Trauma Work, Sense of Coherence, and Positive and Negative Changes in Therapists

Linley, P. Alex; Joseph, Stephen; Loumidis, Konstantinos

doi:10.1159/000084004

Cited by 70 publications

(67 citation statements)

References 39 publications

(29 reference statements)

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“…In the present study, we show that health care personnel treating victims of PMV also experience PPI. The levels of PPI among nurses and psychotherapists are of similar magnitude as the PPI experienced by trauma psychotherapists surveyed by Linley et al [14], and even rivaled the level of PPI experienced by individuals directly exposed to the trauma related to severe motor vehicle accidents (37.9 ± 16.9) [15] or prolonged refugee status (44.1 ± 23.2) [16]. …”

Section: Discussionmentioning

confidence: 90%

Positive Psychological Impact of Treating Victims of Politically Motivated Violence among Hospital-Based Health Care Providers

Shiri

Wexler²,

Alkalay³

et al. 2008

Psychother Psychosom

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Background: Health care personnel treating victims of politically motivated violence are at risk for traumatic stress symptoms. Few studies have assessed the positive psychological impact of politically motivated violence on health care workers. In this study, the level of positive psychological impact among health care workers with recurrent exposure to victims of politically motivated violence was examined. Methods: A validated questionnaire survey of health care personnel treating victims of politically motivated violence during 2000–2005 in two hospital settings was conducted. Positive psychological impact was assessed by the Posttraumatic Growth Inventory and traumatic stress symptoms were assessed using the Revised Posttraumatic Stress Disorder Inventory. Subjects included physicians (surgeons and anesthesiologists), nurses, and psychotherapists. Results: The rate of response to the mail-in questionnaires was 68.3% (n = 138). The sample consisted of 70 physicians, 37 nurses, and 31 hospital-based psychotherapists. Positive psychological impact was noted for the entire sample and among all professions. Traumatic stress symptoms predicted positive psychological impact for the entire sample and for each profession, and there was a curvilinear relationship between traumatic stress symptoms and positive psychological impact. Women experienced greater levels of positive psychological impact. Conclusions: Hospital-based health care providers treating victims of politically motivated violence experience both positive and negative psychological impact. Individuals who are more traumatized by their experience are more likely to also have a positive psychological impact.

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Section: Discussionmentioning

confidence: 90%

Positive Psychological Impact of Treating Victims of Politically Motivated Violence among Hospital-Based Health Care Providers

Shiri

Wexler²,

Alkalay³

et al. 2008

Psychother Psychosom

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show abstract

“…Perhaps most notably, SWT does not include the conventional exposure procedures that often make therapy an emotionally demanding endeavor. While the emotional costs of treatment are not likely to outweigh its benefits (interestingly, also for therapists [44]), it is tempting to contemplate the possibility of circumventing conventional imaginal exposure [45]. Perhaps SWT allows greater control of the intensity of negative emotions during imaginal exposure, resulting in (nondissociative) anxiety levels that are optimal for emotional processing.…”

Section: Discussionmentioning

confidence: 99%

Treating Acute Stress Disorder and Posttraumatic Stress Disorder with Cognitive Behavioral Therapy or Structured Writing Therapy: A Randomized Controlled Trial

Emmerik

Kamphuis

Emmelkamp³

2008

Psychother Psychosom

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Background: Writing assignments have shown promising results in treating traumatic symptomatology. Yet no studies have compared their efficacy to the current treatment of choice, cognitive behavior therapy (CBT). The present study evaluated the efficacy of structured writing therapy (SWT) and CBT as compared to a waitlist control condition in treating acute stress disorder (ASD) and posttraumatic stress disorder (PTSD). Methods: A randomized controlled trial was conducted at an outpatient clinic. Participants (n = 125) (a) satisfied DSM-IV criteria for ASD or PTSD, (b) were 16 years or older, (c) were sufficiently fluent in Dutch or English, (d) had no psychiatric problems except ASD or PTSD that would hinder participation or required alternative clinical care, and (e) received no concurrent psychotherapy. Treatment consisted of five 1.5-hour sessions of CBT or SWT for participants with ASD or acute PTSD and ten 1.5-hour sessions for participants with chronic PTSD. Outcome measures included the Structured Clinical Interview for DSM-IV, Impact of Event Scale, Beck Depression Inventory, State-Trait Anxiety Inventory and the Dissociative Experiences Scale. Results: At posttest and follow-up, treatment was associated with improved diagnostic status and lower levels of intrusive symptoms, depression and state anxiety, while a trend was noted for the reduction of avoidance symptoms. Treatment did not result in lower levels of trait anxiety or dissociation. No differences in efficacy were detected between CBT and SWT. Conclusions: The present study confirmed the efficacy of CBT for ASD and PTSD and identified SWT as a promising alternative treatment.

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“…Linley, Joseph, and Loumidis (2005) reported this construct to be positively associated with VTPG; however, this was the case only when using the CiOQ: research has not found a positive relationship between sense of coherence and VPTG when utilising the PTGI (Linley & Joseph, 2007;Samios, Rodzik, & Abel, 2012). In fact, one study found having a strong sense of coherence to negatively predict VPTG, perhaps because it enhances resiliency which in turn reduces opportunity for growth (Brockhouse et al, 2011).…”

Section: Cognitive and Psychological Variablesmentioning

confidence: 98%

Vicarious posttraumatic growth: A systematic literature review

Manning

Terte

Stephens

2015

Intnl. J. Wellbeing

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Twenty-eight articles are included in this review, which provides the first comprehensive review of the vicarious posttraumatic growth (VPTG) literature. Five domains are presented. First, assessment methods of VPTG are reviewed; seventeen studies assessed VPTG using a measure designed for use with direct trauma survivors, three used a non-validated measure, and the remaining eight used an open-ended question. Second, the level of similarity between reports of direct and vicarious posttraumatic growth is examined. VPTG was found to be highly similar to direct posttraumatic growth; however, subtle differences between the two were also identified along with manifestations of growth unique to VPTG. Third, a range of psychological, cognitive, behavioural, interpersonal, and external factors that have been implicated to facilitate VPTG are presented. Fourth, research exploring the relationship between VPTG and secondary traumatic stress is examined. Three possible explanations are presented: a positive linear association, no association, and a more complex curvilinear relationship. Finally, limitations to the current body of knowledge and areas for future research are explored.

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Trauma Work, Sense of Coherence, and Positive and Negative Changes in Therapists

Cited by 70 publications

References 39 publications

Positive Psychological Impact of Treating Victims of Politically Motivated Violence among Hospital-Based Health Care Providers

Positive Psychological Impact of Treating Victims of Politically Motivated Violence among Hospital-Based Health Care Providers

Treating Acute Stress Disorder and Posttraumatic Stress Disorder with Cognitive Behavioral Therapy or Structured Writing Therapy: A Randomized Controlled Trial

Vicarious posttraumatic growth: A systematic literature review

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