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empowered sense of self (Neswald-Potter & Simmons, 2016). In a way similar to that of client-experienced PTG, professionals can simultaneously experience the negative impact of vicarious

trauma and the positive changes of VPTG (Neswald-Potter & Simmons, 2016).

CONCLUSION

Clinicians must remain centered and self-aware and maintain well-defined boundaries to be able to effectively facilitate the demanding clinical work of treating trauma survivors. Because empathy and resonance are two primary means of connecting with clients, workers can become vulnerable to vicarious traumatization, also referred to as compassion fatigue. Studies involving mirror neurons indicate that observing an action or reaction can create the same neural firings in the brain of the observer as those experienced by the originator of the action or emotion. This physiological basis for the contagion effect of vicarious emotional distress has implications for worker self-care. Maintaining a dual awareness of the reality of the clinical surroundings and simultaneously attending to the reality of one’s internal world and responses can often be enough to prevent an unchecked countertransference response. Clear thinking on the part of the clinician can be maintained by attending to the balance between self and other and by employing various internal and external strategies to avoid emotional flooding. A number of strategies for personal, professional, and organizational approaches were delineated in this chapter. Utilizing a full set of resources for self-care during clinical hours as well as during private time will help to prevent burnout from this demanding work. Resources Harvard University, Center on the Developing Child http://developingchild.harvard.edu/ The mission of Harvard University’s multidisciplinary Center on the Developing Child is to marshal science-based innovation to address both policy and practice in order to help children challenged by adversity. Homeopathy Home www.homeopathyhome.com Homeopathy Home acts as a clearinghouse for goods and services related to homeopathy, directing the user to commercial and noncommercial sites, along with references and research information. International Society for the Study of Trauma and Dissociation (ISSTD) www.isst-d.org/ The ISSTD is a professional and educational organization that seeks to spread knowledge concerning chronic trauma and dissociation. National Center for PTSD http://www.ptsd.va.gov/ The U.S. Department of Veterans Affairs (VA) offers resources concerning trauma and posttraumatic stress disorder for researchers and health care providers, as well as the general public. Although the VA is always available to help providers who treat veterans, the agency sometimes also offers help to clinicians who are involved in the treatment of survivors of mass disasters such as hurricanes, mass shootings, or wildfires. National Child Traumatic Stress Network http://nctsn.org/ The mission of the National Child Traumatic Stress Network is to help children and adolescents exposed to trauma receive the services they need. This organization offers links, resources, and fact sheets for professionals and the general public. National Institutes of Health National Center for Complementary and Integrative Health— Complementary, Alternative, or Integrative Health: What’s in a Name? https://nccih.nih.gov/health/integrative-health

The National Center for Complementary and Integrative Health offers an overview of complementary, alternative, and integrative medicine, and what exactly is meant by each term. National Institutes of Health National Center for Complementary and Integrative Health— Homeopathy https://nccih.nih.gov/health/homeopathy The National Center for Complementary and Integrative Health offers evidence-based information on homeopathy. Trauma Center (at Justice Research Institute) http://www.traumacenter.org/ The Trauma Center provides services to children and adults who have experienced trauma, as well as to their families. References Š Albott, C. S., Lim, K. O., Forbes, M. K., Erbes, C., Tye, S. J., Grabowski, J. G., . . . Shiroma, P. R. (2018). Efficacy, safety, and durability of repeated ketamine infusions for comorbid posttraumatic stress disorder and treatment-resistant depression. Journal of Clinical Psychiatry, 79, 1-8. Š Alway, Y., Gould, K. R., McKay, A., Johnston, L., & Ponsford, J. (2016). The evolution of posttraumatic stress disorder following moderate-to-severe traumatic brain injury. Journal of Neurotrauma, 33(9), 825-831. Š American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Author. Š American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Author. Š American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text revision). Author. Š American Psychological Association. (2017a). Clinical practice guideline for the treatment of posttraumatic stress disorder (PTSD) in adults. https://www.apa.org/ptsd-guideline/ Š American Psychological Association. (2017b). Ethical principles of psychologists and code of conduct. Washington, DC: Author. Š Ashley-Binge, S., & Cousins, C. (2020). Individual and organizational practices addressing social workers’ experiences of vicarious trauma. Practice, 32(3), 191-207. 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(2020). Post-traumatic growth and value-directed living after acquired brain injury. Neuropsychological Rehabilitation, 32(1), 84-103. Š Beck, A. T. (1972). Depression: Causes and treatment. University of Pennsylvania Press. Š Berenz, E. C., & Coffey, S. F. (2012). Treatment of co-occurring posttraumatic stress disorder and substance use disorders. Current Psychiatry Reports, 14(5), 469-477. Š Bernardi, J., Engelbrecht, A., & Jobson, L. (2019). The impact of culture on cognitive appraisals: Implications for the development, maintenance, and treatment of posttraumatic stress disorder. Clinical Psychologist, 23(2), 91-102. Š Bernardi, J., & Jobson, L. (2019). Investigating the moderating role of culture on the relationship between appraisals and symptoms of posttraumatic stress disorder. Clinical Psychological Science, 7(5), 1-14. Š Bernstein, E. M., & Putnam, F. W. (1986). Development, reliability, and validity of a dissociation scale. 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