TRAVMATİZE OLMUŞ MAĞDURLARI TEMSİL EDEN AVUKATLARDA İKİNCİL TRAVMATİK STRES OLUŞUMU

Yıl 2020, Cilt: 3 Sayı: 3, 162 - 182, 31.12.2020

Mert Akcanbas , Muratcan Keskiner

https://doi.org/10.38213/ohsacademy.777212

Öz

Bu çalışmada, travmatize olmuş mağdurları temsil eden avukatlardaki ikincil travmatik stres oluşumunu yordayan değişkenler incelenmiştir. Araştırmaya son 3 ay içinde aile içi şiddet ve/veya cinsel istismar mağduru temsil etmiş olan avukatlar alınmıştır. Araştırmanın örneklemini 119 kadın ve 12 erkek olmak üzere toplam 131 avukat oluşturmaktadır. Veri toplama aracı olarak Sosyodemografik Bilgi Formu, Çocukluk Çağı Olumsuz Yaşantılar Ölçeği ve İkincil Travmatik Stres Oluşumu Ölçeği kullanılmıştır. Avukatlar, araştırmaya ait form ve ölçekleri, pandemi öncesi dönemde online olarak doldurmuşlardır. Araştırmaya katılan avukatların %35,1’i evlidir. Katılımcıların %73,3’ü travma ile başa çıkmaya dair bir eğitim almadığını belirtmiştir. Çalışmaya katılanların %41,2’si psikiyatrik geçmiş öyküsüne sahiptir. Katılımcıların yalnızca %5,3’ü düzenli olarak psikiyatrik ilaç kullanmaktadır. Araştırmaya katılanların %40,5’i son 3 ay içinde haftada ortalama 36-45 saat arası çalışmıştır.
Çalışmadan elde edilen sonuçlara göre son 3 ayda temsil edilen aile içi şiddet mağduru sayısı, son 3 ayda temsil edilen cinsel istismar mağduru sayısı, son 3 ay içindeki haftalık ortalama çalışma saati; avukatın yaşı, travma ile başa çıkma eğitimi alması ve son 3 ay içinde temsil ettiği mağdurların sağ kalım durumunun; avukatlardaki ikincil travmatik stres oluşumu üzerinde anlamlı bir etkisi bulunamamıştır.
Neticede, psikiyatrik geçmiş öyküsü, medeni durum, çocukluk çağı olumsuz yaşantıları ve son 3 ay içinde temsil edilen cinsel istismar mağdurlarının 18 yaşın altında olması, avukatlardaki ikincil travmatik stres oluşumu üzerinde anlamlı bir etkiye sebep olmuştur.

Anahtar Kelimeler

ikincil travma, avukatlarda ruh sağlığı, dolaylı travma, şefkat yorgunluğu

Kaynakça

• Adams, R. E., Boscarino J. A., Figley, C. R., (2006). Compassion fatigue and psychological distress among social workers: A validation study. American Journal of Orthopsychiatry, 76(1), 103-108.
• Adams, R. E., Figley, C. R., Boscarino J. A., (2008). The Compassion Fatigue Scale: Its use with social workers following urban disaster. Research on Social Work Practice, 18(3), 238-250.
• Adams S., Riggs S. A., (2008). An exploratory study of vicarious trauma among therapist trainees. Training and Education in Professional Psychology, 2, 26 –34. http://dx.doi.org/10.1037/1931-3918.2.1.26
• Ai, A. L., Plummer, C., Kanno, H., Heo, G., Appel, H. B., Simon, C. E., Spigner, C., (2011). Positive traits versus previous trauma: Racially different correlates with PTSD symptoms among Hurricane Katrina-Rita volunteers. Journal of Community Psychology, 39(4), 402-420.
• Alexander, D. A., Klein, S., (2001). Ambulance personnel and critical incidents; impact of accident and emergency work on mental health and emotional well-being. British Journal of Psychiatry, 178, 76- 81.
• Baird, S., Jenkins S. R., (2003). Vicarious traumatization, secondary traumatic stress, and burnout in sexual assault and domestic violence agency staff. Violence and Victims, 18(1), 71-86.
• Baysak, E., (2010). Acil ve yoğun bakım çalışanlarında travma sonrası stres bozukluğu, stresle başa çıkma tarzları, tükenmişlik ve ilişkili etkenler. Uzmanlık Tezi. Ankara: Gazi Üniversitesi.
• Benetar, M., (2000). A qualitative study of the effect of a history of childhood sexual abuse on therapists who treat survivors of sexual abuse. Journal of Trauma & Dissociation, 1(3), 9-28.
• Betts, A. K., Matto, H. C. ve Harrington, D., (2001). The Traumatic stress institute belief scale as a measure of vicarious trauma in a national sample of clinical social workers. Families in Society: The Journal of Contemporary Human Services, 82(4), 363-371.
• Birinci, G. G., Erden, G., (2016). Yardım çalışanlarında üstlenilmiş travma, ikincil travmatik stres ve tükenmişliğin değerlendirilmesi. Türk Psikoloji Dergisi, 31 (77): 10-26.
• Bober, T., Regehr, C., (2006). Strategies for reducing secondary or vicarious trauma: Do they work? Brief Treatment and Crisis Intervention, 6(1), 1–9. https://doi.org/10.1093/brief-treatment/mhj001
• Bride, E. B., Robinson, M. M., Yegidis, B., Figley, C. R., (2004). Development and validation of the secondary traumatic stress scale. Research on Social Work Practice, 14(1), 27–35. https://doi.org/10.1177/1049731503254106
• Bryant, R. A., Harvey, A. G., (1996). Posttraumatic stress reactions in volunteer firefighters. Journal of Traumatic Stress, 9(1), 51-62.
• Byrne, M. K., Lerias, D., Sullivan, N. L., (2006). Predicting vicarious traumatization in those indirectly exposed to bushfires. Stress and Health, 22, 167-177.
• Carlier, I. V. E., Lamberts, R. D., Gersons, B. P. R., (1997). Risk factors for posttraumatic stress symptomatology in police officers: A prospective analysis. The Journal of Nervous and Mental Disease, 185(8), 498-506
• Carmel, M. J. S., Friedlander, M. L., (2009). The relation of secondary traumatization to therapists’ perceptions of the working alliance with clients who commit sexual abuse. Journal of Counseling Psychology, 56(3), 461-467.
• Chamberlain, J., Miller, M. K., (2009). Evidence of secondary traumatic stress, safety concerns, and burnout among a homogeneous group of judges in a single jurisdiction. Journal of the American Academy of Psychiatry and the Law, 37, 214-224.
• Chrestman, K. R., (1999). Secondary exposure to trauma and self reported distress among therapists. Stamm, B. H., (edt.), Secondary traumatic stress: Self care issues for clinicians, researchers and educators, (29-36). Lutherville, Sidran Press.
• Conrad, D., Kellar-Guenther Y., (2006). Compassion fatigue, burnout, and compassion satisfaction among Colorado child protection workers. Child Abuse and Neglect, 30, 1071-1080.
• Craig, C. D., Sprang, G., (2010). Compassion satisfaction, compassion fatigue, and burnout in a national sample of trauma treatment therapists. Anxiety, Stress, & Coping, 23(3), 319-339.
• Creamer, T. L., Liddle, B. J., (2005). Secondary traumatic stress among disaster mental health workers responding to the September 11 attacks. Journal of Traumatic Stress, 18(1), 89-96.
• Cunningham, M., (2003). Impact of trauma work on social work clinicians: Empirical findings. Social Work, 48(4), 451- 459.
• Çalık, V. E., Büyükbodur, Ç. A., (2017). Sosyal hizmet uzmanlarında ikincil travmatik stres. Journal of Human Sciences, C. 14, S. 4, s. 3676-3689.
• Deighton, R. M., Gurris, N., Traue, H., (2007). Factors affecting burnout and compassion fatigue in psychotherapists treating torture survivors: Is the therapist’s attitude to working through trauma relevant? Journal of Traumatic Stress, 20(1), 63-75.
• Devilly, G. J., Wright, R., Varker, T., (2009). Vicarious trauma, secondary traumatic stress or simply burnout? Effect of trauma therapy on mental health professionals. Australian and New Zealand Journal of Psychiatry, 43, 373-385.
• Dunkley, J., Whelan, T. A., (2006). Vicarious traumatisation in telephone counsellors: Internal and external influences. British Journal of Guidance & Counselling, 34(4), 451- 469.
• Field, A. P., (2013). Discovering statistics using IBM SPSS statistics: and sex and drugs and rock 'n' roll. (4th ed.) Los Angeles, Sage.
• Figley, C. R., (1993). Compassion stress and the family therapist. Family Therapy News, pp. 1-8.
• Figley, C. R., (1995). Compassion fatigue as secondary traumatic stress disorder: An overview. Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized, New York, Brunner-Routledge.
• Figley, C. R., (2002). Psychosocial stress series, no. 24. Treating compassion fatigue. New York, Brunner-Routledge.
• Finklestein, M., Stein, E., Greene, T., Bronstein, I., Solomon, Z., (2015). Posttraumatic stress disorder and vicarious trauma in mental health professionals. Health and Social Work, 40(2), e25– e31. Doi:10.1093/hsw/hlv026
• Follette, V., Polusny, M., Milbeck, K., (1994). Mental health and law enforcement professionals: Trauma history, psychological symptoms, and impact of providing services to child sexual abuse survivors. Professional Psychology: Research and Practice, 25(3), 275–282. Doi:10.37/0735-7028.25.3.275
• Freudenburger, H., (1974). Staff Burnout. Journal Of Social Issues, 30(1), 159-165.
• Ganley, A. L., (1995) Improving the health care response to domestic violence: A Resource Manual for Health Care Providers. San Francisco, Family Violence Prevention Fund.
• Gergen, K. J., (1985). The social constructionist movement in modern psychology. American Psychologist, 40(3), 266-275 Gomme, I. M., Hall, M. P., (1995). Prosecutors at work: Role overload and strain. Journal of Criminal Justice, 15, 191–200. Doi:10.1016/0047- 2352(95)00006-C
• Gündüz, A., Yaşar, A. B., Gündoğmuş, Ş. İ., Savran, C., Konuk, E., (2018). Çocukluk Çağı Olumsuz Yaşantılar Ölçeği Türkçe Formunun geçerlilik ve güvenilirlik çalışması, Anadolu Psikiyatri Dergisi, 19(1), 68-75.
• Gündüz, B., (2020). Meslek elemanlarının yaşadıkları ikincil travmatik stres. İstanbul Kent Üniversitesi İnsan ve Toplum Bilimleri Dergisi, 1 (1), 1-14.
• Gürdil, G., (2014). Üstlenı̇lmı̇ş travma ve ikı̇ncı̇l travmatı̇k stresin travmatı̇k yaşantılara müdahale eden bir grup üzerinde geştalt temas bı̇çı̇mlerı̇ çerçevesinde değerlendı̇rı̇lmesı̇. Doktora Tezi. Ankara: Ankara Üniversitesi.
• Gürkan, A., Yalçıner, N., (2017). Sağlık çalışanlarında ikincil travmatik stres. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, C. 6, S. 2, s. 90-95.
• Haksal, P., (2007). Acil servis personelinde görülen ikincil travmatik stres düzeyinin disosiyasyon düzeyi, sosyal destek algısı ve başa çıkma stratejileri açısından incelenmesi, Yüksek Lisans Tezi, Hacattepe Üniversitesi, Ankara.
• Hasnain, N., Naz, I., Bano, S., (2010). Stress and well-being of lawyers. Journal of the Indian Academy of Applied Psychology, 36, 165–168.
• Hatcher, S., Bride, B., Oh, H., King, D., Catrett, J., (2011). An Assessment of secondary traumatic stress in juvenile justice education workers. Journal Of Correctional Health Care: The Official Journal Of The National Commission On Correctional Health Care, 17. 208-17. Doi: 10.1177/1078345811401509.
• Horwitz, M. J., (2006). Work-related trauma effects in child protection social workers. Journal of Social Service Research, 32(3), 1-18.
• Jackson, S. E., Maslach, C., (1982). After-effects of job-related stress: families as victims. Journal of Occupational Behaviour, 3, 63-77.
• Jenkins, S. R., Baird, S., (2002). Secondary traumatic stress and vicarious trauma: A validational study. Journal of Traumatic Stress, 15(5), 423-432.
• Jordan, K., (2001). Working with trauma survivors with PTSD: An over-view of assessment, diagnosis and treatment. Counselling and Human Development, 34, 1–11.
• Kadambi, M. A., Ennis, L., (2004). Reconsidering vicarious trauma: A review of the literature and its’ limitations. Journal of Trauma Practice, 3(2) 1-21.
• Kahil, A., (2016). Travmatik yaşantıları olan bireylere yardım davranışında bulunan profesyonel ve gönüllülerin ikincil travmatik stres düzeylerinin incelenmesi. Yüksek lisans tezi. Ankara: Ufuk Üniversitesi.
• Kahraman, M., Çokamay, G., (2016). Aile İçi Şiddet ve Çocuklar Üzerindeki Etkileri: Temel Kavramlar, Güvenlik Planı Hazırlama ve Alternatif Tedavi Model Örnekleri. Psikiyatride Güncel Yaklaşımlar, 8 (4), 321-336. Doi: 10.18863/pgy.253438
• Karasar, N., (2009). Bilimsel Araştırma Yöntemi. Ankara: Nobel Yayıncılık.
• Kıdak, L,. Yıldırım, G., Yurdabakan, İ., (2018). Examination of factors affecting to secondary traumatic stress, cynicism and burnout in healthcare professionals. Turkish Journal of Family Medicine and Primary Care, 13 (2), 196-202. Doi: 10.21763/tjfmpc.446111
• Kjellenberg, E., Nilsson, F., Daukantaité D., Cardeña, E., (2013). Transformative narratives: The impact of working with war and torture survivors. Psychological Trauma: Theory, Research, Practice, and Policy, May 6, 1-9.
• Köroğlu, E., (çev.), (2013). Ruhsal Bozuklukların Tanısal ve Sayımsal El Kitabı, (5. basım) (DSM-V), Ankara: Hekimler Yayın Birliği
• Lamothe, M., Boujut, E., Zenasni F., Sultan, S., (2014). To be or not to be empathic: The combined role of empathic concern and perspectivetaking in understanding burnout in general practice. BMC Family Practice, 15, 15. http://dx.doi.org/10.1186/1471-2296-15-15
• Leclerc, M. E., Wemmers, J. A., Brunet, A., (2019): The unseen cost of justice: post-traumatic stress symptoms in Canadian lawyers. Psychology, Crime and Law. 1-38. Doi: 10.1080/1068316X.2019.1611830
• Levin, A. P., Greisberg, S., (2003). Vicarious trauma in attorneys. Pace Law Review, 24(1), 245-252.
• Levin, A. P., Albert, L., Besser, A., Smith, D., Zelenski, A., Rosenkranz, S., Neria, Y., (2011). Secondary trauma in attorneys and their administrative support staff working with trauma-exposed clients. Journal of Nervous and Mental Disease, 199, 946 –955. Doi: 10.1097/NMD. 0b013e3182392c26
• Levin, A. P., Besser, A., Albert, L., Smith, D., Neria, Y. (2012). The Effect of attorneys' work with trauma-exposed clients on PTSD symptoms, depression, and functional impairment: A cross-lagged longitudinal study. Law and Human Behavior, 36(6), 538-547.
• Linley, P. A., Joseph, S., (2007). Therapy work and therapists’ positive and negative well-being. Journal of Social and Clinical Psychology, 26(3), 385-403.
• Ludick, M., (2013). Analyses of experiences of vicarious traumatisation in short term insurance claims workers (Unpublished doctoral dissertation). University of the Witwatersrand, Johannesburg, South Africa.
• Ludick, M., Figley, C. R., (2017). Toward a mechanism for secondary trauma induction and reduction: Reimagining a theory of secondary traumatic stress. Traumatology, 23(1), 112– 123. https://doi.org/10.1037/trm0000096
• Macritchie, V. J., (2006). Secondary traumatic stress, level of exposure, empathy and social support in trauma workers (Unpublished master’s thesis). University of the Witwatersrand, Johannesburg, South Africa.
• Maguire, G., Byrne, M., (2017). The law is not as blind as it seems: Relative rates of vicarious trauma among lawyers and mental health professionals. Psychiatry, Psychology and Law, 24(2), 233–243. http://doi.org/10.1080/13218719.2016.1220037
• Marriage, S., Marriage, K., (2005). Too many sad stories: Clinician stress and coping. The Canadian Child and Adolescent Psychiatry Review, 14,114 –117.
• Maunder, R. G., Halpern, J., Schwartz, B., Gurevich, M., (2012). Symptoms and responses to critical incidents in paramedics who have experienced childhood abuse and neglect. Emergency Medicine Journal, 29, 222-227.
• Mccalla, R., Ezingeard, J. N., (2005). Examining the linkage between technology use, emotional expression and service quality perceptions: The data collection pool. ECIS 2005 Proceedings, 1604-1611.
• Mccann, L., Pearlman, L. A., (1990). Vicarious traumatization: A framework for understanding the psychological effects of working with victims. Journal of Traumatic Stress, 3(1), 131-149.
• Michalopoulos, L. M., Aparicio, E., (2012). Vicarious trauma in social workers: The role of trauma history, social support, and years of experience. Journal of Aggression, Maltreatment and Trauma, 21, 646-664.
• Nelson-Gardell, D., Harris, D., (2003). Childhood abuse history, secondary traumatic stress, and child welfare workers. Child Welfare: Journal of Policy and Program, 82(1), 5-26.
• Ortlepp, K., Friedman, M., (2002). Prevalence and correlates of secondary traumatic stress in workplace lay trauma counselors. Journal of Traumatic Stress. 15. 213-22. Doi: 10.1023/A:1015203327767.
• Pak, M., Özcan, E., Çoban, A., (2017). Acil Servis Çalışanlarının İkincil Travmatik Stres Düzeyi Ve Psikolojik Dayanıklılığı. Journal Of International Social Research. 10. 628-644. Doi: 10.17719/Jisr.2017.1923.
• Pearlman, L. A., Mac-Ian, P. S., (1995). Vicarious traumatization: An empirical study of the effects of trauma work on trauma therapists. Professional Psychology: Research and Practice, 26(6), 558-565.
• Pearlman, L. A., Saakvitne, K. W., (1995a). Trauma and the therapist: Countertransference and vicarious traumatization in psychotherapy with incest survivors. New York: W. W. Norton/Company.
• Pearlman, L. A., Saakvitne, K. W., (1995b). Treating the therapists with vicarious traumatization and secondary traumatic stress disorders. C. R. Figley, (Ed.), Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized içinde (150-177). New York: Brunner-Routledge.
• Peron, B. E., Hiltz, B. S., (2006). Burnout and secondary trauma among forensic interviewers of abused children. Child and Adolescent Social Work Journal, 23(2), 216- 234.
• Pettus-Davis, C., Severson, M., (2013). Officers' experiences of the symptoms of secondary trauma in the supervision of sex offenders. International Journal of Offender Therapy and Comparative Criminology. 57. 5-24.
• Piwowarczyk, L., Ignatius, S., Crosby, S., Grodin, M., Heeren, T., Sharma, A., (2009). Secondary trauma in asylum lawyers. Bender’s Immigration Bulletin, 14(5), 263–269.
• Psychology Board of Australia. (2013). Registration: Supervision. Retrieved from http://www. psychologyboard.gov.au/Registration/Supervision.aspx
• Rauvola, RS., Vega, D. M., Lavigne, K. N., (2019). Compassion fatigue, secondary traumatic stress, and vicarious traumatization: A qualitative review and research agenda. Occupational Health Science, 3, 297–336. https://doi.org/10.1007/s41542-019-00045-1
• Robinson, J. R., Clements, K., Land, C., (2003). Workplace stress among psychiatric nurses. Journal of Psychosocial Nursing and Mental Health Services, 41(4), 32-41.
• Saakvitne, K., Pearlman, L. A., (1996). Transforming the pain: A workbook on vicarious traumatization. New York, NY: W. W. Norton.
• Saakvitne, K., Tennen, H., Affleck, G., (1998). Exploring thriving in the context of clinical trauma theory: Constructivist self development theory. Journal of Social Issues, 54 (2), 279-299.
• Salston, M., Figley, C. R., (2003). Secondary traumatic stress effects of working with survivors of criminal victimization. Journal of traumatic stress. 16. 167-74. Doi: 10.1023/A:1022899207206.
• Saraçoğlu, E. B., Arıkan, S., (2016). Acil yardım çalışanlarında travma, tükenmişlik ve yaşam doyumu ilişkilerinde stresle başa çıkmanın moderatörlük rolü, Türk Psikoloji Dergisi, C. 31, S. 78, s. 45-57.
• Schauben, L. J., Frazier, P. A., (1995). Vicarious trauma: The effects on female counselors of working with sexual violence survivors. Psychology of Women Quarterly, 19, 49- 64.
• Slattery, S. M., Goodman, L. A., (2009). Secondary traumatic stress among domestic violence advocates: Workplace risk and protective factors. Violence Against Women, 15(11), 1358-1379.
• Sonnentag, S., Bayer, U., (2005). Switching off mentally: Predictors andconsequences of psychological detachment from work during off-jobtime. Journal of Occupational Health Psychology, 10, 393– 414.
• Sprang, G., Clark, J. J., Whitt-Woosley, A., (2007). Compassion fatigue, compassion satisfaction, and burnout: Factors impacting a professional’s quality of life. Journal of Loss and Trauma, 12, 259-280.
• Sprang, G., Craig, C., Clark, J., (2011). Secondary traumatic stress and burnout in child welfare workers: A comparative analysis of occupational distress across professional groups. Child Welfare, 90(6), 149-168.
• Stamm, B. H., (2010). The concise ProQOL manual (2nd ed.). Pocatello: ProQOL.org. Steed, L. G., Downing R., (1998). A phenomenological study of vicarious traumatisation amongst psychologists and professional counsellors working in the field of sexual abuse/assault. The Australasian Journal of Disaster and Trauma Studies, 2. 1-8.
• Stevens, M., Higgins, D. J., (2002). The influence of risk and protective factors on burnout experienced by those who work with maltreated children. Child Abuse Review, 11, 313-331.
• Şavur, E., (2012). İnsani yardım çalışanlarının yardım arama davranışına ilişkin bir inceleme: Psikolojik belirtiler, psikolojik sağlamlık ve sosyal destek algısı. Yüksek Lisans Tezi. Ankara, Ankara Üniversitesi.
• Tansel, B., Tunç A., Gündoğdu, M., (2015). Çocuk şube müdürlüğünde çalışan polis memurlarının ikincil travmatik stres düzeylerinin incelenmesi, Hitit Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, Yıl 8, Sayı 2, 675-688
• Temitope, K., (2014). Secondary traumatic stress, burnout and the role ofresilience in New Zealand counsellors (Unpublished master’s thesis). Massey University, Palmerston North, New Zealand.
• Trippany, R. L., Wilcoxon, S. A., Satcher, J. F., (2003). Factors influencing vicarious traumatization for therapists of survivors of sexual victimization. Journal of Trauma Practice, 2(1), 47-60.
• Trippany, R., Kress, W., Wilcoxon, A., (2004). Preventing vicarious trauma: What counselors should know when working with trauma survivors. Journal of Counselling and Development, 82, 31–37.
• Vandeusen, K. M., Way, I., (2006). Vicarious trauma: An exploratory study of the impact of providing sexual abuse treatment on clinicians’ trust and intimacy. Journal of Child Sexual Abuse, 15(1), 69-85.
• Vrklevski, L. P., Franklin, J., (2008). Vicarious trauma: The impact on solicitors of exposure to traumatic material. Traumatology, 14(1), 106-118.
• Way, I., Vandeusen, K. M., Martin, G., Applegate, B., Jandle, D., (2004). Vicarious trauma: A comparison of clinicians who treat survivors of sexual abuse and sexual offenders. Journal of Interpersonal Violence, 19(1), 49-71.
• Way I., Vandeusen, K. M., Cottrell, T., (2007). Vicarious trauma: Predictors of clinicians’ disrupted cognitions about self-esteem and self-intimacy. Journal of Child Sexual Abuse, 16(4), 81-98.
• Whealin, J. M., Batzer, W. B., Morgan, C, A., Detwiler, H. F., Schnurr, P. P., Friedman, M. J., (2007). Cohesion, burnout, and past trauma in tri-service medical and support personnel. Military Medicine, 172(3), 266-277.
• Wong-Wylie, G., (n.d.). Overview of philosophical assumptions. Instructor commentary. Retrieved September 12, 2006 from Campus Alberta Applied Psychology, CAAP 617, Week 1 website: www.abcounsellored.net
• Yanbolluoğlu, Ö., (2019). İkincil travmatik stresin meslek elemanları üzerindeki etkileri: Bir derleme çalışması. Uludağ Üniversitesi Fen-Edebiyat Fakültesi Sosyal Bilimler Dergisi, 20 (36), 141-164. Doi: 10.21550/sosbilder.428251
• Yeşil, A., (2010). 112 Acil sağlık hizmetlerinde çalışan sağlık çalışanlarında ruhsal travma ve ilişkili sorunların yaygınlığı. Yüksek Lisans Tezi. Kocaeli: Kocaeli Üniversitesi.
• Yılmaz, B., Şahin, N. H., (2007). Arama-kurtarma çalışanlarında travma sonrası stres belirtileri ve travma sonrası büyüme. Türk Psikoloji Dergisi, C. 22, S. 59, s. 119-133
• Zara, A., İçöz, F. J., (2015). Türkiye’de ruh sağlığı alanında travma mağdurlarıyla çalışanlarda ikincil travmatik stres. Klinik Psikiyatri Dergisi: The Journal of Clinical Psychiatry, 18(1), 15–23.