3. Electronic Theses and Dissertations (ETDs) - All submissions
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Item Analyses of experiences of vicarious traumatisation in short-term insurance claims workers(2013-09-05) Ludick, MarneThe research entailed a comprehensive study of vicarious trauma in short-term insurance claims workers, compared to trauma counsellors and a control group of holiday booking consultants. A well-known, comprehensive model of compassion fatigue/secondary traumatic stress, developed for therapists formed the basis of the study. The research attempted to determine whether this model can be applied more widely to include administrative populations exposed to traumatised clients on a regular basis. To this end, the model was deconstructed into its eleven constituent parts and each element was investigated in addition to other variables of interest to the study. This was done to determine the importance and applicability of each model element and other selected variables to the administrative context. A mixed methods approach was utilised, which combined quantitative and qualitative data. The results yielded by the study were collectively utilised to construct an etic and an emic voice from the research. At the same time, effects from vicarious trauma were considered from an overarching bio-psychosocial stance, systematically gauging effects on various levels of functioning. Scores from quantitative measures on secondary traumatic stress, negative cognitive schemas, empathy, social support and compassion satisfaction were statistically analysed, which revealed significant differences between the worker groups. Widely accepted relationships between the study variables were tested and found to hold true within and across groups. Regression analysis determined the roles of empathy, social support and compassion satisfaction in vicarious trauma, as measured by secondary traumatic stress and negative cognitive schemas. In addition, constructivist selfdevelopment theory was employed to interpret the negative cognitive effects from vicarious traumatisation. Qualitative data were utilised to further elucidate the role and nature of vicarious trauma in each of the worker groups. The themes of exposure to client suffering, detachment, level of empathic engagement, personal trauma history and difficult life demands were unearthed from the qualitative data, which illuminated the importance and role of each of these elements to claims workers. Other areas of interest, being utilisation of sick-leave as a means to cope, work-related illness, attitudes towards professional counselling, feelings evoked by traumatised clients, and the language utilised by workers in response to client traumata were investigated. Further effects on participants as well iv as effects that reach beyond the person were identified and examined. Effects on the social and work contexts were also elucidated. Finally, interesting themes that emerged spontaneously from the data were considered. The consideration of the various model elements and other areas of interest systematically revealed that administrative workers dealing with traumatised clients are also affected by the process of vicarious trauma. Furthermore, the model was found to be largely suitable to the context of claims workers. However, the model was expanded to augment its usability within the more general administrative domain. Finally, the overarching aim was to enrich, contextualise and elaborate on the experiences of claims workers within their unique work context, to facilitate insight and a deeper understanding of vicarious trauma in more administrative populations that have largely been overlooked in research.Item Compassion fatigue, level of exposure, empathy and affect intensity amongst employee assistance programme counsellor(2008-05-16T11:08:49Z) Harinarain, EshminABSTRACT High levels of trauma within the South African society affect the majority of the population either directly or indirectly. In order to assist individuals overcome such traumatic incidents, many companies in South Africa have contracted with Employee Assistance Programme (EAP) Providers to provide counselling to employees. These EAP counsellors are often the first mental health professionals to be exposed to a client’s traumatic story. Consequently, such counsellors may be vulnerable to compassion fatigue (CF). The consequences of EAP counsellors working with traumatised clients have been relatively unexplored. Therefore, this study proposed that EAP trauma counsellors are vulnerable within their scope of work and are an important group of professionals to be further investigated. Furthermore, leading authors in the field of trauma argue that both individual characteristics and environmental factors play a role in the development of CF. However, research into the process by which CF develops is extremely limited. Hence, this study attempted to explore this process through identifying possible core variables such as level of exposure, empathy and affect intensity and exploring their link to CF. The study was based on Figley’s (1995) Trauma Transmission Model, Dutton and Rubinstein’s (1995) Ecological Model and McRitchie’s (2006) Refined Model for Trauma Workers. The data was collected from 60 EAP counsellors, through self report measures. Data was analysed using descriptive statistics, correlations, a stepwise regression, two independent sample t-tests, and analysis of variance. Results revealed that 28.34% of the sample fell within the range for CF. There were significant correlations between Level of Exposure to traumatic material and CF; between levels of empathy and CF and between Affect Intensity and Empathy. There was no significant correlation between Affect Intensity and CF. Furthermore, the stepwise regression indicated that 56% of CF may be explained by a combination of four interacting variables, that is, Level of Exposure, Fantasy, Personal Distress and Perspective Taking.Item Secondary traumatic stress, level of exposure,empathy and social support in trauma workers(2007-02-21T12:47:39Z) Macritchie, VictoriaA review of trauma literature indicated that in comparison to PTSD there is very little research into the effects of secondary trauma, especially with regards to trauma workers. The present study explored the psychological impact of trauma workers who work with victims of violent crimes. Both Figley’s (1995) trauma transmission model and Dutton and Rubenstein (1995) ecological model were used to develop a refined trauma model for trauma workers in South Africa, which formed the theoretical basis for the current research. This model looked at the relationships between specific key variables (level of exposure to traumatic material, empathy, and level of perceived social support) and secondary traumatic stress, and their interrelationship. In the present study relevant information was gathered from volunteer trauma workers (N=64) using self-report measures. Data was analysed using the following statistical techniques: Descriptive statistics, Pearson’s Correlation Coefficients, Two Independent Sample T-Test, and a Moderated Multiple Regression. Results indicated that the trauma workers, to some extent, experienced symptoms of secondary traumatic stress. In addition, it was found that previous exposure to traumatic material, level of empathy, and level of perceived social support have a significant relationship with secondary traumatic stress. Social support was not found to have a moderating effect, but empathy emerged as a consistent moderator between the trauma workers previous exposure to traumatic material and secondary traumatic stress. Results also revealed that ones qualification made no difference in the development of secondary traumatic stress. In summary, this study expanded on knowledge into the effects of criminal violence in South Africa, particularly with concern to trauma workers, a population often ignored. This study was considered to be a contribution to trauma literature as it provides much needed empirical evidence.