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替代性复原力与替代性创伤:在南澳大利亚与难民和寻求庇护者共事的经历

Vicarious resilience and vicarious traumatisation: Experiences of working with refugees and asylum seekers in South Australia.

作者信息

Puvimanasinghe Teresa, Denson Linley A, Augoustinos Martha, Somasundaram Daya

机构信息

University of Adelaide

University of Adelaide.

出版信息

Transcult Psychiatry. 2015 Dec;52(6):743-65. doi: 10.1177/1363461515577289. Epub 2015 Mar 20.

Abstract

The negative psychological impacts of working with traumatised people are well documented and include vicarious traumatisation (VT): the cumulative effect of identifying with clients' trauma stories that negatively impacts on service providers' memory, emotions, thoughts, and worldviews. More recently, the concept of vicarious resilience (VR) has been also identified: the strength, growth, and empowerment experienced by trauma workers as a consequence of their work. VR includes service providers' awareness and appreciation of their clients' capacity to grow, maintaining hope for change, as well as learning from and reassessing personal problems in the light of clients' stories of perseverance, strength, and growth. This study aimed at exploring the experiences of mental health, physical healthcare, and settlement workers caring for refugees and asylum seekers in South Australia. Using a qualitative method (data-based thematic analysis) to collect and analyse 26 semi-structured face-to-face interviews, we identified four prominent and recurring themes emanating from the data: VT, VR, work satisfaction, and cultural flexibility. These findings-among the first to describe both VT and VR in Australians working with refugee people-have important implications for policy, service quality, service providers' wellbeing, and refugee clients' lives.

摘要

与受创伤人群共事所带来的负面心理影响已有充分记录,其中包括替代性创伤(VT):因认同客户的创伤经历而产生的累积效应,会对服务提供者的记忆、情感、思想和世界观产生负面影响。最近,替代性复原力(VR)的概念也已被确认:创伤工作者在工作中所体验到的力量、成长和赋能。VR包括服务提供者对客户成长能力的认识和赞赏、对改变保持希望,以及根据客户坚韧、力量和成长的故事来学习和重新评估个人问题。本研究旨在探索南澳大利亚照顾难民和寻求庇护者的心理健康、身体保健及安置工作者的经历。我们采用定性方法(基于数据的主题分析)收集并分析了26次半结构化面对面访谈,从数据中确定了四个突出且反复出现的主题:VT、VR、工作满意度和文化灵活性。这些发现——首批描述澳大利亚为难民工作人群中VT和VR情况的研究成果之一——对政策、服务质量、服务提供者的福祉以及难民客户的生活具有重要意义。

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