Skip to main content
Top
Published in: Journal of Genetic Counseling 3/2007

01-06-2007 | Original Research

When You Care Enough to Do Your Very Best: Genetic Counselor Experiences of Compassion Fatigue

Authors: Lacey G. Benoit, Patricia McCarthy Veach, Bonnie S. LeRoy

Published in: Journal of Genetic Counseling | Issue 3/2007

Login to get access

Abstract

Compassion fatigue is a phenomenon that occurs when a caregiver feels overwhelmed by repeated empathic engagement with distressed clients (Figley, 2002). Research demonstrates its existence among nurses, physicians, and mental health professionals, but to date no published study has specifically investigated the nature and prevalence of compassion fatigue among genetic counselors. The present study was an initial attempt to identify and describe the phenomena in genetic counseling by conducting focus group interviews with 12 genetic counselors. Data analysis yielded several themes: a) compassion fatigue occurs and may compromise professional and personal functioning; b) prevalent triggers include delivering bad news and difficult patient issues (e.g., terminal illness, anger, psychopathology); c) effective coping strategies include consulting with colleagues, setting boundaries, and humor; and d) risk factors include personality characteristics and traumatic memories. Training, practice, and research recommendations are provided.
Literature
go back to reference Baerg, S. (2003). Too tired to care? Compassion fatigue. Presented at the Canadian Association of Genetic Counsellors Annual Education Conference. Baerg, S. (2003). Too tired to care? Compassion fatigue. Presented at the Canadian Association of Genetic Counsellors Annual Education Conference.
go back to reference Baird, S., & Jenkins, S. R. (2003). Vicarious traumatization, secondary traumatic stress, and burnout in sexual assault and domestic violence agency staff. Violence Vict, 18, 71–86.PubMedCrossRef Baird, S., & Jenkins, S. R. (2003). Vicarious traumatization, secondary traumatic stress, and burnout in sexual assault and domestic violence agency staff. Violence Vict, 18, 71–86.PubMedCrossRef
go back to reference Bosco, A. F. (2000). Caring for the care-giver: The benefit of a peer supervision group. J Genet Couns, 9, 425–430.CrossRef Bosco, A. F. (2000). Caring for the care-giver: The benefit of a peer supervision group. J Genet Couns, 9, 425–430.CrossRef
go back to reference Collins, S., & Long, A. (2003). Working with the psychological effects of trauma: Consequences for mental health-care workers-a literature review. J Psychiatr Ment Health Nurs, 10, 417–424.PubMedCrossRef Collins, S., & Long, A. (2003). Working with the psychological effects of trauma: Consequences for mental health-care workers-a literature review. J Psychiatr Ment Health Nurs, 10, 417–424.PubMedCrossRef
go back to reference Dexter, N., Mahoney, S. K., Schrag Wang, K., & Rintell, D. (2003). Burnout in genetic counselors. J Genet Couns, 12, 563–564. Dexter, N., Mahoney, S. K., Schrag Wang, K., & Rintell, D. (2003). Burnout in genetic counselors. J Genet Couns, 12, 563–564.
go back to reference Djurdjinovic, L. (1998). Psychosocial counseling. In D.L. Baker, J. L. Schuette, & W. R. Uhlmann (Eds.), A guide to genetic counseling (pp. 127–170). New York: John Wiley & Sons, Inc. Djurdjinovic, L. (1998). Psychosocial counseling. In D.L. Baker, J. L. Schuette, & W. R. Uhlmann (Eds.), A guide to genetic counseling (pp. 127–170). New York: John Wiley & Sons, Inc.
go back to reference Elliott, R. (1989). Comprehensive process analysis: Understanding the change process in significant therapy events. In M. Packer & R. B. Addison (Eds.), Entering the circle: Hermaneutic investigations in psychology (pp. 165–184). Albany, NY: SUNY Press. Elliott, R. (1989). Comprehensive process analysis: Understanding the change process in significant therapy events. In M. Packer & R. B. Addison (Eds.), Entering the circle: Hermaneutic investigations in psychology (pp. 165–184). Albany, NY: SUNY Press.
go back to reference Figley, C. R. (1995). Compassion fatigue as secondary traumatic stress disorder: An overview. In C. R. Figley (Ed.), Compassion Fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized (pp.1–20). New York: Brunner/Mazel. Figley, C. R. (1995). Compassion fatigue as secondary traumatic stress disorder: An overview. In C. R. Figley (Ed.), Compassion Fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized (pp.1–20). New York: Brunner/Mazel.
go back to reference Figley, C. R. (Ed.) (1997). Burnout in families: The systemic costs of caring. New York: CRC Press. Figley, C. R. (Ed.) (1997). Burnout in families: The systemic costs of caring. New York: CRC Press.
go back to reference Figley, C. R. (2002). Compassion fatigue: Psychotherapists’ chronic lack of self care. J Clin Psychol, 58, 1433–1441.PubMedCrossRef Figley, C. R. (2002). Compassion fatigue: Psychotherapists’ chronic lack of self care. J Clin Psychol, 58, 1433–1441.PubMedCrossRef
go back to reference Figley C. R. (2003). Compassion fatigue: An introduction. Green Cross Foundation Website http://www.greencross.org/_Research/CompassionFatigue.asp Figley C. R. (2003). Compassion fatigue: An introduction. Green Cross Foundation Website http://​www.​greencross.​org/​_​Research/​CompassionFatigu​e.​asp
go back to reference Giorgi, A. (1985). Sketch of a psychological phenomenological method. In A. Giorgi. (Ed.), Phenomenology and psychological research (pp. 8–22). Pittsburgh, PA: Duquesne University Press. Giorgi, A. (1985). Sketch of a psychological phenomenological method. In A. Giorgi. (Ed.), Phenomenology and psychological research (pp. 8–22). Pittsburgh, PA: Duquesne University Press.
go back to reference Hill, C. E., Knox, S., Thompson, B. J., Nutt Williams, E., Hess, S. A., & Ladany, N. (2005). Consensual Qualitative Research: An update. J Couns Psychol, 52, 196–205.CrossRef Hill, C. E., Knox, S., Thompson, B. J., Nutt Williams, E., Hess, S. A., & Ladany, N. (2005). Consensual Qualitative Research: An update. J Couns Psychol, 52, 196–205.CrossRef
go back to reference Hill, C. E., Nutt Williams, E., & Thompson, B. J. (1997). A guide to conducting Consensual Qualitative Research. The Couns Psychol, 25, 517–572.CrossRef Hill, C. E., Nutt Williams, E., & Thompson, B. J. (1997). A guide to conducting Consensual Qualitative Research. The Couns Psychol, 25, 517–572.CrossRef
go back to reference Jenkins, S. R., & Baird, S. (2002). Secondary traumatic stress and vicarious trauma: A validational study. J Traum Stress, 15, 423–432.CrossRef Jenkins, S. R., & Baird, S. (2002). Secondary traumatic stress and vicarious trauma: A validational study. J Traum Stress, 15, 423–432.CrossRef
go back to reference Joinson, C. (1992). Coping with compassion fatigue. Nursing, 22, 116–122.PubMed Joinson, C. (1992). Coping with compassion fatigue. Nursing, 22, 116–122.PubMed
go back to reference Kennedy, A. L. (2000). A leader-led supervision group as a model for practicing genetic counselors. J Genet Couns, 9, 391–397.CrossRef Kennedy, A. L. (2000). A leader-led supervision group as a model for practicing genetic counselors. J Genet Couns, 9, 391–397.CrossRef
go back to reference Kessler, S. (1992). Psychological aspects of genetic counseling. VIII. Suffering and countertransference. J Genet Couns, 1, 303–308.CrossRef Kessler, S. (1992). Psychological aspects of genetic counseling. VIII. Suffering and countertransference. J Genet Couns, 1, 303–308.CrossRef
go back to reference Krueger, R. A., & Casey, M. A. (2000). Focus groups: A practical guide for applied research (3rd. ed.). Thousand Oaks, CA: Sage Publications. Krueger, R. A., & Casey, M. A. (2000). Focus groups: A practical guide for applied research (3rd. ed.). Thousand Oaks, CA: Sage Publications.
go back to reference Maytum, J. C., Heiman, M. B., & Garwick, A. W. (2004). Compassion fatigue and burnout in nurses who work with children with chronic conditions and their families. J Pediatr Health Care, 18, 171–179.PubMed Maytum, J. C., Heiman, M. B., & Garwick, A. W. (2004). Compassion fatigue and burnout in nurses who work with children with chronic conditions and their families. J Pediatr Health Care, 18, 171–179.PubMed
go back to reference McCarthy Veach, P., LeRoy, B. S., & Bartels, D. M. (2003). Facilitating the genetic counseling process: A practice manual. New York: Springer/Verlag Publications. McCarthy Veach, P., LeRoy, B. S., & Bartels, D. M. (2003). Facilitating the genetic counseling process: A practice manual. New York: Springer/Verlag Publications.
go back to reference Patton, M. Q. (1990). Qualitative evaluation and research methods. Newbury Park, CA: Sage. Patton, M. Q. (1990). Qualitative evaluation and research methods. Newbury Park, CA: Sage.
go back to reference Pearlman, L. A., & Mac Ian, P. S. (1995). Vicarious traumatization: An empirical study of the effects of trauma work on trauma therapists. Prof Psychol: Res Pract, 26, 558–565.CrossRef Pearlman, L. A., & Mac Ian, P. S. (1995). Vicarious traumatization: An empirical study of the effects of trauma work on trauma therapists. Prof Psychol: Res Pract, 26, 558–565.CrossRef
go back to reference Sabin-Farrell, R., & Turpin, G. (2003). Vicarious traumatization: Implications for the mental health of health workers? Clin Psychol Rev, 23, 449–480.PubMedCrossRef Sabin-Farrell, R., & Turpin, G. (2003). Vicarious traumatization: Implications for the mental health of health workers? Clin Psychol Rev, 23, 449–480.PubMedCrossRef
go back to reference Schwam, K. (1998). The phenomenon of compassion fatigue in perioperative nursing. Am Organ Registered Nurs, 68, 642–648. Schwam, K. (1998). The phenomenon of compassion fatigue in perioperative nursing. Am Organ Registered Nurs, 68, 642–648.
go back to reference Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Grounded theory procedures and techniques (2nd. ed.). Thousand Oaks, CA: Sage. Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Grounded theory procedures and techniques (2nd. ed.). Thousand Oaks, CA: Sage.
go back to reference Weil, J. (2000). Psychosocial genetic counseling. New York: Oxford University Press. Weil, J. (2000). Psychosocial genetic counseling. New York: Oxford University Press.
Metadata
Title
When You Care Enough to Do Your Very Best: Genetic Counselor Experiences of Compassion Fatigue
Authors
Lacey G. Benoit
Patricia McCarthy Veach
Bonnie S. LeRoy
Publication date
01-06-2007
Published in
Journal of Genetic Counseling / Issue 3/2007
Print ISSN: 1059-7700
Electronic ISSN: 1573-3599
DOI
https://doi.org/10.1007/s10897-006-9072-1

Other articles of this Issue 3/2007

Journal of Genetic Counseling 3/2007 Go to the issue