barrasso, second in Senate Republican leadership, said, “Democrats would rather obstruct Donald Trump than obliterate Iran’s national nuclear program.”
The legislation failed on a 47-53 tally mostly along party lines, with Sen. Rand Paul, R-Kentucky, in favor and Sen. John Fetterman, D-Pennsylvania, against.