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
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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
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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
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Beth Hudnall Stamm, 2009. www.ProQOL.org
CS-CF Model
Professional Quality of Life
Compassion Satisfaction
Compassion Fatigue
Burnout Secondary Trauma
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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
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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
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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.
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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
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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)
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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
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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
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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
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Beth Hudnall Stamm, 2009. www.ProQOL.org Beth Hudnall Stamm, 2009. www.ProQOL.org
Little Switch
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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
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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)
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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
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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.
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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.
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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
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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
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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.
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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
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Beth Hudnall Stamm, 2009. www.ProQOL.org Beth Hudnall Stamm, 2009. www.ProQOL.org
WWW.PROQOL.ORG For More Information:
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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