Presentation is loading. Please wait.

Presentation is loading. Please wait.

Merrill Main, Ph.D. Clinical Director DHS Special Treatment Unit BURNOUT.

Similar presentations


Presentation on theme: "Merrill Main, Ph.D. Clinical Director DHS Special Treatment Unit BURNOUT."— Presentation transcript:

1 Merrill Main, Ph.D. Clinical Director DHS Special Treatment Unit BURNOUT

2 INTERNAL Have, get, buy, borrow, or rent a life. Have, get, buy, borrow, or rent a life. Lack of self-care. Lack of self-care. Too much tendency to externalize. Too much tendency to externalize. Unmanaged general mental health issues. Unmanaged general mental health issues. Savior complex gone wrong. Savior complex gone wrong. Poor affect management. Poor affect management.

3 EXTERNAL ? Answers in Organizational Psychology. For example, Herzberg's Motivation-Hygiene Theory ?

4 EXTERNAL Lack of training Lack of training Unclear expectations Unclear expectations Lack of support Lack of support Lack of resources Lack of resources Overutilization Overutilization Underutilization Underutilization

5 NUMBERS 20% to 25% show clinical burnout 20% to 25% show clinical burnout  Kadambi and Truscott, % of the teachers   Rudow, % of medical residents   Martini, S., Arfken, C., Churchill A., and Balon, R. (2004)

6 Sexual Offending Is it contagious? –Were all sexual offenders once sexual victims? –Will all victims become offenders? –Do we begin to behave like the population that we work with.

7 PARALLEL PROCESS Psychoanalytic idea that relationship between patient and therapist is reflected in relationship between therapist and supervisor. Psychoanalytic idea that relationship between patient and therapist is reflected in relationship between therapist and supervisor.  Searles (1955) See the world through the patient’s eyes too often and it may become habitual. See the world through the patient’s eyes too often and it may become habitual.

8 SYMPTOMS Vicarious Tramatization Vicarious Tramatization Hypervigilence Hypervigilence Distrust Distrust Sexualization Sexualization Objectification of patients Objectification of patients Over-identification with patients Over-identification with patients Stress Stress Exhaustion Exhaustion Depression Depression Detachment from work Detachment from work Over-investment in work Over-investment in work

9 OVER-IDENTIFICATION

10 YOU’RE THE BEST The high-school kid striving to be popular is still alive inside all of us. The high-school kid striving to be popular is still alive inside all of us. Savior complex. Savior complex. Misguided striving for personal safety. Misguided striving for personal safety. Stockholm Syndrome. Stockholm Syndrome.

11 YOU’RE THE WORST I’ll prove that I’m worthy. I’ll prove that I’m worthy. The beatings will continue until morale improves. The beatings will continue until morale improves. Effort justification Effort justification  We like most what we’ve struggled to master

12 Divisive Build one faction up, tear another down Build one faction up, tear another down ‘Shop’ for the best answer ‘Shop’ for the best answer Play one against the other Play one against the other Highly attuned to existing differences/conflicts Highly attuned to existing differences/conflicts Magnify and exacerbate real differences Magnify and exacerbate real differences –Between individuals –Between groups Instigate conflict for personal pleasure or gain Instigate conflict for personal pleasure or gain

13 Manipulative Starts with small things Starts with small things –Favors given or taken –I won’t tell Progresses to big things Progresses to big things May seem reasonable at each step May seem reasonable at each step Often starts with small quid-pro-quo Often starts with small quid-pro-quo

14 UNDER-IDENTIFICATION Beyond gallows humor Beyond gallows humor Distain Distain Distrust Distrust Disregard Disregard Disrespect Disrespect

15 THERAPIST STYLE “Among the influential therapist behaviors, the most important appear to be: empathy, warmth, rewardingnes, and directiveness.” “Among the influential therapist behaviors, the most important appear to be: empathy, warmth, rewardingnes, and directiveness.”  Marshall (2005)

16 Effects and problems of working with sexual offenders Excessive identification with offenders. Excessive identification with offenders. Excessive anger toward of offenders. Excessive anger toward of offenders. Parallel processes. Parallel processes. Effect on clinicians’ sexual functioning. Effect on clinicians’ sexual functioning. Work intruding into life. Work intruding into life. Become used to talking about sex with patients. Become used to talking about sex with patients.

17 ANTI-BURNOUT Engagement Engagement Vigor Vigor Person-Environment Fit Person-Environment Fit

18 Burnout Prevention Communicate with colleagues Communicate with colleagues Commiserate with colleagues Commiserate with colleagues Utilize supervision Utilize supervision HAVE A LIFE OUTSIDE OF WORK HAVE A LIFE OUTSIDE OF WORK Don’t worry more about patients’ problems than they do. Don’t worry more about patients’ problems than they do.

19 REFERENCES Drapeau, M. (2005) Research on the Processes Involved in Treating Sexual Offenders. Sexual Abuse: A Journal of Research and Treatment. 17, Drapeau, M. (2005) Research on the Processes Involved in Treating Sexual Offenders. Sexual Abuse: A Journal of Research and Treatment. 17, Edmunds, S. (Ed.) Impact: Working with Sexual Abusers. Safer Society: Brandon, Vt. Edmunds, S. (Ed.) Impact: Working with Sexual Abusers. Safer Society: Brandon, Vt. Ennis, L. and Home, S., (2003). Predicting Psychological Distress in Sex Offender Therapists. Sexual Abuse: A Journal of Research and Treatment. 15, Ennis, L. and Home, S., (2003). Predicting Psychological Distress in Sex Offender Therapists. Sexual Abuse: A Journal of Research and Treatment. 15, Farrenkopf, T. (1992) What Happens to Therapists who work with Sex Offenders? Journal of Offender Rehabilitation. 18(3/4), Farrenkopf, T. (1992) What Happens to Therapists who work with Sex Offenders? Journal of Offender Rehabilitation. 18(3/4), Kadambi, M., and Truscott, D., (2003) Vicarious Traumatization and Burnout Among Therapists Working with Sex Offenders. Traumatology. 9(4) Kadambi, M., and Truscott, D., (2003) Vicarious Traumatization and Burnout Among Therapists Working with Sex Offenders. Traumatology. 9(4) Lea, S., Auburn, T., and Kibblewhite, K. (1999). Working with Sex Offenders: The Perceptions and Experiences of Professionals and Paraprofessionals. International Journal of Offender Therapy and Comparative Criminology. 43(1), Lea, S., Auburn, T., and Kibblewhite, K. (1999). Working with Sex Offenders: The Perceptions and Experiences of Professionals and Paraprofessionals. International Journal of Offender Therapy and Comparative Criminology. 43(1), Little, L. and Hamby, S. (2001). Memory of Childhood Sexual Abuse Among Clinicians: Characteristics, Outcomes, and Current Therapy Attitudes. Sexual Abuse: A Journal of Research and Treatment., 13, Little, L. and Hamby, S. (2001). Memory of Childhood Sexual Abuse Among Clinicians: Characteristics, Outcomes, and Current Therapy Attitudes. Sexual Abuse: A Journal of Research and Treatment., 13, Moulden, H. and Firestone, P. (2007). Vicarious Traumatization: The Impact on Therapists Who Work With Sexual Offenders. Trauma Violence Abuse. 8, Moulden, H. and Firestone, P. (2007). Vicarious Traumatization: The Impact on Therapists Who Work With Sexual Offenders. Trauma Violence Abuse. 8, Nelson, M., Herlihy, B., and Oescher, J. (2002) A Survey of Counselor Attitudes Towards Sex Offenders. J of Mental Health Counseling. 24(1), Nelson, M., Herlihy, B., and Oescher, J. (2002) A Survey of Counselor Attitudes Towards Sex Offenders. J of Mental Health Counseling. 24(1), Salter, A. (2003) Staff Seductions. In Predators: Pedophiles, Rapists and Other Sex Offenders. Basic Books:New York.Shelby, R., Stoddart, R., and Taylor, K. (2001) Factors Contributing to Levels of Burnout Among Sex Offender Treatment Providers. Journal of Interpersonal Violence. 16(11), Salter, A. (2003) Staff Seductions. In Predators: Pedophiles, Rapists and Other Sex Offenders. Basic Books:New York.Shelby, R., Stoddart, R., and Taylor, K. (2001) Factors Contributing to Levels of Burnout Among Sex Offender Treatment Providers. Journal of Interpersonal Violence. 16(11), Steed, L., and Bicknell, J. (2001). Trauma and the Therapist: The Experience of Therapists Working with the Perpetrators of Sexual Abuse. Australasian Journal of Disaster and Trauma Studies. 2001(1). Steed, L., and Bicknell, J. (2001). Trauma and the Therapist: The Experience of Therapists Working with the Perpetrators of Sexual Abuse. Australasian Journal of Disaster and Trauma Studies. 2001(1). Thorpe, G., Righthand, S., and Kubik, E. (2001). Brief Report: Dimensions of Burnout in Professionals Working with Sex Offenders. Sexual Abuse: A Journal of Research and Treatmnet., 13, Thorpe, G., Righthand, S., and Kubik, E. (2001). Brief Report: Dimensions of Burnout in Professionals Working with Sex Offenders. Sexual Abuse: A Journal of Research and Treatmnet., 13, W.L. Marshall, W. (2005) Therapist Style in Sexual Offender Treatment: Influence on Indices of Change. Sexual Abuse: A Journal of Research and Treatmnet., 17; W.L. Marshall, W. (2005) Therapist Style in Sexual Offender Treatment: Influence on Indices of Change. Sexual Abuse: A Journal of Research and Treatmnet., 17;

20 BURNOUT


Download ppt "Merrill Main, Ph.D. Clinical Director DHS Special Treatment Unit BURNOUT."

Similar presentations


Ads by Google