Secondary Traumatic Stress Flashcards

1
Q

5 Stages of Burnout (1-5) [HOCBH]

A
  1. Honeymoon phase
  2. Onset of stress
  3. Chronic stress
  4. Burnout
  5. Habitual burnout
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2
Q

5 Stages of Burnout (explained)

A
  1. Honeymoon phase - begin experience predicted stresses of job; commitment to job lower, compulsion to prove oneself
  2. Onset of stress - begins w/awareness of some days being more difficult than others, optimism waning, common stress symptoms affect you physically, emotionally, mentally; anxiety, avoidance
  3. Chronic stress - marked by change in stress levels, from motivation to stress on daily basis; anger/aggressive behaviour, cynical attitude
  4. Burnout - symptoms become critical (stage often referred to), key is to seek support; behavioural changes, social isolation
  5. Habitual burnout - burnout symptoms embedded in life, significant physical/emotional problems; chronic fatigue/sadness
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3
Q

3 post-traumatic therapy principles (Ochberg 1991) [1-3]

A
  1. Individuality
  2. Normalization
  3. Empowerment
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4
Q

3 post-traumatic therapy principles (Ochberg 1991) [explained]

A
  1. Individuality - every individual has unique path to recovery; involves CM (Ochberg’s counting method- count to 100) therapeutic treatment to help desensitization of PTSD
  2. Normalization - balances uniqueness of recovery; defines general pattern of adjustment; emphasizes normality of disturbing thoughts/feelings
  3. Empowerment - STS people need to be included in own recovery, active agents; gives sense of power/control
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5
Q

Frame of Reference (2)

A

shifts in beliefs about others & world
1. Spirituality - shift in sense of meaning, life purpose, difficult to maintain connection w/HP
2. Worldview - shift in safety, becomes dangerous/threatening, disconnecting, exploitative

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6
Q

Traumatology

A

-type of damage to mind due distressing event
-due overwhelming stress
-usually physical threat
-feel overwhelmed, anxious, threatened
- the study of traumatized people

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7
Q

Intrusive Imagery

A

imagery described by client’s that connect to therapist e.g sexual; hallmark of post-traumatic adaptation; kind of like a flashback in real life

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8
Q

5 need areas identified effects of psychological trauma (1-5)

A
  1. safety
  2. trust
  3. esteem
  4. intimacy
  5. control
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9
Q

5 need areas identified effects of psychological trauma (explained)

A
  1. safety - basic, evolutionary need
  2. trust - central to all human relationships; dependence on others
  3. esteem - high & low; internal quality but affected by external factors; key stage in achieving contentment/self-actualization
  4. intimacy - can be expressed verbal/non-verbal; mutual experience between individuals; depends primarily on trust; cultures also
  5. control - evolutionary standpoint, survival in env.; fight or flight; certainty, understanding, ability to predict outcomes
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10
Q

Vicarious Trauma

A

-impact therapist’s sense of self
-process of change result from empathic engagement w/trauma survivors (Pearlman)
-affects tolerance, interpersonal relationships, imagery system of memory

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11
Q

Empathy

A

-best friend or worst enemy
-process empathizing w/trauma client helps understand trauma experience
-we may become traumatized as well

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12
Q

Counter Transferrence

A

-distortion of judgement from therapist
-therapist brings biases /personal factors to the table, affects both observation & individual being observed

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13
Q

Group Dynamic Issues

A

-intense emotional states influence/polarize members
-may feel alienated/misunderstood
-groups establish consensual perceptions of reality
-affects vulnerable clients/therapists

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14
Q

PTSD (post-traumatic stress disorder)

A

characteristic symptoms of exposure to extreme traumatic stressors
e.g. threat of death, violence, sexual abuse, child abuse, war veteran

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15
Q

Compassion Fatigue

A

-compassion stress or STS, natural, predictable, treatable, preventable, unwanted consequence of working w/suffering people
-burnout & stress-related symptoms experienced by caregivers/helping professions in reaction to working w/trauma clients over extended period of time

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16
Q

5 qualities help therapists manage counter transference (ACESS)

A
  1. anxiety management
  2. conceptualizing skills
  3. empathic ability
  4. self-insight
  5. self-integration
17
Q

Simultaneous Trauma

A

all members of system affected @same time. eg. natural disaster

18
Q

Vicarious Trauma

A

single member affected out of contact w/others. e.g. war, mine accident, hostage

19
Q

Intra-Familial Trauma

A

abuse - member causes emotional injury to another

20
Q

Chasmal or Secondary Trauma

A

traumatic stress affects entire system after appearing in one member. e.g. STS, personal rather than clinical or medical

21
Q

4 examples of trauma

A
  1. Simultaneous Trauma
  2. Vicarious Trauma
  3. Intra-Familial Trauma
  4. Chasmal or Secondary Trauma
22
Q

Fidelity

A

honesty & fulfilling commitments

23
Q

10 Ways to Resolve Stress

A
  1. Break tasks down when feeling overwhelmed
  2. Balance between personal & professional life
  3. Creativity
  4. Clarify sense of meaning & purpose
  5. Identify & use social resources & supports
  6. Laugh
  7. Play
  8. Physical self-care
  9. Spiritual side, develop it
  10. Supervision (someone who understands PTSD)
24
Q

1 activity ranked for professional personal care

A

Maintain Boundaries - maintain them; be steadfast; don’t give in to pressures; boundary issues covered in ethics classes

25
Q

Passion

A

-we all have hidden sources of energy & healing power
-identify things that fuel you, fatigue will disappear
-balance schedule with things we have passion for

26
Q

RULER Program (5 skills of E.I. emotional intelligence)

A

R- recognizing emotions in self & others
U- understanding causes & consequences of emotions
L- labeling emotions w/nuanced vocabulary
E- expressing emotions in accordance w/cultural norms & social context
R- regulating emotions w/helpful strategies

27
Q

What’s the Need?

A

awareness of impact of the work on self & willingness to take steps to lessen secondary impact

28
Q

ABC’s of Prevention

A

A- awareness (my life is out of control)
B- balance (I will do this & that)
C- connections (starting w/yourself & expanding outward)

29
Q

Practices that Expand our Identities (PUUM Model; EI)

A

P- Perception/perceive- exploration, discovery, self-awareness
U- Use- internal integration, self-management, application
U- Understand- empathy, social awareness, interaction
M- Manage- relationships, exchanges, expectations

30
Q

1 Group Rule

A

Confidentiality

31
Q

10 sorts

A

pos/neg= aggressive/assertive, demanding/ambitious
global/detailed= glib/warm, selfish/persuasive
time= passive/stable, unresponsive/good listener
sameness/different= critical/careful, fussy/meticulous, perfectionist/neat

32
Q

Barriers to Communication

A

-trauma
-therapist/provider
-beliefs
-values
-priorities
-past experiences

33
Q

vicarious trauma doesn’t disrupt a person’s frame of reference? T/F

A

False

34
Q

stress from helping a traumatized person is called?

A

STSD

35
Q

age is a buffer for STS? T/F

A

False

36
Q

what’s the foundation of ethical statements?

A

Values

37
Q

self-care is an ethical duty? T/F

A

True