The case of Tyre, a nursing assistant, illustrates the conditions that lead to job burnout and its subsequent consequences. Tyre worked long hours for minimal pay in a difficult nursing home, subjected to a domineering supervisor, a severe lack of autonomy, and a profound sense of being unappreciated. This combination of high job demands and low control (job strain) precipitated the burnout. Over several years, Tyre began to exhibit classic symptoms, including hating the job (exhaustion), developing a callous and hostile attitude toward residents (depersonalization), and feeling unable to help them (diminished personal accomplishment). These feelings culminated in increased absenteeism and ultimately led to Tyre quitting the job and vowing never to work in nursing again.