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Workplace Trauma : Concepts, Assessment and Interventions - Noreen Tehrani

Workplace Trauma

Concepts, Assessment and Interventions

Paperback Published: 16th September 2004
ISBN: 9781583918760
Number Of Pages: 296

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How can organisations defend their employees against psychological trauma?

Post-traumatic stress is a topical subject of increasing importance. Yet much of the writing on this subject so far has concerned stress suffered by people exposed to serious turmoil such as war and ethnic conflict. Workplace Trauma is an extremely welcome presentation of the subject of stress in the workplace.

This book explores the ways that traumatic events impact the psychological well being of organisations and their employees. The effects of disasters, accidents, crime, injury and death are examined alongside examples of organisational trauma care programmes and reviews of the current thinking regarding post trauma interventions. The insights generated are illustrated with case studies from the author's extensive experience of counselling victims of trauma at work.

The theory, research and practical advice contained in this volume will prove a valuable resource for organisations and practitioners seeking guidance on reducing the impact of psychological trauma.

Industry Reviews

'At last we have a well-presented, well-researched book on post-traumatic stress and how traumatic events impact on the psychological wellbeing of organisations and their employees... the book will be extremely useful to organisations in determining the benefits of introducing trauma care programmes into their organisation. It will also give practising clinicans a very clear framework in which to work effectively with trauma and its effects, specifically in the workplace.' - Patricia Justice, Counselling and Psychotherapy Journal, March 2005

'An impressive book, which will, no doubt, rapidly become a key reference point for managers, counsellors and service providers in the future.' - Peter Jenkins, Counselling at Work, Autumn 2005

List of tablesp. xi
List of figuresp. xiii
Acknowledgementsp. xiv
Prefacep. xv
Post-traumatic stress - history and developmentp. 1
Post-traumatic stress: the history of a conceptp. 5
Introductionp. 5
Trauma in literaturep. 5
The nineteenth-century view of traumap. 6
The First World Warp. 7
Recognition of traumatic stressp. 9
International classification of diseasesp. 11
Discussionp. 12
The psychobiology of traumatic stressp. 14
Introductionp. 14
The epidemiology of traumatic stressp. 15
'Normal stress'p. 16
Biological pathwaysp. 16
Pathway interactionsp. 17
Traumatic stress v. normal stressp. 18
Post-traumatic stress and the brainp. 19
Discussionp. 22
An employee's response to traumap. 24
Introductionp. 24
The psychological contractp. 24
Three phases of traumap. 25
Responses to traumatic events in the workplacep. 26
Discussionp. 39
Traumatic stress in the workplacep. 40
Introductionp. 40
Major incidents in the workplacep. 40
Other traumatic eventsp. 43
Employees at riskp. 43
Organisational responsibilityp. 47
Discussionp. 48
Workplace trauma and the lawp. 49
Introductionp. 49
The size of the problemp. 49
Post-traumatic stress and the lawp. 50
Legal recognition of psychological assessmentsp. 50
The tort of negligencep. 51
Duty of carep. 51
Employer's duty of carep. 52
Case lawp. 53
Effects of litigation on traumatised employeesp. 57
Managing trauma in the workplacep. 58
The futurep. 58
Summary: Part Ip. 61
Dealing with disasters at workp. 63
The management of crises and disasters, and their relationship to business continuityp. 67
Introductionp. 67
Crises and disastersp. 67
Managing the crisisp. 68
Preparing for the crisisp. 69
Identifying the risksp. 70
Who might be harmed?p. 71
Reducing the risk of traumatic stressp. 73
Making the plan workp. 75
Dealing with the aftermathp. 76
Handling communicationsp. 77
Discussionp. 78
Post-trauma interventions: crisis management, diffusing, debriefing and trauma counsellingp. 79
Introductionp. 79
The timing of trauma interventionsp. 80
Managing a crisisp. 81
Diffusing or defusing?p. 83
Debriefingp. 85
Trauma therapy and counsellingp. 90
Discussionp. 94
Incident support materialp. 94
Introducing trauma care into an organisationp. 99
Introductionp. 99
Post Office Trauma Care Programmep. 99
Features of the Post Office Trauma Care Programmep. 105
Key stages of the Programmep. 107
Initial difficultiesp. 113
The role of senior managersp. 114
Cost benefit analysisp. 115
Discussionp. 116
Choosing and managing an external provider of post-trauma supportp. 117
Introductionp. 117
Selecting a providerp. 118
The contractp. 123
Auditingp. 123
Assessing effectivenessp. 125
Discussionp. 126
Summary: Part IIp. 127
The measurement and assessment of traumatic stress in the workplacep. 129
Assessing psychological traumap. 133
Introductionp. 133
Assessment of the nature and features of a traumatic eventp. 134
Structured clinical interviewsp. 136
Self-report surveysp. 137
Psychophysiological and psychobiological assessmentsp. 139
Organisational need to measure traumatic stressp. 140
Discussionp. 140
Developing a trauma scale for organisationsp. 142
Introductionp. 142
Impact of Events Scale (IES)p. 142
Factor analysis of IES-E data from stressful work incidentsp. 144
Discriminative validity of the IES-Ep. 148
Discussionp. 150
Difficulties of evaluating post-trauma interventions in organisationsp. 152
Introductionp. 152
What is success?p. 152
How can success be measured?p. 154
Difficulties in undertaking research in organisationsp. 158
Current research into traumap. 159
A way forwardp. 160
Discussionp. 161
Summary: Part IIIp. 163
Organisational research - case studiesp. 165
The Post Office - identifying the causes of acute post-traumatic stressp. 169
Introductionp. 169
Methodp. 173
Resultsp. 175
Discussionp. 185
Workplace bullying - a source of chronic post-traumatic stress?p. 186
Introductionp. 186
What is workplace bullying?p. 186
Bullying and psychological well-beingp. 187
Research questionsp. 188
Methodp. 188
Resultsp. 189
Discussionp. 193
The Paddington rail crash - how to deal with a crisisp. 197
Introductionp. 197
Backgroundp. 198
The rail crashp. 198
Interventionsp. 199
Resultsp. 202
Discussionp. 205
The Manchester bomb - trauma counselling and long-term supportp. 207
Introductionp. 207
The bombp. 207
Initial supportp. 208
Dealing with chronic traumap. 210
Trauma counsellingp. 211
Resultsp. 213
Discussionp. 216
Postscriptp. 216
Summary: Part IVp. 219
Conclusions and future directionsp. 221
Conclusions and future directionsp. 225
Introductionp. 225
Practicep. 226
Researchp. 227
Bringing research and practice togetherp. 229
The futurep. 230
Post-incident questionnaire (CASHCO)p. 232
Bullying surveyp. 236
Referencesp. 240
Indexp. 261
Table of Contents provided by Rittenhouse. All Rights Reserved.

ISBN: 9781583918760
ISBN-10: 1583918760
Audience: Tertiary; University or College
Format: Paperback
Language: English
Number Of Pages: 296
Published: 16th September 2004
Country of Publication: GB
Dimensions (cm): 21.54 x 16.1  x 2.18
Weight (kg): 0.36
Edition Number: 1