CCIM Final
Balanced Compassionate Caring Model - answer
What is the Balanced Compassionate Caring Model? - answer Describes how an
optimum level of emotional involvement or engagement with a patient has positive
effects for the patient and the clinician
What is the zone of balanced compassionate caring? - answer The zone of balanced
compassionate caring lies between being emotionally detached or neutral with a patient
and being emotionally over involved with a patient
Negatively emotionally involved - answer An attitude that is explicitly hostile to the
patient
Neutral/detached - answer Clinician suppresses any emotional engagement, perhaps
because they think this will prevent burnout, or they have an objectifying attitude
towards the patient
Emotional Over involvement - answer When a clinician does more for a patient than
what is necessary
what is the benefit of optimal emotional involvement? - answerBetter emotional control
and attention to what is happening to the patient -> allows clinician to feel the rewards
of the work, preventing burnout
7 Attitudes - answer5) Being centered
6) Lifetime of caring as a story with succession of awakenings
7) Awareness and use of Wounded Healer Archetype
Caritas Attitude - answerCompassionate caring attitude as the core driving force in
helping relationships -> caritas anchors ourselves in the zone of balanced caring even
when things get tough (guiding you and motivating what you are doing with another
person)
Balanced notion of personal responsibility and outcome - answerBalanced sense of
personal responsibility -> clinicians must have at least some personal investment for
anything positive to happen but an excessive sense of personal responsibility is also a
problem when the clinician feels he or she is completely responsible for what happens
to the patient (IMPORTANT for clinicians to remember that even if a treatment can
work, it doesn't mean it should always be used AND clinicians should be realistic about
outcome, acknowledge personal limits, remember that mistakes are inevitable
, Compassionate empathic concern versus emotional detachment or emotional
engulfment - answerEmpathy = capacity to attempt to understand in cognitive and
emotional terms what another person is experiencing and then express this
understanding to that person -> emotional detachment removes this empathic arousal
thus reduced motivation to offer help (to balance between being emotionally detached
from the patient and being emotionally engulfed or distressed by the patient, the keys
are to be in a mindset in which you are altruistically focused on understanding what the
patient is going through and not losing the sense that this is your patient's experience-
not yours)
Therapeutic perspective versus detached objectivity (person-centered) -
answerPurpose of having therapeutic perspective with a patient is to avoid being
consumed by patient's pathology, hopelessness or despair (clinicians should not take
patient's comments personally, recognize what they are experiencing and stay in a
problem solving mindset) -> detached objectivity is attempting to see the patient's point
of view in an objective way, when it is important to actually have a subjective view to
understand the patient's situation
Being centered - answerBeing balanced; a focused, emotionally regulated state in
which you are not off balance or easily thrown off balance (emotionally collected,
focused awareness) -> helps us maintain a mental state of optimum emotional
management and problem solving in which we are invested but not overwhelmed
Lifetime of caring as a story with succession of awakenings - answerDescribes how
there are themes in the development of a clinician and how you overcome certain
situations changes with this development (early med school, there is a lot of
identification with the patient- anxiety and helplessness; later in med school there is a
loss of empathy; in residency, there is anxiety over making mistakes which decreases
as training ends) -> clinicians face detachment and burnout but become more forgiving
of themselves and others as they age (learn from positive and negative interactions with
patients)
Awareness and use of the Wounded Healer Archetype - answerDescribes how the
desire and ability to help others is tied to having encountered one's own wound or
illness; clinicians who are in touch with their own problems or wounds are better able to
take care for their patients and themselves (clinicians become grounded in their own
humanity when they are able to connect with their own suffering, allowing them to be
more empathic)
Practice and Skills - answer1) Competence in the skills and interventions of your
profession
2) Concrete Expressions of Caring intent
3) Being able to care for a person using challenge and confrontation
4) Balance between other care and self care
5) Energy devoted to self-reflection and analyzing helping interactions
6) Ways of dealing with effects of working with individuals with severe problems
Balanced Compassionate Caring Model - answer
What is the Balanced Compassionate Caring Model? - answer Describes how an
optimum level of emotional involvement or engagement with a patient has positive
effects for the patient and the clinician
What is the zone of balanced compassionate caring? - answer The zone of balanced
compassionate caring lies between being emotionally detached or neutral with a patient
and being emotionally over involved with a patient
Negatively emotionally involved - answer An attitude that is explicitly hostile to the
patient
Neutral/detached - answer Clinician suppresses any emotional engagement, perhaps
because they think this will prevent burnout, or they have an objectifying attitude
towards the patient
Emotional Over involvement - answer When a clinician does more for a patient than
what is necessary
what is the benefit of optimal emotional involvement? - answerBetter emotional control
and attention to what is happening to the patient -> allows clinician to feel the rewards
of the work, preventing burnout
7 Attitudes - answer5) Being centered
6) Lifetime of caring as a story with succession of awakenings
7) Awareness and use of Wounded Healer Archetype
Caritas Attitude - answerCompassionate caring attitude as the core driving force in
helping relationships -> caritas anchors ourselves in the zone of balanced caring even
when things get tough (guiding you and motivating what you are doing with another
person)
Balanced notion of personal responsibility and outcome - answerBalanced sense of
personal responsibility -> clinicians must have at least some personal investment for
anything positive to happen but an excessive sense of personal responsibility is also a
problem when the clinician feels he or she is completely responsible for what happens
to the patient (IMPORTANT for clinicians to remember that even if a treatment can
work, it doesn't mean it should always be used AND clinicians should be realistic about
outcome, acknowledge personal limits, remember that mistakes are inevitable
, Compassionate empathic concern versus emotional detachment or emotional
engulfment - answerEmpathy = capacity to attempt to understand in cognitive and
emotional terms what another person is experiencing and then express this
understanding to that person -> emotional detachment removes this empathic arousal
thus reduced motivation to offer help (to balance between being emotionally detached
from the patient and being emotionally engulfed or distressed by the patient, the keys
are to be in a mindset in which you are altruistically focused on understanding what the
patient is going through and not losing the sense that this is your patient's experience-
not yours)
Therapeutic perspective versus detached objectivity (person-centered) -
answerPurpose of having therapeutic perspective with a patient is to avoid being
consumed by patient's pathology, hopelessness or despair (clinicians should not take
patient's comments personally, recognize what they are experiencing and stay in a
problem solving mindset) -> detached objectivity is attempting to see the patient's point
of view in an objective way, when it is important to actually have a subjective view to
understand the patient's situation
Being centered - answerBeing balanced; a focused, emotionally regulated state in
which you are not off balance or easily thrown off balance (emotionally collected,
focused awareness) -> helps us maintain a mental state of optimum emotional
management and problem solving in which we are invested but not overwhelmed
Lifetime of caring as a story with succession of awakenings - answerDescribes how
there are themes in the development of a clinician and how you overcome certain
situations changes with this development (early med school, there is a lot of
identification with the patient- anxiety and helplessness; later in med school there is a
loss of empathy; in residency, there is anxiety over making mistakes which decreases
as training ends) -> clinicians face detachment and burnout but become more forgiving
of themselves and others as they age (learn from positive and negative interactions with
patients)
Awareness and use of the Wounded Healer Archetype - answerDescribes how the
desire and ability to help others is tied to having encountered one's own wound or
illness; clinicians who are in touch with their own problems or wounds are better able to
take care for their patients and themselves (clinicians become grounded in their own
humanity when they are able to connect with their own suffering, allowing them to be
more empathic)
Practice and Skills - answer1) Competence in the skills and interventions of your
profession
2) Concrete Expressions of Caring intent
3) Being able to care for a person using challenge and confrontation
4) Balance between other care and self care
5) Energy devoted to self-reflection and analyzing helping interactions
6) Ways of dealing with effects of working with individuals with severe problems
