![]() ![]() A score of 6 to 18 on any of the subscales indicates that one is usually unforgiving, a score of 19 to 29 is neutral, and a score of 30 to 42 indicates that one is usually forgiving. Each item is scored on a 7-point scale thus, the possible range of scores is 18 to 126. A total HFS score of 18 to 54 indicates that one is usually unforgiving of oneself, others, and uncontrollable situations a score of 55 to 89 is neutral a score of 90 to 126 indicates that one is usually forgiving of oneself, others, and uncontrollable situations. 21 The HFS has 3 subscales that reflect a person's tendency to forgive oneself, other people, and uncontrollable situations (eg, a natural disaster or illness). We used the 18-item Heartland Forgiveness Scale (HFS) to assess dispositional forgiveness. In our guided imagery, participants are instructed to imagine and connect with 3 key parts of themselves: an “inner critic,” a “child-like” part, and the “true Self,” and to work toward self-forgiveness (provided as online supplemental material). In IFS, the goal is balancing the input and roles of all parts as orchestrated by “Self” (provided as online supplemental material). We used the Internal Family Systems (IFS) model for the guided imagery, 18 – 20 which involves synthesis of 3 paradigms: (1) normal multiplicity of the mind (2) systems thinking and (3) self-leadership. Participants complete 18-item HFS to assess interventionĪbbreviations: HFS, Heartland Forgiveness Scale IFS, Internal Family Systems. How could you successfully implement a self-forgiveness intervention in your institution? Which of your patient populations suffer the most from guilt, and thus might benefit the most from this type of self-forgiveness intervention? 6. ![]() Which populations (physicians, trainees, staff, patients) do you think would benefit most from self-forgiveness training? 5. What would be the challenges of successfully implementing a self-forgiveness intervention in your institution? 4. To what degree were you able to grant self-forgiveness for the “transgression”? 3. Did the IFS framework of inner critic, innocent, and self resonate for you? 2. Guided imagery audio meditation based on IFS, meeting inner critic, and granting of self-forgivenessįocus questions 1. What barriers do you suspect block you/peers/trainees from granting self-forgiveness? ![]() What do you perceive to be the benefits of self-forgiveness? 6. Do you suspect a relationship between burnout, resilience, and forgiveness? 5. What techniques or methods do you use or teach for alleviating guilt and shame? 4. Where in their professional life do your residents and students struggle with guilt? 3. ![]() Where in your personal or professional life do you struggle with guilt? 2. Presentation on the benefits of self-forgiveness and the IFS modelįocus questions 1. Completion of 18-item HFS to provide awareness and baseline ![]()
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