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.     

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.     

The relevance of mindfulness practice for trauma-exposed disaster researchers

This paper aims to raise awareness of vicarious trauma amongst disaster researchers, and suggests ways to prevent vicarious traumatisation from happening and/or reaching incapacitating levels. The paper examines the potential of mindfulness practice, grounded in Buddhist meditation, as a set of contemplation tools through which optimal level of functionality can be maintained or restored. The relevance of the emphasis in mindfulness on understanding suffering, non-attachment, non-judgement, and full participation in the present moment are related to the context of disaster research. The paper demonstrates the potential for increased researcher resilience through acknowledgement and understanding of impermanence, as well as skilful observation of external and internal phenomena in trauma without forming attachment to the pain and suffering.     

Caring for Carers in the Aftermath of Trauma

The potential impact on psychological well-being of working in the caring professions in the aftermath of trauma and disaster has been recognized for many years, with terms such as burnout, compassion fatigue, and vicarious traumatization coined to describe stress-related conditions. Although prevalent, these conditions do not affect all workers in the field. Various studies have investigated potential risk and protective factors. It is argued that the outcomes of this research should be used to guide practical interventions in the workplace designed to minimize stress-related problems. A framework that incorporates interventions at the primary, secondary, and tertiary prevention levels is outlined, and research investigating the efficacy of interventions at each of these levels is recommended.     

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.     

Integrating mindfulness as self-care into counselling and psychotherapy training

Aim: Within the last 10 years, mindfulness has quickly moved into the mainstream of behavioural medicine, psychotherapy, and counselling. This article examines the potential of applying mindfulness practices to the training of counsellors and psychotherapists. Method: Several qualitative research projects conducted over the past nine years are summarised. Findings: Mindfulness training can enhance the physical and psychological wellbeing of trainees. Implications for training: Mindfulness training is a specific way that training programmes can teach students strategies of self-care that can help prevent burnout, compassion fatigue, and vicarious traumatisation.     

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     

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.     

Working with severely traumatized,chronically depressed analysands

Surprisingly often in the psychoanalyses of chronically depressed patients, depression represents an unconscious attempt to psychically cope with unbearable psychic pain following severe traumatisation: dissociative states, a chronified psychic state of shock, a disappearance of emotions, an emptying of the self and the object relationships, as well as a disappearance of the psyche in the body are among the possible consequences. The treatment of these difficult groups of analysands can also frequently bring analysts to the limits of the endurable. Often related to this is the repeated danger of denying the trauma, and a re‐traumatisation of the analysand in the analytic situation. The lecture discusses the fact that in comparison with other therapeutic approaches, psychoanalysis has a highly differentiated conceptualisation of the psychic determinants and the treatment of chronic depression at his disposal. However, in order to retain its creativity and innovation as a scientific discipline and to be thus perceived in the non‐psychoanalytic world, it must constantly further develop its conceptualization by way of systematic and extra‐clinical research – as is witnessed in the insufficient conceptual account of severe traumatisation during the genesis of chronic depression. In this connection, several exemplary examples from extra‐clinical studies in the sphere of psychotherapeutic research, neurobiology, epigenetics and embodied cognitive science will be accounted for. As will be treated in the final part of this paper, of no less importance are the conceptualizations in clinical research on psychoanalysis, which are based on meticulous, careful analyses of trauma reactivation in the transference, and understanding and working through them in the analytic relationship.     

Vicarious traumatisation experiences among South African Police Service members in a rural setting: An exploratory study

The objective of this study was to explore the vicarious traumatisation experiences of South African Police Service members serving in a rural community. The participants consisted of 17 purposively selected police members (females = 4; age range 27 to 55; average years of police service = 10.6 years). Unstructured face-to-face interviews were conducted on the members’ experiences with trauma events where they were called upon to provide police services. Additionally, field notes, telephone follow-ups, and diaries were used to collect data from the members. The data were analysed using interpretative phenomenological approach guidelines. Findings show the police members to report their outlook on life to change from viewing work-life as routine and impersonal, to viewing it as involved and personal. The police members also reported psychological disorientation and being in a sense of stupor from exposure to traumatic cases. Finally, the police members self-reported empathetic experiences with the survivors as concerned citizen parents.     

Vicarious shame

We examined an account of vicarious shame that explains how people can experience a self-conscious emotion for the behaviour of another person. Two divergent processes have been put forward to explain how another's behaviour links to the self. The group-based emotion account explains vicarious shame in terms of an in-group member threatening one's social identity by behaving shamefully. The empathy account explains vicarious shame in terms of empathic perspective taking; people imagine themselves in another's shameful behaviour. In three studies using autobiographical recall and experimental inductions, we revealed that both processes can explain why vicarious shame arises in different situations, what variation can be observed in the experience of vicarious shame, and how all vicarious shame can be related to a threat to the self. Results are integrated in a functional account of shame.     

Vicarious shame

We examined an account of vicarious shame that explains how people can experience a self-conscious emotion for the behaviour of another person. Two divergent processes have been put forward to explain how another's behaviour links to the self. The group-based emotion account explains vicarious shame in terms of an in-group member threatening one's social identity by behaving shamefully. The empathy account explains vicarious shame in terms of empathic perspective taking; people imagine themselves in another's shameful behaviour. In three studies using autobiographical recall and experimental inductions, we revealed that both processes can explain why vicarious shame arises in different situations, what variation can be observed in the experience of vicarious shame, and how all vicarious shame can be related to a threat to the self. Results are integrated in a functional account of shame.     

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.     

If you are vulnerable and you know it raise your hand: Experiences from working in post-tsunami Thailand

Scientific validity has historically been measured against notions of objectivity. However, try as we might, we cannot divorce ourselves from our own personal interests and perceptions that shape the questions we ask, the theoretical filters and methods we choose, and the conclusions we make. We are all human and it is this humanness that is tested and shaped by disasters. Embracing this humanness, this paper reflects upon the experiences and challenges of undertaking longitudinal research in Thailand following the 2004 Tsunami from the perspective of a research student. These include: common logistical and planning challenges in undertaking disaster research in a cross-cultural setting and how positionality, reflexivity, reciprocity and the differing needs of the researcher and participants influence research outcomes. Particular focus is placed on the emotional toll working in unique trauma landscapes has on researchers and the associated threat of secondary trauma stress and vicarious trauma, how this influences a researcher's relationship to place and the ramifications this exchange has on the researcher as a person and their findings. I conclude by offering recommendations on how early career researchers can better prepare for and navigate the disaster landscape and adjustments their mentors and institutions can make to support them.     

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 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.     

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.     

替代性创伤与具身情绪

具身情绪是在近年来大热的具身认知领域影响下提出的便于研究情绪的理论,主要表现为情绪是由生理反应及情境等共同作用影响的; 而替代性创伤是用以描述心理工作者因长期接触创伤后患者对其进行危机干预,而出现类似的创伤反应和身心不良症状的概念。这两者在形成结构上存在相似之处。本文对这两个概念进行介绍,从具身的视角描述了替代性创伤的成因,最后结合实际对未来研究探讨与展望。     

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.     

Theoretical approaches to psychological trauma: Implications for research and practice

In recent years, a range of counselling and psychotherapy interventions have been developed in work with clients and patients suffering from the psychological effects of trauma. This paper outlines various theoretical models of psychological trauma, selected because they can specifically encompass both the external aetiology (i.e. the traumatic event) and also explain (to a greater or lesser extent) the enormous range of reactions to that event. These models are critically discussed in terms of their implications for counselling practice, and as guides to further research. Examples are given of ways in which the author has drawn on different theoretical frameworks to inform her own therapeutic practice in work with people experiencing post‐traumatic stress disorder.