Workbook instruction: Please refer to pages 7 and 8 of the workbook for this sprint.
Individual Characteristics
Individual factors are traits or characteristics of a person. In the context of secondary trauma, we are interested in what it is about the individual which makes them react in certain ways (if at all) to learning about other people’s traumatic experiences. These factors may influence how a professional reacts in the moment, but also how they cope over time. In this programme, we aren’t focusing on static factors, such as age or biological sex, as it is difficult to harness these factors to promote coping in professionals as they are unmodifiable. We are more concerned with malleable characteristics which can be altered. There are dozens of individual factors we could focus on. We have chosen empathy, as this factor is key to helping professional work; and emotion regulation, which is central to any type of coping whether it be in response to secondary trauma or other stressors.
Empathy
Empathy has been conceptualised in various ways, generally argued to be multifaceted containing two components:
1) cognitive empathy, an ability to understand the perspective of another including what they are experiencing and why they might be feeling that way; and 2) affective empathy, the ability to share or feel the emotions of another person. This is a simplified definition of empathy explaining key components. If you’d like to read more on empathy, please check out the article at the end of this sprint.
Empathy is associated with better patient care, better therapeutic relationships and enhanced student learning. Interestingly, in the secondary trauma literature, some forms of empathy are also related to adverse reactions in helping professionals. This presents us with a paradox. We need to be empathic to support our work, but could it potentially lead us into trouble further down the road? Previous research has suggested affective empathy to be a risk factor of conditions associated with secondary trauma including secondary traumatic stress (i.e., PTSD symptoms related to secondary trauma). Cognitive empathy on the other hand has been suggested to be protective, or at least not a risk factor. Realistically, when empathising, we might to some degree feel the feelings of the person we are listening to but also be able to gain a perspective of their experience and therefore experience both kinds of empathy. When we consider empathy as an individual factor in our professional roles, the key is to cultivate it in a healthy and boundaried way. There’s no one-size-fits-all answer to how factors like empathy influence our thoughts, feelings, and behaviours. Instead, it’s about discerning what works best for you, by integrating evidence-based knowledge with your own unique professional experiences.
Stop and Reflect
Title: What are you like when you empathise?
- Think to yourself, how am I when I empathise with my client/patient/student/friend?
- Do I feel very emotional like I’m feeling their emotions?
- Do I try to gain a perspective of their experience?
- Is the way I empathise helpful in my work/personal life? Does it help me support the individual?
- How does this impact me?

Emotion Regulation
Now, let’s turn our attention to our second key factor: emotion regulation. We engage in this process constantly whenever we encounter something in our environment that demands our attention. This process isn’t a single event but rather a series of stages, some of which occur before an emotion fully takes hold (antecedent-focused), and others that come after an emotion has begun (response-focused). Just like empathy, emotion regulation has various definitions within academic literature—a common theme you’ll discover! For this program, we’ll be using Gross’ Process Model of Emotion Regulation (Gross, 1998; 2002), which is illustrated in the diagram below.

Gross’s Process Model of Emotion Regulation describes how we manage our emotions. It proposes that regulation can occur at different points in the emotion-generating process, divided into two main types:
- Antecedent-focused strategies: These happen before an emotion fully develops, aiming to prevent or shape it. Examples include choosing what situations to be in (situation selection), changing a situation (situation modification), directing your attention (attentional deployment), or changing how you think about something (cognitive change/reappraisal).
- Response-focused strategies: These happen after an emotion has started, aiming to modify its expression or experience. The main example is suppressing emotional displays (response modulation).
Stop and Reflect
Gross’s Process Model of Emotion Regulation illustrates how we can intervene at various points to manage our emotional experiences and expressions.
Consider a mental health professional who receives a referral for a new client with complex issues and a history of verbal and sometimes physical aggression. This referral acts as a stimulus, immediately triggering anxiety in the professional.
Since avoiding or changing the situation isn’t possible, and the professional must focus on the new referral, they engage intrying to think differently about the situation. They actively try to reframe the situation, viewing it as a learning opportunity and reminding themselves of available supervisory support. This shift in perspective helps to calm their anxiety before the first meeting.
During the initial session, the client is rude and swears, causing a sudden surge of panic in the professional. At this point, the professional may try to suppress their emotions, attempting to push down their immediate emotional reaction. While this might control outward expression, it leaves the professional feeling stressed after the session. To process the experience and plan for future interactions, the professional then seeks supervisory support. This post-session reflection and discussion helps them learn from the encounter and develop strategies for future sessions, resulting in them thinking and feeling differently about the session.
- Can you spot examples of different regulation strategies in this example?
Professionals working with clients often face situations they cannot avoid, change, or divert their attention from. In these instances, their primary coping mechanisms typically involve either cognitive reappraisal—gaining a new perspective on the situation—or expressive suppression—containing their immediate emotional responses. For example, a professional might not always have the time to pause and rethink a situation, making emotion suppression their only immediate option for containing their feelings. While this can be a useful short-term strategy, over-reliance on suppression can lead to negative consequences. In contrast, cognitive reappraisal is generally considered a more adaptive and beneficial regulation strategy for long-term well-being. Therefore, professionals need to be given time and space to cognitively process situations which have triggered emotional responses. If you’d like to learn more about emotion regulation in the context of helping professions, take a look at the article by Brillon and colleagues (2025) at the end of this sprint. We will also return to emotion regulation later on in this programme.
Stop and Reflect
Title: The Emotion Regulation Questionnaire
This is the Emotion Regulation Questionnaire (Gross & John, 2003), a psychometric measure used to examine a person’s tendency to use expressive suppression and cognitive reappraisal.
When reading each item, reflect on how much each statement reflects your own tendencies of regulation. Score each item using the likert scale below.
1 (strongly disagree) ————————————————————7 (strongly agree)
1. When I want to feel more positive emotion (such as joy or amusement), I change what I’m thinking about.
2. I keep my emotions to myself.
3. When I want to feel less negative emotion (such as sadness or anger), I change what I’m thinking about.
4. When I am feeling positive emotions, I am careful not to express them.
5. When I’m faced with a stressful situation, I make myself think about it in a way that helps me stay calm.
6. I control my emotions by not expressing them.
7. When I want to feel more positive emotion, I change the way I’m thinking about the situation.
8. I control my emotions by changing the way I think about the situation I’m in.
9. When I am feeling negative emotions, I make sure not to express them.
10. When I want to feel less negative emotion, I change the way I’m thinking about the situation.
To calculate your scores: add items 1, 3, 5, 7, 8, 10 for cognitive reappraisal, and 2, 4, 6 and 9 for expressive suppression. A higher score indicates greater use of that emotion regulation strategy.
- What were your scores?
- Did you score more highly in one than the other?
- Do you feel this reflects the way you regulate?

Cross reference
Title: Empathy: A review of the concept
Authors: Cuff, B. M., Brown, S. J., Taylor, L., & Howat, D. J. (2016). Emotion review, 8(2), 144-153.
Cross reference
Title: Emotion regulation and compassion fatigue in mental health professionals in a context of stress: A longitudinal study.
Authors: Brillon, P., Dewar, M., Lapointe, V., Paradis, A., & Philippe, F. L. (2025). PLOS Mental Health, 2(2), e0000187.
Hyperlink: https://journals.plos.org/mentalhealth/article?id=10.1371/journal.pmen.0000187