Can You Experience Compassion Fatigue?

Kelly McGonigal in her presentation for the Mindful Healthcare Summit challenged the widely held belief that you cannot experience compassion fatigue. Many people contend that compassion fatigue does not occur because the heart is capable of endless kindness and love for others. Kelly maintains that motivation and goodness of heart are not sufficient to prevent the depression and burnout that can result from compassion fatigue. She asserts that compassion has to be supported by adequate self-care if it is to be sustained.

Compassion and the stress response

Kelly argues that compassion is like the stress response when viewed physiologically. Compassion floods the body with hormones such as dopamine and marshals the body’s energy to relieve the suffering of others. However, while this can be very energising and exciting in the short term, compassion takes its toll in the longer term both bodily and mentally, as we do not have endless physical and mental reserves.

The possibility of compassion fatigue can be increased where a helping professional or carer experiences vicarious trauma or moral distress – the latter being defined as being required to do things that clash with a person’s values or moral perspective, a frequently occurring ethical dilemma within the medical profession.

Compassion fatigue

Kelly suggests that compassion fatigue occurs when a person lacks the energy and resources to pursue their motivation to care in such way that it achieves personal satisfaction (activates the reward system). Outcomes achieved fall short of personal expectations and/or the expectations of others, despite the strength of the caring intention. The compassionate person feels exhausted and feels that the more they give the less they experience satisfaction – the gap between input of energy/time and the expected satisfaction increases, leading to burnout. The depletion of energy and satisfaction could be the result of factors outside the helper’s/carer’s control – such as structural blockages, breakdown in information exchange, overwork or under-resourcing.

Compassion needs nourishment

One of the issues that exacerbates the problem of compassion fatigue is the belief in the endless capacity of an individual to be compassionate through the goodness of their heart or the purity of their intentions. As a result of this false belief, helpers/carers fail to take the necessary actions to nourish themselves (and their compassionate action) and/or are reluctant to accept compassion extended to them by others.

Personal nourishment can take many forms – getting adequate sleep, meditation (especially self-compassion meditation), listening to relaxing/inspiring music, prayer (whatever form it takes) or drawing strength and healing from nature. It also requires an openness to receiving compassion from others – challenging false beliefs such as “no one else can do this”, “I will be seen to be weak if I accept help from others”, “I really shouldn’t pander to my own needs by having that short break or having a reasonable period for lunch”, “I can’t afford to become dependent on others for assistance”. Additionally, positive social connection– to offset the tendency to withdraw under extreme stress– is a critical source of self-nourishment.

As we grow in mindfulness through meditation our awareness of others’ suffering and our motivation to help are heightened. The capacity for compassionate action is not limitless and needs nourishment. Central to this nourishment is self-compassion.

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Image by DarkWorkX from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.

Becoming Healed by Nature

In the previous post, I discussed the stress-reduction effects of trees.  Florence Williams takes this discussion and research focus further when she explores the healing power of nature. Florence, a journalist and writer, is the author of The Nature Fix: Why Nature Makes Us Happier, Healthier and More Creative. She draws on the latest science, proven practices from around the world and individual case studies to promote the healing power of nature.

Experiencing “nature-deficit disorder”

In a TED Talk given in 2016, Florence described the effects of her own nature-deficit disorder resulting from moving home from the openness of the wilderness environment of Boulder, Colorado to the dense, built environment of Washington D.C. She explained that her sense of wellbeing declined rapidly – she experienced depression, anxiety, irritability and a “sluggish brain”. She was hyper-sensitive to the sounds of planes and noise pollution that surrounded her. However, her saving experience was to be assigned to write for Outside Magazine about the Japanese practice of “forest bathing” (Shinrin-yoku) – absorbing nature through your senses
(sights, sounds, smell, touch, taste). This, in turn, stimulated her interest in the power of nature to make us happier, healthier and more creative.

Global trend to use the power of nature to heal

Following on from the research and writing project in Japan, Florence undertook a global project on behalf of National Geographic. In researching practices involving the use of nature for healing, she discovered different practices in a range of countries. Besides Japan’s “forest therapy trails”, Korea has established “healing forests” along with “forest healing rangers” to take children on programs designed to overcome everything from digital addiction to bullying. Based on their experience and scientific research, Finland has recommended that people spend at least 5 hours a month in nature – a minimum that reflects how nature-deprived we are in the cities of the world. where so much time is spent indoors and on digital devices.

Florence describes the research and practices she uncovered in her global project in a video presentation titled, Your Brain on Nature. This video summarises her book on the power of nature to heal. She gives examples from across the world where nature has been used to help troubled teenagers, people suffering from depression, adults who have experienced trauma or post-traumatic stress disorder (PTSD) and people working in jobs that create a lot of stress such as the role of firefighters.

In her introductory chapter, Florence points to Wordsworth and Beethoven as creative people who drew their inspiration from nature, thus serving as forerunners to modern day neuroscience research which is exploring the impact of nature on our brains – and on our health, happiness and creativity. She points out that the research from the Mappiness app (daily mood monitoring by thousands of people over an extended period) concluded that people are much happier outdoors in nature than they are in urban environments devoid of natural features. She notes the research by Elisabeth Nisbit and John Zelenski that suggests that because of our habitual “disconnection from nature” we tend to “underestimate the psychological benefits of nature”. Their research highlighted that even green spaces in urban environments can elevate mood and generate happiness.

Science shows us how we can be healed by nature

In a landmark article on the impact of time in nature on our wellbeing, Kevin Loria advances 12 science-based reasons we should spend more time outside:

  1. improves short-term memory
  2. helps us to de-stress
  3. can reduce inflammation
  4. reduces fatigue by restoring energy
  5. helps overcome depression and anxiety
  6. my have a protective impact on vision (e.g. reduced rate of myopia)
  7. improves capacity to focus
  8. enhances creativity
  9. improves the immune system
  10. lowers blood pressure
  11. promotes the production of anti-cancer proteins
  12. lowers the risk of an early death.

The science in support of the benefits of nature on health, happiness and creativity is building rapidly as scientists and medical professionals become increasingly aware of the negative impacts of “nature-deficit disorder”.

As we grow in mindfulness through mindful immersion in nature and growing awareness of nature’s healing powers, we can begin to enjoy the benefits of improved health, happiness and creativity. In turn, we can deepen our awe of nature – its energy, beauty and majesty.

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Image by Sven Lachmann from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.