Background: The negative effects of vicarious traumatization through trauma work are well known. However, a growing body of evidence testifies to the positive effects that have been reported following trauma. This study explored the potential positive effects of trauma work on therapists, with a focus on the associations of the personality construct ‘sense of coherence’ with both positive and negative changes. Methods: The study examined the positive and negative effects of trauma work in an international sample of 85 therapists. Participants completed measures of their trauma work experience, sense of coherence and positive and negative changes they experienced as a result of their trauma work. Results: A greater sense of coherence was associated with fewer negative changes and more positive changes. Conclusions: Adversarial growth in therapists deserves further enquiry to allow a more detailed understanding of the factors and processes involved.

Keywords:
Trauma therapists, Adversarial growth, Sense of coherence
1.
Pearlman LA, MacIan PS: Vicarious traumatization: An empirical study of the effects of trauma work on trauma therapists. Prof Psychol Res Pr 1995;26:558–565.
2.
Jenkins SR, Baird S: Secondary traumatic stress and vicarious trauma: A validational study. J Trauma Stress 2002;15:423–432.
3.
Ortlepp K, Friedman M: Prevalence and correlates of secondary traumatic stress in workplace lay trauma counselors. J Trauma Stress 2002;15:213–222.
4.
Linley PA, Joseph S: Positive change following trauma and adversity: A review. J Trauma Stress 2004;17:11–21.
5.
Tedeschi RG, Park CL, Calhoun LG (eds): Posttraumatic Growth: Positive Changes in the Aftermath of Crisis. Mahwah, Erlbaum, 1998.
6.
Raphael B, Singh B, Bradbury L, Lambert F: Who helps the helpers? The effects of a disaster on the rescue workers. Omega 1983–1984;14:9–20.
7.
Antonovsky A: Unraveling the Mystery of Health: How People Manage Stress and Stay Well. San Francisco, Jossey Bass, 1987.
8.
Feldt T, Leskinen E, Kinnunen U, Mauno S: Longitudinal factor analysis models in the assessment of the stability of sense of coherence. Pers Individ Dif 2000;28:239–257.
9.
Linley PA: Positive adaptation to trauma: Wisdom as both process and outcome. J Trauma Stress 2003;16:601–610.
10.
Tennen H, Affleck G: Personality and transformation in the face of adversity; in Tedeschi RG, Park CL, Calhoun LG (eds): Posttraumatic Growth: Positive Changes in the Aftermath of Crisis. Mahwah, Erlbaum, 1998, pp 65–98.
11.
Antonovsky A: The structure and properties of the sense of coherence scale. Soc Sci Med 1993;36:725–733.
12.
Tedeschi RG, Calhoun LG: The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. J Trauma Stress 1996;9:455–471.
13.
Joseph S, Williams R, Yule W: Changes in outlook following disaster: The preliminary development of a measure to assess positive and negative responses. J Trauma Stress 1993;6:271–279.
14.
Pope, KS, Feldman-Summers S: National survey of psychologists’ sexual and physical abuse history and their evaluation of training and competence in these areas. Prof Psychol Res Pr 1992;23:353–361.
15.
Linley PA, Joseph S, Cooper R, Harris S, Meyer C: Positive and negative changes following vicarious exposure to the September 11 terrorist attacks. J Trauma Stress 2003;16:481–485.
16.
Weiss T: Posttraumatic growth in women with breast cancer and their husbands: An intersubjective validation study. J Psychosoc Oncol 2002;20:65–80.
17.
Ryff CD, Keyes CLM: The structure of psychological well-being revisited. J Pers Soc Psychol 1995;69:719–727.
18.
Ruini C, Ottolini F, Rafanelli C, Tossani E, Ryff CD, Fava GA: The relationship of psychological well-being to distress and personality. Psychother Psychosom 2003;72:268–275.
19.
Cohen J: A power primer. Psychol Bull 1992;112:155–159.
© 2005 S. Karger AG, Basel
2005
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