The experiences of clinical psychologists in treating traumatic stress at a tertiary psychiatric hospital in the Eastern Cape: A qualitative research study

Abstract

Traumatic encounters are highly prevalent within the South African population. Clinical psychologists working with these trauma narratives, within a psychiatric context, are therefore at risk of experiencing vicarious trauma, Post Traumatic Stress-Disorder (PTSD), and secondary traumatic stress. This study aimed to explore the lived experiences of clinical psychologists who treat patients that are either trauma survivors or perpetrators in a psychiatric hospital. Individual semi-structured interviews and follow-up interviews were conducted with three clinical psychologists based at a psychiatric hospital in the Eastern Cape. Data was analysed using Interpretive Phenomenological Analysis. All participants reported experiencing symptoms of vicarious trauma and secondary traumatic stress while treating both victims and perpetrators. The findings also discovered an element of danger, as well as socio-political factors that clinical psychologists experience. Participants also reported experiencing vicarious post-traumatic growth, enhanced by their coping strategies, while providing psychological services to traumatised patients.