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London iCAAD 2019 - Dr Philipe Wuyts - BURNOUT HUMANITY - FROM EXCESS TO EXHAUSTION

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This presentation will start off with an up-to-date description of the burnout syndrome and a range of data on its rising incidence will be presented, followed by a critical discussion on how a range of personality and work-related factors contribute to its pathophysiology.

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London iCAAD 2019 - Dr Philipe Wuyts - BURNOUT HUMANITY - FROM EXCESS TO EXHAUSTION

  1. 1. Dr Philippe Wuyts MD MBA Psychiatrist www.philippewuyts.com ICAAD London 6-5-19 Burnout Humanity From Excess to Exhaustion
  2. 2. No Relevant Financial Relationships with Any Commercial Interests
  3. 3. DSM-V Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  4. 4. BURNOUT HUMANITY Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  5. 5. A Global Phenomenon
  6. 6. Burn-out is a state of vital exhaustion (ICD-10) Burnout is a syndrome of depleted emotional, physical and cognitive energies, manifested in - emotional and physical exhaustion, - cynical attitudes and - feelings of personal ineffectiveness and incompetence that originates from excessive work- related stress Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019 A Definition
  7. 7. A Global Phenomenon A Historical Perspective Aetiology and pathogenesis Stress and Burnout Survival Strategies The Information Age Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019 Burnout Humanity From Excess to Exhaustion
  8. 8. Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  9. 9. Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  10. 10. 1 in 4 workers is affected by the ‘Professional Stress Syndrome’ European Agency of for Safety and Health at work - 2011 50-60% of absence from work is related to stress Cox et al. 2000 Report to the European Agency for safety and Health at work Stress related absences cost $3,5 Billion each year in Canada Williams and Normand 2003, Canadian Policy Research Work is the n° 1 source of stress American psychological association The toll of unhealthy workplace practices costs the US health care system at least $200 billion a year Job Stress costs the US Employers more than $300 billion annually The American institute of Stress 13,5 million working days were lost to stress-related absence in the UK Health and Safety Executive, Annual Statistics report for Great Britain, 2012-2013 A recent study estimated that there were 120,000 extra deaths annually in the US from harmful management practices Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  11. 11. Direct Costs • loss of productivity • vacancies + training of new employees • worker’s compensation costs • Medical (insurance) costs Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  12. 12. • Instability of the work force • Reduced collective productivity • Increased stress and burnout among remaining staff • Decreased work commitment Indirect Costs Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
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  22. 22. A historical perspective
  23. 23. ‘Elijah Fatigue’ Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  24. 24. A world famous architect is victim of a terrible attack of indifference: he no longer finds meaning or pleasure in life.” Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  25. 25. ‘Burnout is a state of mental and physical exhaustion caused by one's professional life.’ Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  26. 26. 1 The compulsion to prove oneself 6 Denial of emerging problems 12 Burnout 2 Working Harder 3 Neglecting Needs 4 Displacement of Conflicts 5 Revision of Values 7 Withdrawal 8 Odd Behavioural changes 9 Depersonalisation 10 Inner Emptiness 11 Depression Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  27. 27. The Maslach Burnout Inventory (MBI) - 3 Symptom Dimensions: Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019 “Burnout is a state of exhaustion in which one is cynical about the value of one’s occupation and doubtful of one’s capacity to perform” - Exhaustion - Depersonalisation - Lack of accomplishment
  28. 28. Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  29. 29. Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  30. 30. helplessness, hopelessness, irritability Anxiety, insomnia, emotional instability, cynicism depersonalisation and paranoia loss of energy and motivation, chronic fatigue Major depression and generalised anxiety Gastro-intestinal, cardiovascular, dermatological, immunological and Psychosomatic disorders Psychological Physical Social/Behavioural disengagement, Withdrawal, Isolation self-medication, substance abuse and dependence Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  31. 31. poor concentration, decreased productivity and performance ineffective communication, lateness, misuse of breaks Absenteeism, presentism, leaving job ‘Karoshi’ Loss of Meaning and Faith Feelings of alienation, Despair, suicidality Occupational Existential Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  32. 32. Aetiology and pathogenesis
  33. 33. Disposition Situation Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  34. 34. Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
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  36. 36. Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  37. 37. Disposition - ‘Personality Traits’ Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  38. 38. Situation - ‘Work Environment’ Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  39. 39. Situation - ‘Work Environment’ Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  40. 40. Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  41. 41. are seen as an indicator of commitment, dedication and loyalty to employer are justified on the (false) belief that work output is directly related to number of hours worked. long working hours Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  42. 42. the illusion of Multitasking always connected ‘I am valuable, even indispensable’ The ‘Gig’ Economy: Freelance, insecure and contingent work ‘busy is cool’ Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  43. 43. high work load patient violence and suicide poorly defined roles of consultants limited resources crowded inpatient wards changing culture in mental health services responsibility without authority inability to effect systemic change conflict between responsibility employers vs. patient social isolation Factors that induce Burnout in psychiatrists Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  44. 44. ‘Workplace stress is largely ignored by employers, governments and business schools, notwithstanding an enormous epidemiological literature on the effects of workplace conditions on physical and mental health’ Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  45. 45. Disposition Situation Stress Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  46. 46. Does stress cause Burnout?
  47. 47. Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
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  63. 63. Healthy Stress Excessive Stress Accumulated Stress Chronic Stress Burnout Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  64. 64. What about the “SYSTEM”?
  65. 65. Burnout is the index of the dislocation between what people are and what they have to do. Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019 It represents an erosion in value, dignity, spirit, and will – an erosion of the human soul. It is a malady that spreads gradually and continuously over time, putting people into a downward spiral from which it’s hard to recover.
  66. 66. Disposition Situation Stress Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019 System
  67. 67. Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  68. 68. Volatility Uncertainty Complexity Ambiguity VUCA Vision Understanding Clarity Agility Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  69. 69. ‘capitalism is in itself based on domination, manipulation and exploitation of man and nature. The spread of technology is based on the same underlying motives.’ Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  70. 70. ‘Not long ago, only doctors were on call. Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019 Now everybody is’
  71. 71. ‘if meritocrats believe that their advancement comes from their own merits, they can feel they deserve whatever they can get’ Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  72. 72. “Existence becomes objectified as a project of self- idealisation through one’s profession.” Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019 “The achievement subject literally competes with himself and exploits himself until he burns out.”
  73. 73. A bull shit Job is ‘a form of paid employment that is so completely pointless, unnecessary, or pernicious that even the employee cannot justify its existence even though, as part of the conditions of employment, the employee feels obliged to pretend that this is not the case’. Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  74. 74. Copyright ReyeD33
  75. 75. “Les espoirs étaient grands, la désillusion est amère“ “Face à cette pathologie de la civilisation postmoderne, la prise en compte des limites de l’humain est urgente”
  76. 76. Is it preventable?
  77. 77. Don’t Multitask Slow down Decrease your expectations 1. Strategies for the Individual Respect the 80% rule Disconnect from Technology Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019 Embrace SLACK
  78. 78. Eat healthy Sleep more Reconnect to the Natural World Invest in meaningful Social connections 1. Strategies for the Individual Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019 Move your body (and have sex) Respect your limitations
  79. 79. Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  80. 80. Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  81. 81. avoid micro-managing empower people encourage more interesting and impactful work Increase job control and autonomy @ WORK ‘Jobs that provide individuals more autonomy and control serve to increa 2. Strategies for employers Increase employee flexibility in working hours Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  82. 82. avoid organisational chaos Improve communication Build a community - Engage employees Improve Social Support @ Work Decrease work hours offer health insurance decrease layoffs decrease family-work conflicts Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019 2. Strategies for employers
  83. 83. Disposition Situation Stress Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019 System
  84. 84. Consider introducing a ‘universal basic income’ Focus away from Growth - Efficiency - Productivity Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019 Move away from a Consumption-obsessed economic model to a central focus on SUSTAINABILITY 3. Societal proposals
  85. 85. Revalue ecological policies and priorities Redefine educational objectives Redistribute health care investments Readjust our Anthropocentric worldview Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019 3. Societal proposals
  86. 86. Burnout Humanity From Excess to Exhaustion Dr Philippe Wuyts MD MBA Psychiatrist www.philippewuyts.com ICAAD London 6-5-19
  87. 87. References Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019
  88. 88. Dr Philippe Wuyts - Burnout Humanity - ICAAD London 6th of May 2019The centre of Biological Diversity

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