Vicarious Trauma and Professional Self-Care for the Trauma Clinician

Author(s):  
Gillian O’Shea Brown
Author(s):  
Lois M. Feuerle

Victims of violence and interpreters share one trait: they are susceptible to trauma-related sequelae. Direct victims may develop PTSD while interpreters may develop vicarious trauma. This chapter sets out the legal basis for language access in healthcare, noting the important quality dimension added by the ACA. It then reviews the statistics for various forms of violence and presents some of its enormous societal costs. It also highlights the similarity of some of the symptoms observed in persons suffering from vicarious trauma, PTSD and burnout, but notes the difference in the genesis of these three conditions. This is followed by an introduction to trauma-informed approaches in delivering victim services. Finally, it lays the basis for identifying VT symptoms, mentions two online instruments that might be useful in assessing the likelihood of vicarious trauma, and reviews types of self-care techniques for creating a personal self-care plan.


Author(s):  
Mary G. Brownsberger ◽  
Preeti Sunderaraman
Keyword(s):  

Author(s):  
Andrés J. Consoli ◽  
Heidi A. Zetzer ◽  
Himadhari Sharma

The practice of psychotherapy can be as rewarding as challenging. Psychotherapists are likely to find themselves inspired by their work at times, while at others, demoralized. The clients they serve can be a source of encouragement, even admiration in their abilities to overcome their difficulties; they can also be a source of great stress and discouragement. Considering the sizable range of emotions psychotherapists will experience in their daily practice, the ability of providers to proactively engage in self-care while striving towards congruence is paramount. In this chapter, the authors elaborate on the constructs of personal and professional self-care as meaningful ways to cope with, if not right out prevent, distress, burnout, and impairment. Moreover, the chapter advances an institutional, organizational, and communitarian view of self-care that acknowledges psychotherapists as members of a socially needed workforce, with their own rights to associate and unionize, while affirming their well-being.


2020 ◽  
Author(s):  
Courtney Apostol ◽  
Kathryn Cranwell ◽  
Danielle Hitch

Abstract Background: The term ‘’life limiting conditions’ refers to premature death following decline from chronic conditions, which is a common circumstance in which occupational therapists work with people at the end of life. The challenges for clinicians of working with these patients have long been recognised, and may have a significant impact on their professional self-care. This study aimed to evaluate a multidimensional workplace strategy to improve the professional self-care of occupational therapists working with people living with a life limiting condition.Methods: A pre and post mixed methods survey approach were utilised, with baseline data collection prior to the implementation of a multidimensional workplace strategy. The strategy included professional resilience education, targeted supervision prompts, changes to departmental culture and the promotion of self-care services across multiple organisational levels. Follow up data collection was undertaken after the strategy had been in place for two years. Quantitative data were analysed descriptively, while qualitative data were subjected to thematic analysis. Results: 103 occupational therapists responded (n=55 pre, n=48 post) across multiple service settings. Complex emotional responses and lived experiences were identified by participants working with patients with life limiting conditions, which were not influenced by the workplace strategy. Working with these patients was acknowledged to challenge the traditional focus of occupational therapy on rehabilitation and recovery. Participants were confident about their ability to access self-care support, and supervision emerged as a key medium. While the strategy increased the proportion of occupational therapists undertaking targeted training, around half identified ongoing unmet need around professional self-care with this patient group. Demographic factors (e.g. practice setting, years of experience) also had a significant impact on the experience and needs of participants. Conclusions: The multidimensional workplace strategy resulted in some improvements in professional self-care for occupational therapists, particularly around their use of supervision and awareness of available support resources. However, it did not impact upon their lived experience of working with people with life limiting conditions, and there remain significant gaps in our knowledge of support strategies for self-care of occupational therapist working with this patient group.


2020 ◽  
Vol 15 (1) ◽  
pp. 36-56
Author(s):  
Beverley Costa ◽  
Raquel Lázaro Gutiérrez ◽  
Tom Rausch

Abstract This article presents a pilot research project which examined the effectiveness of remote, formal support, provided by Colleagues Across Borders, for volunteer interpreters in an immigration detention support NGO. We consider the occupational stress and susceptibility to vicarious traumatization and burnout for interpreters working in sensitive (e.g., refugee) contexts. It is argued that it is an ethical responsibility to keep oneself fit and well-prepared to perform interpreting assignments to the highest standards. The project offered an intervention of remote support for non-professional interpreters in a detention center who needed professional advice and emotional relief. Analysis of pre- and post-intervention focus groups and questionnaires indicates an improvement in self-care, resilience, confidence, and effectiveness after three support sessions, suggesting that a remote yet personal support program can mitigate the effects of vicarious trauma and burnout for non-professional and professional interpreters working in ethically challenging refugee contexts.


2014 ◽  
Author(s):  
Greg Neimeyer ◽  
Jennifer M. Taylor
Keyword(s):  

2015 ◽  
Author(s):  
Laura Galiana ◽  
Amparo Oliver ◽  
Noemí Sansó ◽  
Enric Benito
Keyword(s):  

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