Trapped Chilean Miners Face Psychological Challenges

Aug. 23, 2010— -- The 33 miners trapped in a Chilean mine since August 5 face what could be four more months in a 600-square-foot space underground as they wait for rescuers to dig a hole deep and wide enough to get them out.

According to the Associated Press, engineers secured a lifeline today to provide the miners with food, water, medicine and communication. Doctors are also trying to assess their psychological condition. Experts say that being trapped in the mine for an extended period of time could be extremely detrimental to their mental health.

And new challenges appear to be emerging by the hour. Two of the 33 men are reportedly obese, and it appears that they will not fit through the 27-inch-wide hole rescuers intend to drill. ABC News has been told that these two miners will have to lose enough weight during their captivity to fit into the hole once it is dug.

Among the psychological challenges they face is the stress of the confinement itself. ABC News has learned that psychological counseling is already available on site, as are doctors.

"We all need and are used to a certain amount of physical and psychological space around us," said Simon Rego, director of Clinical Training at the American Institute for Cognitive Therapy. "As a result of being trapped, both of these variables will be compromised, along with other 'freedoms' that we normally take for granted." Rego said that among these freedoms are the ability to move about at will and to choose who to be around.

"It sounds like they will have almost every type of stressor imaginable," said Barbara Rothbaum, professor of psychiatry at Emory University School of Medicine. Those stressors include injury, lack of care, physical discomfort, lack of a daily schedule and the stress of "being in cramped quarters with many other individuals similarly stressed for months."