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The focus was on the prospect of positive gains and growth for therapists. Twenty-one clinicians ( n = 21; counselors\/psychotherapists and psychologists) from National Health Service (NHS) specialist trauma services, a community mental health team, and specialist sexual assault counseling organization participated. Interpretative phenomenological analysis (IPA) was utilized to conduct single one-off interviews and analysis. Six themes were identified: Called to the work; Connection, Separation, and Oneness; Into and out of the darkness; Chaos into meaning; Reparation not repetition; and Expansion and growth. The first \u201cTherapist Led Framework of Growth in Trauma Work\u201d is presented. Vicarious posttraumatic growth (VPTG) was a key finding, with CPT therapists experiencing a \u201cchallenge\/benefit\/change\u201d growth process. Adoption of actively relational strategies to enhance clinicians\u2019 growth process through trauma work is being proposed. The benefits of conceptualizing both the positive and negative impacts of such work for supervision, training, shaping the formal curricula, service management, and continuing professional development (CPD) are being discussed. The need for good practice guidelines on self-care internationally is highlighted.<\/jats:p>","DOI":"10.1177\/0886260518759062","type":"journal-article","created":{"date-parts":[[2018,3,20]],"date-time":"2018-03-20T09:59:44Z","timestamp":1521539984000},"page":"2791-2815","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":24,"title":["Working in the Field of Complex Psychological Trauma: A Framework for Personal and Professional Growth, Training, and Supervision"],"prefix":"10.1177","volume":"36","author":[{"given":"Anne Marie","family":"Coleman","sequence":"first","affiliation":[{"name":"NHS Greater Glasgow and Clyde, Scotland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zo\u00eb","family":"Chouliara","sequence":"additional","affiliation":[{"name":"Edinburgh Napier University, Scotland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kay","family":"Currie","sequence":"additional","affiliation":[{"name":"Glasgow Caledonian University, Scotland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,3,20]]},"reference":[{"key":"bibr1-0886260518759062","doi-asserted-by":"publisher","DOI":"10.1037\/0002-9432.76.1.103"},{"key":"bibr2-0886260518759062","doi-asserted-by":"publisher","DOI":"10.1080\/09515070600811899"},{"key":"bibr3-0886260518759062","doi-asserted-by":"publisher","DOI":"10.1080\/09515070.2012.727553"},{"key":"bibr4-0886260518759062","doi-asserted-by":"publisher","DOI":"10.1037\/vio0000030"},{"key":"bibr5-0886260518759062","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291715001981"},{"key":"bibr6-0886260518759062","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.55.7.626"},{"key":"bibr7-0886260518759062","doi-asserted-by":"publisher","DOI":"10.1093\/sw\/52.1.63"},{"key":"bibr8-0886260518759062","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20704"},{"key":"bibr9-0886260518759062","doi-asserted-by":"publisher","DOI":"10.1080\/14768320500230185"},{"key":"bibr10-0886260518759062","doi-asserted-by":"publisher","DOI":"10.1300\/J497v75n02_06"},{"key":"bibr11-0886260518759062","doi-asserted-by":"publisher","DOI":"10.1080\/14733140802656479"},{"key":"bibr12-0886260518759062","volume-title":"Therapeutic change from interpersonal trauma in group work: A framework for research and clinical practice","author":"Chouliara Z.","year":"2013"},{"key":"bibr13-0886260518759062","doi-asserted-by":"publisher","DOI":"10.1177\/0886260517696860"},{"key":"bibr14-0886260518759062","doi-asserted-by":"publisher","DOI":"10.1080\/10538712.2011.554340"},{"key":"bibr15-0886260518759062","doi-asserted-by":"publisher","DOI":"10.1080\/14733145.2012.656136"},{"key":"bibr16-0886260518759062","first-page":"131","volume-title":"Special issues in health psychology","author":"Chouliara Z.","year":"2007"},{"key":"bibr17-0886260518759062","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdh423"},{"key":"bibr18-0886260518759062","doi-asserted-by":"publisher","DOI":"10.1016\/j.childyouth.2017.06.072"},{"key":"bibr19-0886260518759062","doi-asserted-by":"publisher","DOI":"10.3402\/ejpt.v4i0.20706"},{"key":"bibr20-0886260518759062","doi-asserted-by":"publisher","DOI":"10.1177\/1077559507310045"},{"key":"bibr21-0886260518759062","doi-asserted-by":"publisher","DOI":"10.1037\/a0025048"},{"key":"bibr22-0886260518759062","volume-title":"Treating complex traumatic stress disorders: An evidence-based guide","author":"Courtois C. 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