Mindful helpers: Experiential avoidance, meta-emotions, and emotion regulation in paramedics

Three facets of the mindfulness/acceptance spectrum have been investigated in 134 experienced paramedics exposed to a number of potentially traumatic events. The contribution of (1) experiential avoidance, (2) mindful awareness and (3) meta-emotions in psychological well-being and satisfaction with life was analysed. Changes in these variables due to experiencing highly stressful incidents were explored by comparing experts with 105 novices. With accumulating experience, experiential avoidance remained stable, mindful awareness markedly increased at first and declined thereafter. Both positive and negative meta-emotions decreased with the number of stressful incidents. Experiential avoidance and meta-emotions explained 62% of the variance in psychological well-being, and patterns indicate that non-acceptance of thoughts and emotions might not be generally detrimental in this sample. Being stern and contemptuous about one's own feelings and having little self-compassion has been found to be beneficial for psychological well-being in these experts. Although this is contrary to contemporary theorizing it might perfectly reflect the role of paramedics and their need for control. (C) 2008 Elsevier Inc. All rights reserved.