{"id":113,"date":"2024-12-20T12:56:34","date_gmt":"2024-12-20T17:56:34","guid":{"rendered":"https:\/\/devhbc.oaith.ca\/?page_id=113"},"modified":"2025-07-24T15:15:45","modified_gmt":"2025-07-24T19:15:45","slug":"chapter-9-vicarious-trauma","status":"publish","type":"page","link":"https:\/\/herbrainchose.oaith.ca\/fr\/chapter-9-vicarious-trauma\/","title":{"rendered":"Chapitre 9 :  Le traumatisme de compassion"},"content":{"rendered":"&#8220;&#8230;trauma brings both strengths and problems. Common, albeit not invariable, strengths include the development of profound survival skills, an enhanced ability to understand other traumatized and oppressed individuals and groups, a passion for justice, a desire for a different kind of society, a certain critical realism, and what is particularly significant, a less distorted view of the world.&#8221;<br \/>\r\n(Burstow, 2003)\r\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/herbrainchose.oaith.ca\/wp-content\/uploads\/2024\/12\/brains-up.png\" alt=\"Half brain - half fingerprint symbols\" width=\"810\" height=\"108\" \/><\/p>\r\n<p>Service and care professionals who work with trauma survivors may find their own well-being negatively impacted by the intensity of their work. When this happens, we say the professional is experiencing\u00a0<strong>vicarious or secondary trauma<\/strong>. Vicarious or secondary trauma can have significant impact on a service provider, affecting their sense of identity, relationship with others, their work, and their perspective on trauma, core beliefs and the world in general. Symptoms of vicarious trauma might include: intrusive imagery, nightmares, fear for one&#8217;s personal safety, difficulty listening, irritability, emotional and physical depletion or numbing, and hopelessness. In the same way that trauma-informed approaches for clients promote the de-individualization of responses to trauma, research suggests that vicarious trauma is best addressed structurally rather than individually, to mitigate traumatic exposure to any one worker by effectively distributing workload (Bober &amp; Regehr, 2006).<\/p>\r\n<p class=\"translation-block\">Les intervenantes et intervenants qui vivent de la fatigue de compassion, un traumatisme indirect ou du stress moral peuvent d\u00e9velopper des sympt\u00f4mes apr\u00e8s avoir travaill\u00e9 sur un seul dossier et m\u00eame si les sympt\u00f4mes apparaissent rapidement, elles et ils peuvent d\u00e9sirer continuer \u00e0 aider les survivantes de traumatisme. (Figley &amp; Figley, 2007). Certains outils permettent de distinguer et de mesurer la fatigue de compassion, dont la Professional Quality of Life Scale: Compassion Satisfaction and Fatigue Subscales (ProQOL).<\/p>\r\n<p>Plusieurs facteurs de risque peuvent exposer une personne au traumatisme de compassion : la surcharge de travail, le manque de compensation ou de reconnaissance du travail accompli, le manque de soutien de la part de ses pairs, et des possibilit\u00e9s insuffisantes de d\u00e9breffage. Les employeurs peuvent aider \u00e0 pr\u00e9venir le traumatisme de compassion en reconnaissant et en respectant les intervenantes et intervenants, en encourageant une communication ouverte, en s\u2019assurant qu\u2019une supervision ad\u00e9quate est disponible et en offrant \u00e0 leur personnel divers types de soutien (Lumor, 2017).<\/p>\r\n<p>Ultimement, le travail \u00e0 long terme aupr\u00e8s de survivantes de traumatisme change la fa\u00e7on dont nous nous percevons nous-m\u00eames et dont nous voyons le monde. Il pourrait arriver que nous nous sentions moins en s\u00e9curit\u00e9 dans la soci\u00e9t\u00e9 parce que nous sommes davantage sensibilis\u00e9es \u00e0 la violence (individuelle et syst\u00e9mique) et que nous \u00e9prouvions de la frustration, de la col\u00e8re et moins de confiance envers les r\u00e9actions ou le manque de r\u00e9actions de la part des services et des syst\u00e8mes. La promotion du changement syst\u00e9mique peut \u00eatre une composante importante pour toute personne qui travaille avec des femmes qui ont \u00e9t\u00e9 touch\u00e9es par la violence.<\/p>\r\n<h2>Signes avertisseurs de traumatisme indirect, de fatigue de compassion, d\u2019\u00e9puisement professionnel et de stress moral<\/h2>\r\n<ul>\r\n<li>L\u2019habitude de toujours penser au pire<\/li>\r\n<li>Des r\u00e9actions disproportionn\u00e9es<\/li>\r\n<li>De la difficult\u00e9 \u00e0 prendre des vacances<\/li>\r\n<li>La perte de la satisfaction au travail<\/li>\r\n<li>Moins d\u2019efficacit\u00e9 dans votre r\u00f4le professionnel<\/li>\r\n<li>Douleur physique et insomnie<\/li>\r\n<li>Anxi\u00e9t\u00e9 et d\u00e9pression<\/li>\r\n<li>Sentiments d\u2019isolement (amies et amis, famille, coll\u00e8gues)<\/li>\r\n<li>Comportement \u00e0 risque \u00e9lev\u00e9<\/li>\r\n<li>Attitudes, vocabulaire et gestes qui bl\u00e2ment la victime<\/li>\r\n<\/ul>\r\n<h2>\u00c9tapes vers la gu\u00e9rison et l\u2019\u00e9quilibre entre les fournisseurs de services et les survivantes de traumatisme<\/h2>\r\n<ul>\r\n<li>Un bon \u00e9quilibre dans le nombre de dossiers<\/li>\r\n<li>Des r\u00e9flexions et des pratiques pour mieux prendre soin de soi<\/li>\r\n<li>Une augmentation du soutien et des connaissances de base<\/li>\r\n<li>Du travail pour faire des changements syst\u00e9miques<\/li>\r\n<\/ul>\r\n<h2>Mettez d\u2019abord votre propre masque<\/h2>\r\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/herbrainchose.oaith.ca\/wp-content\/uploads\/2024\/12\/oxygen-mask.png\" alt=\"person on airplane putting on oxygen mask\" width=\"472\" height=\"470\" \/><\/p>\r\n<p>Professionals who work with survivors of trauma are often reminded to &#8220;put their own oxygen mask on first&#8221; which can also be a useful analogy for promoting self-care and self-prioritization with women who have experienced trauma and may have been socialized, pressured, or forced to deprioritize their needs over children, family members and partners. This analogy refers to the safety instructions provided by flight attendants during air travel: if you have a dependent with you, during an emergency, ensure you put your own oxygen mask on first as this will allow you to stay conscious and help those around you. Ultimately, we can not help others without first prioritizing ourselves and our short- and long-term wellbeing. This analogy is also helpful in promoting self-care and preventing caregiver burnout for those who may be in a caregiving role to an older woman with complex needs.<\/p>\r\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/herbrainchose.oaith.ca\/wp-content\/uploads\/2024\/12\/food-for-thought.png\" alt=\"brain food icon\" width=\"97\" height=\"110\" \/><\/p>\r\n<p><strong>Mati\u00e8re \u00e0 r\u00e9flexion :<\/strong><\/p>\r\n<ul>\r\n<li>Comment votre travail avec des survivantes de traumatisme a-t-il chang\u00e9 votre fa\u00e7on de voir le monde ?<\/li>\r\n<li>Qu\u2019avez-vous trouv\u00e9 d\u2019utile pour reconna\u00eetre et traiter les effets du traumatisme dans votre domaine ?<\/li>\r\n<li>Quels sont les obstacles pour obtenir du soutien et de l\u2019aide en tant que professionnelle ?<\/li>\r\n<\/ul>\r\n<p><a href=\"https:\/\/herbrainchose.oaith.ca\/fr\/tree-tracker-worksheet\/\">Click here to access and fill out the &#8220;<strong>Fiche de travail de Tree Tracker<\/strong>&#8220;<\/a>\u00a0which can be used with either clients or service providers to help track, visualize, and reflect on root causes and signs of impact related to experiences of primary and secondary trauma.<\/p>\r\n<p>Une fois l\u2019outil rempli, vous pouvez l\u2019enregistrer ou l\u2019imprimer pour r\u00e9f\u00e9rence. Les renseignements que vous entrez dans l\u2019outil ne seront pas sauvegard\u00e9s ni enregistr\u00e9s par l\u2019application.<\/p>\r\n\t\t\t<a href=\"https:\/\/herbrainchose.oaith.ca\/fr\/chapter-8-trauma-memory-and-narrative-providing-support-during-disclosures-and-interviewing-survivors-of-trauma\/\" target=\"_self\">\r\n\t\t\t\t\t\t\tPage pr\u00e9c\u00e9dente\r\n\t\t\t\t\t<\/a>\r\n\t\t\t<a href=\"https:\/\/herbrainchose.oaith.ca\/fr\/chapter-10-towards-hope-resiliency-resistance-and-healing\/\" target=\"_self\">\r\n\t\t\t\t\t\t\tPage suivante\r\n\t\t\t\t\t<\/a>","protected":false},"excerpt":{"rendered":"<p>&#8220;&#8230;trauma brings both strengths and problems. Common, albeit not invariable, strengths include the development of profound survival skills, an enhanced [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":13,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"left-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-113","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/herbrainchose.oaith.ca\/fr\/wp-json\/wp\/v2\/pages\/113","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/herbrainchose.oaith.ca\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/herbrainchose.oaith.ca\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/herbrainchose.oaith.ca\/fr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/herbrainchose.oaith.ca\/fr\/wp-json\/wp\/v2\/comments?post=113"}],"version-history":[{"count":5,"href":"https:\/\/herbrainchose.oaith.ca\/fr\/wp-json\/wp\/v2\/pages\/113\/revisions"}],"predecessor-version":[{"id":504,"href":"https:\/\/herbrainchose.oaith.ca\/fr\/wp-json\/wp\/v2\/pages\/113\/revisions\/504"}],"wp:attachment":[{"href":"https:\/\/herbrainchose.oaith.ca\/fr\/wp-json\/wp\/v2\/media?parent=113"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}