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Juicing up and moving forward – staying juicy to the therapeutic alliance Dr Wendy H McIntosh PhD, MN, Grad Dip MH, RPN, RGN Director Davaar Consultancy.

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Presentation on theme: "Juicing up and moving forward – staying juicy to the therapeutic alliance Dr Wendy H McIntosh PhD, MN, Grad Dip MH, RPN, RGN Director Davaar Consultancy."— Presentation transcript:

1 Juicing up and moving forward – staying juicy to the therapeutic alliance Dr Wendy H McIntosh PhD, MN, Grad Dip MH, RPN, RGN Director Davaar Consultancy Training & Development

2 Themes Staying therapeutically juicy – what does that mean? What reduces therapeutic juices? Working with clients diagnosed with Borderline Personality Disorder Boundaries and transference Moral distress, Compassion Fatigue, Presenteeism

3 What attracted you to this workshop? What would you like to gain from participating in this workshop?

4

5 Moral Distress “when one knows the right thing to do, but institutional constraints make it nearly impossible to pursue the right course of action" (Jameton, 1984) Can set up intrapersonal conflict

6 Compassion Fatigue …..also referred to as secondary traumatic stress disorder …… gradual decrease in compassion over a period of time (Figley, 1995)

7 Clues: withdrawal from family / friends startle reflex loss of interest in enjoyable activities persistent images and thoughts related to experiences of others (such as the stories of clients) emotional numbness physical symptoms – headaches, gastric, muscle tension Sleep disturbance / nightmares

8 Presenteeism …going to work even although one is unwell generally less productive (due to difficulty concentrating / easily distracted) … physically at work however emotionally / cognitively disengaged (Levin-Epstein, 2005; McCormack, 2009)

9 References Figley, C.R. (1995). Compassion fatigue. Coping with secondary Traumatic stress disorder in those who treat the traumatized. Brunner Rutledge: London. Levin-Epstein. J. (2005). Presenteeism and paid sick days. Washington DC CLASP – Centre for Law and Social Policy. Accessed: 19/11/09: pdfhttp://www.clasp.org/publications/presenteeism McCormack, C. (2009). The problem of presenteeism. An expanded definition of the topic. Accessed 19/11/09:

10 Davaar Consultancy Training & Development, Pty. Ltd PO Box 322, Wellers Hill, Brisbane, Qld Web: (m) Fax: Next workshop: Being close while being distant – safe professional boundaries with clients, with colleagues Where: The Moreno Collegium, 45 Clarence Street, Coorparoo When: Thursday 10 th & Friday 12 th December 2009 Cost: $ CNE Points


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