Posts

From Vicarious Trauma to Transformation

I’ve just got back from delivering a 2 day training course with Eleanor Longden on Abuse, Trauma and Dissociation, to 35 mental health professionals in Shrewsbury. I was really struck by people’s willingness and commitment to staying with some really difficult material. We spoke about the importance of having good support and the need to take really good care of ourselves when working directly with trauma, to protect us from the effects of vicarious traumatization.

Vicarious trauma, the process of change that happens because you care about other people who have been hurt, and feel committed or responsible to helping them, can lead to changes in your psychological, physical, and spiritual well-being. When you identify with the pain of people who have endured terrible things, you bring their grief, fear, anger, and despair into your own awareness and experience. Your commitment and sense of responsibility can lead to high expectations and eventually contribute to your feeling burdened, overwhelmed, and perhaps hopeless. Vicarious trauma, like experiencing trauma directly, can deeply impact the way you see the world and your deepest sense of meaning and hope. Vicarious traumatisation is not the responsibility of clients. Organisations that provide trauma-related services bear a responsibility to create policies and work settings that facilitate staff (and therefore client) well-being. Each trauma worker is responsible for self-care, working reflectively and engaging in regular, frequent, trauma-informed supervision. There are many ways of addressing vicarious traumatisation. All involve awareness, balance, and connection.

Beyond vicarious traumatisation lies vicarious transformation. This is the process of transforming one’s vicarious trauma, leading to spiritual growth. Vicarious transformation is a process of active engagement with the negative changes that come about through trauma work. It can be recognized by a deepened sense of connection with all living beings, a broader sense of moral inclusion, a greater appreciation of the gifts in one’s life, and a greater sense of meaning and hope. Vicarious transformation is a process, not an endpoint or outcome. If we can embrace, rather than fending off, other people’s extraordinary pain, our humanity is expanded. In this receptive mode, our caring is deepened. People who have suffered trauma and abuse can feel that we are allowing them to affect us. This reciprocal process conveys respect. We learn from trauma survivors that people can endure horrible things and carry on. This knowledge is a gift we can pass along to others.

Due to popular demand we will be offering further courses this year on Abuse, Trauma and Dissociation in Nottingham, Cork and in London. See events section for further information.

Abuse, Trauma, Healing & Recovery

Abuse, Trauma, Healing & Recovery

On The Web

Alice Millerwww.alice-miller.com
Website of pioneering psychotherapist Alice Miller

Recovered Memory projecthttp://blogs.brown.edu/recoveredmemory/about/
Case Archives, Commentary, and Scholarly Resources

David Baldwin’s Trauma Information Pageswww.trauma-pages.com
Providing information for clinicians and researchers in the traumatic-stress field

The European Society for Trauma and Dissociationwww.estd.org
Promoting an increase in the knowledge of Trauma, Dissociation and all disorders related to chronic traumatisation.

International Society for the Study of Trauma and Dissociationwww.isst-d.org
Seeking to advance clinical, scientific, and societal understanding about the prevalence and consequences of chronic trauma and dissociation

Jim Hopper’s Information Pageswww.jimhopper.com
Providing scholarly knowledge and resources, in language and formats accessible to any interested and motivated person – young or old, highly educated or not.

The Lantern Projectwww.lanternproject.org.uk
Formerly known as “Victims No Longer”, the Lantern Project offers a website supporting victims of childhood sexual abuse, domestic violence, racial abuse and bullying.

Medical Foundation for the Care of Victims of Torturewww.torturecare.org.uk
A charity that is dedicated soley to the treatment of torture survivors, including: advocacy, counselling & physical therapies.

One in Four UKwww.oneinfour.org.uk
One in Four offers a voice to and support for people who have experienced sexual abuse and sexual violence.

Rape Crisis (England and Wales)www.rapecrisis.org.uk
Provides co-ordination and support to affiliated member groups and campaigns and lobbies to raise awareness of the issues of sexual violence in the wider community and with local, regional and national government.

The Recovery Practice  – http://www.therecoverypractice.org.uk/

The Recovery Practice aims to help make mental health and well being possible for all people and to contribute to the understanding of mental health problems. Julian Turner has had over twenty years counselling practice and has worked extensively with people who have experienced emotional distress. He works in the Leeds area.

Respondwww.respond.org.uk
Works with children and adults with learning disabilities who have experienced abuse or trauma, as well as those who have abused others, through psychotherapy, advocacy, campaigning and other support.

Sidran Traumatic Stress Institutewww.sidran.org
International not for profit organisation aimed at supporting people to recovery form the effects of trauma (including dissociative disorders).

Support Linewww.supportline.org.uk/problems/child_abuse_survivors.php
Provides guidance and resources for adult survivors of childhood abuse.

Trauma and Abuse Groupwww.tag-uk.net
TAG promotes education and raises awareness in the field of dissociation, attachment, trauma and abuse recovery.

Trauma and Abuse Support Centrewww.tasc-online.org.uk
Provides a UK web-based resource for survivors of the whole spectrum of child sexual abuse (including extreme and ritual abuse) and for anyone involved in supporting them.

Women’s Aidwww.womensaid.org.uk
A national charity working to support women and children affected by domestic violence. Site includes finding help locally and a survivors handbook.

Bass, E. and Davis, L. (1988). The Courage to Heal: A Guide for Women Survivors of Child Sexual Abuse. Cedar Press.

Bloom, S. (1997). Creating Sanctuary: Towards the Evolution of Safe Communities. London: Routledge.

Blume, S. (1990). Secret Survivors: Uncovering Incest and its After-effects in Women. John Wiley and Sons.

Brison, S.J. (2002). Aftermath: Violence and the Remaking of a Self. Princeton University Press.

Davis, L. (1991). Allies in Healing: When the Person You Love Was Sexually Abused as a Child. HarperPerennial.

Davoine, F. and Gaudilliere, J-M. (2004). History Beyond Trauma. Other Press LLC.

Dolan, Y. (2000). Beyond Survival: Living Well is the Best Revenge. BT Press: London.

Fraser, S. My Father’s House: A Memoir of Incest and of Healing. Virago Press.

Herman, J. L. (1992). Trauma and Recovery. New York: Basic Books.

Levine, P. (1997). Waking the Tiger: Healing Trauma – The Innate Capacity to Transform Overwhelming Experiences. New York: North Atlantic Books.

Levine, P. (2008). Healing Trauma: A Pioneering Program for Restoring the Wisdom of Your Body. Boulder, CO: Sounds True Inc.

Mackinnon, M. (1991). Each Small Step: Breaking the Chains of Abuse and Addiction. Gynergy Books.

Maltz, W. (1992). The Sexual Healing Journey: A Guide for Survivors of Sexual Abuse. Qill: HarperCollins Publishers.

Perry, B. (2008). The Boy Who Was Raised as a Dog and Other Stories from a Child Psychiatrist’s Notebook: What Traumatized Children Can Teach us About Loss, Love and Healing. New York: Basic Books.

Rothschild, B. (2000). The Body Remembers: The psychophysiology of trauma and trauma treatment. London: W. W. Norton & Co.

Rothschild, B. (2010). 8 Keys to Safe Trauma Therapy: Take Charge Strategies to Empower Your Healing. W. W. Norton & Co.

Sebold, A. (2003). Lucky. Picador.

Spring, J. (1987). Cry Hard and Swim: The Story of An Incest Survivor. Virago Press.

Tal, K. (1996). Worlds of Hurt: Reading the Literatures of Trauma. Cambridge University Press.

Venable Raine, N. (2000). After Silence: Rape and My Journey Back. Virago Press Ltd; New edition.

Warner, S. (2000). Understanding Child Sexual Abuse: Making the Tactics Visible. Handsell Publishing.

Consultancy

I can offer my unique perspective of working with and making sense of profound distress and extreme states of mind and the impact it has on individuals, teams and organizations. I also have extensive experience in working collaboratively, creatively and in partnership with disempowered and disenfranchised individuals and groups to bring about sustained and lasting improved positive outcomes.  I have provided coaching and mentoring, supervision and consultancy to individuals, teams and organisations.

Case Study:

I recently worked as a consultant for a large provider of services to people who are homeless. I was asked to facilitate a process which focused specifically on the experience of female service users many of whom were defined as having complex needs e.g. survivors of childhood abuse and neglect, currently homeless, using drugs i.e. crack cocaine, sex working, issues with self-harm, eating disorders, mental health issues and were also dealing with the effects of the ensuing loss of their families.

My initial remit was to facilitate a day that aimed to critically evaluate how the organisation could effectively improve services for women. The day was attended by service users, front line workers, area managers and senior managers. Drawing on the collective experience and expertise of both staff and service users attending the workshop, the session explored:

  • Whether women presented more complex support issues than their male counterparts?
  • What were the key elements of successful support services for women?
  • How could we best ensure consistency across various projects?
  • What were the essential skills and knowledge required by staff teams?

The information which was shared and documented during this day helped to inform the development of an implementation group for the organisations women’s strategy, and established clear targets which had been shaped and defined by women’s experiences of using the service and staff experiences of delivering the service.

I then facilitated a 2nd complimentary session with staff from a number of different projects and departments within the organisation to capture learning to date and plan the future work-streams: specifically looking at staff training, service structure and equalities issues.

As a consequence there are new, specific learning opportunities for staff, alongside a developing coherence of service delivery to women who have experienced trauma, abuse and sexual exploitation.

This consultation work continues and will inform the future structure, planning and efficacy of services.

Pages

From Vicarious Trauma to Transformation

I’ve just got back from delivering a 2 day training course with Eleanor Longden on Abuse, Trauma and Dissociation, to 35 mental health professionals in Shrewsbury. I was really struck by people’s willingness and commitment to staying with some really difficult material. We spoke about the importance of having good support and the need to take really good care of ourselves when working directly with trauma, to protect us from the effects of vicarious traumatization.

Vicarious trauma, the process of change that happens because you care about other people who have been hurt, and feel committed or responsible to helping them, can lead to changes in your psychological, physical, and spiritual well-being. When you identify with the pain of people who have endured terrible things, you bring their grief, fear, anger, and despair into your own awareness and experience. Your commitment and sense of responsibility can lead to high expectations and eventually contribute to your feeling burdened, overwhelmed, and perhaps hopeless. Vicarious trauma, like experiencing trauma directly, can deeply impact the way you see the world and your deepest sense of meaning and hope. Vicarious traumatisation is not the responsibility of clients. Organisations that provide trauma-related services bear a responsibility to create policies and work settings that facilitate staff (and therefore client) well-being. Each trauma worker is responsible for self-care, working reflectively and engaging in regular, frequent, trauma-informed supervision. There are many ways of addressing vicarious traumatisation. All involve awareness, balance, and connection.

Beyond vicarious traumatisation lies vicarious transformation. This is the process of transforming one’s vicarious trauma, leading to spiritual growth. Vicarious transformation is a process of active engagement with the negative changes that come about through trauma work. It can be recognized by a deepened sense of connection with all living beings, a broader sense of moral inclusion, a greater appreciation of the gifts in one’s life, and a greater sense of meaning and hope. Vicarious transformation is a process, not an endpoint or outcome. If we can embrace, rather than fending off, other people’s extraordinary pain, our humanity is expanded. In this receptive mode, our caring is deepened. People who have suffered trauma and abuse can feel that we are allowing them to affect us. This reciprocal process conveys respect. We learn from trauma survivors that people can endure horrible things and carry on. This knowledge is a gift we can pass along to others.

Due to popular demand we will be offering further courses this year on Abuse, Trauma and Dissociation in Nottingham, Cork and in London. See events section for further information.

Abuse, Trauma, Healing & Recovery

Abuse, Trauma, Healing & Recovery

On The Web

Alice Millerwww.alice-miller.com
Website of pioneering psychotherapist Alice Miller

Recovered Memory projecthttp://blogs.brown.edu/recoveredmemory/about/
Case Archives, Commentary, and Scholarly Resources

David Baldwin’s Trauma Information Pageswww.trauma-pages.com
Providing information for clinicians and researchers in the traumatic-stress field

The European Society for Trauma and Dissociationwww.estd.org
Promoting an increase in the knowledge of Trauma, Dissociation and all disorders related to chronic traumatisation.

International Society for the Study of Trauma and Dissociationwww.isst-d.org
Seeking to advance clinical, scientific, and societal understanding about the prevalence and consequences of chronic trauma and dissociation

Jim Hopper’s Information Pageswww.jimhopper.com
Providing scholarly knowledge and resources, in language and formats accessible to any interested and motivated person – young or old, highly educated or not.

The Lantern Projectwww.lanternproject.org.uk
Formerly known as “Victims No Longer”, the Lantern Project offers a website supporting victims of childhood sexual abuse, domestic violence, racial abuse and bullying.

Medical Foundation for the Care of Victims of Torturewww.torturecare.org.uk
A charity that is dedicated soley to the treatment of torture survivors, including: advocacy, counselling & physical therapies.

One in Four UKwww.oneinfour.org.uk
One in Four offers a voice to and support for people who have experienced sexual abuse and sexual violence.

Rape Crisis (England and Wales)www.rapecrisis.org.uk
Provides co-ordination and support to affiliated member groups and campaigns and lobbies to raise awareness of the issues of sexual violence in the wider community and with local, regional and national government.

The Recovery Practice  – http://www.therecoverypractice.org.uk/

The Recovery Practice aims to help make mental health and well being possible for all people and to contribute to the understanding of mental health problems. Julian Turner has had over twenty years counselling practice and has worked extensively with people who have experienced emotional distress. He works in the Leeds area.

Respondwww.respond.org.uk
Works with children and adults with learning disabilities who have experienced abuse or trauma, as well as those who have abused others, through psychotherapy, advocacy, campaigning and other support.

Sidran Traumatic Stress Institutewww.sidran.org
International not for profit organisation aimed at supporting people to recovery form the effects of trauma (including dissociative disorders).

Support Linewww.supportline.org.uk/problems/child_abuse_survivors.php
Provides guidance and resources for adult survivors of childhood abuse.

Trauma and Abuse Groupwww.tag-uk.net
TAG promotes education and raises awareness in the field of dissociation, attachment, trauma and abuse recovery.

Trauma and Abuse Support Centrewww.tasc-online.org.uk
Provides a UK web-based resource for survivors of the whole spectrum of child sexual abuse (including extreme and ritual abuse) and for anyone involved in supporting them.

Women’s Aidwww.womensaid.org.uk
A national charity working to support women and children affected by domestic violence. Site includes finding help locally and a survivors handbook.

Bass, E. and Davis, L. (1988). The Courage to Heal: A Guide for Women Survivors of Child Sexual Abuse. Cedar Press.

Bloom, S. (1997). Creating Sanctuary: Towards the Evolution of Safe Communities. London: Routledge.

Blume, S. (1990). Secret Survivors: Uncovering Incest and its After-effects in Women. John Wiley and Sons.

Brison, S.J. (2002). Aftermath: Violence and the Remaking of a Self. Princeton University Press.

Davis, L. (1991). Allies in Healing: When the Person You Love Was Sexually Abused as a Child. HarperPerennial.

Davoine, F. and Gaudilliere, J-M. (2004). History Beyond Trauma. Other Press LLC.

Dolan, Y. (2000). Beyond Survival: Living Well is the Best Revenge. BT Press: London.

Fraser, S. My Father’s House: A Memoir of Incest and of Healing. Virago Press.

Herman, J. L. (1992). Trauma and Recovery. New York: Basic Books.

Levine, P. (1997). Waking the Tiger: Healing Trauma – The Innate Capacity to Transform Overwhelming Experiences. New York: North Atlantic Books.

Levine, P. (2008). Healing Trauma: A Pioneering Program for Restoring the Wisdom of Your Body. Boulder, CO: Sounds True Inc.

Mackinnon, M. (1991). Each Small Step: Breaking the Chains of Abuse and Addiction. Gynergy Books.

Maltz, W. (1992). The Sexual Healing Journey: A Guide for Survivors of Sexual Abuse. Qill: HarperCollins Publishers.

Perry, B. (2008). The Boy Who Was Raised as a Dog and Other Stories from a Child Psychiatrist’s Notebook: What Traumatized Children Can Teach us About Loss, Love and Healing. New York: Basic Books.

Rothschild, B. (2000). The Body Remembers: The psychophysiology of trauma and trauma treatment. London: W. W. Norton & Co.

Rothschild, B. (2010). 8 Keys to Safe Trauma Therapy: Take Charge Strategies to Empower Your Healing. W. W. Norton & Co.

Sebold, A. (2003). Lucky. Picador.

Spring, J. (1987). Cry Hard and Swim: The Story of An Incest Survivor. Virago Press.

Tal, K. (1996). Worlds of Hurt: Reading the Literatures of Trauma. Cambridge University Press.

Venable Raine, N. (2000). After Silence: Rape and My Journey Back. Virago Press Ltd; New edition.

Warner, S. (2000). Understanding Child Sexual Abuse: Making the Tactics Visible. Handsell Publishing.

Consultancy

I can offer my unique perspective of working with and making sense of profound distress and extreme states of mind and the impact it has on individuals, teams and organizations. I also have extensive experience in working collaboratively, creatively and in partnership with disempowered and disenfranchised individuals and groups to bring about sustained and lasting improved positive outcomes.  I have provided coaching and mentoring, supervision and consultancy to individuals, teams and organisations.

Case Study:

I recently worked as a consultant for a large provider of services to people who are homeless. I was asked to facilitate a process which focused specifically on the experience of female service users many of whom were defined as having complex needs e.g. survivors of childhood abuse and neglect, currently homeless, using drugs i.e. crack cocaine, sex working, issues with self-harm, eating disorders, mental health issues and were also dealing with the effects of the ensuing loss of their families.

My initial remit was to facilitate a day that aimed to critically evaluate how the organisation could effectively improve services for women. The day was attended by service users, front line workers, area managers and senior managers. Drawing on the collective experience and expertise of both staff and service users attending the workshop, the session explored:

  • Whether women presented more complex support issues than their male counterparts?
  • What were the key elements of successful support services for women?
  • How could we best ensure consistency across various projects?
  • What were the essential skills and knowledge required by staff teams?

The information which was shared and documented during this day helped to inform the development of an implementation group for the organisations women’s strategy, and established clear targets which had been shaped and defined by women’s experiences of using the service and staff experiences of delivering the service.

I then facilitated a 2nd complimentary session with staff from a number of different projects and departments within the organisation to capture learning to date and plan the future work-streams: specifically looking at staff training, service structure and equalities issues.

As a consequence there are new, specific learning opportunities for staff, alongside a developing coherence of service delivery to women who have experienced trauma, abuse and sexual exploitation.

This consultation work continues and will inform the future structure, planning and efficacy of services.