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The purpose of this paper is to argue for a revision of the concept of compassion fatigue in light of both its history and psychodynamics.

This paper calls into question conventional interpretations of compassion fatigue and the assumptions underlying them. As an alternative, a psychoanalytic interpretation is offered that sheds light on the phenomenon’s unconscious and organizational dynamics. This interpretation also aligns with the concept’s historical use in media and politics.

In contrast to the assumption that compassion fatigue arises from too much compassion, historical use of the term suggests just the opposite: compassion fatigue is the result of too little compassion. Healthcare literature on compassion fatigue has not only failed to account for this opposing view, but also the underlying psychodynamics at play. By attending to these neglected dimensions, healthcare scholars and practitioners can gain new insights into compassion fatigue and devise more sustainable interventions.

This paper reveals hidden dimensions to compassion fatigue that call into question conventional interpretations and offer novel perspectives on a core concern of healthcare work.

The purpose of this paper is to explore compassion fatigue and psychosocial risks among healthcare professionals, which lead to increased work-related costs, including occupational suicide. Through this review and synthesis of the literature, the authors shed light on the causes that lead medical professionals to take their own lives. In addition, the authors explore the role of compassion fatigue as a leading cause of self-inflicted death.

A systematic approach was used to guide the review and synthesis of the literature. Key bibliographic and review databases were searched from the fields of social work, nursing, medical education, educational leadership, psychology, sociology and human resources.

In the USA alone, suicide has increased by 25 per cent since 1999, making it a leading cause of death. Data indicate that medical professionals are prone to compassion fatigue, work-related stresses and suicide at a greater rate than the general population, with surgeons reporting up to three times more thoughts of suicide than the general population. The synthesis and analysis of the literature yielded the following themes: compassion fatigue and suicides, burnout and compassion fatigue, career longevity and moral distress.

Job stress and its negative impact on the workforce is rather well documented. Yet, job stress has shown to be a leading cause of workplace suicide, which represents a commensurable human and economic loss and has a direct impact on multiple human resources variables. Ongoing research is needed to see how the initial literature has evolved as new data emerges.

This paper presents best practices for training and development professionals to better respond to psychosocial risks and reduce work-related costs in the medical profession and beyond.

Studies on employee stress and suicide in the healthcare industry are scarce. Yet, they have human and economic impacts on organisations.

The purpose of this paper is to examine pre and post outcome measures following a course of Compassionate Mind Training (CMT). Participants were students enrolled on a Post Graduate Diploma in Cognitive Behavioural Psychotherapy (CBP). The aim of the research was to explore whether CMT would increase self-compassion, compassion for others, dispositional empathy and reduce self-critical judgement.

In total, 21 participants who had enrolled on the CBP programme took part in the study. Data were collected using the self-compassion scale, interpersonal reactivity index, and the compassion for others scale.

Results reveal an overall statistically significant increase in self-compassion scores and statistically significant reduction in self-critical judgement scores post training. There was no statistically significant difference post training on the interpersonal reactivity index or the compassion for others scale.

CMT training may help students develop healthy coping strategies, which they can use to balance their affect regulation systems when faced with organisational, placement, client, academic, personal and supervision demands. Further research and longitudinal studies, using larger sample sizes are needed to explore if cultivating compassion whilst on psychotherapy training helps students build resilience and provide a barrier against empathic distress fatigue, compassion fatigue, secondary traumatic stress, and burnout.

Incorporating CMT into a CBP programme may bring changes in student levels of self-compassion and self-critical judgement.

This inaugural study examines whether incorporating CMT into a CBP programme impacts on students levels of compassion, dispositional empathy and self-critical judgement. The findings from this preliminary study suggest the potential benefits of training students in compassion focused practices.

Police personnel report relatively high rates of mental health difficulties, and are at an increased risk of experiencing stress, burnout, secondary traumatic stress and anxiety as a result of the nature of their work and may also experience low compassion satisfaction. However, it is likely that the prevalence of psychological distress varies across roles. The purpose of this paper is to explore psychological distress, in a large sample of police personnel, examining differences between individuals in a number of police roles.

A questionnaire assessing experience of mental health problems, perceived stress, compassion fatigue (burnout and secondary traumatic stress), compassion satisfaction and anxiety was administered to 602 police personnel, who were classified into one of ten roles (24/7 officers, communications, firearms, crime, resolution without deployment, neighbourhood, custody, safeguarding, operations and other roles). Differences based on role and the requirement for shift work were then examined.

24/7 officers had higher compassion fatigue and lower compassion satisfaction than individuals in a number of other roles. Firearms officers had lower levels of perceived stress and anxiety. Resolution without deployment officers reported higher secondary traumatic stress and compassion fatigue. The findings also revealed that respondents who partake in shift work showed higher levels of perceived stress.

This is the first study to the authors’ knowledge to investigate experience of mental health problems and reports of psychological distress in different roles within a UK police force. The findings have important implications, for example, in terms of identifying groups who may be particularly at risk from psychological distress.

The purpose of this paper is to focus on students, trainee nurses, early career psychologists, and other mental health professionals and their response to mental distress or the stresses of working in mental health.

Three journal articles are summarised. The first highlights mental distress in university students and their reluctance to seek counselling. The second paper focuses on addressing the impact that the work of mental health workers can have on them and how this can jeopardise compassionate care. The third paper presents a model of inclusive and caring nurse education.

University students may be more likely to seek counselling for mental distress if they have information about its usefulness and it is normalised rather than stigmatised. Mental health workers including early-career psychologists need to know about “compassion fatigue” and “compassion satisfaction” and need safe places to reflect on the personal impact of hearing about their clients’ traumatic experiences. A whole-organisation model of nurse education that emphasises belonging and inclusiveness may increase nurse retention and nurses’ personal resilience.

The paper on students’ help-seeking is the first meta-analysis of several studies on this topic (involving similar variables and measures) in several years. The paper on mental health workers and compassion fatigue and compassion satisfaction is rare in looking at this across different professions in one setting. It highlights important ways of maintaining workers’ ability to deliver compassionate care. The model of nurse education is based on recent research evidence and may help increase retention and foster reflection, self-awareness, and resilience in nurses.

This paper aims to systematically review the current literature on compassion in mental health from a historical, service user and carer (SUAC)/academic researcher perspective with respect to the current paradigm/biomedical model.

Searches were conducted in CIANHL Complete, Academic Search Complete, British Education Index, ERIC, MEDLINE, PsycArticles, Scorpus, Proquest Central using a simplified PRISM approach.

In the UK, the SUAC-movement facilitated the adoption of more compassionate mental health in statutory services. Across the world, compassion-based approaches may be viewed as beneficial, especially to those experiencing a biomedical model “treatment”. Health-care workers, suffering burnout and fatigue during neoliberal economics, benefit from compassion training, both in their practice and personally. Randomised control trials (RCTs) demonstrate compassion-type interventions are effective, given sufficient intervention timing, duration and design methodology. Psychology creates outcome measures of adequacies and deficiencies in compassion, demonstrating their importance statistically, with reservations. The effective protection of mental health by self-compassion in both SUACs and health care professionals is evident. It is clear from qualitative research that SUACs prefer compassionate mental health. It also makes a large difference to mental health in general populations. Implications for practice and suggestions for future research are given, including a necessity to fund RCTs comparing compassionate mental health interventions with the biomedical model. Unless statutory mental health services adopt this emerging evidence base, medics and their SUACs will continue to rely on pharmaceuticals.

This is the first integrated literature review of compassion in mental health from a historical, SUAC/academic researcher viewpoint using all research methodologies.

The purpose of this paper is to make the case for bringing compassion to students in educational settings, preschool through graduate school (PK-20).

First, the author defines what is meant by “compassion” and differentiates it from the related constructs. Next, the author discusses the importance of bringing compassion into education, thinking specifically about preschool, K-12 (elementary and middle school/junior high/high school), college students, and graduate students (e.g. law, medical, nurses, counselors and therapists-in-training). The author then reviews the scant empirical literature on compassion in education and makes recommendations for future research. In the final section, the author makes specific and practical recommendations for the classroom (e.g. how to teach and evaluate compassion in PK-20).

While there is a fair amount of research on compassion with college students, and specifically regarding compassion for oneself, as the author reviews in this paper, the field is wide open in terms of empirical research with other students and examining other forms of compassion.

This is not a formal review or meta-analysis.

This paper will be a useful resource for teachers and those interested in PK-20 education.

This paper highlights the problems and opportunities for bringing compassion into education settings.

To date, no review of compassion in PK-20 exists.

The purpose of this paper is to investigate professional quality of life of mental health nursing staff working within an adolescent psychiatric intensive care unit (PICU) setting. Professional quality of life is important, as there is a correlation between staff wellbeing and the quality of healthcare services delivered, particularly within mental health settings. Mental health nursing staff in adolescent PICU services deal with a wide range of physically and emotionally demanding challenges when providing care, yet the potential impact of this demanding work upon staff in this context has not been explored.

The study used a longitudinal non-experimental design with a purposive sample. Quantitative data were collected from a total of 17 registered mental health nurses and healthcare assistants (HCAs) working in an adolescent PICU in the North of England. Repeated measures were administered at three consecutive intervals, three months apart, using a validated self-report measure, the Professional Quality of Life Scale V (ProQOL V, Stamm, 2010). Data were analysed using descriptive and inferential statistical analysis using benchmark data from the ProQOL V instrument for comparison.

Analysis of results compared to ProQOL V benchmark data showed significantly higher than expected levels of compassion satisfaction, and lower than expected levels of burnout and secondary traumatic stress for adolescent PICU nursing staff within the study. There were no significant differences between qualified nurses and HCAs. Potential explanations and practice implications of these findings are discussed.

This is the first published study to investigate professional quality of life within the mental health nursing population working in adolescent PICU, providing empirical insights into a previously unexplored mental health context.

This paper aims to discuss the importance of compassion in health care and experiences of Compassion Circles (CCs) in supporting it, placing this into the national policy context of the National Health Service (NHS), whilst focusing on lessons from using the practice in mental health care.

This conceptual paper is a discussion of the context of compassion in health care and a description of model and related concepts of CCs. This paper also discusses lessons from implementation of CCs in mental health care.

CCs were developed from an initial broad concern with the place of compassion and well-being in communities and organisations, particularly in health and social care after a number of scandals about failures of care. Through experience CCs have been refined into a flexible model of supporting staff in mental health care settings. Experience to date suggests they are a valuable method of increasing compassion for self and others, improving relationships between team members and raising issues of organisational support to enable compassionate practice.

This paper is a discussion of CCs and their conceptual underpinnings and of insights and lessons from their adoption to date, and more robust evaluation is required.

As an emergent area of practice CCs have been seen to present a powerful and practical approach to supporting individual members of staff and teams. Organisations and individuals might wish to join the community of practice that exists around CCs to consider the potential of this intervention in their workplaces and add to the growing body of learning about it. It is worth further investigation to examine the impact of CCs on current concerns with maintaining staff well-being and engagement, and, hence, on stress, absence and the sustainability of work environments over time.

CCs present a promising means of developing a culture and practice of more compassion in mental health care and other care contexts.

CCs have become supported in national NHS guidance and more support to adopt, evaluate and learn from this model is warranted. This paper is a contribution to developing a better understanding of the CCs model, implementation lessons and early insights into impact.

The purpose of this paper is to determine a baseline level of the Professional Quality of Life (ProQOL 5) in emergency dispatchers in the state of Florida, as well as to examine the how it is associated with psychological resilience, perceived coworker support, different types of debriefing, and perceived organizational support.

This was done through a cross-sectional administration of surveys to emergency telecommunicators and dispatchers in the state of Florida.

In total, 186 surveys were completed by active emergency dispatch personnel across the state of Florida. The study found that psychological resilience, education, and perceived organizational support were statistically related to professional quality of life in Florida Dispatchers.

There are limitations due to the nature of cross-sectional survey design and due to the sample size. There are also possible issues with the accuracy of self-reported survey answers. The lack of participation from all agencies also hinders generalizability.

This study serves as a reference point for a very under studied emergency service population. There are also implications that psychological resilience development in dispatch personnel would assist in multiple aspects of their professional quality of life.

This is the first study to use the ProQOL 5 on dispatch personnel in Florida. It also displays statistical relationships between factors which dispatch agencies could use to increase employee job satisfaction and potentially reduce turnover.