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Trauma Research, Social Work Contributions to

During the past several decades, the field of traumatology has produced significant advancements in the breadth and depth of our knowledge and understanding of the psychological and social impact of traumatic events. These advancements have occurred in both the practice and research arenas. Since its inception, traumatology has been an interdisciplinary field drawing from medicine, nursing, psychology, social work, and pastoral counseling, among other disciplines. The interdisciplinary nature of the field has been a strength; nevertheless, each discipline has made contributions emanating from its unique perspective. This entry reviews a number of areas in which the discipline of social work has made seminal contributions to trauma research. For this purpose, social work research is defined as research for which a principal contributor has a social work degree or a faculty position in a social work department.

The Ecological Perspective

The ecological perspective is a central guiding framework of social work practice. The ecological perspective places individual behavior within the context of interactional, biological, psychological, and sociological influences and emphasizes that all existing elements within an ecosystem play an equal role in maintaining balance of the whole. Thus, the ecological perspective requires an understanding of risk, protective, and strength factors on micro, meso, and macro levels. Like social work practice, social work research is often approached from an ecological perspective, which leads social work researchers to focus on transactions between interrelated systems.

Social Work Contributions to Trauma Research

Military Trauma

Several social worker researchers have significantly influenced our understanding of the psychological impact of war on military personnel. Sarah Haley, a Veterans Administration social worker during the Vietnam era, is often credited with being the first to describe the reality of the impact of combat on veterans. Her seminal paper “When the Patient Reports Atrocities,” published in the General Archives of Psychiatry, reported the extent to which military personnel are confronted with, and sometimes themselves perpetrate, horrific acts. Haley's article highlighted the special therapeutic challenges of clinical work with Vietnam veterans.

Charles R. Figley, a longtime professor of social work and a Vietnam veteran, also contributed significantly to early efforts to recognize the problems of readjustment faced by returning Vietnam veterans. He first became cognizant of the need to study what would later become known as post-traumatic stress disorder (PTSD) after hearing repeated stories by veterans of their nightmares, violent rages, irrational fears, and substance abuse. Figley's book, Stress Disorders Among Vietnam Veterans, was the first significant collaborative book on Vietnam veterans. Figley also founded the Consortium on Veteran Studies in 1975 to study and help Vietnam veterans returning from war or recently discharged. This effort led to the development of the diagnosis of PTSD and a national outreach program for Vietnam veterans within the Veterans Administration.

Childhood Trauma

Social work researchers have contributed greatly to our understanding of the impact of childhood trauma. Lucy Berliner and Jon Conte have individually and collaboratively contributed greatly to our understanding of the impact of sexual trauma on children. In particular, their work has given voice to the experiences of victims of childhood sexual abuse and exploitation and provided guidelines in the assessment and treatment of sexual trauma. Kathleen Nader's research has provided insight into the experiences of child survivors of school and community violence; Nader published one of the first descriptions of the psychological aftermath of a school shooting. She has also significantly contributed to our understanding of complicated and traumatic grief in children.

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