[Secondary traumatic stress, the side effect of clinical empathy]

There is growing clinical evidence that a second category of trauma victims can result from working with traumatized populations. This article introduces the concept of secondary traumatic stress (STS) and analysis its impact and relevance in the particular situation of medical staff. In the second part we discuss medical workers' empathy as an important factor associated with clinical competence and patient outcomes on one side, and as a recognized risk factor for STS on the other side. Finally, we conclude that the paradox of the clinical relationship needs further attention and study, to find a mutual beneficial solution. Assessment has to be connected to prevention and intervention efforts to ensure effective management of STS among medical workers.