7/27/2019 Understanding the Burnout Phenomen in Caregires of Elderly

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Understanding the burnout phenomena in caregivers of elderly and

chronically ill people

Autores: Vicente, Carla S.& Arago Oliveira, R.Universidade de vora, Portugal csvicent@gmail.com

1. The result of a gradual process ofexhaustion, based on idealizingnarcissistic or masochistic submission

2. Result of the invalidation of the egoideal in relation to a significant other

3. Result of the inhibition of impulsesincompatible

Background

Burnout corresponds to a prolonged response to chronic

interpersonal stressors on the job, which comes from the

perception by the subject of a discrepancy between the efforts and

achievements in their work.

Happens frequently in professionals working directly with patients

in need or problem.

In a clinical perspective, there are three models that allow

understanding the causal dynamics of burnout:

Aims

To understand how the processes of relational patterns and

conflicts contribute to the onset of burnout, in careers of elderly

and chronically ill.

Measures

Maslach Burnout Inventory (MBI-HSS, Semedo, 2009)

Clinical interviews based on the OPD-2 protocol

Socio demographic questionnaire

Checklist of OPD-2

Method

Mixed Methodology

Sample

Quantitative Study265 subjects (professionals who work directlywith the elderly and chronically ill)

A second step we selected subjects who had moderate to high

levels of emotional exhaustion.

Qualitative Study15 clinical interviews 40 Clinical Interviews(Mean: 2,6 for subject)

Procedures

Clinical

Interview

udioRecorder

VerbatimTranscripts

AnalyzedIndependent

Examiner

Psychoanalyst by PhD

ConductedPsychologist

with clinicalexperience

Results

ConclusionA reflection on the dynamics underlying the emergence of Burnout

allow a psychotherapeutic intervention, more appropriately, focusednot only on subjective meaning in the relationship between subject

and other, but also the tendency to see the failure of reparative work

as narcissistic.

ferences: 1.Vanhuele, S. (2003) Slave labor and mastery: A psychoanalytic study of professional burnout. Proefschrift ingediend tot het behalen van de academische graad van Doctor in

Psychologische Wetenschappen. Faculteit Psychologie en Pedagogische Wetenschappen.; 2.Vanheule, S. (2005) Professional Burnout in the mirror. Psychoanalytic Psychology, Vol. 22,

2: 285-305. 3.Pines, A. (2000) Treating career Burnout: A psychodynamic existential perspective. JCLP/In session: Psychotherapy in Practice, vol. 56 (5), 633-642. 4.Pines, A. (2004) Adult

achment styles and their relationship to burnout: A preliminary, cross-cultural investigation. Work & Stress, Vol. 18, n 1, 66/80

Discussion- Prevalence of burnout syndrome is lower than that observed in

studies of health professionals, suggesting an incidence of 30%.

-The low depersonalization may be due to a certain social desirability,

as may a certain level of depersonalization be a psychological threat to

the individual.- Conflict Necessity of Care versus Autarky, Exploitation of others and

clinging behaviour ("depending and demanding", passive mode) versus

a caring, non-demanding basic attitude involving considerable

"altruistic" concern and care for others (active mode).

- The level of structural integration moderate to low refers to a mental

space built undeveloped, few regulatory functions available. A severe

Superego and the Ego Ideal exaggerated. Conflicts are interpersonal

rather than internal.

Care vsAutarky

40%Individuation

vsDependency

20%

OedipalConflict

20%

Main Conflict

Moderatelyto low60%

Moderate14%

Low14%

High tomoderate

7%

Level of Structural Integration

EmotionalExhaustion Despersonalization

Low personalaccomplishment

19,6%

4,9%

2,6%

Prevalence of Burnout Syndrome