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Mindfulness and Meditation Practices
Published in Gia Merlo, Kathy Berra, Lifestyle Nursing, 2023
Understanding how trauma dysregulates the nervous system is helpful to nurses themselves and their patients. Vicarious traumatization happens to those in the caring professions as they hear and see the suffering of those they serve (Halpern, 2011). Being a witness to ongoing, daily traumatic events is taxing, and many professionals push these experiences aside or rather deeper into their physiology, leading to burnout over time.
Assessment
Published in William Steele, Reducing Compassion Fatigue, Secondary Traumatic Stress and Burnout, 2019
ARTIC sub-scales include: Underlying Causes of Problem Behavior and Symptoms. Emphasizes behavior and symptoms as adaptations and malleable versus behavior and symptoms as intentional and fixed.Responses to Problem Behavior and Symptoms. Emphasizes relationships, flexibility, kindness, and safety as the agent of behavior and symptom change versus rules, consequences, and accountability as the agent of change.On-the-Job Behavior. Endorses empathy-focused staff behavior versus control-focused staff behavior.Self-Efficacy at Work. Endorses feeling able to meet the demands of working with a traumatized population versus feeling unable to meet the demands.Reactions to the Work. Endorses appreciating the effects of secondary trauma/vicarious traumatization and coping by seeking support versus minimizing the effects of secondary trauma/vicarious traumatization and coping by ignoring or hiding the impact. When you purchase the ARTIC Scale, you will receive detailed instructions about scoring.
Psychological Distress in Nursing
Published in Meredith Mealer, Rowan Waldman, Coping with Caring, 2019
Vicarious Traumatization was introduced as a concept in 1990 by McCann & Pearlman to describe altered cognitions and memory imagery systems experienced by mental health therapists who experience prolonged exposure to the traumatic experiences of their patients. The underlying mechanism of vicarious traumatization is thought to be countertransference or the therapist’s unresolved conflicts outside of the therapeutic relationship, which interferes with their ability to distinguish their patient’s trauma from their own personal traumas (McCann & Pearlman, 1990). As with secondary traumatic stress, the symptoms of vicarious traumatization include the PTSD symptoms clusters of re-experiencing the event, hyperarousal, and avoidance. Trauma counselors and counselors in sexual abuse and assault experienced changes in their belief system and sense of identity as a result of working with this population of traumatized individuals (Collins & Long, 2003).
“What Does a Life Worth Living Mean to You?” Narrative Approaches to Ethics Consultation in the Context of Trauma, Treatment Refractory Depression, and Life-Sustaining Care Refusals
Published in The American Journal of Bioethics, 2023
The ethics consultants must also consider that the ICU staff’s requests may be linked to distress managing trauma related clinical cases, with potential for vicarious traumatization. Within the TIC framework, the ethics consultants have a moral obligation to consider the potential impact of trauma on patients/families and providers. Empathic exploration of such concerns, within a narrative framework, is encouraged with involvement of allied and behavioral health supports as directed by the ICU team and Ramona/Maurice’s preferences. Acknowledging Ramona’s trauma history disclosure, and its impact on Ramona/Maurice and the ICU team, can foster patient/provider care that is sensitive to the lived experience of trauma, promote patient/family/provider self-care and foster safety and transparency during continued clinical care.
Smith College School for Social Work: Thesis Abstracts 2017-2018
Published in Smith College Studies in Social Work, 2022
Despite the many parallels between primary and secondary exposure to trauma, the latter is still relatively understudied, especially among psychotherapists. Bearing witness to the brutal abuses that our patients have endured is vital to the work of analysis, but what often functions as a salve to the storyteller may simultaneously be experienced as an assault on the listener. Vicarious Traumatization (VT) can have a profound impact on a helper’s sense of identity and deepest conceptual schemas. While this phenomenon is widely recognized in the literature, it is rarely addressed in a holistic manner. This thesis, rooted in my own experience of VT, begins to explore the ways in which Jungian theory and Engaged Buddhism may offer models for confronting the pervasive reality of human suffering. Specifically, I look to Jung’s Answer to Job and Thich Nhat Hanh’s Please Call Me by My True Names as resources for rebuilding shattered paradigms and recovering a sense of meaning.
COVID 19 pandemic: Impact of changes experienced on social workers’ professional quality of life in Singapore
Published in Social Work in Health Care, 2022
S N Goh, G Fan, S Cheng, Nee Khaing
The professional quality of life (ProQoL) framework can offer insights to how social workers feel in relation to their work as a helper during the pandemic (Stamm, 2010). Both the positive and negative aspects of doing their work influence their ProQoL, which has two dimensions namely compassion satisfaction (CS, positive) and compassion fatigue (CF, negative). CS is about the pleasure one derives from being able to do one’s work that is feeling positive about one’s colleagues or one’s ability to contribute to the work setting or even the greater good of society through one’s work with people who need care. There are two parts to CF: Burnout (BO) and Secondary Traumatic Stress (STS). BO is associated with feelings of hopelessness and difficulties in dealing with work or in doing one’s job effectively. STS is a negative feeling driven by fear and work-related trauma. Vicarious traumatization such as being afraid, having difficulty sleeping, having images of the upsetting event pop into one’s mind may occur. The CS-CF Model is complex because it is associated with characteristics of the work environment, the individual’s personal characteristics and the individual’s exposure to primary and secondary trauma in the work setting.