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Downloaded by [New York University] at 12:58 29 November 2016 T H E R E S I L I E N T PRACTITIONER Th e Resilient Practitioner , third edition, gives students and practitioners the tools they need to create their own personal balance between caring for themselves and caring for others. Th is new edition includes a new chapter on resiliency, an updated self-care action plan, self-refl ection exercises in each chapter, and a revised resiliency inventory for practitioners. Readers will fi nd, however, that the new edition keeps its strong focus on research and accessible writing style. Th e new edition also retains its focus on establishing working alliances and charting a hopeful path for practitioners, a path that allows them to work intensely with human suff ering and also have a vibrant career in the process. Downloaded by [New York University] at 12:58 29 November 2016 This page intentionally left blank Downloaded by [New York University] at 12:58 29 November 2016 T H E R E S I L I E N T PRACTITIONER Burnout and compassion fatigue prevention and self-care strategies for the helping professions Th ird Edition Th omas M. Skovholt and Michelle Trotter-Mathison Downloaded by [New York University] at 12:58 29 November 2016 Th ird edition published 2016 by Routledge 2 Park Square, Milton Park, Abingdon, Oxon, OX14 4RN and by Routledge 711 Th ird Avenue, New York, NY 10017 Routledge is an imprint of the Taylor & Francis Group, an informa business © 2016 Th omas M. Skovholt and Michelle Trotter-Mathison Th e right of Thomas M. Skovholt and Michelle Trotter-Mathison to be identifi ed as the author of this Work has been asserted by them in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Trademark notice : Product or corporate names may be trademarks or registered trademarks, and are used only for identifi cation and explanation without intent to infringe. First edition published by Allyn & Bacon 2000 Second edition published by Routledge 2010 Library of Congress Cataloging-in-Publication Data Skovholt, Th omas M. Th e resilient practitioner : burnout and compassion fatigue prevention and self-care strategies for the helping professions / Th omas M. Skovholt and Michelle Trotter-Mathison. — Th ird edition. pages cm Includes bibliographical references and index. ISBN 978-1-138-83003-5 (hardback : alk. paper) — ISBN 978-1-138-83007-3 (pbk. : alk. paper) — ISBN 978-1-315-73744-7 (ebook) 1. Medical personnel—Mental health. 2. Psychotherapists— Mental health. 3. Teachers—Mental health. 4. Counselors—Mental health. 5. Medical personnel—Job stress. 6. Psychotherapists—Job stress. 7. Teachers—Job stress. 8. Counselors—Job stress. 9. Burn- out (Psychology)—Prevention. I. Trotter-Mathison, Michelle. II. Title. RC451.4.M44S57 2016 616.89′14—dc23 2015031296 Downloaded by [New York University] at 12:58 29 November 2016 ISBN: 978-1-138-83003-5 (hbk) ISBN: 978-1-138-83007-3 (pbk) ISBN: 978-1-315-73744-7 (ebk) Typeset in Adobe Caslon by Apex CoVantage, LLC For my daughter Rachel whose birth was a beautiful moment and whose continual presence is a pleasure – Tom Skovholt For John, Lars and Elias, my loves who bring so much joy to my life – Michelle Trotter-Mathison And to practitioners, including counselors, therapists, teachers, health professionals, professors and clergy across the world, whose professional caring for others makes this a better world Downloaded by [New York University] at 12:58 29 November 2016 PRAISE FOR THE FIRST EDITION “ Th e Resilient Practitioner is a ‘must’ read for every practitioner. Skovholt gives clear explanations of practitioner stress and provides remedies that can be implemented. I really enjoyed the real-life examples and was impressed by the extensive research that forms the background for the book. Skovholt is a master teacher and practitioner. I recommend that practitioners keep this book close by and reread it throughout their careers.” – Clara Hill, PhD, University of Maryland “Th is is a wonderful book that merits careful reading by all helping profession- als. Well written, engrossing, and amply documented, Th e Resilient Practitioner is recommended with unqualifi ed enthusiasm.” – Ted Packard, PhD, University of Utah; President, American Board of Professional Psychology “In this remarkable book, the author is eloquent in his perceptive description of the demands on the practitioner. At several points, I felt like I was reading from the pages of my own personal journal. Th is is a wonderfully stimulating book!” Downloaded by [New York University] at 12:58 29 November 2016 – William Parham, PhD, University of California– Los Angeles; Associate Director, Counseling Services “Over the past ten years, I have been asked by publishers to review hundreds of manuscripts. Th is is one of the best written! Th e author has a very engaging writing style and his humanity permeates the content. Th e book has a solid scholarly foundation yet is very accessible, very alive, and rich with vivid, real- life illustrations. What a wonderful job!” – Mark Kiselica, PhD, Th e College of New Jersey “At all career stages, caring professionals will fi nd this book to be a rich resource of encouragement for professional development. It is a bountiful gift to us all.” – Jaquie Resnick, PhD, University of Florida “Th is visionary work is essential reading for practitioners and students in the helping fi elds. With poetic wisdom and academic clarity, Tom Skovholt addresses the issues involved in sustaining professional validity.” – Sally Hage, PhD, State University of New York “In Th e Resilient Practitioner , Tom Skovholt demonstrates a compassionate appreciation for the complexities of the helping fi elds. Clearly, he has experi- enced these development challenges, and has listened and guided well as oth- ers have navigated these challenging tasks. Now, in this book, his wisdom can be shared with many other ‘high-touch’ professionals.” – Kate F. Hays, PhD, Sport Psychologist; Director, Th e Performing Edge, Toronto, Canada “Tom Skovholt has identifi ed precisely the diffi cult career issues for practi- tioners in the helping professions. He specifi es particular steps in balancing care for others and self, sustaining the professional and personal selves, and preventing burnout. Skovholt stimulated me to consider self-care in a whole new way – not as a narcissistic withdrawal from responsibility, but as a means to sustain intellectual excitement and emotional commitment to those with whom I work.” – Susan Neufeldt, PhD, Clinical Supervisor, University of California–Santa Barbara Downloaded by [New York University] at 12:58 29 November 2016 PRAISE FOR THE SECOND EDITION “Skovholt and Trotter-Mathison have off ered well-written observations of profound truth, informed largely by the superlative body of research on coun- selor development by Skovholt and colleagues. A stimulating and validating read for practitioners across the professional lifespan.” – Camille DeBell, PhD, Associate Professor of Counseling Psychology, Regis University “I welcome this book, as a psychotherapist, with my whole heart. Th e authors have left no stone unturned in identifying the pitfalls which can lead to burn- out in practitioners in the business of ‘other-care.’ ” – Ursula Somerville, MEAP, MIAHIP, European Psychotherapist and Clinical Supervision based in Ireland “Th e second edition of Th e Resilient Practitioner is packed with insights and practical tools for mental health professionals. Th is is a great book for teach- ing and training, and for periodic self-assessment for the mature professional.” – Arnold Spokane, PhD, ABPP, Professor of Downloaded by [New York University] at 12:58 29 November 2016 Counseling Psychology, Lehigh University “Th e authors explicitly state the case for help-giving as an extremely complex, dialectical and demanding occupation. I have no doubt that students, novices, and professionals in the helping occupations will fi nd this to be a major con- tribution to their professionalism and well-being.” – Moshe Israelashvili, PhD, Tel Aviv University, Israel PRAISE FOR THE THIRD EDITION “Th is book should be required reading for all in the helping professions. Skovholt and Trotter-Mathison identify struggles with which any one of us might relate. Th ey use powerful examples and provide a structure for refl ec- tion that would be a valuable resources to all colleagues in nursing and other professions who routinely cope with the stresses of caring.” – Lori Brown, PhD, RN, assistant professor at Washington State University “My best read this far about the personal in the professional in relationship- intense professions. Relevant across disciplines and cultures. In a warmhearted manner, the authors off er well-founded and thought-provoking insights, bene- fi tting both the novice and the experienced professional. An invaluable comp- anion for any relational worker aiming for the long run!” – Kjetil Moen, chaplain, researcher, and lecturer at Stavanger University Hospital, Norway “As a practitioner in private practice, I frequently turn to this book for remind- Downloaded by [New York University] at 12:58 29 November 2016 ers of how to persist despite the demands of psychologically

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