The stress of patient emergencies for the clinician: Incidence, impact, and means of coping

The lived experience of working with people with eating disorders: A meta‐ethnography

“…It has been suggested that this position can free HCPs from the bind of needing to know the “final answer,” while supervision and consultation keep them safe in their practice (Fox et al, ). Tolerating imperfection is important given that self‐expectations of staff have been identified as a critical factor in burnout (Freudenberger, 1980, Scully, 1983; as cited in Kleespies & Dettmer, ).…”

The lived experience of working with people with eating disorders: A meta‐ethnography

“…It has been suggested that this position can free HCPs from the bind of needing to know the “final answer,” while supervision and consultation keep them safe in their practice (Fox et al, ). Tolerating imperfection is important given that self‐expectations of staff have been identified as a critical factor in burnout (Freudenberger, 1980, Scully, 1983; as cited in Kleespies & Dettmer, ).…”

Clinicians’ mental representations of psychopathology are more positive and complex than the lay public but also stigmatize suicide.

“…Further, individuals who have attempted suicide appear to experience a double-edged sword of stigma as they are stigmatized for both being a suicide attempter and for having a mental disorder (Sheehan, Dubke, & Corrigan, 2017). More specific to clinicians, Kleespies and Dettmer’s (2000) review demonstrated that client suicide results in a variety of emotional responses among clinicians, including fear, guilt, and incompetence. As discussed by Sommers-Flanagan and Shaw (2017), these negative emotional states might increase the likelihood of engaging in rigid thought patterns, including overly focusing on diagnosis (i.e., emphasizing pathology), as opposed to adopting a holistic view of the individual sitting in front of them.…”

Understanding Therapists’ Work With Suicidal Patients: An Examination of Qualitative Data

“…Therapists who had a patient make a suicide attempt were significantly more likely to stop using CAMS at a subjective point in time, whereas therapists who did not have a patient make a suicide attempt were more likely to stop at the CAMS-directed point in time. Research has shown that patient suicide and patient suicide attempts during treatment can have a profound negative impact on the therapists’ well-being, including the development of severe symptoms of stress, guilt, and intrusive thoughts (Kleespies & Dettmer, 2000; McAdams & Foster, 2000). This result could be reflective of the idea that therapists who have not experienced the stress of having had a patient make a suicide attempt may be more comfortable ending suicide tracking at the time indicated in the CAMS manual, whereas therapists who have experienced a client suicide attempt may wish to prolong tracking in order to ascertain a patient’s level of risk.…”

The lived experience of working with people with eating disorders: A meta‐ethnography

“…It has been suggested that this position can free HCPs from the bind of needing to know the “final answer,” while supervision and consultation keep them safe in their practice (Fox et al, ). Tolerating imperfection is important given that self‐expectations of staff have been identified as a critical factor in burnout (Freudenberger, 1980, Scully, 1983; as cited in Kleespies & Dettmer, ).…”

Clinicians’ mental representations of psychopathology are more positive and complex than the lay public but also stigmatize suicide.

“…Further, individuals who have attempted suicide appear to experience a double-edged sword of stigma as they are stigmatized for both being a suicide attempter and for having a mental disorder (Sheehan, Dubke, & Corrigan, 2017). More specific to clinicians, Kleespies and Dettmer’s (2000) review demonstrated that client suicide results in a variety of emotional responses among clinicians, including fear, guilt, and incompetence. As discussed by Sommers-Flanagan and Shaw (2017), these negative emotional states might increase the likelihood of engaging in rigid thought patterns, including overly focusing on diagnosis (i.e., emphasizing pathology), as opposed to adopting a holistic view of the individual sitting in front of them.…”

Understanding Therapists’ Work With Suicidal Patients: An Examination of Qualitative Data

“…Therapists who had a patient make a suicide attempt were significantly more likely to stop using CAMS at a subjective point in time, whereas therapists who did not have a patient make a suicide attempt were more likely to stop at the CAMS-directed point in time. Research has shown that patient suicide and patient suicide attempts during treatment can have a profound negative impact on the therapists’ well-being, including the development of severe symptoms of stress, guilt, and intrusive thoughts (Kleespies & Dettmer, 2000; McAdams & Foster, 2000). This result could be reflective of the idea that therapists who have not experienced the stress of having had a patient make a suicide attempt may be more comfortable ending suicide tracking at the time indicated in the CAMS manual, whereas therapists who have experienced a client suicide attempt may wish to prolong tracking in order to ascertain a patient’s level of risk.…”

The lived experience of working with people with eating disorders: A meta‐ethnography

“…It has been suggested that this position can free HCPs from the bind of needing to know the “final answer,” while supervision and consultation keep them safe in their practice (Fox et al, ). Tolerating imperfection is important given that self‐expectations of staff have been identified as a critical factor in burnout (Freudenberger, 1980, Scully, 1983; as cited in Kleespies & Dettmer, ).…”

Clinicians’ mental representations of psychopathology are more positive and complex than the lay public but also stigmatize suicide.

“…Further, individuals who have attempted suicide appear to experience a double-edged sword of stigma as they are stigmatized for both being a suicide attempter and for having a mental disorder (Sheehan, Dubke, & Corrigan, 2017). More specific to clinicians, Kleespies and Dettmer’s (2000) review demonstrated that client suicide results in a variety of emotional responses among clinicians, including fear, guilt, and incompetence. As discussed by Sommers-Flanagan and Shaw (2017), these negative emotional states might increase the likelihood of engaging in rigid thought patterns, including overly focusing on diagnosis (i.e., emphasizing pathology), as opposed to adopting a holistic view of the individual sitting in front of them.…”

Understanding Therapists’ Work With Suicidal Patients: An Examination of Qualitative Data

“…Therapists who had a patient make a suicide attempt were significantly more likely to stop using CAMS at a subjective point in time, whereas therapists who did not have a patient make a suicide attempt were more likely to stop at the CAMS-directed point in time. Research has shown that patient suicide and patient suicide attempts during treatment can have a profound negative impact on the therapists’ well-being, including the development of severe symptoms of stress, guilt, and intrusive thoughts (Kleespies & Dettmer, 2000; McAdams & Foster, 2000). This result could be reflective of the idea that therapists who have not experienced the stress of having had a patient make a suicide attempt may be more comfortable ending suicide tracking at the time indicated in the CAMS manual, whereas therapists who have experienced a client suicide attempt may wish to prolong tracking in order to ascertain a patient’s level of risk.…”