Most researchers of secondary trauma have focused on the pathological aspects of embodied responses rather than their usefulness in interpreting clinical situations. In this study, the authors completed a phenomenological investigation of nursing and social work faculty and student experiences with secondary trauma. They focused on how physical sensations and perceptions alert clinicians to reflect on human meanings associated with traumatic events. Findings indicated that participants experienced strong physical sensations that served as a Geiger counter of meaning and helped clinicians reflect on and understand the traumatic event. Clinicians, educators, and students should take the time to reflect on physical sensations in order to fully understand the human and professional meanings embedded in these responses.
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References
1.
Benner, P. (1984). From novice to expert. Menlo Park, CA: Addison-Wesley.
2.
Benner, P. (1994). Interpretive phenomenology: Embodiment, caring and ethics in health and illness. London: Sage.
3.
Benner, P. (2000). The roles of embodiment, emotion, and lifeworld for rationality and agency in nursing practice. Nursing Philosophy, 1, 5-19.
4.
Benner, P., Hooper-Kyriakidis, P., & Stannard, D. (1999). Clinical wisdom and interventions in critical care: A thinking-in-action approach. Philadelphia: W.B. Saunders.
5.
Benner, P., & Tanner, C. (1987). Clinical judgment: How expert nurses use intuition. American Journal of Nursing, 87, 23-31.
6.
Benner, P., & Wrubel, J. (1989). The primacy of caring. Menlo Park, CA: Addison-Wesley.
7.
Berman, M. (1989). Coming to our senses: Body and spirit in the hidden history of the west. New York: Simon & Schuster.
8.
Blacking, J. (1977). Towards an anthropology of the body. In J. Blacking (Ed.), Anthropology of the body (pp. 1-27). New York: Academic Press.
9.
Caelli, K. (2000). The changing face of phenomenological research: Traditional and American phenomenology in nursing. Qualitative Health Research, 10, 366-377.
10.
Caelli, K. (2001). Engaging with phenomenology: Is it more of a challenge than it needs to be? Qualitative Health Research, 11, 273-279.
11.
Chrestman, K.R. (1995). Secondary exposure to trauma and self-reported distress among therapists. In B.H. Stamm (Ed.), Secondary traumatic stress: Self-care issues for clinicians, researchers, and educators (pp. 29-37). Lutherville, MD: Sidran Press.
12.
Damasio, A. (1999). The feeling of what happens: Body and emotion in the making of consciousness. New York: Harcourt & Brace.
13.
Dane, B. (2000). Child welfare workers: An innovative approach for interacting with secondary trauma. Journal of Social Work Education, 36(1), 27-38.
14.
Dreyfus, H. (1988). A commentary on Heidegger’s being and time. Cambridge, MA: MIT Press.
15.
Dreyfus, H. (1991). Being-in-the-world: A commentary on Heidegger’s being and time, Division 1. Cambridge, MA: MIT Press.
16.
Dreyfus, H. (1994). Preface. In P. Benner (Ed.), Interpretive phenomenology: Embodiment, caring, and ethics in health and illness (pp. vii-xi). London: Sage.
17.
Dutton, M., & Rubinstein, F. (1995). Working with people with PTSD: Research implications. In C. Figley (Ed.), Compassion fatigue: Coping with secondary trauma stress disorder in those who treat the traumatized (pp. 51-82). New York: Brunner/Mazel.
18.
Ens, I.C. (1998). An analysis of the concept of counter transference. Archives of Psychiatric Nursing, 12(5), 273-281.
19.
Ens, I.C. (1999). The lived experience of counter transference in psychiatric mental health nurses. Archives of Psychiatric Nursing, 13(6), 321-329.
20.
Figley, C. (1995). Compassion fatigue as secondary traumatic stress disorder: An overview. In C. Figley (Ed.), Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized (pp. 1-21). New York: Brunner/Mazel.
21.
Gilligan, C. (1982). In a different voice: Psychological theory and women’s development. London: Harvard University Press.
22.
Harris, C.J. (1995). Sensory-based therapy for crisis counselors. In C. Figley (Ed.), Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized (pp. 101-115). New York: Brunner/Mazel.
23.
Harris, C.J., & Linder, J.G. (1995). Communication and self-care: Foundational issues. In B.H. Stamm (Ed.), Secondary traumatic stress: Self-care issues for clinicians, researchers, and educators (pp. 95-105). Lutherville, MD: Sidran Press.
24.
Harter, S. (1981). The development of competence motivation in the mastery of cognitive and physical skills: Is there still a place for joy? In G.C. Roberts & D.M. Landers (Eds.), Psychology of motor behavior and sport (pp. 3-29). Champaign, IL: Human Kinetics.
25.
Heidegger, M. (1962). Being and time. New York: Harper and Row.
26.
Janoff-Bulman, R. (1992). Shattered assumptions: Towards a new psychology of trauma. New York: Free Press.
27.
Kassam-Adams, N. (1995). The risks of treating sexual trauma: Stress and secondary trauma in psychotherapists. In B.H. Stamm (Ed.), Secondary traumatic stress: Self-care issues for clinicians, researchers, and educators (pp. 37-51). Lutherville, MD: Sidran Press.
28.
Levinas, E. (1985). Ethics and infinity. Pittsburgh, PA: Duquesne University Press.
29.
Lincoln, Y.S., & Guba, E.G. (1985). Naturalistic inquiry. Beverly Hills, CA: Sage.
30.
Lindseth, A. (1996, October). On Logstrup and relational ethics. Paper presented at the University of California at San Franciso Logstrup Conference, San Francisco, CA.
31.
Madison, G.B. (1988). The hermeneutics of postmodernity. Bloomington: Indiana University Press.
32.
Malone, R.E. (1995). The almshouse revisited: Heavy users of emergency services. Unpublished doctoral dissertation, University of California, San Francisco.
33.
Martinsen, K. (1996, October). Introduction to lecture one. Paper presented at the University of California at San Francisco Logstrup Conference, San Francisco, CA.
34.
Merleau-Ponty, M. (1964). Sense and nonsense (H.L. Dreyfus & P.A. Dreyfus, Trans.). Evanston, IL: North-western University Press. (Original work published 1948)
35.
Merleau-Ponty, M. (1995). Phenomenology of perception (C. Smith, Trans.). London: Routlege. (Original work published 1962)
36.
McCann, I., & Pearlman, L. (1990). Vicarious traumatization: A framework for understanding the psychological effects of working with victims. Journal of Traumatic Stress, 3(1), 131-149.
37.
Northrup, C. (1994). Women’s bodies, women’s wisdom: Creating physical and emotional health and healing. New York: Bantam.
38.
O’Kelly, G. (1998). Countertransference in the nurse-patient relationship: A review of the literature. Journal of Advanced Nursing, 28(2), 391-397.
39.
Pearlman, L.A. (1995). Self care for trauma therapists: Ameliorating vicarious traumatization. In B.H. Stamm (Ed.), Secondary traumatic stress: Self-care issues for clinicians, researchers, and educators (pp. 51-65). Lutherville, MD: Sidran Press.
40.
Peile, C. (1998). Emotional and embodied knowledge: Implications for critical practice. Journal of Sociology and Social Welfare, 25(4), 39-59.
41.
Peplau, H. (1951). Interpersonal relations in nursing. New York: G.P. Putnam.
42.
Saleebey, D. (1989). Professions in crisis: The estrangement of knowing and doing. Social Casework, 70, 556-563.
43.
Saleebey, D. (1992). Biology’s challenge to social work: Embodying the person-in-environment perspective. Social Work, 37(2), 112-118.
44.
Sandelowski, M. (1986). The problem of rigor in qualitative research. Advances in Nursing Science, 8(3), 27-37.
45.
Scheper-Hughes, N., & Lock, M.M. (1987). The mindful body: A prolegomenon to future work in medical anthropology. Medical Anthropology Quarterly, 1(1), 6-41.
46.
Stamm, B.H. (1995). Introduction. In B.H. Stamm (Ed.), Secondary traumatic stress: Self-care issues for clinicians, researchers, and educators (pp. xiii-xxiii). Lutherville, MD: Sidran Press.
47.
Taylor, C. (1989). Sources of the self. Cambridge, MA: Harvard University Press.
48.
Vetleson, A.J. (1960). Perception, empathy and judgment: An inquiry into the preconditions of moral performance. University Park: Pennsylvania State University Press.
49.
Williams, S.J., & Bendelow, G. (1998). The lived body: Sociological themes, embodied issues. New York: Routledge.
50.
Zuk, R.J., & Wetmore, A.A. (1993). Teaching the incest narrative: Problems and possibilities. Feminist Teacher, 7(3), 21-26.
