EDITION: U.S.
 
CONNECT    

GET UPDATES FROM Jodi Halpern
 

'Empathic Civilization': Why Empathy Is Essential For Doctors And In Conflict Resolution

Posted: 2/23/10

In "The Empathic Civilization," Jeremy Rifkin makes the important argument that empathy can be a potent force to alleviate global conflicts. I wholeheartedly agree -- and from my work on empathy in healthcare settings and post-war reconciliation, I believe we need empathy based on genuine curiosity about how other people feel, as well as emotional connection with them. This claim is more radical than it might seem. The accepted wisdom is that we need sympathetic identification, in which we see ourselves as all "in the same boat" to generate empathy and redress differences. Yet this is counter to reality -- we are never in the same boat as another person. What we need to cultivate is genuine interest in each other's distinct experiences.

Patients taught me this. Nothing shuts people down so quickly as a doctor saying "I know how you feel;" nothing opens up the dialogue as well as "Tell me what I'm missing." Worse, a doctor is apt to project an agenda onto patients, if he (or she) thinks he already knows how they feel. Cardiac surgeon Christiaan Barnard, intent on performing the first successful heart transplant, persuaded patient Philip Blaiberg to undergo the grueling procedure. Barnard had been crushed by his first experiment's failure (the patient died), and felt that he was representing Blaiberg's needs as well as his own when he urged Blaiberg to join him in a glorious mission together. Yet clearly the two were not in the same boat -- Blaiberg recovered initially, but then suffered painful complications and died, while Barnard became famous.

The clinical empathy needed from doctors differs from sympathy in three ways: First, empathy seeks the particular perspective of another, not generalizations or stereotypes. Second, empathy involves feeling curious about what you don't understand, rather than believing you already know another's feelings. Third, empathy involves tolerating emotional ambivalence; for example, to empathize with someone you are angry at, you need to accept both their feelings and your own.

These three aspects of engaged curiosity are also crucial for reconciling former enemies in the aftermath of war. Rifkin importantly points to South Africa's Truth and Reconciliation Commission as hope for a global shift towards empathy. However, thus far, the encounters described often emphasize sympathy and forgiveness more than complex empathy. For example, psychologist Pumla Gobodo-Madikizela writes about two South African women whose husbands police colonel Eugene de Kock murdered. Visiting him in prison, they see de Kock chained and despairing. Feeling tender sympathy for his vulnerability ("I would like to hold him by the hand"), they forgive him. However admirable their stance, what I find interesting is what the two widows don't express -- they don't express curiosity about who this man really is, nor do they discuss any ambivalence about him. Forgiveness captures our attention, but we need examples of more complicated empathy to see how people can rebuild their societies over time.

One such example is that of the Bosnian, Serb and Croatian mothers, former enemies, who have worked together for years to locate and build proper memorials for their sons. Interviews suggest that while sympathy first drew these women together, those who developed resilient relationships show a less sentimental, individualized empathy for each other. Two such women, Dobrinka, a Serb, and Marija, a Croat, have worked together for a decade. They often disagree and sometimes dislike each other, yet respect each other and seek to know what each other thinks to strategize and solve problems. In listening over the years, they have learned about each other's life struggles, and often rely on each other for support at crucial times.

Still, one might ask, how can we develop empathy during active conflict? As a hospital psychiatrist called to calm difficult situations, I have seen that when intense anger and fear undercut sympathy, curiosity can still evoke empathy. For example: a nineteen-year-old was blocking the door to his dying mother's room, threatening to shoot the nurses if they tried to give his mother more sedating pain medication. Security ascertained that he had no violent history nor a gun, yet the entire team, furious, wanted to send him to the psychiatric hospital for endangering others. I asked them why they thought he was doing this. This engaged their curiosity and they pieced together his history. The son had spent almost no time with his mother since moving across the country the year before to start college. He'd only been called home when her cancer had recurred and she was dying. Desperate to talk with her, he couldn't bear her being sedated further. Thinking about this made the doctors and nurses recall their own fears about losing loved ones. In this process, they shifted to genuine empathy for the young man. Once they approached him with genuine concern, he recognized his own distress and stopped making threats. He phoned his father, who was staying away because he couldn't deal with his son. When the mother died, the father held the son in his arms as they consoled each other.

In his important book, Rifkin inspires us to cultivate our possibilities as homo empathicus. To do so, in my view, requires genuine interest in why other people do what they do, even when feeling threatened. When empathy is guided by a deeper understanding of each other's perspectives, it offers enormous promise for helping us build global cooperation.

 
In "The Empathic Civilization," Jeremy Rifkin makes the important argument that empathy can be a potent force to alleviate global conflicts. I wholeheartedly agree -- and from my work on empathy in he...
In "The Empathic Civilization," Jeremy Rifkin makes the important argument that empathy can be a potent force to alleviate global conflicts. I wholeheartedly agree -- and from my work on empathy in he...
 
  • Comments
  • 12
  • Pending Comments
  • 0
  • View FAQ
Comments are closed for this entry
View All
Recency  | 
Popularity
photo
HUFFPOST SUPER USER
winstonsmithcloned
look up winston smith
06:40 PM on 02/23/2010
i think that you can find this message in the Tao (not to mention a couple of other fairly well known 1500 to 2000 year old volumes). interestin­g how we are here 2500 years later acting as if the knowledge of these things was some sort of newly minted revelation­. how is it that we (the collective we that creates culture and society that is) manage to forget to remember these things again and again. particular­ly at the times when rememberin­g them is most sorely needed?
This user has chosen to opt out of the Badges program
photo
05:38 PM on 02/23/2010
It is amazing how much you can achieve with simple gestures, comments and inquiries that validate someone’s situation. Everyone should exercise this and take the effort to acknowledg­e or inquire about others, not just doctors. It doesn’t take much, you don’t have to dwell, probe or engage in long discussion­s about someone’s problems. Providing the opportunit­y to purge is usually enough.
On the flip-side, calling people on their dependent tendency to play on someone's sympathies by refusing/a­voiding to take responsibi­lity for themselves is also needed. Dwelling in victimhood for prolonged periods does no one any good. We all know people like this.
Personally­, I need about as much empathy from a doctor as I need from my car mechanic. I want a good job done. I say this to them when I see attempts at exercising their 'learned empathy'. I'm more cut and dried then most and don't expect that from others. I do push for what I feel is necessary. After all, challengin­g someone’s comfort zone, or rattling their arrogant cage is at times the appropriat­e thing to do. We should always keep the doctor on his/her toes.
I have the sense that doctors are sometimes in need of empathy too. It's tough work when you've chosen a life of dealing with other people's pain and suffering, especially when you hear so many complaints from passive, medically non-compli­ant people who want someone to 'fix' them without taking responsibi­lity for their own health.
HUFFPOST SUPER USER
BlueZoo
Independent voter, Independent thinker!
03:22 PM on 02/23/2010
The term "empatheti­c doctors" is an oxymoron if I've ever heard one! When my son was four, he contracted a rare and life-threa­tening illness. He was successful­ly treated after years of taking drugs now commonplac­e but experiment­al back then. As a teen, he was shorter than most due to these drugs and we went to see the doctor who was Department Head at Baylor College of Medicine. He strode in with six Residents and we explained we wanted to see an endocrinol­ogist about the height problem. The doctor proceeded to dismiss our concerns and I lost it! As none of these doctors had ever been in a business environmen­t, they had no clue as to how much a man's height is part of his success. All seven of these doctors looked as if I had slapped them (and I wish I had!) when I was finished and I ended with the fact that empathy was obviously not part of their training. I would bet that nothing has changed!
02:53 PM on 02/23/2010
It is very difficult to develop forgivenes­s and empathy. It took me years and years to understand forgivenes­s. Finally I got it, from a program on Oprah Winfry. You forgive others, not for their sake, but for your own sake. It is self interest. Similarly, emptahy should not be driven by what is important to others, but what is important to you. To start from that premise makes it easier to achieve both forgivenes­s and empathy, and other good qualities, such as self control. When I was a young mother, I tried my very best, and I was patient, but there were times when I snapped, and there were good reasons for it. Then I became a grandmothe­r and it was easier. That was so, because I got time off. I had the grandkids only part time, and it was not all consuming and continuous­. So, that is a third thing to consider. Take some time off. View matters from the outside in. Conflict resolution needs a similar approach. One must create a win/win situation, be aware of self interest, but that does not include defeating the other. Listening is important, so is hearing. One can not hear when one speaks, is upset, tries to find reasons why the other is *obviously­* and *always* wrong and evil, or while one is working very strenuousl­y at defeating the other and drowning the other out with words, arguments, *links* :) !
02:48 PM on 02/23/2010
Great article. I am now in the middle of Jodi's book which develops the points she makes. As a health care provider, the material in her book is invaluable­. However, I believe there is real wisdom in it for all feeling and thinking people. I highly recommend "From Detached Concern to Empathy" to everyone.
HUFFPOST SUPER USER
jeanrenoir
10:06 AM on 02/23/2010
It's quite a commnentar­y on our sick culture that anyone needs to remind us that empathy's sort of useful for doctors! Duh? Some years back the deans of the Hopkins and Harvard med schools held a joint press conference saying that they wanted more English majors applying for their schools, because there was an alarming lack of empathy in their students who had done nothing but study the HARD sciences. Thinking perhaps, nostalgica­lly, of the good old days when doctors had the kind of humanity of Dr. Anton Chekhov, the medical school officials saw all too clearly that something was simply humanly wrong with pre-med education in America. Duh?
photo
HUFFPOST COMMUNITY MODERATOR
tgd
"The more I see of man, the more I like dogs."
11:21 AM on 02/23/2010
As an older woman who tries to avoid doctors other than for my yearly tests, I have found that most doctors (female as well as male) tend to be very unsympathe­tic and dismissive the rare times I have had a problem that needed medical attention. Meanwhile my husband, who rushes to the doctor for every ache and pain, is always taken very seriously and given a battery of tests for every little complaint.

A chiropract­or once told me that the medical schools teach their students that women are hypochondr­iacs who are constantly running to the doctor and their complaints should not be taken seriously. If this is the case, their major isn't going to matter if they are gong to be taught indifferen­ce in med school.
photo
HUFFPOST SUPER USER
knight7se7en
You mustn't be afraid to dream a little bigger....
09:13 AM on 02/23/2010
As an aspiring physician, I could not agree more with the premise of this article. Kudos Jodi Halpern!
photo
HUFFPOST SUPER USER
cybermome1207
08:34 AM on 02/23/2010
Here's a remarkable book written by my therapist about empathy in relationsh­ips It's a post by another Huff Po contributo­r ....Susan Harrow: Repairing Your Relationsh­ip Without Speaking A Word http://bit­.ly/crXfRK

I loved your post. It elucidated something I hadn't thought about in regards to empathy. Curiosity. or lack of. For me that idea helps explains our current state of political gridlock.
This user has chosen to opt out of the Badges program
photo
09:50 AM on 02/23/2010
Thanks cybermom. I'll look this one up too and thanks for your reply to my comment below.

Fanned.
This user has chosen to opt out of the Badges program
photo
08:24 AM on 02/23/2010
Wow, an excellent article. You make me want to read Rifkin's book. I so agree. My husband is a clinical psychologi­st and a very empathetic one. He sees and hears things others don't.

Also, I'm doing research on conflict resolution and I can tell you that that deep resilient empathy of the women you mention in the article from Croatia and Bosnia is something needed and difficult to cultivate. Too often conflict resolution attempts stop short and developing this kind of resilient compassion­. It's very realistic for these women to not like each other sometimes and yet they remain friends. That's the kind of stuff we need to be working on.

It makes me want to read your books too Jodi. Thanks for your blog today. It made my day.
photo
HUFFPOST SUPER USER
cybermome1207
08:55 AM on 02/23/2010
The Rifkin book is a great and important read. And so are the posts and discussion­s like this one.