{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T22:09:40Z","timestamp":1790806180218,"version":"4.1.0"},"reference-count":31,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,7,4]],"date-time":"2023-07-04T00:00:00Z","timestamp":1688428800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:p>This paper explores how trauma informed training and consultation for non-specialist staff at the Independent Inquiry into Child Sexual Abuse in England and Wales enabled them to work with survivors of non-recent child sexual abuse in the Truth Project and other areas of the Inquiry. The paper draws on data gathered from 32 semi-structured interviews with a range of Inquiry staff, including civil servants, legal professionals, senior operational managers, and researchers. The interview questions mapped on to the trauma informed principles embedded in the Inquiry and considered the efficacy and implementation of this training for engaging with survivors\u2019 voices, working with challenging testimonies and materials, and contributing to epistemic change. Findings included all staff having an awareness of what it meant to be trauma informed in an Inquiry context, talking about the principles in terms of value-based positions. Staff described an awareness of needing to attend to the idiosyncratic experiences of the individual survivor, and there was recognition that previous damage to survivor trust, through institutional failure, meant that demonstrating trustworthiness was a central task. Staff talked about the impacts of participation on some survivors, and the impacts it had on them to be exposed to trauma-related materials. There was acknowledgment of the limitations of the trauma informed approach but also recognition of the wider applications of this learning for other areas of their personal and professional lives. There is some support for the therapeutic culture developed at the Inquiry leading to what Fricker refers to as a testimonial sensibility, a quality of listening necessary for the establishment of epistemic justice. The discussion focuses on how this way of working can be applied to other public service settings and how epistemic justice concepts can be included in more traditional trauma informed care models to encourage an ethic of listening that has political and social, in addition to therapeutic, outcomes.<\/jats:p>","DOI":"10.3389\/fpsyt.2023.1177622","type":"journal-article","created":{"date-parts":[[2023,7,4]],"date-time":"2023-07-04T15:17:18Z","timestamp":1688483838000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":7,"title":["The truth project- paper two- using staff training and consultation to inculcate a testimonial sensibility in non-specialist staff teams working with survivors of child sexual abuse"],"prefix":"10.3389","volume":"14","author":[{"given":"Claire","family":"Barker","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Taggart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Gonzalez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Quail","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebekah","family":"Eglinton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Ford","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Tantam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,7,4]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","DOI":"10.1093\/acprof:oso\/9780198237907.001.0001","volume-title":"Epistemic injustice: power and the ethics of knowing","author":"Fricker","year":"2007"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1002\/jcop.20063","article-title":"Trauma-informed or trauma-denied: principles and implementation of trauma-informed services for women","volume":"33","author":"Elliott","year":"2005","journal-title":"J Community Psychol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"93","DOI":"10.3390\/soc10040093","article-title":"Parental non-engagement within child protection services- how can understandings of complex trauma and epistemic trust help?","volume":"10","author":"Mason","year":"2020","journal-title":"Societies"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"e0252747","DOI":"10.1371\/journal.pone.0252747","article-title":"Trauma informed interventions: a systematic review","volume":"16","author":"Han","year":"2021","journal-title":"PLoS One"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1039","DOI":"10.1007\/s10461-017-2013-1","article-title":"Improving AIDS care after trauma (ImpACT): pilot outcomes of a coping intervention among HIV-infected women with sexual trauma in South Africa","volume":"22","author":"Sikkema","year":"2018","journal-title":"AIDS Behav"},{"key":"ref6","first-page":"165","article-title":"Lay mental health in the aftermath of disaster: preliminary evaluation of an intervention for Haiti earthquake survivors","volume":"15","author":"James","year":"2013","journal-title":"Int J Emerg Mental Health"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1192\/bja.2018.29","article-title":"A paradigm shift: relationships in trauma-informed mental health services","volume":"24","author":"Sweeney","year":"2018","journal-title":"BJPsych Adv"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"666","DOI":"10.1037\/tra0000327","article-title":"The implementation and effect of trauma-informed care within residential youth services in rural Canada: a mixed methods case study","volume":"10","author":"Baker","year":"2017","journal-title":"Psychol Trauma"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2023.112845","article-title":"The truth project paper one\u2014how did survivors experience participation? Addressing epistemic relational inequality in the field of child sexual abuse","author":"Barker","year":"2023","journal-title":"Front Psychiatry"},{"key":"ref10","first-page":"39","article-title":"Fairy tales and script drama analysis","volume":"7","author":"Karpman","year":"1968","journal-title":"Trans Analysis Bull"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"575","DOI":"10.1037\/a0037564","article-title":"Institutional betrayal","volume":"69","author":"Smith","year":"2014","journal-title":"Am Psychol"},{"key":"ref12","year":"2022"},{"key":"ref13","year":"2022"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"636","DOI":"10.1080\/15299732.2020.1869657","article-title":"Bitten by the system that cared for them: towards a trauma-informed understanding of patients\u2019 healthcare engagement","volume":"22","author":"Selwyn","year":"2021","journal-title":"J Trauma Dissociation"},{"key":"ref15","year":"2017"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"530","DOI":"10.1111\/j.1939-0025.1985.tb02703.x","article-title":"The traumatic impact of child sexual abuse: a conceptualization","volume":"55","author":"Finkelhor","year":"1985","journal-title":"Am J Orthopsychiatry"},{"key":"ref17","author":"Fisher","year":"2017"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"1117","DOI":"10.1080\/10926771.2017.1322654","article-title":"Insult, then injury: interpersonal and institutional betrayal linked to health and dissociation","volume":"26","author":"Smith","year":"2017","journal-title":"J Aggress Maltreat Trauma"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"666","DOI":"10.1038\/s41415-022-5103-z","article-title":"Avoiding psychological (re) traumatisation in dentistry when working with patients who are adult survivors of child sex abuse","volume":"233","author":"Alyce","year":"2022","journal-title":"Br Dent J"},{"key":"ref20","first-page":"23","article-title":"The role of organisational culture in child sexual abuse in institutional contexts. Royal Commission into Institutional Responses to Child Sexual Abuse","volume-title":"Child Abuse Negl","author":"Palmer","year":"2016"},{"key":"ref21","volume-title":"Bryman\u2019s social research methods","author":"Clark","year":"2021"},{"key":"ref22","first-page":"222","article-title":"Thematic analysis","volume-title":"Qualitative psychology: a practical guide to research methods","author":"Clarke","year":"2015"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1177\/1609406917733847","article-title":"Thematic analysis: striving to meet the trustworthiness criteria","volume":"16","author":"Nowell","year":"2017","journal-title":"Int J Qual Methods"},{"key":"ref24","author":"Fransman","year":"2021"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1080\/09638237.2018.1520973","article-title":"(Mis)understanding trauma-informed approaches in mental health","volume":"27","author":"Sweeney","year":"2018","journal-title":"J Ment Health"},{"key":"ref26","author":"Lovett","year":"2018"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1080\/14443058.2018.1462237","article-title":"Challenging institutional denial: psychological discourse, therapeutic culture and public inquiries","volume":"42","author":"Wright","year":"2018","journal-title":"J Australian Studies"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1080\/14443058.2018.1467725","article-title":"Speaking the unspeakable, naming the unnameable: the royal commission into institutional responses to child sexual abuse","volume":"42","author":"Wright","year":"2018","journal-title":"J Australian Studies"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"906","DOI":"10.1177\/1524838020979667","article-title":"Reducing shame, promoting dignity: a model for the primary prevention of complex post-traumatic stress disorder","volume":"23","author":"Salter","year":"2020","journal-title":"Trauma Violence Abuse"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"744","DOI":"10.1080\/15564886.2020.1743803","article-title":"Lessons from transitional justice? Toward a new framing of a victim-centered approach in the case of historical institutional abuse","volume":"15","author":"Hamber","year":"2020","journal-title":"Victims Offenders"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1111\/1467-9973.00266","article-title":"Epistemic injustice and a role for virtue in the politics of knowing","volume":"34","author":"Fricker","year":"2003","journal-title":"Metaphilosophy"}],"container-title":["Frontiers in Psychiatry"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2023.1177622\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,4]],"date-time":"2023-07-04T15:17:26Z","timestamp":1688483846000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2023.1177622\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,4]]},"references-count":31,"alternative-id":["10.3389\/fpsyt.2023.1177622"],"URL":"https:\/\/doi.org\/10.3389\/fpsyt.2023.1177622","relation":{},"ISSN":["1664-0640"],"issn-type":[{"value":"1664-0640","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,4]]},"article-number":"1177622"}}