When therapist run out of steam : professional boredom or burnout? = Cuando el terapeuta pierde fuelle : ¿aburrimiento profesional o burnout?

Abstract

«Burnout» is a syndrome consisting of physical and emotional exhaustion resulting from negative self-concept, negative job attitudes, and loss of concern for clients. This theoretical condition tangentially explains the loss of professional efficacy and became a quasi-clinical concept. Nevertheless, burnout questionnaires do not measure loss of professional efficacy. The attribution of this loss remains understudied. Some allege that over 50% of therapists and health workers suffer from burnout, but these results warrant scepticism on account of the overlap with loss of motivation. A main prodromal factor in the loss of professional efficacy is a loss of motivation or «disenchantment», possibly caused by occupational boredom. A sequence boredom > loss of motivation > burnout means that therapist efficacy loss depends on continuing professional education (CPE) and peer monitoring. Self-monitoring for motivation is important. National professional practice rules should be tuned to these requirements.Keywords: Boredom; burnout; disenchantment; therapist efficacy; prodromal. Cuando el terapeuta pierde fuelle ¿Aburrimiento profesional o burnout?Resumen: El «burnout» es un síndrome que consiste en agotamiento físico y emocional como consecuencia de un auto-concepto negativo, unas actitudes profesionales negativas, y pérdida del interés en los clientes. Esta condición teórica explica de forma tangencial la pérdida de la eficacia profesional y se estableció como concepto cuasi-clínico. Sin embargo, los cuestionarios sobre burnout no miden la pérdida de la eficacia profesional. La atribución de esta pérdida está infra-estudiada. Algunos alegan que más del 50% de los terapeutas y trabajadores de la salud sufren del burnout, pero estas cifras justifican cierto excepticismo por el solapamiento con la pérdida de motivación. Un factor principal prodrómico para la pérdida de eficacia profesional es la perdida de motivación o «desencantamiento», posiblemente causada por aburrimiento ocupacional. La secuencia aburrimiento > pérdida de motivación > burnout significa que la pérdida de eficacia terapéutica depende de la educación profesional continuada (EPC) y de la monitorización por pares. Las normativas deontológicas profesionales nacionales deberían ocuparse de estos requisitos.

Уявлення Про Професійне Вигорання Медичних Працівників Та Дослідження Його Феноменології

“…Подолання професійних деструкцій супроводжується психічною напруженістю, психологічним дискомфортом, кризовими явищами. Одним з проявів професійних деструкцій особистості є феномен професійного вигорання (Campagne, 2012;Virna, 2016).…”

Evaluation of Convergent, Discriminant, and Criterion Validity of the Cuestionario Burnout Granada-University Students

“…While they are expected to exhibit a compassionate and caring demeanor, which is inherent to their vocation, they frequently find themselves compelled to be emotionally detached in order to make difficult decisions that require an objective approach devoid of emotional responses. For these reasons, nurses consistently face high levels of stress, which is known to contribute to the onset of burnout syndrome [34,35].…”

“At What Cost am I Doing This?” An interpretative phenomenological analysis of the experience of burnout among private practitioner psychotherapists

“…For some psychotherapists, the primary reason for such vulnerability is the non‐reciprocal nature of psychotherapeutic relationships (Campagne, 2012; Farber, 1990). In Hammond et al.’s (2018) study, all participants “suggested that their client's expectations and needs were more important than their own” (p. 9), a finding echoed by Saddichha et al.…”

“…Alongside self‐expectations, psychotherapists can be vulnerable to burnout due to their expectations of the job (Campagne, 2012; Gustafsson et al., 2008; Lambie, 2006; Rosenberg & Pace, 2006). Lambie (2006) posits, “when counselors believe that they are responsible for a client's behavior and have the power to control his or her behavior, they are at an increased susceptibility to burnout because of these unrealistic expectations” (p. 38).…”