Natural disasters are highly traumatic for those who experience them, and they can have an immense and often lasting emotional impact (Cox et al., 2008). Emotion has been studied in linguistics through its enactment in language, and this field of research has increased over the past decades. Despite this, the expression of emotion in post-disaster narratives is a largely unexplored field of research. This thesis investigates how emotion is expressed in narratives taken from the QuakeBox corpus (Walsh et al., 2013), recorded, following the Christchurch earthquakes, in 2012 and rerecorded in 2019. I take a mixed methods approach, combining computer-based emotion recognition software and discourse analytic techniques, to explore the expression of emotion at both a broad and narrow level. Two emotion recognition programs, Empath (Fast et al., 2016) and Speechbrain (Ravanelli et al., 2021), are employed to measure the levels of positive and negative emotion detected in a wide dataset of participants, which are investigated in relation to the gender and age of participants, and the temporal difference between the first and second QuakeBox recordings. In a second phase, a subset of these participants’ narratives was analysed qualitatively, exploring the co-construction of emotion and identity through a social constructionist lens and examining the societal Discourses present in the earthquake narratives. The findings highlight the relevance of gender in the expression of emotion. Female speakers have higher levels of positive emotion than non-female speakers in the findings of both emotion recognition programs, and there is a clear gendered difference in the construction of identity in the narratives, influencing the expression of emotion. The expression of emotion also appears to be mediated by New Zealand culture. Within this, a Discourse of the Christchurch earthquakes emerges, with motifs of luck, gratitude, and community, which reflects the values of the people of Christchurch at the time. Findings reinforced in both phases of the analysis also indicate differences between the lexical content and acoustic features in the emotion expressions, supporting previous research that argues that the expression of emotion, as a performative act, does not reflect the speaker’s inner state directly. This research adds a new dimension to (socio)linguistic research on emotion, as well as providing insight into how crisis survivors display emotion in their post-disaster narratives.
Most people exposed to disasters cope well. Others, however, develop posttraumatic stress disorder (PTSD)–a mental disorder characterised by symptoms of intrusion, avoidance, and hyperarousal–requiring input from specialist mental health services. To date, relatively little research has evaluated these services, and less is known about characteristics of people seeking treatment and their treatment outcomes. In 2010 and 2011, a series of major earthquakes occurred in the Canterbury region of Aotearoa New Zealand, resulting in initiation of the Adult Specialist Services for Earthquake Trauma Treatment (ASSETT) service to provide cognitive behavioural therapy (CBT) for people with earthquake-related PTSD or subthreshold PTSD symptoms. The current research used systematic literature review methods, in conjunction with data collected from people seeking treatment with the ASSETT service, to address issues relevant to the development of disaster mental health responses, particularly specialist mental health services. A systematic review was conducted synthesising research examining mental health service use among adults exposed to natural disasters. A second systematic review and meta-analysis evaluated psychological interventions for earthquake-related PTSD. A series of studies then utilised diagnostic interview and self-report data collected from people seeking treatment with the ASSETT service (n = 184). Data were collected on factors relating to sociodemographics, pre-earthquake mental disorders, current psychological functioning, degree of objective and subjective earthquake exposure, and life events. These studies examined factors distinguishing treatment-seeking participants from earthquake-exposed Canterbury residents who coped well; differences associated with different prior mental disorders and timing of treatment presentation; and outcomes of CBT provided by the service. Four overarching themes emerged across study findings. The first related to the role of objective and subjective disaster exposure in the development of post-disaster mental health outcomes. Subjective peritraumatic responses were found to be an important factor distinguishing treatment-seeking participants from those who coped well following the earthquakes, independent of objective exposure severity. Heightened peritraumatic responses were also associated with poorer treatment outcome, although not beyond their association with pre-treatment PTSD severity and degree of comorbidity. The second theme related to the role of pre-trauma mental health in the development of post-disaster mental health outcomes. Participants with a history of pre-earthquake mental disorder presented with more comorbid disorders than participants with no prior disorder, but reported comparable degrees of PTSD severity and similar treatment outcomes. The third theme related to temporal considerations for disaster mental health responses. Participants who presented at later time points tended to be older and were more likely to have subthreshold PTSD symptoms, but had similar treatment outcomes as those who presented at earlier time points. The fourth theme related to treatment of severe and ongoing earthquake-related distress. CBT without a formal exposure component was associated with clinically significant improvements on a range of outcome measures, with group and individual-based treatment associated with comparable outcomes. Findings of the current research suggest people seeking treatment for severe and ongoing disaster-related distress are not homogenous, and are likely to present for treatment at different time points, have varied mental health histories, and report diverse disaster experiences. CBT is an effective treatment for severe and ongoing post-disaster distress when delivered in real-world mental health service settings. Group CBT represents an efficient, scalable, and effective treatment format for post-disaster distress, and may be an attractive option for treating widespread need using limited resources.
