This study examined vicarious traumatization (i.e., the deleterious effects of trauma therapy on the therapist) in 188 self-identified trauma therapists. Participants completed questionnaires about their exposure to survivor clients' trauma material as well as their own psychological well-being. Those newest to the work were experiencing the most psychological difficulties (as measured by the TSI Belief Scale; L. A. Pearlman, in press-a) and Symptom Checklist-90-Revised (L. Derogatis, 1977) symptoms. Trauma therapists with a personal trauma history showed more negative effects from the work than those without a personal history. Trauma work appeared to affect those without a personal trauma history in the area of other-esteem. The study indicates the need for more training in trauma therapy and more supervision and support for both newer and survivor trauma therapists.
LAURIE ANNE PEARLMAN received herPhD in clinical psychology from the University of Connecticut in 1987. She is research director of the Traumatic Stress Institute/Center for Adult & Adolescent Psychotherapy (TSI/CAAP). She researches, writes, consults, and conducts professional training workshops on theory and treatment of psychological trauma and vicarious traumatization. PAULA S. MAC IAN received her PhD in clinical psychology from the University of Connecticut. She is currently doing postdoctoral work in Ft. Myers, Florida.
Within the context of their new constructivist self‐development theory, the authors discuss therapists' reactions to clients' traumatic material. The phenomenon they term “vicarious traumatization” can be understood as related both to the graphic and painful material trauma clients often present and to the therapist's unique cognitive schemas or beliefs, expectations, and assumptions about self and others. The authors suggest ways that therapists can transform and integrate clients' traumatic material in order to provide the best services to clients, as well as to protect themselves against serious harmful effects.
In "Grids" and "collaboratories," we find distributed communities of resource providers and resource consumers, within which often complex and dynamic policies govern who can use which resources for which purpose. We propose a new approach to the representation, maintenance, and enforcement of such policies that provides a scalable mechanism for specifying and enforcing these policies. Our approach allows resource providers to delegate some of the authority for maintaining fine-grained access control policies to communities, while still maintaining ultimate control over their resources. We also describe a prototype implementation of this approach and an application in a data management context.
This article describes a theory-based intervention in Rwanda to promote healing and reconciliation, and an experimental evaluation of its effects. The concept of reconciliation and conditions required for reconciliation after genocide or other intense intergroup violence are discussed, with a focus on healing. A training of facilitators who worked for local organizations that worked with groups of people in the community is described. The training consisted of psycho-educational lectures with extensive large group and small group discussion, as well as engagement by participants with their painful experiences during the genocide, with empathic support. The effects of the training were evaluated not on the participants, but on members of newly set up community groups they subsequently worked with. Two types of control groups were created: treatment controls, groups led by facilitators we did not
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