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Talking about trauma for services


“I have attended one of your workshops for Health Professionals and found it to be one of the most enlightening and useful trainings I have attended. In particular, I really got an understanding of how to best deal with people in crisis related to past trauma.”


“The workshop was outstanding - could be used for all practitioners no matter what their discipline. I would hope that you would promote it among psychologists - particularly because the focus was on "abuse" without putting the various types of abuse into boxes.”


“I recommend Blue Knot Foundation's trauma training to every professional, worker of all setting, survivor, and carer. The better trained the earlier the diagnosis and a better chance for survivor recovery.”


“I would highly recommend Blue Knot Foundation training. The information and research is impressive and relevant; the facilitator knew her stuff, was engaging and provided relevant examples.”


Vicarious Traumatisation

Research indicates that service providers often find treating survivors of childhood abuse stressful, because of survivors' resistance to change, their ways of relating to helpers, and the nature of the work (Palmer et al., 2001). The nature of the work is particularly stressful when it involves listening to detailed descriptions of very painful, often horrific events; it may also involve helpers re-enacting survivors' early experiences of trauma and betrayal with them (Palmer et al., 2001). There is no doubt that hearing and thinking about the stories one hears can continue well after the client has left the therapeutic interaction.

Historically, therapists' reactions to client traumas were regarded as either burnout or countertransference. These days, the term vicarious traumatisation (VT) is used to describe therapists' trauma reactions resulting from exposure to clients' traumatic experiences (Figley, 1995; Pearlman & Maclan, 1995; Trippany, White Kress, & Wilcoxon, 2004).

VT is defined by Saakvitne et al. (2000) as the cumulative transformative effect on the helper of working with survivors of traumatic life events, both positive and negative. VT recognises that working with trauma survivors greatly affects the helper and that we must address the effects in order to protect both helper and clients. VT is unavoidable and is the natural consequence of being human, connecting to and caring about our clients as we see the effects of trauma on their lives (Saakvitne, Gamble, Pearlman, & Tabor, 2000). According to Saakvitne et al. (2000) the single most important factor in the success or failure of trauma work relates to the attention paid to the experience and the needs of the helper. We cannot meet the needs of our clients when we are overriding our own.

Saakvitne et al (2000) explain that inevitably trauma therapists will develop an increased awareness of the reality and occurrence of traumatic events, and this makes therapists more aware of their vulnerability. Safety and security are threatened when therapists become aware of the frequency of traumas, often leading to feelings of loss of control and helplessness. VT can affect how therapists relate to their families, friends, and partners. Furthermore, the therapist may experience changes in esteem for themselves and for others.

Signs and symptoms of vicarious traumatisation (Saakvitne et al., 2000).

VT impacts on areas of psychological need including: safety, trust, esteem, intimacy and control.

Signs and symptoms of VT include:

  • Emotional numbing
  • Social withdrawal
  • Work-related nightmares
  • Feelings of despair and hopelessness
  • Loss of sense of spirituality
  • More negative view of the world
  • Reduced sense of respect for your clients
  • Loss of enjoyment of sexual activity
  • No time or energy for yourself
  • Feeling that you can't discuss work with family or friends
  • Finding that you talk about work all the time (can't escape)
  • Sense of disconnection from your loved ones
  • Increased sense of danger (reduced sense of safety)
  • Increased fear for safety of children or loved ones
  • Sense of cynicism or pessimism
  • Increased illness or fatigue
  • Increased absenteeism
  • Greater problems with boundaries
  • Difficulties making decisions
  • Reduced productivity
  • Reduced motivation for your work
  • Loss of sense of control over your work and your life
  • Lowered self esteem, lowered sense of competence in your work
  • Difficulties trusting others
  • Lessened interest in spending time alone
  • Less time spent reflecting on your experiences

Managing vicarious traumatisation

The trauma model CSDT (constructive self development theory) for working with survivors of childhood trauma outlined previously, is also a useful model for assisting therapists and trauma counsellors to manage their VT experiences. CSDT suggests that changes in the perceived realities of therapists occur as a result of working with traumatised clients and their stories (Saakvitne et al., 2000). Strategies to manage VT as suggested by Saakvitne et al. (2000) include:

1. Anticipating VT and protecting oneself:

Protecting yourself includes arranging things ahead of time to anticipate the stress of your work and its impact on you. Strategies include:

  • Awareness
  • Balance
  • Connection

A sense of balance is considered to be one of the key components to preserving a sense of identity and overall wellbeing. A healthy balance of work, rest, play, including socialisation with friends and family is important in decreasing the effects of VT. Furthermore, any activities which assist the individual's personal tolerance levels, for example; journal writing; personal counselling; emotional support from partners, will assist the individual to reconnect to emotions (Trippany et al., 2004).

2. Addressing signs of VT

Addressing VT includes those things you do for self-care. Strategies include:

  • Self-care
  • Self nurturing
  • Escape

3. Transforming the pain of VT

Transforming VT includes things you do to transform the negative impact of the work into a connection with some positive aspects of meaning and community. Strategies include:

  • Create meaning
  • Infuse meaning in current activities
  • Challenge negative beliefs
  • Participate in community building

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Health Direct


Head to Health


“Blue Knot Foundation has a key role to play in the building of community capacity in care provision to those who have experienced childhood abuse and trauma in any environment.”

NIALL MULLIGAN Manager, Lifeline Northern Rivers

“I think Blue Knot Foundation is a fantastic support organisation for people who have experienced childhood trauma/abuse, for their families/close friends and for professionals who would like to learn how to more effectively work with these people.”

Psychologist Melbourne

“It's such a beautiful thing that you are doing. Helping people to get through this.”


“It was only last September when I discovered the Blue Knot Foundation website and I will never forget the feeling of support and empathy that I received when I finally made the first phone call to Blue Knot Helpline, which was also the first time I had ever spoken about my abuse.”


"At last there is some sound education and empathetic support for individuals and partners impacted by such gross boundary violations.”


Contact Us

Phone: 02 8920 3611
PO Box 597 Milsons Point NSW 1565
Hours: Mon-Fri, 9am-5pm AEST

Blue Knot Helpline
Phone: 1300 657 380
Hours: Mon-Sun, 9am-5pm AEST

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