Chapter 7: Burnout, Secondary Trauma, Compassion Fatigue & Wellness

Introduction

In a modern context, “wellness” has been commodified, jingo-ized, instagrammed, individualized and capitalized to an extent that its meaning can seem at best shallow and at worst harmful. But at its essence, wellness is highly political and a potential site of resistance and self- and community expression.

As Audre Lorde famously wrote, “[c]aring for myself is not self-indulgence, it is self-preservation, and that is an act of political warfare” (Audre Lorde, A Burst of Light: Essays by Audre Lorde (Ithaca, NY: Firebrand Books, 1988)).

In law, talking about wellness and self-care has only been recently made its way out of the shadows. There are many reasons for this including the generational shift in talking about mental health, as well as increased research and the bravery of students, lawyers and judges who have spoken openly about their own mental health. The Globe and Mail article, below, sets charts some of this shift.

Sean Fine, “Challenging the myth of the gladiator-litigator: Judges, lawyers speak out about mental-health issues in the legal profession” (The Globe and Mail, July 18, 2022).

Spurred by the pandemic, the legal profession is moving to address the mental health of judges and lawyers, as luminaries such as former Supreme Court justice Clément Gascon and Ontario Chief Justice George Strathy speak in deeply personal terms about the issue.

Mr. Gascon had a well-known episode of mental illness while he was on the country’s top court three years ago, disappearing for several hours, and turning up in hospital. He revealed publicly at that time that he had been suffering from anxiety and depression for more than 20 years, and said he had a panic attack.

This spring, in an address to a mental health summit organized by the Law Society of Ontario, with 5,800 people registered online, he described how the legal world has begun to seek his insight, especially as mental health concerns became prevalent during the pandemic.

“In 2022 – not last year, not two years ago, this year – I have been asked so far to give talks about this issue by the chief justices of the country, by members of the judiciary, by judges of administrative tribunals, by members of law societies in [Ontario] and two others, by private law firms, by a public service group of attorneys, and by a couple of law faculties,” he said.

The avalanche of invitations, even from judges’ groups, is a sign of change in the legal world. As recently as 2014, when Orlando Da Silva, who suffers from depression, became president of the Ontario Bar Association, no one would be caught dead approaching an information table on counselling services, he says.

“It was just so taboo, the stigma was so great,” Mr. Da Silva said….

To fight the stigma and encourage the legal community to open up, Mr. Gascon and Chief Justice Strathy are making their messages personal. Chief Justice Strathy has spoken publicly about his mother’s decades-long battle with bipolar disorder, and how he blamed her for not overcoming her illness…

Citing his own experience – including five years on the Supreme Court, retiring at age 59 – Mr. Gascon said perfectionism can lead to mental-health problems.

Law “is a profession where you find a lot of high achievers, high performers, persons who tend to be a bit like I am: perfectionist. And perfectionists tend to push the envelope for fear of not being good enough, for fear of disappointing, or the fear of failure sometimes.” Chief Justice Strathy is challenging what he sees as the destructive myth of the gladiator litigator: fearless, razor-sharp, always in control of their emotions, indefatigable, not breaking a sweat under pressure.

“We have internalized the myth that only the invincible are successful,” he said in his paper The Litigator and Mental Health.

In trying to achieve the unattainable, he told The Globe and Mail in an interview, lawyers “submit themselves to stresses that become unbearable.” The Chief Justice, who retires at the end of August at age 74, added: “And frankly, the people they work for – as opposed to work with – subject them to ridiculous stresses. And it’s got even worse in the pandemic.”

For instance, COVID-19 contributed to the loss of boundaries between work and home, and to isolation from friends, family and colleagues, and was itself a major source of stress and anxiety, he said.

Those stresses combined with the pressure to attain large amounts of billable hours, the absence of time for recreation, or family, or catching up, and the need to be always available to clients and employers.

Change, he said, needs to come from the top. He has a range of specific proposals, especially for big law firms: that they have a senior lawyer do a confidential check-up on associates to make sure they have a fair share of work – neither too much nor too little; that they examine targets for billable hours, and include mentoring and other nonbillable activities as deserving of being counted within the target; and that they create a menta lhealth committee with the authority and resources to change firm culture.

Bay Street has been changing, says Emily Atkinson, the director of legal learning and professional resources at Torys LLP. Several large firms have shared ideas about how to respond to mental health issues, a process begun after last year’s mental-health summit, she said. Most firms are monitoring workload. Torys uses technology that delays the sending of e-mails to reduce late night communications. More people are discussing personal challenges and mental-health issues openly.

“Part of what I think has been positive out of all of this is that we are having many, many more of those conversations, and they come much easier,” she said. “I think it’s led us all to operate differently.”…

Despite the greater openness since 2014, “there’s still the prevailing view that to be a lawyer, especially a trial lawyer, you have to be strong. And nothing says weakness and vulnerability more to people in the profession and their clients than the inability to deal with your own depression and anxiety.”…

Law practice generally has historically actively undermined wellness both in individual and structural senses.

Elyn Saks noted:

“In law, the culture of endurance and workaholism is celebrated, while the need for greater “flexibility” and “balance” is often dismissed as an irreconcilable goal. It is important to recognize the personal toll to pursuing and practising law, given the timing of the economic recession and its effects on the Canadian workforce…”.

Attending to one’s wellness – whether it be through better understanding secondary trauma, compassion fatigue, and/or burnout – is essential to working long-term in social justice and other law contexts. As this section examines, wellness has elements of the individual and the systemic. It can also be supported or undermined in a workplace context.

This Chapter canvasses some of the major work-related challenges related  for lawyers: secondary or vicarious trauma, burnout and compassion fatigue, and depression and anxiety. There is significant overlap between burnout, secondary trauma, compassion fatigue and depression and anxiety. There is also little settled understanding of the specific differences and similarities between these problems – indeed, some appear in the DSM-5 and others are more colloquial terms describing a common phenomenon.

The Chapter then turns to discrete strategies to prevent these common issues, specifically: setting boundaries and saying “no”, and managing unhealthy workplaces. These two topics can be characterized as “harm reduction” – basically, ways to protect oneself amidst an otherwise harmful environment. They do not get at the root of problems in the legal profession. This section also contains resources for students who need support and a brief section specifically on mental health during COVID-19.

Ultimately, “wellness” is not presented here as a defined and reachable goal but a set of structures and practices that maximize the extent to which individuals and communities can care for themselves and be cared for.

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Learning in Place (2nd Edition) Copyright © 2023 by Gemma Smyth is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License, except where otherwise noted.

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