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Not Understanding the Client: Compassion Fatigue | Not Believing the Client: False Memory and Credibility | Hearing Too Much: Vicarious Traumatization | Wanting to Harm the Perpetrator: Retaliation and Rage | Wanting to Rescue the Client: Advocacy, Charity, and Adoption | Having to Be There: Emergencies and Phone Calls | Study Questions

Excerpt

Every career has its strains, monotonies, and challenges; indeed, many people choose demanding careers for the stimulation and challenge provided over the many years of working life. Trauma-centered psychotherapy is not unique in this regard: it has both deep rewards and perils. These have been well described in a number of excellent texts on trauma work (Dalenberg 2000; Figley 1995; Pearlman and Saakvitne 1995; Wilson and Lindy 1994). In this chapter, we discuss these strains (Table 17–1) not so much in the context of helping the therapist develop self-care strategies, but rather in relation to how they play out in the clinical interaction with clients, consistent with the focus of this book. Part of the job of a trauma-centered therapist is to know how to manage and tolerate these strains. Indeed, there would be deep irony in a trauma therapist’s complaints about hearing too much horror, just as there would be in a surgeon’s complaints about seeing too much blood. For therapists, managing the stresses of work is best achieved through competence at the tasks they are expected to perform.

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