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10月7日袭击事件后,在共同创伤现实中的创伤治愈者:“个人世界与职业世界均已破碎”

The Wounded Healer in Shared Traumatic Reality After the Seventh of October Attack: "That the Personal World and the Professional World are Shattered".

作者信息

Cohen-Biton Liraz

机构信息

Paul Baerwald School of Social Work and Social Welfare, Hebrew University, Jerusalem, Israel.

Faculty of Social Work, Ashkelon Academic College, Ashkelon, Israel.

出版信息

J Patient Exp. 2024 Oct 29;11:23743735241292989. doi: 10.1177/23743735241292989. eCollection 2024.

Abstract

In Shared Traumatic Reality (STR), therapists and patients face similar threats, leading to increased stress and blurred personal-professional boundaries for healthcare providers. It impacts everyone in the community, as witnessed in the southern region of Israel. The challenge for caregivers aiding displaced individuals was unique-providing therapy while caring for their children. STR poses challenges but also growth opportunities. Experiencing trauma firsthand offers insights, fostering professional and personal development. Despite the difficulties of handling loss and traumatic stories, this reality demands new coping mechanisms for healthcare providers to grow through adversity. Community involvement aids professional empowerment amidst STR, reinforcing therapists' identification with patients. This new reality reveals remarkable resilience among those who endured tragedies, offering lessons in vicarious resilience. The concept of the wounded healer (WH) reflects how personal trauma can enhance therapeutic abilities by profoundly empathizing with patients' pain. Navigating personal hardships is crucial to avoid projecting onto patients during therapy. The WH's identification with patient trauma strengthens the therapeutic bond, leading to better outcomes.

摘要

在共享创伤现实(STR)中,治疗师和患者面临相似的威胁,这给医疗服务提供者带来了更大的压力,也模糊了他们个人与职业的界限。正如在以色列南部地区所见证的那样,它影响着社区中的每一个人。帮助流离失所者的护理人员面临着独特的挑战——在照顾他们孩子的同时提供治疗。STR带来了挑战,但也带来了成长机会。亲身体验创伤能提供深刻见解,促进专业和个人成长。尽管处理损失和创伤故事很困难,但这种现实要求医疗服务提供者有新的应对机制,以便在逆境中成长。社区参与有助于在STR中增强专业能力,强化治疗师与患者的认同感。这一新现实揭示了那些经历悲剧者非凡的复原力,提供了替代性复原力的经验教训。创伤治愈者(WH)的概念反映了个人创伤如何通过深刻同情患者的痛苦来提高治疗能力。在治疗过程中,应对个人困难对于避免将情绪投射到患者身上至关重要。创伤治愈者对患者创伤的认同加强了治疗关系,从而带来更好的治疗效果。

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本文引用的文献

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Shared trauma reality in war: Mental health therapists' experience.战争中的共同创伤现实:心理健康治疗师的经历。
PLoS One. 2018 Feb 6;13(2):e0191949. doi: 10.1371/journal.pone.0191949. eCollection 2018.
3
The dilemma of the wounded healer.受伤的治疗者的困境。
Psychotherapy (Chic). 2012 Dec;49(4):482-91. doi: 10.1037/a0027824. Epub 2012 Sep 10.
5
Training students for a shared traumatic reality.
Soc Work. 2008 Jul;53(3):279-81. doi: 10.1093/sw/53.3.279.
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The wounded healer.创伤治愈者
Bull Hist Med. 2001 Spring;75(1):1-36. doi: 10.1353/bhm.2001.0025.

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