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Cherniss and
Fawzy et al. conceptualized burnout as a transactional process. The first of the three
stage transactional model ocuurs when an individual appraises specific demands as taxing
his or her resources. Such demands come from external factors (environment, relationships,
community, goals, achievements) or internal factors (self-concept, identity, roles, life
style, development issues). There are initial responses to this appraisal of demand and
resource imbalance. Feelings of tension and anxiety as well as fatigue and exhaustion are
common. The second stage involves coping attempts to balance between demands and
resources. If these attempts are unsuccessful burnout occurs. In the stage 3 common
physical and emotional responses to burnout occur. This should be a warning sign. The most
serious of these is depression with suicidality (3-6). |