@ubuntourist The Freedom to Choose Project has been conducting in-prison rehabilitative programs in some California state prisons since 2004. What we've discovered is that teaching incarcerated men and women to heal the hurts (past trauma) stops the violence and provides the skills to successfully return as citizens to their communities. https://freedomtochooseproject.org #prisonreform #prison #rehabilitation

@gramjoeldavies @drkkolmes This is certainly a complex area! I'm not aware of research regarding therapists who "fawn" with clients. In my experience, the old saying is still accurate: "The client can't go anywhere the therapist hasn't already been." The ongoing opportunity for therapists is continued learning, growing and #healing, in service to themselves and their clients.

@gramjoeldavies @drkkolmes The "freeze" is one element of the sympathetic response, and activation is reflexive - for example, "freezing in place" (suddenly stopping without movement) when a hiker hears the rattle of a rattlesnake. Or during a grizzly bear encounter while hiking. (Real life examples of workshop participants.)

@NurseMich I agree, and self-care is all too often absent. When we teach how to heal burnout, one of the "ground rules" is to take care of yourself, so you can help take care of others. Ignoring this is not a good long term strategy.

@gramjoeldavies @drkkolmes The current "full" name of what used to called the fight or flight system is now: Fight, Flight, Freeze, Faint and Appease. I appreciate the word Fawn since it starts with the letter F, but it's less commonly used. Most therapists are highly empathic, and even the business world recognizes that emotions are contagious (Daniel Golman, for example).

@iwashyna @mergesort I so appreciate this banner! And I recognize how many times I thought the same.

@drkkolmes @gramjoeldavies #Burnout is typically an end result of situations/experiences that have activated the fight/flight/freeze (FFF) system, repetitively (small chronic traumas) or extremely (life threatening such as military combat). The extreme traumas can result in Post Traumatic Stress Disorder. Up regulation of the FFF system has multiple psychological and physiological consequences. Rest & recovery are always valuable, but do not address the causes of the chronic FFF activation.

@AliceMarshall We know first-hand how broken the #prison phone industry has been. Supporting communication with family and friends in the "free world" is important in successfully re-entering the community when released.

@markhenick Hopefully this type of publicity will help allocate resources to address the causes of #burnout. This crisis is more prevalent than just nurses, it also affects paramedics and other first responders, physicians, and #healthcare managers.