This study aimed to examine the associations between countertransference induced by sex offenders, defense mechanisms, and manifestations of vicarious trauma in forensic psychiatrists and psychologists. A cross-sectional study using a mixed-methods design was performed with 56 Brazilian forensic psychiatrists and psychologists from October 2016 to May 2017. Countertransference, defense mechanisms, and vicarious trauma were assessed with the Assessment of Countertransference Scale, the Defense Style Questionnaire-40, and the Trauma and Attachment Belief Scale (TABS), respectively. Qualitative data analysis based on grounded theory was also performed to explore the influence of sex-offender assessments on the experts' personal and professional lives. Positive and moderate correlations were found between feelings of indifference and the Other-Safety TABS subscale (rho .43, P < .01) and between immature defense mechanisms and TABS total score (rho .45, P < .01). Qualitative data revealed changes in the professionals' identity, worldview, and beliefs related to safety and trust. Specific maladaptive coping strategies, such as feelings of indifference and immature defenses, during the assessment of sex offenders were associated with manifestations of vicarious trauma in forensic psychiatrists and psychologists. These findings indicate the need for awareness and care about the forensic expert's mental health.

中文翻译：

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与性犯罪者合作时的反移送，防御机制和替代创伤。

这项研究旨在检查性犯罪者引起的反移情，防御机制以及法医精神科医生和心理学家的替代创伤表现之间的关系。2016年10月至2017年5月，与56名巴西法医精神科医生和心理学家进行了采用混合方法设计的横断面研究。逆向转移，防御机制和替代性创伤通过“逆向转移评估量表”，“防御方式问卷” -40进行评估。 ，以及创伤和依恋信念量表（TABS）。还进行了基于扎根理论的定性数据分析，以探讨性犯罪者评估对专家的个人和职业生活的影响。在冷漠的感觉和其他安全性TABS分量表之间（rho .43，P <.01）以及未成熟的防御机制与TABS总分之间（rho .45，P <.01）之间存在正相关和中度相关。定性数据揭示了专业人员身份，世界观以及与安全和信任有关的信念的变化。在评估性罪犯过程中，特定的适应不良应对策略，例如冷漠和不成熟的防御感，与法医和心理医生的替代创伤表现有关。这些发现表明需要对法医专家的心理健康有所了解和关心。定性数据揭示了专业人员身份，世界观以及与安全和信任有关的信念的变化。在评估性罪犯过程中，特定的适应不良应对策略，例如冷漠和不成熟的防御感，与法医和心理医生的替代创伤表现有关。这些发现表明需要对法医专家的心理健康有所了解和关心。定性数据揭示了专业人员身份，世界观以及与安全和信任有关的信念的变化。在评估性罪犯过程中，特定的适应不良应对策略，例如冷漠和不成熟的防御感，与法医和心理医生的替代创伤表现有关。这些发现表明需要对法医专家的心理健康有所了解和关心。