| Literature DB >> 23516046 |
Rachel Evans1, Nancy Pistrang, Jo Billings.
Abstract
BACKGROUND: Police officers are routinely exposed to potentially traumatic incidents yet the majority do not develop post-traumatic stress disorder (PTSD). Social support has been identified as one factor that may maintain wellbeing in this population, although what constitutes supportive or unsupportive interactions is unclear.Entities:
Keywords: Post-traumatic stress disorder; coping; emergency services; partners; peers; qualitative interviews; relationships; social constraints; social interactions
Year: 2013 PMID: 23516046 PMCID: PMC3600426 DOI: 10.3402/ejpt.v4i0.19696
Source DB: PubMed Journal: Eur J Psychotraumatol ISSN: 2000-8066
Types of difficult incidents described in interviews
| Type of incident | Key difficult feeling/thought | Relevant participant number |
|---|---|---|
| Dealing with distress of family members when informed of the loss of a loved one | Feeling more could have been done or unsatisfied with the outcome | P3, P4, P6 |
| Feeling the other's distress/putting oneself in the other's shoes (especially if perceived similarities between the victim and one's own situation) | P1, P2, P5, P11, P13, P14, P16, P19 | |
| Violent situation | Feeling targeted, out of control or vulnerable | P7, P15 |
| Unusual death circumstances | Feeling uncomfortable, alone and ‘creepy’ | P8, P17 |
| Incidents involving ‘vulnerable’ people (e.g., children, elderly people or victims of domestic violence) | Perception of an innocent/vulnerable party, feeling the situation is unfair | P9, P10, P12 |
| Major transport related incident | Thinking that they had let colleagues down by leaving the scene | P18 |
Summary of themes from participants’ accounts
| Domain | Themes | Subthemes |
|---|---|---|
| 1. Dilemmas of talking | 1.1 We don't need to talk | “You just get used to it”—hardened by exposure |
| Talking about it isn't going to help | ||
| 1.2 Talking is risky | Emotion as a sign of weakness | |
| The importance of reputation | ||
| 1.3 Don't bottle up: “talk, talk, talk” | Talking helps | |
| But be careful who you talk to | ||
| 2. The work context: informal interactions with colleagues and formal sources of support | 2.1 Humour and banter | Helpful coping strategy |
| Group process: saving face and gaining respect | ||
| Sensitive use of humour—humour has its limitations | ||
| 2.2 “Dip in and out of chat” | Recognising signals of distress and requests to talk | |
| Selecting the person, time and place to talk | ||
| 2.3 Formal opportunities to talk | Ambivalence about formal services | |
| Importance of supervisors | ||
| 3. Support outside work | 3.1 A close relationship with someone who cares | Importance of partners |
| “Selfless listening” and acceptance | ||
| 3.2 Protecting others | “Don't put that heartache on them” | |
| You need time off from work |