Psychological experiences and vicarious traumatization of Thai medical social workers
DOI:
https://doi.org/10.64838/jmht.2025.274036Keywords:
medical social workers, psychological growth, traumatizationAbstract
Objective: To explore the psychological experiences and growth of Thai medical social workers from perceiving suffering of service users
Methods: This qualitative study employed interpretative phenomenological analysis to examine the lived experiences of six Thai medical social workers, selected through snowball sampling. Data were gathered via semi-structured, in-depth interviews conducted between September 2023 and June 2024.
Results: Three key themes emerged from the analysis: 1) the negative effects of perceiving the suffering of service users on emotions, feelings, cognition, and daily life, 2) psychological growth from perceiving the suffering of service users in terms of internal values, relationships with others, the value of life, and the value of work, and 3) managing negative effects through seeking social support and adaptive coping strategies.
Conclusion: Thai medical social workers experience both the harmful impacts of vicarious traumatization and the constructive outcomes of vicarious posttraumatic growth. The findings underscore the critical role of social support and self-care practices in helping social workers mitigate the adverse effects of their profession, while fostering resilience and growth.
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Khetjoi S, Moonma A, Raisanguan S, Thasa W. Social workers’ roles in social welfare services in hospital. Pañña Panithan Journal. 2021;6(2):29-42. (in Thai)
Vîrgă D, Baciu EL, Lazăr TA, Lupșa D. Psychological capital protects social workers from burnout and secondary traumatic stress. Sustainability. 2020;12(6):2246. DOI: https://doi.org/10.3390/su12062246
Chitsawang S, Phetmunee T, Chitsawang N, Kanthawong W. Violence in Thailand. Journal of Social Work. 2023;31(1):47-88. (in Thai)
Tasee P. The study and enhancement of social work student’s self-compassion through group counseling [dissertation]. Bangkok: Srinakharinwirot University; 2017. (in Thai)
Prasertsom P, Yotanyamaneewong S. Conditions and impacts of burnout in child protective service workers. Journal of Social Work. 2021;29(2):66-93. (in Thai)
Holmes MR, Rentrope CR, Korsch-Williams A, King JA. Impact of COVID-19 pandemic on posttraumatic stress, grief, burnout, and secondary trauma of social workers in the United States. Clinical Social Work Journal. 2021;49(4):495-504. DOI: https://doi.org/10.1007/s10615-021-00795-y
Pearlman LA, McCann IL. Vicarious traumatization: a framework for understanding the psychological effects of working with victims. Journal of Traumatic Stres. 1990;3(1):131-49. DOI: https://doi.org/10.1007/BF00975140
Bride BE. Prevalence of secondary traumatic stress among social workers. Soc Work. 2007;52(1):63-70. DOI: https://doi.org/10.1093/sw/52.1.63
Figley CR. Compassion fatigue: coping with secondary traumatic stress in those who treat the traumatized. New York: Brummer/Mazel; 1995.
Arin N. The study of antecedents and consequences of psychological capital affecting psychological outcomes and work performance under adverse situation of public health officers in southern border provinces [dissertation]. Bangkok: Srinakharinwirot University; 2012. (in Thai)
Kreitzer L, Brintnell SE, Austin W. Institutional barriers to healthy workplace environments: from the voices of social workers experiencing compassion fatigue. British Journal of Social Work. 2020;50(7):1942-60. DOI: https://doi.org/10.1093/bjsw/bcz147
Pollard LW. Social worker experience of fatal child abuse. British Journal of Social Work. 2018;48(7):1948-66. DOI: https://doi.org/10.1093/bjsw/bcx138
Fixsen A, Ridge D, Evans C. “Momma bear wants to protect”: vicarious parenting in practitioners working with disturbed and traumatised children. Counselling & Psychotherapy Research. 2020;20(4):680–8. DOI: https://doi.org/10.1002/capr.12285
Band-Winterstein T, Goldblatt H, Alon S. Social workers’ encounters with elder abuse and neglect: giving meaning to their experiences. British Journal of Social Work. 2021;51(2):564-82. DOI: https://doi.org/10.1093/bjsw/bcaa165
Cañas-Lerma AJ, Hidalgo-Andrade P, Araujo-Lugo V, Moya G, Verger S. Emotional experiences in palliative care and professional quality of life: a qualitative approach. Palliat Care Soc Pract. 2024;18:26323524241246531. DOI: https://doi.org/10.1177/26323524241246531
Waegemakers Schiff J, Lane AM. PTSD symptoms, vicarious traumatization, and burnout in front line workers in the homeless sector. Community Ment Health J. 2019;55(3):454-62. DOI: https://doi.org/10.1007/s10597-018-00364-7
Finklestein M, Stein E, Greene T, Bronstein I, Solomon Z. Posttraumatic stress disorder and vicarious trauma in mental health professionals. Health & Social Work. 2015;40(2):e25-31. DOI: https://doi.org/10.1093/hsw/hlv026
Arnold D, Calhoun LG, Tedeschi RG, Cann A. Vicarious posttraumatic growth in psychotherapy. J Humanist Psychol. 2005;45(2):239-63. DOI: https://doi.org/10.1177/0022167805274729
Manning-Jones S, de Terte I, Stephens C. Vicarious posttraumatic growth: a systematic literature review. International Journal of Wellbeing. 2015;5(2):125-39. DOI: https://doi.org/10.5502/ijw.v5i2.8
Richard G. Tedeschi, Shakespeare-Finch J, Taku K. Posttraumatic growth: theory, research, and applications. New York, NY: Routledge; 2018. DOI: https://doi.org/10.4324/9781315527451
Chankomut P. Inequality of Thailand: situation and policy solutions. Journal of Roi Kaensarn Academi. 2024;9(6):1028-41. (in Thai)
Smith JA, Flowers P, Larkin M. Interpretative phenomenological analysis: theory, method and research. Los Angeles: SAGE; 2009.
Peled-Avram M. The role of relational-oriented supervision and personal and work-related factors in the development of vicarious traumatization. Clinical Social Work Journal. 2017;45(1):22-32. DOI: https://doi.org/10.1007/s10615-015-0573-y
Duangurai A. Psychological experiences of posttraumatic growth in veterans [master’s thesis]. Bangkok: Chulalongkorn University; 2015. (in Thai)
Prohmpetch W, Taephant N, Pisitsungkagarn K. Factors predicting posttraumatic growth in university students in southernmost Thailand. Journal of Mental Health of Thailand. 2022;30(4):331-44. (in Thai)
Tsirimokou A, Kloess JA, Dhinse SK. Vicarious post-traumatic growth in professionals exposed to traumatogenic material: a systematic literature review. Trauma Violence Abuse. 2023;24(3):1848-66. DOI: https://doi.org/10.1177/15248380221082079
Deaton JD, Ohrt JH, Linich K, McCartney E, Glascoe G. Vicarious posttraumatic growth: a systematic review and thematic synthesis across helping professions. Traumatology. 2022;29(1):17-26. DOI: https://doi.org/10.1037/trm0000375
Ben-Porat A, Itzhaky H. Implications of treating family violence for the therapist: secondary traumatization, vicarious traumatization, and growth. Journal of Family Violence. 2009;24(7):507-16. DOI: https://doi.org/10.1007/s10896-009-9249-0
Bell H. Strengths and secondary trauma in family violence work. Soc Work. 2003;48(4):513-22. DOI: https://doi.org/10.1093/sw/48.4.513
Rogers CR. On becoming a person: a therapist’s view of psychotherapy. Boston: Houghton Mifflin; 1961.
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