These shifts in cognitive schemas are a result of vicarious trauma (VT). VT, also known as secondary traumatic stress, can happen as a result of the empathic engagement with clients who have traumatic histories (Neumann & Gamble, 1995). In the 1920s, Alfred Adler defined empathy as seeing through the eyes of another, hearing through the ears of another, and understanding with the heart of another. When helping professionals experience empathy with clients, they vicariously experience clients’ trauma.
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