107 Burnout Defined Recognizing and Responding in Libraries Cathy Mayer, Visiting Instruction Librarian, North Park University ABSTRACT This article defines the three components of burnout recog- nized by the World Health Organization—exhaustion, cynicism, and inef- ficiency. Personal factors and workplace factors that research has shown to contribute to professional burnout are defined. Questions for personal reflection and discussion of one’s workplace are offered to identify propen- sity for burnout and to consider how to respond. Though burnout is often a systemic issue connected to workplace factors, suggestions for action and further reading are offered for those seeking ways to mitigate risk for burnout or to address an existing state of burnout. CULTURAL PORTRAYAL OF BURNOUT “Burnout” is increasingly examined in popular press, trade, and aca- demic publications, and arguably defines the zeitgeist of contempo- rary culture and society. Visual portrayals of burnout often feature exhausted or harried-looking people, unable to function because of the condition (Image 1). CONVERSATION GROUPS 108  ATLA 2022 PROCEEDINGS IMAGE 1: Burnout at work — occupational burnout (Microbiz Mag. Wikimedia Commons). Yet, manifestation of burnout may not be readily apparent as those experiencing symptoms often persist in fulfilling responsibili- ties of daily life. Journalist Anne Helen Peterson described this pat- tern in an essay for Buzzfeed, “How Millennials Became the Burnout Generation,” noting, “Exhaustion means going to the point where you can’t go any further; burnout means reaching that point and pushing yourself to keep going, whether for days or weeks or years” (Peterson 2019). Peterson’s description may resonate with those who have ex- perienced symptoms of burnout, but the World Health Organization’s definition, updated in the 11th edition of the International Classifica- tion of Disease (ICD-11), provides a more quantitative examination. DEFINITION OF BURNOUT WHO’s definition of burnout, which is not classified as a medical condition, is included in Chapter 24 of the ICD-11, which details “Fac- tors influencing health status or contact with health services” (World Health Organization 2019). The full definition appears as follows: Burn-out is a syndrome conceptualized as resulting from chronic workplace stress that has not been successfully managed. It is characterized by three dimensions: feelings of energy depletion or exhaustion; increased mental CONvERSATION GROuPS  109 distance from one’s job, or feelings of negativism or cynicism related to one’s job; and reduced professional efficacy. Burn-out refers specifically to phenomena in the occupational context and should not be applied to de- scribe experiences in other areas of life. (World Health Organization 2019) WHO’s definition is based on several decades of burnout research, with the three dimensions identified mirroring measurements from the Maslach Burnout Inventory (MBI). The MBI assessment was pio- neered by Dr. Christina Maslach, an emeritus professor UC Berkley, and has emerged as the primary means for quantitatively measur- ing burnout (Mind Garden 2022). Maslach and fellow researchers, including Susan E. Jackson, Michael P. Leiter Wilmar B. Schaufeli, and Richard L. Scwhab used additional synonyms in their research and assessment to describe the dimensions of burnout when developing the assessment. Such synonyms may be helpful to consider for those who may be afflicted by burnout but do not identify with the WHO terminology. The table below maps synonyms historically affiliated with burnout research to the current ICD-11 terms: ICD-11 World Health Organization DEPLETION OR EXHAUSTION CYNICISM, MENTAL DISTANCE, OR NEGATIVISM REDUCED PROFESSIONAL EFFICACY MBI Maslach Burnout Inventory • Wearing out • Loss of energy • Debilitation • Fatigue • Detachment • Depersonalization • Negative attitude • Irritability • Loss of idealism • Withdrawal • Ineffectiveness • Inefficiency • Reduced personal accomplishment • Reduced productivity • Reduced capability • Low morale • Inability to cope TABLE 1. ICD-11 burnout terminology and corresponding synonyms from the Maslach Burnout Inventory. PERSONAL FACTORS Although burnout presently manifests as a broad cultural reality, there are four personal factors that suggest greater likelihood of ex- periencing the syndrome, including occupation, personality, lived ex- perience, and the unique capacity of an individual’s mind and body. 110  ATLA 2022 PROCEEDINGS OCCUPATION Occupation is correlated with and may be predictive of propensity for burnout. Within the academic library profession, the issue of burnout went viral on social media as librarians widely shared cul- tural commentator Anne Helen Peterson’s Conference on Academic Library Management (CALM) keynote address, “The Librarians Are Not Okay.” Peterson’s powerful opening thesis asserted: “You [librar- ians] work passion jobs, and passion jobs are prime for exploitation” (Peterson 2022). Academic research broadly suggests that people working in helping professions are at greater risk for burnout (Yus- suf 2020). The scope of present occupational burnout research is re- vealed by basic keyword database searching. Hundreds of academic journal articles widely document high rates of burnout among a va- riety of helping professions, including librarians, physicians, nurses, first responders, educators, lawyers, clergy, and social workers. PERSONALITY Similarly, personality has been shown to correlate with burnout prevalence. Arguably, one’s chosen occupation serves as visible evi- dence of a personal ethic and vocational desire to serve others. This assertion is supported by Fobazi Ettarh’s 2018 article, “Vocational Awe and Librarianship: The Lies We Tell Ourselves,” which highlight- ed a survey showing 95 percent of librarians surveyed indicated that the “service orientation” had been a motivating factor in selecting the profession (Ettarh 2018). Meanwhile, another study showed that librarians derived satisfaction from and thrived on “serving people” (Ettarh 2018). Aside from service ethic, research from psychiatry pro- fessor Gordon Parker of University of New South Whales School indi- cates, “Burnout is increased in those who are reliable, conscientious, and perfectionistic… it’s often a consequence because they keep on giving and giving. And they have great difficulty turning off work. They feel guilty if they don’t complete assignments and get tasks done” (Yusuff 2020). Forbes similarly outlines greater tendency for burnout among three personality types in the workplace. First, the “workaholic” is performance-oriented and unable to balance work- life integration, making them prone to neglect self-care and becom- ing worn out (Montanez, 2019). Next, to keep other people, especially managers or leaders, happy, a “people pleaser” can become overex- tended. Finally, a “perfectionist” is prone to burnout on account of CONvERSATION GROuPS  111 constant striving for high-performance standards paired with critical self-evaluation and concerns about the appraisal of others. LIFE EXPERIENCE Lived experience can further predispose burnout tendencies based on personal history, sense of identity, and culture. Peterson, whose aforementioned CALM keynote received wide attention within li- brarianship, initially addressed burnout in a 2019 think-piece for Buzzfeed entitled “How Millennials Became the Burnout Genera- tion.” In the piece, Peterson described her experience with burnout and sagely asserted, “Burnout and the behaviors and weight that ac- company it aren’t, in fact, something we can cure by going on vaca- tion. It’s not limited to workers in acutely high-stress environments. And it’s not a temporary affliction: it’s the millennial condition. It’s our base temperature. It’s our background music. It’s the way things are. It’s our lives” (Peterson 2019). In 2020, Peterson further expand- ed upon her essay with Can’t Even: How Millennials Became the Burn- out Generation, a book which outlines the impact of cultural shifts and contemporary economic pressures that perpetuate unhealthy and unsustainable patterns in work, parenting, and socialization. Although Peterson’s writing centers on her experience as a millen- nial, evidence presented is common to many in older and younger generations who are caught up in the same zeitgeist. MIND AND BODY Finally, likelihood of burnout is influenced by the capacity of an indi- vidual’s mental and physical health. Although symptoms of burnout are often thought of as primarily mental and emotional manifesta- tions, physical symptoms can also draw focused attention to the syndrome. Burnout registers in the body as stress, activating higher levels of stress hormones that can cause harm when remaining el- evated over extended periods of time, according to stress researcher Dr. Jeanette M. Bennett from the University of North Carolina (Moy- er 2022). A person’s coping mechanisms and unique tolerance for stress can influence biological and emotional responses to feelings of burnout. Moreover, the range of symptoms associated with the syndrome can vary, as noted in a recent New York Times article that listed insomnia, physical exhaustion, changes in eating habits, head- 112  ATLA 2022 PROCEEDINGS aches, stomachaches, nausea, indigestion, and shortness of breath as symptoms to watch for (Moyer 2022). Just as a wide range of symptoms can serve as an indicator of burnout, it is also wise to consider lived experience in tandem with biology to better understand how one might be predisposed to burn- out or other mental health challenges. The National Council for Men- tal Wellbeing identifies personal risk factors and protective factors for mental health challenges in their Mental Health First Aid train- ing course. Factors can intersect and build upon one another and are shown with examples of negative (risk) and positive (protective) factors (National Council for Mental Wellbeing 2022). FACTORS BIOLOGICAL PSYCHOLOGICAL FAMILIAL SOCIAL CULTURAL RISK (NEGATIVE) • Chronic medical conditions • Family history of mental illness • Previous history of mental illness • Learning disorders, academic difficulties • Abuse or trauma • Parental substance use • Stressful life events • Harsh and/or inconsistent parenting practices • Poor parent-child communication • Poverty • Poor peer relationships • Stigma • Mistrust of healthcare system • Selective expression of symptoms PROTECTIVE (POSITIVE) • Good nutrition • Healthy physical development • Regular exercise • High self- esteem • Ability to control and regulate emotions • Having and using coping strategies • Consistent home/family routine • Having a good social support system • Engagement in activities outside of home • Economic stability • Spirituality or religiosity • Sense of cultural identity and belonging TABLE 2. Risk factors for mental health challenges identified by the National Council for Mental Wellbeing WORKPLACE FACTORS Although personal factors can profoundly influence one’s propensity for and degree of burnout, the root cause of the syndrome is increas- ingly recognized as a systemic issue connected to organizational fac- tors that have been identified by research. In the Harvard Business Review, journalist Jennifer Moss captured this growing sentiment in a 2019, writing: CONvERSATION GROuPS  113 We tend to think of burnout as an individual problem, solvable by “learn- ing to say no,” more yoga, better breathing techniques, practicing resil- ience—the self-help list goes on. But evidence is mounting that applying personal, band-aid solutions to an epic and rapidly evolving workplace phenomenon may be harming, not helping, the battle. With “burnout” now officially recognized by the World Health Organization (WHO), the respon- sibility for managing it has shifted away from the individual and towards the organization. (Moss 2019) Moss supports her assertion further, citing a recent Gallup poll of 7,500 full-time employees that identified the top five reasons for burnout as: (1) unfair treatment at work, (2) unmanageable work- load, (3) lack of role clarity, (4) lack of communication and support from management, and (5) unreasonable time pressure (Moss 2019). The Gallup poll hints at six key contributing domains of burnout identified by research over the last two decades and across various countries: workload, control, reward, community, fairness, and values. Workload that leads to burnout is marked by little or no op- portunity to rest, recover, and restore balance (Maslach and Leiter 2016, 105). In contrast, a sustainable or manageable workload allows an employee to use and refine their skills while also finding time to learn and become effective at new activities. Control, the capacity to influence decisions affecting work, gives employees a sense of autonomy and promotes healthy engagement on the job; whereas an environment in which an employee feels little or no control con- tributes to burnout. Rewards, material or intrinsic reinforcements, have the power to shape employee behavior (Moss, 2019). Insuf- ficient reward or motivators—whether financial, institutional, or social—increases workers’ vulnerability for burnout because they can experience a sense of inefficiency and feelings of devaluation (Maslach and Leiter 2016, 105). Community involves on-the-job relationships, and risk for burnout is high when relationships are characterized by a lack of support, incivility, and administrative hassles (Valcour 2018). Fairness is defined as “the extent to which decisions at work are perceived as being fair and equitable” and can be based on personal treatment, observations of others, and policies (Maslach and Leiter 2016, 105). Finally, values are the ideals and motivations that attract people to a particular job or workplace (Maslach and Leiter 2016, 105). When there is a mismatch between individual and organizational values, an employee is more likely to experience burnout. 114  ATLA 2022 PROCEEDINGS In the CALM keynote address, Anne Helen Peterson addressed many of these factors and then implored librarians to respond to systemic pressures in solidarity through implementing “guardrails” (Peterson 2022). Her eloquent call to action and explanation stated: Guardrails stand in opposition to what’s often referred to as boundaries. Boundaries, particularly when it comes to work, are easily compromised. Boundaries are the responsibility of the worker to maintain, and when they fall apart, that was the worker’s own failing. In fact, breaking informal boundaries—like when work stops and starts—are often a way for people to evidence their commitment to the job itself. Boundaries, at least in the way we’ve come to understand them in phrases like “work-life balance,” are bullshit. But guardrails? They’re structural. They’re fundamental to the organiza- tion’s operation, and the onus for maintaining them is not on the individ- ual, but the group as a whole. They’re not just what the organization says it values are, but what it values in practice—and they’re modeled from the top echelons of leadership all the way down to the newest and most junior hires. (Peterson 2022) RESPONDING TO BURNOUT: REFLECT Spending time in reflective conversation with a trusted confidant or journaling can provide a helpful starting point for recognizing and responding to personal and workplace factors. Recognizing that peo- ple who work in helping professions tend to experience burnout, first consider how your occupation defines or shapes your identity. Spe- cifically, to what extent does your work define your identity? When one’s occupation is a primary descriptor of the way one exists in or relates to the world, acknowledging burnout and seeking recovery may be more difficult as the process potentially introduces a need to fundamentally redefine one’s sense of self or reorder priorities. Additional questions for reflection are introduced in a Harvard Busi- ness Review by Monique Valcour, an executive coach and professor who drew on her own burnout experience: 1. Does your job/employer enable you to be the best version of yourself? 2. How well does your job/employer align with your values and interests? 3. What does your future look like in your job/organization? 4. What is burnout costing you? (Valcour 2018) CONvERSATION GROuPS  115 Since burnout is not simply an individual syndrome, but rather a systemic issue, the following adapted versions of the questions above are designed to frame critical examination of an organiza- tion or workgroup. 1. Do you observe burnout in your library? In the broader in- stitution? If so, which of the three dimensions are manifest? How/when do you notice them? 2. Does your library/university enable staff to be the best ver- sions of themselves? 3. How well does the work your library is asked to do align with the stated mission? Does there need to be a revision of the mission or values? 4. What is the standing of the library? What does its future look like for your library in the broader organization? 5. What is vocational awe costing your library? What hidden labor can you (or your leadership) better strive to make vis- ible? When can your library say no? An individual’s state of burnout may be implicated by a mix of per- sonal and organization factors that necessitate a range of responses or actions depending on the extent to which agency can be exerted. Individuals may be able to modify personal practices or seek more sustainable workplace circumstances through candid conversations with a supervisor or supportive human resources representative. Yet, if these steps prove inadequate and organizational burnout factors go unchecked, employees may eventually leave a job or organization. For those who desire additional support and need further re- sources to clarify ways for recognizing or responding to burnout, consider one or more of the following action steps. RESPONDING TO BURNOUT: FIVE ACTION STEPS TO CONSIDER Professional Support Seek counseling, therapy, or visit a doctor. Confidential conversation with a professional may help give voice to ideas that feel intimidat- ing, scary, or unsafe to acknowledge to a friend, spouse, or coworker. Seeking support from a physician or other trained healthcare provider can identify a mental health challenge, such as depression—which studies have revealed can correlate with burnout (Maslach 2016, 108). 116  ATLA 2022 PROCEEDINGS Through dialog with trained professionals, one can sort through feel- ings more effectively to identify appropriate responses to feelings of burnout treatments for underlying medical issues that may contribute. Maslach Burnout Inventory The Maslach Burnout Inventory is available online via international publisher Mind Garden’s website. The paid online assessment has sev- eral versions designed for varied occupations. An excerpt of two MBI versions detailed on the Mind Garden site that may be relevant for those working in an academic or theological library are shown below. FORM FOR SAMPLE ITEM, WITH RESPONSE SCALE OF 0 (NEVER) TO 6 (EVERY DAY) MBI- ES Teachers, administrators, other staff members, and volunteers working in any educational setting. I don’t really care what happens to some students. MBI-GS Occupational groups other than human services and education, including those in customer service, maintenance, manufacturing, management, and most other professions. I doubt the significance of my work. TABLE 3. MBI forms appropriate for burnout assessment of academic and theological library staff members (Mind Garden 2022). Paid MBI access (approximately $20 USD) provides users with a series of questions that are assessed and compiled in an individual- ized report. The report is automatically sent to the email registered when paying for site access, and a login is also provided so that users can retain access and download the report in perpetuity. The approxi- mately 16-page individualized report generated describes degrees of burnout, identifies a profile that matches one’s results, provides stress reduction suggestions, and offers guidance to address burnout. The re- port is intended to aid interpretation of assessment results, but it is not a substitute for a diagnostic tool or care from trained healthcare pro- viders (Mind Garden 2022). However, the assessment might provide helpful language for fostering dialog with a counselor or physician. Widen Your “Window of Tolerance” Dr. Elizabeth Stanley has crafted a 496-page book that examines con- temporary cultural tendency to minimize stress, which results in short- circuiting the ability of one’s body to adequately recover. Expanding upon the research of renowned psychiatrist Bessel Van Der Kolk, Stan- ley provides an overview of research on stress and trauma while inter- CONvERSATION GROuPS  117 weaving her personal narrative and motivation for undertaking this work. Her book provides readers with information and strategies to support recovery from traumatic experiences to improve performance and foster future thriving. Alternatively, for those unable to undertake Stanley’s hefty tome due to time constraints, a YouTube search for “Widen the Window” and “Talks at Google” will yield a 50-minute inter- view with the author that provides highlights of her important work. Reflect on the Role of Work in Your Life Jonathan Malesic, a former tenured theology professor, left his full- time teaching job because of burnout. In the years since, Malesic dedicated himself to writing The End of Burnout: Why Work Drains Us and How to Build Better Lives. This book shares Malesic’s personal reflections, unpacks research on burnout, and offers thoughts on how our identities and sense of value are shaped by the work we do. Malesic closes the book by exploring alternative communities and methods for centering our lives and defining meaning/value of an individual. This book is an accessible read for anyone struggling with burnout, but it is especially well suited for academics and those for whom theology holds meaning as part of their work. Develop Rhythms of Rest The practice of Sabbath, one day of rest reserved from conducting work, is held sacred in the Jewish tradition as well as some sects of Christianity. To guard against or recover from burnout, setting this or other similar rhythms of rest are essential. For those seeking simple, straightforward ways of scheduling rest and recovery, the 3M framework, composed of macro, meso, and micro breaks might be a helpful place to start. Physician and life coach Salima Shamji describes the three breaks in her blog post “Immunize Yourself against Burnout.” Macro breaks are scheduled for a half or a full day once a month and are designed to let you brain “unwind and have some fun” (Shamji 2021). Meso breaks are smaller one- or two-hour periods each week that help your brain recharge, and for those who work in- doors, Shamji encourages embracing activities outdoors for a change of pace (Shamji 2021). Finally, micro breaks are daily moments scattered throughout each day to check in with one’s body and emotions (Shamji 2021). Each of these break periods can help bring greater awareness of one’s physical and emotional needs rather than sustaining unhealthy momentum that can lead or contribute to burnout. 118  ATLA 2022 PROCEEDINGS Mindfulness practices can be incorporated into micro breaks or embraced through more extended practices such as meditation or yoga. If these practices feel untenable due to lack of structure, physi- cal limitations, or excessive stress, Elizabeth Stanley’s research out- lines steps for Mindfulness-based Mind Fitness Training (MMFT) to help cultivate similar attentional control through prescribed steps designed to build resilience (Stanley 2019, 55). For those who seek a theologically affiliated form of mindfulness practice, the Daily Examen, introduced by Saint Ignatius Loyola, of- fers a contemplative prayer composed of five movements intended to find evidence of God in of one’s day (Jesuits, n.d.). The five move- ments of the Daily Examen include: 1. Cultivating awareness of God’s presence and offering grati- tude for the day. 2. Petitioning God for grace and wisdom to see the day as He sees it. 3. Reviewing the day and focusing on specific moments and feelings that come to mind. 4. Reflecting on how one drew near to or felt far from God in thoughts, deeds, and words. 5. Looking ahead and thinking about how one can draw near- er to God, living out His plan and purpose in the hours or days to come. WORKS CITED Ettarh, Fobazi. 2018. “Vocational Awe and Librarianship: The Lies We Tell Ourselves.” In the Library with the Lead Pipe. January 10, 2018. 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