Compassion Fatigue in the Service of Children Exposed to Violence: - - PowerPoint PPT Presentation

Compassion Fatigue in the Service of Children Exposed to Violence:

Making Sure Your Mask is Secure Before Helping Others

Invited keynote at the Invited keynote at the Defending Childhood Conference, Cleveland, Ohio September 22, 2011

Ch l R Fi l PhD Charles R. Figley, PhD

Tulane University the Paul Henry Kurzweg MD Distinguished Chair in Disaster Mental the Paul Henry Kurzweg, MD Distinguished Chair in Disaster Mental Health, Tulane University

Taking a deep breath Taking a deep breath

• The next hour is about you and your

The next hour is about you and your welfare

• Discussion about life in the trenches and
• Discussion about life in the trenches and

what helps and does not help in your own thriving thriving.

• First, what are your adversities that affect

th lit f h i ? the quality of your human services?

• Roadmap to thriving and human

development

Building Blocks to Thriving and Human Development

1 Thriving as a human service professional

• 1. Thriving as a human service professional

means displaying indicators of life satisfaction effectiveness in all critical life satisfaction, effectiveness in all critical life roles, and correlated with measures of human development human development

Building Blocks to Thriving and Human D l t Development

• 2. Resilience is the ability to cope effectively and adapt in the face of

loss, hardship or adversity (Block and Kremen, 1996).

• 3. Resilient people spring back quicker than others
• 4. Two categories of resilience: Trait and State.

g

• 5. The above predict Self Care
• a. that determines the level of thriving

b which determines the learning orientation

• b. which determines the learning orientation.
• 6. Resilience and learning are spectrum variables
• a. fear-based learning versus the other extreme of
• b. strength-based learning

Figure 1. Resilience, Self Care, Th i i d H D l t Thriving, and Human Development

ST R EN G TH

• B

A SE D L EA R N IN G H IG H TH R IV IN G

TR A IT R ESIL IEN C E SEL FC A R E TH R IVIN G LEV EL ST A TE R ESILIEN C E

H U M A N D E V E LO P M EN T

R ESIL IEN C E LEV EL

LO W TH R IV IN G

R ESILIEN C E

FE A R

• B

A S E D LE A R NIN G TH R IV IN G

S

• urc

e: Figley , C . R .

TRAIT Resilience TRAIT Resilience

• Recent study confirmed the attributes of

Recent study confirmed the attributes of high trait resilience neurologically:

• Emotional Optimism
• Emotional Optimism
• Openness to new experiences
• High life satisfaction

Emotional Flexibility Emotional Flexibility

• The primary component of trait resilience

The primary component of trait resilience

• Adapt with little upset

Hi h lf l ti ffi i

• High self regulation efficiency

STATE Resilience

• Twenty-five years of research on state

resilience starting with studies of resilient resilience, starting with studies of resilient children. St t ili i th ti b th

• State resilience is the actions – both

learned and inherited – that effectively d d it managed adversity.

• Actions most critical are social skills and

problem-solving strategies

• 10 factors are associated with State

Resilience

Accounting for and Building Resilience among Caregivers Resilience among Caregivers

Preparation Delivery Outcome Consequences

EXPOSURE TO CLIENTS SELF CARE TRAIT RESILIENCE EMPATHIC ABILITY EMPATHIC RESPONSE COMPASSION STRESS STATE RESILIENCE LEVEL LEVEL OF INTEREST SATIS- FACTION TRAUMA EXPOSURE

Shared Trauma Resilience Model

Figure 1. Resilience, Self Care, Th i i d H D l t Thriving, and Human Development

ST R EN G TH

• B

A SE D L EA R N IN G H IG H TH R IV IN G

TR A IT R ESIL IEN C E SEL FC A R E TH R IVIN G LEV EL ST A TE R ESILIEN C E

H U M A N D E V E LO P M EN T

R ESIL IEN C E LEV EL

LO W TH R IV IN G

R ESILIEN C E

FE A R

• B

A S E D LE A R NIN G TH R IV IN G

S

• urc

e: Figley , C . R .

Self Care includes Self Care includes

• Self compassion

Self compassion

• Self regulation

Pl i

• Planning
• Discipline
• Empathic Discernment

Thriving associated with Thriving associated with

• Human development level

Human development level

• Learning styles based on level of thriving

Hi h th i i St th b d l i – High thriving = Strength-based learning – Low thriving = Fear-based learning

The Adversity of Trauma The Adversity of Trauma

• The following model guides our research

The following model guides our research

• n combat medic resilience
• The last model brings it all together
• The last model brings it all together

regarding what we know about what causes PTSD: Traumatic Stress Injuries causes PTSD: Traumatic Stress Injuries – four types of injury that require specialized treatment treatment.

14 TRAIT RESILIENCE FACTORS

Intelligence Intelligence Trait Resilience (ER-89) Stress Adaptation Competence Self Confidence State Resilience Factors Orientation and Training Adversities I di id l D d Orientation and Training Trust in the Unit Traumatic Unit Cohesion Sense of Humor and Stress‐ reducing Competencies Individual Demands Unit Demands Environmental Demands Family Demands

STRESS REACTIONS

Biological Markers reducing Competencies Psychological Markers Social Relationship Markers Behavioral Markers Spiritual Markers

Trauma-RELATED STRESS INJURIES AND RESILIENCES

Physical Fatigue Injury and Resilience Grief Injury and Resilience Belief Injury and Resilience

(c) Figley Institute (2010)

)

Belief Injury and Resilience Trauma Injury and Resilience

Conclusion Conclusion

• Take the attached tests and do something

Take the attached tests and do something about what you find.

• You deserve the attention you give your
• You deserve the attention you give your

clients times ten. B d t lf d lt

• Be good to yourself and, as a result, you

are good for your clients.

Contact information: Contact information:

• Tulane University Graduate School of

Tulane University Graduate School of Social Work (Associated Dean for Research) Research)

• Figley@Tulane.Edu

504 862 3473

• 504-862-3473
• Disaster Resilience Leadership Academy

(Associate Director for Graduate Programs)