Burnout and Secondary Trauma Among Forensic Interviewers of Abused Children

This study examined factors associated with burnout and secondary trauma among forensic interviewers of abused children. Sixty-six forensic interviewers who are affiliated with advocacy centers across the United States completed an online survey. The Oldenburg Burnout Inventory and Secondary Traumatic Stress Scale were used to measure burnout and secondary trauma, respectively. Results indicate that organizational satisfaction has a moderate inverse relationship with burnout and a slight inverse relationship with secondary trauma. The number of forensic interviews conducted or length of employment in forensic interviewing did not have a strong relationship with either burnout or secondary trauma.     

Knowing Terrible Things: Engaging Survivors of Extreme Violence in Treatment

Survivors of extreme violence can be difficult to engage in treatment. Often this is caused by a sense of isolation drawn from the belief that no one who has not shared their experience can comprehend it. The only others who know what they know are those who have died of the violence, fellow survivors and the perpetrators. The clinician attempting to treat such patients may be placed in a dilemma: how to convey the capacity to know terrible things without being destroyed by the survivor, while at the same time not conveying that one is dangerous oneself. This paper suggests a method of utilizing unconscious aggressive fantasy to access the capacity to convey to the survivor that it is possible to hear, understand and contain violent experience. Case illustrations indicate how such capacity might be conveyed, so that a treatment alliance can begin.

The Role of Affect Regulation in a Case of Attempted Maternal-Filicide Suicide: Commentary on an Act of Despair

A case of attempted maternal-filial suicide is discussed from the perspective of trauma, emotional regulation and defense mechanisms. Case details which include childhood sexual abuse, observed parental violence and emotional neglect allow for an illustration of the impact of childhood family experiences on adult intimacy and coping patterns. Domestic violence and the perception of protection are also explored. Emotional regulation in the experience of despair is approached from an object relations perspective. Based on this, implications for prevention and treatment are presented.

Child Soldiers in Sierra Leone and the Problems of Demobilisation,Rehabilitation and Reintegration into Society: Some Lessons for Social Workers in War‐torn Societies

Between March 1991 and February 2002 Sierra Leone was engulfed in a bloody and protracted civil war in which tens of thousands of people were killed, many more injured, over half of the population displaced and millions of pounds worth of property destroyed. Much of the violence unleashed, particularly on the civilian population, was the work of child soldiers. The phenomenon of child soldiers raises many issues of children's well‐being, although this phenomenon is not unique to Africa.

In this paper, I briefly analyse the reasons for and the nature of the conflict, in particular the social forces which impelled children to join social movements challenging for state hegemony. I focus on how peripheral capitalism has impacted on the Sierra Leonean family and how the ensuing political and economic crises have left Sierra Leonean children with little security, forcing them to turn to family surrogates (social movements) for protection. I examine the processes of demobilisation, rehabilitation and reintegration of former child combatants and some of the problems and challenges to social work and social workers working with traumatised children from war ravaged communities in African nations. I suggest that Tonnies' dichotomy between ‘Gemeinschaft’ and ‘Gesellschaft’ offers a useful framework for social work education in this context.     

Trauma,coping resources,and family functioning in emergency services personnel: A comparative study

In this study a sample of male, shift-working, operational ambulance officers were compared with a group of male shift-workers from a range of occupations in which exposure to traumatic events was not inherent in the role ( N = 71). Three dimensions of family functioning were examined: intimacy, conflict, and parenting styles, with respect to occupational type (i.e. work-related exposure to trauma) and accounting for personal resources (coping). Personal resources were found to have a significant impact on the dimensions of family functioning. Furthermore, differences emerged in the pattern of coping between the two groups. Ambulance officers demonstrated a more varied repertoire of personal resources than the control group. Social support was found to be the sole predictor of intimacy and conflict levels in the control sample. However, in the ambulance group social support was predictive of intimacy levels, rational-cognitive strategies were predictive of conflict levels, and self-care, social support, and rational-cognitive strategies were all significantly correlated with the three dimensions of family functioning.     

Enhancing Recovery from Trauma: Facilitating a Mindfulness Skills Group on a Department of Veterans Affairs Inpatient PTSD Unit

Mindfulness and acceptance based treatments are being increasingly implemented for a variety of emotional and psychological related problems, including the impact of military and combat related trauma exposure. This article describes a mindfulness skills group as it was implemented on a sub-acute inpatient PTSD Unit at a Department of Veterans Affairs medical center, to demonstrate and explore the role of the mindfulness skills development in a group setting, for Post-Traumatic Stress Disorder and other trauma related problems.     

A Collectivity of Impaired Elderly in an Acute Care Hospital

This paper describes practice in a collectivity of im- paired, elderly patients in an acute care hospital, and explores work- er and entity development through the use of a qualitative research design. The study indicates that the mobilization of essential sub- systems enhanced the potential of this helping form. The study also suggests that worker competence preceded entity development, and that both were influenced positively by the research methodology that was employed. The impact of the improved collectivity on the hospital system is discussed.     

Group Treatment of Latency-Age Male Victims of Sexual Abuse

Researchers and clinicians across the country have documented increases in reports of sexual victimization of males. Awareness of the immediate and long-term needs of young male victims has highlighted the need for specialized, multi-modal treatment programs for these youngsters. Group therapy can be an important adjunct to individual and family unit therapy with this population. This article provides concrete suggestions for developing, implementing and evaluating a group therapy program for young male victims of sexual abuse. Specific areas addressed include: selection and preparation of group members; structure, phases, and salient tasks of the group; therapeutic group activities; co-leadership issues; managing transference and countertransference in the context of group; and, methods for evaluating the group's effectiveness.     

Exploring the professor and student relationship after a life-threatening trauma

ABSTRACT

A professor shares his account of recovering from a near fatal bicycle accident in this article. The authors explore the professor/student relationship after this life-threatening accident. Using qualitative research methods, a purpose sample of students from a mid-size undergraduate social work program described their experiences of interacting with the professor after he returned to work. All the students in the sample took a course from the professor before the accident. All the students in the sample also knew about the severity of his injuries after the accident. Important themes of trauma emerged interwoven in the relationship between students and the professor. There are also important concepts mentioned in the article that look at the healing process that occurs between the students and the professor, where significant trauma has occurred in the life of a professor. Existing studies examine the professional/student relationship when the student experienced trauma. Administrators need to consider these important themes of trauma when a professor returns to work after a life-threatening accident.     

Statewide dissemination of trauma-focused cognitive-behavioral therapy (TF-CBT)

Despite evidence linking childhood trauma to subsequent social, emotional, psychological, and cognitive problems, many children who have experienced trauma do not receive mental health treatment that has been proven to be effective. Large-scale dissemination of evidence-based practices (EBPs) is one possible solution to enhance the current negative state of mental health treatment for these children. This article describes a dissemination effort of an EBP (i.e., Trauma-Focused Cognitive-Behavioral Therapy [TF-CBT]) for childhood symptoms of post-traumatic stress disorder throughout Arkansas. The effort targeted mental health professionals within child advocacy centers and community mental health centers across the state. The article describes the process of dissemination and implementation. Lessons learned and recommendations for future dissemination efforts are highlighted.