Interview Considerations

Vicarious Traumatization

Health and legal professionals, as well as interpreters, who are involved in the care of refugees and survivors of torture should prepare themselves for hearing difficult testimonies. Otherwise, providers can suffer anxiety, depression, and even symptoms that mimic posttraumatic stress disorder.  Some other symptoms include disbelief, rejection, internalization, hopelessness, despair, nightmares, and other intrusions (1-2). 

This phenomenon is called vicarious traumatization and can be avoided by having discussions with other colleagues about feelings and expectations that arise during or after interviews (1-2).  For instance, Physicians for Human Rights offers to all providers who are beginning to work with survivors of torture a mentor who can offer assistance and advice.

References:
1. Randall GR and Lutz EL. Approach to the Patient. In: Serving Survivors of Torture. American Association for the Advancement of Science. 1991.

2. Weinstein HM, Dansky L, and Iacopino V. Torture and War Trauma Survivors in Primary Care Practice. West J Med 1996; 165: 112 – 118.