Cited by 35Social Work Education and PracticePsychoanalysis and Psychopathology ResearchPosttraumatic Stress Disorder Research

Working in the Field of Complex Psychological Trauma: A Framework for Personal and Professional Growth, Training, and Supervision

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Coleman, Anne Marie, Chouliara, Zoë, Currie, Kay·2021·Journal of Interpersonal Violence

Abstract

The aim of this article is to explore the positive and negative impacts of working therapeutically in complex psychological trauma (CPT), particularly the field of gender-based violence (GBV) and childhood sexual abuse (CSA), from the clinicians’ perspective. The focus was on the prospect of positive gains and growth for therapists. Twenty-one clinicians ( n = 21; counselors/psychotherapists and psychologists) from National Health Service (NHS) specialist trauma services, a community mental health team, and specialist sexual assault counseling organization participated. Interpretative phenomenological analysis (IPA) was utilized to conduct single one-off interviews and analysis. Six themes were identified: Called to the work; Connection, Separation, and Oneness; Into and out of the darkness; Chaos into meaning; Reparation not repetition; and Expansion and growth. The first “Therapist Led Framework of Growth in Trauma Work” is presented. Vicarious posttraumatic growth (VPTG) was a key finding, with CPT therapists experiencing a “challenge/benefit/change” growth process. Adoption of actively relational strategies to enhance clinicians’ growth process through trauma work is being proposed. The benefits of conceptualizing both the positive and negative impacts of such work for supervision, training, shaping the formal curricula, service management, and continuing professional development (CPD) are being discussed. The need for good practice guidelines on self-care internationally is highlighted.

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  • Studies on therapists working with complex trauma confirm the above findings.

    “Również badania prowadzone na grupie terapeutów pracujących ztraumą złożoną, potwierdzają powyższe ustalenia [16].”

    From Does it only benefit the patient? Potentially positive impact of psychotherapy of traumatized people — on the therapist (2025) · cites this paper as [16]

    The Discussion reports findings from clinicians working with complex psychological trauma, including both detrimental effects and personal and professional growth. The citing sentence does not specify what “the above findings” are, so it is not possible to determine whether this study confirms them. (LLM, conf=0.78)

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  1. Baird, K., & Kracen, A. C. (2006). Vicarious traumatization and secondary traumatic stress: A research synthesis * . Counselling Psychology Quarterly, 19(2), 181-188.
  2. Barrington, A.J. & Shakespeare-Finch, J. (2013). Working with refugee survivors of torture and trauma: An opportunity for vicarious post-traumatic growth. Counselling Psychology Quarterly,26 (1), 89-105.
  3. Bassuk, E. L., Unick, G. J., Paquette, K., & Richard, M. K. (2017). Developing an instrument to measure organizational trauma-informed care in human services: The TICOMETER. Psychology of violence, 7(1), 150.
  4. Breslau, N., Kessler, R. C., Chilcoat, H. D., Schultz, L. R., Davis, G. C., & Andreski, P. (1998). Trauma and posttraumatic stress disorder in the community: the 1996 Detroit Area Survey of Trauma. Archives of general psychiatry, 55(7), 626-632.
  5. Bride, B. E. (2007). Prevalence of secondary traumatic stress among social workers. Social work, 52(1), 63-70.
  6. Brockhouse, R., Msetfi, R. M., Cohen, K., & Joseph, S. (2011). Vicarious exposure to trauma and growth in therapists: The moderating effects of sense of coherence, organizational support, and empathy. Journal of Traumatic Stress, 24(6), 735-742.
  7. Brocki, J. M., & Wearden, A. J. (2006). A critical evaluation of the use of interpretative phenomenological analysis (IPA) in health psychology. Psychology and health, 21(1), 87- 108.
  8. Canfield, J. (2005). Secondary traumatization, burnout, and vicarious traumatization: A review of the literature as it relates to therapists who treat trauma. Smith College Studies in Social Work, 75(2), 81-101.
  9. Chouliara, Z., & Javita, N. (2017). Recovery from child sexual abuse (CSA) in India: A relational framework for practice. Children and Youth Services Review. doi:org/10.1016/j.childyouth.2017.06.072 · DOI
  10. Chouliara, Z., Karatzias, T., Gullone, A., Ferguson, S., Cosgrove, K., & Burke Draucker, C. (2017). Therapeutic Change in Group Therapy For Interpersonal Trauma: A Relational Framework for Research and Clinical Practice. Journal of Interpersonal Violence, 0886260517696860.
  11. Chouliara, Z., Karatzias, T., & Gullone, A. (2014). Recovering from childhood sexual abuse: A theoretical framework for practice and research. Journal of psychiatric and mental health nursing, 21(1), 69-78. doi: 10.1111/jpm.12048 · DOI
  12. Chouliara, Z., Karatzias, T., Scott-Brien, G., Macdonald, A., MacArthur, J., & Frazer, N. (2012). Adult survivors of childhood sexual abuse perspectives of services: A systematic review. Counselling and Psychotherapy Research, 12(2), 146-161. doi:10.1080/14733145.2012.656136 · DOI
  13. Chouliara, Z., Karatzias, T., Scott-Brien, G., Macdonald, A., MacArthur, J., & Frazer, N. (2011). Talking therapy services for adult survivors of childhood sexual abuse (CSA) in Scotland: Perspectives of service users and professionals. Journal of child sexual abuse, 20(2), 128-156.
  14. Chouliara, Z., Hutchison, C., & Karatzias, T. (2009). Vicarious traumatisation in practitioners who work with adult survivors of sexual violence and child sexual abuse: Literature review and directions for future research. Counselling and Psychotherapy Research, 9(1), 47-56.
  15. Chouliara, Z., & Kearney, N. (2007). Working with older people with cancer: challenges in research and clinical practice. In F. Anagnostopoulos & E. Karadimas (Eds), Special issues in health psychology (pp. 131-151), Athens, Greece: Livani Publishers.
  16. Chouliara, Z., Kearney, N., Stott, D., Molassiotis, A., & Miller, M. (2004). Perceptions of older people with cancer of information, decision making and treatment: a systematic review of selected literature. Annals of Oncology, 15(11), 1596-1602.
  17. Chouliara, Z & Narang, J (2017) Recovery from child sexual abuse (CSA) in India: A relational framework for practice. Children & Youth Services Research. In Press (https://doi.org/10.1016/j.childyouth.2017.06.072) · DOI
  18. Cook, J. M., Dinnen, S., Rehman, O., Bufka, L., & Courtois, C. (2011). Responses of a sample of practicing psychologists to questions about clinical work with trauma and interest in specialized training. Psychological Trauma: Theory, Research, Practice, and Policy, 3(3), 253.
  19. Courtois, C. A., & Ford, J. D. (Eds.). (2009). Treating complex traumatic stress disorders: An evidence-based guide. Guilford Press.
  20. Elliott, R., Fischer, C. T., & Rennie, D. L. (1999). Evolving guidelines for publication of qualitative research studies in psychology and related fields. British journal of clinical psychology, 38(3), 215-229.
  21. Fang, X., Fry, D.A., Ji, K., Finkelhor, D., Chen, J., Lannen, P. and Dunne, M.P., 2015. The burden of child maltreatment in China: a systematic review. Bulletin of the World Health Organization, 93(3), pp.176-185C.
  22. Figley, C. R. (Ed.). (2002). Treating compassion fatigue. Routledge.
  23. Finlay, L., & Ballinger, C. (Eds.). (2006). Qualitative research for allied health professionals: Challenging choices. John Wiley & Sons.
  24. Ford, JD ; Hawke, J; Alessi, S; Ledgerwood, D; NPetry N (2007). Psychological trauma and PTSD symptoms as predictors of substance dependence treatment outcomes. Behavior, Research & Therapy, 45 (10), 2417-31 -DOI: 10.1016/j.brat.2007.04.001 · DOI
  25. Frenken, J., & Van Stolk, B. (1990). Incest victims: Inadequate help by professionals. Child abuse & neglect, 14(2), 253-263.
  26. Guhan, R., & Liebling-Kalifani, H. (2011). The experiences of staff working with refugees and asylum seekers in the United Kingdom: A grounded theory exploration. Journal of Immigrant & Refugee Studies, 9(3), 205-228.
  27. Herman, J. L. (1992). (1992a). Complex PTSD: A syndrome of survivors of prolonged and repeated trauma. Journal of Traumatic Stress, 5, 377-391.doi:10.1007/BF00977235 · DOI
  28. Hernández, P., Gangsei, D., & Engstrom, D. (2007). Vicarious resilience: A new concept in work with those who survive trauma. Family process, 46(2), 229-241.
  29. Hobfoll, SE and Hall, BJ; Canetti-Nisim, D; Galea, S;. Johnson, RJ Patrick Palmieri, A (2007). Refining our Understanding of Traumatic Growth in the Face of Terrorism: Moving from Meaning Cognitions to Doing what is Meaningful. Applied Psychology: An International Review, 56 (3), 345-366 doi: 10.1111/j.1464-0597.2007.00292 · DOI
  30. Hinton, D. E., & Lewis-Fernández, R. (2011). The cross-cultural validity of posttraumatic stress disorder: implications for DSM-5. Depression and anxiety, 28(9), 783-801.
  31. Karatzias, T., Shevlin, M., Fyvie, C., Hyland, P., Efthymiadou, E., Wilson, D., ... & Cloitre, M. (2016). An initial psychometric assessment of an ICD-11 based measure of PTSD and complex PTSD (ICD-TQ): Evidence of construct validity. Journal of anxiety disorders, 44, 73-79.
  32. Karatzias, T., Shevlin, M., Fyvie, C., Hyland, P., Efthymiadou, E., Wilson, D., ... & Cloitre, M. (2017). Evidence of distinct profiles of posttraumatic stress disorder (PTSD) and complex posttraumatic stress disorder (CPTSD) based on the new ICD-11 trauma questionnaire (ICD-TQ). Journal of affective disorders, 207, 181-187.
  33. Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of general psychiatry, 52(12), 1048-1060.
  34. McCann, I. L., & Pearlman, L. A. (1990). Psychological trauma and the adult survivor: Theory, therapy, and transformation (No. 21). Psychology Press.
  35. McCann, I L., &Pearlman, L. A. (1990). Vicarious traumatization: A framework for understanding the psychological effects of working with victims. Journal of traumatic stress, 3(1), 131-149.
  36. Morina, N., & Ford, J. D. (2008). Complex sequelae of psychological trauma among Kosovar civilian war victims. International Journal of Social Psychiatry, 54(5), 425-436.
  37. Moore, S.E., Scott, J.G., Ferrari, A.J., Mills, R., Dunne, M.P., Erskine, H.E., Devries, K.M., Degenhardt, L., Vos, T., Whiteford, H.A. and McCarthy, M., 2015. Burden attributable to child maltreatment in Australia. Child abuse & neglect, 48, pp.208-220.
  38. National Institute for Clinical Excellence. (2013). Evidence update: The management of PTSD in adults and children in primary and secondary care. Wilshire, United Kingdom: Cromwell Press
  39. Neumann, D. A., & Gamble, S. J. (1995). Issues in the professional development of psychotherapists: Countertransference and vicarious traumatization in the new trauma therapist. Psychotherapy: Theory, research, practice, training, 32(2), 341.
  40. M.J. Friedman, T.M. Keane & P.A. Resick, The Guilford Press, New York, pp. 78-98.
  41. O'Callaghan, C & Hiscock, R (2007). Interpretive subgroup analysis extends modified grounded theory research findings in oncologic music therapy. Journal of Music Therapy, 44(3), 256-281.
  42. Ogle, C. M., Rubin, D. C., & Siegler, I. C. (2014). Cumulative exposure to traumatic events in older adults. Aging & mental health, 18(3), 316-325.
  43. Pearlman, L. A., & MacIan, P. S. (1995). Vicarious traumatization: An empirical study of the effects of trauma work on trauma therapists. Professional Psychology: Research and Practice, 26(6), 558.
  44. Pringle, J., Drummond, J., McLafferty, E., & Hendry, C. (2011). Interpretative phenomenological analysis: a discussion and critique. Nurse researcher, 18(3), 20-24.
  45. Ray, S. L. (2008). Evolution of posttraumatic stress disorder and future directions. Archives of Psychiatric Nursing, 22(4), 217-225.
  46. Reid, K., Flowers, P. & Larkin, M. 2005, Exploring lived experience, The Psychologist, 18(1), 20-23.
  47. Roberts, A. L., Gilman, S. E., Breslau, J., Breslau, N., & Koenen, K. C. (2011). Race/ethnic differences in exposure to traumatic events, development of post-traumatic stress disorder, and treatment-seeking for post-traumatic stress disorder in the United States. Psychological medicine, 41(1), 71-83.
  48. Robinson-Keilig, R. A. (2014). Secondary traumatic stress and disruptions to interpersonal functioning among mental health therapists. Journal of interpersonal violence, 29(8), 1477-1496.
  49. Samios, C., Abel, L. M., & Rodzik, A. K. (2013). The protective role of compassion satisfaction for therapists who work with sexual violence survivors: An application of the broaden-and-build theory of positive emotions. Anxiety, Stress & Coping, 26(6), 610-623.
  50. Samios, C., Rodzik, A. K., & Abel, L. M. (2012). Secondary traumatic stress and adjustment in therapists who work with sexual violence survivors: The moderating role of posttraumatic growth. British Journal of Guidance & Counselling, 40(4), 341-356.
  51. Schauben, L. J., & Frazier, P. A. (1995). Vicarious trauma the effects on female counselors of working with sexual violence survivors. Psychology of women quarterly, 19(1), 49-64.
  52. Shah, S. A., Garland, E., & Katz, C. (2007). Secondary traumatic stress: Prevalence in humanitarian aid workers in India. Traumatology, 13(1), 59.
  53. Smith, J. A., Flowers, P. & Larkin, M. 2013, Interpretative Phenomenological Analysis: Theory, Method and Research, Sage Publications Ltd, London.
  54. Smith, J. A., & Osborn, M. (2007). Pain as an assault on the self: An interpretative phenomenological analysis of the psychological impact of chronic benign low back pain. Psychology and health, 22(5), 517-534.
  55. Smith, J. A. (2007). Hermeneutics, human sciences and health: Linking theory and practice. International Journal of Qualitative Studies on health and Well-being, 2(1), 3-11.
  56. Smith, J. A. (2004). Reflecting on the development of interpretative phenomenological analysis and its contribution to qualitative research in psychology. Qualitative research in psychology, 1(1), 39-54.
  57. Spataro, S; Mullen, PE; Burgess, PM; Wells, DL; Moss, SA (2004). Impact of child sexual abuse on mental health. Prospective study in males and females. The British Journal of Psychiatry, 184 (5), 416-421, DOI: 10.1192/bjp.184.5.416. · DOI
  58. Splevins, K. A., Cohen, K., Joseph, S., Murray, C., & Bowley, J. (2010). Vicarious posttraumatic growth among interpreters. Qualitative Health Research, 20(12), 1705- 1716.
  59. Sprang, G., Clark, J. J., & Whitt-Woosley, A. (2007). Compassion fatigue, compassion satisfaction, and burnout: Factors impacting a professional's quality of life. Journal of Loss and Trauma, 12(3), 259-280.
  60. Staub, E., & Vollhardt, J. (2008). Altruism born of suffering: the roots of caring and helping after victimization and other trauma. American Journal of Orthopsychiatry, 78(3), 267.
  61. Stein, Jacob Y.; Wilmot, Dayna V.; Solomon, Zahava (2016), "Does one size fit all? Nosological, clinical, and scientific implications of variations in ptsd criterion A", Journal of Anxiety Disorders, 43: 106-117, PMID 27449856, doi:10.1016/j.janxdis.2016.07.001 · DOI
  62. Tedeschi, R. G., & Calhoun, L. G. (2004). " Posttraumatic growth: Conceptual foundations and empirical evidence". Psychological inquiry, 15(1), 1-18.
  63. Tedeschi, R. G., Park, C. L., & Calhoun, L. G. (Eds.). (1998). Posttraumatic growth: Positive changes in the aftermath of crisis. Routledge. 1-22, 226.
  64. Turgoose, D; Glover, N; Barker, C; Maddox, L (2017). Empathy, compassion fatigue and burnout in police officers working with rape victims. Traumatology. DOI: 10.1037/trm0000118 United Nations High Commissioner for Refugees. UNHCR (2012) Working with men and boy survivors of sexual and gender-based violence in forced displacement. Geneva: UKPTS Complex Trauma Guideline (2016). British Psychological Society www.bps.org.uk/.../ukpts_guideline_for_treating_complex_ptsd_draft_for_external_ accessed 20/08/17 · DOI
  65. Vu, A., Adam, A., Wirtz, A., Pham, K., Rubenstein, L., Glass, N., Singh, S. (2014). The Prevalence of Sexual Violence among Female Refugees in Complex Humanitarian Emergencies: a Systematic Review and Meta-analysis. PLoS Currents, 6, ecurrents.dis.835f10778fd80ae031aac12d3b533ca7. http://doi.org/10.1371/currents.dis.835f10778fd80ae031aac12d3b533ca7 · DOI · Paper page
  66. Way, I., VanDeusen, K. M., Martin, G., Applegate, B., & Jandle, D. (2004). Vicarious trauma: A comparison of clinicians who treat survivors of sexual abuse and sexual offenders. Journal of interpersonal violence, 19(1), 49-71.
  67. Weaver, M. & Biggart, F. (2012). "Trauma Resilience", Healthcare Counselling and Psychotherapy Journal, Vol. 12, no. 2, 19-23.
  68. Willig, C. (2001). Introducing qualitative research in psychology. Open University Press (UK).
  69. Willig, C. (2008). Introducing qualitative research in psychology. 2 nd Edn. Open University Press (UK).

Authors
Coleman, A. M., Chouliara, Z., & Currie, K.
Affiliations
  • NHS Greater Glasgow and Clyde (GB)
  • Edinburgh Napier University (GB)
  • Glasgow Caledonian University (GB)
Corresponding author
Coleman, Anne Marie
Venue
Journal of Interpersonal Violence
Published
2018-03-20
Volume
36
Issue
5-6
Pages
2791-2815
ISSN
  • 0886-2605 (ISSN-L)
  • 1552-6518
OpenAlex
W2793612030
Cited by
35
References
10
Citations by year
2026: 10 · 2025: 4 · 2024: 5 · 2023: 2 · 2022: 6 · 2021: 3 · 2020: 3 · 2019: 1 · 2018: 1
FWCI
4.59
Type
journal article
Language
en
Open access
Locations
  • Journal of Interpersonal Violence (publishedVersion)
  • PubMed (publishedVersion)
  • ResearchOnline (Glasgow Caledonian University) (acceptedVersion, other-oa)
  • ResearchOnline (acceptedVersion, other-oa)
  • Edinburgh Napier Research Repository (Edinburgh Napier University) (submittedVersion)
Topics
  • Social Sciences › Public Administration › Social Work Education and Practice
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Keywords
vicarious posttraumatic growth, therapist growth, gender-based violence, child sexual abuse, trauma-informed supervision, therapist training, continuing professional development, self-care, relational strategies
MeSH terms
Psychological Trauma, Posttraumatic Growth, Psychological, Child, Counseling, Humans, Sex Offenses, State Medicine

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