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BJSW Advance Access published online on July 31, 2006

British Journal of Social Work, doi:10.1093/bjsw/bcl081
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© The Author 2006. Published by Oxford University Press on behalf of The British Association of Social Workers. All rights reserved

Article

The Cost of Caring? Social Workers in Hospitals Confront Ongoing Terrorism

Rachel Dekel 1 *, Shira Hantman 2, Karni Ginzburg 3, and Zahava Solomon 4

1 Senior lecturer in the School of Social Work at Bar-Ilan University, Ramat-Gan, Israel
2 Faculty member and Director of the Continuing Education Programme at the Shapell School of Social Work, at Tel Aviv University
3 Lecturer in the School Social Work at the Tel-Aviv University
4 Professor of Psychiatric Epidemiology and Social Work at the Tel-Aviv University and the Head of the Adler Research Center for Child Welfare and Protection

* To whom correspondence should be addressed.
Rachel Dekel, E-mail: dekell{at}mail.biu.ac.il


   Abstract

The study reported here assesses the severity of post-traumatic symptoms and emotional distress among hospital social workers who provided emergency treatment to victims after terrorist attacks in Israel. We examined the contributions of personal and professional exposure to terrorism, professional training, supervision, sense of professional confidence, and optimism to the severity of distress among 144 social workers at eighteen hospitals in various parts of the country. Emotional distress was assessed by two measures: secondary traumatization (post-traumatic symptoms after treating victims of terrorist attacks), and additional psychiatric symptomatology. Only 7 per cent of the workers reported secondary traumatization, and their levels of distress on accompanying psychiatric symptoms were significantly lower than the norms for the general Israeli population. We also found that professional exposure to terrorism, sense of professional confidence and optimism contributed significantly to the explained variance in distress. The discussion deals with the findings in light of the rise in terrorism in recent years and the professional literature on the topic.

Keywords: social workers, secondary traumatization, optimism, terrorism.
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