Marla Buchanan

Secondary Traumatic Stress: An Investigation of Canadian Mental Health Workers

In the past decade, there has been an increased awareness of the deleterious effects for professionals working in the field of trauma. Claims have been made that professionals working with traumatized clients are vulnerable and at risk of developing trauma symptoms similar to those experienced by their clients. Terms used to describe this phenomenon are “vicarious traumatization” and “secondary traumatic stress.” The results of survey data collected from 280 Canadian mental health professions on work setting and client type variables, personal histories of trauma, current levels of traumatic stress symptoms, and self-report ratings on experiencing secondary traumatic stress are reported. Implications for mental health professionals working in the field of trauma are addressed.

Coping with traumatic stress in journalism: A critical ethnographic study

Journalists who witness trauma and disaster events are at risk for physical, emotional, and psychological injury. The purpose of this paper is to present the results of a critical ethnographic study among 31 Canadian journalists and photojournalists with regard to coping strategies used to buffer the effects of being exposed to trauma and disaster events and work-related stress. The findings are the result of in-depth individual interviews and six workplace observations with journalists across Canada. The most commonly reported coping strategies were: avoidance strategies at work, use of black humor, controlling ones emotions and memories, exercise and other physical activities, focusing on the technical aspects, and using substances. Recommendations for addressing the effects of work-related stress within this population are provided.

The development of participatory health research among incarcerated women in a Canadian prison

This paper describes the development of a unique prison participatory research project, in which incarcerated women formed a research team, the research activities and the lessons learned. The participatory action research project was conducted in the main short sentence minimum/medium security womens prison located in a Western Canadian province. An ethnographic multi-method approach was used for data collection and analysis. Quantitative data was collected by surveys and analysed using descriptive statistics. Qualitative data was collected from orientation package entries, audio recordings, and written archives of research team discussions, forums and debriefings, and presentations. These data and ethnographic observations were transcribed and analysed using iterative and interpretative qualitative methods and NVivo 7 software. Up to 15 women worked each day as prison research team members; a total of 190 women participated at some time in the project between November 2005 and August 2007. Incarcerated women peer researchers developed the research processes including opportunities for them to develop leadership and technical skills. Through these processes, including data collection and analysis, nine health goals emerged. Lessons learned from the research processes were confirmed by the common themes that emerged from thematic analysis of the research activity data. Incarceration provides a unique opportunity for engagement of women as expert partners alongside academic researchers and primary care workers in participatory research processes to improve their health.

ADDRESSING THE EFFECTS OF ASSIGNMENT STRESS INJURY

The purpose of this article is to present the results of a qualitative study on assignment stress injury within journalism. Thirty-one Canadian journalists and photojournalists participated in the research study. The focus of this article is on recommendations offered by our participants to address the effects of traumatic stress within their profession.

Covering Trauma in Canadian Journalism: Exploring the Challenges

This critical ethnographic study is an investigation of the effects of witnessing trauma for Canadian journalists and photojournalists working on national and international assignments. Our primary aim is to describe our participants’ understanding of the effects of covering trauma, disaster, or conflict within a journalism culture. Our findings are derived from in-depth interviews and workplace observations with journalists across Canada. Of specific note are the tensions that exist between the journalists’ beliefs about appropriate practices within the culture of journalism and their personal experiences in the field. These tensions may exacerbate negative effects of witnessing human violence and suffering. Articulating and exploring these tensions may contribute to our understanding of the use and type of support needed and desired by news workers both in and out of the newsroom.

Protecting into emotion: therapeutic enactments with military veterans transitioning back into civilian life

Over 18.5% of military personnel returning from war zones to civilian life suffer mental health issues, which can lead to family breakdown, homelessness and other problems. Almost 4000 Australian soldiers have returned home from active service in the last decade suffering from combat stress and mental health conditions. A 2009 Australian independent government review warned that a new generation of veterans with posttraumatic stress disorder (PTSD) and severe mental health disorders will emerge in the next five years, with as many as one in four likely to need mental health treatment. The Difficult Return: arts-based approaches to mental health literacy and building resilience with recently returned military personnel and their families is a three-year Australian Research Council funded arts project aimed at supporting the mental health and well-being of recently returned veterans in Australia, USA and Canada. The project combines a range of arts-based strategies to help returning veterans, including online digital films to improve awareness and help seeking motivation, a performance project with ex-soldiers and actors, and a process-based group work programme. The paper will focus specifically on the development of the Veterans Transition Programme (VTP) a partnership between Griffith University and the University of British Columbia, Vancouver. The VTP leverages the resilience and resources of veterans, providing help to participants attempting to better understand the impact of military experience on their lives. It draws on a range of psycho-educational and action-based approaches, including life review and drama enactments to engage participants in ways of dealing with disturbing events from their lives. The paper will describe and reflect on a number of the strategies used in the VTP, for example, how the drama enactments help to integrate emotion, cognition and embodied awareness, the significance of contact when working with trauma, and the importance of a therapeutic milieu in constructing ‘units’ of support for the veterans.

Young Women's Narratives of Same-Sex Sexual Desire in Adolescence

SUMMARY The aim of this study was to investigate young womens retrospective narratives of their experiences of same-sex sexual desire in adolescence. Seven women aged 19–25 were interviewed. An across-narrative analysis was conducted, producing five major themes. It is anticipated that this research will help to redress the missing discourse of desire in social constructions of younger womens sexuality and contribute to the development of knowledge and research related to queer female adolescent sexuality and sexual health.

The Experience of Witnessing Patients' Trauma and Suffering among Acute Care Nurses.

A large body of research provides evidence of workplace injuries to those in the nursing profession. Research on workplace stress and burnout among medical professionals is also well known; however, the profession of acute care nursing has not been examined with regards to work-related stress. This qualitative study focused on acute care nurses’ workplace stress, as 5 acute care nurses described experiences related to witnessing patients’ trauma and suffering. Through the use of phenomenological analysis, five main themes emerged from the interviews, revealing a more in-depth understanding of nurses’ experiences in acute care settings. These themes were (a) shock and prolonged witnessing of suffering, (b) long-term effects, (c) distancing as a coping strategy, (d) feelings of guilt and helplessness, and (e) dissonance in core beliefs about self. The results are discussed in terms of coping strategies and recommendations for counsellors working with health care professionals.

The Transition From Early Intervention to School for Children Who Are Deaf or Hard of Hearing: Administrator Perspectives

Although the transition from early intervention (EI) to school is a significant milestone in the lives of young children, little research to date has investigated this transition among children who are deaf or hard of hearing (D/HH). The aims of this study were to investigate the organizational policies, procedures, and guidelines that facilitate or hinder the transition from the EI system to the school system for children who are D/HH from the perspective of program administrators. Using the Enhanced Critical Incident Technique methodology, 146 incidents were extracted from 10 interviews and sorted into 10 helping, 9 hindering, and 5 wish list categories. Findings are consistent with the Ecological and Dynamic Model of Transition (Rimm-Kaufman & Pianta, 2000), which conceptualizes the transition to school as being influenced by the pattern of interactions between the individuals, groups, and institutions connected to the child.

Factors that support successful transition to the community among women leaving prison in British Columbia: a prospective cohort study using participatory action research

BACKGROUND In Canada, the number of women sentenced to prison has almost doubled since 1995. In British Columbia, the rate of reincarceration is 70% within 2 years. Our aim was to identify factors associated with recidivism among women in British Columbia. METHODS We prospectively followed women after discharge from provincial corrections centres in British Columbia. We defined recidivism as participation in criminal activity disclosed by participants during the year following release. To identify predictive factors, we carried out a repeated-measures analysis using a logistic mixed-effect model. RESULTS Four hundred women completed a baseline interview, of whom 207 completed additional interviews during the subsequent year, contributing 395 interviews in total. Factors significantly associated in univariate analysis with recidivism included not having a family doctor or dentist, depression, not having children, less than high school education, index charge of drug offense or theft under