Psychological effects of nuclear and radiological warfare.

Not since 1945 has the world experienced nuclear warfare, although there has been the threat of nuclear terrorism and a large number of nuclear/radiological accidents. Most people fear a nuclear/radiological threat even more than a conventional explosion due both to their inability to perceive the presence of radiation with the ordinary human senses and to concerns about perceived long-lasting radiation effects. Studies of radiological accidents have found that for every actually contaminated casualty, there may be as many as 500 people who are concerned, eager to be screened for contamination, sometimes panicked, and showing psychosomatic reactions mimicking actual radiation effects. Data from the Hiroshima and Nagasaki attacks revealed widespread acute reactions such as psychic numbing, severe anxiety, and disorganized behavior, and there were later chronic effects such as survivor guilt and psychosomatic reactions. Such responses would likely be common in any future nuclear/radiological accident, terrorist attack, or warfare.