compassion fatigue

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Compassion Fatigue. Cynthia Nicholson. Self-Assessment for Compassion Fatigue. Personal concerns commonly intrude on my professional role My colleagues seem to lack understanding. I find even small changes enormously draining. I can't seem to recover quickly after association with trauma. - PowerPoint PPT Presentation

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Compassion Fatigue

Compassion Fatigue

Cynthia Nicholsoniteenchallenge.org02/2013 1

1Self-Assessment for Compassion FatiguePersonal concerns commonly intrude on my professional roleMy colleagues seem to lack understanding.I find even small changes enormously draining.I can't seem to recover quickly after association with trauma.Association with trauma affects me very deeply.My parishioners' stress affects me deeply.I have lost my sense of hopefulness.I feel vulnerable all the time.I feel overwhelmed by unfinished personal business.

iteenchallenge.org22Our default wiring is to help

iteenchallenge.org33Ministers as CaregiversHurting people surround us

iteenchallenge.org4Compassion FatigueDefinition: Compassion Fatigue is a state of exhaustion and dysfunction biologically, psychologically, socially, and spiritually as a result of working with victims of traumatic events. Prolonged exposure to someone elses struggle results in PTSD-like symptoms in the caregiver.iteenchallenge.org55

iteenchallenge.org66Trauma, Posttraumatic Stress Disorder, and Secondary Traumatic Stress TraumaDefinitionReactionsRisk factorsPosttraumatic Stress Disorder (PTSD)FactorsSecondary Traumatic Stress (STS), or Compassion Fatigueiteenchallenge.org77Compassion Fatigue versus BurnoutMixing of Terms: STS, Vicarious Traumatization, Burnout

Burnout defined

Compassion Fatigues Empathy factoriteenchallenge.org88The Minister Distinctives Characteristics of caregivers: Medical, Mental health, Social Workers, Clergy

Calling, Preparation, Foreign context

Field experience: uniqueness of life (family involvement, schedule, time off, expectations)

Vulnerable personalities

iteenchallenge.org99The Downward Spiral Tired me . . . poor me . . . shame on me . . . hate me . . . hate others . . . hate God for doing this to me.

iteenchallenge.org10Recognition, Prevention, and TreatmentRecognitionIndicators and cognitive shifts From dependence/trust chronic suspicionFrom safety heightened sense of vulnerabilityFrom power sense of helplessnessFrom independence loss of personal control and freedomOthers evaluation, intervention

Prior coping strategies

iteenchallenge.org1111Recognition, Prevention, and TreatmentPrevention

1. Education and training

2. Self-Care practices build resilience

3. Establish boundaries

4. Social support

iteenchallenge.org12127 Components of ResilienceInsight - asking tough questions and giving honest answers. Independence - distancing emotionally and physically from the sources of trouble in one's life. Relationships - making fulfilling connections to other people. Initiative - taking charge of problems. Creativity - using imagination and expressing oneself in art forms. Humor - finding the comic in the tragic.Morality acting on the basis of informed conscience

iteenchallenge.org13Recognition, Prevention, and TreatmentTreatment

Proactive steps:Learn to say noPersonal mission statementHealing Activities DosDonts

iteenchallenge.org1414Do:Relax and restEat nutritiously (avoid sugar)Get more than enough sleepTalk about what happened (to God and others)Write about what happened (journaling, letters, emails)Laugh when you canSet small goalsKeep some sort of routineIf safe, stay in familiar environmentSpend time with those who are supportive and helpfulCry if you canPray, reflect in the WordSing or listen to musicEducate yourself about traumatic reactionsKnow that the intensity of the pain will not last foreverAnticipate difficult times to comeSearch and find perspective and meaning in the eventAsk for help and let others help you iteenchallenge.org1515Do:

1. Relax and rest2. Eat nutritiously (avoid sugar)

3. Get more than enough sleep

iteenchallenge.org1616Do:6. Laugh when you can

4. Talk about what happened (to God and others)

5. Write about what happened (journaling, letters, emails)

iteenchallenge.org1717Do:9. Exercise

7.Set small goals

8. Keep some sort of routine

iteenchallenge.org1818Do:10. Spend time with those who are supportive and helpful11. Cry if you can12. Pray, reflect in the Word

iteenchallenge.org1919Do:15. Know that the intensity of the pain will not last forever14. Educate yourself about traumatic reactions

13. Sing or listen to music

iteenchallenge.org2020Do:16.Anticipate difficult times to come18. Ask for help and let others help you

17. Search and find perspective and meaning in the event

iteenchallenge.org2121DontDont make big decisionsDont look for a new job, buy a new car, get a divorce or have an affair.Dont blame others (being adversarial will only exhaust you further)Dont spend your energy complaining (avoid commiserating with discontented colleagues).Dont work harder and longerDont try a quick fix (CF can make you vulnerable to addictive behaviors and substance abuse). iteenchallenge.org2222Dont1. Dont make big decisions

iteenchallenge.org2323Dont:2. Dont look for a new job, buy a new car, get a divorce or have an affair.

iteenchallenge.org2424Dont3. Dont blame others (being adversarial will only exhaust you further)

iteenchallenge.org2525Dont:4. Dont spend your energy complaining (avoid commiserating with discontented colleagues).

iteenchallenge.org2626Dont:5. Dont work harder and longer

iteenchallenge.org2727Dont:6. Dont try a quick fix (CF can make you vulnerable to addictive behaviors and substance abuse).

iteenchallenge.org2828Systems InvolvementWhat the organization can do:Realistic work schedulesUnrealistic expectations with too little supportInadequate or abusive supervisionResponsibility without authorityLack of positive feedbackLimited incentives for rewardsiteenchallenge.org29Functions of Support SystemsActive listening Acknowledgement of good workTraining (conferences, workshops)Emotional support (accountability partners, prayer, retreats, counselors)Reality testing (objectives, expectations, feedback)iteenchallenge.org3030Organizational factors that help members cope with work stressStaff-client ratiosLimit hours of stressful work balance with pleasurable assignmentsrotate stressful jobs)Offer trainingProvide positive and constructive feedbackExtrinsic rewards: benefits and perksIntrinsic rewards: appreciation and recognition

iteenchallenge.org31Post Traumatic GrowthRecovered survivors of trauma can find themselves stronger than before.Positive psychological changesParadoxes

iteenchallenge.org3232The Serenity PrayerGod grant me the serenity to accept the things I cannot change; courage to change the things I can;and wisdom to know the difference. (Reinhold Niebuhr)iteenchallenge.org3333ConclusionCompassion is not ours; it emanates from God through us.

It is renewable!

Gods compassions fail not. They are new every morning. Lamentations 3:22, 23

iteenchallenge.org3434Additional resources for this teaching are available at iteenchallenge.org course # T313.01iteenchallenge.org35

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