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Compassion fatigue: Psychotherapists’ chronic lack of self care.
Abstract
Psychotherapists who work with the chronic illness tend to disregard their own self-care needs when focusing on the needs of clients. The article discusses the concept of compassion fatigue, a form of caregiver burnout among psychotherapists and contrasts it with simple burnout and countertransference. It includes a multi-factor model of compassion fatigue that emphasizes the costs of caring, empathy, and emotional investment in helping the suffering. The model suggests that psychotherapists that limiting compassion stress, dealing with traumatic memories, and more effectively managing case loads are effective ways of avoiding compassion fatigue. The model also suggests that, to limit compassion stress, psychotherapists with chronic illness need to development methods for both enhancing satisfaction and learning to separate from the work emotionally and physically in order to feel renewed. A case study illustrates how to help someone with compassion fatigue.
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“which in turn is associated with a range of adverse outcomes including poor job satisfaction, absenteeism and poor patient care [27, 28].”
From Interventions to address empathy-based stress in mental health workers: A scoping review and research agenda (2024) · cites this paper as [27]
In the citing paper
“Because of the emotional strain involved in caring for others, people in helping professions can often experience counselor burnout, compassion fatigue, and even Secondary Traumatic Stress Disorder (STSD) as a result of setting aside their own self-care needs when helping others (Figley 2002; Collins and Long 2003; Linton and O'Halloran 2000; Bruns et al. 2014).”
From Counselor Self-care and Mindfulness (2017) · cites this paper as Figley 2002
In the citing paper
“Therapists suffering from compassion fatigue tend to make more mistakes with their clients (Figley 2002)”
From Counselor Self-care and Mindfulness (2017) · cites this paper as Figley 2002
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“…emotionally-demanding situations may be Frontiers in Human Neuroscience | www.frontiersin.org 1 June 2019 | Volume 13 | Article 197 especially at risk for empathic distress, resulting in empathyinduced burnout, poor health, or depression (Figley, 2002; Singer and Klimecki, 2014; Tei et al., 2014).”
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BackgroundTheoretical Paper Research into post-traumatic growth in therapists: A critical literature review
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“8 However, CF is not the only consequence of care.”
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BackgroundSosyal hizmet çalışanlarında ikincil travmatik stres ve adil dünya inancı
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“BO happens over a long period of time, but STS is typically associated with a specific exposure to the trauma or suffering of a specific client (Figley, 1995, 2002).”
Emotional experiences in palliative care and professional quality of life: a qualitative approach
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“Figley (2002) presented a multi-factor model of compassion fatigue, highlighting the costs of caring, empathy, and emotional investment in helping the suffering.”
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Ahmetoğlu, E., Şirin, T. S., & Kurtça, T. T. (2024) · Erken Çocukluk Çalışmaları Dergisi · doi:10.24130/eccdjecs.1967202481571 · Cited by 4
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Howell, A. M. (2012) · UST Research Online (University of St. Thomas - Minnesota) · Cited by 4
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BackgroundA canonical correlation analysis of self‐compassion, life balance, and burnout in counselors
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BackgroundThe Emotional and Psychological Impact on Radiation Therapists of Treating Children
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“…greater disruption of cognitive schemas, less career longevity, human perpetration as client trauma source, emotional exhaustion, quantity of hours providing trauma therapy, lack of coping strategies (Canfield, 2005; Figley, 2002a), and inadequate supervision (Sadler-Gerhardt & Stevenson, 2012).”
BackgroundInfluentialVicarious Trauma and Self-Care for the Trauma Therapist
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“Unlike much of these literatures, I am minimally invested in producing incentives for “selfcare” (Figley, 2002; Stamm, 1995; Trippany et al., 2004) or networks of institutional support to provide “help for the helpers” (Bell et al.”
BackgroundCounsellor development in the school setting : a narrative study
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“Compassion fatigue has been described as emotional, physical, and spiritual exhaustion from absorbing the suffering of others (Figley, 2002; Hunsaker et al., 2015; Smit, 2017; Yilmazer et al., 2020).”
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“Originally introduced by Joinson (1992) and further developed by Figley (2002), CF was initially conceptualized in health-care professions as a trauma-related phenomenon.”
Singh, D., Tiwari, A., Mahajan, R., & Kumar, N. (2025) · International Journal of Sociology and Social Policy · doi:10.1108/ijssp-04-2025-0260 · Cited by 5
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“Bloom (2016) argues that excessive emotional empathy may impair judgment and well-being, while Figley (2002) links unregulated empathy to secondary traumatic stress.”
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Interventions Addressing Compassion Fatigue Among Nurses: A Scoping Review
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Koçak, O., Boz, C., Aksoy, B., Aksan, E., ÖZİŞLİ, Ö., & Solmaz, U. (2026) · Work · doi:10.1177/10519815251401877 · Cited by 3
“52 According to this model, compassion fatigue causes a wide-spread decrease in a caregiver ’ s desire to empathize and care, as well as their skill and energy.”
Aqtam, I. F., Shouli, M. M., & Ayed, A. (2026) · Creative Nursing · doi:10.1177/10784535261437075 · Cited by 6
“Vicarious trauma refers to the cumulative psychological impact of empathetically engaging with trauma survivors ’ experiences (Figley, 2002).”
Ku, M., Cavanagh, J. M., Bartram, T., & Halvorsen, B. (2022) · Australian Health Review · doi:10.1071/ah22042 · Cited by 3
Covid-19 Pandemisi Sürecinde Hemşirelerde Merhamet Yorgunluğu, İş Stresi ve Yaşam Doyumu İlişkisi
Söyler, S., KIRAÇ, R., Çavmak, D., Yeşilyurt, P. Z., & Seda, U. Y. A. R. (2022) · Balıkesır Health Sciences Journal · doi:10.53424/balikesirsbd.1168144 · Cited by 3
The development of the revised COPE 68 inventory with English and Slovak versions
Halamová, J., Kanovský, M., Strnádelová, B., Baránková, M., & Greškovičová, K. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1202571 · Cited by 3
“These two concepts seem to be mutually intertwined, as supportive relationships with others increase self-care (Sebern and Riegel, 2009) and self-care increases care for others (Figley, 2002).”
BackgroundCompassion fatigue in the community nursing workforce: a scoping review
Adia, R. (2023) · British Journal of Community Nursing · doi:10.12968/bjcn.2023.28.9.456 · Cited by 3
Yu, Z., Shen, L. C., Huang, C., Shields, J. L., & Zhao, J. (2023) · Social Work Research · doi:10.1093/swr/svad018 · Cited by 5
Taghinezhad, F., Raiesifar, A., Taghinezhad, Y., & Mohammadi, E. (2024) · Iranian Journal of Nursing and Midwifery Research · doi:10.4103/ijnmr.ijnmr_182_22 · Cited by 3
Dispositional Empathy Among Psychotherapists: A Latent Profile Analysis
Lachance, V., Laverdière, O., Kealy, D., & Ogrodniczuk, J. S. (2024) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.3016 · Cited by 6
Mourning in Veterinary Medicine
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“The importance of self-care and self-awareness seems crucial for the benefits of therapists (Figley, 2002; Willemsen et al. , 2023).”
BackgroundHiroyama, N., Ogata, Y., Sasaki, M., Misumi, J., Matsuzaki, M., Ikeda, M., & Okubo, N. (2025) · BMC Public Health · doi:10.1186/s12889-025-22115-6 · Cited by 4
“It consists of three factors, namely, compassion fatigue (also known as secondary traumatic stress [STS]), burnout (negative responses), and compassion satisfaction (a positive response) [32, 34].”
Butt, M. K., Grigutytė, N., & Eimontas, J. (2025) · European Journal of Psychotraumatology · doi:10.1080/20008066.2025.2543205 · Cited by 3
“Unlike burnout, which is more diffuse and cumulative, STS has a specific clinical profile rooted in secondary exposure to trauma (Bride et al., 2007; Figley, 2002).”
Rossiter, R. C. (2008) · UPT. Syiah Kuala University Library (Syiah Kuala University) · Cited by 3
Applying Buddhist Practices to Advocacy: The Advocacy-Serving Model
Warren, J. A., Klepper, K. K., Lambert, S. M., Nunez, J., & Williams, S. (2011) · Journal of Creativity in Mental Health · doi:10.1080/15401383.2011.579876 · Cited by 3
“Even though many counselor-advocates feel the suffering of others, counselors may not recognize these same emotions in themselves ( Figley, 2002 ).”
Background
Metadata
- Authors
- Figley, C. R.
- Affiliations
- Florida State University (US)
- Corresponding author
- Figley, Charles R.
- ORCID
- Figley, Charles R.
- Venue
- Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2002-10-29
- Volume
- 58
- Issue
- 11
- Pages
- 1433-1441
- ISSN
- 0021-9762 (ISSN-L)
- 1097-4679
- OpenAlex
- W2093609854
- Cited by
- 1,614
- References
- 13
- Citations by year
- 2026: 155 · 2025: 138 · 2024: 108 · 2023: 157 · 2022: 115 · 2021: 153 · 2020: 112 · 2019: 94 · 2018: 76 · 2017: 82 · 2016: 74 · 2015: 53 · 2014: 63 · 2013: 62 · 2012: 42
- FWCI
- 5.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
- Keywords
- compassion fatigue, psychotherapists, self-care, caregiver burnout, countertransference, chronic disease, traumatic memory, empathy, burnout
- MeSH terms
- Burnout, Professional, Chronic Disease, Countertransference, Empathy, Fatigue, Humans, Models, Psychological, Psychotherapy, Self Care
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