A study of coping: successful recovery from severe burnout and other reactions to severe work-related stress

This is a qualitative study of the situational determinants of coping with severe reactions to work-related stress, including burnout. The successful resolution of the crisis caused by an incapacity to work due to physical and emotional exhaustion is documented in an exploratory study of broad coping processes and specific strategies involved. Subjects were recruited from a large territory (the province of Quebec in Canada). Comparative analysis of the accounts of the 20 human service workers and 16 other professionals led to the identification of a common process typified by six consecutive stages: admitting the problem, distancing from work, restoring health, questioning values, exploring work possibilities and making objective changes. The recovery process is long and takes from 1 to 3 years. The ultimate strategy utilized by most of the subjects was to change their objective working conditions. Various strategies for identity reinforcement (seeking reassurance, understanding causes, seeking support) were observed in addition to the stages. Three-fifths of the subjects resorted to formal psychotherapy in the first sample. The recovery process appears to be of a psychosocial nature. This characteristic may render it sensitive to social context; although it has been observed in two samples, it would require testing in different working conditions and different countries.