Cunningham Maddy
Graduate School of Social Service, Fordham University, New York, NY 10023, USA.
Soc Work. 2003 Oct;48(4):451-9. doi: 10.1093/sw/48.4.451.
Over the past two decades, social workers have treated trauma survivors in a variety of settings. Interest has increased in the effect of this work on clinicians. Vicarious traumatization is a concept used to understand the impact of trauma work on clinicians. This article describes a study of social work clinicians working with two types of trauma: (1) the human-induced trauma, sexual abuse, and (2) the naturally caused trauma, cancer. The effect on clinician's cognitive schemas and the confounding variables of personal history of abuse and years' experience are described. Clinicians who worked primarily with clients who were sexually abused reported more disruptions in cognitive schemas than clinicians who worked with clients who had cancer. Implications for social practice and education are described.
在过去二十年里，社会工作者在各种环境中为创伤幸存者提供治疗。人们对这项工作对临床医生的影响的兴趣与日俱增。替代性创伤是一个用于理解创伤工作对临床医生影响的概念。本文描述了一项针对从事两类创伤治疗工作的社会工作临床医生的研究：（1）人为造成的创伤——性虐待，以及（2）自然造成的创伤——癌症。文中描述了其对临床医生认知模式的影响以及个人虐待史和工作年限等混杂变量。主要为遭受性虐待的客户提供服务的临床医生报告称，其认知模式受到的干扰比为患癌症客户提供服务的临床医生更多。文中还阐述了对社会实务和教育的启示。
