First used to describe the weariness the public felt toward
media portrayals of societal crises, the term "compassion fatigue"
has been taken up by health professionals to name--along with
"burnout," "vicarious traumatization," "compassion stress," and
"secondary traumatic stress"--the condition of caregivers who
become "too tired to care." Compassion, long seen as the foundation
of ethical caring, is increasingly understood as a threat to the
well-being of those who offer it.
Through the lens of hermeneutic phenomenology, the authors
present an insider's perspective on compassion fatigue, its effects
on the body, on the experience of time and space, and on personal
and professional relationships. Accounts of health professionals,
alongside examinations of poetry, images, movies, and literature,
are used to explore the notions of compassion, hope, and
hopelessness as they inform the meaning of caring work. The authors
frame their expose of compassion fatigue with the very Canadian
metaphor of "lying down in the snow." If suffering is imagined as
ever-falling snow, then the need for training and resources for
safe journeying in "winter country" becomes apparent. Recognizing
the phenomenon of compassion fatigue reveals the role that health
services education and the moral habitability of our healthcare
environments play in supporting professionals' ability to act
compassionately and to endure.
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