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Vignette

  • How comfortable were you during the activity?
  • How comfortable are you in challenging a client's position?

Please take your time and read it wholly. There is no rush, so allow yourself to truly digest the words; this will only serve to enrich the experience for you & the class.

Lepore et al. (2004)

It's Not That Bad

  • Examined how talking about an acute stressor in different social contexts influences cognitive, emotional, & physiological adjustment.
  • "Emotional disclosure is a window into the inner experience of the discloser."
  • Engaging in expressive tasks can allow individuals to reinterpret stressors in personally meaningful terms.
  • Study done in the US & Spain in which female college students viewed a dramatized gang rape scene, & were placed into one of four condition groups.
  • Results indicated that when participants' reactions to the rape video were challenged, the students reported significantly lower distress than other conditions.

How does the way we conceptualize the bereavement process - after death vs. prolonged grieving since prior to death - impact our training of working with clients who are grieving? How often do we remember caregivers?

Compassion Fatigue

What works for you?

  • Seriously, what works for you?

  • What tips, techniques, strategies, or activities could you share with your peers and colleagues

(and even professors)?

  • What can we do to improve this matter as a class and as an institution?

Devilly et al., 2006

Thoughts, Comments,

outraged statements of outrage?

"Another thing that struck me in this article was the idea that, “the very labeling of subjective experience” can be problematic. Devilly et al. were specifically referencing the use of the word “trauma,” and how just using this word can shape someone’s experience. This, of course, made me think of radical behaviorism and ACT."

~Katie

  • Most debriefing protocols encourage specific reporting of what one saw and heard during the event, often specifically inquiring as to the worst moments and most intense emotions encountered. While the goal of this exercise is often described in terms of creating a calibrated perspective of the event, such reconstruction may serve to

a) modify the eye witness memory of the event

b) intensify already disturbing reactions by reconnecting the individual with the sources of discomfort well before sufficient distancing has been achieved

  • While perhaps intended to establish a sort of cognitive baseline from which subsequent reappraisals could emerge, it may paradoxically serve to further solidify the negative elements of experience
  • Repeatedly labeling the event “traumatic” superimposes a set of attributions and expectations that might not otherwise occur.

  • What are the clinical implications of using the word "trauma" with a client?
  • What about in a group setting?

Schulz et al., 2003

"It is a situation in which caretakers have very little control and very little certainty, they do not know when the last time they see their loved one will be, and it would seem impossible to not feel stressed out and depressed in the situation. Once the person passes away it is possible to find closure."

~Mariya

  • When death precedes a protracted and stressful period of caregiving, the negative effects on caregivers that are typically ascribed to losing a loved one may be substantially lessened
  • The need for support after patient's death appears to be limited to a minority of caregivers, which suggests that highly targeted intervention strategies may be the most appropriate ones
  • Intervention and support may be most beneficial when given to caregivers and patients in the period of caregiving that immediately precedes the patient’s death
  • When caregivers know their relatives will die soon, they may mourn their loss before their actual death, so bereavement may be one that occurs not only after but before death

  • Do we talk around death?
  • How do your own views of death impact how you approach death with a client?

"I wonder how many therapists shy away from talking about death with their own patients... it is important that a therapist not only be open to talking about their own fears about death in the way of modeling but also to realize that the humanness of this experience draws us closer to our patients in connecting – the sine qua non of therapy."

~Trey

  • How do we budding clinicians deal with uncertainty in our own lives?
  • How can we model to our clients healthy ways of coping if we are uncomfortable ourselves?

  • "I wonder if there are any negative outcomes...such as increased shame or guilt for their initial reactions."

~Jill

  • "When the trauma has been inflicted on the person in question, challenging them would be detrimental & potentially harmful. I hope I am right in this regard or we've doing this whole therapy thing all wrong..."

~Mariya

  • How do these findings relate to your experiences working with clients (or even with family & friends)?
  • How do they compare with what you have been taught, both professionally & personally?
  • "Having a 'challenging' perspective from a professional like a therapist who can facilitate and process interventions like positive reframing, cognitive restructuring, reflection, and unconditional positive regard can be tremendously beneficial for continuous and effective work in our field."

~Matt

"Maybe to experience trauma is what it is like to be human, & finding meaning in that suffering is what combats the absurdity of events that are often out of our control."

~Trey

"It seems like every problem in life can be described as adversity. These obstacles are unavoidable parts of life. How we look at these obstacles is what matters for our own well-being."

~Inga

Responding to Aversive Events

William Hwang, sonja lee, lyssa Haase, & El Gajiev

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