Vicarious traumatisation of counsellors and effects on their workplaces

The literature on therapists' reactions to clients' traumatic material is critically reviewed. The various attempts within this relatively new literature to conceptualise this phenomenon include countertransference, compassion fatigue and vicarious traumatisation. The limited research evidence is evaluated and found to support anecdotal accounts by trauma therapists. Empathic engagement with trauma survivors is necessary for effective psychotherapeutic intervention. However, empathic engagement also makes therapists vulnerable to the detrimental effects of vicarious trauma, with consequent negative effects on individual counsellor effectiveness and organisational dynamics in the workplace.