Fadiga por compaixão : quando ajudar dói
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Dissertação (mestrado)—Universidade de Brasília, Instituto de Psicologia, Departamento de Psicologia Social e do Trabalho, Programa de Pós-Graduação em Psicologia Social, do Trabalho e das Organizações, 2008. Esse trabalho tem como objeto de estudo a Fadiga por Compaixão. Fadiga por Compaixão é o nome do processo no qual o profissional ligado ao atendimento de uma clientela, que tem como demanda o sofrimento, torna-se fatigado, exausto física e mentalmente, devido ao constante contato com o estresse provocado pela compaixão. Partindo do pressuposto da dualidade da natureza humana, analisamos os aspectos biológicos e fisiológicos, e os aspectos históricos e culturais envolvidos na experiência da compaixão. A partir disso, propõe-se uma concepção dual da empatia e da compaixão, implicando numa redefinição da Fadiga por Compaixão. A revisão de literatura específica apontou uma confusão conceitual, e os reflexos dessa confusão na construção dos instrumentos. O trabalho sugere uma nova distinção entre Fadiga por Compaixão e os demais conceitos, e apresenta a validação para o português do ProQol- assim como trechos de entrevistas com profissionais de saúde que ilustram a dinâmica do fenômeno. _________________________________________________________________________________ ABSTRACT This work aims to discuss the Compassion Fatigue. Compassion Fatigue is a term to explain a process in which the professionals linked to care for clients that have suffer as a demand turn into fatigued and exhausted (physically and mentally) due to continuous contact with the stress provoked by the compassion. From dualistic human nature presupposition, we analyze biologic and physiologic, historical and cultural aspects as well, involved in compassion experience. Starting from this point, we propose a dualist conception of empathy and compassion, what results in a redefinition of Compassion Fatigue. The literature review showed a conceptual confusion, and the reflex of this in the instruments development. The work suggests a new distinction between Compassion Fatigue and the others concepts, and presents the validation to Portuguese of ProQol-IV, as much as interview passages that illustrate the phenomenon dynamic.
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... Among the organizational aspects that have generated illness and psychological distress, the following are included: low work control, high physical and psychological demand, poor content, and rigid and authoritarian hierarchical relationships (Grant, Lavery, & Decarlo, 2019;NSPCC, 2013;Turgoose, 2015). Among the negative consequences for professionals serving vulnerable populations, burnout, or chronic fatigue syndrome has been identified (Lago, 2008;Turgoose, 2015). The constant contact with complex demands involving different types of violence (e.g., structural, physical, psychological) can also lead professionals to perceive themselves as vulnerable, also to become victims, causing a gradual loss of the feeling of control over their environment, as well as a decrease in their esteem and trust in others (Lago, 2008;Turgoose, 2015). ...
... Among the negative consequences for professionals serving vulnerable populations, burnout, or chronic fatigue syndrome has been identified (Lago, 2008;Turgoose, 2015). The constant contact with complex demands involving different types of violence (e.g., structural, physical, psychological) can also lead professionals to perceive themselves as vulnerable, also to become victims, causing a gradual loss of the feeling of control over their environment, as well as a decrease in their esteem and trust in others (Lago, 2008;Turgoose, 2015). ...
... In this connection, in the scale presented, in addition to the Interpersonal Relationship and Infrastructure dimensions, it was observed that, among the protection network professionals, the perceptions of work with vulnerable populations dimension constitutes one of the factors related to workers' perceptions on the support to contents transfer addressed in their professional training. These findings demonstrate the peculiarities of the demands of professionals who serve populations in situations of social vulnerability (Freitas et al., 2015;Lago 2008;NSPCC, 2013). The interpersonal relations dimension investigated the social support perceived by workers to support transfer. ...
... Sob variados termos, as manifestações decorrentes da condição de envolvimento emocional e afetivo de PAS ao sofrimento de pacientes a quem prestam assistência, têm sido bastante estudadas internacionalmente, mas ainda abordadas por poucos estudiosos brasileiros, como: Eizirik et al. (2006), Lago (2008), Lago e Codo (2010), Lago (2013), Lago e Codo (2013), Barbosa, Souza e Moreira (2014), Souza (2015), Boiças (2015), Silva (2015), Ribeiro, Cunha e Alvim (2015), Andrade et al. (2016), Santos (2018), Torres et al. (2018). ...
... Lago e Codo (2010), após terem investigado a origem de cada nomenclatura e definição na Literatura, explicado uma a uma e apontado as suas semelhanças e diferenças, apresentaram uma nova concepção dualista da empatia e da compaixão, distinguindo-a dos demais conceitos associados a ela, utilizando-se das expressões "Fadiga por Compaixão" e "Satisfação por Compaixão". Esses autores consideram que o processo empático que os seres humanos possuem é constituído por uma dimensão animal/biológica e outra simbólica/humana e "a compaixão advinda da capacidade de empatia também carrega essa dualidade, que é, a dualidade humana" (Lago, 2008). Para eles, a Fadiga por Compaixão é o "nome do processo no qual o profissional ligado ao atendimento de uma clientela que tem como demanda o sofrimento, torna-se fatigado, exausto física e mentalmente, devido ao constante contato com o estresse provocado pela compaixão". ...
OBJECTIVES: To evaluate the Professional Quality of Life analizing Compassion Satisfaction, Burnout and Secondary Traumatic Stress among health professionals working in Intensive Care Units; to check the risk factors for the occurrence of Burnout and Secondary Traumatic Stress on those professionals. METHOD: Survey study conducted in four ICUs of tertiary university hospitals in São Paulo. Sociodemographic data was used along with the and ProQOL-BR tool. RESULTS: There was a statistically relevant association between Secondary Traumatic Stress and gender (p = 0.03) and between Compassion Satisfaction, Burnout and Secondary Traumatic Stress (p
... Analogamente, os profissionais de saúde por meio da evolução de seu trabalho, estão constantemente em contato com o sofrimento humano, algo que pode ser considerado superlotado e ocasionar diversos conflitos, sejam eles psíquicos ou orgânicos. O envolvimento emocional é importante para esses trabalhadores, pois é essa interação que presta assistência, entretanto, abre as portas para o adoecimento (Lago, 2008). ...
Humanitarian work has proven to be dangerous over the years, causing, over time, emotional or physical trauma in many professionals who deal with natural disasters that have affected large nations. These professionals need to be able to deal flexibly and adapt quickly to the reality of the current context, running the risk of developing symptoms of depression, PTSD - Post Traumatic Stress Disorder and compassion fatigue, a syndrome of biological, psychological and emotional exhaustion. social aspects, a very important indicator, studied in health professionals, considered the greatest threat to the mental health of professionals, especially those ones who work directly with trauma and victims. Health professionals, in direct contact with people who are suffering, at risk of death, or in a situation of pain, can lead them to a secondary model of prolonged stress, called Compassion Fatigue, which can be labeled as “ Cost of caring”, or “Emotional pain”. In view of this, the present work aims to present an investigation on mental health indicators in health professionals who work in humanitarian actions. A cross-sectional, descriptive exploratory research was carried out using the chain reference sampling technique or the snowball technique. The study was conducted online through the Google Forms survey management application. The results show that these professionals receive more support from the family than leadership, colleagues and friends, and the younger the professional's age, the higher the compassion fatigue index.
... A compaixão é uma ação altruísta que move o indivíduo a aliviar o desconforto alheio. Por sua vez, a ação altruísta envolve uma preo-cupação empática (empathic concern), que é a capacidade de se colocar na situação do outro (Lago, 2008;Lago & Codo, 2010;Potter et al., 2010). ...
Specifically, in studies concerning care professionals, Professional Quality of Life (PQL) refers to how much the individual feels good by helping to diminish the suffering of others. This sensation results in the psychological balance between the job's positive (Compassion Satisfaction) and negative (Compassion Fatigue) experiences. The objective of this research is to evaluate the professional quality of life of a sample of health care professionals that work in public hospitals in João Pessoa and Campina Grande (PB). We used as instruments: the Professional Quality of Life Scale - ProQOL - IV (validated in a local study) and a Socio-Demographic Questionnaire. Data was analyzed using the Statistical Package for the Social Sciences (SPSS) program, from which we obtained descriptive statistics (average, percentage, and standard deviation), and cluster analysis. Results identified three PQL profiles: Balanced, Deficient, and Moderate. The first and last profiles have their PQL preserved; in contrast, the Deficient profile group stood out as the most worrisome, since it was the only one to present evidence of Compassion Fatigue, probably due to their excessive workload. Since Compassion Satisfaction was dominant in every group, and Compassion Fatigue affected only 25 percent of the sample, we can conclude that most health care professionals have a good professional quality of life, and this quality is sustained by the pleasure of feeling socially useful when saving lives.
... Segundo Carr et al. 6 , "a empatia cumpre um papel social fundamental, tornando possível o compartilhamento de experiências, necessidades e objetivo entre os indivíduos". Isto porque a habilidade de entender as intenções e as crenças do outro é crucial para o sucesso das interações sociais 7 . ...
In the field of health, empathy is defined as an attribute with cognitive and emotional dimensions that enables an understanding of inner experience and a perspective of the patient as a unique individual, plus the ability to communicate this understanding to the patient. The role of empathy is to identify and understand the patient's feelings, thus promoting an increase in trust, loyalty and respect between doctor and patient. Therefore, the following study was aimed at evaluating the empathy 3rd to 5th year medical residents from the Federal University of São Paulo to verify any possible differences between the empathy of physicians and surgeons and their relationship with the professional profile.
O culto de Asclepius nasceu na Antiga Grécia, cerca de 1200 a.C. Homero refere-se a Asclepius na Ilíada, como filho (mortal) de Apolo, (deus do Sol e da Verdade) e da bela mortal Coronis. Asclepius teria o poder de curar e, também, de ressuscitar os mortos. Hades (rei dos Infernos), ao ver que o seu império estava em risco de se despovoar, teria convencido Ju-piter a verse livre de Asclepius, fulminando-o, o que viria a suceder. Outra versão atribui directamente a Zeus a morte de Asclepius, por não querer que os mortais tivessem qualquer poder sobre a morte. Aquela tradição heroico-mitológica personificada em Asclepius, aparente-mente originária da Tessália, repre-sentava o ideal do médico grego. Esteve na origem de um culto organizado em múltiplos templos, sucessivamente construídos e dissemi-nados pelo mundo Helenístico, ao longo do Mediterrâneo. Os templos eram instalados em complexos (os Asclepions), que constituíam um meio termo entre os sanatórios e os hospitais, aonde se dirigiam os doentes (em particular os mais pobres e mais desfavorecidos) suplicando pela cura dos seus males. Os complexos mais importantes teriam sido o de Epidaurus (o principal , construído cerca de 600 a.C.), o de Cós e o de Pergamon. Os trata-mentos estavam entregues a sacer-dotes, que os exerciam, principalmente nos primeiros tempos, num mito de misticismo e magia, estando os doentes adormecidos. Posteriormente, os tratamentos evoluíram para pro-cessos mais comuns aos da fisioterapia, em que além de banhos e massagens estavam incluídos sangrias e alimentos naturais, como o leite e o mel. No
This introduces the book and its concepts, content, and questions to be addressed throughout
The great controversy about helping-induced
trauma is not “Can it happen?” but “What shall we
call it?” After reviewing nearly 200 references from
PILOTS, Psychlit, Medline, and Social Sciences In
dex, it is apparent that there is no routinely used
term to designate exposure to another’s traumatic
material by virtue of one’s role as a helper. Four
terms are most common: “compassion fatigue” (CF);
“countertransference” (CT); “secondary traumatic
stress” (STS); and “vicarious traumatization” (VT).
Work-related secondary traumatic stress. Available from: https://www.researchgate.net/publication/290118676_Work-related_secondary_traumatic_stress [accessed Jun 14 2018].
Secondary trauma associated with state executions refers to distress, harm, and injuries suffered by individuals other than the condemned prisoner. This article reviews the available research on this topic presenting findings, suggesting risks to correctional officers, judges and judicial staff, journalists, as well as the family members of the death row inmate, and the family members of the victim of the homicide. The literature review was prepared for testimony before a state department of corrections hearing regarding execution procedures. According to the authors, secondary trauma associated with state executions warrants further research and should be considered in the context of public policy regarding state executions.
