Can You Experience Compassion Fatigue?

Kelly McGonigal in her presentation for the Mindful Healthcare Summit challenged the widely held belief that you cannot experience compassion fatigue. Many people contend that compassion fatigue does not occur because the heart is capable of endless kindness and love for others. Kelly maintains that motivation and goodness of heart are not sufficient to prevent the depression and burnout that can result from compassion fatigue. She asserts that compassion has to be supported by adequate self-care if it is to be sustained.

Compassion and the stress response

Kelly argues that compassion is like the stress response when viewed physiologically. Compassion floods the body with hormones such as dopamine and marshals the body’s energy to relieve the suffering of others. However, while this can be very energising and exciting in the short term, compassion takes its toll in the longer term both bodily and mentally, as we do not have endless physical and mental reserves.

The possibility of compassion fatigue can be increased where a helping professional or carer experiences vicarious trauma or moral distress – the latter being defined as being required to do things that clash with a person’s values or moral perspective, a frequently occurring ethical dilemma within the medical profession.

Compassion fatigue

Kelly suggests that compassion fatigue occurs when a person lacks the energy and resources to pursue their motivation to care in such way that it achieves personal satisfaction (activates the reward system). Outcomes achieved fall short of personal expectations and/or the expectations of others, despite the strength of the caring intention. The compassionate person feels exhausted and feels that the more they give the less they experience satisfaction – the gap between input of energy/time and the expected satisfaction increases, leading to burnout. The depletion of energy and satisfaction could be the result of factors outside the helper’s/carer’s control – such as structural blockages, breakdown in information exchange, overwork or under-resourcing.

Compassion needs nourishment

One of the issues that exacerbates the problem of compassion fatigue is the belief in the endless capacity of an individual to be compassionate through the goodness of their heart or the purity of their intentions. As a result of this false belief, helpers/carers fail to take the necessary actions to nourish themselves (and their compassionate action) and/or are reluctant to accept compassion extended to them by others.

Personal nourishment can take many forms – getting adequate sleep, meditation (especially self-compassion meditation), listening to relaxing/inspiring music, prayer (whatever form it takes) or drawing strength and healing from nature. It also requires an openness to receiving compassion from others – challenging false beliefs such as “no one else can do this”, “I will be seen to be weak if I accept help from others”, “I really shouldn’t pander to my own needs by having that short break or having a reasonable period for lunch”, “I can’t afford to become dependent on others for assistance”. Additionally, positive social connection– to offset the tendency to withdraw under extreme stress– is a critical source of self-nourishment.

As we grow in mindfulness through meditation our awareness of others’ suffering and our motivation to help are heightened. The capacity for compassionate action is not limitless and needs nourishment. Central to this nourishment is self-compassion.

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Image by DarkWorkX from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.

Committed Mindfulness Practice to Challenge our Self-Stories

Tara Brach reminds us why our negative self-stories are so persistent and difficult to dislodge. Sometimes our stories can help to protect us by warning us about real dangers. Often our self-stories are based on an irrational fear that has its origins in our childhood. If we are to challenge these stories and change our negative thoughts, beliefs and patterns of behaviour we need to be committed to a consistent mindfulness practice that unearths the stories damaging our lives and our relationships.

Stories can blind us to creative options

Fear-based stories tend to cloud our perceptions and obscure our thinking, so that creative exploration of options is closed off to us. If we are dealing with difficulties in our relationships or undertaking a challenging task, we can be blinded by the negative self-stories that capture our thinking and lock out consideration of alternative approaches. It is in stillness and silence that we can access our creativity – the noise of incessant negative, inner dialogue can disable us because the embedded fear triggers the amygdala (the most primitive part of our brain) and our automatic fight/flight response.

The starting point for self-exploration

The starting point for self-exploration can be identification of a blockage to taking action on some issue or problem, whether associated with a relationship or an endeavour. If we find we are procrastinating, if is a sure sign that some form of negative self-story is playing in the background, on an unconscious level. As we discussed previously, the challenge is to bring these stories “above the line” – into our conscious awareness.

When we are faced with a perceived threat or the possibility of embarrassment, we tend to fall back on the illusory sense of control embodied in our self-stories and fail to exercise the values that we espouse as important such as “honesty, collaboration and fairness”. Bob Dick, in his research paper on Rethinking Leadership, asserts that in this scenario we try to “control the situation” and, in the process, desert our espoused values. Our sole focus is on self-protection.

Challenging our self-stories through a commitment to mindfulness practice

While ever we remain unaware of our negative self-stories or fail to face up to them when we become aware of their existence, we will be held captive and blinded by them. They can be persistent and pervasive. Addressing them in a single mindfulness session will be inadequate to prevent their recurrence. Negative self-stories are like weeds – you remove them from some aspect of your life, and they pop up elsewhere in a slightly different form. Even with persistent and focused meditation, negative self-stories will not be removed entirely. However, their negative impact on our lives will be reduced with committed mindfulness practice – what Tara calls “dedicated practice”. She encourages us, in the words of Henri Nouwen, “to push aside and silence the many voices” that question our worthiness and basic goodness.

The difficulty in trying to build any new, positive habit is being able to sustain the effort. Without sustained mindfulness practice, however, our self-stories will continue to hold us to ransom and control our beliefs, thoughts and actions. We need to become conscious of the damaging effects of these stories and to frequently recall the benefits of the freedom and creativity afforded to us through mindfulness practice. We can reinforce our commitment by revisiting the sense of expansiveness and self-realisation that mindfulness releases in us.

As we grow in mindfulness, through reflection and committed mindfulness practice, we can engage in self-exploration, unearth our negative self-stories and their damaging effects, experience openness to self-realisation and creativity, and rest in the calmness of our relaxed breathing.

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Image by skeeze on Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.

Loosening the Hold of False Beliefs

In a previous post, I explored the nature of harmful beliefs, how they arise and the negative impact they have in our lives. In this post, I want to focus on ways to challenge and manage these harmful beliefs and how to progressively break free of their hold over us – releasing the tight fist that constrains our interactions with others and blocks our creativity.

Again, I will be drawing on the wisdom and insight offered by Tara Brach in her new course, Releasing Negative Beliefs & Thought Patterns: Using Mindfulness to Break Out of the Trance.   Tara argues that the way to break free of the hold of our false beliefs is to recognise them for what they are, investigate them and their impact in our lives and practice mindful awareness to ground ourselves in external reality, rather than live out a figment of our imagination.

False beliefs – their true nature

Tara explains that many of the beliefs we hold about ourselves and others are not only harmful but are untrue – they are false beliefs. She maintains that they are “true but not real”. The beliefs are true in the sense that we create them in our minds and experience them in our bodies – whether the tightness of fear, the restlessness of anxiety or the unsettled stomach flowing from worry. Tara cites Hildegard de Bingen who speaks of the impact of our beliefs in terms of creating an interpretation of reality – developing a mental map that is not the territory or as Hildegard describes the unreality of our self-beliefs, “An interpreted world is not a home”.

So, the starting point for loosening the hold of these false beliefs is to recognise them for what they are – an interpretation we impose on the world and people around us. We substitute our beliefs about ourselves and others for the real world – “we are unworthy and unlovable”; “they are more intelligent and resourceful”; “we do not deserve people’s appreciation or kindness”; “they are so much more accepted and accomplished than us”.

False beliefs can lead to “the disease to please”

False beliefs can lead to what Hariet Braiker describes as The Disease to Please. This “disease” manifests in a number of ways and can lead to “people-pleasing habits” designed to gain another person’s approval. The people-pleasing person puts the needs of everyone else before their own which leads to personal overload and ill-health. They may denigrate their own contribution and over-inflate the contribution of others. These behaviours are self-defeating because the perceived ingratiating behaviour is viewed by others as insincere and “over-the-top” – thus negatively impacting significant relationships.

False beliefs about oneself lie at the heart of these habits and are reflected in a mindset that “being nice” will ward off rejection or harm by others – a potential rejection or harming perceived as warranted by us because we believe that we are “unworthy” or “unlovable”. These deep-seated, self-beliefs can arise from past adverse or traumatic experiences, including abuse by our parents or others.

Investigating false beliefs

Tara suggests that false beliefs about ourselves and others can be sustained by us because they are never subject to investigation or personal inquiry. She provides a series of questions that can help with this inquiry and lead to enhanced self-awareness. I have reframed the questions below which can be explored in a meditation session on a conflictual encounter or a blocked endeavour:

  1. What is my belief that is getting in the way? – naming the belief to tame its impacts
  2. How true is this belief or is it simply untrue?
  3. What happens for me when I entertain this belief – in what ways do I suffer, and my relationships/endeavours suffer, because of this belief?
  4. What would my experience of relationships (or of the achievement of creative endeavours) be like if I no longer entertained this belief?

Tara suggests that the release from false beliefs is a progressive “letting go” that can be blocked sometimes by our need for control. In letting go of false beliefs, we can experience uncertainty and insecurity because we have created a vacuum – we have not replaced these beliefs with ones that are grounded in reality. Through meditation, we can learn to substitute beliefs that affirm our worth, our lovability and our good intentions.

As we grow in mindfulness through meditation on conflicted situations or blocked endeavours, we can name our false beliefs, challenge their distortion of reality and loosen their hold on us. This will free us to engage more fully and positively in relationships and release our energy for creative endeavours.

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Image source: courtesy of johnhain on Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.

Being Present to the Power of the Now

Jon Kabat-Zinn, international expert in mindfulness and its positive effects on mental health, provides some important insights about being present in-the-moment.  Jon, author of Wherever You Go, There You Are,  presented on Mindfulness Monthly, and focused on mindfulness for living each day.  His emphasis was on the fact that mindfulness meditation is not an end in itself but a preparation for, or conditioning for, everyday living.

He argues that through mindfulness we develop the capacity to cope with everyday life and its challenges and demands – whether emotional, physical, economic or relationship-based.  He urges mindfulness practitioners to avoid the temptation to pursue the ideal meditation practice or the achievement of a particular level of awareness as a goal in itself.  He argues that the “Now” is the practice ground for mindfulness – being open to, and fully alive to, the reality of what is.  Being-in-the-moment can make us aware of the inherent beauty of the present and the creative possibilities that are open to us.

Dropping in on the now

Jon suggests that we “drop in on the now” as a regular practice to keep us in touch with what is happening to us and around us.  This involves being willing to accept whatever comes our way – whether good fortune or adversity, joy or pain.  

He maintains that being present entails embracing the “full catastrophe of human living”- the theme of his book, Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness.  This means accepting whatever is unfolding in the moment, whether “challenging, intoxicating or painful”.  It also means not seeing the present through the prism of our expectations, but through an open-heartedness.  As we have previously discussed, so much of what we see is conditioned by our beliefs, unless we build awareness of our unconscious biases through meditation and reflection.  Being mindful at work through short mindfulness practices can assist us to drop in on the now.

Taking our practice into the real world

Jon challenges us to take our practice of mindfulness into the real world of work, family and community.  He expresses concern about the hatred and delusion that is evident in so much of our world today – a state of intoxication flowing from a complete disconnection with, and avoidance of, the human mind and heart.

Jon urges us to do whatever we are able, within our own realms of activity, to treat ourselves with kindness and compassion and extend this orientation to everyone we interact with – whether in an official/work capacity or in a personal role interacting with people such as the Uber driver, the waiter/waitress, checkout person or our neighbour.  We are all interconnected in so many ways and on so many levels – as an embodied part of the universal energy field

Jon reminds us that increasingly science is recognising the positive benefits of mindfulness for individuals and the community at large. He stressed that neuroscience research shows that mindfulness affects many aspects of the brain – level of brain activity, structure of the brain and the adaptability of the brain (neuroplasticity).  Mindfulness also builds what is termed “functional connectivity” – the creation of new neural pathways that build new links to enable parts of the brain to communicate with each other.  Without mindfulness practice much of this connectivity remains dormant.

As we grow in mindfulness, we can become more present to what is happening now in various spheres of our lives, become more aware of latent opportunities and creative possibilities and more willing and able to extend compassion, forgiveness and kindness to others we interact with.  We can progressively shed the belief blinkers that blind us to the needs of others and the ways that we could serve our communities and help to develop wellness and happiness in others.

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By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Image source: courtesy of SalvatoreMonetti on Pixabay

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.

Identifying and Managing Harmful Beliefs

Tara Brach provides an insightful article on the nature and impact of harmful beliefs.   She explains the well-known fact that our beliefs about ourselves and others (that we hold to be true), influence our thoughts which in turn generate emotions that then shape our behaviour – especially our responses to what we perceive as negative triggers.   Tara points out that often our beliefs cause us suffering because while they are real, they are not true.  The negative bias of our brains serves to sustain these harmful beliefs.

Our false beliefs can take many forms:

  • I am not good enough
  • They are out to undermine me
  • I am not doing enough
  • I don’t deserve to belong to this group
  • They don’t want me to be a part of this activity
  • I am bad.

These negative beliefs can develop at an early age and be reinforced by our cultural environment and own life experiences.  Parental influences can play a big role, e.g. if we cannot live up to their expectations musically, academically or with sport.  We may have experienced early separation from one or both our parents either temporarily or permanently.  This can reinforce our natural inclination to separateness – seeing our self as separate from others- and develop a sense of what Tara calls, “severed belonging”.

Our negative beliefs about our self or others can lead to defensiveness and inappropriate behaviour in conflict situations.  Our beliefs act as a way to protect ourselves when we are feeling vulnerable.  These beliefs are often below the conscious level and can lead to unconscious bias.  The problem arises when we then use our experience, impacted by distorted perceptions, to confirm our beliefs, thus leading to “confirmatory bias”.  Tara suggests that our beliefs can act as a veil through which we see and interpret the world.

The reality is that our beliefs about our self and others are merely representations that serve as as “maps” to negotiate our interactions in daily life.  The problem, though, is that “a map is not the territory”.  Sometimes our “maps” are accurate and useful; other times they are flawed, misleading and a source of suffering.

Identifying and managing harmful beliefs

Tara provides an eight minute meditation podcast on how to come to grips with harmful beliefs and to manage them effectively.  The starting point after becoming grounded is to reflect on a situation where you were in conflict with someone else.

Tara draws on the work of Byron Katie, author of The Four Questions, to provide a series of questions that you can pursue as part of this beliefs meditation:

  1. What belief or set of beliefs was I entertaining during the interaction – what did I believe was happening? (identifying beliefs)
  2. Are these beliefs true or did I invent them to protect myself? (remembering that beliefs can be real to us but not true)
  3. How is my life impacted by this belief or set of beliefs – what is it doing to my day-to-day experience (am I feeling stunted, controlled or imprisoned by the beliefs?)
  4. What is the underlying vulnerability embedded in my belief/set of beliefs – does this exploration reveal a pattern?
  5. What would my life be like if I no longer held this belief or set of beliefs? (would I feel freed, better able to express compassion toward myself and others and able to develop my response ability?)

The process of identifying false beliefs and their impact on our thoughts, emotions and behaviour can create a new level  of self-awareness.  Once we have gained this insight, the process of managing our beliefs involves “letting go“, so we can progressively release our self from the distortions of reality involved, increase our openness, develop creativity and improve our relationships.

As we grow in mindfulness through beliefs meditation and reflection on our  less-than-satisfactory interactions, we can identify and manage false beliefs that bring suffering to our daily lives and achieve a new level of vulnerability, not higher levels of protectionism.

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Image source: courtesy of rawpixel on Pixabay

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog