Stoppiello, Michael T.. Behind the blue wall: navigating value conflicts with law enforcement officers within a theraputic context. Retrieved from https://doi.org/doi:10.7282/t3-ayws-ea71
DescriptionGiven the increased national attention placed on police misconduct and civilian shootings in recent years and the well-documented mental health stigma within law enforcement culture, clinicians are likely to encounter value conflicts in providing therapeutic services to law enforcement officers (LEOs) (Karaffa & Koch, 2016; Lawrence, 2000; Moule, Fox, & Parry, 2019). However, the literature on serving LEO patients largely neglects value conflicts and fails to tackle how clinicians can address value conflicts effectively in the context of therapeutic relationship (Crank, 2014; Papazoglou & Tuttle, 2018). To this end, the present study examined the experiences of clinicians working with LEO patients, with a focus on understanding how these clinicians experience and navigate value conflicts in the therapeutic relationship. Eight clinicians who regularly work with LEOs in their scope of practice were recruited and interviewed using a semi-structured, qualitative interview schedule. Interpretative Phenomenological Analysis (IPA) was used as a method of analysis to capture the lived experiences of participants in their work with LEOs. Four central themes emerged from the analysis: LEO Identity as a Barrier (to addressing mental health needs), Hidden Mental Health Costs of Being an LEO, Strategies for Providing Treatment to LEOs, and Personal Impact of Treating LEOs on Clinicians. Key features of these themes and their practical applications for theory, training and clinical practice were elaborated upon, in connection with the current cultural climate surrounding law enforcement and the scope of therapy as an agent for social change. Further research is needed to examine the various personal impacts of working with LEOs on clinicians, how these factors may vary based on racial identity, gender, and civilian experiences with law enforcement, and to determine adequate supports for clinicians to effectively address value conflicts with LEO patients.