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Database of New Zealand mental health research

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Status
Completed 1 September 2008

Created
16 September 2009

Last updated
18 September 2009

"Back from the edge of the world": Re-authoring a story of practice with stress and trauma using gestalt theories and narrative approaches

Investigator(s) / AuthorsMargaret Pack

 
Principal contact
Name Dr Margaret Pack
Email Email address is not available; please contact
keadmin@tepou.co.nz for more information.
The research
Summary The aim of this article is to offer an ongoing reflection of the difficulties of working with trauma survivors within mental health agencies which provide brief models of intervention.
Objectives The aim of this article is to offer an ongoing reflection of the difficulties of working with trauma survivors within mental health agencies which provide brief models of intervention. The dilemma of how to work safely, respectively, and collaboratively with clients who present with a history of trauma is highlighted.
Study design The author reflects on her own experience of vicarious traumatization through her practice with a long-term survivor of domestic abuse. The team and organizational narratives which are embedded in the medical and managerial models in the mental health services are reflected upon as constraining the environment in which the author is able to provide a context for the client's healing and collegial practice.
Methods Qualitative
Results By witnessing the abuse survivor's story of survival drawing upon themes in the "New Trauma Therapy," Gestalt and Narrative therapy practice frameworks, the author suggests that other versions of the "story" are made available for the client and for the worker that offer a greater sense of "personal agency."
Conclusions These "re-authored" narratives offer a way forward for the client, individual worker, and team. Journal of Systemic Therapies, 2008: 27(3), 30-44.
Key Descriptors Trauma
Disciplines Multi disciplinary
Settings Community
Diagnostic Categories Post-traumatic stress disorder
Populations General Population
Other Keywords Theraputic relationships, trauma survivors, psychotherapy, vicarious traumatisation, clinical social work practice
Ethics approval Yes
Academic led Yes
Service led No
How were service users involved No involvement
Publication in peer review journal Yes
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Page last updated: 7 November 2008