Exposure to Human Tragedy, Empathy, and Trauma in Ambulance Paramedics

Paramedics are exposed to events involving human pain & suffering on a daily basis. At times, certain circumstances lead workers to develop an emotional connection with the victim or his or her family. When this occurs, paramedics report increased symptoms of traumatic stress. One of the coping strategies described in these circumstances is to manage […]

Contamination of cop: Secondary Traumatic Stress of Officers Responding to Civilian Suicides (In: Suicide and Law Enforcement, edited by D C Sheehan & J I Warren)

Because police response to civilian suicide is uncharted territory for the field of mental health, the authors drew from 3 well-researched areas to develop a model: secondary traumatic stress, critical incidents in law enforcement, & suicide in the helping professions. A questionnaire was completed by 103 sworn personnel & 3 modes of assessment determined patterns […]

Challenges in Treating Post-Traumatic Stress Disorder and Attachment Trauma


Parental Muder and Suicide: Post-Traumatic Stress Disorder in Children


Under the Influence of Unconscious Process: Countertransference in the Treatment of PTSD and Substance Abuse in Women

This aricle examines countertransference in therapists treating women with posttraumatic stress disorder or addictions. Vicarious traumatization, unconscious affects about addiction, & pressures within the treatment pull the therapist away from the patient at critical points & toward abandonment or collusive indulgence. Support in the form of process supervision can assist the therapist to acknowledge, identify, […]

Guidebook on Vicarious Trauma: Recommended Solutions for Anti-Violence Workers

Compassion Fatigue: Toward a New Understanding of the Costs of Caring (IN: Secondary Traumatic Stress: Self-Care Issues for Clinicians, Researchers, and Educators, edited by B H Stamm Second Edition)

Helping traumatized people is gratifying but also brings risks. Caring people sometimes experience pain as a direct result of their exposure to other’s traumatic material. This paper discusses the emergence of information that forms the basis of our understanding of Compassion Fatigue & Compassion Stress. (72 refs)

Self-Care for Trauma Therapists: Ameliorating Vicarious Traumatization (IN: Secondary Traumatic Stress: Self-Care Issues for Clinicians, Researchers, and Educators, edited by B H Stamm Second Edition)

In Pearlman’s words, vicarious traumatization ‘is a process of change resulting from empathic engagement with trauma survivors.’ While Pearlman is clear about the potential risks to the helper, one of the most refreshing aspects of her work is that she also provides a framework for positive transformation. Disruption- the word chosen to describe the process […]