The 'Joy - Pain Spectrum' in helping: vicarious resilience (Part 1/5)
13 Jan 2021
Post-traumatic growth is a familiar concept to many. But what about other positive impacts that workers can experience? Vicarious resilience and compassion satisfaction help us to understand the ways that workers in helping or caring roles can be positively impacted, or even transformed, by witnessing the strength and resilience of others. Holding an awareness of both ends of the spectrum - the joy and the pain in the work - may hold the key for a healthy, successful and durable career.
Compassion and reciprocity in the helping professions
Most people enter work as a teacher, a health professional, a carer or a first responder through a sense of compassion: a desire to help others. This requires an ability to step into another’s experience, in order to understand, meet and transform it in some way. The experience is shared: both the struggles and pain, and the triumphs and successes. Workers are trained and practise keeping themselves out of the situation, but inevitably step into the joy and the pain of those with whom they work. And this, in turn, has an impact: it is a reciprocal, neurobiological phenomenon. Sometimes it brings joy and other times it brings hurt. We can conceptualise this as a continuum, with pain, fatigue and exhaustion at one end, and joy, satisfaction and energy at the other. Both ends of this spectrum are a natural and normal part of the work.
All emotions are contagious... both the ones that are pleasant and the ones that are unpleasant.
For better or worse, we are impacted by the people around us.
Consider the last time your best friend told you they were having a baby.
Or, what it’s like to be in the room with someone who is shouting at you.
Take a moment to reflect.
What were your feelings?
Did you have a different response to each circumstance?
What were the physical sensations associated with each feeling state?
If you stop and pay attention, you may be able to have a sense of these feelings in your body, even now? These are two very different, felt experiences that show just how powerfully we may feel, and respond to, each other’s emotions.
We’ve all heard of vicarious trauma and compassion fatigue; what are less well known are their lighter, brighter siblings: vicarious resilience and compassion satisfaction*.
Vicarious Resilience
Vicarious resilience, first coined by Hernandez & Engstrom in 2007, describes the unique and positive transformation that can occur between therapists and clients as a result of witnessing the resilience and recovery of trauma survivors.
Alex is a social worker who supports parent victims of family violence. Every day, she hears stories of abuse, neglect and violence. Some days, these stories can take their toll on Alex – she may struggle to sleep at night, she may be irritable, have headaches and struggle to concentrate at work.
However, on other days, she feels energised and inspired by the stories of strength and hope that she hears, as her clients step their way out of danger and despair. Not only do they simply carry on each day, they aspire to a better, meaningful future for themselves and their children.
At these times, Alex marvels at the strength, perseverance and hope of her clients. It makes her reflect on the amazing resilience, tenacity and wish for a better future to which humans can aspire.
Alex reflects on this warm feeling of expansion and welling-up inside of her.
As she feels the light in the darkness, she feels empowered, inspired and hopeful.
This is vicarious resilience.
So, what are the most important things to know about vicarious resilience?
It is a dynamic and reciprocal exchange between worker and client that promotes growth.
It involves empathy, attunement and authenticity in the relationship.
The worker needs to connect with their clients’ growth, resilience, and pain.
Hernandez-Wolfe states that vicarious resilience is more likely to occur with the following attributes or practices:
increased self-awareness
healthy self-care practices
client-inspired hope
a capacity for resourcefulness
acknowledgement of the clients’ spirituality as a potential resource
worker-awareness of their power and privilege in relation to the client
capacity for the therapist to be able to attend to the narrative of the client
So what does this mean and how can we foster vicarious resilience?
Most workers in helping or caring roles would aspire to the above attributes.
The key is having
an awareness of yourself, what is happening for you in relation to your client and your own needs
prioritising self-care
a supportive workplace
Workplaces that support workers to reflect, access adequate supervision and take the time for self-care are essential.
Just as vicarious trauma involves the transformation of the clinician through the empathic engagement with clients’ trauma stories, so too does the process of vicarious resilience, but in a different (more positive and healing) direction.
*Often a companion of vicarious resilience, compassion satisfaction involves the sense of empowerment and satisfaction that you may feel when you are doing your job well in a caring or helping role. Unlike compassion fatigue, which leaves you feeling drained and overwhelmed, compassion satisfaction is protective.
When so many of our challenges are a result of pressures from work and (rather topically) society in general – reference to ‘self care’ can seem to be a dismissal at best. What of the larger systems and social mechanisms at play? How can we look after ourselves and each other? Social buffering and ideas about connection and empathy give us some clues.
We don’t leave ourselves behind when we go to work, we take our whole selves in. Some days it is easy to keep ourselves separate. But when we are tired, have a special connection to a client or patient, have difficulties of our own, or are touched by the moment, it is not always possible, or appropriate, to maintain a separation. We feel their joy and we feel their pain. And sometimes it touches ours.
We are a sleep deprived society. Research outlines the cost of inadequate sleep to our mental and physical health, our immune functioning and the cost to workplaces. The recommendations for a good sleep routine are well documented. However the benefits of music listening for improved physiological relaxation and sleep are less known. Find out how music listening may be your ticket to a better night’s sleep.