Chapter 7: Burnout, Secondary Trauma, Compassion Fatigue & Wellness

44 7.2 Focus on Secondary and Vicarious Trauma

Gemma Smyth

Introduction

Law is a helping profession; as such, many lawyers encounter trauma also found in other helping professions, such as social work or medicine.  However, the legal profession has been slower to identify the effects of working in highly stressful and possibly traumatic contexts. Some research focuses on client problems as a major source of secondary trauma for lawyers. There is no question that clients, especially in certain areas of law, experience traumatic events and expose lawyers to secondary trauma. Witnessing and working with a client to access a legal remedy – particularly on a longer-term basis –  may cause stress, vicarious trauma, and/or burnout. However, the nature of legal systems and legal workplaces also set up lawyers for secondary trauma and can prevent healing. For example, billing practices that encourage long hours, unreasonable time to access court, litigation practices, and the sometimes technocratic nature of practice and some firm cultures can also be serious, exacerbating sources of stress. As Donalee Moulton noted in Canadian Lawyer, “[f]or many lawyers and judges (as well as jurors, courtroom personnel, and others), the violent, disturbing reality they witness inside and outside the courtroom as part of their profession can become debilitating. It can become vicarious trauma…..” (Sandra Shutt, “Vicarious trauma: the cumulative effects of caring”, Canadian Lawyer Magazine (Feb 2015). When left unaddressed, secondary trauma can also lead to behaviour that triggers Law Society complaints, possibly leading to discipline. This section defines secondary or vicarious trauma, identifies symptoms and signs of secondary trauma, and links to a self-assessment tool and other possible supports.

What is Secondary or Vicarious Trauma?

Secondary trauma or vicarious trauma (sometimes also called “secondary traumatic stress”) is experienced by people who work with others who have experienced trauma. Figley defined secondary trauma as “the natural, consequent behaviors and emotions resulting from knowledge about a traumatizing event experience by a significant other. It is the stress resulting from helping or wanting to help a traumatized or suffering person” (Figley, 1999, at 10). Secondary trauma can be one of the natural impacts of working in a helping profession. It is more likely to occur where there is a detailed re-counting/re-enactment of a traumatic event, as opposed to simply discussing an occurrence, as is found in talk therapy. When a lawyer needs to help manage the stress of an event with a client, there is a great risk of vicarious trauma. Some studies have shown greater impacts depending on the lawyer’s own trauma history and whether it has been addressed. Importantly, secondary trauma does not have to be caused by one extreme event; rather, it can accumulate over time with repeated exposure to a traumatized person or even, in law, to evidence of a traumatic nature. Exposure to traumatic events may simply be inevitable in certain areas of law, although there are approaches that can minimize its impact and manage its effects. However, there are strong associations between secondary trauma and lower job satisfaction.

Understanding Symptoms & Assessing Risk

There is significant literature in the helping professions identifying risk factors. These risks include: people who have themselves experienced one or more traumatic events, people with few social supports and/or few opportunities to debrief with colleagues, people who are poorly prepared to work with clients/patients who have experienced trauma, and those who have higher levels of other general stress. In law, there are often few supports built into a workplace that allow for systematic debriefing and mentorship (although that is changing in some areas). Further, there are few supports built into legal education that prepares students to enter workplaces with traumatized clients.

This article provides a more in depth explanation on symptoms that may arise from experiencing secondary trauma in a medical context, but applies equally to a law context including:

  • experiencing lingering feelings of anger, rage and sadness about patient’s victimization
  • becoming overly involved emotionally with the patient
  • experiencing bystander guilt, shame, and feelings of self-doubt
  • being preoccupied with thoughts of [clients] outside of the work situation
  • over identification with the [client] (having horror and rescue fantasies)
  • loss of hope, pessimism, cynicism
  • distancing, numbing, detachment, cutting [clients] off, staying busy. Avoiding listening to client’s story of traumatic experiences
  • difficulty in maintaining professional boundaries with the client, such as overextending self (trying to do more than is in the role to help the patient).

Prevention & Self Assessment

The best way to initially deal with or prevent secondary trauma is to know yourself and your experiences deeply, and be aware of what may trigger latent emotions associated with personal experiences of trauma. Failure to know what can be an emotional trigger can impact the legal advice that the lawyer gives the client. It can also cause the lawyer to transfer their personal feelings onto the client. Self-knowledge can also help with early identification of secondary trauma.

Aside from self-knowledge and self-reflection, there are several tools that can be used to assess secondary trauma and related professional stressors. One well researched tool is the “ProQL“, the Professional Quality of Life survey, which helps users identify compassion satisfaction and compassion fatigue, burnout, secondary trauma stress, vicarious trauma and vicarious transformation. The ProQL is useful for its focus on both the satisfying and challenging aspects of helper work. Here is a printable pocket card based on the ProQL.There are also many other tools and educational resources aimed at clinicians available through the American Psychiatric Association.

Many wellness tips contained later in this Chapter are good prevention techniques for secondary trauma. Again, there are also systemic and structural aspects to prevention and recovery canvassed later in the Chapter.

Reflection Questions

  1. What aspects of the legal profession and legal workplaces do you think lead to secondary trauma?
  2. What strategies have you observed in other professional contexts that might prevent secondary trauma?
  3. Have you observed any strategies in your workplace context that might acknowledge and potentially mitigate secondary trauma?
  4. If you begin to experience signs of secondary trauma, who can you reach out to? What supports can you pro-actively identify that might help both prevent and respond to signs of secondary trauma?

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Learning in Place (2nd Edition) Copyright © 2023 by Gemma Smyth is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License, except where otherwise noted.

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