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Compassion Fatigue, Vicarious Traumatization, Burnout, and Self-Care

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Raigan Steele

on 3 December 2014

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Transcript of Compassion Fatigue, Vicarious Traumatization, Burnout, and Self-Care

What is to give light, must endure burning.
Compassion Fatigue,
Vicarious Truamatization,
Burnout, and Self-Care

Compassion Fatigue: the negative aspects of helping.
The negative aspects of working in helping systems may be related to: 1) Providing care 2) The system 3) Work with colleagues 4) Beliefs about self
Compassion Fatigue
Vicarious Truamatization
What's The Difference?
... small
Viewed as a syndrome
consisting of three dimensions:
1) Emotional exhaustion
depletion of emotional resources
2) Depersonalization
negative, callous, cynical attitude toward recipients of care.
3) Reduced personal accomplishment
evaluates oneself negatively
Symptoms (continued)
Seek information, plan, take action
Distraction, emotional support
Pros and cons to both?
How do you cope?
How do we cope?
Personal psychotherapy
Meditation or prayer
Artistic enjoyments
Social activities
Obtaining supervision
Intervention and support of colleagues
Be sensitive to your colleagues and show willingness to discuss concerns
Mindfulness-Based Stress Reduction (MBSR)
D'Souza, F., Egan, S. J., & Rees, C. S. (2011). The relationship between perfectionism, stress and burnout in clinical psychologists. Behaviour Change, 28(1), 17-28. doi:10.1375/bech.28.1.17
Everall, R. D., & Paulson, B. L. (2004). Burnout and Secondary Traumatic Stress: Impact on Ethical Behaviour. Canadian Journal Of Counselling, 38(1), 25-35.
Koeske, G. F., Kirk, S. A., & Koeske, R. D. (1993). Coping with job stress: Which strategies work best? Journal of Occupational and Organizational Psychology, 66, 319-335.
Montero-Marín, J., García-Campayo, J., Fajó-Pascual, M., Carrasco, J., Gascón, S., Gili, M., & Mayoral-Cleries, F. (2011). Sociodemographic and occupational risk factors associated with the development of different burnout types: The cross-sectional University of Zaragoza study. BMC Psychiatry, 11
O'Halloran, T. M., & Linton, J. M. (2000). Stress on the job: Self-care resources for counselors. Journal Of Mental Health Counseling, 22(4), 354-364.
Pearlman, L., & Mac Ian, P. S. (1995). Vicarious traumatization: An empirical study of the effects of trauma work on trauma therapists. Professional Psychology: Research and Practice, 26(6), 558-565. doi:10.1037/0735-7028.26.6.558
Shapiro, S. L., Brown, K., & Biegel, G. M. (2007). Teaching self-care to caregivers: Effects of mindfulness-based stress reduction on the mental health of therapists in training. Training And Education In Professional Psychology, 1(2), 105-115. doi:10.1037/1931-3918.1.2.105
Toker, S., & Biron, M. (2012, January 9). Job burnout and depression: Unraveling their temporal relationship and considering the role of physical activity. Journal of Applied Psychology. Advance online publication. doi: 10.1037/a0026914
Go to ProQOL.com for free copy of the professional Quality of Life Measurement 5 (Handout) and Caregiver Cards (Handout).
Work-related vicarious exposure to extremely traumatic or stressful events can create PTSD like symptoms.

It is about being AFRAID.
Insomnia, nightmares (V.T.)
Flashbacks of client's trauma story (V.T.)
Chronic physical ailments
Difficulty concentrating
Mentally and physically tired
In denial about problems
Happiness at canceled appointments
Loss of positive feelings for client
Disruptions in empathic abilities
Boundary violations
Helpless, hopeless, trapped,
negative attitude, anger, boredom, cynicism, loss of confidence, impatience, irritability, denial of feelings,
isolation from others
A lot of complaints from others
Voices excessive complaints about administrative functions
Substance abuse
Compulsive behaviors: overspending, overeating, gambling, hyper sexual.
Poor personal-care (i.e., hygiene, appearance)
Legal problems, indebtedness
Be kind to yourself.
Enhance your awareness with education.
Understand that those close to you may not be there when you need them most.
Exchange information and feelings with people who can validate you.
Clarify your personal boundaries, what works for you; what doesn't.
Express your needs verbally.
Take positive action to change your environment.
You are the only person responsible
for your own Self Care
System Prevention
(Pearlman & Mac Ian, 1995) indicated:

A need exists for:
1) more training in trauma therapy
2) more supervision and support for both newer and trauma survivor therapists.
Risk Factors
Trauma therapists with a personal trauma history showed more negative effects from the work than those without a personal history. (Pearlman & Mac Ian, 1995).
Viktor E Frankl
Compassion fatigue
Vicarious Trauma
Full transcript