This study examined the relationship between general dissociation experiences (DES) and dissociation absorption experiences (DESAB) to secondary traumatic stress (STS), burnout (BO), and compassion satisfaction (CS). Mobile crisis workers in Maine (N = 30) anonymously completed the Dissociative Experiences Scale II and the Professional Quality of Life Scale; biographical data was masked. Results indicated high resiliency in this sample as 80% of scores reflected CS, while 24% of scores reflected STS and 7% reflected BO. Analysis produced moderate, statistically significant correlations between STS and DES (r = .31); STS and DESAB (r = .32); BO and DES (r = .44); and BO and DESAB (r = .43). CS and DES/DESAB did not yield a significant correlation. This suggests a previously unreported relationship between dissociation vulnerability and the experience of STS and BO. Findings warrant further study of STS as a manifestation of a primary trauma disorder and not a distinct category. Results can inform mental health provider training and burnout prevention efforts.

The application of cognitive processing therapy (CPT) for a client with posttraumatic stress disorder secondary to past physical, psychological, and sexual abuse is presented to include presenting complaint, assessment, course of treatment, and follow-up. The usefulness of CPT with abuse survivors is discussed, focusing on CPT's combination of exposure and cognitivebehavioral techniques. The provider of care in this case was a paraprofessional working at an Air Force outpatient mental health clinic. This case study illustrates how the use of paraprofessionals to support treatment plans can result in successful outcomes. Treatment implications of the case for settings with limited professional staff and managed care settings are discussed, along with recommendations to clinicians and students.

This study examined the relationship between general dissociation experiences (DES) and dissociation absorption experiences (DESAB) to secondary traumatic stress (STS), burnout (BO), and compassion satisfaction (CS). Mobile crisis workers in Maine (N = 30) anonymously completed the Dissociative Experiences Scale II and the Professional Quality of Life Scale; biographical data was masked. Results indicated high resiliency in this sample as 80% of scores reflected CS, while 24% of scores reflected STS and 7% reflected BO. Analysis produced moderate, statistically significant correlations between STS and DES (r = .31); STS and DESAB (r = .32); BO and DES (r = .44); and BO and DESAB (r = .43). CS and DES/DESAB did not yield a significant correlation. This suggests a previously unreported relationship between dissociation vulnerability and the experience of STS and BO. Findings warrant further study of STS as a manifestation of a primary trauma disorder and not a distinct category. Results can inform mental health provider training and burnout prevention efforts.