Hospice and palliative care workers can reduce the potential for burnout by nurturing self-competence and self-awareness in order to manage challenging and painful emotions that arise from the nature of working with dying individuals and bereaved families. An art therapy supervision programme for end-of-life care workers in Hong Kong utilized mandala-making as a tool for cultivating self-awareness. A total of 60 mandalas were collected, rated according to]. Kellogg's The Archetypal Stages of the Great Round of Mandalas and compared to burnout scores as assessed by the Maslach Burnout Inventory - General Survey. The findings demonstrate associations between mandala stages and burnout and offer implications for mandala-making as an indicator of burnout and coping strategies.
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