Vicarious Trauma

 

Vicarious Trauma

Ed Geraty LCSW-C

INSITEintegrative.com

 

The darkest parts of reality continue to unfold with wars and disasters — millions face pain, suffering, separation, fear, loss, hunger, thirst, disease, and desperation. It’s beyond devastating.

Bearing witness to these experiences is nothing like being on the ground, but can be unrelenting in its own right. And, never has there been so much coverage of terror and horror on social media. The pictures. The details. The heinous acts. The constant exposure. The accompanying slurs.

It can evoke deep sadness, significant stress, and vicarious trauma that is far-reaching and potentially long-lasting.

What is vicarious trauma?

Events can negatively affect people a world away from the scene, especially when this involves witnessing fear, pain, grief, and terror that others have experienced. This is the “cost of caring”:  We empathize with victims and this can cause us to  “feel their pain.” We may also feel directly threatened, especially when we relate in some way to those most impacted—“this could be me” or “this will be me.” 

We feel helpless to do anything.

Our attitudes and worldviews shift after exposure to distressing images of these events. This is vicarious trauma—the psychological impact of second-hand exposure to traumatic events. If left unrecognized and, in some cases, untreated, it can lead to depression, anxiety, PTSD, social withdrawal, substance abuse, or suicidal thoughts.

Prevalence varies because of variation in how vicarious trauma is measured and where it’s been studied. But, perhaps most importantly, the extent of suffering depends on the dose of exposure and socio-demographic predisposing factors.

Dose: Media exposure matters

Widespread media coverage of war, and particularly terrorism, has harmful effects on mental and physical health. And the more you interact with social media and television, the worse its impact. We’ve seen this over and over in the literature from other events:  In a 2014 Israeli study, the higher the media exposure during terror attacks, the higher the distress and post-traumatic stress symptoms levels. After 9/11, those who watched 4+ hours of TV coverage daily were more likely to experience acute stress. After 9/11, frequent early exposure to 9/11-related television predicted posttraumatic stress symptoms and physical health problems two to three years later.

After the Boston Marathon bombings, repeated bombing-related media was associated with higher stress than direct exposure. Acute stress steadily increased with additional hours of media exposure.

Unfortunately, most research has focused on television exposure.. Of course, the information landscape has changed. Social media is not unfiltered, mis/disinformation is rampant, and exposure can be unexpected (for example, encountering gruesome photos while scrolling through feeds of pets).

 

Some recent studies have tried to fill the space. One simulation study found community PTSD prevalence almost doubled after social media video sharing of a terror attack compared to television.

Socio-demographic predictors

Everyone can experience vicarious trauma, but certain socio-demographic groups are  at higher risk: Shared social identity with victims. For example, a study on the Pulse nightclub terror attack, which occurred on Latin night, found Hispanics and LGBTQ individuals were more likely to develop acute stress through media exposure than other demographics.

. Pre-event traumatic exposure and/or traumatic loss. Your experience before an event significantly impacts how you experience a current event. One study found direct exposure to 9/11 or Sandy Hook was more likely to cause acute stress after the Boston Marathon bombing.

What can we do?

Of course, social media use can be a positive force too, like increasing social connectedness. One study found that social media was protective against vicarious trauma when the content was focused on heroic acts and viewing information about the conflict itself (rather than the suffering).  There are a number of things we can do to reduce vicarious trauma while remaining up-to-date on news:

Turn off auto-play videos on social media.

Walk away from social media after a time. Put on a timer.

Pay attention to how you’re feelings. If you’re feeling overwhelmed, do activities that make you feel calm or relaxed.

Seek social support. Being around other people who care about you is one of the best ways to reduce stress.

Talk to someone you trust. This can be a family member, a friend, clergy, or a therapist.

Find ways to feel useful. This can include donating to causes that help address the needs of those suffering or even just reaching out to a neighbor or friend who is struggling.

If you have children, monitor what they’re seeing or hearing. As overwhelming as the media exposure is for adults, it can be even more confusing and stressful for kids. The National Child Traumatic Stress Network is a helpful resource for discussing war with kids.

Bottom line

Being witness to terrorist attacks and war can set off a cascade of collective trauma that results in physical, mental, and emotional impairment for thousands; far more extensive and for far longer than we may think. If you’re hurting, overwhelmed, and exhausted, you’re not alone.

 

Info gathered from ptsduk.org