Law enforcement officers (LEOs) often bear witness to trauma in others, leaving them vulnerable to vicarious traumatization. Vicarious resilience can counterbalance the negative effects of trauma work and help individuals avoid vicarious traumatization. This study investigated the phenomenon of vicarious resilience in 10 LEOs. The research questions focused on how the LEOs experienced witnessing victims demonstrate resilience during adversity and how they themselves were impacted by that experience. A phenomenological methodology and semi-structured interviews were used to explore the participants' experiences. Constructivist self-development theory and vicarious resilience were the conceptual frameworks used to explain how LEOs experience vicarious trauma and vicarious resilience. Phenomenological analysis was used to organize the data and assist in the development of themes regarding the nature of the participants' lived experiences. Analysis of the LEOs interview transcriptions generated 19 themes; including LEOs feel encouraged from witnessing victims' determination to live in the face of death, LEOs are motivated to reevaluate their own adversities, LEOs feel inspired from witnessing and reflecting on victims' ability to survive trauma, and LEOs carry hope that future victims will be resilient. Overall, the findings indicated that LEOs experience positive experiences and personal growth from their work with resilient victims. Results of this study may be used in law enforcement training to stimulate positive social change that might improve the well-being of LEOs by providing awareness on how vicarious resilience can be used as a proactive measure in working with trauma victims.

Many survivors of sexual trauma describe the forensic rape exam as a second rape (Campbell et al., 1999; Parrot, 1991). Rape crisis medical advocates (RCMAs) assist survivors through this process, a time of particular vulnerability to retraumatization (Resnick, Acierno, Holmes, Kilpatrick, & Jager, 1999), by providing emotional support, education, and advocacy for comprehensive and respectful services. Campbell (2006) stated that the primary role of the RCMA is to reduce victim-blame, or the tendency to blame the victim of a crime for the crime or the circumstances leading up to it. The literature has consistently shown that survivors who worked with RCMAs received more medical and legal services and were less likely to feel revictimized (Campbell, 2006; Resnick et al., 1999; Wasco et al., 2004), but the impact of the work on RCMAs has not been sufficiently examined. Previous research has shown that many advocates experienced anger and fear in relation to the work (Wasco & Campbell, 2002), that RCMAs who witnessed more victim-blame reported less satisfaction with the work and lower levels of affective commitment to the job (Hellman & House, 2006), and that professional counselors who worked with trauma survivors reported higher levels of vicarious trauma than those who did not (Schauben & Frazier, 1995). Other researchers have shown that counselors who worked with trauma survivors reported higher traumatic stress than those who did not, and counselors who worked with victims of sexual trauma endorsed more disruptive beliefs about self, others, and the world (Bober & Regehr, 2005). However, the appropriateness of generalizing results observed among counselors to RCMAs is unclear. The purpose of this study was to examine possible predictors of RCMAs’ experiences of vicarious trauma (VT) and vicarious post-traumatic growth (VPTG). Since a great deal of research examining the effects of trauma on care-providers focuses on individual-level contributing variables like personality style, coping skills, and history of victimization (Kelley, Schwerin, Farrar, & Lane, 2005; King, King, Fairbank, & Adams, 1998; Pearlman & Mac Ian, 1995), in this study I examined the predictive ability of several environmental/contextual/systemic variables on RCMAs ratings of VT and VPTG, including caseload, amount of formal individual and group supervision received, ratings of social community at work, meaning of the work, emotional demands of the work, and perceptions of witnessing VB by police and medical staff. One hundred and sixty-four RCMAs participated in this internet-based survey research. A series of hierarchical regression analyses demonstrated that higher ratings of VT were predicted by younger age, lower amounts of formal group supervision received, and lower ratings of the social community at work and the meaning of the work. Ratings of VPTG were significantly and positively predicted by amount of formal individual supervision received, and negatively predicted by age and educational achievement. Interpretations and recommendations are provided to assist rape crisis agencies in supporting RCMAs in their work.

Vicarious traumatization (VT) describes the gradual, transformative shifts in internal experience that occur as a result of cumulative exposure to clients’ trauma material. VT is thought to develop in the therapist due to empathic engagement with clients, resulting in profound disruptions in frame of reference. Because VT is conceptualized as a condition that develops due to frequent exposure to clients’ traumatic material, a rapidly emerging body of theoretical literature suggests that clinicians can safeguard against VT by maintaining a more balanced workload (i.e., a caseload of clients with a variety of presenting problems) and limiting the number of trauma cases. However, the quantitative research base on VT is limited and has been plagued by several methodological shortcomings, most notably the lack of comparison groups of non-trauma clinicians. As such, a primary aim of the present study was to characterize the prevalence and severity of VT among one group of clinicians treating predominantly traumatized populations, and one group providing treatment for a wider variety of presenting issues. Further, a secondary aim of this project was to identify both therapist-level and occupational-level contributors to VT. In our cross-sectional, online survey study of 114 generalist mental health providers (Mage = 33.36, 75.4% female, 88.6% Caucasian) and 107 trauma clinicians (Mage = 42.66, 81.3% female, 86.9% Caucasian) recruited from various professional organizations, levels of VT were low and not significantly different between the two provider groups. Risk factors for VT included fewer years of experience, having a greater personal history of trauma, and a personal distress empathy style. Protective factors included a perspective-taking empathy style, problem-focused and emotion-focused coping styles, and high-quality supervision. When the VT construct was examined alongside similar (but conceptually different) occupational stress constructs of secondary traumatic stress and burnout, there was a high degree of overlap, indicating that VT may not be a distinct phenomenon or unique to working with trauma clients. Results suggest that claims about the deleterious effects of trauma therapy are likely overstated, thereby refuting the original conceptualization of VT. Future research directions and implications for prevention and intervention are discussed.

No description available.

Bakgrund:  Compassion fatigue hos sjuksköterskor beskrivs som en minskad förmåga att känna empati till följd av att ha levt sig in i andra människors trauman, samtidigt ses empati som en av kärnorna i omvårdnaden. Många sjuksköterskor saknar kunskap i ämnet men drabbade sjuksköterskor beskriver det som en överväldigande känsla av att något är fel. Detta kan leda till att många sjuksköterskor funderar på att lämna yrket. Syfte: Syftet var att kartlägga faktorer till uppkomsten av compassion fatigue hos sjuksköterskor. Metod: En litteraturöversikt enligt Fribergs metod som baserades på elva kvantitativa och en kvalitativ artikel. Resultat: Resultatet presenterades utifrån fyra teman: empati, skuldkänslor och moralisk stress, personliga och sociala faktorer, arbetsrelaterade och organisatoriska faktorer samt ålder, arbetslivserfarenhet och professionalism. Några faktorer som orsakar compassion fatigue var hög grad av empatisk förmåga och hanteringsstrategier. Diskussion: Watsons teori om mänsklig omsorg och Conti O´Hares theory of the nurse as a wounded healer användes som teoretiska referensramar. Watson beskriver empati som en av kärnorna i hennes teori. Samtidigt som litteraturöversiktens resultat visade att högre grad av empati hos sjuksköterskan ger större risk att drabbas av compassion fatigue. Detta kan ses som motsägelsefullt då empati är en förutsättning för god omsorg. Conti O´Hares teori och resultatet stämmer överens i det avseende att om trauman hanteras på ett negativt sätt leder det till ohälsa. / Background: Compassion fatigue among nurses is described as a reduced ability to feel empathy due to being exposed to other peoples trauma, at the same time empathy is seen as one of the core values in nursing. Many nurses lack knowledge about the subject but affected nurses describes it as an overwhelmingly feeling that something is wrong. This may lead to a lot of nurses thinking about leaving the profession. Aim: The purpose was to identify the factors that lead to compassion fatigue in nurses. Method: A literature review according to Friberg´s method that is based on eleven quantitative articles and one qualitative article. Results: The results were presented on the basis of four themes: empathy, feelings of guilt and morol distress, personal and social factors, work related and organizational factors and also age, work experience and professionalism. Some of the factors that cause compassion fatigue were degree of empathetic ability and personal coping strategies. Discussion: Watson´s theory of human caring and Conti O´Hare´s theory of the nurse as a wounded healer was used as theoretical frame of reference. Watson describes empathy as one of the core values in her theory of human caring, at the same time the results of the literature review showed that nurses with a higher degree of empathy were at higher risk to develop compassion fatigue. This can be seen as contradictory when empathy is a condition in caring. Conti O´Hare´s theory and the result agree in the regard that if trauma is not handled in a positive way it may lead to illness.

Medical interpreter services will be essential for developing and implementing culturally relevant interventions and treatment for limited English proficiency (LEP) populations. This study sought to identify the possible risks or protective factors that may be associated with vicarious traumatization (VT) or vicarious posttraumatic growth among medical interpreters in behavioral health settings. A 2-step cluster analysis was conducted yielding 2 distinct groupings of medical interpreters (Subtype 1, n = 73; Subtype 2, n = 101). The most important predictor determining the 2 subtypes was whether the participant had a personal history of trauma. In addition, there were significant differences between the 2 subtypes among the following variables: Trauma and Attachment Belief Scale T-scores of VT; years as a medical interpreter; years as a behavioral health medical interpreter; level of education as it relates to interpreting; personal history of trauma; personal or family history similar to any of the trauma survivors served in the past year; specific mental health training; sought personal therapy related to exposure to traumatic material from work environment; current relationship status; race; and whether spoken, sign, or both spoken and sign language interpretation was provided. The results of this quantitative study further support the constructivist self-development theory where VT is the result of the accumulated effects of repeated exposure to trauma material in combination with the person of the provider. Understanding these risk and protective factors will continue to support the provision of effective treatment of LEP individuals in behavioral health settings and the ongoing professional development of behavioral health medical interpreters.

The aim of this study is to investigate and analyze the potential effects on a number of social workers that may arise from listening to stories of domestic violence, and how these social workers deal with the potential effects. The study is based on qualitative interviews with seven social workers that work with domestic violence. The theoretical perspective that we used was the theory of coping. The results of this study have indicated that the respondents have been affected of listening to the stories of domestic violence. Examples of different impacts that the work has had on some of the social workers is that they avoid movies and/or books with elements of violence, they are more aware of the domestic violence in the surroundings and there has also been changes in their cognitive schemas. The respondents have also developed coping strategies such as feelings to cope with a situation and collegial support. Another significant coping strategy is the organizational aspects such as professional tutoring, a balance in the workload and additional education. The aforementioned results and the results from previous studies are comparable, and we have been able to identify some similarities, which could indicate vicarious traumatization.

No description available.

A two week self-study was conducted to explore the use of self-care and its impact on well-being on the life of an art therapy graduate student. This study examined self-care through the use of weekly exercise, yoga and art as well as looking at the Wellness Evaluation of Lifestyle Notes that focused on five areas of well-being (Coping Self, Creative Self, Social Self, Essential Self, and Physical Self) which was documented bi-weekly. The literature review covers self-care, well-being and identifying barriers, the rationale for investing in self-care, and selfcare activities: exercise, yoga and art. Further implications of the use of self-care activities such as exercise, yoga and reflective art making were reviewed for clinical application in the field of art therapy, both for the client and art therapist. This research process allowed for an in depth exploration of the self, it furthered our knowledge regarding the efficacy of self-care and developed a deeper sense of self/self-awareness which benefitted our well-being personally and professionally.

Inledning: Behovet av traumabehandling till flyktingar har ökat. Psykoterapeuten blir vittne till berättelser som handlar om lidande, rädsla och smärta. Syftet med denna studie är att undersöka hur psykoterapeuter upplever sitt arbete med behandling av krigs- och tortyrskadade flyktingar. Frågeställningar: 1. Hur upplever psykoterapeuter arbetet med krigs- och tortyrskadade flyktingar? 2. Använder sig psykoterapeuter av bemästringsstrategier för att hantera sina upplevelser i arbetet med krigs- och tortyrskadade flyktingar? Om så är fallet, vilka? Metod: Kvalitativ metod med fenomenologisk, deskriptiv ansats valdes. Fem psykoterapeuter som arbetar med krigs- och tortyrskadade flyktingar intervjuades. Resultat: Studiens resultat har en manifest del och en latent del. ”Att pendla mellan vanmakt och skapande förändring” är ett tema som representerar det underliggande, latenta budskapet, d.v.s. det som sägs ”mellan raderna” och representerar den röda tråd som finns i samtliga intervjuer. Det manifesta resultatet visar att terapeuterna upplever sitt arbete som ett privilegium och som betungande. Terapeuterna använder medvetna bemästringsstrategier för att hantera känslomässig stress. Diskussion: Terapeuternas beskrivning av sitt arbete med krigs- och tortyrskadade stämmer väl överens med tidigare forskning. Terapeuternas upplevelse av sitt arbete kan förstås genom begreppen motöverföring, projektiv identifikation, vikarierande traumatisering, sekundär traumatisk stress och posttraumatic growth. / Introduction: The need for trauma treatment for refugees has increased. The psychotherapist testifies to stories that concern suffering, fear and pain. The purpose of this study is to investigate how psychotherapists experience their work in dealing with war and torture injured refugees. Research questions: How do psychotherapists experience the work of war and torture injured refugees? Are psychotherapists using coping strategies to handle their experiences in the work of war and torture-injured refugees? If so, which? Method: Qualitative method with phenomenological, descriptive approach was chosen. Five psychotherapists working with war and torture injured refugees were interviewed. Results: ”Oscillating between powerlessness and creative change" is a theme that represents the underlying latent message, what is said "between the lines" and represents the red thread found in all the interviews. The manifest results show that the therapists experience their work as a privilege and as burdensome. The therapists use conscious coping strategies to deal with emotional stress. Discussion: The therapists' description of their work on war and torture injured is in line with previous research. Therapists' experience of their work can be understood by the concepts of transference, projective identification, vicarious traumatization, secondary traumatic stress and posttraumatic growth.