Protective service (e.g., police, fire, EMT) professionals face repeated exposure to traumatic events throughout their careers. Although typically linked to pathological outcomes, research has identified sustained positive benefits and posttraumatic growth as consistent posttrauma outcomes in emergency workers. The fact that critical incident experience can result in both adverse and positive outcomes provides organizations with the potential to make choices regarding these outcomes. Increasing the likelihood of posttraumatic growth outcomes requires identifying the mechanisms by which such outcomes are secured. Drawing upon data from studies examining the role of personality, cognitive and organizational factors, this paper reviews evidence for posttraumatic growth in emergency workers. By identifying resources whose availability can be influenced by organizational practices (e.g., selection, training, organizational change), the basis for a primary prevention strategy for managing traumatic stress risk that prepares officers for future involvement in traumatic incidents is discussed.
Affleck, G. & Tennen, H. (1996) Construing benefits from adversity: Adaptational significance and dispositional underpinnings. Journal of Personality, 64, 899-922.
2.
Aldwin, C. M., Levenson, M. R., & Spiro, A., III. (1994). Vulnerability and resilience to combat exposure: Can stress have lifelong effects?Psychology and Aging, 9, 34-44.
3.
Alexander, D. A.. & Wells, A. (1991) Reactions of police officers to body handling after a major disaster: A before and after comparison. British Journal of Psychiatry, 159, 517-555.
4.
Andersen, H. S., Christensen, A. K. & Petersen, G. O. (1991) Post-traumatic stress reactions amongst rescue workers after a major rail accident. Anxiety Research, 4, 245-251.
5.
Armeli, S., Gunthert, K. C., & Cohen, L. H. (2001). Stressor appraisals, coping, and post-event outcomes: The dimensionality and antecedents of stress-related growth. Journal of Social and Clinical Psychology, 20, 366-395.
6.
Armeli, S., Gunthert, K. C., & Cohen, L. H. (2001). Stressor appraisals, coping, and post-event outcomes: The dimensionality and antecedents of stress-related growth. Journal of Social and Clinical Psychology, 20, 366-395.
7.
Berkes, F., Colding, J. & Folke, C. (2003) Navigating social-ecological systems: Building resilience for complexity and change. Cambridge: Cambridge University Press.
8.
Best, S. R., Brunet, A., Weiss, D. S., Metzler, T., Rogers, C. E., Rosario, M., Fagan, J., & Marmar, C. R. (2000). Critical incident exposure and routine work stress in policing: Risk and resilience factors for posttraumatic stress reactions and emotional distress. 3rd World Conference, International Society for Traumatic Stress Studies, Melbourne, Australia, March 16-19.
9.
Britt, T. W., Adler, A. B., & Bartone, P. T. (2001) Deriving benefits from stressful events: The role of engagement in meaningful work and hardiness. Journal of Occupational Health Psychology, 6, 53-63.
10.
Calhoun, L. G. & Tedeschi, R. G. (1998). Beyond recovery from trauma: Implications for clinical practice and research. Journal of Social Issues, 54, 357-371.
11.
Calhoun, L. G., & Tedeschi, R. G. (1999). Facilitating posttraumatic growth: A clinician's guide. Mahwah, NJ: Lawrence Erlbaum Associates.
12.
Dunning (2003) Sense of coherence in managing trauma workers. In D. Paton, J. M. Violanti, & L. M. Smith (Eds) Promoting Capabilities to Manage posttraumatic stress: Perspectives on resilience (119-135). Springfield, Ill.: Charles C. Thomas.
13.
Fredrickson, B. L. (2001). The role of positive emotions in positive psychology: The broaden and-build theory of positive emotions. American Psychologist, 56, 218-226.
14.
Frederickson, B. L. (2003) The value of positive emotions. American Scientist, 91, 330-335.
15.
Fredrickson, B. L., M. M. Tugade, C. E. Waugh and Larkin, G. (2003). What good are positive emotions in crises?: A prospective study of resilience and emotions following the terrorist attacks on the United States on September 11th, 2001. Journal of Personality and Social Psychology84: 365-376.
16.
Gist, R. & Woodall, J. (2000) There Are No Simple Solutions to Complex Problems. In J. M. Violanti, D. Paton, & C. Dunning (eds) Posttraumatic Stress Intervention: Challenges, Issues and Perspectives (pp. 81-96) Springfield, Ill.: Charles C. Thomas.
17.
Hart, P. M., Wearing, A. J., & Headey, B. (1994) Perceived quality of life, personality, and work experiences: Construct validation of the Police Daily Hassles and Uplifts Scales. Criminal Justice and Behavior, 21, 283-311.
18.
Inzana, C. M., Driskell, J. E., Salas, E., & Johnston, J. H. (1996) Effects of preparatory information on enhancing performance under stress. Journal of Applied Psychology, 81, 429-435.
19.
Linley, P. A. & Joseph, S. (2004) Positive change following trauma and adversity: A review. Journal of Traumatic Stress, 17, 11-21.
20.
Lissack, M. & Roos, J. (1999) The Next Common Sense: Mastering corporate complexity through coherence. Naperville, Ill.: Nicholas Brealey Publishing.
21.
Lyons, R. F., Mickelson, K. D., Sullivan, M. J. L., & Coyne, J. C. (1998). Coping as a communal process. Journal of Social and Personal Relationships, 15, 579-605.
22.
Miller, L. (1995) Tough guys: Psychotherapeutic strategies for law enforcement and emergency services personnel. Psychotherapy, 32, 592-600.
23.
Moran, C. & Colless, E. (1995) Positive reactions following emergency and disaster responses. Disaster Prevention and Management, 4, 55-61.
24.
Norris, F. H. (1990). Screening for traumatic stress: A scale for use in the general population. Journal of Applied Social Psychology, 20, 1704-1718.
25.
North, C. S., Tivis, L., McMillen, C., Pfefferbaum, B., Cox, J., Spitznagal, E. L., Bunch, K., Schorr, J., & Smith., E. M. (2002) Coping, functioning, and adjustment of rescue workers after the Oklahoma City bombing. Journal of Traumatic Stress, 15, 171-175.
26.
Park, C. L. (1998). Stress-related growth and thriving through coping: The roles of personality and cognitive processes. Journal of Social Issues, 54, 267-277.
27.
Paton, D. (1994) Disaster Relief Work: An assessment of training effectiveness. Journal of Traumatic Stress, 7, 275-288.
28.
Paton, D.Cox, D. & Andrew, C. (1989) A preliminary Investigation into Posttraumatic Stress in Rescue Workers. Robert Gordon University Social Science Research Reports #1. Aberdeen, Scotland: Robert Gordon University.
29.
Paton, D., Huddleston, L., & Stephens, C. (2003) The interaction between traumatic stress and organizational demands on police officers traumatic stress and posttraumatic growth. 10th Australasian Society for Traumatic Stress Studies Conference, Hobart, Australia.
30.
Paton, D. & Jackson, D. (2002) Developing Disaster Management Capability: An assessment centre approach, Disaster Prevention and Management, 11, 115-122.
31.
Paton, D., Violanti, J. & Dunning, C. (2000). Posttraumatic stress intervention: Challenges, issues and perspectives. Springfield, IL: Charles C. Thomas.
32.
Paton, D. & Stephens, C. (1996) Training and support for emergency responders. In Paton, D. & Violanti, J. (Eds.) Traumatic Stress in Critical Occupations: Recognition, consequences and treatment. (pp. 173-205) Springfield, Ill.: Charles C. Thomas.
33.
Paton, D., Violanti, J., Dunning, C. & Smith, L. M. (2004) Managing traumatic stress risk: A proactive approach. Springfield, Ill., Charles C. Thomas.
34.
Paton, D., Violanti, J. M. & Smith, L. M. (2003) Promoting Capabilities to Manage posttraumatic stress: Perspectives on resilience. Springfield, Ill.: Charles C. Thomas.
35.
Shakespeare-Finch, J. (2002) Posttraumatic growth in ambulance personnel. Unpublished doctoral thesis. Queensland, University of Southern Queensland.
36.
Smith, C. & Paton, D. (2002) Personality predictors of occupational well-being in police officers. Unpublished research data. Wellington, New Zealand Police.
37.
Solomon, Z., Benbenishty, R., & Mikulincer, M. (1991) The contribution of wartime, pre war, and post-war factors on self-efficacy: A longitudinal study of combat stress reaction, Journal of Traumatic Stress, 4, 345-361.
38.
Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9, 455-471.
39.
Tedeschi, R. G., & Calhoun, L. G. (2003). Routes to posttraumatic growth through cognitive processing. In D. Paton, J. M. Violanti, & L. M. Smith (Eds). Promoting capabilities to manage posttraumatic stress: Perspectives on Resilience (pp. 12-26). Springfield, IL: Charles C. Thomas.
40.
Tedeschi, R. G., Park, C. L., & Calhoun, L. G. (1998). Posttraumatic growth: Positive change in the aftermath of crisis. Mahwah, NJ: Lawrence Erlbaum.
41.
Tennen, H. & Affleck, G. (1998) Personality and transformation in the face of adversity. In R. Tedeschi., C. Park., & L. Calhoun (Eds). Posttraumatic growth: Positive changes in the aftermath of crisis (pp 65-98). Mahwah, NJ: Lawrence Erlbaum.
42.
Thompson, J., & Solomon, M. (1991). Body recovery teams at disasters: Trauma or challenge?Anxiety Research, 4, 235-244.
43.
Tugade, M. M. & Frederickson, B. L. (2004) Resilient Individuals Use Positive Emotions to Bounce Back From Negative Emotional Experiences. Journal of Personality and Social Psychology, 86, 320-333.
44.
Weick, K.E (1995) Sensemaking in organizations. Thousand Oaks, CA.: Sage.
