pccyfs 2012 annual spring conference vicarious trauma and therapist burnout presented by: jennifer...
TRANSCRIPT
PCCYFS 2012 Annual Spring Conference
Vicarious Trauma and Vicarious Trauma and Therapist BurnoutTherapist Burnout
Presented By:Jennifer Adamczyk-Abusomwan, MA, LPC
Jennifer Pravlik, M.ED., LPC
PCCYFS 2012 Annual Spring
Conference
2
Objectives• Understand vicarious
traumatization & burnout and how it effects those in the human service field
• Identify signs and symptoms of vicarious traumatization and burnout
• Identify variables that support the development of vicarious traumatization and burnout
• Identify personal self-care and burnout reduction strategies
PCCYFS 2012 Annual Spring
Conference
3
Vocabulary
• Vicarious Traumatization• Compassion Fatigue
– Negative aspects of working as a helper
• Burnout– Inefficacy and feeling
overwhelmed• Compassion Satisfaction
– Positive aspects of working as a helper
PCCYFS 2012 Annual Spring
Conference
4
Measuring CS & CF: The Professional Quality of Life Scale (ProQOL)• The ProQOL is free• A 30 item self report measure of the
positive and negative aspects of caring
• The ProQOL measures Compassion Satisfaction and Compassion Fatigue
• Compassion Fatigue has two subscales– Burnout– Secondary Trauma
PCCYFS 2012 Annual Spring
Conference
5
Well Established
• The ProQOL is the most widely used measure of the positive and negative aspects of helping in the world
• The ProQOL has proven to be a valid measure of compassion satisfaction and fatigue
• It has been used for over 15 years• The measure was developed with
data from over 3000 people
PCCYFS 2012 Annual Spring
Conference
6
www.proqol.org
For More Information:
PCCYFS 2012 Annual Spring
Conference
7
Complete ProQol
PCCYFS 2012 Annual Spring
Conference
8
Vicarious & Secondary Traumatization
• Inevitable.• Normal. • Slow.• Cumulative.• Process.
PCCYFS 2012 Annual Spring
Conference
9
Variables That Increase Vicarious Traumatization
• Work itself
• Work environment
• Personal characteristics
PCCYFS 2012 Annual Spring
Conference
10
Signs And Symptoms
Physical Signs &
• Fatigue• Nightmares related to
consumers’ trauma• Sleep disturbances,
exaggerated startle response, difficulty relaxing
• Physical complaints, headaches, muscle tension, abdominal discomfort, frequent illness
Cognitive Signs
• Forgetfulness, confusion, difficulty making decisions, difficulty concentrating
• Loss of creativity• Loss of efficiency• Preoccupation with
safety of self and loved ones
• Unrealistically high expectations of yourself
PCCYFS 2012 Annual Spring
Conference
11
Signs and Symptoms
Emotional Signs &
• Sadness• Emotional numbness• Feelings of
helplessness, hopelessness
• Difficulty regulating your emotions, strong emotional response to minor events
• Denying your own pain or difficulties
Behavioral Signs
• Withdrawal• “Tuning out” while
listening to traumatic stories
• Loss of sense of humor or playfulness
• Disbelief and denial or other’s experience
• Survivor guilt• Loss of compassion • Loss of trust/faith in
humanity
PCCYFS 2012 Annual Spring
Conference
12
Therapist Burnout
PCCYFS 2012 Annual Spring
Conference
13
Case Vignettes
PCCYFS 2012 Annual Spring
Conference
14
Score ProQol
PCCYFS 2012 Annual Spring
Conference
15
What Does Your Score Mean?
PCCYFS 2012 Annual Spring
Conference
16
Are You Burned Out?
PCCYFS 2012 Annual Spring
Conference
17
Defining Burnout
• The definition of burnout is not easily defined
• The Maslach Mutlidimensional Model of burnout (Maslach, 1982)– Three dimensions include:
• Increase in depersonalization• Increase in emotional exhaustion• Decrease in personal
accomplishment
PCCYFS 2012 Annual Spring
Conference
18
Why look at burnout?
• It affects at least one third of therapists
• 65 to 75% of helping professionals will experience burnout in the first 3-5 years of their career
• Burnout effects– Therapist– Family of the therapist– Organization– Community– Client
PCCYFS 2012 Annual Spring
Conference
19
Signs and Symptoms of Burnout
• Physical and cognitive
• Psychological/Emotional
• Behavioral
PCCYFS 2012 Annual Spring
Conference
20
Variables that Increase Burnout
• Gender
• Experience
• Level of training
• Theoretical orientation
• Treatment modality
• Supervision
• Work setting
• Caseload
PCCYFS 2012 Annual Spring
Conference
21
Implications Of Burnout
PCCYFS 2012 Annual Spring
Conference
22
10 Beliefs That Prevent Helpers From Getting Help
PCCYFS 2012 Annual Spring
Conference
23
1. We should not experience personal problems
2. We view personal problems as a sign of inadequacy or failure.
3. We think that there is no safe place for us to get help.
4. We should be aware of all helping resources for all problems.
5. We have helping skills and can take care of ourselves.
PCCYFS 2012 Annual Spring
Conference
24
6. We often intellectualize and/or disassociate from the emotional impact of our problems.7. We often counsel family, friends, and significant others… a violation of boundaries.8. We feel responsible for and often take the blame if a family member or significant other has a personal problem.9. We feel embarrassed to seek help from fellow professionals.10. As a result of the above, we often wait longer than others to let people help and often sabotage our own treatment.
PCCYFS 2012 Annual Spring
Conference
25
Preventing Burnout and Vicarious Traumatization
•Awareness•Balance•Connections
•What do you do for self-care, fun and balance?
PCCYFS 2012 Annual Spring
Conference
26
Vicarious Resilience & Compassion Satisfaction
PCCYFS 2012 Annual Spring
Conference
27
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
PCCYFS 2012 Annual Spring
Conference
28
References