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Comparing Burnout, Empathy Fatigue, and Compassion Fatigue
Comparing Burnout, Empathy Fatigue, and Compassion Fatigue Burnout Empathy Fatigue Compassion Fatigue Emotional and physical Emotional fatigue Emotional exhaustion fatigue Many tasks, deadlines Many distressful One acute traumatic event encounters Extended period of time Extended period of time One specific moment in time Cumulative Cumulative Acute Unspecific source Unspecific source One specific traumatic event Direct impact to the Direct impact to the Secondary impact to the caregiver caregiver caregiver – vicarious trauma Burnout is too much to do, too little time, insufficient resources, lack of validation, unrealistic expectations, and cumulative physical and emotional distress. • Typical causes • Tasks • Deadlines • Expectations • Typical reactions and symptoms • Emotional and physical exhaustion • Depersonalization • Reduced vocational productivity • Reduced personal accomplishment • Lack of confidence or self-esteem • Changes in beliefs, values, and view of workplace or world • Self care for burnout • Delegate • Negotiate • Redefine success • Set personal boundaries • Create margin • Make changes in your life • Others??? Dr. Naomi Paget CrisisPlumbline, 2013 [email protected] Empathy fatigue is emotional and physical fatigue resulting from empathizing with other people’s pain, grief, anxiety, anger, and other strong emotions over an extended period of time. • Typical causes • Non-compartmentalized compassionate care • “Owning” other people’s problems/issues/concerns • Over identifying with other people’s distress • Typical reactions and symptoms • Emotional exhaustion • Over-personalization • Reduced compassionate attitude • Reduced personal ministry satisfaction • Lack of ministry confidence or self-esteem • Changes in beliefs, values, and view of workplace or world • Self care for empathy fatigue • Systematic, strategic, intentional breaks, rest, restoration periods • Set personal boundaries • Redefine ministry expectations Compassion fatigue is the costly result of providing care to those suffering from the consequences of traumatic events. -
Compassion Fatigue 101 Explained
Compassion Fatigue 101 Explained "Compassion Fatigue is a state experienced by those helping people or animals in distress; it is an extreme state of tension and preoccupation with the suffering of those being helped to the degree that it can create a secondary traumatic stress for the helper." - Dr. Charles Figley The Facts Caring too much can hurt. When caregivers focus on others without practicing self-care, destructive behaviors can surface. Apathy, isolation, bottled up emotions and substance abuse head a long list of symptoms associated with the secondary traumatic stress disorder now labeled: Compassion Fatigue While the effects of Compassion Fatigue can cause pain and suffering, learning to recognize and manage its symptoms is the first step toward healing. The Compassion Fatigue Awareness Project© is dedicated to educating caregivers about authentic, sustainable self-care and aiding organizations in their goal of providing healthy, compassionate care to those whom they serve. Recognizing Compassion Fatigue Compassion Fatigue symptoms are normal displays of stress resulting from the care giving work you perform on a regular basis. While the symptoms are often disruptive, depressive, and irritating, an awareness of the symptoms and their negative effect on your life can lead to positive change, personal transformation, and a new resiliency. Reaching a point where you have control over your own life choices will take time and hard work. There is no magic involved. There is only a commitment to make your life the best it can be. Normal -
Compassion Fatigue, Vicarious Trauma, Secondary Trauma, Burnout
Compassion Fatigue, Vicarious Trauma, Secondary Trauma, Burnout Introduction The following is a collection of tidbits about compassion fatigue. It is not comprehensive in nature, and is only provided as an adjunct to what you already know about it. There is a good chance there will not be any new information, but hopefully it will serve as a reminder, that all of us who do therapy, counseling, work in healthcare, or any other helping profession is at risk for compassion fatigue. ALL OF US!!!!! You might want to begin with a thorough evaluation of where you stand on the continuum towards compassion fatigue / STS (Secondary Traumatic Stress) http://www.psychink.com/inteam.htm and click Compassion Fatigue Self Testing. This is a very long assessment process, but very accurate and informative. My story: I did not dream of being a “Certified Trauma Specialist”, I sort of ended up as one, either by synchronicity, or pure divine intervention. My first professional exposure to trauma was working in an emergency department, as a nurse, dealing with physical trauma. I found myself being drawn to the families of the patients even more than the patient’s themselves. I became very close to the whole emergency responder community, including paramedics, firefighters, law enforcement and other ED nurses. I began to see and experience some of the inherent job risks we all shared, like being exposed to critical incidents; so I became trained in “critical incident stress management” (CISM) so I could maintain , my own health and the health of my peers and colleagues. Simultaneously with that I was drawn to respond to the recovery process of hurricane Andrew in Homestead Florida. -
Creating Spiritual and Psychological Resilience
Creating Spiritual and Psychological Resilience Creating Spiritual and Psychological Resilience Integrating Care in Disaster Relief Work Grant H. Brenner, Daniel H. Bush, Joshua Moses EDITORS New York London Routledge Routledge Taylor & Francis Group Taylor & Francis Group 270 Madison Avenue 27 Church Road New York, NY 10016 Hove, East Sussex BN3 2FA © 2010 by Taylor and Francis Group, LLC Routledge is an imprint of Taylor & Francis Group, an Informa business Printed in the United States of America on acid-free paper 10 9 8 7 6 5 4 3 2 1 International Standard Book Number: 978-0-7890-3455-7 (Paperback) For permission to photocopy or use material electronically from this work, please access www. copyright.com (http://www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organiza- tion that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Library of Congress Cataloging-in-Publication Data Creating spiritual and psychological resilience : integrating care in disaster relief work / edited by Grant H. Brenner, Daniel H. Bush, Joshua Moses. p. cm. Includes bibliographical references and index. ISBN 978-0-7890-3454-0 (hardback : alk. paper) -- ISBN 978-0-7890-3455-7 (pbk. : alk. paper) 1. Disaster relief. 2. Disaster relief--Psychological aspects. -
Cross-Cultural Assessment of Psychological Trauma and PTSD
Cross-Cultural Assessment of Psychological Trauma and PTSD International and Cultural Psychology Series Series Editor: Anthony Marsella, University of Hawaii, Honolulu, Hawaii ASIAN AMERICAN MENTAL HEALTH Assessment Theories and Methods Edited by Karen S. Kurasaki, Sumie Okazaki, and Stanley Sue CROSS-CULTURAL ASSESSMENT OF PSYCHOLOGICAL TRAUMA AND PTSD Edited by John P. Wilson, and Catherine So-kum Tang THE FIVE-FACTOR MODEL OF PERSONALITY ACROSS CULTURES Edited by Robert R. McCrae and Juri Allik FORCED MIGRATION AND MENTAL HEALTH Rethinking the Care of Refugees and Displaced Persons Edited by David Ingleby HANDBOOK OF MULTICULTURAL PERSPECTIVES ON STRESS AND COPING Edited by Paul T.P. Wong and Lilian C.J. Wong INDIGENOUS AND CULTURAL PSYCHOLOGY Understanding People in Context Edited by Uichol Kim, Kuo-Shu Yang, and Kwang-Kuo Hwang LEARNING IN CULTURAL CONTEXT Family, Peers, and School Edited by Ashley Maynard and Mary Martini POVERTY AND PSYCHOLOGY From Global Perspective to Local Practice Edited by Stuart C. Carr and Tod S. Sloan PSYCHOLOGY AND BUDDHISM From Individual to Global Community Edited by Kathleen H. Dockett, G. Rita Dudley-Grant, and C. Peter Bankart SOCIAL CHANGE AND PSYCHOSOCIAL ADAPTATION IN THE PACIFIC ISLANDS Cultures in Transition Edited by Anthony J. Marsella, Ayda Aukahi Austin, and Bruce Grant TRAUMA INTERVENTIONS IN WAR AND PEACE Prevention, Practice, and Policy Edited by Bonnie L. Green, Matthew J. Friedman, Joop T.V.M. de Jong, Susan D. Solomon, Terence M. Keane, John A. Fairbank, Brigid Donelan, and Ellen Frey-Wouters A Continuation Order Plan is available for this series. A continuation order will bring delivery of each new volume immediately upon publication. -
Government Employees – Including Leaders and Their Staff – Are Suffering the Emotional and Physical Consequences of Stress, Fear, and Uncertainty
Government employees – including leaders and their staff – are suffering the emotional and physical consequences of stress, fear, and uncertainty. CIVILIAN, DEFENSE AND OTHER PUBLIC SECTOR WORKERS ARE UNDER SIEGE BY THEIR ENVIRONMENTS, WITH CUMULATIVE RISKS TO MISSION SUCCESS The U.S. is in the midst of an employee engagement crisis. cumulative stress on employee health and performance – or According to a Gallup study a few years ago, only 31% of effectively addressing it at its core root causes. U.S. workers are engaged in their jobs. However, the story A July 2017 article in Government Executive states, is even worse for federal government workers, with an “Stress also contributes to disengagement or emotional astonishingly low 27% reporting that they’re engaged in detachment. While the Office of Personnel Management their jobs. In other words, 73% of government workers are does not report levels of employee disengagement, morale disengaged – and it’s dramatically hurting efficiency and is known to be low.” The same article states that, in the U.S. productivity. Indeed, Gallup reports that this extreme lack of economy, studies of high stress organizations have shown: engagement is costing the federal government an estimated $18 billion in lost productivity annually. • Healthcare expenditures are nearly 50% higher • More than half of workplace accidents are attributable Research shows that how people feel at work every to stress day is a primary driver of their own wellbeing as well as organizational performance and culture. Yet, unfortunately, • More than half of healthcare appointments many government employees – including those in are stress-related leadership – commonly feel: Certainly aid and relief workers, law enforcement and • Disruptions in cognitive function intelligence professionals, and military personnel at home and abroad may suffer more extreme exposures to and • Declines in physical health consequences of anxiety, fear, compassion fatigue, and • Dysfunctional relationships vicarious trauma than others in government. -
Download Bio of Our CEO Siddharth Ashvin Shah, M.D., M.P.H
Siddharth Ashvin Shah, M.D., M.P.H. CEO Siddharth is a physician, public health scientist, and educator who seeks to change the way we regard our society’s helpers, healers, and protectors -- people and organizations who operate in demanding and traumatic environments. His early pursuit of improving systems of wellbeing and helping helpers led him to become one of the few physicians dedicated to serving the first responder and healthcare workforce. Clients experience his interdisciplinary thinking as he Brings together the humanities, social sciences, common sense preventive medicine, cross-cultural resilience and spiritual practices, trauma-informed care, and cutting-edge neuroscientific thinking distilled for real-world applications. Siddharth founded Greenleaf Integrative, and he proudly serves as CEO in order to bring exponential value to its clients, as well as prioritizing a mindful internal culture for its staff. The company grew out of his international consulting to governments, healthcare organizations, NGOs, and the private sector in the areas of chronic high stress, brain health, trauma resiliency, strategic communications, and leadership effectiveness. Before Greenleaf Integrative, he conducted a private practice at the GW Center for Integrative Medicine in Washington, DC. Prior to coming to the DC metro area, Siddharth headed the Preventive Medicine Residency Program at Wyckoff Heights Medical Center in Brooklyn, along with a faculty appointment in the Department of Environmental and Occupational Medicine at Mount Sinai Hospital in Manhattan, NYC. Dr. Shah’s expertise and publications span integrative medicine, staff care, disaster- related traumatic stress, vicarious traumatization, resilience, implicit/unconscious bias, cross-cultural competence, and even laughter yoga. His recommendations are currently helping to change the way enterprises manage and lead personnel in otherwise debilitating circumstances. -
Examining the Pieces of Counselor Burnout, Compassion Fatigue, and Secondhand Depression
Article 91 Beyond the Breaking Point: Examining the Pieces of Counselor Burnout, Compassion Fatigue, and Secondhand Depression Steve T. Hunter Hunter, Steve T., is professor of psychology and counseling and Hope for the Heart Chair of Biblical Counseling at Criswell College. As a professor, practitioner, and supervisor, he has dedicated his life to the counseling profession for over 20 years. His research interests are in the areas of depression, sexual addiction, and shame. Abstract The main purpose of this article is to introduce and define a new term: secondhand depression. Key aspects related to secondhand depression will be examined in order to distinguish it from other similar concepts (i.e., burnout and compassion fatigue). The article will also address how burnout and compassion fatigue contribute to secondhand depression. The final purpose of this article is to not only provide recommendations for counselors to be proactive in regard to self-care, but also suggest ways to move toward wholeness and health for those who have gone—beyond the breaking point. Keywords: self-care, burnout, compassion fatigue, depression An avalanche is a mass accumulation of snow, ice, and rocks descending rapidly down a mountainside. It can be triggered by such things as gravity, unsuspecting skiers, or hikers. The results can be devastating—even deadly. The same can be true in the life of a counselor. Counselors work with those who struggle with deep emotional challenges such as grief, anger, depression, abuse, and a myriad of other heartbreaking circumstances. At the same time, counselors cannot keep from taking on at least some of the pain of their clients in varying degrees. -
RUTGERS, the STATE UNIVERSITY of NEW JERSEY SCHOOL of SOCIAL WORK COURSE OUTLINE (Weekly Class- OTG)
RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY SCHOOL OF SOCIAL WORK COURSE OUTLINE (Weekly Class- OTG) Working with Survivors of Abuse & Trauma 19:910:523:xx Fall 2020 Instructor Class Dates: Office: Room: Phone: Index #: E-mail: Office Hours: I. Catalog Course Description This course examines social work practice theories and intervention approaches and skills as they apply to practice with childhood and adult survivors of physical, sexual and other forms of abuse and trauma. Particular attention will be made to the use of engagement, assessment, planning, intervention, evaluation and follow up on the micro, mezzo, and macro levels of practice. An emphasis will also be placed on diversity and use of social work ethics and values when working with survivors of abuse and trauma. II. Course Overview This course addresses theories, skills and interventions utilized in the direct practice with survivors of physical, sexual and other forms of interpersonal abuse and trauma. It builds upon foundational social work practice knowledge, values and skills by focusing on direct practice interventions with childhood and adult survivors of abuse and trauma. Specific theoretical frameworks such as empowerment, strengths, feminist perspective, and trauma’s effects on brain and body will be used to discuss strategies for providing services to individuals who experienced trauma or physical, emotional, sexual abuse in childhood or adulthood. All steps in the social work intervention process will be addressed including, engagement, assessment, planning, intervention, evaluation and follow up, to identify specific skills and knowledge utilized to serve this population. III. Place of Course in Program This course is offered as an Advanced Practice Distribution Requirement. -
Burnout and Compassion Fatigue: What Lawyers Need to Know
BURNOUT AND COMPASSION FATIGUE: WHAT LAWYERS NEED TO KNOW Lee Norton, Ph.D., M.S.W., Jennifer Johnson, Esq., & George Woods, MD* Burnout and compassion fatigue are not unique to individuals who work in social welfare or the mental health professions. Ironically, lawyers are more susceptible to these problems. This is sofor several reasons, notably the extreme value placed on competition, self-sufficiency, and abnegating individual emotional needs; the isolated work conditions characteristic of most law practices; and the effect of the adversarialsystem on all spheres of professional and personal lfe. Burnout and compassion fatigue cause chronic health problems, poor job performance, substance abuse and other forms of self-medication, and impoverished relationships. Attorneys must understandthe dynamics, symptoms and effective intervention for burnout and compassion fatigue in order to provide competent representation. Burnout and compassion fatigue are related conditions that result from exposure to distressing or traumatic experiences. While the terms are often used interchangeably, there are differences worth noting since the two problems can exist individually or together. I. BURNOUT Burnout results from a discrepancy between expectations and outcomes, or the perceived needs of a task exceeding the perceived resources.' It is caused by a combination of factors spanning personality traits to organizational culture.2 Individuals who are especially idealistic, have poor personal and professional boundaries, find themselves in jobs that do not match their skills and interests, and define themselves by their work, are more vulnerable to burnout.3 Similarly, organizations characterized by unrealistic expectations, lack of collaborative * Lee Norton, Ph.D., M.S.W. is founder and owner of the Center for Trauma Therapy in Nashville, TN. -
What Is Compassion Fatigue?
Handout 6 What is Compassion Fatigue? There is a cost to caring. Professionals who listen to the stories of fear, pain and suffering of others may feel similar fear, pain and suffering because they care. Professionals especially vulnerable to Compassion Fatigue (CF) include emergency care workers, counsellors, mental health professionals, medical professionals, clergy, advocate volunteers, and human service workers. If you ever feel as though you are losing your sense of self to the clients you serve, you may be suffering from CF. The concept of Compassion Fatigue emerged only in the last several years in the professional literature. It represents the cost of caring about and for traumatised people. Compassion Fatigue is the emotional residue of exposure to working with the suffering, particularly those suffering from the consequences of traumatic events. Professionals who work with people, particularly people who are suffering, must contend with not only the normal stress or dissatisfaction of work, but also with the emotional and personal feelings for the suffering. Compassion Fatigue is NOT “burnout”. Burnout is associated with stress and hassles involved in your work; it is very cumulative, is relatively predictable and frequently a vacation or change of job helps a great deal. Compassion Fatigue is very different. Compassion Fatigue is a state of tension and preoccupation with the individual or cumulative trauma of clients as manifested in one or more ways including re- experiencing the traumatic event, avoidance/numbing of reminders of the event, and persistent arousal. Although similar to critical incident stress (being traumatised by something you actually experience or see), with CF you are absorbing the trauma through the eyes and ears of your clients. -
Clinical Implications of Compassion Fatigue
Psychiatria Danubina, 2015; Vol. 27, Suppl. 1, pp 321–327 Conference paper © Medicinska naklada - Zagreb, Croatia PSYCHIATRIC CAREGIVER STRESS: CLINICAL IMPLICATIONS OF COMPASSION FATIGUE Francesco Franza1, Gianfranco Del Buono2 & Ferdinando Pellegrino3 1Neuropsychiatric Centre “Villa dei Pini”, Avellino, Italy 2Division Psychiatry, "S. Giovanni di Dio and Ruggi D'Aragona Hospital, University Salerno, Salerno, Italy 3Mental Health Department, Salerno, Italy SUMMARY The capacity to work productively is a key component of health and emotional well-being. People who work in health care can be exposed to the fatigue of care. Compassion fatigue has been described as an occupational hazard specific to clinical work related severe emotional distress. In our study, we have evaluated compassion fatigue in a mental health group (47 psychiatric staff) and its relationship with inpatients (237 inpatients) affected by some psychiatric disorders. At baseline, the more significant data indicate a high percentage of Job Burnout and Compassion Fatigue in psychiatric nurses (respectively, 39.28%, 28.57%). Significant Compassion Fatigue percentage is present also in psychologist group (36.36%). Finally, in psychiatrists, the exposure to patients increased vicarious trauma (28.57%), but not job burnout. After a year of participation in Balint Groups, the psychiatric staff presented an overall reduction in total mean score in any administered scale (CBI: p<0.0000045; sCFs: (Vicarious Trauma: p<0.0288; Job Burnout: p<0.000001)). Thus, compassion fatigue causes concern among mental health professionals, and Balint Groups may represent a therapeutic strategy to help health professionals to face difficulties in challenging work environments. Key words: compassion fatigue – burnout – psychiatric caregivers * * * * * INTRODUCTION majority of workplace health programs (Tan 2014).