9 total hours of training.
RESILIENCE MINI-BOOTCAMP by ZOOM WEBINAR
for Health Care Providers, their teams, and First Responders
Burnout, Demoralization, Secondary Trauma, and Moral Distress
Our faculty’s original 2.5-day Resilience Bootcamp has been pared down to SIX 90-minute modules, livestreamed in April-May 2020 and recorded for immediate viewing now! This course is focused on Resilience, focused particularly on those in health care, using Positive Psychology (character strengths), Meaning-Centered Logotherapy, Virtue Ethics, and our faculty’s interdisciplinary experience in communication, health care, and ethics.
The mini-bootcamp invites reflection to the building blocks of RESILIENCE, for survival and healing. Putting this into practice for ourselves, we can efficiently help our teams do the same in the way we talk, listen, and map out meaningful paths in each moment, even in suffering.
Our faculty are interdisciplinary experts, each with over 20 years in field work and scholarship: Janeta Tansey, MD, PhD (Iowa – Bioethics, Psychiatry, Executive Coaching), Cheryl Erwin, JD, PhD (Texas – Bioethics, Health Law Scholar, Executive Coaching), Elizabeth Parks, MA, PhD (Colorado – Communication Ethics, Public Health). The Q&A section is facilitated by JoAnna Romero Cartaya, PhD (Iowa – Psychology, Ethics)
Originally livestreamed at $375 per person for all 6 modules, the recordings can be viewed for continuing education at any time.
Enter the coupon: resiliencenow for $200 off the original cost.
All registrants will immediately receive Dr. Tansey’s M&M Rounds 2.0 Daily Prescription for Mindfulness and Meaning and access to all 9 hours of recordings.
In the face of both acute and chronic stressors, professional altruism, perseverance and fidelity can be strained and negatively impact functioning in the workplace and in personal life. Appropriate interventions leverage the existing relationships, culture, and strengths of the group and its individuals to care for themselves in adaptive and informed ways. Our curricular goals are to optimize resilience and post-traumatic growth.
Part of the challenge in identifying the wisest response is understanding the problems to be solved. The following are good working definitions for key terms:
- Resilience: A trait, state, or cultivated capacity to respond adaptively and constructively to stress or trauma, leading to growth and ongoing sense of meaning and purpose, even through adversity.
- Stress: An organism’s response to challenges, demands or threats. Stress can be healthy or unhealthy, depending on the circumstances and the capacity to respond effectively and adaptively.
- Burnout: A constellation of symptoms associated with stress, commonly measured using the inventory and constructs by Maslach, et al to include varying degrees of emotional exhaustion, depersonalization, and beliefs about low self-efficacy.
- Moral Distress: A internal dissonance when one knows what the right or ethical action is but has internal/external obstacles or constraints to the performing of the action that are difficult or impossible to mitigate.
- Moral Injury: The syndrome of deep guilt and shame when one participates in, perpetrates, or witnesses evil/suffering, while experiencing this as both complicity and a violation of personal moral commitments. This is classically described in the military literature but has since been applied to other organizational settings.
- Demoralization: The erosion of morale, optimism, hope for the future and meaningfulness in the present. Not necessarily a pathological condition, it is also associated with existential distress in the face of suffering.
- Compassion Fatigue: Detachment and hardening/repression of emotions as a response to the suffering of others. Often considered an overlapping syndrome with burnout, particularly in the human service fields or helping professions.
- Bereavement: The experiences of mourning or sadness after loss. The duration of bereavement normally varies widely.
- Complicated Bereavement: Also known as pathological grief, this is a heightened and persistent experience of mourning that resists healing and is often associated with high existential distress and difficulty functioning.
- Trauma: A subjectively distressing or disturbing experience. Unlike past attitudes, we now know that whether or not an experience is perceived as traumatic is highly subjective and shaped by individual narratives, culture, and vulnerabilities, much of which is predetermined and not under individual control.
- Complex Trauma: Repeated and cumulative trauma experiences, often creating an even more pervasive and persistent impact on body, psyche, and social functioning.
- Vicarious Traumatization: A pattern of overidentifying and suffering with others’ trauma experiences and sequelae, typically associated with a longer-term role of caring for or helping the traumatized person/population.
- Acute Stress Disorder: The development of a clinically distressing or functionally impairing set of symptoms, usually within one month of the trauma and of at least 3 days duration. The medical syndrome increases the risk of developing Post-Traumatic Stress Disorder and demands rapid psychological intervention.
- Post-Traumatic Stress Disorder: PTSD is a functionally impairing set of physical, cognitive, and emotional symptoms that develop months or years following a trauma, often with significant health, social and professional impairments and a high risk of mortality. The medical condition can be chronic and unremitting and requires medical-psychological treatments.
- Secondary Traumatic Stress: A subtype of PTSD, in which the trauma is an exposure to the traumatization of others, often with a sense of horror and helplessness. This syndrome has been particularly described in first responders, in professional and familial caregivers, and in witnesses to trauma.
- Post-Traumatic Growth: The experience of positive change and personal development that surpasses what was present before the trauma or crisis occurred, often with a sense of wisdom and meaningfulness in both the struggle to heal and the new perspective and coping strategies.
Some of the hard questions we are holding in health care today:.
What does courage look like in the battlefield ethics of medical crisis? Are the military-war metaphors the right ones for this time, or do they miss something important?
Is there any possibility of peace (let alone sleep) when no matter how hard I try, my limitations result in others’ possible or actual suffering? What do I do when I can’t help but imagine the harms coming from tasks undone?
How do I triage emotional labor when the whole world needs care? Is there any cure to compassion fatigue?
How do I cope with this terrible grief? In all of this direct and secondary trauma, how can I think about and nurture a semblance of Post-Traumatic Growth?
How do I cope with all the righteous anger I am feeling about everything that has gone wrong? Who is my “neighbor” when my many communities are all at risk simultaneously?
How do I map a path through this sense of overwhelming futility? What do I do when being smart and well-educated doesn’t actually bring me the guidance I really need for what to do NOW?
Janeta F. Tansey, MD, PhD is a practicing psychiatrist, bioethicist and board-certified executive coach who focuses on caring for both academic and community-based professionals in her clinical practices. A specialist in mind-body medicine and meaning-centered interventions, her scholarship in Logo (Meaning)-Therapy, Virtue Ethics, Character Strengths, and Mindfulness are the backbone of her development of M&M Rounds 2.0: Mindfulness and Meaning Training. Dr. Tansey is an experienced consultant in understanding professionalism as she works with the people and vocations that find shelter in today’s organizations.
Cheryl Erwin, JD, PhD is a scholar and teacher in Medical Humanities, Bioethics and Health Care Law. Having served both in health care crisis policy development and in directing Medical Humanities programs for physicians throughout the state of Texas, she uses a humanistic approach to cultivating professional self-care. A trained mediator, she has a special interest in conflict management and communication coaching that seeks to balance multiple perspectives to find common goals and solutions to the normal conflicts of human life and medical practice. She is also a lawyer and a board-certified coach.
Elizabeth S. Parks, MA, PhD is a communication scholar with a history of research and teaching in Listening and Dialogic Ethics. She has many years of working with a variety of cultural and service communities around the world in her linguistic and development research, more recently focusing on diversity and communication challenges that are found in Higher Education. She brings theory and practice of listening, particularly listening across differences and in settings of competing values, to the curriculum as a clinically critical component of building insight and resilience both intra- and inter-personally.
Module 1: COURAGE
The Virtues of Courage, for Discovering a Will-to-Meaning in Crisis
Lecture: Mindful Courage, Resilience, and Character Strengths (Dr. Janeta Tansey)
Guided Experiential Work:
Emotional Growth Edge – Release FEAR and BRAVADO
Character Strengths of Bravery, Perseverance, Honesty, Zest, and Mindfulness Exercise 1 – Soft Belly Breath
Module 2: TEMPERANCE
The Virtues of Temperance, for Living with Our Human Limitations and Finiteness
Lecture: The Threat of Perfectionism in Health Care and Virtues of Temperance for Resiliency
(Dr. Elizabeth Parks)
Guided Experiential Work:
Emotional Growth Edge – Release SHAME and GUILT
Character Strengths of Forgiveness, Humility, Prudence, Self-Regulation, and Mindfulness Exercise 2 – A Releasing Meditation
Module 3: LOVING-KINDNESS, for SELF and OTHERS
The Virtues of Humanity, Dealing with Alienation and Loneliness in Crisis and Overwhelming Noise
Lecture: When You’re Running on Empty: Finding the “Middle Way” in Loving-Kindness for Self and Others (Dr. Cheryl Erwin)
Guided Experiential Work:
Emotional Growth Edge – Release SELFISHNESS and BRITTLE EGOISM
Character Strengths of Social Intelligence, Love, Kindness, and Mindfulness Exercise 3 – Loving-Kindness Mantra for Self and Others
Module 4: TRANSCENDENCE in SUFFERING
The Virtues of Transcendence in Grief and Secondary Trauma, for an Authenticity without Nihilism or Despair
Lecture: The Defiant Power of the Human Spirit – Demanding Meaning in Tragedy and Trauma
(Dr. Janeta Tansey)
Guided Experiential Work:
Emotional Growth Edge – Release DESPAIR and DEPLETION
Strengths of Appreciation of Beauty and Excellence, Gratitude, Hope, Humor, Spirituality, and Mindfulness Exercise 4 – Gratitude Meditation
Module 5: JUSTICE
The Virtues of Justice, for a Sustainable Responsibility in the Face of Overwhelming and Chronic Injustice
Lecture: Righteous Anger – What Does a Strengths-Based Justice look like for Ourselves in Holding on to Fragile Communities for Future Growth? (Dr. Elizabeth Parks)
Guided Experiential Work:
Emotional Growth Edge – Release FRUSTRATION and ANGER
Character Strengths of Fairness, Teamwork, Leadership, and Mindfulness Exercise 5 – Tonglen Meditation
Module 6: WISDOM
The Wisdom Virtues, for Discovering a Path Forward
Lecture: Mapping Your Ground: Seeing and Seizing Meaning in the Moment as a Sapere Vedere Practice (Dr. Cheryl Erwin)
Guided Experiential Work:
Emotional Growth Edge – Release HELPLESSNESS and HOPELESSNESS
Character Strengths of Creativity, Curiosity, Judgment, Love of Learning, Perspective, and Mindfulness Exercise 6 – Alternate Nostril Breath
Resilience is a clinically defined term that measures both subjective and objective capacities to adapt to new challenges and to grow in settings of adversity or trauma; in short, increasing resilience is the antidote to burnout. And it is not only burnout that is of concern, but trauma-care in general, as attention is turned to the severity of compassion fatigue, primary and secondary forms of trauma, grief and moral distress.
There is an accelerating body of research on building resilience. Much of the original work has focused on the clinical populations experiencing trauma and/or grief, now with growing interest and application to the general population. Health care professionals are in no way immune to contemporary disruptions and challenges to self-identity, community, professional life and work, support resources, and environments, and are a group that need care for their own sakes as well as for the important and meaningful care that they provide to others.
Dr. Steven Southwick and Dr. Dennis Charney in Resilience: The Science of Mastering Life’s Greatest Challenges, 2nd ed (Cambridge University Press: 2018) name the following as validated strategies for building resilience. These are habits to practice daily; none of us are “finished” with this kind of work for as long as we live.
- Cultivating optimism and a hopeful attitude for the future
- Facing fear with deliberate courage and a rallying of resources
- Drawing on one’s moral compass for what is good and right and altruistic
- Engaging life through the lens of Ultimate Meaning — spirituality, faith, a holistic world-view
- Shoring up social support systems and loving relationships of care
- Identifying role models for inspiration and guidance
- Caring for the body well: physical strengthening and durability
- Training for brain fitness: thinking-power and emotional IQ for mindfulness, emotional-regulation, love of learning
- Seeing the world in new ways, with cognitive and emotional flexibility in adversity
- Discerning personal meaning and purpose, towards growth-possibilities
Our Resilience Bootcamp is a 15-hour continuing education course over 2.5 days, setting aside ample time for experiential learning, reflection exercises and small group discussions in a retreat-like format with the faculty. Every participant receives a individual assessment of character strengths and is taught during the retreat to apply these to the cultivation of mindful states and dispositions of personal flourishing. If this immersive and connected experience is right for your institution or community, please contact us for more details.
Our Mini-Bootcamp is a NEW streamlined version of our Resilience programming that emphasizes expert content knowledge and guided self-reflection for large groups in a teleconferencing or online format. The course is completed over 9 hours in six modules.