compassion satisfaction and compassion...
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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 person’s 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 individual’s 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