(talk of trauma) + (talk of trauma) + (talk of trauma) = vicarious trauma
In the media's scramble to understand the "whys" behind the Fort Hood tragedy, a great deal of discussion is being paid to the fact that the apparent shooter was a Muslim. While I am unsure of how, if in any way, his faith played a role in what happened, my thoughts go in a different direction. I wonder about the vicarious trauma that he must have faced counseling at the largest military installation in the U. S.
While more people are aware of how trauma effects humans than ever before, most don't understand the communicable consequences of this kind of trauma. Vicarious trauma is, per the Headington Institute, "the negative changes that happen to humanitarian workers over time as they witness other people’s suffering and need." While there are a variety of benefits to providing therapy this can be one of the darker aspects of the work of helping others.
Sitting and listening to patients day in and day out, especially in the pressure cooker environment of a major military base, full of veterans from two wars, has to be overwhelming. Combine that with how under staffed and under budgeted the military is with regard to mental health services and the fact that most men are loathe to talk about their feelings due to the stigma--wow! I am feeling overwhelmed thinking about the challenges men and women in military mental health must face.
Just two weeks ago Defense Secretary Robert M. Gates said that many military personnel fear a stigma if they seek help for psychological injuries. He openly criticized a government and military bureaucracy that is “frustrating, adversarial and unnecessarily complex." When the top man is that candid about the problem, it must be quite profound.
There are a variety of ways that vicarious trauma can be avoided and I want to know if any of those systems were in place, and how efficiently they were implemented, at Fort Hood. According to an excellent article from The Journal of Counseling & Development (email me for a pdf if you are interested) by Trippany, White and Wilcoxon, there are a variety of way that trauma of this sort can be kept at a minimum. Among the recommendations are keeping caseloads at a manageable level and providing therapy for therapists via peer supervision.
As this conversation continues, it will be interesting to see how those systems worked, and to what degree they did not, at Fort Hood.
