Self-Transcendence Through Shared Suffering: an Intersubjective Theory of Compassion
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
What We Mean When We Talk About Suffering—And Why Eric Cassell Should Not Have the Last Word
What We Mean When We Talk About Suffering—and Why Eric Cassell Should Not Have the Last Word Tyler Tate, Robert Pearlman Perspectives in Biology and Medicine, Volume 62, Number 1, Winter 2019, pp. 95-110 (Article) Published by Johns Hopkins University Press For additional information about this article https://muse.jhu.edu/article/722412 Access provided at 26 Apr 2019 00:52 GMT from University of Washington @ Seattle What We Mean When We Talk About Suffering—and Why Eric Cassell Should Not Have the Last Word Tyler Tate* and Robert Pearlman† ABSTRACT This paper analyzes the phenomenon of suffering and its relation- ship to medical practice by focusing on the paradigmatic work of Eric Cassell. First, it explains Cassell’s influential model of suffering. Second, it surveys various critiques of Cassell. Next it outlines the authors’ concerns with Cassell’s model: it is aggressive, obscure, and fails to capture important features of the suffering experience. Finally, the authors propose a conceptual framework to help clarify the distinctive nature of sub- jective patient suffering. This framework contains two necessary conditions: (1) a loss of a person’s sense of self, and (2) a negative affective experience. The authors suggest how this framework can be used in the medical encounter to promote clinician-patient communication and the relief of suffering. *Center for Ethics in Health Care and School of Medicine, Oregon Health and Science University, Portland. †National Center for Ethics in Health Care, Washington, DC, and School of Medicine, University of Washington, Seattle. Correspondence: Tyler Tate, Oregon Health and Science University, School of Medicine, Depart- ment of Pediatrics, 3181 SW Sam Jackson Park Road, Portland, OR 97239-3098. -
Emotional Intelligence: Empathy & Compassion
Race, Mindfulness & Wise Action: A Focused Awareness & Emotionally Intelligent Approach to the Practice of Law, Attorney Presence & Well-Being A mindful series for the Twin Cities Diversity In Practice Community Mindfulness “Mindfulness is paying attention to what’s happening in the present moment, in the mind, body and external environment, with an Emotional Context Matters - attitude of kindness and curiosity.” Intelligence: Elevating awareness - Mindful Nation UK Report Emotional Intelligence Three levels of awareness: consists of 4 key skills Unconscious Bias (Dr. Daniel Goleman): • Awareness of Self • Awareness of Others ... is social stereotypes about certain 1. Self-Awareness • Awareness of Surroundings 2. Self-Management groups of people that individuals form 3. Social Awareness outside their own conscious awareness. 4. Relationship Management Everyone holds unconscious beliefs about various social and identity groups, and these biases stem from one’s tendency to organize social worlds by categorizing. Decision-Making Empathy & - University of Califoria, San Francisco & Behavior: Compassion - Emotions are complex. They Disrupting Bias: Body Map show show up as Understand where physiological sensations in The ability to experience and emotions show up in the body in connection with understand what others feel your body and how complex network of activity while maintaining a clear they feel (e.g, in the brain. Increasing discernment about your own tingling, tightness, emotional awareness can and the other person’s openness, heat, help improve decision- feelings and perspectives. neutral, etc.). making and behavior. (Dr. Checking in with the Nummenmaa , Dr. Bechara Compassion is empathy in body periodically and Dr. Lisa Feldman action, adding to the helps enhance self- Barrett.) definition of empathy the awareness, decision- question, "what will truly making and behavior © 2020 Lucenscia LLC. -
Creating Compassion and Connection in the Work Place
16Journal of Systemic Therapies, Vol. 25, No. 1, 2006, pp. 16–36 O’Brien CREATING COMPASSION AND CONNECTION IN THE WORK PLACE PETER J. O’BRIEN, M.S.W. Foothills Medical Centre This article raises questions about what contributes to creating a com- passionate work environment and sustaining connections that are meaningful in relation to clients and colleagues. Concepts including burnout, compassion fatigue, vicarious traumatization and counter- transference are examined, with attention to how they complicate the establishment of a compassionate work place. Factors are discussed which further influence the work environment and inhibit the creation of the desired culture. Individual and institutional steps are then sug- gested that can be taken to establish a preferred work environment. In particular, practices are considered within the workplace that com- bat some of the undesirable symptoms, or that lead to the acknowl- edgment of contributions to a healthy environment and which foster human connections. As I enjoyed a concert by the 60’s band the Turtles, I was struck by the sense of connection and joy communicated throughout the concert by the two lead singers. I wondered what factors contributed to their apprecia- tion for one another and what meaning they attach to their life work, span- ning some forty years of collaboration. The purpose of this paper is to first raise questions about what contrib- utes to creating a compassionate work environment and sustaining con- nections that are meaningful in the mental health context. A case example will illustrate some of the common challenges in health care. Then, an examination of factors in our culture and our work settings that compli- Address correspondence to Peter O’Brien, M.S.W. -
How Compassion Became Painful
Journal of Buddhist Studies, Vol. XIV, 2017 (Of-print) How Compassion Became Painful Bhikkhu AnālAyo Published by Centre for Buddhist Studies, Sri Lanka & The Buddha-Dharma Centre of Hong Kong EDITORIAL CONSULTANTS Ratna Handurukande Ph.D. Professor Emeritus, University of Peradeniya. Y karunadasa Ph.D. Professor Emeritus, University of Kelaniya Visiting Professor, The Buddha-Dharma Centre of Hong Kong. Oliver abeynayake Ph.D. Professor Emeritus, Buddhist and Pali University of Sri Lanka. Chandima Wijebandara Ph.D. Professor, University of Sri Jayawardhanapura. Sumanapala GalmanGoda Ph.D. Professor, University of Kelaniya. Academic Coordinator, Nāgānanda International Institute of Buddhist Studies, Sri Lanka. Toshiichi endo Ph.D. Associate Professor, Centre of Buddhist Studies The University of Hong Kong EDITOR Bhikkhu KL dHammajoti 法光 Director, The Buddha-Dharma Centre of Hong Kong. Chair Professor, School of Philosophy, Renmin University of China. CONTENTS Ānisaṃsa: Merit, Motivation and Material Culture 1 Peter Skilling The Buddha’s Eighteen Qualities (aṭṭhārasabuddhadhammā): The Pāli Commentarial Exposition 57 Toshiichi Endo How Compassion Became Painful 85 Bhikkhu AnālAyo Punabbhava and Jātisaṃsāra in Early Buddhism 115 G.A. SomaratnE Ancient and Modern Interpretations of the Pañcavimuttāyatana 139 Bhikkhu PāsādikA Trials and Tribulations in the Study of the Cult of Maitreya in Theravāda Buddhism 151 Dragomir dimitrov The Bāmiyān Prātimokṣasūtra: a “Buddhist Hybrid Text” 183 Bhikkhu ÑāṇAtusitA Mahāsāṅghika and Mahāyāna: Further Notes 227 Charles WillEmEn Yogācāra Refutation of Tritemporal Existence 235 KL dhammajoti AnālAyo: How Compassion Became Painful How Compassion Became Painful AnālAyo Introduction In this paper I explore how the cultivation of compassion, karuṇā, developed from involving a potentially joyful experience in early Buddhist thought to taking on a more painful tonality in later times. -
Mindfulness and Compassion – from a Neuroscience Point of View
Mindfulness and Compassion – from a neuroscience point of view Dr. Tamara Russell In the last decade there has been a growth of empirical evidence to support mindfulness- based approaches in the mental health setting (Williams & Kuyken, 2012). Following on from the success of the Mindfulness-Based Stress Reduction (MBSR) program to help those with chronic physical health ailments (Grossman et al., 2004), the Mindfulness-Based Cognitive Therapy (MBCT) protocol has been developed and evaluated in individuals with major depressive disorder (Williams & Kuyken, 2012). This protocol seems to be particularly helpful for those with recurrent depression who also have experience of childhood trauma (Williams et al., 2014). The MBCT protocol, with adaptations, has been tried with many other mental health clinical populations, with promising results from these early feasibility and acceptability studies (Hoffman et al., 2010). There is also a suggestion that this training is of benefit to staff (Shapiro et al, 2007) in a way that may secondarily benefit patients (Grepmair et al., 2007). Within the mindfulness training protocol, participants are encouraged to engage with mental and physical experience on a moment-by-moment basis. This requires attention training, as the mind typically wanders onto other things and especially so when emotions run high. Learning to tolerate emotions, spot mental habits of attachment and avoidance and learning to inhibit chains of thinking and train attention are the key tasks in mindfulness training. These processes recruit a network of brain regions related to attention (including the anterior cingulate cortex and the dorsolateral prefrontal cortex), body awareness (somatosensory cortex, motor and pre-motor cortex) and emotion regulation (right anterior insula and limbic structures including the amygdala; Holzel et al., 2011). -
Examining Affective Forecasting and Its Practical and Ethical Implications
Examining Affective Forecasting and its Practical and Ethical Implications Emily Susan Brindley BSc Psychology 2009 Supervisor: Prof. David Clarke Contents Page Introduction 1 1. Affective Forecasting – What do we know? 1 2. Biases – Why people cannot predict their emotions accurately 3 2.1 Impact Bias 3 2.2 ‘Focalism’ 4 2.3 Immune Neglect 4 2.4 Dissimilar Context 4 3. The Self-Regulating Emotional System 5 4. Affective Forecasting Applied 6 4.1 Healthcare 6 4.2 Law 7 5. Can AFing be improved? 8 6. Ethics: Should people be taught to forecast more accurately? 10 Conclusions 12 References 13 Examining Affective Forecasting and its Practical and Ethical Implications Introduction Emotions are important in guiding thoughts and behaviour to the extent that they are used as heuristics (Slovic, Finucane, Peters & MacGregor, 2007), and are crucial in decision-making (Anderson, 2003). Affective forecasting (AFing) concerns an individual’s judgemental prediction of their or another’s future emotional reactions to events. It is suggested that “affective forecasts are among the guiding stars by which people chart their life courses and steer themselves into the future” (Gilbert, Pinel, Wilson, Blumberg & Wheatley, 1998; p.617), as our expected reactions to emotional events can assist in avoiding or approaching certain possibilities. We can say with certainty that we will prefer good experiences over bad (ibid); however AFing research demonstrates that humans are poor predictors of their emotional states, regularly overestimating their reactions. Further investigation of these findings shows that they may have critical implications outside of psychology. If emotions are so influential on behaviour, why are people poor at AFing? Furthermore, can and should individuals be assisted in forecasting their emotions? These issues, along with the function of AFing in practical applications, are to be considered and evaluated. -
Vulnerability, Empathy,And Compassion and Your Team During a Time of Change
Vulnerability, Empathy,and Compassion and Your Team during a Time of Change healthy.iu.edu Objectives for this Lesson • To establish a foundation of what empathy, compassion, and vulnerability are. • To learn the benefits of infusing these 3 qualities into your team. • To develop a toolkit for how to build a team culture based in empathy, compassion, and vulnerability. healthy.iu.edu Vulnerability • Normalizing weaknesses and limitations • Asking for help is expected and welcomed • Permission to admit insecurities in order to face them and build trust Coyle, D. (2018). The Culture Code: The Secrets of Highly Successful Groups. Bantam Books: New York, New York. healthy.iu.edu The Vulnerability Loop at Work • Person A sends a signal of vulnerability. • Person B detects this signal. • Person B responds by signaling their own vulnerability. • Person A detects this signal. • A norm is established; closeness and trust increase. Coyle, D. (2018). The Culture Code: The Secrets of Highly Successful Groups. Bantam Books: New York, New York. healthy.iu.edu Benefits of Vulnerability • Increased trust • Problem-solving environment • Cooperation a well developed muscle Coyle, D. (2018). The Culture Code: The Secrets of Highly Successful Groups. Bantam Books: New York, New York. healthy.iu.edu What is Empathy? Empathy occurs when one person vicariously experiences the feelings, perceptions, and thoughts of another Mortier, A. V., Vlerick, P., & Clays, E. (2016). Authentic leadership and thriving among nurses: The mediating role of empathy. Journal of Nursing Management, 24, 357–365. healthy.iu.edu What Empathy gets confused with... Sympathy • Feeling sorry for someone; not feeling with someone Redirection to avoid discomfort • “Look on the bright side…” • “At least you don’t…” The reflex to “fix it” • Rarely does a response make things better. -
Compassion & Forgiveness
Compassion & Forgiveness in The Great Gatsby The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again. Compassion & Forgiveness Ø Characters possess an infinite capacity to forgive. Ø Characters possess an infinite stubbornness not to forgive. Compassion & Forgiveness Ø Example: Daisy’s marriage vs. her love Compassion & Forgiveness Ø Examples: Tom’s cheating vs. Gatsby’s deceit Compassion & Forgiveness Ø Cause of much sadness in the novel Ø Characters taunted by the possibility of forgiveness only to lose out to another’s stubbornness. THESIS In The Great Gatsby by F. Scott Fitzgerald, the author illustrates the power of forgiveness to heal when offered and to destroy when denied. Question #1 What gets forgiven and what does not get forgiven in this novel? Why? Characters offer a limited forgiveness for actions. The limit to forgiveness occurs when perception fails to match reality. Evidence #1 Characters offer a limited forgiveness for actions. The limit to forgiveness occurs when perception fails to match reality. Gatsby began “denying everything, defending his name” but Daisy drew “further and further into herself.” Gatsby’s dream died but “fought on... struggling toward that lost voice,” the Daisy of his past. Question #2 Nick claims in the first page of the novel that he was told to never criticize. Is he compassionate towards Gatsby, or does he judge the man? Does this evolve over the course of the novel? In the beginning of the novel, Nick judges Gatsby harshly; however, his feelings evolve to include an enormous measure of compassion for Gatsby. -
Religious Perspectives on Human Suffering: Implications for Medicine and Bioethics
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Sydney eScholarship Postprint This is a pre-copyedited, author-produced PDF of an article accepted for publication in [Journal of Religion and Health] following peer review. The definitive publisher-authenticated version [Fitzpatrick SJ, Kerridge IH, Jordens CFC, Zoloth L, Tollefsen C, Tsomo KL, Jensen MP, Sachedina A, Sarma D. Religious perspectives on human suffering: Implications for medicine and bioethics. Journal of Religion and Health 2016; 55:159–173] is available online at http://link.springer.com/article/10.1007/s10943-015-0014-9 Please cite as: Fitzpatrick SJ, Kerridge IH, Jordens CFC, Zoloth L, Tollefsen C, Tsomo KL, Jensen MP, Sachedina A, Sarma D. Religious perspectives on human suffering: Implications for medicine and bioethics. Journal of Religion and Health 2016; 55:159–173. Religious perspectives on human suffering: Implications for medicine and bioethics Scott J FitzpatrickA,B, Ian H KerridgeB, Christopher F C JordensB , Laurie ZolothC, Christopher TollefsenD, Karma Lekshe TsomoE, Michael P JensenF, Abdulaziz SachedinaG, Deepak SarmaH (2015/16) ACentre for Rural and Remote Mental Health, University of Newcastle, Orange, Australia; BCentre for Values, Ethics and the Law in Medicine (VELiM), University of Sydney, Sydney, Australia; CCentre for Bioethics, Science and Society, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA; DDepartment of Philosophy, University of South Carolina, Colombia, South Carolina, USA USA; EDepartment of Theology and Religious Studies, University of San Diego, San Diego, California, USA; FMoore Theological College, Sydney, Australia; GAli Vural Ak Centre for Global Islamic Studies, George Mason University, Fairfax, Virginia, USA; HReligious Studies, Case Western Reserve University, Cleveland, Ohio, USA. -
The Empathy Connection
The Empathy Connection Creating Caring Communities through the Human-Animal Relationship The Doris Day Animal Foundation (DDAF) is a national nonprofit organization working to create caring communities. Thanks to a generous grant from the Claire Giannini Fund, we are pleased to present “The Empathy Connection,” a publication designed to help parents, teachers, and other adults instill the important skill of empathy in our youth. As a mother of two school-age children, president of the parent teacher’s association of a middle school, and as the Executive Director of the Doris Day Animal Foundation, I know how important empathy is in children’s development. Empathy is an important skill, related to success in many areas of development—social, academic, and personal. Learning how to respond empathetically is also the best antidote to violence, bullying, and other unwanted, aggressive behavior in children. The basic tenet of DDAF’s “creating caring communities” mission is that the protection of, and respect for, animals is closely linked to human welfare. The development of empathy is a case in point: one of the best—and probably one of the most enjoyable—ways to teach children empathy is through the human-animal relationship. The Doris Day Animal Foundation offers training workshops and materials designed to help professional and lay communities address the problem of violence and promote positive development in children, families, and communities. We do this by demonstrating how paying attention to the animal-human welfare link builds safer, more creative communities for all living creatures. We hope you will let us know how you used “The Empathy Connection,” or other DDAF materials. -
ANXIETY DISORDERS in ADULTS the Disorders, Their Treatment and Prevention
Angstlidelser hos voksne, engelsk Information about ANXIETY DISORDERS IN ADULTS The disorders, their treatment and prevention Psykiatri og Social psykinfomidt.dk CONTENTS 03 What are anxiety disorders? 05 Why do some people suffer from anxiety disorders? 06 What happens in the brain when someone suffers from anxiety? 07 What types of anxiety disorders are there? 08 What are the symptoms of anxiety disorders? 10 Different degrees of anxiety disorders 11 How are they diagnosed? 12 What treatment is available for anxiety disorders? 15 What can be done to prevent anxiety disorders? 16 What can you do yourself if you are suffering from anxiety? 18 What can relatives do? 21 Where can you find more information? Anxiety disorders are the most common mental disorders in the population in the Western world. This brochure describes anxiety disorders, their specific characteristics as well as what they have in common, and their treatment. It also offers some advice to anxiety sufferers and their relatives. This brochure is for adults (age 18 and above), and it is mainly intended for people being treated for anxiety disorders by the psychiatric service in Region Midtjylland, and for their relatives. It is important for you and your relatives to learn about anxiety disorders. The more you know, the better you will be able to relate to the disorder when it occurs, and prevent relapses. Regional psychiatry in Region Midtjylland has six clinics offering outpatient treatment of anxiety disorders. We hope this brochure will help you and your relatives to become better informed about anxiety disorders. Kind regards The psychiatric service in Region Midtjylland Tingvej 15, 8800 Viborg Tel. -
Dissertation Clarifying the Construct of Compassion
DISSERTATION CLARIFYING THE CONSTRUCT OF COMPASSION: ABILITY TO DOWNREGULATE EMOTION AS A POTENTIAL MEDIATOR BETWEEN EMPATHIC AROUSAL AND COMPASSION Submitted by Leslie A. Merriman Department of Psychology In partial fulfillment of the requirements For the Degree of Doctor of Philosophy Colorado State University Fort Collins, Colorado Spring 2017 Doctoral Committee: Advisor: Kathryn Rickard Chris Allen Ernest Chavez Caridad Souza Copyright by Leslie A. Merriman 2017 All Rights Reserved ABSTRACT CLARIFYING THE CONSTRUCT OF COMPASSION: ABILITY TO DOWNREGULATE EMOTION AS A POTENTIAL MEDIATOR BETWEEN EMPATHIC AROUSAL AND COMPASSION The association between empathy and compassion was examined in a sample of Americans aged 35 to 86, using national survey and phone interview data, biological data, and neuropsychological data. Given the postulation that empathy is a necessary, but not sufficient, condition for compassion to emerge, compassion is conceptualized here as an emergent process that is contingent upon empathic arousal. The degree to which an experience of empathic arousal translates into compassion is hypothesized to depend upon an individual's ability to downregulate the emotional response associated with empathic arousal, which is conceptualized as physiological upregulation in response to witnessing another's suffering. If this hypothesis is supported, then the ability to downregulate physiological processes associated with empathic arousal should mediate a positive association between the activation of empathic feelings and engagement with compassionate behavior. While empathic arousal was found to predict compassion, we were unable to infer that downregulation processes mediated the relationship. The results of this study present preliminary findings that may inform future work aiming to clarify the construct of compassion.