?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Predicting+Health+Impacts+of+the+World+Trade+Center+Disaster%3A+1.+Halogenated+hydrocarbons%2C+symptom+syndromes%2C+secondary+victimization%2C+and+the+burdens+of+history&rft.creator=Wallace%2C+Rodrick&rft.creator=Wallace%2C+Deborah&rft.subject=Clinical+Psychology&rft.description=The+recent+attack+on+the+World+Trade+Center%2C+in+addition+to+direct+injury+and+psychological+trauma%2C+has+exposed+a+vast+population+to+dioxins%2C+dibenzofurans%2C+related+endocrine+disruptors%2C+and+a+multitude+of+other+physiologically+active+chemicals+arising+from+the+decomposition+of+the+massive+quantities+of+halogenated+hydrocarbons+and+other+plastics+within+the+affected+buildings.++The+impacts+of+these+chemical+species+have+been+compounded+by+exposure+to+asbestos%2C+fiberglass%2C+crushed+glass%2C+concrete%2C+plastic%2C+and+other+irritating+dusts.++To+address+the+manifold+complexities+of+this+incident+we+combine+recent+theoretical+perspectives+on+immune%2C+CNS%2C+and+sociocultural+cognition+with+empirical+studies+on+survivors+of+past+large+toxic+fires%2C+other+community-scale+chemical+exposure+incidents%2C+and+the+aftereffects+of+war.++Our+analysis+suggests+the+appearance+of+complex%2C+but+distinct+and+characteristic%2C+spectra+of+synergistically+linked+social%2C+psychosocial%2C+psychological+and+physical+symptoms+among+the+100%2C000+or+so+persons+most+directly+affected+by+the+WTC+attack.++The+different+'eigenpatterns'+should+become+increasingly+comorbid+as+a+function+of+exposure.++The+expected+outcome+greatly+transcends+a+simple+'Post+Traumatic+Stress+Disorder'+model%2C+and+may+resemble+a+particularly+acute+form+of+Gulf+War+Syndrome.++We+explore+the+role+of+external+social+factors+in+subsequent+exacerbation+of+the+syndrome+--+secondary+victimization+--+and+study+the+path-dependent+influence+of+individual+and+community-level+historical+patterns+of+stress.++We+suggest+that+workplace+and+other+organizations+can+act+as+ameliorating+intermediaries.++Those+without+acess+to+such+buffering+structures+appear+to+face+a+particularly+bleak+future.&rft.date=2001&rft.type=Preprint&rft.type=NonPeerReviewed&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F1882%2F3%2FWTCfire7.pdf&rft.identifier=++Wallace%2C+Rodrick+and+Wallace%2C+Deborah++(2001)+Predicting+Health+Impacts+of+the+World+Trade+Center+Disaster%3A+1.+Halogenated+hydrocarbons%2C+symptom+syndromes%2C+secondary+victimization%2C+and+the+burdens+of+history.++%5BPreprint%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F1882%2F