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A VOLUNTEER PSYCHOLOGIST NAMED BURNOUT IN 1974

Herbert Freudenberger Volunteered At A New York Free Clinic

He Wrote Down What He Saw In The Staff There

Seven Pages Ran In The Journal Of Social Issues In 1974

The Word He Used Was Burn Out

He Had Taken It From The Clinic's Own Patients

Christina Maslach Came Across The Same Word In California

Her Team Built A Questionnaire Around It In 1981

This Part Covers Who Named It And Who Measured It

THIS NEWSLETTER IS FOR INFORMATIONAL PURPOSES ONLY. NOTHING IN THIS CONTENT CONSTITUTES MEDICAL, PSYCHOLOGICAL, OR PROFESSIONAL ADVICE. ALWAYS CONSULT A QUALIFIED HEALTHCARE PROFESSIONAL BEFORE MAKING ANY HEALTH RELATED DECISIONS.

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OKAY BACK FROM THE CLINIC 🩹

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THE CLINIC WHERE IT STARTED 🚪

Herbert Freudenberger Trained As A Psychologist

He Ran A Private Practice In Manhattan

At Night He Went To A Free Clinic

That Clinic Served People Dependent On Drugs

He Worked There Without Pay

Patients At The Clinic Already Used The Word Burn Out

They Meant The Effects Of Chronic Drug Use

Freudenberger Applied The Same Word To The Staff

The Same Thing Happened To Him

His Paper Lists The Physical Signs

Exhaustion And Fatigue Are First

A Lingering Cold Nobody Can Shake Comes Next

Frequent Headaches Are On It

Gastrointestinal Trouble Is Listed Too

Sleeplessness And Shortness Of Breath Are The Last Two

The Behavioral List Runs Longer

Quickness To Anger Appears On It

So Does Crying Easily

Suspicion And Paranoia Are Named

Rigidity And Stubbornness Follow

He Uses The Phrase House Cynic

The Burned Out Worker Puts In More Hours And Does Less

Nothing In The Paper Was Measured

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THE QUESTIONNAIRE THAT DEFINED IT 📝

Christina Maslach Was A Social Psychologist At Berkeley

She Studied How Workers Handle Emotional Strain On The Job

Her Team Interviewed Human Services Workers In California

A Colleague Described Those Interviews To An Attorney

The Attorney Said Poverty Lawyers Had A Word For It

That Word Was Burnout

Drug Counselors And Teachers Were Using It Too

Freudenberger's Paper Was Not Her Source

Susan Jackson Joined The Work

Together They Built A Rating Scale In 1981

They Called It The Maslach Burnout Inventory

It Has Twenty Two Items

Each One Is Scored From Zero To Six

The Scale Runs From Never To Every Day

Nine Items Cover Emotional Exhaustion

Five Cover Depersonalization

Eight Cover Personal Accomplishment

Those Three Became The Definition Itself

The World Health Organization Later Used The Same Structure

Maslach Locates The Cause In The Job Rather Than The Person

Every Item Still Asks How The Worker Feels

The Inventory Never Set A Clinical Cutoff

Researchers Chose Their Own Thresholds Instead

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THE NUMBER NOBODY AGREES ON 📊

Lisa Rotenstein Led A Review Published In 2018

It Collected Studies Of Burnout Among Physicians

One Hundred Eighty Two Studies Qualified

They Covered More Than 109,000 People

Forty Five Countries Appeared In The Sample

Publication Dates Ran From 1991 To 2018

Roughly Eighty Six Percent Used The Maslach Inventory

Studies Still Defined Burnout Differently

The Review Counted The Definitions Being Used

At Least One Hundred Forty Two Turned Up

Forty Seven Were Different Cutoffs On One Inventory

Reported Burnout Started At Zero Percent

Its Highest Estimate Reached 80.5 Percent

Both Figures Describe The Same Profession

Emotional Exhaustion Ranged Just As Widely

Depersonalization Reached 89.9 Percent In One Study

Another Study Reported None At All

No Single Prevalence Figure Came Out Of It

The Authors Wrote That The Variation Precluded Conclusions

Any Headline Percentage Comes From One Chosen Cutoff

A Different Cutoff Produces A Different Answer

The End

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