Presentation on theme: "Vicarious traumatization Dr. Patricia Sherman June 19, 2008."— Presentation transcript:
Vicarious traumatization Dr. Patricia Sherman June 19, 2008
The capacity for compassion and empathy seems to be at the core of our ability to be wounded by the work Stamm, B,H, (1995). Secondary traumatic stress: Self-care issues for clinicians, researchers, and educators.
Introductions and what do you take home with you?
Countertransference Adapted from Pearlman, L.A., & Saakvitne, K.W. (1995). Trauma and the therapist. NJ: W.W. Norton & Co. The affective, ideational, and physical responses a therapist has to the client, the clients clinical material, transference, and reenactments. The conscious and unconscious defenses against the affects, intra-psychic conflicts, and associations aroused by the above.
Some signs of countertransference in trauma work Adapted from Wilson, J. (2004). Empathy, trauma transmission, and countertransference in posttraumatic psychotherapy. In J. Wilson & B. Drozdek (Eds.) Broken spirits. NY: Brunner-Routledge. P. 306 Unreasonable dislike for client Failure to identify with client Non-responsiveness to emotional distress of client Overwhelmed by clients problems Excessive liking of client
Dread therapy session/uncomfortable during session Preoccupation with client outside office Inattention, problems of concentration, drowsiness, sleepiness during session Preoccupation with own personal affairs Coming late to session Argumentative with client Client appears in dreams
Vicarious traumatization Adapted from Pearlman, L.A., & Saakvitne, K.W. (1995). Trauma and the therapist. NJ: W.W. Norton & Co. The transformation in the inner experience of the therapist that comes about as a result of empathic engagement with clients trauma material. It is the result of an accumulation of experiences across clients. It is permanently transformative, while countertransference is temporally and temporarily linked to a particular client.
Effects of Vicarious traumatization Frame of reference Identity World view Spirituality Self capacities Ego resources
Self tests ProQOL R IV Silencing Response Personal mission statement
How to cope with vicarious traumatization Recognize and accept VT Limit exposure Attend to empathy Name re-enactments Set limits Create balance
Maintain professional connections – Personal psychotherapy – Rest and play – Education – Support groups – Supervision and consultation – VT consultation Seek spiritual renewal General self care
Overcoming vicarious traumatization
Video transforming the pain
How do you cope with stress?
Some stress reduction techniques
progressive muscle relaxation Lie down or sit comfortably and close your eyes Tense the muscles of a particular body part Hold the tension for about 10 seconds Let go of the tension quickly, letting the muscles go limp Repeat Go on to different muscle groups
Stretch Massage – self; partner Shake it out Shower or bath Breathing Aromatherapy Exercise Hypnosis
Animal therapy Gardening Spiritual practices Expressive therapies Acupuncture/acupressure Homeopathy Self-help groups Any other pleasurable activity
Imagery – guided exercise
Irrational beliefs - ellis It is a dire necessity for adult humans to be loved or approved by virtually every significant other person in their community. One absolutely must be competent, adequate and achieving in all important respects or else one is an inadequate, worthless person. People absolutely must act considerately and fairly and they are damnable villains if they do not. They are their bad acts.
It is awful and terrible when things are not the way one would very much like them to be. Emotional disturbance is mainly externally caused and people have little or no ability to increase or decrease their dysfunctional feelings and behaviors. If something is or may be dangerous or fearsome, then one should be constantly and excessively concerned about it and should keep dwelling on the possibility of it occurring.
One cannot and must not face life's responsibilities and difficulties and it is easier to avoid them. One must be quite dependent on others and need them and one cannot mainly run one's own life. One's past history is an all-important determiner of one's present behavior and because something once strongly affected one's life, it should indefinitely have a similar effect.
Other people's disturbances are horrible and one must feel upset about them. There is invariably a right, precise and perfect solution to human problems and it is awful if this perfect solution is not found.
Rebt – albert ellis A – activating event or potentially stressful situation B – beliefs, thoughts, or perceptions about A C – emotional consequence that results from holding these beliefs A potentially stressful situation + your perceptions = your stress level
Plan of action Stress diary Stress dots Stress reduction program Fifteen things to add to quality of life Ten habits of highly effective stress managers
GOAL SETTING: WHAT DO I WANT AND WHY DO I WANT IT? WHEN THE WHY GETS STRONGER, THE HOW GETS EASIER GOALS NEED TO BE SPECIFIC,DOABLE, and MEASUREABLE
SETTING PRIORITIES WORK FAMILY FRIENDS COMMUNITY SPIRITUAL/RELIGIOUS RELAXATION HEALTH
GOAL SETTING GOAL REASON Objective #1 Objective #2 Objective #3 Example: Improve health in order to have more energy Exercise 30 minutes 4 times/week Lose 1.5 pounds/week for a total of 25 pounds Eat calories/day
SUCCESS QUESTION WHAT CAN I DO TODAY THAT WILL HELP ME TOWARDS MY GOAL? What can I do for exercise today? What can I do today to enhance my relationship with my partner? What can I do today to nurture myself?