The Role of Self-Compassion in Health and Well-Being

  • Joanna JareckiEmail author
  • Satyam Choudhuri
  • Tara Riddell


This chapter will introduce foundational knowledge about the construct and practice of self-compassion. Common misconceptions and barriers in relation to self-compassion will be addressed. Evidence supporting the benefits of self-compassion will be reviewed, including the association of self-compassion with less anxiety, depression, and burnout as well as increased measures of well-being which include happiness, life satisfaction, and physical health. This chapter will highlight why self-compassion is particularly relevant for resident physicians and how it can be used as an effective tool to help build resilience in the face of challenges inherent in the practice of medicine. Self-compassion interventions and exercises will be introduced in Chap.  15, which is a practical and experiential complement to the current foundational chapter.


Self-compassion Mindfulness Self-kindness Resident well-being Resilience Physician burnout 


  1. 1.
    Neff K, Germer C. The mindful self-compassion workbook: a proven way to accept yourself, build inner strength, and thrive. New York: Guilford Publications; 2018.Google Scholar
  2. 2.
    Goetz JL, Keltner D, Simon-Thomas E. Compassion: an evolutionary analysis and empirical review. Psychol Bull. 2010;136(3):351–74.PubMedPubMedCentralCrossRefGoogle Scholar
  3. 3.
    Neff K. Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self Identity. 2003;2(2):85–101.CrossRefGoogle Scholar
  4. 4.
    Oxford Dictionary. [Compassion]. Accessed 7 Dec 2019.
  5. 5.
    Mindful Staff. Jon Kabat-Zinn: Defining mindfulness. 11 Jan 2017. Accessed 7 Dec 2019.
  6. 6.
    Neff KD, Hsieh YP, Dejitterat K. Self-compassion, achievement goals, and coping with academic failure. Self Identity. 2005;4(3):263–87.CrossRefGoogle Scholar
  7. 7.
    Kannan D, Levitt HM. A review of client self-criticism in psychotherapy. J Psychother Integr. 2013;23(2):166–78.CrossRefGoogle Scholar
  8. 8.
    Shapira LB, Mongrain M. The benefits of self-compassion and optimism exercises for individuals vulnerable to depression. J Posit Psychol. 2010;5(5):377–789.CrossRefGoogle Scholar
  9. 9.
    Longe O, Maratos FA, Gilbert P, et al. Having a word with yourself: neural correlates of self-criticism and self-reassurance. NeuroImage. 2010;49(2):1849–56.PubMedCrossRefGoogle Scholar
  10. 10.
    Harris D. #209: Kryptonite for the inner critic, self-compassion series. Ten percent happier with Dan Harris.
  11. 11.
    Raes F. Rumination and worry as mediators of the relationship between self-compassion and depression and anxiety. Pers Individ Differ. 2010;48:757–61.CrossRefGoogle Scholar
  12. 12.
    Kemper KJ, Mo X, Khayat R. Are mindfulness and self-compassion associated with sleep and resilience in health professionals? J Altern Complement Med. 2015;21(8):496–503.PubMedPubMedCentralCrossRefGoogle Scholar
  13. 13.
    Leary MR, Tate EB, Adams CE, Batts Allen A, Hancock J. Self-compassion and reactions to unpleasant self-relevant events: the implications of treating oneself kindly. J Pers Soc Psychol. 2007;92(5):887–904.CrossRefGoogle Scholar
  14. 14.
    Luyten P, Sabbe B, Blatt SJ, et al. Dependency and self-criticism: relationship with major depressive disorder, severity of depression, and clinical presentation. Depress Anxiety. 2007;24(8):586–96.PubMedCrossRefGoogle Scholar
  15. 15.
    Joeng JR, Turner SL. Mediators between self-criticism and depression: fear of compassion, self-compassion, and importance to others. J Couns Psychol. 2015;62(3):453–63.PubMedCrossRefGoogle Scholar
  16. 16.
    Marshall MB, Zuroff DC, McBride C, Bagby RM. Self-criticism predicts differential response to treatment for major depression. J Clin Psychol. 2008;64(3):231–44.PubMedCrossRefGoogle Scholar
  17. 17.
    Dunkley DM, Sanislow CA, Grilo CM, McGlashan TH. Self-criticism versus neuroticism in predicting depression and psychosocial impairment for 4 years in a clinical sample. Compr Psychiatry. 2009;50(4):335–46.PubMedCrossRefGoogle Scholar
  18. 18.
    MacBeth A, Gumley A. Exploring compassion: a meta-analysis of the association between self-compassion and psychopathology. Clin Psychol Rev. 2012;32(6):545–52.CrossRefGoogle Scholar
  19. 19.
    Zessin U, Dickhäuser O, Garbade S. The relationship between self-compassion and well-being: a meta-analysis. Appl Psychol Health Well Being. 2015;7(3):340–64.PubMedCrossRefGoogle Scholar
  20. 20.
    Diener E. Subjective well-being: the science of happiness and a proposal for a national index. Am Psychol. 2000;55(1):34–43.PubMedCrossRefGoogle Scholar
  21. 21.
    Neff KD, Dahm KA. Self-compassion: what it is, what it does, and how it relates to mindfulness. In: Ostafin BD, Robinson MD, Meier BP, editors. Handbook of mindfulness and self-regulation. New York: Springer-Verlag; 2015. p. 121–37.CrossRefGoogle Scholar
  22. 22.
    Hall CW, Row KA, Wuensch KL, Godley KR. The role of self-compassion in physical and psychological well-being. J Psychol. 2013;147(4):311–23.PubMedCrossRefGoogle Scholar
  23. 23.
    Canadian Medical Association. CMA national physician health survey. A national snapshot. October 2018. Accessed 7 Dec 2019.
  24. 24.
    Singer T, Klimecki O. Empathy and compassion. Curr Biol. 2014;24(18):R875–8.PubMedCrossRefGoogle Scholar
  25. 25.
    Singer T, Lamm C. The social neuroscience of empathy. Ann N Y Acad Sci. 2009;1156:81–96.PubMedCrossRefGoogle Scholar
  26. 26.
    Figley CR. Compassion fatigue: toward a new understanding of the costs of caring. In: Stamm BH, editor. Secondary traumatic stress: self-care issues for clinicians, researchers, and educators. Lutherville, MD: The Sidran Press; 1995.Google Scholar
  27. 27.
    Raab K. Mindfulness, self-compassion, and empathy among health care professionals: a review of the literature. J Health Care Chaplain. 2014;20(3):95–108.PubMedCrossRefGoogle Scholar
  28. 28.
    Gilbert P. The evolution and social dynamics of compassion. Soc Personal Psychol Compass. 2015;9(6):239–54.CrossRefGoogle Scholar
  29. 29.
    McGirr A, Turecki G. Self-critical perfectionism is associated with increases in sympathetic indicators in a controlled laboratory stress paradigm. Psychosom Med. 2009;71(5):588.PubMedCrossRefGoogle Scholar
  30. 30.
    Wirtz PH, Elsenbruch S, Emini L, Rüdisüli K, Groessbauer S, Ehlert U. Perfectionism and the cortisol response to psychosocial stress in men. Psychosom Med. 2007;69(3):249–55.PubMedCrossRefGoogle Scholar
  31. 31.
    Breines JG, McInnis CM, Kuras YI, et al. Self-compassionate young adults show lower salivary alpha-amylase responses to repeated psychosocial stress. Self Identity. 2015;14(4):390–402.PubMedPubMedCentralCrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Joanna Jarecki
    • 1
    Email author
  • Satyam Choudhuri
    • 2
  • Tara Riddell
    • 3
  1. 1.McMaster University, Department of Psychiatry and Behavioural NeurosciencesHamiltonCanada
  2. 2.Michael G. DeGroote School of Medicine, Faculty of Health Sciences, McMaster UniversityHamiltonCanada
  3. 3.Michael G. DeGroote School of Medicine, Faculty of Health Sciences, McMaster UniversityDepartment of Psychiatry and Behavioural NeurosciencesHamiltonCanada

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