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Cited by 101Posttraumatic Stress Disorder ResearchPsychoanalysis and Psychopathology ResearchHealthcare professionals’ stress and burnout

Guilt, shame and need for a container: a study of post-traumatic stress among ambulance personnel

Jonsson, Anders, Segesten, Kerstin·2004·Accident and Emergency Nursing
DOI 10.1016/j.aaen.2004.05.001
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Abstract

Post-traumatic stress symptoms among ambulance personnel are regarded as a natural behaviour and reaction to working with the severely injured, suicides, injured children and dead people. The findings show that post-traumatic stress symptoms, guilt, shame and self-reproach are common after duty-related traumatic events. To handle these overwhelming feelings it is necessary to talk about them with fellow workers, friends or family members. By using another person as a container it is possible to internalise the traumatic experience. Poor and un-emphatic behaviour towards a patient and their relatives can have its origin in untreated traumatic experiences. Personnel in ambulance organisations who perform defusing, debriefing and counselling have to be informed of the importance that the roll of guilt and shame may play in the developing of post-traumatic stress symptoms.

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Crossref · 10.1016/j.aaen.2004.05.001

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  • Paramedics report experiencing very high rates of exposure to human suffering for which they often feel responsible, potentiating substantial emotional stress.

    “Similarly, paramedics report experiencing very high rates of exposure to human suffering9 for which they often feel responsible,55 potentiating substantial emotional stress.55,56”

    From Mental Disorder Symptoms among Public Safety Personnel in Canada (2018) · cites this paper as [55]

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Authors
Jonsson, A., & Segesten, K.
Affiliations
University of Gothenburg (SE)
Venue
Accident and Emergency Nursing
Publisher
Elsevier BV
Published
2004-10
Volume
12
Issue
4
Pages
215-223
ISSN
0965-2302 (ISSN-L)
DOI
10.1016/j.aaen.2004.05.001
OpenAlex
W2064686894
Cited by
101
References
42
Citations by year
2026: 1 · 2025: 2 · 2024: 5 · 2023: 7 · 2022: 3 · 2021: 10 · 2020: 7 · 2019: 7 · 2018: 4 · 2017: 4 · 2016: 10 · 2015: 6 · 2014: 3 · 2013: 4 · 2012: 9
FWCI
2.00
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Accident and Emergency Nursing (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
  • Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
Keywords
post-traumatic stress, ambulance personnel, guilt, shame, self-blame, traumatic events, emotional containment, peer support, debriefing, counseling, occupational injuries, emergency medical services
MeSH terms
Adaptation, Psychological, Ambulances, Attitude of Health Personnel, Burnout, Professional, Communication, Counseling, Crisis Intervention, Emergency Medical Technicians, Empathy, Female, Humans, Life Change Events, Male, Models, Psychological, Surveys and Questionnaires, Self Concept, Shame, Social Support, Stress Disorders, Post-Traumatic, Sweden, Nursing Methodology Research, Occupational Health

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