The entire family and all those close to the Medical Whistleblower are affected when a Medical Whistleblower faces retaliation. Under stress it can become very difficult to maintain boundaries between work and family, and those closest to the Whistleblower may suffer the effects of stress caused by the working environment. With Whistleblower Retaliation in particular, the spouse and the children may themselves be targeted in attempts to undermine the Whistleblower.  A better understanding of stress and the effects it can have on a person can help to those closest to the Medical Whistleblower deal with the signs of stress.  Those supporting the Whistleblower need to know how to respond to the retaliation.   Necessary action can be taken sooner rather than later to protect the Whistleblower from additional psychological violence in the workplace and before lasting emotional damage results.   It is important to recognize that in most cases harassment and bullying can only be stopped by the intervention of someone from outside the situation who has the power to take sanctions against the perpetrator.  Reconciliation attempts usually do more harm than good, empowering the perpetrator and disempowering  the person being targeted.

What about indirect victims?  UN Basic Principles and Guidelines (2005)

“Persons who individually or collectively suffered harm, including physical or mental injury, emotional suffering, economic loss or substantial impairment of their fundamental rights, through acts or omissions that constitute gross violations of international human rights law, or serious violations of international humanitarian law.  Where appropriate, and in accordance with domestic law, the term ‘victim’ also includes the immediate family or dependants of the direct victim and persons who have suffered harm in intervening to assist victims in distress or to prevent victimization.”

In other words, witnesses, dependants of a direct victim, friends and other relatives, non-governmental organizations (juristic persons)

“Folks, I'm telling you,
Birthing is hard
And Dying is mean
So get yourself
Some loving in between.”

_ Langston Hughes

For the sake of their health, Medical Whistleblowers  may need to move as soon as possible to a new position away from the stress, but often discover that they were being hindered by fabricated allegations in their professional references.  Often in an effort to find safety and security in their lives,  Medical Whistleblowers move from one job to the next, each step with lower pay, longer hours and less benefits.   This causes significant financial stress on the family and can strain personal friendships  and religious and social ties.   The stressed person struggles even harder to prove they can cope.  But this is a recipe for disaster, as almost inevitably the person will suffer further problems with retaliation which may eventually force them to resign or retire. 

 
Humble yourselves, therefore, under God's mighty hand, that he may lift you up in due time. Cast all your anxiety on him because he cares for you.

1 Peter 5:6-7

Counseling 

Counseling will achieve little if the cause of the  stress is not addressed.  Counseling itself is a stressful process and as such is generally contraindicated for people who are already suffering from any significant stress.   General counselors are often trained largely in dealing with people's endogenous or intra-psychic problems (those which come from within), and may be highly skilled in doing so.   However, they may have less training or experience in dealing with employment-related concerns such as stress and/or workplace bullying, where the source of the difficulty is external.   Misplaced or misguided counseling, however well intentioned, can do serious damage to stressed and bullied people by feeding and reinforcing their own feelings of failure and self-blame, challenging their reality, and pushing them further into stress breakdown.   Employees may feel concerned that their confidentiality could be compromised, and this concern is not entirely groundless.   Hostile psychiatric evaluations used to remove the targeted Whistleblower from his/her employment are commonplace, so is a Fitness for Duty examination that removes the Whistleblower’s badge or security clearance.   Medical Peer Review practices are aimed at removing the medical license from the Medical Whistleblower not at assisting them in Telling Truth to Power.   Referring stressed people for work-based counseling helps perpetuate the myth that it is the person who is the problem, rather than the working environment.   In addition, where workplace bullying and whistleblower retaliation is involved, and/or the whistleblower’s continued employment is under question, there can be boundary problems.   Where the stress has been caused by workplace harassment and bullying, it also allows the perpetrators to switch the focus of attention away from their own abusive behavior by inferring, usually under the guise of sympathy and support, that the person they are targeting is mentally ill, and that it is their "mental illness" which is responsible for the current problems within the workplace.   The whistleblower may feel safer talking to someone who is further removed from their situation.   A better option would be to tackle the actual problems in the working environment.   A responsible employer should look to see what changes can be made in the working environment, and to reduce the expectations on the stressed person.

 
For he has not despised or disdained the suffering of the afflicted one;he has not hidden his face from him but has listened to his cry for help.

Psalm 22:24

People with PTSD may experience a variety of somatic and psychological complaints, including sleep disturbance, outbursts of anger, or an exaggerated startle response. (They jump at sudden noises or movements).   A characteristic of PTSD is the remembering of the trauma, and sometimes actually reliving the events in the mind.   Medical Whistleblowers have recurrent recollections of the event, distressing dreams about what happened, or some other form of   psychological rehashing of the event.   As a result, the Whistleblower avoids all situations that might be a reminder of the trauma, and tends to react with significant anxiety whenever there is a reminder of the event.  These precipitating events are called Triggers.   These violent recollections can have a serious impact  on a person's feelings, and the physiological reactions  to these feelings, become patterns of anticipation,  which in turn create more maladaptive feelings.

"It does not require a majority to prevail, but rather an irate, tireless minority keen to set brush fires in people's minds"
- Samuel Adams

This mutual interaction between anticipation and fear  promotes what has sometimes been described as “isolation and paralysis of the mind.”  Social relationships  often suffer, as the person becomes more withdrawn and detached.   There is a dehumanising aspect  of the trauma that creates a sense of not being connected to humanity and the human race and a lack of the ability to keep an empathic connection.   There is often a profound lack of trust, isolation from society,  emotional numbing and a fear of feeling– called anhedonia.   This fear of feeling or emotional distance is very hard on intimate relationships and many Medical Whistleblowers find themselves loosing their  loved ones right when they need them most.   To promote healing and to empower the Medical Whistleblower,  loving and understanding colleagues, friends, partners, and family are necessary to counteract the dehumanizing effects of the trauma.   Social networks need to be established to provide comfort and support to family members and the close personal network of the Medical Whistleblower. 

"You have to have courage to love somebody. Because you risk everything. Everything."

-Maya Angelou

Anxiety and Fear
Anger, Depression
Flashbacks /Unwanted, Intrusive & Distressing Memo-ries of Retaliation Events
Disorientation
Difficulty Concentrating
Self-blame, Guilt
Shame
Avoidance
Social Isolation
Shutting down or Emotional numbing
Physical health symptoms

"Being defeated is only a temporary condition; giving up is what makes it permanent."

  Marilyn vos Savant

“If I can listen to what he tells me, if I can understand how it seems to him, if I can sense the emotional flavor which it has for him, then I will be releasing potent forces of change within him.” 

                                         Carl Rogers

How Can You Help?

Allow the whistleblower to take the lead in their recovery. Let them talk about the retaliation on their own time schedule and remember that your role is to be supportive not therapeutic.   Create a safe environment in which they can count on you—for “simply being there” or even for talking through the moment. Recognize that you are not going to FIX IT and there is nothing that you can do to erase the personal trauma of the retaliation. Listen without judgment, BELIEVE what the person is telling you about the Retaliation and leave analysis of the truth of the Whistleblower’s allegations to someone more qualified.

“Courtesies of a small and trivial character are the ones which strike deepest in the gratefully and appreciating heart.”

Henry Clay

Validate their feelings of anger, pain, sadness, fear, shame and accept the way the Whistleblower describes that experience.

The Retaliation will cause the Whistleblower to question whom to trust.  In a number of different ways relationships are the first thing to be impacted after retaliation has occurred.

"Most of the important things in the world have been accomplished by people who have kept on trying when there seemed to be no hope at all."

Dale Carnegie

Remember that every person heals differently—at their own pace, in their own time, and follow their own journey to recovery.

Avoid the “count your blessings” statements that may be heard as judgmental and possibly trivialize what has happened.

“At times our own light goes out and is rekindled by a spark from another person. Each of us has cause to think with deep gratitude of those who have lighted the flame within us.”

Albert Schweitzer

Encourage the person to get the help they feel they need—whether that is to push for further investigation of the whistleblower’s allegations, legal representation, psychological counseling,  going to Yoga or Self-Defense classes, moving to a new state, disconnecting with their old social network, reconnecting with their faith, learning to meditate, learning a new hobby or pursuing a law degree —whatever.

"The most basic and powerful way to connect to another person is to listen. Just listen. Perhaps the most important thing we ever give each other is our attention.... A loving silence often has far more power to heal and to connect than the most well-intentioned words."

Rachel Naomi Remen

Let the Whistleblower take the lead in asking for referrals and supportive advocacy because they are in the best position to assess their own situation and needs.

“Between you and every goal that you wish to achieve, there is a series of obstacles, and the bigger the goal, the bigger the obstacles. Your decision to be, have and do something out of the ordinary entails facing difficulties and challenges that are out of the ordinary as well. Sometimes your greatest asset is simply your ability to stay with it longer than anyone else."

Brian Tracy

"There is a word meaning "All My Relations." 
We will live by this word. 
We are related to everything. 
We are still here! 
We shall live! 
Mitakuye Oyasin" 

-Black Elk, a Lakota holy man

Vicarious Trauma can occur to people trying to support the Whistleblower. Whistleblower Retaliation and Workplace Bullying can be devastating for the Whistleblower as well as his/her friends, family, partners, room-mates, teachers, co-workers, social workers, police officers, neighbors and any one attempting to provide support. Retaliation causes an array of emotions in even those supportive to the Whistleblower. There are several ways in which you can be supportive and help the Whistleblower facing Retaliation but be aware that as a part of the support network—you also may need extra support and you must weigh your own thoughts, feelings, values, and beliefs around what the Whistleblower is experiencing.

    “Great minds have purposes, others have wishes.  Little minds are tamed and subdued by misfortune, but great minds rise above them.”

Washington Irving