anita brooks

Ethnographic Research – The Study of Us

Field NotesEthnography is the study of cultures through close observation, reading, and interpretation. Ethnographic researchers work “in the field,” in the culture which they are studying. The activities they conduct are also often called fieldwork. Ethnographers define the word “culture” in broader terms, as a patterned behavior or way of life of a group of people. Some of the elements of culture then are the common habits, customs, traditions, histories, and geographies—everything that connect the members of the culture together and defines them. Ethnographic research allows the researcher  to get “up close and personal” with cultures. It places researchers at the heart of the investigations, often allowing them to participate in the very culture they study. Such an active role gives writers valuable insights into their subject, which usually cannot be achieved simply by studying books, journal articles, and websites.

Death Investigators as a Culture 

Culture is ordinary: that is the first fact. Every human society has its own shape, its own purposes, its own meanings. Every human society expresses these, in institutions, and in arts and learning. The making of a society is the finding of common meanings and directions, and its growth is an active debate and amendment under the pressures of experience, contact, and discovery, writing themselves into the land. The growing society is there, yet it is also made and remade in every individual mind. The making of a mind is, first, the slow learning of shapes, purposes, and meanings, so that work, observation and communication are possible. Then, second, but equal in importance, is the testing of these in experience, the making of new observations, comparisons, and meanings. A culture has two aspects: the known meanings and directions, which its members are trained to; the new observations and meanings, which are offered and tested. These are the ordinary processes of human societies and human minds, and we see through them the nature of a culture: that it is always both traditional and creative; that it is both the most ordinary common meanings and the finest individual meanings. We use the word culture in these two senses: to mean a whole way of life–the common meanings; to mean the arts and learning–the special processes of discovery and creative effort. Some writers reserve the word for one or other of these senses; I insist on both, and on the significance of their conjunction. The questions I ask about our culture are questions about deep personal meanings. Culture is ordinary, in every society and in every mind.

flavia.medeirosToday’s Guest – Flavia Medeiros

Since 2009,Flavia Medeiros has  been conducting ethnographic research about the relation between Medicine, Science, Justice and Police trying to understand how those fields deal with the death and decedents, specifically in homicide cases.

For her  Master Degree in Social Anthropology,  she has  been doing fieldwork in the Rio de Janeiro Medical-Legal Institute, Brazil. Her  goal was understand the proceedings that define a corpse as a dead person. This research is going to be published as a book: “Matar o morto: uma etnografia do Instituto Médico-Legal do Rio de Janeiro (in English: “Kill the decedent: an ethnography of the Rio de Janeiro Medical-Legal Institute.”) Also, she spent three months in Buenos Aires, Argentina where she could observe the Lomas de Zamora Judicial Morgue.

Currently, the title of her  research project is “How are “homicides” negotiated? A comparative ethnography of the construction mechanisms of truths in cases of “intentional crimes against life” in Rio de Janeiro/Brazil and San Francisco/USA.” Her goal is to explore how “homicides” are classified, appreciating the nature of conflicts, the investigation of their facts and the classifications that will produce truths. In this direction, she proposes to observe, identify and analyze what are the practices in Rio de Janeiro (what she did during 2014) and San Francisco (fieldwork she is doing now) for the investigation, prosecution and trial phases. As well as the moralities, senses and representations triggered so that “homicides” may be traded by the institutional agents involved in construction of their truths.

In this episode I talk with Flavia about her research and what has driven her to conduct such an undertaking.  We discuss her current research, the differences seen between America and Brazil and where her future research will take her.  I find it interesting that she is devoting her PhD work to researching what we do.

Contact information for Flavia 

http://www.uff.br/ineac/ – webpage of the “Institute for the Comparative Study of Conflict Administration Processes”
http://www.uff.br/ppga/ – webpage of the Graduate Program in Anthropology where I am a PhD Candidate
https://www.facebook.com/flaviamedeiross – Her  personal profile

tags: coroner,coroner talk podcast,police training, darren dake,sheriff,deputy,coroner association,murder scenes,csi,detective,detective training,auto fatalities,autoerotic fatalities,become a coroner,forensic science,become a csi, fire fighter, fire fighter training,police,paramedic,medicolegal,anita brooks,ptsd,secondary  traumatic stress,flavia medeiros 

Questionable convictions in “shaken baby” cases

Shaken BabyThe term “shaken baby syndrome” (SBS) was developed to explain those instances in which severe intracranial trauma occurred in the absence of signs of external head trauma. SBS is the severe intentional application of violent force (shaking) in one or more episodes, resulting in intracranial injuries to the child. Physical abuse of children by shaking usually is not an isolated event. Many shaken infants show evidence of previous trauma.

Frequently, the shaking has been preceded by other types of abuse.

Mechanism of Injury

The mechanism of injury in SBS is thought to result from a combination of physical factors, including the proportionately large cranial size of infants, the laxity of their neck muscles, and the vulnerability of their intracranial bridging veins, which is due to the fact that the subarachnoid space (the space between the arachnoid membrane and the pia mater, which are the inner two of the three membranes that cover the brain) are somewhat larger in infants. However, the primary factor is the proportionately large size of the adult relative to the child. Shaking by admitted assailants has produced remarkably similar injury patterns:

  • The infant is held by the chest, facing the assailant, and is shaken violently back and forth.
  • The shaking causes the infant’s head to whip forward and backward from the chest to the back.
  • The infant’s chest is compressed, and the arms and legs move about with a whiplash action.
  • At the completion of the assault, the infant may be limp and either not breathing or breathing shallowly.
  • During the assault, the infant’s head may strike a solid object.
  • After the shaking, the infant may be dropped, thrown, or slammed onto a solid surface.
  • The last two events likely explain the many cases of blunt injury, including skull fractures, found in shaken infants. However, although blunt injury may be seen at autopsy in shaken infants, research data suggest that shaking in and of itself is often sufficient to cause serious intracranial injury or death.

 

 

Questionable convictions in “shaken baby” cases?

Deborah Tuerkheimer is a Professor of Law at Northwestern University and the author of “Flawed Convictions: ‘Shaken Baby Syndrome’ and the Inertia of Injustice.” She also appears onSaturday’s “48 Hours” investigation into the case of Melissa Calusinski, a former day care provider who says she is wrongfully convicted in a toddler’s death. Here, Tuerkheimer weighs in on questionable convictions in child death cases. Her opinions do not necessarily reflect those of CBS News.

A few months ago, a 55-year-old Florida day care provider became yet another caregiver accused of shaking a toddler to death. The woman, who had worked with children for decades, denied harming the boy. But pediatricians concluded that this was a case of Shaken Baby Syndrome (SBS).

Even before an autopsy was performed, the state charged the woman with murder. She is being held in jail without bond and if convicted, she faces mandatory life in prison without the possibility of parole.

Based on the press reports, this case resembles many that I have written about in my book, Flawed Convictions: “Shaken Baby Syndrome” and the Inertia of Injustice. Without witnesses or external signs of abuse, the classic diagnosis of Shaken Baby Syndrome rests on three neurological symptoms, otherwise known as the “triad”: bleeding beneath the outermost layer of the brain, retinal bleeding, and brain swelling.

These symptoms are said to prove that a baby was violently shaken and, what’s more, to identify the abuser– whoever was present when the child was last lucid. Shaken Baby Syndrome is, in essence, a medical diagnosis of murder. In order to convict, prosecutors must rely entirely on the claims of science.

But the science has shifted. In recent years, there has been a growing consensus among experts that the neurological symptoms once viewed as conclusive evidence of abuse may well have natural causes, and that old brain injuries can re-bleed upon little or no impact.

In short, current science raises significant questions about the guilt of many caregivers convicted of shaking babies.

Reflecting real movement in the direction of doubt, this past spring, a federal judge in Chicago issued a ruling of “actual innocence” in the case of Jennifer Del Prete, a caregiver accused of shaking a baby in her care. (My book describes this trial in detail.) Del Prete was able to show that, based on what doctors now know about alternative causes of the triad, no reasonable jury could possibly find Del Prete guilty of murder. Indeed, according to the reviewing judge, a lack of evidentiary support for the theory of Shaken Baby Syndrome means that the diagnosis is arguably “more an article of faith than a proposition of science.”

Our legal system has been slow to absorb this new reality. As a consequence, innocent parents and caregivers remain incarcerated and, perhaps more inexplicably, prosecutions based solely on the “triad” symptoms continue even to this day. The cautionary tale of Shaken Baby Syndrome shows that our system is too inclined to stay the course, and awful injustices can result.

Pt 2 The Suicide Plan – Investigating Planned Suicides

SuicideThe assisted suicide movement is, if anything, indefatigable. Not only is it undeterred by its failures, but it is now more energized than any other time in recent years. By the end of March of 2015, bills were introduced in twenty-five state legislatures to legalize assisted suicide.

Defining the Subject

Many people remain confused about the exact nature of assisted suicide advocacy, sometimes confusing it with other medical issues involving end-of-life care. Thus, to fully understand the subject, we must distinguish between ethical choices at the end of life that may lead to death and the poison of euthanasia/assisted suicide.

1.      Refusing unwanted medical treatment is not assisted suicide: Fear of being “hooked up to machines” when one wishes to die at home has traditionally been a driving force behind the assisted suicide movement. But we all have the right to refuse medical interventions—even if the choice is likely to lead to death. Thus, a cancer patient can reject chemotherapy and a patient dying of Lou Gehrig’s disease can say no to a respirator.  Indeed, in 1997, the U.S. Supreme Court ruled unanimously that the right to refuse medical treatment is completely different from assisted suicide.[9]

2.      Assisted suicide/euthanasia is not the same as medical treatment for pain control: Because pain control may require strong drugs, which can cause death, assisted suicide advocates often claim that palliation and euthanasia are ethically the same under the “principle of double effect.” But this is all wrong:

  • Any legitimate medical treatment can unintentionally lead to death, including pain alleviation. In assisted suicide death is the intended effect.
  • We would never say that a patient who died during open heart surgery was euthanized. Similarly, a patient who dies from the unintended side effects of pain control has not been assisted in suicide or euthanized.
  • Pain control experts state that aggressive pain control generally does not shorten life.

3.      Assisted suicide/euthanasia is antithetical to hospice: Hospice was founded by the great medical humanitarian Dame Cicely Saunders in the late 1960s as a reform movement to bring the care of the dying out of isolated hospitals and into patients’ homes or non-institutional local care facilities. Its purpose is to provide dying people with proper treatment of pain and other disturbing symptoms as well as to render spiritual, psychological, and social support toward the end that life be lived as fully as possible until natural death.

In contrast, assisted suicide is about rushing death, making it happen sooner rather than later through lethal actions. Or to put it another way: Hospice is about living. Assisted suicide/euthanasia is about dying. As the noted palliative care expert and assisted suicide opponent Dr. Ira Byock has written, “There’s a distinction between alleviating suffering and eliminating the sufferer — between enabling someone to die gently of their disease and ending that person’s life with a lethal pill or injection.”

4.      Assisted suicide/euthanasia are acts that intentionally end life: In contrast to the above, the intended purpose of assisted suicide and euthanasia is to end life, e.g., to kill. In assisted suicide, the last act causing death is taken by the person who dies, for example, ingesting a lethal prescription of barbiturates. In euthanasia, the death is a homicide, an act of killing taken by a third person, such as a doctor injecting a patient with poisonous drugs.

From an Investigators Standpoint 

With the above statements we can see that the topic of assisted suicide is at best conversional.  As a death investigator, our job is simple; to report the facts and the facts only.  However, it is well understood that our own emotions and bias on the topic can and will play a role in how we approached these scenes. The investigators must guard against allowing these personal feelings to interfere with the proper reporting and interpretation of  the scene.

Conversation with Prosecuting Attorney 

It is  a good suggestion to have a conversation with your  prosecuting attorney and a review of your agency policy to see how best to proceed in these cases. You should always report all facts in the case, but having a better understanding of how you are expected to proceed may well help in your overall review of the case.

With Family

No matter what decision  your Prosecuting Attorney goes, some members of the deceased family will invariably not agree with the decision.  This is why it best to do a proper and complete investigation, report all and only, the facts – and let those responsible for making these critical decision do their job. You, as the investigator , can rest in the knowledge that you have done your job and can properly explain to the family exactly what took place and why decision  are made based upon these facts.  Many family members may still not agree with the outcome, but it is much better for them to have the facts than them come up with their own set of “facts’ as they see it.

Anita Brook-corner talk-secondary stressAnita Brooks    anitabrooks.com

The Suicide Plan – Investigating Planned Suicides Pt1

SuicideThe Centers for Disease Control and Prevention (CDC) collects data about mortality in the U.S., including deaths by suicide. In 2013 (the most recent year for which full data are available), 41,149 suicides were reported, making suicide the 10th leading cause of death for Americans. In that year, someone in the country died by suicide every 12.8 minutes.   With those totals, we are all bound to be involved in investigating suicides.  Suicides can be acute, meaning short term or spur of the moment final decision, or a well planned and risk assessed  action.  In this episode of Coroner Talk™ we are going to look at the pros, if there be any, and the cons of planned suicide.

Featured in this weeks show is a PBS production of  Frontline that deals with the topic of a well planned suicide and the legal and moral implication that accompany such a decision.  Regardless of where you stand on the topic, this episode will start you thinking of the other side.

The Assisted Suicide Debate

Since Oregon legalized physician-assisted suicide for the terminally ill in 1997, more than 700 people have taken their lives with prescribed medication — including Brittany Maynard, a 29-year-old with an incurable brain tumor, who ended her life earlier this month.

Advocates of assisted-suicide laws believe that mentally competent people who are suffering and have no chance of long-term survival, should have the right to die if and when they choose. If people are have the right to refuse life-saving treatments, they argue, they should also have the freedom to choose to end their own lives.

Opponents say that such laws devalue human life. Medical prognoses are often inaccurate, they note — meaning people who have been told they will soon die sometimes live for many months or even years longer. They also argue that seriously ill people often suffer from undiagnosed depression or other mental illnesses that can impair their ability to make an informed decision.

At the latest event from Intelligence Squared U.S., two teams addressed these questions while debating the motion, “Legalize Assisted Suicide.”

Before the debate, the audience at the Kaufman Music Center in New York was 65 percent in favor of the motion and 10 percent against, with 25 percent undecided. After the debate, 67 percent favored the motion, with 22 percent against, making the team arguing against the motion the winner of this debate.

http://www.npr.org/2014/11/20/365509889/debate-should-physician-assisted-suicide-be-legal

The Suicide Plan – Investigating Planned Suicide

Investigators are offered a hard road when it comes to investigating a planned suicide when it is found that family or friends may have assisted in some manner, regardless of the extent of the that assistance.  Even providing a cool drink of water to wash down the pills that will end life can be enough in some states to charge a person with assistance.  But where, as investigators, do we stand on the issue.  Some investigators are only providing cause and manner of death determinations, which can be clouded by the assistance issue. While other investigators are charged with the task  of deciding the criminal aspect of the assistance rendered.

In part two of this issue we will take a deep dive into the debate that will most assuredly muddy up the waters a bit.  That is next episode on Coroner Talk™..

suicide-prevention-lifeline-logo

Workplace Bullying

workplace_bullying

 

Workplace Bullying is repeated, health-harming mistreatment of one or more persons (the targets) by one or more perpetrators. It is abusive conduct that is :

This definition was used in the 2014 WBI U.S. Workplace Bullying Survey. Its national prevalence was assessed. Read the Survey results.

Workplace Bullying…

  • Is driven by perpetrators’ need to control the targeted individual(s).
  • Is initiated by bullies who choose their targets, timing, location, and methods.
  • Is a set of acts of commission (doing things to others) or omission (withholding resources from others)
  • Requires consequences for the targeted individual
  • Escalates to involve others who side with the bully, either voluntarily or through coercion.
  • Undermines legitimate business interests when bullies’ personal agendas take precedence over work itself.
  • Is akin to domestic violence at work, where the abuser is on the payroll.

Please know two things:

Bullying is a systematic campaign of interpersonal destruction that jeopardizes your health, your career, the job you once loved. Bullying is a non-physical, non-homicidal form of violence and, because it is violence and abusive, emotional harm frequently results. You may not be the first person to have noticed that you were bullied. Check to see how many of these indicators match yours.

Remember, you did not cause bullying to happen. We’ve broken down the major reasons why bullies bully. The primary reason bullying occurs so frequently in workplaces is that bullying is not yet illegal. Bullying is four times more common than either sexual harassment or racial discrimination on the job.

Should you confront the bully? If you could have, you would have. Instead, use the WBI-suggested 3-Step Method. Remember, put your health first. Don’t believe the lies told about you. Spend time with loved ones and friends. At times of debilitating stress like this, you must not be isolated. Isolation will only make the stress worse.

As we said, to date, no U.S. state has passed an anti-bullying law for the workplace.

* This article is a re-print if excerpts from  Workplace Bullying Institute   To read full article and see many more resources click over to there site.Anita Brook-corner talk-secondary stress

Todays guest is Anita Brooks  of anitabrooks.com 

 


anita brooks asphyxia aurora auto-erotic auto-erotica batmanburnout child abuse colorado Colorado Coroners communication compassion  compassion fatigue corone rcrime scene crime scene photography csidarren dake death death investigation denver deputy detective ebola emergency care field fire firefighterfire fighter fire fighter training  getting through what you can’t get overmedical examiner murderparamedic  police police training PTSD scene command sheriffshooting sids suicidesymptoms of compassion fatiguetheater trauma victims who is at risk for compassion fatigue

A Case For Professional Ethics

ethicsProfessional Ethics encompass the personal, organizational and corporate standards of behaviour expected of professionals. Professionals, and those working in acknowledged professions, exercise specialist knowledge and skill. Most professions have internally enforced codes of practice that members of the profession must follow to prevent exploitation of the client and to preserve the integrity of the profession. This is not only for the benefit of the client but also for the benefit of those belonging to the profession. Disciplinary codes allow the profession to define a standard of conduct and ensure that individual practitioners meet this standard, by disciplining them from the professional body if they do not practice accordingly. This allows those professionals who act with conscience to practice in the knowledge that they will not be undermined  by those who have fewer ethical qualms. It also maintains the public’s trust in the profession, encouraging the public to continue seeking their services.

Ethical Behavior is also defined as a set, or system of, moral values and principles that are based on honesty and truthfulness and have been accepted as professional standards. To police officers, coroners, death investigators and criminal justice in general;  the ethical mind-set additionally includes:  Integrity, courage and allegiance.   Let’s make a case for professional ethics.

Professional Ethics in Medicolegal Death Investigation

Paul R. Parker III, B.S., D-ABMDI 

  1. Introduction
    1. MLDI personnel are placed in a position of public trust
      1. We are involved at the most catastrophic of times for decedents and next-of-kin (NOK)
    2. Plenty of materials re: ethics and law enforcement
      1. Not necessarily on ethics and medicolegal death investigation (MLDI)
    3. Plenty of emphasis on actual MLDI but:
      1. Limited focus on the ethics, character, and behavior of MLDI personnel
      2. Limited focus on management/supervision of MLDI personnel
    4. National Academy of Sciences: Strengthening Forensic Science in US (2009)
      1. Recommended a National Code of Ethics for all forensic science professionals

 

  1. Professional Ethics
  2. Edwin Delattre (Character and Cops: Ethics in Policing)
    1. Character
      1. First nature
        1. Instant gratification as infants, indifferent to the effect of our wants on others
      2. Second nature
        1. As grow, learn, and are trained develop better or worse dispositions and habits
        2. Unless possessing an abnormal defect, most of the time good or bad character depends upon upbringing
  • Bad habits are hard to break
    1. Character can be reformed later in life
  1. Good character can be obtained by habituation in youth, observation and imitation of others, rejection of bad behavior by others, and continued practice of behaving well
    1. Challenged when growing up and not just made to do easy and interesting tasks results in people who are incapable of doing anything that is disagreeable and does not result in immediate gratification
  2. Types of character
    1. Bad character
      1. Seek opportunities to profit from others
      2. Must be removed from a position of public trust
    2. Uncontrolled
      1. They have a “price’ and can be reached
      2. Must be removed from a position of public trust
    3. Self-controlled
      1. Will do the right thing but resent it and the standard to which they are held
      2. Tension between duty and desire
      3. Management must provide guidance and leadership on how to deal with temptation
    4. Excellent
      1. Truly incorruptible
      2. Money is only “green paper”
    5. Intelligence without good character is dangerous
  3. Front Page Test
  4. What do you do when no one is watching
  5. Doing the right thing at the right time in the right way for the right reason toward the right people
  6. Duty to profession
    1. Education
    2. Continuous improvement
    3. Focus on demeanor, appearance
  7. Duty to public
  8. Noblest motive is the public good
  9. Confidentiality
  10. Respect for decedent
    1. Cover body at scene
    2. Manipulation during reparation for transport
    3. Comments about
      1. “Crispy critter”
      2. “Floater”
  • “Decomp”
  1. “Ped Spread”
  1. Respect for NOK
    1. Interact with them at their most vulnerable and lowest period of life
  2. Safeguarding of property
    1. Last notified and on-scene, first accused of taking something, inappropriate activities
    2. Theft of personal property/money
      1. From scene
      2. From body
    3. Theft of medication
  3. Integrity
    1. Truth telling
      1. No lying or omissions
    2. Falsification of documents
      1. Time cards
      2. Reports
    3. False statements during investigations
      1. Cases
        1. Scenes
        2. Telephone
      2. Internal investigations
    4. Impartiality and neutrality
    5. Reports
      1. Thorough
      2. Factual
        1. Leave anything out?
          1. Conversations with pathologists, other investigators
        2. NOK
          1. Notification
            1. Knock once (lightly) and then leave a card
            2. Due diligence in searching for them
          2. Interaction with NOK
            1. What to disclose to them during notification, investigation, follow-up
            2. What to leave out during conversations
          3. Timeliness of interaction with NOK
            1. Prior to media notification of cause and manner
          4. Extent of interaction with
            1. Developing personal relationships
          5. Expectation of gratitude
        3. Harassment, bullying of co-workers, subordinates, gossiping
        4. Public life vs. private life
          1. Appropriate activities while on-duty
            1. Above reproach
            2. Professional
  • Moral and ethical behaviors, not:
    1. Inappropriate relationships/sex on-duty
    2. Alcohol
    3. Theft
    4. Disrespect
    5. Gratuities
    6. Favoritism
    7. Inappropriate activities with decedents
  1. Appropriate activities while off-duty
    1. Criminal activities
    2. Alcohol
  • Sex
  1. Domestic violence

 

  • Fostering Professional Integrity
    1. MLDI personnel must be trust-worthy and of high character and integrity
    2. Selecting right people
      1. Background
        1. Written
        2. Interview
        3. Role playing
        4. Psychological
        5. Polygraph
        6. Criminal history check
          1. LE sends background investigators to talk to neighbors, former acquaintances
        7. Credit check
      2. New hire
        1. Code of ethics
          1. Most include:
            1. Must not exercise professional or personal conduct adverse to best interests of agency/certifying body
            2. Must not misrepresent education, training, experience
  • Must not misrepresent data, findings, etc.
  1. Code of conduct
    1. Should include:
      1. decedents, customers, and co-workers shall be treated with dignity, respect, and courtesy at all times
      2. services shall be provided in accordance with applicable federal, state, and local laws, rules and regulations,
  • working environment shall be free from all forms of harassment, discrimination, or intimidation shall be maintained
  1. employee will not be required to compromise his or her appropriate or established professional standards or objectivity in the performance of his or her duties
  2. participate in and encourage activities that promote quality assurance and continuous improvement
  3. work culture that promotes the prevention, detection, and resolution of instances of conduct that do not conform to ethical or legal standards and to this Code of Conduct
  1. Relies upon:
    1. Members willing to follow
    2. Management must enforce/”buy in”
  2. Training program
  3. Policies
  4. Procedures
  5. Probationary period
  • Continuing
    1. Management must model ethical behavior
      1. Walk the walk
      2. Do not look the other way when it comes to ethics and integrity issues
    2. Peer counseling

 

Practical Cultural Guidelines For Death Investigators

globe [Converted]Culture includes the beliefs, customs, and arts of a particular society, group, or place. How people respond to issues of death or dying is directly related to their cultural backgrounds. Anyone who works with families should be sensitive to their culture, ethnic, religious, and language diversity.

10 Practical Guidelines

  1. » Allow families to grieve the loss of their loved one in their customary ways.
  2. » Recognize that grief and loss may be expressed differently across cultures.
  3. » Use an interpreter when necessary to avoid miscommunication.
  4. » Identify important ethnic or faith leaders in the community and ask them about what support is available for families.
  5. » Avoid personal contact such as hugging or touching unless invited.
  6. » Carefully consider the words you use when speaking with family members about their loss.
  7. » Respond to family requests in a respectful and sensitive manner.
  8. » Avoid answering questions such as “why?”
  9. » Be conscious of the volume of your voice.
  10. » If you are entering a home, be conscious of your shoes.

 

Full Downloadable Guideline

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Secondary Traumatic Stress – Getting Through What You Can’t Get Over

Anita Brook-corner talk-secondary stressSecondary Traumatic Stress (STS), also known as Compassion Fatigue , is a condition characterized by a gradual lessening of compassion over time. It is common among individuals that work directly with trauma victims such as coroners, police, nurses, psychologists, and first responders.  Sufferers can exhibit several symptoms including hopelessness, a decrease in experiences of pleasure, constant stress and anxiety, sleeplessness or nightmares, and a pervasive negative attitude. This can have detrimental effects on individuals, both professionally and personally, including a decrease in productivity, the inability to focus, and the development of new feelings of incompetency and self-doubt. This self-doubt can cause problems at work and home, and over time will effect all relationships.

Several personal attributes place a person at risk for developing compassion fatigue. Persons who are overly conscientious, perfectionists, and self-giving are more likely to suffer from secondary traumatic stress. Those who have low levels of social support or high levels of stress in personal life or job are also more likely to develop STS. In addition, previous histories of trauma that led to negative coping skills, such as bottling up or avoiding emotions, increase the risk for developing STS.

Many organizational attributes in the fields where STS is most common, such as the healthcare field and death investigators, contribute to compassion fatigue among the workers. For example, a “culture of silence” where stressful events such as deaths in an intensive-care unit are not discussed after the event is linked to compassion fatigue. Lack of awareness of symptoms and poor training in the risks associated with high-stress jobs can also contribute to high rates of STS.

There are no known clinical treatment options for compassion trauma, but there are a number of recommended preventative measures

Personal self-care

Stress reduction practices have been shown to be effective in preventing and treating STS. Taking a break from work, participating in breathing exercises, exercising, and other recreational activities all help reduce the stress associated with STS. In addition, establishing clear, professional boundaries and accepting the fact that successful outcomes are not always achievable can limit the effects of STS.

Social self-care

Social support can help practitioners maintain a balance in their worldview. Maintaining a diverse network of social support, from colleagues to pets, promotes a positive psychological state and can protect against STS.

 


 

Screen Shot 2014-07-18 at 7.49.33Many thanks to  Anita Agers-Brooks  for her contribution  to our community and her research on this topic.  You can find more about Anita from the link in her name.  Her knew book can be found on Amazon.  

 

 

 

 

Money Plan S.O.S | Financial Coaching

Money Plan sosWe all, at times,  need to take a step back and look at our personal lives.  We are always in the mix of other people’s mess and we often neglect our own.  As public servants none of us are paid what would be considered an amazing wage. However, we can take steps to live better, live smarter, and plan for tomorrow.  In this episode I talk with Steve Stewart of Money Plan S.O.S. We talk about how to come out of financial crisis mode and into a secure financial state free from fear and worry and how Financial Coaching   can help you too.

Steve Stewart is a financial coach and podcaster and can be found at the links below.  I invite you to check out his show – subscribe to his podcast and leave a review after three shows.  His down to earth advice and information is invaluable to our financial  success.  Steve’s website has tons of resources and information free to download and use.  You can find more about Money Plan SOS and Steve Stewart at:

 

http://moneyplansos.com

Podcast Link 

Child Death – Investigation Obstacles | CT8

Screen Shot 2014-09-14 at 13.08.15On this weeks show I talk with Skip McGuire  about the obstacles in investigating child deaths. We all know that these  investigations bring on a whole new level of emotion and scrutiny than most other investigations. Also they seem to have a higher community impact than do other more “normal” deaths.  Obstacles covered today include; scene management, training, the need to show effort, and EMS issues.  

Skip is a 34 year  veteran of law enforcement investigation  and is currently an supervising investigator for the State of Missouri STAT  organization.

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