Seeing ‘the dark passenger’ – Reflections on the emotional trauma of conducting post-disaster research

This paper acknowledges ‘the [my] dark passenger’ of emotional vicarious trauma associated with conducting post-disaster research. Post-disaster research is tightly bounded by ethics and professional codes of conduct requiring us to be vigilant about the impact of our work on our participants. However, as a disaster researcher, I have been affected by vicarious trauma. ‘Direct personal’ vicarious trauma is where I experienced trauma associated with witnessing devastation making a professional separation from my objective subjects impossible. ‘Indirect professional’ vicarious trauma occurred when PhD students and others under my supervision that I sent to disaster affected places, experienced significant negative emotional responses and trauma as they interviewed their participants. In these situations, I became traumatised by my lack of training and reflected on how the emphasis on the participants came at the expense of the researcher in my care. Limited literature exists that focuses on the vicarious trauma experienced by researchers, and their supervisors working in post-disaster places and this paper is a contribution to that body of scholarship. In acknowledging and exploring the emotions and vicarious trauma of researchers embedded in landscapes of disaster, it becomes possible for future researchers to pre-empt this phenomenon and to consider ways that they might manage this.     

Preventing Vicarious Trauma: What Counselors Should Know When Working With Trauma Survivors

Counselors in all settings work with clients who are survivors of trauma. Vicarious trauma, or counselors developing trauma reactions secondary to exposure to clients' traumatic experiences, is not uncommon. The purpose of this article is to describe vicarious trauma and summarize the recent research literature related to this construct. The Constructivist Self‐Development Theory (CSDT) is applied to vicarious trauma, and the implications CSDT has for counselors in preventing and managing vicarious trauma are explored.     

Vicarious Resilience: An Exploration of Teachers and Children’s Resilience in Highly Challenging Social Contexts

This study explores the formulation of vicarious resilience as a useful concept in the middle school age school educational arena. It addresses the question of how teachers who work with learners who experienced dislocation and adversity are affected by the children’s stories of resilience. It focuses on the teachers’ interpretations of their learners’ stories, and how they make sense of the impact these stories have had on their lives. Twenty-one teachers who work in accelerated learning programs in Cali, Colombia, were interviewed about their perceptions of their learners’ overcoming of adversity. Data were analyzed through the Consensual Qualitative Research (CQR) methodology to describe the themes that speak about the effects of witnessing how learners coped constructively with adversity. These themes are discussed to advance the concept of vicarious resilience and how it can contribute to sustaining and empowering teachers dealing with challenging children and trauma.     

Vicarious trauma: The psychological impact of working with survivors of trauma for South African psychologists

Traumatic events are highly prevalent in South African society and psychologists who work with survivors of trauma have been identified as particularly at risk of being adversely affected by their work, and experiencing vicarious trauma. This study aimed to explore the experiences of a group of South African psychologists who work predominantly with trauma survivors. Individual semi-structured interviews were conducted with six psychologists (females = 67%). The predominant type of trauma encountered by participants in clinical practice was interpersonal trauma in the form of physical and sexual abuse (83%). Data were analysed using thematic analysis. All participants reported symptoms of vicarious trauma including disruption in cognitive schemas, symptoms characteristic of post-traumatic stress disorder, and somatic symptoms. Participants also reported vicarious post-traumatic growth including an enhanced sense of interpersonal connectedness and positive changes in their philosophy of life and self-perceptions. The findings serve to sensitise psychologists to the impact of working with trauma survivors so as to enhance the efficiency of psychological service delivery to traumatised populations.     

The Experience of Vicarious Posttraumatic Growth in Mental Health Workers

In order to add to the body of research that examines the phenomenon of vicarious posttraumatic growth, this study sought to illuminate the lived experiences of mental health professionals who work on a day-to-day basis with multiply traumatized children and adolescents and, as a result, experience measurably high levels of vicarious trauma and compassion satisfaction. The findings from this qualitative study support positive vicarious experiences derived from trauma work and expose the pathologically focused nature of the profession.     

Vicarious traumatisation: current status and future directions

Theorists and practitioners have long recognised that working with trauma clients can trigger reactions in the therapist similar to those experienced by the client. Nevertheless, research in this area has been lacking. One obstacle has been confusion regarding key terms. Vicarious traumatisation is the most appropriate concept given that it relates specifically to trauma work, incorporates intrinsic and extrinsic factors, and can be located within the framework of the constructivist self-development theory. Although limited, research has identified a range of factors that influence vicarious traumatisation, such as experience, personal trauma history and coping style. Future investigation is required to examine aspects that could enhance counsellor resilience. In addition, vicarious traumatisation needs to be studied in terms of a broad range of clientele and occupations.     

Vicarious traumatisation in telephone counsellors: internal and external influences

The present study investigated vicarious traumatisation among telephone counsellors. In particular, the influence of coping style, supervision, and personal trauma history on vicarious traumatisation was examined. A total of 62 telephone counsellors from trauma related fields completed a series of self-report measures. Generally, levels of traumatisation (i.e. PTSD symptoms and disruptions in beliefs) were low. Nonetheless, five (8.2%) participants had total scores indicating 'high average' to 'very high' levels of disruption in beliefs. Also, 15 (25.9%) respondents reported that they experienced at least one PTSD symptom. As expected, non-productive coping was related to disruptions in cognitive beliefs, while dealing with the problem was not. In addition, having a strong supervisory working alliance was associated with lower levels of disruption in beliefs. Contrary to expectations, there were no significant predictors of PTSD symptoms despite a positive correlation with personal trauma history. In conclusion, vicarious traumatisation is of concern for telephone counsellors. Efforts to address its impact should focus on developing effective coping styles and enhancing the quality of supervision.     

Holding it together: Coping with vicarious trauma in sport

ObjectivesVicarious trauma refers to the negative effects that may be experienced after witnessing trauma (such as actual or threatened injury) in others. This study aims to examine vicarious trauma in sports coaches by drawing on the experiences of two trampoline coaches who have witnessed a serious athletic injury. In particular, this study focuses on how these coaches have responded to and coped with this traumatic event.DesignThe study draws on data from thematic, semi-structured, life history interviews that focus on the occurrence of one particular sports accident witnessed by both coaches.MethodMultiple interviews were conducted in which participants were invited to recall the accident, their own responses to the accident, and the coping strategies employed. Interviews were analyzed using a holistic-content analysis in which thematic similarities and differences between the narratives emerged.ResultsThere were three main themes that emerged, these were the need to make meaning following trauma, re-experiencing trauma, and acceptance and avoidance coping. Participants demonstrated the individual nature of coping with trauma. While one participant avoided the trauma by minimizing the events, blocking her emotions and giving support to others; the second participant showed acceptance of the trauma, was highly emotional, and received support from others.ConclusionsThis study demonstrates the difficulties that may be faced by coaches following vicarious trauma. Although each coach presents different experiences and coping strategies they provide some indications of the level and type of support that may be required after witnessing athletic injury.     

Emotional Reactions of Rape Victim Advocates: A Multiple Case Study of Anger and Fear

This research explores the emotional reactions of a rarely studied group of women who work closely with survivors of sexual violence: rape victim advocates. Women who assist rape victims in obtaining medical, criminal justice, and mental health services were interviewed about their experiences, and qualitative analysis was used to delineate the situational context of the advocates' emotional reactions. Results indicate that respondents experienced anger and fear in response to both individual (e.g., a perpetrator's menacing glare) and environmental (e.g., community denial of a problem) cues. Additionally, some experienced rape victim advocates perceived their emotional reactions to be an important part of their work with rape victims. These findings suggest that intense emotional reactions, previously conceptualized within a vicarious trauma framework, may at times serve as resources for women working with rape survivors.     

Reply to Panel Follow-up Questions

When both therapist and client share a traumatic event, there are multiple levels of vulnerability to traumatization for the therapist. Our personal vulnerability is not only a backdrop for our clinical work but also an acknowledged fact in many therapeutic relationships, a situation that changes the frame of the work. In addition to clinical challenges, shared trauma increases a therapist's vulnerability to vicarious traumatization; VT is defined as the negative transformation of the therapist's inner experience as a result of his or her empathic engagement with and responsibility for a traumatized client. Emphasizing the importance of awareness, self-care, meaning, and community, the article summarizes important steps to anticipate, address, and transform the therapist's experience of vicarious traumatization.     

Sekundäre Traumatisierung

During the past several years there has been a growing interest in the negative effects that therapy may have on therapists. Of special interest is a phenomenon called secondary traumatization, which can arise while working with traumatized clients. As yet it has not been verified that secondary traumatization consists of posttraumatic symptoms and leads to clinically significant distress. In an exploratory study 21 therapists were interviewed who declared that they had experienced an incident of this form of work-related stress. The presented study reveals that in fact such a ?vicarious“ traumatization can arise, even without direct contact to the original trauma. It consists of post-traumatic stress disorder (PTSD)-like symptoms, but in severe cases it can also manifest itself in symptoms which are far beyond the typical PTSD spectrum. Conditions for the development of secondary traumatization are high empathic ability and dissociative processing of the trauma material by the therapist.     

Creating Supportive Environments for Children Who have had Exposure to Traumatic Events

The prevalence of trauma among young children and its impact on educational outcomes is gaining attention. It is probable that the needs of children who have experienced or been exposed to trauma have long gone unmet due to identification challenges and a lack of knowledge concerning best practices. For this study, qualitative interviews were conducted to gather perspectives of 14 community-based service providers who worked with children and families regarding trauma-related concerns. Each shared his or her perspectives on knowledge and skills early childhood education teachers need to support children who have experienced traumatic events and partner with their families. Research questions were: What should early childhood teachers know about (1) trauma experiences among young children; (2) the emotional and behavioral patterns of children who have experienced traumatic events; and (3) supporting the social and emotional well-being of children in the classroom setting, including partnering with families, who have experienced or been exposed to traumatic events? Participants indicated that teachers might not readily connect children’s behaviors and emotions to trauma. However, teachers can use approaches and strategies (e.g., being attuned and supporting positive social and emotional and communicative responses) that promote social and emotional well-being for children who experience trauma. Participants also noted that teachers can resist re-traumatization by making adaptations to social, physical, and temporal aspects of the classroom environment. Findings indicate that trauma-informed care might be viable in early childhood classroom settings. Implications for research are discussed.     

Contagious trauma: Reframing the spatial mobility of trauma within advocacy work

Scholars have theorized that advocates who listen to the experiences of traumatized individuals suffer from ‘vicarious trauma,’ where they become affected by the process of working with trauma sufferers. Yet I argue that trauma is contagious, rather than vicarious: contagious trauma spreads, compounding and binding together sometimes unrelated life traumas. This paper focuses on the spread of contagious trauma within advocates who work together with people affected by two sets of policies that compound trauma in Australia's Northern Territory, Aboriginal Australians affected by the 2007 Northern Territory Emergency Response Legislation and asylum seekers affected by Australia's policies of mandatory detention. Using ethnographic data from participant observation and interviews with advocates as well as autoethnographic excerpts from field notes, I argue that advocates experience contagious trauma as the effects of witnessing trauma combine toxically with their own life traumas. Contagious trauma expands the destructive effects of traumatic public policy, and simultaneously shrinks the capacity of advocacy that contests these policies. Capacity shrinks as advocates construct barriers to keep trauma at bay.     

替代性创伤：危机干预中救援者的自我保护问题

替代性创伤是危机干预中的常见现象,它给救援者的身心带来不同程度的伤害,因此,需要及时关注救援者的替代性创伤问题,以维护其自身心理健康。已有研究表明,替代性创伤的成因主要与救援者个人自身因素以及特定的环境因素有关;当前,对替代性创伤的干预主要包括了提升专业水平、掌握自我调节方法、开展团体分享等策略     

共情的双刃剑效应：COVID-19心理热线咨询师的继发性创伤应激和替代性创伤后成长

关注新型冠状病毒肺炎流行期间的心理援助热线咨询师由共情带来的消极和积极影响及机制, 并探究从消极影响转变为积极成长的内在机制具有重要的理论和实践意义。本研究以国内疫情期间, 776名在教育部华中师范大学心理援助热线平台上工作的咨询师(平均年龄42.57岁, 平均咨询经验12.44年)为研究对象, 使用问卷法测量热线心理咨询师的共情、正念、寻求意义、继发性创伤应激(Secondary Traumatic Stress, STS)和替代性创伤后成长(Vicarious Posttraumatic Growth, VPTG)。采用潜变量结构方程模型进行分析, 结果发现：(1)咨询师的共情正向预测STS和VPTG; (2) 正念在共情和STS间起部分中介作用, 寻求意义在共情和VPTG间起部分中介作用; (3) 共情还可以分别通过STS、STS-寻求意义、正念-STS、正念-STS-寻求意义的中介路径对VPTG起正向预测作用。该结果提示要辩证看待共情带来的消极和积极影响, 关注从消极反应到积极成长的转变, 这不仅能够深化共情及其影响的理论, 还能为相关研究应用提供启示。     

Vicarious Trauma in Social Workers: The Role of Trauma History,Social Support,and Years of Experience

Vicarious trauma, a disruption in schemas and worldview often accompanied by symptoms similar to those of posttraumatic stress disorder, occurs as a result of chronic secondary exposure to traumatic material. The aim of this study was to examine the role of personal trauma history, social support, and experience level in the development of vicarious trauma among licensed social workers in Maryland (N = 160). Results indicated an increase in social support and in experience level of social workers predicted less severe vicarious trauma. In addition, an interaction effect between trauma history and social support trending on significance indicated higher levels of social support might help protect those without a trauma history but not those with a trauma history against vicarious trauma. Research and clinical implications are discussed.     

Understandings and experiences of cruelty: an exploratory report

The authors investigated popular understandings of cruelty among 103 undergraduates who identified the cruelest acts that they had experienced vicariously and personally. The authors also examined the reasons that the cited acts were defined as cruel. Results indicated that most of the vicarious cruel acts involved intense aggression or sexual imposition, whereas personally experienced cruelty was milder, frequently consisting of teasing or gossip. Offense, victim, and perpetrator characteristics were all cited as reasons that acts were considered cruel. The authors also investigated gender differences in reported acts and reasons. Future researchers should address the discrepancies between vicarious and personally experienced cruelty. Findings with regard to personal acts also call for links to the literature on callousness and victimization.     

Understandings and Experiences of Cruelty: An Exploratory Report

Abstract

The authors investigated popular understandings of cruelty among 103 undergraduates who identified the crudest acts that they had experienced vicariously and personally. The authors also examined the reasons that the cited acts were defined as cruel. Results indicated that most of the vicarious cruel acts involved intense aggression or sexual imposition, whereas personally experienced cruelty was milder, frequently consisting of teasing or gossip. Offense, victim, and perpetrator characteristics were all cited as reasons that acts were considered cruel. The authors also investigated gender differences in reported acts and reasons. Future researchers should address the discrepancies between vicarious and personally experienced cruelty. Findings with regard to personal acts also call for links to the literature on callousness and victimization.     

Cultural Trauma and Countertransference Experiences of Therapists Dealing With Childhood Sexual Abuse: A Response to Kathleen McPhillips

My response to Kathleen McPhillips’s paper focuses on the pervasiveness of vicarious trauma for those working with survivors of childhood sexual abuse. Attempts to avoid the impact of vicarious trauma may in fact lead to denial, dissociation, or amnesia. Cultural trauma, as unearthed by the Australian Royal Commission into Institutional Responses to Child Sexual Abuse Commission, can also be linked with the wider theme of Australia’s history of migration. Migrants who came to Australia fleeing various forms of trauma, have, at times, felt betrayed by the new country. This sense of betrayal is compounded if, for example, institutional sexual abuse suffered by their offspring, is ignored or denied. The abuse suffered by children in Australian institutions has led to trauma on both personal and cultural levels. Healing, therefore, may require both individual help, and ethical responsiveness on a more collective level. The Royal Commission serves to provide a container for its examination. Such public recognition is but one step in processes of reparation that need to take place on individual and cultural levels. McPhillips’s work may also serve as a vital part of this process.     

Vicarious traumatisation of counsellors and effects on their workplaces

The literature on therapists' reactions to clients' traumatic material is Critically reviewed. The various attempts within this relatively new literature to conceptualise this phenomenon include countertransference, compassion fatigue and vicarious traumatisation. The limited research evidence is evaluated and found to support anecdotal accounts by trauma therapists. Empathic engagement with trauma survivors is necessary for effective psychotherapeutic intervention. However, empathic engagement also makes therapists vulnerable to the detrimental effects of vicarious trauma, with consequent negative effects on individual counsellor effectiveness and organisational dynamics in the workplace.