Term 1 of 35
What are the 9 practices and skills of Balanced Compassionate Caring?
We cannot selectively numb emotions, decreased gratification
Negative effects on clinician and patient
Negatively impacts patient care and cognition
Challenge to personal relationships
Decreased gratification
Suppressing negative feelings that negative and positive feelings not processa nd result is
emotional withdrawal
Patients don't feel as safe or able to be vulnerable with physician
1) Competence in the skills & interventions of your helping profession
2) Caring intent is concretely expressed with balanced emotional involvement
3) Being able to care for a person using challenge & confrontation
4) Balance between other-care & self-care
5) Energy devoted to self-reflection & analyzing helping interactions
6) Ways of dealing with effects of working w/ individuals w/ severe problems
7) Skill of managing emotions & using them for the healing process
8) Effective organizational & practice management skills
9) Mind training practices to cultivate compassion & reduce stress
1) Caritas attitude: compassionate caring attitude as the core driving force in patient-
clinician relationships
2) Balanced notion of personal responsibility & outcome
3) Compassionate empathic concern vs. emotional detachment or emotional engulfment
4) Therapeutic perspective vs. detached objectivity (person-centered)
5) Being centered
6) Lifetime of caring as a story with succession of awakenings
7) Awareness & use of the Wounded Healer Archetype
,Definition 2 of 35
When a clinician's brain is in the Compassion Mental State, it impacts 5 diff. areas simultaneously:
1) The clinician's internal psychological state (centered & focused attention, balance between
emotional detachment & overinvolvement)
2) Optimum access to & use of the clinician's medical knowledge (mental performance & medical
competence)
3) The patient experience (patient satisfaction & positive medical outcomes)
4) Clinician well-being & resilience
5) Organizational culture
what is the difference between caring and compassion
What is the Model of Balanced Compassionate caring?
What is the transpersonal caring moment in Watson's theory of Caring?
What is the Clinician Compassion Mental State Process?
,Term 3 of 35
How is compassion distinct from empathy?
Money is necessary to sustain a compassionate career
Money can interfere with compassionate caring if self interest is the primary motivation
Focus of helper's attention changes based on whether compassionate care is primary or
making money is primary
Frustrations about insurance
compassion is neurally distinct from empathy.
Affective sharing: empathy for pain/emotional empathy network
Cognitive empathy: perspective taking
Compassion: reward, affiliation, positive emotion
empathy can lead to either a) empathic distress or b) compassion.
Compassion buffers burnout
It's the rudder that guides us and helps us navigate through tough experiences that lead to
burnout
Awareness to know when and how to ask for help
Being in a healthy level of involvement allows for compassion mind processing
In a space where we are neither over involved nor emotionally detached
Overinvolvement and detachment will lead to burnout
Loss of motivation
Empathic distress
, Term 4 of 35
what is the difference between caring and compassion
talk about the graph! Overinvolvement, Neural/Detached, and Negative Involvement all
have negative effects on both the clinician and the patient. The zone of balanced caring
involves a healthy level of emotional involvement, and this has a positive effect on both the
clinician and the patient. This trumps the idea that being detached will best serve the
patient. Tying this back into what we went over in the second part of the semester, we
learned more about attitudes, practices, and skills, organization/systemic factors, and the
spirituality/philosophy of caring to cultivate and apply a compassionate care response.
caring: constant backdrop
compassion: when something is particularly difficult for the patient
1) noticing another's suffering
2) empathically feeling the other person's pain in a state of emotional regulation
3) wishing or desiring to see a relief of that suffering
4) responding or acting to help ease or alleviate that suffering
it helps us provide the best care possible to our patients while also having a positive impact
on yourself
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