pathology: burn out syndrome

yogabook / pathologie / burn out syndrome

Contents

1 burn out syndrome

burn out syndrome

Definition of

According to today’s definition, burn-out syndrome is not an independent illness but a generic term for various crises that occur due to stress or overload in the workplace. The first occupational groups in which it has been observed are teachers, doctors, nursing staff and prison officers. There may be some similarity to bore out syndrome, which is based on professional underload and resulting dissatisfaction. Strictly speaking, burn out syndrome is a diagnosis of exclusion, which can be made when all mental illnesses with similar symptoms such as neurasthenia (F48.0), panic attack (F41.0) and general fatigue (R53) have been excluded. While Jaggi describes burnout as physical, emotional and mental exhaustion due to work overload, Lazarus goes one step further and says that it is stress that the person affected cannot cope with. This can result in a feeling of powerlessness. Siegrist adds the concept of an imbalance between performance and recognition: the riziprocity is not (or no longer) given, i.e. what is given is not sufficiently recognized. Overcommitment, i.e. an exaggerated tendency to exert oneself and spend oneself, can also be added. Karasek argues that high strain jobs with low control, i.e. occupations with high demands and low control, are predisposed. He thus expands the group of people originally assumed to be dispositional in the broadest sense to include other service providers, such as supermarket sales assistants and call center employees, but also workers, especially on the assembly line. The demands on managers or hospital doctors, for example, are no less, but their scope for control and organization is much greater. Johnson and Hall brought the lack of socio-emotional support into the discussion. According to Freudenberger, burnout syndrome occurs in 12 phases:

The urge to prove something to yourself and others
Extreme striving for performance in order to meet particularly high expectations
Overwork with neglect of personal needs and social contacts
Covering up or ignoring inner problems and conflicts
Doubts about one’s own value system and formerly important things such as hobbies and friends
Denial of emerging problems, lowering of the tolerance limit
Withdrawal and avoidance of social contacts to a minimum
Obvious changes in behavior, progressive feeling of worthlessness, increasing anxiety
Depersonalization due to loss of contact with oneself and other people; life becomes increasingly functional and mechanistic
inner emptiness and desperate attempts to cover up these feelings by overreacting, for example through sexuality, eating habits and drugs
Depression with symptoms such as indifference, hopelessness, exhaustion and lack of perspective
First thoughts of suicide as a way out of this situation; acute danger of mental and physical collapse

ICD Z73

Cause

(see above)

Predisposing

(see above)

Symptoms

According to the Maslach Burnout Inventory (MBI), Copenhagen Burnout Inventory (CBI), Oldenburg Burnout Inventory (OLBI)

1. emotional exhaustion as a result of excessive emotional or physical exertion one feels weak, weak, tired, dull, listless and irritable
2. depersonalization, creating distance to the clients, patients, persons under protection, etc. Your work becomes an unambitious routine, you become indifferent or cynical
3. experience or feeling of failure. A discrepancy between effort and success or recognition leads to a feeling of ineffectiveness, inefficiency, futility and a lost belief in the meaning of the activity

Therapy