The resilient practitioner: Burnout and compassion fatigue prevention and self-care strategies for the helping professions
Michael Helge Rønnestad har sammen med Thomas Skovholdt skrevet kapittelet "The evolving practitioner from early anxiety to – usually – competence" i T. M. Skovholt & M. Trotter-Mathison (Eds.). The resilient practitioner: Burnout and compassion fatigue prevention and self-care strategies for the helping professions, 3rd. Edition
In a reformulation of an earlier conceptual model of therapist/counselor development that includes themes of development (Rønnestad & Skovholt, 2013), we have collapsed earlier themes and added a discussion of how to understand why some practitioners are not developing optimally. Furthermore, in the revised cyclical/trajectories model of therapist/counselor development, three trajectories may illustrate movements within and between six developmental phases, i.e. The lay helper phase, The beginning student phase, The advanced student phase, The beginning professional phase, The experienced professional phase, and The senior professional phase. A central component of the developmental model is how therapists/counselors process the difficulties and challenges they encounter in their work. Supplementing earlier descriptions of sources of influence for practitioner development, these movements are also determined by the therapists’ capacity for and engagement in reflection, which requires capacities such as tolerance for ambiguity, cognitive complexity, openness to experience, and ability to process negative affect. Productive reflection facilitates functional closure, a form of closure which in turn fuels continued development. This involves organizing relevant information hierarchically in a way that enables therapists to respond effectively to their clients. Alternatively, premature closure, and inadequate closure are two forms which result in stagnation either as disengagement or exhaustion respectively. Premature closure is a defensive process that sets in when therapists’ competences are insufficient to handle the challenges they encounter. Characteristics of premature closure are misattribution, distortion or oversimplification. Inadequate closure refers to therapists’ inability to integrate and synthesize the information sufficiently to arrive at an understanding of the client that makes possible a constructive therapeutic response. This involves a lacking capacity to differentiate essential from inessential information, and thus an inability to organize information hierarchically.
The Resilient Practitioner gives students and practitioners the tools they need to create their own personal balance between caring for themselves and caring for others. This new edition includes a new chapter on models of resiliency, an updated self-care action plan, self-reflection exercises in each chapter, and other valuable additions. Readers will find, however, that the new edition keeps its strong focus on research and accessible writing style. The new edition also retains its focus on establishing working alliances and charting a hopeful path for practitioners, a path that allows them to work intensely with human suffering and also have a vibrant career in the process.