суббота, 20 июля 2019 г.

Викки Рейнольдс о выгорании

Посоветовала коллеге посмотреть выступление о выгорании в помогающей работе, но оказалось что в первой части видео нет почему-то субтитров. Так что выкладываю тут первую часть с расшифровкой, ну и остальные заодно

What i think about burnout, I’m very worried that we are using the language of burnout in a sector that is so underfunded, so overwhelmed, and so overworked. And how convenient it is to talk about our workers and ourselves as if we are burned out, as opposed to underresourced. And it’s not just the lack of resources, it’s also the kind of stuff that you’re up against. This is heartbreaking work. And if I were to give you a vicarious trauma scale... don’t do this, but if you went on a web and found a vicarious trauma scale, you’d all be taking time off, because you’re done. You’re fatigued. And what that does, it looks at our mental health, it measures our mental health, whether or not we can do this work based on our mental health, and I can tell you, for many domains of practice, but particularly situating it within the opioid epidemic, or the poisoning, or the political killings, however you understand that whole thing, there are many, many peer workers. First responders are the peers, we know that, right? They are the people living in tents, they are the people’s neighbors, people who are checking tents to see if everybody is alive, if everybody is well. Those first responders, I’ve met with them in terms of resisting burnout and trying to keep them alive in this work. Some of them are working in the tent, they work for 20 dollars for the whole shift, and they might do four overdose overturns in those hours that they are there. And then they come back the next day, and they just keep coming back. I ask them, why are you here, why you keep coming back, and what they told me, there was a circle, about 20 of them, they all said doctor Reynolds, we don’t understand your question. How could we not come back. This is us, this is our people, this is who we are. And so I think, you know, if I were to give them vicarious trauma scale, they wouldn’t measure well. How they are doing in their lives? They are unhoused. Some of them are using substances. Their lives are shaky. And many of them tell me – the best place for them to be is at work. They feel most useful when they are at work in this epidemic. They can’t take a day off, that is soul crushing to them. What they want to do is to be there and be of use to others and that’s how they are staying alive in this epidemic. And I think we wont to be very careful. An indigenous elder taught me this. We want to be very careful about judging very oppressed people’s responses to oppression, what they feel they need to do to resist oppression. What these folks want to do is show up. So the measure for me, is not how mentally well the workers are doing. It’s how are we treating people. When we are working to try to deliver justice and we can’t, where we start to feel that we are unethical, I think that is where the harm comes in our work. And the way that I think about this, it’s not burnout, it’s spiritual pain, or ethical pain. If we feel that what we are doing is ethical, we can be sustained even though our hearts are broken. But if we believe what we are doing is unethical, that’s the stuff that’s going to cause harm. So I think burnout and vicarious trauma which are kind of based on the idea that clients are bringing us too much that we can’t handle, I don’t think that is the problem. I think the problem is we are in structures that are oppressive and we are trying to stay alive, and our hearts are broken, and we need to deliver justice to people, and that is a massively hard task that we’ve all signed up for. So what I am interested in is not so much how are workers, what are their symptoms of trauma. What I want to know when you come to work is how are you treating people. How are we treating each other collectively really matters to me – how is the team with each other. And how are we serving people. What’s our collective care. Collective care means we have to allow each other to take our lunch, to have a break, to go home on time and to take our sick time. It sounds common sense, but we are not doing it. And the other thing about that, jumping ahead to collective care, if you are the person people are looking to as the manager, and what you are modeling is “I never take sick days, I never miss work and I come in here dying” – everybody is looking up to you. What are we actually saying about collective care? And there are times, I know, for all of us, when we can’t take a sick day, I get that. But we want to make sure that we are not slipping into some kind of heroic posturing around that. Because everybody is watching us. That’s really important. But as managers we never want to patronize people, when they come to us with issues of unjustice, and start to frame it in a “you are going to burn out” dialogue, and “what’s your self-care”. We don’t want to interrogate people’s self-care when what they are talking about is oppression, what they are tlking about is harms we need to be collectively accountable for. It’s an invitation to responsibility. And so as soon as it turns into an interrogation of people’s self-care, I believe that we are actually participating in something… it’s not a just way to be with people. Self-care is very important. I don’t want to… fear not, I’m not going to teach you how to breathe now, or touch your toes or anything. Cause that’s always the worry, you’re like “oh god, she’s going to make me go to my happy place”. Those are all great things, I’ve done them, I think those are all great strategies. But trust that your team has those. It’ll be ok to have conversations with the team where people share strategies, that’s super cool. But it’s patronizing to try to teach people that, I think. Self-care is important, and here is why I think it is important, from a social justice and client-centered way: self-care is important so that the client can stay at the center. My life history is here to qualify me, not to get into the center. Self-care is so that I can do that, create that space for the client to be in the center. It’s not so that I can suck up oppression. It’s so that I can actually be client-centered. So I believe that self-care is an ethical requirement, I want to be really clear about that. The folks that you are trying to shoulder up, the workers and the people that they are trying to serve – if we get harmed in this work, we are not blaming that on our clients. It’s our job to be well enough at the work. Whose job is it to bring hope to the community work that we do? It’s our job to be the bringers of hope. That’s an ethical responsibility of ours. We can’t claim that our clients are infecting us with hopelessness or taking our hope. That’s not their job. Their job is to try to stay alive, to put one foot in front of the other. What I’m interested in is our collective care, our solidarity with each other, and our path of justice-doing, that’s the stuff that can keep us alive in the work.

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