The Hazards of Helping in Physiotherapy
Self-Assessment Toolkit


This guide will help you assess the key hazards and how they impact you. This guide will also review how to savour the joys and rewards of a clinical practice.

Recommended Resources

  • Well-Being Science & Positive Psychology:

    • Flourish: A Visionary New Understanding of Happiness and Well-being, by Martin Seligman

    • Languishing: How to Feel Alive in a World that Wears Us Down, by Corey Keyes

    • The Happiness Hypothesis: Finding Modern Truth in Ancient Wisdom, by Jonathan Haidt

    Meaning and Purpose:

    • The Power of Meaning: Finding Fulfillment in a World Obsessed with Happiness, by Emily Esfahani Smith

    • Flow: The Psychology of Optimal Experience, by Mihaly Csikszentmihalyi

    • Transcend: The New Science of Self-Actualization, by Scott Barry Kaufman

    • How People Matter, by Isaac Prillentensky and Ora Prillentensky

    Empathy & Compassion:

    • Against Empathy, by Paul Bloom

    • The Mindful Self-Compassion Workbook, by Kristen Neff and Christoper Germer

    Clinician Well-Being:

    • The Resilient Practitioner: Burnout and Compassion Fatigue Prevention and Self-Care Strategies for the Helping Professions, by Thomas M. Skovholt and Michelle Trotter-Mathison

    • Overcoming Compassion Fatigue: A Practical Resilience Workbook, by Martha Teater and John Ludgate.

    Strengths-Based Approach:

    • The Power of Character Strengths, by Ryan Niemiec and Robert McGrath

    • Character Strengths and Abilities Within Disabilities, by Ryan Niemiec and Dan Tomasulo

  • The New Era of Positive Psychology - Martin Seligman

    https://www.youtube.com/watch?v=9FBxfd7DL3E

    The Happy Secret To Better Work - Shawn Achor

    https://www.youtube.com/watch?v=fLJsdqxnZb0

  • Positive Psychology and Behaviour Change:

    Cohn, M. A., & Fredrickson, B. L. (2010). In search of durable positive psychology interventions: Predictors and consequences of long-term positive behavior change. The Journal of Positive Psychology5(5), 355-366. https://doi.org/10.1080/17439760.2010.508883

    Rhodes, R. E., & Kates, A. (2015). Can the affective response to exercise predict future motives and physical activity behavior? A systematic review of published evidence. Annals of Behavioral Medicine, 49(5), 715-731. https://doi.org/10.1007/s12160-015-9704-5

    Van Cappellen, P., Rice, E. L., Catalino, L. I., & Fredrickson, B. L. (2018). Positive affective processes underlie positive health behaviour change. Psychology & Health, 33(1), 77-97. https://doi.org/10.1080/08870446.2017.1320798

    Van Cappellen, P., Catalino, L. I., & Fredrickson, B. L. (2020). A new micro-intervention to increase the enjoyment and continued practice of meditation. Emotion, 20(8), 1332-1343. http://dx.doi.org/10.1037/emo0000684


    Emotional well-being and physical health outcomes:

    Fredrickson, B. L., & Levenson, R. W. (1998). Positive emotions speed recovery from the cardiovascular sequelae of negative emotions. Cognition and Emotion, 12(2), 191-220. https://doi.org/10.1080/026999398379718

    Fredrickson, B. L., Mancuso, R. A., Branigan, C., & Tugade, M. M. (2000). The undoing effect of positive emotions. Motivation and Emotion, 24(4), 237-258. https://doi.org/10.1023/A:1010796329158

    Diener, E., & Chan, M. Y. (2011). Happy people live longer: Subjective well‐being contributes to health and longevity. Applied Psychology: Health and Well‐Being3(1), 1-43.  

    https://doi.org/10.1111/j.1758-0854.2010.01045.x

    Danner, D.D., Snowdon, D.A., & Friesen, W.V. (2001). Positive emotions in early life and longevity: Findings from the nun study. Journal of Personality and Social Psychology, 80, 804–813. https://doi.org/10.1037/0022-3514.80.5.804

    Epel, E.S., Blackburn, E.H., Liu, J., Dhabhar, F.S., Adler, N.E., Morrow, J.D. et al. (2004). Accelerated telomere shortening in response to life stress. Proceedings of the National Academy of Sciences, USA, 101, 17323–17324. https://doi.org/10.1073/pnas.0407162101

    Marsland, A.L., Prather, A.A., Petersen, K.L., Cohen, S., & Manuck, S.B. (2008). Antagonistic characteristics are positively associated with inflammatory markers independently of trait negative emotionality. Brain, Behavior, and Immunity, 22, 753–761. https://doi.org/10.1016/j.bbi.2007.11.008

    Ostir, G.V., Berges, I., Ottenbacher, M.E., Clow, A., & Ottenbacher, K.J. (2008). Associations between positive emotion and recovery of functional status following stroke. Psychosomatic Medicine, 70, 404–409. https://doi.org/10.1097/PSY.0b013e31816fd7d0

    Pressman, S.D., & Cohen, S. (2005). Does positive affect influence health? Psychological Bulletin, 131, 925–971.

    Rozanski, A., Blumenthal, J.A., & Kaplan, J. (1999). Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy. Circulation, 99, 2192–2217. https://doi.org/10.1161/01.CIR.99.16.2192

    Segerstrom, S.C., & Sephton, S.E. (2010). Optimistic expectancies and cell-mediated immunity: The role of positive affect. Psychological Science, 21, 448–455. https://doi.org/10.1177/0956797610362061

    Smith, T.W., Glazer, K., Ruiz, J.M., & Gallo, L.C. (2004). Hostility, anger, aggressiveness, and coronary heart disease: An interpersonal perspective on personality, emotion and health. Journal of Personality, 72, 1217–1270. https://doi.org/10.1111/j.1467-6494.2004.00296.x

    Tindle, H.A., Chang, Y., Kuller, L.H., Manson, J.E., Robinson, J.G., Rosal, M.C. et al. (2009). Optimism, cynical hostility, and incident coronary heart disease and mortality in the Women’s Health Initiative. Circulation, 120, 656–662. https://doi.org/10.1161/CIRCULATIONAHA.108.827642

    A Strengths-Based Approach in Healthcare:

    Lianov, L.S., Fredrickson, B.L., Barron, C., Krishnaswami, J., & Wallace, A. (2019). Positive psychology in lifestyle medicine and health care: strategies for implementation. American Journal of Lifestyle Medicine. 13(5), 480-486. https://doi.org/10.1177/1559827619838992

    Hanks, R. A., Rapport, L. J., Waldron-Perrine, B., Millis, S. R. (2014). Role of character strengths in outcome after mild complicated to severe traumatic brain injury: a positive psychology study. Archives of Physical Medicine and Rehabilitation, 95(11), 2096-2102.

    Proyer, R. T., Gander, F., Wellenzohn, S., & Ruch, W. (2013). What good are character strengths beyond subjective well-being? The contribution of the good character on self-reported health-oriented behavior, physical fitness, and the subjective health status. The Journal of Positive Psychology8(3), 222-232. https://doi.org/10.1080/17439760.2013.777767

    Soria-Reyes, L. M., Cerezo, M. V., Molina, P., & Blanca, M. J. (2023). Life satisfaction and character strengths in women with breast cancer: Zest and hope as predictors. Integrative Cancer Therapies, 22, https://doi.org/10.1177/15347354231197648

    Yan, T., Chan, C. W. H., Chow, K. M., Zheng, W., & Sun, M. (2020). A systematic review of the effects of character strengths‐based intervention on the psychological well‐being of patients suffering from chronic illnesses. Journal of Advanced Nursing, 76(7), 1567-1580. https://doi.org/10.1111/jan.14356