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Compassion Fatigue:

Compassion Fatigue:

An Overview

An Overview

John P. J. Dussich, Ph. D.

John P. J. Dussich, Ph. D.

Professor of Victimology

Professor of Victimology

(2)
(3)

Compassion Fatigue:

Compassion Fatigue:

Origins

Origins

Secondary traumatic stress was

Secondary traumatic stress was

first

first

identified in nurses and doctors

identified in nurses and doctors

in the

in the

1950s, especially associated with those

1950s, especially associated with those

who worked with severe emergencies.

who worked with severe emergencies.

Karl

Karl

Jung

Jung

called it

called it

psychic infection

psychic infection

claiming it was contagious and insidious.

claiming it was contagious and insidious.

Viktor

Viktor

Frankl

Frankl

, psychiatrist and holocaust

, psychiatrist and holocaust

survivor, metaphorically explained it with

survivor, metaphorically explained it with

these words:

(4)

Compassion Fatigue:

Compassion Fatigue:

Terms

Terms

Carla

Carla

Joinson

Joinson

first coined the term

first coined the term

compassion fatigue in a

compassion fatigue in a

1992

1992

article for

article for

nurses. She said, “

nurses. She said, “

the essential product

the essential product

they deliver is themselves

they deliver is themselves

.”

.”

Patrick

Patrick

Morrisette

Morrisette

called this

called this

phenomenon, “

phenomenon, “

The Pain of Helping

The Pain of Helping

referring it as the psychological injury of

referring it as the psychological injury of

the helping professionals.

(5)

Compassion Fatigue:

Compassion Fatigue:

History

History

The post Vietnam war era of the 70s and the

The post Vietnam war era of the 70s and the

development of victim services in the 70s and

development of victim services in the 70s and

80s identified PTSD.

80s identified PTSD.

Those who treated this problem themselves

Those who treated this problem themselves

became victims of STSD: “

became victims of STSD: “

secondary traumatic

secondary traumatic

stress disorder

stress disorder

.” Related but not the same.

.” Related but not the same.

The Modern day CF

The Modern day CF

academic

academic

guru

guru

is

is

Charles

Charles

Figley

Figley

, from FSU, but now at Tulane University,

, from FSU, but now at Tulane University,

LA to treat Hurricane Katrina and Rita victims.

LA to treat Hurricane Katrina and Rita victims.

The Modern day CF

The Modern day CF

practitioner

practitioner

guru is

guru is

Patricia

Patricia

Smith,

Smith,

with the Compassion Fatigue Awareness

with the Compassion Fatigue Awareness

Project (CFAP) in Silicon Valley, California.

(6)

Compassion Fatigue:

Compassion Fatigue:

Proneness

Proneness

Those who place the pain and suffering of

Those who place the pain and suffering of

others before themselves.

others before themselves.

Those who have unresolved past issues

Those who have unresolved past issues

with trauma.

with trauma.

Those who come from a place of

Those who come from a place of

emptiness.

emptiness.

Those who have persistent illnesses.

Those who have persistent illnesses.

Those who use helping others to fill up

Those who use helping others to fill up

(7)

Compassion Fatigue:

Compassion Fatigue:

Dangers

Dangers

It can be a high risk mental health

It can be a high risk mental health

condition.

condition.

It can cause you to also suffer from

It can cause you to also suffer from

PTSD symptoms.

PTSD symptoms.

It will cause you to suffer subtle

It will cause you to suffer subtle

stress, anxiety, and fatigue.

stress, anxiety, and fatigue.

It can render you dysfunctional in

It can render you dysfunctional in

professional and private activities.

(8)

Compassion Fatigue:

Compassion Fatigue:

Early Warnings

Early Warnings

Over involvement which causes

Over involvement which causes

more stressful conditions.

more stressful conditions.

Realizing that others take liberties

Realizing that others take liberties

with your private time and space.

with your private time and space.

Recognizing that you have less and

Recognizing that you have less and

less private time and space.

less private time and space.

Engaging in addictive behaviors:

Engaging in addictive behaviors:

drugs, sex, alcohol, etc.

drugs, sex, alcohol, etc.

(9)

Compassion Fatigue:

Compassion Fatigue:

General Healing

General Healing

Develop authentic sustainable health

Develop authentic sustainable health

care that results in good coping.

care that results in good coping.

Give from a place of abundance.

Give from a place of abundance.

Find safe, caring, regular, and

Find safe, caring, regular, and

professional opportunities so that

professional opportunities so that

you are debriefed and counseled.

you are debriefed and counseled.

Discuss with your supervisor and

Discuss with your supervisor and

peers the need to be monitored.

(10)

Compassion Fatigue:

Compassion Fatigue:

Specific Healing

Specific Healing

Set priorities with your own time.

Set priorities with your own time.

Periodically “unplug” or “disengage” from

Periodically “unplug” or “disengage” from

care giving commitments.

care giving commitments.

Decide when to turn off: beepers; home

Decide when to turn off: beepers; home

phones; computers; and cell phones.

phones; computers; and cell phones.

Set clear boundaries in both private and

Set clear boundaries in both private and

professional relationships.

professional relationships.

(11)

Compassion Fatigue:

Compassion Fatigue:

Organizational Support

Organizational Support

Discuss CF issues, and your own problems, with

Discuss CF issues, and your own problems, with

supervisor.

supervisor.

Get with peers and create a CF peer support

Get with peers and create a CF peer support

group.

group.

Promote Care-giver Rights: to be respected for the

Promote Care-giver Rights: to be respected for the

work you do; adequate pay for your work;

work you do; adequate pay for your work;

appropriate time off to recover; to receive

appropriate time off to recover; to receive

organizational help.

organizational help.

Helpful Website:

Helpful Website:

www.compassionfatigue.org

www.compassionfatigue.org

Helpful Books:

Helpful Books:

Compassion Fatigue

Compassion Fatigue

, C. Figley; and,

, C. Figley; and,

(12)

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