Personal factors related to compassion fatigue in health professionals

This study examines the role of some personal and professional factors in compassion fatigue among health-care professionals. Research participants included 182 (89 mental and 93 medical) health-care professionals who completed an assessment battery measuring compassion fatigue, emotion management, trait emotional intelligence, situation-specific coping strategies, and negative affect. Major findings indicate that both self-report “trait” emotional intelligence and ability-based emotion management are inversely associated with compassion fatigue; adaptive coping is inversely related to compassion fatigue; and differences exist between mental and medical professions in emotional intelligence, coping strategies, and negative affect. Furthermore, problem-focused coping appears to mediate the association between trait emotional intelligence and compassion fatigue. These findings shed light on the role of emotional factors in compassion fatigue among health-care professionals. Beyond enhancing our knowledge of practitioners' professional quality of life, the current study serves as a basis for the early identification of groups of practitioners at risk for compassion fatigue.     

Burnout,compassion fatigue and compassion satisfaction among nurses in the context of maternal and perinatal deaths

This study investigated the prevalence and levels of burnout, compassion fatigue and compassion satisfaction among nurses with exposure to maternal and perinatal deaths. A convenience sample of 83 nurses was selected for participation from six hospitals in Limpopo province, South Africa, comprising 98% females with an age range of 21 to 62 years, and 15 to 18 mean years of experience in maternal and perinatal care. The nurses completed the Professional Quality of Life Scale (ProQOL R-IV), which is a measure of burnout, compassion fatigue and compassion satisfaction. The analysis examined the prevalence and level of burnout, compassion fatigue and compassion satisfaction among the nurses. Most of the respondents (92%) reported with moderate burnout scores, and about 67% reported with moderate to high compassion fatigue scores, whilst 82% reported with compassion satisfaction scores. Moderate levels of high burnout and compassion fatigue can co-occur with relatively high compassion satisfaction among nurses in critical-care health services.     

Rediscovering compassion

There is a growing concern in our society that compassion is a dying virtue, gradually being strangled by narcissism, competition, prejudice, and revenge. Yet psychologists, philosophers, and theologians agree that compassion is at the heart of the behavior that keeps individuals, families, institutions, and societies alive, namely, caring, altruism, justice, morality, and love. This article is meant to be a step in the direction of rediscovering compassion in the light of current knowledge so that the virtue, resuscitated, will once again be seen to be alive and well in our world. To this end, the article discusses the nature, types, and development of compassion.Michael E. Cavanagh, Ph.D., is a pastoral consultant and conductor of workshops. He makes his home in Tiburon, California.     

Compassion satisfaction,compassion fatigue,and burnout in a national sample of trauma treatment therapists

Abstract

For behavioral health professionals working with traumatized clients, continuous and prolonged exposure to the stress of working with the myriad of trauma-related stressors experienced by their clients can lead to various responses including burnout, compassion fatigue, and compassion satisfaction. The present study investigates the impact of using evidence-based practices on compassion fatigue, burnout, and compassion satisfaction in a random, national sample of self-identified trauma specialists (N=532). The 30-item Professional Quality of Life Scale (Stamm, 2005) and the 19-item Trauma Practices Questionnaire (Craig & Sprang, 2009) were included in a survey to licensed social workers and psychologists from professional membership rosters. Age and years of experience proved to be powerful predictors of only two of the three criterion variables, with younger professionals reporting higher levels of burnout and more experienced providers endorsing higher levels of compassion satisfaction. The utilization of evidence-based practices predicted statistically significant decreases in compassion fatigue and burnout, and increases in compassion satisfaction. The utility of these findings in understanding the process of trauma transmission between therapist and client as well as directions for future research are discussed.     

Levinas on suffering and compassion

This paper provides an analysis of suffering and compassion in the work of Emmanuel Levinas. Levinas describes compassion as ‘the nexus of human subjectivity’ and the ‘supreme ethical principle’. In his early texts, suffering discloses the burden of being, the limits of the self, and thus the approach of alterity. Levinas’s later phenomenology of suffering as passive, meaningless, and evil, functions as a refutation of rational explanations of suffering. I argue that Levinasian substitution, the traumatic election to an excessive responsibility, is the compassionate suffering that Levinas terms the nexus of human subjectivity. For Levinas, ethics is the compassionate response to the vulnerable, suffering Other.     

Therapist perspectives on working with fears,blocks and resistances to compassion in compassion focused therapy

Objective

A core aspect of compassion focused therapy (CFT) is addressing fears, blocks, and resistances (FBRs) to compassion. How CFT therapists do this with clients remains unclear. This study aims to explore the perspectives of well-trained, experienced CFT therapists regarding how they work with FBRs in the context of CFT.

Methods

A qualitative study was conducted. Participants were asked five open-ended questions regarding (a) their experiences of working with FBRs to compassion, (b) how they understand and formulate FBRs, (c) specific ways they address FBRs, (d) how other therapists might learn about working with FBRs, and (e) their top recommendations. A total of 64 participants completed the online questionnaire, and the qualitative data were analysed using thematic analysis.

Results

The analysis produced four interrelated superordinate themes: (a) Getting “alongside” and “behind”: The central role of formulation, (b) “It's not your fault”: Psychoeducation, (c) “Get experiential”: An emphasis on experiential interventions, and (d) “Respect the wisdom”: The importance of therapeutic process.

Conclusions

Working with FBRs to compassion is critical in CFT. Understanding the wisdom in the client's FBRs, and validating and de-shaming the client's FBRs are crucial. We provide clinical recommendations regarding working with FBRs as part of CFT.     

Correlates of compassion fatigue and burnout in chaplains and other clergy who responded to the September 11th attacks in New York City

Participants at a June 2002 conference about the September 11th attacks were tested for compassion fatigue, compassion satisfaction, and burnout. The sample consisted of 343 clergy, including 97 chaplains. A total of 149 (43.4%) of the participants had responded as disaster-relief workers following the September 11th attacks. The number of hours clergy worked with trauma victims each week was directly related to compassion fatigue among responders and non-responders. Compassion fatigue also was positively related to the number of days that responders worked at Ground Zero, while disaster-relief work with the American Red Cross reduced compassion fatigue and burnout. Clinical Pastoral Education tended to decrease compassion fatigue and burnout and increase compassion satisfaction in both responders and non-responders. Burnout was inversely related to age in both groups.     

Synchrony and the social tuning of compassion

Although evidence has suggested that synchronized movement can foster cooperation, the ability of synchrony to increase costly altruism and to operate as a function of emotional mechanisms remains unexplored. We predicted that synchrony, due to an ability to elicit low-level appraisals of similarity, would enhance a basic compassionate response toward victims of moral transgressions and thereby increase subsequent costly helping behavior on their behalf. Using a manipulation of rhythmic synchrony, we show that synchronous others are not only perceived to be more similar to oneself but also evoke more compassion and altruistic behavior than asynchronous others experiencing the same plight. These findings both support the view that a primary function of synchrony is to mark others as similar to the self and provide the first empirical demonstration that synchrony-induced affiliation modulates emotional responding and altruism.     

Fostering the development of compassion in young children

Conclusion Compassion involves the feeling of emotions which are more appropriate to another's situation than to one's own situation (empathy), along with elements of condolence, pity, and/or agreement (sympathy) resulting in action taken to help or support another (pro-social behavior). The precise relationship among these components of empathy, sympathy, and pro-social behavior remains ambiguous, although their inter-relatedness seems clear. Martin L. Hoffman's theory of the development of empathy in six modes and other empirical research give assurance that the rudiments of empathy, sympathy, and pro-social behavior exist in very young children; this literature informs the practical efforts of parents and educators toward nurturing compassion. Practical strategies thus deemed effective include fostering the emotional bonds between infants and their care-givers, the inducement and rehearsal of pro-social behaviors in day care, preschool, and primary school programs, the use of inductive discipline, the use of appropriate narrative and viewing, and giving attention to the small child's overall environment.     

How psychological assessment taught me compassion and firmness

In this article, I reflect on 2 specific assessment experiences and how they helped me grow as a person and as a psychologist. I believe that practicing assessment creates opportunities for personal growth in assessors because (a) to truly understand difficult clients, we must find personal versions of their psychological dilemmas in ourselves, which we might otherwise never be called on to face, and (b) to be effective as assessors, we must say difficult things to clients in plain nonjudgmental language, which forces us to develop courage and wisdom.     

Dying slowly with compassion and dignity: A commentary

Fraley offers a provocative behavior-analytic perspective on the process of slow death. I argue that the value of his insightful analysis is severely compromised by his insistence on equating behavioral competence with personal worth. Fraley errs by proclaiming that his philosophy is science, that existing social practices are essential human attributes, and that idiosyncratic reinforcing stimuli are universally functional. Further, his philosophical tenet is fundamentally inconsistent with his genuinely humane goal of understanding and promoting protracted dying as a behavioral rather than metaphysical phenomenon.     

Experiential avoidance and self‐compassion in chronic pain

The present study investigates the role of coping, experiential avoidance, and self‐compassion on psychological distress prediction (i.e., depression, anxiety, and stress symptoms). A battery of self‐report questionnaires was used to assess coping, experiential avoidance, self‐compassion, and psychological distress in 103 adults with chronic pain from Portuguese primary health care units. Hierarchical regression analyses were performed and showed that experiential avoidance and self‐compassion are the factors that mostly explain psychological distress. Our results suggest that when people with chronic pain are willing to remain in contact with particular private experiences without attempting to control them, they reported less depression, anxiety, and stress. Implications for clinical practice were discussed, suggesting the importance of helping people with chronic pain to increase their willingness to pain rather than avoiding it.     

Class and compassion: socioeconomic factors predict responses to suffering

Previous research indicates that lower-class individuals experience elevated negative emotions as compared with their upper-class counterparts. We examine how the environments of lower-class individuals can also promote greater compassionate responding-that is, concern for the suffering or well-being of others. In the present research, we investigate class-based differences in dispositional compassion and its activation in situations wherein others are suffering. Across studies, relative to their upper-class counterparts, lower-class individuals reported elevated dispositional compassion (Study 1), as well as greater self-reported compassion during a compassion-inducing video (Study 2) and for another person during a social interaction (Study 3). Lower-class individuals also exhibited heart rate deceleration-a physiological response associated with orienting to the social environment and engaging with others-during the compassion-inducing video (Study 2). We discuss a potential mechanism of class-based influences on compassion, whereby lower-class individuals' are more attuned to others' distress, relative to their upper-class counterparts.