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受伤的治疗者的困境。

The dilemma of the wounded healer.

机构信息

Department of Psychology, 90 North Patterson Ave, Psychology Building, Miami University, Oxford, OH 45056, USA.

出版信息

Psychotherapy (Chic). 2012 Dec;49(4):482-91. doi: 10.1037/a0027824. Epub 2012 Sep 10.

DOI:10.1037/a0027824
PMID:22962968
Abstract

The wounded healer is an archetype that suggests that a healer's own wounds can carry curative power for clients. This article reviews past research regarding the construct of the wounded healer. The unique benefits that a psychotherapist's personal struggles might have on work with clients are explored, as well as the potential vulnerability of some wounded healers with respect to stability of recovery, difficulty managing countertransference, compassion fatigue, and/or professional impairment. The review also explores psychologists' perceptions of and responses to wounded healers and examines factors relating to social stigma and self-stigma that may influence wounded healers' comfort in disclosing their wounds. We propose that the relative absence of dialogue in the field regarding wounded healers encourages secrecy and shame among the wounded, thereby preventing access to support and guidance and discouraging timely intervention when needed. We explore the complexities of navigating disclosure of wounds, given the atmosphere of silence and stigma. We suggest that the mental health field move toward an approach of greater openness and support regarding the wounded healer, and provide recommendations for cultivating the safety necessary to promote resilience and posttraumatic growth.

摘要

创伤疗愈者是一种原型,它表明疗愈者自身的创伤可以为客户带来治愈的力量。本文回顾了过去关于创伤疗愈者这一概念的研究。探讨了心理治疗师个人挣扎可能对与客户工作带来的独特益处,以及一些创伤疗愈者在康复稳定性、处理反移情困难、同情疲劳和/或职业障碍方面的潜在脆弱性。综述还探讨了心理学家对创伤疗愈者的看法和反应,并研究了与社会污名和自我污名相关的因素,这些因素可能会影响创伤疗愈者公开自己创伤的舒适度。我们提出,由于该领域缺乏关于创伤疗愈者的对话,这鼓励了创伤疗愈者的隐瞒和羞耻感,从而阻止了他们获得支持和指导,并阻碍了在需要时及时干预。我们探讨了在沉默和污名的氛围下,披露创伤的复杂性。我们建议心理健康领域朝着更加开放和支持创伤疗愈者的方向发展,并提供了培养必要的安全感以促进韧性和创伤后成长的建议。

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