The DOI matches its Crossref record; 43 of the 43 references it cites were found in a registry or an index.
Guilt, shame and need for a container: a study of post-traumatic stress among ambulance personnel
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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“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]
Citations
Cites
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Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults
Brewin, C. R., Andrews, B., & Valentine, J. D. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.68.5.748 · Cited by 5,243
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Repression and dissociation: implications for personality theory, psychopathology, and health
(1991) · Choice Reviews Online · doi:10.5860/choice.28-3001 · Cited by 694
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Nurses’ Experiences Following Disaster: Moral Distress and Relational Loss
Sato, Y., & Nozue, K. (2026) · Nursing Ethics · doi:10.1177/09697330261449464
Metadata
- 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)
- 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
- 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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