The nurse as a survivor: Delayed post-traumatic stress reaction and cumulative trauma in nursing

Davidson, Paul; Jackson, Craig

doi:10.1016/0020-7489(85)90033-1

Cited by 23 publications

(17 citation statements)

References 20 publications

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“…The literature on PTSD is full of references to emotional states of helplessness, persistent irritability, chronic tension and anxiety, and loss of control (Davidson & Jackson, 1985;Durham et aI., 1987;Hartman & Burgess, 1988;Janoff-Bulman, 1985;Kardiner, 1941;Niederland, 1964;van der Kolk, 1987;Wilson, Smith, & Johnson, 1985;Wilson, Harel, & Kahana, 1988). Y and m responses indicate feelings of helplessness produced by feeling out of control.…”

Section: Hypothesismentioning

confidence: 97%

Assessing Posttraumatic Stress Disorder with the Rorschach Projective Technique

Levin

1993

International Handbook of Traumatic Stress Syndromes

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Section: Hypothesismentioning

confidence: 97%

Assessing Posttraumatic Stress Disorder with the Rorschach Projective Technique

Levin

1993

International Handbook of Traumatic Stress Syndromes

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“…However, most discussions of anorexia nervosa appear to focus on the fatal outcome of the syndrome, or on the physical causes of death (Bruch, 1971), rather than on morbid imagery. The term "morbid" is applied here not only in its pathogenic sense but in its thematic sense (Davidson & Jackson, 1985).…”

Section: Anorexia Nervosa a N D The Psychology Of Deathmentioning

confidence: 99%

“…However, to the traumatized individual, the connection is not broken, and many common life experiences may serve as direct reminders of death. Indeed, "it takes only a small cognitive shift to restore the broken connection between life and death, to better understand the particular perceptions and slant on life of the individual with a deep-seated morbidity problem, who is troubled persistently and obsessively by thoughts of death" (Davidson & Jackson, 1985). We postulate that included among individuals with such morbidity problems should be the secondary anorexic.…”

Section: Anorexia Nervosa a N D The Psychology Of Deathmentioning

confidence: 99%

The anorexic patient as a survivor: The denial of death and death themes in the literature on anorexia nervosa

Jackson

Davidson

1986

Int. J. Eat. Disord.

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This paper examines by a selective review of the literature on secondary anorexia nervosa the under‐recognized role of death fears and anxieties in the etiology of this paradoxical condition. By drawing on the psychology of the survivor, the anorexic patient is conceptualised as a “survivor by proxy” of the parent. In developing and confronting these themes, areas of knowledge otherwise thought unrelated to anorexia are discussed. Of particular importance are the Rheingold theories on maternal destructiveness, the catastrophic death complex in women, Lifton's psychology of the survivor (particularly the survivor child), research on maternal depression, morbid obsessions, necrophilia, and murderous obsessions in mothers towards their children. The main thrust of this reconceptualization is that death fears and anxieties, and a close associative linking between eating, death, and other basic life functions, plays a central and not peripheral role in the dynamic etiology of secondary anorexia nervosa.

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“…The literature indicates that repeated exposure to deaths and traumatic experiences may have a cumulative effect on health professionals, and suggests that it would be inappropriate to assume that those working in the field are coping well and able to make the transition to this work easily. 10,11 The experiences of those who have chosen to work in palliative care and who have remained in this work over a sustained period of time warrant exploration. The experiences of these individuals, their reflections on decisions to remain in the work, and their perceptions of the process that they have undergone or are continuing as they commit to this work and its challenges may be especially informative.…”

Section: Background Literaturementioning

confidence: 99%

Long-Term Palliative Care Workers: More Than a Story of Endurance

Webster

Kristjanson²

2002

Journal of Palliative Medicine

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This study sought to explore the stories of long-term palliative care workers to generate an understanding of their experiences of working in palliative care for an extended period of time. Six health professionals participated in the study, each of whom were currently working in a palliative care service, and each of whom had been working continuously in palliative care services for a minimum of 5 years. Descriptions of their experiences provided insight into the reasons for choosing this work, the stages they went through along the way, and the factors that sustain and challenge them as they continue to work in the area. Five phases in the trajectory of working in palliative care were described: The Awakening, Making the Connection, Committing to the Philosophy, Reaping the Rewards, and Soldiering On. Results from this study may be helpful to educators and administrators who endeavour to develop and support this workforce. Furthermore, the descriptions provided in this study may provide direction for individuals working in palliative care who may be called on to reflect on their own work trajectory and their commitment to the field.

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The nurse as a survivor: Delayed post-traumatic stress reaction and cumulative trauma in nursing

Cited by 23 publications

References 20 publications

Assessing Posttraumatic Stress Disorder with the Rorschach Projective Technique

Assessing Posttraumatic Stress Disorder with the Rorschach Projective Technique

The anorexic patient as a survivor: The denial of death and death themes in the literature on anorexia nervosa

Long-Term Palliative Care Workers: More Than a Story of Endurance

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