Predictors of Post-Traumatic Growth in a Sample of United Kingdom Mental and Community Healthcare Workers during the COVID-19 Pandemic.

Experiences of adversity can generate positive psychological effects alongside negative impacts. Little research to date has evaluated predictors of post-traumatic growth in mental or community healthcare workers during the COVID-19 pandemic. Following a survey of 854 community and mental healthcare staff in the United Kingdom in July to September 2020, multiple linear regression was used to determine the association between hypothesised risk and protective factors (personal, organisational and environmental variables) and total scores on the Post-traumatic Growth Inventory-Short Version. Positive self-reflection activities, black and minority ethnic status, developing new healthcare knowledge and skills, connecting with friends and family, feeling supported by senior management, feeling supported by the UK people, and anxiety about the personal and work-related consequences of COVID-19 each significantly independently predicted greater post-traumatic growth. Working in a clinical role and in mental healthcare or community physical healthcare predicted lower post-traumatic growth. Our research supports the value of taking an organisational growth-focused approach to occupational health during times of adversity, by supporting staff to embrace opportunities for personal growth. Valuing staff's cultural and religious identity and encouraging self-reflective activities, such as mindfulness and meditation, may help to promote post-traumatic growth.

The other other: when the exotic other subjugates the familiar other.

In this paper, the theme of the other will be examined and it will be argued that it is important to differentiate between two distinct types of other--the 'exotic' other which is distant and very different from the subject, and the 'familiar' other which is closer to the subject. The dynamic relationship between these two others will be investigated, and emphasis will be given to the process through which the exotic other tends to subjugate the familiar other. This relationship will then be discussed in its various applied forms, in the contexts of clinical practice and socio-political dimensions. In particular, a new reading of Jung's approach to the 'primitive' will be developed, based on the subjugation of the 'familiar' other by the 'exotic' other. A similar line of investigation will be followed to examine the concept of psychological trauma. In addition, Freud's 'narcissism of minor differences' and Bion's distinction between 'narcissism' and 'socialism' will be considered in the light of this differentiation between these two others.