Shared Traumatic Reality and Boundary Theory: How Mental Health Professionals Cope With the Home/Work Conflict During Continuous Security Threats

Dekel, Rachel; Nuttman‐Shwartz, Orit; Lavi, Tamar

doi:10.1080/15332691.2015.1068251

Cited by 28 publications

(18 citation statements)

References 28 publications

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“…Research on counsellor experience refers to "shared trauma" or "double exposure" (Baum, 2010(Baum, , 2012a(Baum, , 2014Dekel, Nuttman-Shwartz, & Lavi, 2016;Saakvitne, 2002). Both provider and client experience the same event.…”

Section: The Personal Experiencementioning

confidence: 99%

Postdisaster Counselling: Personal, Professional, and Ethical Issues

Cooper

Briggs

Bagshaw

2018

Australian Social Work

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This paper examines the experiences of specialist volunteer mental health counsellors establishing and managing an early intervention service. This research investigates personal, professional and ethical issues faced by volunteer counsellors following the 2011 earthquakes in the Canterbury region of New Zealand. Earthquakes create major community disruption resulting in scarce resources requiring new agency arrangements and increased use of volunteers to manage and provide services. Volunteer counsellors working with the Canterbury Charity Hospital were interviewed about the personal, professional, and ethical issues they faced in providing early intervention services. The earthquake exposed counsellors to personal challenges in their own lives as well as those of their clients and significantly affected their professional practice. The findings indicate that emergency organizations and professional registration bodies should give further consideration to the management of volunteers and their early intervention work in post-disaster counselling. Implications • Delivery of post disaster services must encompass service management, targeted interventions and supervision.• When counsellors and clients experience the same disaster personal, professional and ethical aspects are intertwined. Counsellors need self-care and support to manage these events.• Further enhancement of professional insurance is sought for volunteer counsellors post disaster.

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Section: The Personal Experiencementioning

confidence: 99%

Postdisaster Counselling: Personal, Professional, and Ethical Issues

Cooper

Briggs

Bagshaw

2018

Australian Social Work

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“…Although most victims of single traumatic events recover spontaneously, and although trauma transmission can be counterbalanced by growth processes, research suggests that clinicians working in postdisaster settings face considerable risks (Strohmeier & Schotle, 2015; United Nations High Commissioner on Refugees [UNHCR], 2016). This double experience mental health professionals face, sometimes conceptualized as “shared trauma” or “shared traumatic reality,” has recently gained more attention in the scientific literature (Boulanger, ; Dekel, Nuttman‐Shwartz, & Lavi, ; Tosone, McTighe, & Bauwens, ). Still, little is known about clinicians’ experiences in such context, particularly in the Global South, where the majority of disasters and humanitarian crises occur (Guha‐Sapir, Hoyois, & Below, ).…”

mentioning

confidence: 99%

“…The dual experience of clinicians in postdisaster contexts also raises questions about the conceptual divisions between traumatic and growth processes, addressed by recent research in massive disaster settings, such as the September 11, 2001, terrorist attacks; the Sri Lankan Tsunami; and Hurricane Katrina in New Orleans. Concepts such as shared trauma (Boulanger, ; Tosone et al., ) and shared traumatic reality (Dekel et al., ; Baum, ) have been coined to describe the multimodal response of therapists exposed to massive disaster, both through their professional engagement and in their personal lives. Like secondary traumatic stress, shared trauma can involve manifestations in the intimate and professional spheres and can lead to transformations detrimental and beneficial of clinicians’ self and world views.…”

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confidence: 99%

Hurtful Gifts? Trauma and Growth Transmission Among Local Clinicians in Postearthquake Haiti

Jaimes

Hassan

Rousseau

2019

Journal of Traumatic Stress

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Although working with trauma survivors can be a source of both deleterious and positive transformations in mental health professionals, little is known about the experience of clinicians in shared traumatic contexts, particularly in the Global South, where most humanitarian crises occur. In collective disasters or armed conflicts, the personal and professional experiences of mental health staff inform each other, situating the clinical space at the intersection between singular and collective spheres. Drawing on an intersubjective and socioecological perspective, this qualitative study explored the ways in which working in a shared traumatic context affected mental health and psychosocial staff in postearthquake Haiti. We interviewed 22 local mental health workers in the capital, Port-au-Prince, 2.5 years after the 2010 disaster. We coded and thematically analyzed interviews using an iterative process, based on grounded theory principles. Thematic analysis uncovered four dynamic poles in clinicians' narratives: balancing duty and desire to help, experiencing fragility and strength, negotiating separation and connection, and sharing hurt and hope. Our findings suggest clinicians considered their work mainly as a source of strength in the face of adversity, whereas experiences of trauma and growth transmissions were mutual and intimately intertwined. We discuss the complexities of clinical work in shared traumatic settings as well as the dynamic interplay between professionals' experiences of suffering and growth. We conclude with recommendations on ways to involve local mental health clinicians in postdisaster contexts while addressing the special needs that they may have to process their own trauma.

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“…This theoretical model is provided as a framework to use both clinically and in research and may be applied to a variety of trauma experiences. In addition, two of the articles provide perspectives from international scholars (Dekel, Nuttman-Shwartz, & Lavi, 2016;Murray & Wilson, 2016). Wilson and Murray (2016) provide a meta-synthesis of 11 qualitative studies on the impact of deployment for partners of military personnel.…”

Section: Research and Treatment Models Addressing Trauma In Couplesmentioning

confidence: 99%

Research and Treatment Models Addressing Trauma in Couples

Goff

2016

Journal of Couple & Relationship Therapy

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Shared Traumatic Reality and Boundary Theory: How Mental Health Professionals Cope With the Home/Work Conflict During Continuous Security Threats

Cited by 28 publications

References 28 publications

Postdisaster Counselling: Personal, Professional, and Ethical Issues

Postdisaster Counselling: Personal, Professional, and Ethical Issues

Hurtful Gifts? Trauma and Growth Transmission Among Local Clinicians in Postearthquake Haiti

Research and Treatment Models Addressing Trauma in Couples

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