“…This relates to the extreme uncertainties of CTDs as they induce different and often conflicting definitions of the situation. Several case studies have shown how these contradicting responses to chemicals are likely to become secondary stressors (e.g., Edelstein, 2004;Kroll-Smith & Couch, 1991a, 1993b. For example, the delayed responses by authorities to manage the environmental risks, the rise of social conflicts among residents, the development of an environmental stigma, victims' skepticism about risk assessments, and their distrust of policy makers, resulting from, among other things, the ignorance and uncertainties surrounding the health effects of exposure to chronic contaminants, can cause psychosocial effects in addition to the stress effect of being exposed to chemicals (e.g., Couch & Mercuri, in press;Edelstein, 1991;Freudenburg, 1997;McGee, 1999).…”