“This work is very hard work. People talk about vicarious trauma; my sense is that actually I have not had to deal with a lot of vicarious trauma, because I think maybe vicarious trauma is a function of working for an institution that does not believe in what you are doing. The trauma is not dealing with a very difficult patient because that is what we do for a living. The trauma is to work for an organization that humiliates you, puts you down, and doesn’t value the very hard work that you do. And then you get harassed for working with very difficult patients; that breaks your heart. So you can only do this work in supportive networks and I am always looking for ways in which people ca
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