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© Beth Hudnall Stamm, 2009. www.ProQOL.org For more information see www.proqol.org Compassion Satisfaction and Compassion Fatigue Or What the $%#& was I thinking Marynne Aaronson

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  • Beth Hudnall Stamm, 2009. www.ProQOL.org For more information see www.proqol.org

    Compassion Satisfaction and Compassion Fatigue

    Or What the $%#& was I thinking Marynne Aaronson

  • Beth Hudnall Stamm, 2009. www.ProQOL.org Beth Hudnall Stamm, 2009. www.ProQOL.org

    Vocabulary

    Compassion Satisfaction Positive aspects of working as a helper

    Compassion Fatigue Negative aspects of working as a helper

    Burnout Inefficacy and feeling overwhelmed

    Work-related traumatic stress Primary traumatic stress direct target of event Secondary traumatic exposure to event due to a

    relationship with the primary person

  • Beth Hudnall Stamm, 2009. www.ProQOL.org

    Professional Quality of Life

    Compassion Satisfaction The positive aspects

    of helping The good stuff

    Compassion Fatigue The negative aspects of

    helping The bad stuff

  • Beth Hudnall Stamm, 2009. www.ProQOL.org

    CS-CF Model

    Professional Quality of Life

    Compassion Satisfaction

    Compassion Fatigue

    Burnout Secondary Trauma

  • Beth Hudnall Stamm, 2009. www.ProQOL.org Beth Hudnall Stamm, 2009. www.ProQOL.org

    Compassion Satisfaction

    The positive aspects of helping Pleasure and satisfaction derived from working in

    helping, care giving systems May e related to

    Providing care To the system Work with colleagues Beliefs about self Altruism

  • Beth Hudnall Stamm, 2009. www.ProQOL.org Beth Hudnall Stamm, 2009. www.ProQOL.org

    Compassion Fatigue

    The negative aspects of helping The negative aspects of working in helping

    systems may be related to Providing care To the system Work with colleagues Beliefs about self

    Burnout Work-related trauma

  • Beth Hudnall Stamm, 2009. www.ProQOL.org Beth Hudnall Stamm, 2009. www.ProQOL.org

    Burnout and STS: Co Travelers

    Burnout Work-related hopelessness and feelings of

    inefficacy STS

    Work-related secondary exposure to extremely or traumatically stressful events

    Both share negative affect Burnout is about being worn out STS is about being afraid

    Beth Hudnall Stamm, 2009. Professional Quality of Life Scale (ProQOL). www.proqol.org. This test may be freely copied as long as (a) author is credited, (b) no changes are made without author authorization, and (c) it is not sold.

  • Beth Hudnall Stamm, 2009. www.ProQOL.org Beth Hudnall Stamm, 2009. www.ProQOL.org

    Relationships Are Complex

    Multiple spheres Work environment People helped environment Personal environment

    Positive (CS) & negative (CF) Altruism CS can override CF Compassion Fatigue two parts

    Worn out (BO) common Frightened, traumatized (STS) rarer but powerful

  • Beth Hudnall Stamm, 2009. www.ProQOL.org

    Complex Relationships

    Professional Quality of Life

    Compassion Fatigue

    Compassion Satisfaction (ProQOL CS)

    Work Environment

    Client Environment

    Personal Environment

    Traumatized by work

    Secondary Exposure

    (ProQOL STS)

    Primary Exposure

    Frustration Anger

    Exhaustion Depressed by Work

    Environment (ProQOL Burnout)

  • Beth Hudnall Stamm, 2009. www.ProQOL.org Beth Hudnall Stamm, 2009. www.ProQOL.org

    People Bring Themselves

    Suicide Prevention workers include people with all types of education, training and income

    Some workers bring with them histories of difficult lives that may include trauma

    Some people have difficult family, economic, or other personal situations

  • Beth Hudnall Stamm, 2009. www.ProQOL.org Beth Hudnall Stamm, 2009. www.ProQOL.org

    People Bring Themselves

    People bring a past and a present to anything they do Their schemas and beliefs Their stigma beliefs Their social support systems

    Positive support Negative support

    Their history of trauma and illness Their families and close others Their economic situation

  • Beth Hudnall Stamm, 2009. www.ProQOL.org Beth Hudnall Stamm, 2009. www.ProQOL.org

    Interpreting Scores

    Scores on individual scales tell us about a persons responses on each of the constructs

    Viewing the combination of scores helps us paint a picture of what the person is telling us

    Can be used to track an individuals CS and CF

  • Beth Hudnall Stamm, 2009. www.ProQOL.org Beth Hudnall Stamm, 2009. www.ProQOL.org

    Little Switch

  • Beth Hudnall Stamm, 2009. www.ProQOL.org Beth Hudnall Stamm, 2009. www.ProQOL.org

    What is Resilience

    Resilience is the process of adapting well in the face of adversity, trauma, threats or significant stress.

    It is ordinary, not extraordinary Does not mean that you do not experience emotional distress Developing resilience is likely to involve considerable emotional distress

  • Beth Hudnall Stamm, 2009. www.ProQOL.org Beth Hudnall Stamm, 2009. www.ProQOL.org

    What is Resilience

    Resilience is not something you do or do not have.

    It involves behaviors, thoughts and actions that can be learned and developed by anyone.

    (APA Help Center)

  • Beth Hudnall Stamm, 2009. www.ProQOL.org Beth Hudnall Stamm, 2009. www.ProQOL.org

    Characteristics of Resilient People

    Understand that set backs are a part of life Have an internal locus of control Strong problem solving skills Strong social connections See themselves as survivors not victim Able to ask for help

  • Beth Hudnall Stamm, 2009. www.ProQOL.org Beth Hudnall Stamm, 2009. www.ProQOL.org

    Factors in Resilience

    A combination of factors contributes to resilience. Many studies show that the primary factor in resilience is having caring and supportive relationships within and outside the family. Relationships that create love and trust, provide role models and offer encouragement and reassurance help bolster a person's resilience.

  • Beth Hudnall Stamm, 2009. www.ProQOL.org Beth Hudnall Stamm, 2009. www.ProQOL.org

    Several additional factors are

    The capacity to make realistic plans and take steps to carry them out.

    A positive view of yourself and confidence in your strengths and abilities.

    Skills in communication and problem solving. The capacity to manage strong feelings and impulses. All of these are factors that people can develop in

    themselves.

  • Beth Hudnall Stamm, 2009. www.ProQOL.org Beth Hudnall Stamm, 2009. www.ProQOL.org

    Strategies

    Make Connections Avoid seeing crises as insurmountable

    problems Accept that change is a part of living Move toward your goals Take Decisive action Look for opportunities for Self Discovery

  • Beth Hudnall Stamm, 2009. www.ProQOL.org Beth Hudnall Stamm, 2009. www.ProQOL.org

    Strategies

    Build positive beliefs about yourself and abilities

    Keep things in perspective Maintain a hopeful outlook Take care of yourself Make everyday meaningful Learn from experience Find a sense of purpose in your life

  • Beth Hudnall Stamm, 2009. www.ProQOL.org Beth Hudnall Stamm, 2009. www.ProQOL.org

    Staying Flexible

    Letting yourself experience strong emotions, and also realizing when you may need to avoid experiencing them at times in order to continue functioning.

    Stepping forward and taking action to deal with your problems and meet the demands of daily living, and also stepping back to rest and reenergize yourself.

    Spending time with loved ones to gain support and encouragement, and also nurturing yourself.

    Relying on others, and also relying on yourself.

  • Beth Hudnall Stamm, 2009. www.ProQOL.org Beth Hudnall Stamm, 2009. www.ProQOL.org

    Resiliency Planning

    Individual, personally The ProQOL can help you plan where to put your

    energy to increase our resilience Organizational planning

    Can help organizations find ways to maximize the positive aspects and reduce the negative aspects of helping

    Supportive Supervision The ProQOL can be used as information for

    discussions

  • Beth Hudnall Stamm, 2009. www.ProQOL.org Beth Hudnall Stamm, 2009. www.ProQOL.org

    WWW.PROQOL.ORG For More Information:

  • Beth Hudnall Stamm, 2009. www.ProQOL.org Beth Hudnall Stamm, 2009. www.ProQOL.org

    Compassion Satisfaction and Compassion FatigueVocabularyProfessional Quality of LifeCS-CF ModelCompassion SatisfactionCompassion FatigueBurnout and STS: Co TravelersRelationships Are ComplexComplex RelationshipsPeople Bring ThemselvesPeople Bring ThemselvesInterpreting ScoresLittle SwitchWhat is ResilienceWhat is ResilienceCharacteristics of Resilient PeopleFactors in ResilienceSeveral additional factors areStrategiesStrategiesStaying FlexibleResiliency Planningwww.proqol.orgSlide Number 24