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PERSPECTIVES ON FAMILY SYSTEMS & BEHAVIOURS: THE BOWEN THEORY- (CHAPTER 02)

***Continued from Chapter 01 (Covered previously: Diwali & Family Ties, Bowen Family Systems, Three out of the eight concepts of the Bowen Theory Views)

Link to Chapter 01:

04: Family Projection Process

Children inherit many types of problems (as well as strengths) through the relationships with their parents, but the problems they inherit that most affect their lives are relationship sensitivities such as heightened needs for attention and approval, difficulty in dealing with expectations, the tendency to blame oneself or others, feeling responsible for the happiness of others or that others are responsible for one’s own happiness, and acting impulsively to relieve the anxiety of the moment rather than tolerating anxiety and acting thoughtfully. The projection process follows three steps:

These steps of scanning, diagnosing, and treating begin early in the child’s life and continue. The child grows to embody the fears and perceptions of the parent.

Example:- . . . parents perceive their child to have low self-esteem, they repeatedly try to affirm the child, and the child’s self-esteem grows dependent on their affirmation.

Parents often feel they have not given enough love, attention, or support to a child’s manifesting problems, but they have invested more time, energy, and worry in this child than in other siblings. The siblings less involved in the family projection process have a more mature and reality-based relationship with their parents that fosters the siblings developing into less needy, less reactive, and more goal-directed people. The mother is usually the primary caretaker and more prone than the father to excessive emotional involvement with one or more of the children. The father typically occupies the outside position in the parental triangle, except during periods of heightened tension in the mother-child relationship.

05: Multigenerational Transmission Process

This describes how small differences in the levels of differentiation between parents and their offspring lead over many generations to marked differences in differentiation among the members of a multigenerational family. The information creating these differences is transmitted across generations through relationships. The transmission occurs on several interconnected levels ranging from the conscious teaching and learning of information to the automatic and unconscious programming of emotional reactions and behaviours.

The combination of parents actively shaping the development of their offspring, offspring innately responding to their parents’ moods, attitudes, and actions, and the long dependency period of human offspring results in people developing levels of differentiation of self that is similar to their parents’ levels. The next step in the multigenerational transmission process is people predictably selecting mates with levels of differentiation that match their own. As these processes repeat over multiple generations, the differences between family lines grow increasingly marked.

The Level of differentiation can affect longevity, marital stability, reproduction, health, educational accomplishments, and occupational successes. The highly differentiated people have unusually stable nuclear families and contribute much to society; the poorly differentiated people have chaotic personal lives and depend heavily on others to sustain them. A key implication of the multigenerational concept is that the roots of the most severe human problems as well as of the highest levels of human adaptation are generations deep.

For example:-.. . if a family programs someone to attach intensely to others and to function in a helpless and indecisive way, he/she will likely select a mate who not only attaches to him/her with equal intensity, but one who directs others and makes decisions for them.

06: Emotional Cut-off

This explains about people managing their unresolved emotional issues with parents, siblings, and other family members by reducing or totally cutting off emotional contact with them. Emotional contact can be reduced by people moving away from their families and rarely going home, or it can be reduced by people staying in physical contact with their families but avoiding sensitive issues. Relationships may look “better” if people cut-off to manage them, but the problems is dormant and not resolved. People risk making their new relationships too important.

For example:- . . .the more a man cuts off from his family of origin, the more he looks to his spouse, children, and friends to meet his needs. This makes him vulnerable to pressuring them to be certain ways for him or accommodating too much to their expectations of him out of fear of jeopardizing the relationship.

People who are cut-off may try to stabilize their intimate relationships by creating substitute “families” with social and work relationships. An unresolved attachment can take many forms.

Examples may be:-

People often look forward to going home, hoping things will be different this time, but the old interactions usually surface within hours. It may take the form of surface harmony with powerful emotional undercurrents or it may deteriorate into shouting matches and hysterics. Both the person and the family may feel exhausted even after a brief visit. It may be easier for the parents if an adult child keeps distance. The family are relieved when the person leaves.

07: Sibling Position

People who grow up in the same sibling position predictably have important common characteristics. Where a person is in the birth order in the family, has an influence on how he/she relates to her parents and siblings. Oldest children tend to gravitate to leadership positions and youngest children often prefer to be followers. The characteristics of one position are not “better” than those of another position, but are complementary. Some examples:. .

People in the same sibling position may exhibit marked differences in functioning. The concept of differentiation can explain some of the differences. For example:. . . . .. . . rather than being comfortable with responsibility and leadership, an oldest child who is anxiously focused on may grow up to be markedly indecisive and highly reactive to expectations. Consequently, his younger brother may become a “functional oldest,” filling a void in the family system. He is the chronologically younger child, but develops more characteristics of an oldest child than his older brother. Middle children may exhibit the functional characteristics of two sibling positions.

The sibling positions of a person’s parents are also important to consider. An oldest child whose parents are both youngests’ encounters a different set of parental expectations than an oldest child whose parents are both oldests’.

08: Societal Emotional Process

Each concept in Bowen theory applies to nonfamily groups, such as work and social organizations. The concept of societal emotional process describes how the emotional system governs behaviour on a societal level, promoting both progressive and regressive periods in a society. Cultural forces are important in how a society functions but are insufficient for explaining the ebb and flow in how well societies adapt to the challenges that face them.

In times of regression (like the current pandemic), people act to relieve the anxiety of the moment rather than act on principle and a long-term view. A regressive pattern began unfolding in society after World War II. It worsened some during the 1950s and rapidly intensified during the 1960s. The “symptoms” of societal regression include a growth of crime and violence, an increasing divorce rate, a more litigious attitude, a greater polarization between racial groups, less principled decision-making by leaders, the drug abuse epidemic, an increase in bankruptcy, and a focus on rights over responsibilities. Human societies undergo periods of regression and progression in their history.

Content Curated By: Dr Shoury Kuttappa.

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PERSPECTIVES ON FAMILY SYSTEMS & BEHAVIOURS: THE BOWEN THEORY -CHAPTER 01

Diwali, also known as the Festival of Lights, symbolizes the spiritual “victory of light over darkness, good over evil, and knowledge over ignorance”.  Celebrations are wonderful ways in which our deep physical, social and psychological needs are met. The family is an important institution that plays a crucial role in the lives of most Indians. In this era of nuclear families, where we experience clashes and misunderstanding on multiple occasions, the survival and dignified growth of family relationships becomes a concern.

Diwali & The Four Life Stages – Varnashrama Dharma

Diwali is not only a festival of lights but also the festival of family relations and celebration. In Ancient India, for the optimum fulfilment, satisfaction and peace in one’s life, the stages of life were discussed as the ‘ashramas’ or ‘Varnashrama Dharma’.

The Varnashrama Dharma system consists of four age-based life stages discussed in Indian texts of the ancient and medieval eras. The child begins his or her life with Brahmacharya stage as a student, then progresses to the Grihastha stage of a householder, then retires to Vanaprastha stage and finally accepts the Sanyasa stage of renunciation.

The Grihastha Ashrama stage (after the marriage of an individual) is considered the most important of all stages in the social, cultural and economic context, as human beings not only pursued a virtuous life, they produced food and wealth that sustained people in other stages of life, as well as, the offspring, that continued mankind. This stage is also where the most intense physical, sexual, emotional, occupational, social and material attachments exist in a human beings life.

Almost all the festivals in India are concentrated around this concept of celebration with family and friends. However, Diwali celebrates the Grihastha stage to the fullest sense by focusing on the multiple aspects and qualities of it, highlighting the need to enjoy and appreciate each member of the family with deserving importance and their mutual bonding with other members of the family. It is almost a complete compendium of coordination of members of family, respect towards each other, love, affection, care and sharing, human values of forgiving, gratitude and humility.

Diwali helps us to seamlessly transmit family values and find our place in the circle of life. Coming together to celebrate a festive occasion reinforces family relationships, provides ample opportunities for bonding and nourishes emotional attachments. Happy memories become positive inner resources that help to calm the mind – they release the feel-good chemicals in the brain. Creating happy memories helps us remember the good times more than the bad ones.

The Bowen Family Systems Theory

The Bowen family systems theory was developed by psychiatrist and researcher Dr Murray Bowen (1913–90). In recent years Bowen’s concept of ‘differentiation of self’ — which describes differing levels of maturity in relationships — has been shown by researchers to be related to important areas of well-being, including marital fulfilment, and the capacity to handle stress, make decisions and manage social anxiety.

Bowen’s theory lends a perspective to understand the variations in how different people manage similarly stressful circumstances. The theory looks at our personal and relationship problems as coming from exaggerated responses, to sensing a threat to family harmony and that of other groups. Some examples from daily life:

Bowen’s concept of ‘differentiation of self’ forms the basis of a systems understanding of maturity. The concept of differentiation refers to the ability to think as an individual while staying meaningfully connected to others. It describes the varying capacity each person has to balance their emotions and their intellect, and to balance their need to be attached with their need to be a separate self. The best way to grow a more solid self was in the relationships that make up our original families; running away from difficult family members would only add to the challenges in managing relationship upsets.

The Eight Concepts

01: Triangles

A triangle is a three-person relationship system. It is considered the building block or “molecule” of larger emotional systems because a triangle is the smallest stable relationship system. A two-person system is unstable because it tolerates little tension before involving a third person. A triangle can contain much more tension without involving another person because the tension can shift around three relationships. If the tension is too high for one triangle to contain, it spreads to a series of “interlocking” triangles. Spreading the tension can stabilize a system, but nothing gets resolved.

A triangle creates an odd man out, which can be a difficult position for individuals to tolerate. Anxiety generated by anticipating, being, or by being the odd man out is a potent force in triangles. The patterns in a triangle change with increasing tension. In calm periods, two people are comfortably close “insiders” and the third person is an uncomfortable “outsider.” The insiders actively exclude the outsider, and the outsider works to get closer to one of them. Someone is always uncomfortable in a triangle and pushing for change. The insiders solidify their bond by choosing each other in preference to the less desirable outsider.

People’s actions in a triangle reflect their efforts to assure their emotional attachments to important others, their reactions to too much intensity in the attachments, and their taking sides in others’ conflicts. When someone chooses another person over oneself, it arouses particularly intense feelings of rejection. If mild to moderate tension develops between the insiders, the most uncomfortable one will move closer to the outsider. One of the original insiders now becomes the new outsider and the original outsider is now an insider.

At a high level of tension, the outside position becomes the most desirable. If severe conflict erupts between the insiders, one insider opts for the outside position by getting the current outsider fighting with the other insider. If the manoeuvring insider is successful, he gains the more comfortable position of watching the other two people fight. When the tension and conflict subside, the outsider will try to regain an inside position.

Examples:

02: Differentiation of Self

Families and other social groups tremendously affect how people think, feel, and act, but individuals vary in their susceptibility to a “groupthink” and groups vary in the amount of pressure they exert for conformity. These differences between individuals and between groups reflect differences in people’s levels of differentiation of self. The less developed a person’s “self,” the more impact others have on her/his functioning and the more she/he tries to control, actively or passively, the functioning of others.

The basic building blocks of a “self” are inborn, but an individual’s family relationships during childhood and adolescence primarily determine how much “self” he develops. Once established, the level of “self” rarely changes unless a person makes a structured and long-term effort to change it.

People with a poorly differentiated “self” depend so heavily on the acceptance and approval of others that either they quickly adjust what they think, say, and do to please others or they dogmatically proclaim what others should be like and pressure them to conform. An extreme rebel is a poorly differentiated person too, but she/he pretends to be a “self” by routinely opposing the positions of others.

People with a well-differentiated “self” are able to recognize their realistic dependence on others, and can stay calm and clear headed enough in the face of conflict, criticism, and rejection. They can distinguish thinking rooted in a careful assessment of the facts, from thinking clouded by emotionality. Thoughtfully acquired principles help guide decision-making about important family and social issues, making them less at the mercy of the feelings of the moment. What they decide and what they say matches what they do. They can act selflessly, but their acting in the best interests of the group is a thoughtful choice, not a response to relationship pressures.

03: Nuclear Family Emotional Process

The concept of the nuclear family emotional system describes four basic relationship patterns that govern where problems develop in a family. The forces primarily driving them are part of the emotional system. The tension level depends on the stress a family encounters, how a family adapts to stress, and on a family’s connection with extended family and social networks. Tension increases the activity of one or more of the four relationship patterns. Where symptoms develop depends on which patterns are most active. The four basic relationship patterns are:

The more anxiety one person or one relationship absorbs, the less other people must absorb. This means that some family members maintain their functioning at the expense of others. People do not want to hurt each other, but when anxiety chronically dictates behaviour, someone usually suffers for it.

***To be continued in Chapter 02 (Points 04 to 08) Link to Chapter -02:

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THE DIDEROT EFFECT: INTERTWINED BEHAVIOURS

The famous French philosopher Denis Diderot lived nearly his entire life in poverty, but that all changed in 1765. Diderot was 52 years old and his daughter was about to be married, but he could not afford to provide a dowry. Despite his lack of wealth, Diderot’s name was well-known because he was the co-founder and writer of Encyclopédie, one of the most comprehensive encyclopedias of the time.

When Catherine the Great, the Empress of Russia, heard of Diderot’s financial troubles she offered to buy his library from him for £1000 GBP (in AD 1765….!!) Suddenly, Diderot had money to spare. Shortly after this lucky sale, Diderot acquired a new scarlet robe. That’s when everything went wrong.

The Diderot Effect

Diderot’s scarlet robe was so beautiful, that he immediately noticed how out of place it seemed when surrounded by the rest of his common possessions. In his words, there was “no more coordination, no more unity, no more beauty” between his robe and the rest of his items. The philosopher soon felt the urge to buy some new things to match the beauty of his robe. He replaced his old rug with a new one from Damascus. He decorated his home with beautiful sculptures and a better kitchen table. He bought a new mirror to place above the mantle and his “straw chair was relegated to the antechamber by a leather chair.”

These reactive purchases have become known as the Diderot Effect, which states that obtaining a new possession often creates a spiral of consumption which leads us to acquire more new things. As a result, we end up buying things that our previous selves never needed to feel happy or fulfilled.

Why We Want Things We Don’t Need

We can spot similar behaviours in many other areas of life. Some common instances are:

Life has a natural tendency to become filled with more. We are rarely looking to downgrade, to simplify, to eliminate, to reduce. Our natural inclination is always to accumulate, to add, to upgrade, and to build upon.

The Role Of The Diderot Effect In Evolution

Now it may seem from the get-go that the Diderot Effect feeds on something negative, and the words greed and consumerism come to mind. But when we think about it, the Diderot Effect could be a form of evolution. After all, as the world progresses towards a new chapter, everyone in it would also evolve in terms of their needs and wants.

For example, decades ago, one would not think about having the ability to talk to someone from the other side of the world on a real-time basis, and never at a low cost. However, smartphones, mobile gadgets and the internet has made all this possible. Now, these are not just considered as wants, but actual needs. And with these needs comes a string of other needs, like the subscription to a data plan. For business owners, this effect causes you to think about two things:

  • The consumer’s need for upgrades
  • The consumer’s need for accessories and/or complementary products

The Diderot Effect in Action

Here’s a clear example of how this works. Let’s look at a professional on the go. This person probably has a laptop that he/ she uses to communicate with the team and prepare presentations and reports as the person flies from one site to another. If we are in the business of developing software for this professional, how would we take advantage of the situation?

Well, we would probably make sure that the tools the person uses continue to be as efficient as possible. For every challenge or difficulty these professionals encounter, we can have a ready upgrade that would solve the problem in an instant. However, these upgrades would require other peripherals as well, sometimes, reaching a point where the person using it has to upgrade their laptop’s operating system, or buy a new and more advanced laptop.

It is the same scenario as your basic Diderot Effect – but with an underlying reason that justifies the process. It’s not just about a senseless yearning for exquisite things for the want of upgrading one’s lifestyle. It’s also about keeping up with the times and understanding that as the world evolves, our needs would have to evolve as well for us to continue being productive and successful.

Mastering the Diderot Effect

The Diderot Effect tells us that life is only going to have more things fighting to get in it, so we need to understand how to curate, eliminate, and focus on the things that matter. Nearly every habit is initiated by a trigger or cue. One of the quickest ways to reduce the power of the Diderot Effect is to avoid the habit triggers that cause it in the first place. Unsubscribe from commercial emails. Call the magazines that send catalogues and opt out of their mailings. Meet friends at the park rather than the mall. Block favourite shopping websites using tools like Freedom.

Become aware it is happening. Observe when we are being drawn into spiralling consumption not because of an actual need of an item, but only because something new has been introduced. Analyse and predict the full cost of future purchases. A store may be having a great sale on a new outfit—but if the new outfit compels us to buy a new pair of shoes or handbag to match, it just became a more expensive purchase than originally assumed.

Buy items that fit our current system. We don’t have to start from scratch each time we buy something new. When we purchase new clothes, we can look for items that work well with our current wardrobe. When upgrading to new electronics, we can get things that play nicely with our current pieces so we can avoid buying new chargers, adapters, or cables.

Buy One, Give One. Each time we make a new purchase, we can give something away. Get a new TV? Give the old one away rather than moving it to another room. The idea is to prevent the number of items from growing. The habit of always be curating our life to include only the things that bring us joy and happiness can be effective.

Let go of wanting things. There will never be a level where we will be done wanting things. There is always something to upgrade to. Get a new Honda? You can upgrade to a Mercedes. Get a new Mercedes? You can upgrade to a Bentley. Get a new Bentley? You can upgrade to a Ferrari. Get a new Ferrari? Have you thought about buying a private plane? We need to realize that wanting is just an option our mind provides, not an order we have to follow.

Our natural tendency is to consume more, not less. Taking active steps to reduce the flow of unquestioned consumption makes our lives better.

Setting self-imposed limits helps as well. Live a carefully constrained life by creating limitations for you to operate within. Avoid unnecessary new purchases. Realize the Diderot Effect is a significant force and overcoming it is very difficult. There are times when we have a legitimate need to buy new things. But the best way to overcome the Diderot Effect is to never allow it to overpower us in the first place.

Remind ourselves that possessions do not define us. The abundance of life is not found in the things that we own. Our possessions do not define us or our success. Buy things for their usefulness rather than their status. Stop trying to impress others with our stuff and start trying to impress them with our life.

***Source Credits: http://www.en.wikipedia.org

Content Curated By: Dr Shoury Kuttappa

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THE LONG VIEW (OR) BIG PICTURE THINKING – CHAPTER 02

***Continued from Chapter 01 (Covered previously: What Is Big Picture Thinking, Importance Of Big Picture Thinking, Detail Oriented Or A Big Picture Thinker- The Difference)

Link to Chapter 01:

Identifying the Different Approaches – Approach Indicators

No matter which field we belong to – an aspiring entrepreneur, someone who’s putting together a dream team, or polishing our leadership skills, big picture thinking can help open up, innovative and unexpected creative paths, ideas and solutions.

Detail-Oriented Approach Indicators

  • We prefer tweaking an existing plan than creating one from scratch
  • We think over issues in such great detail that we sometimes miss the bigger picture
  • We end up putting down or highlighting almost all notes
  • We work towards high-quality work in most areas of our life and struggle with perfectionist tendencies
  • We’re organized and/or like routine

Big Picture Approach Indicators

  • We can easily spot patterns in problems
  • We have a low tolerance for busywork, tedious errands, and routine
  • We are good at figuring out an overview of strategies to get something done
  • We get bored when we have to deal with the tiny details of a project
  • People view us as incredibly creative and we like to come up with original ideas
  • We don’t obsess over little details and therefore, solve problems fairly quickly

The Balance: Big Picture & Detailed Orientation- Components in Business

Strategies Towards a Big Picture Focus

A) Identify habits that limit our big picture thinking ability:. . . Our natural preferences often prevent us from blue sky thinking. So, the first step: break bad habits. Here’s a 3-step framework:

B) See things from a different lens: . . . Diving into big picture questions helps us connect the dots from our actions/tasks to the big goal. In this book, The Magic of Thinking Big, David J. Schwartz calls this, “see what can be, not just what is.” A good starting point is to ask ourselves, ‘what am I trying to achieve?’ Some big picture questions may be:

C) Think big by looking up: . . . The super basic rundown is that whenever we are focusing on the big picture, look up. And look down when not seeing the big picture.

A nice example of chunking reasoning is to think of transport. We can start with a motor car. If We chunk down, We might go to wheel, then rim, then rubber, then tread and even road. If We chunk up, We might go to transport, then to travel, then to vacation, then to wellbeing, etc.”

D)  Use bulleted lists to think big: . . . This is a trick many of use on a regular basis – making a bulleted list of the big picture and then adding sub-bullets to each pillar step. We can then step back and look at what can be added or removed from the sub-bullet pointers to keep the needle moving forward.

So why did this work? Because bullet points give us the visuals on the big picture. It’s challenging to connect the dots when we can’t see them. It’s also tough to translate the big picture if we don’t have it in front of us. What’s more, bullet points are easy to access and revise anytime. This, in turn, provides clarity.

E) Start journaling / mind mapping: . . . When we put our internal prattle on paper, we can easily spot where we are flailing or how it can be shaped to fit the bigger picture. To begin with, note down the big picture, followed by the small details pestering us. The trick is to make sure that it represents not only the big picture, but that it represents the detail, or actionable elements as well. Then record our thoughts to see if they deviate from the big picture plan. 

F) Schedule in some thinking time: . . . Often, when we rush to make a decision, we end up feeling sorry about it. When this happens, it’s usually for one of three reasons:

If we find ourselves nodding yes to any or all of these points, pencil in some uninterrupted, thinking time to our schedule. This space is crucial to making better decisions that rely on the big picture. We will also be able to rate our priorities better – what matters in the big picture, how it contributes to the big picture and so on. This will help us to stop hustling so hard, and ditch the shiny object syndrome.

Self Reflection- The Key

If we pause and contemplate how we are doing, we can make small tweaks that help us stay consistently productive. Some pointers to reflect on may be:

When we are busy executing any tasks in our lives for far too long, it’s easy to forget the details or the big picture depending on the type of thinker we are. For instance, as a big picture thinker, we may be excited by how our old and new ideas are connecting and work on outlining them, forgetting that the ideas have to be structured by many crucial details to work in the long term. The details person on the other hand might be buried in unending to-do-lists, feeling secure in the routines only to be disrupted by an enormous transition they didn’t anticipate.

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COMPASSION TRAINING: BEHAVIORS ASSOCIATED IN CULTIVATING COMPASSION – (CHAPTER 02)

***Continued from Chapter 01 (Covered previously: What is compassion, differentiation from pity, sympathy, empathy, love, etc., Orientations of compassion)

Link to Chapter 01:

How Can We Best Cultivate Compassion?

A growing body of evidence suggests that, at our core, most humans have a natural capacity for compassion. Infants too young to have learned the rules of politeness spontaneously engaged in helpful behaviour without a promise of reward, and would even overcome obstacles to do so. Despite this, everyday stress, social pressures and life experiences, in general, can make it difficult to experience and fully express compassion to ourselves and to others. Fortunately, we also have the capacity to nurture and cultivate a more compassionate outlook.

Cultivating compassion is more than experiencing empathy or concern for others. It develops the strength to cope with suffering, to take compassionate action, and the resilience to prevent compassion fatigue – an extreme state of tension and preoccupation with the suffering of others. These qualities support a wide range of goals, from improving personal relationships to making a positive difference in the world.

There are at least six current empirically-supported (Research Based) )interventions that focus on the cultivation of compassion:

A) Compassion-Focused Therapy: . . . . . . . . . . This focuses on two psychologies of compassion. The first is a motivation to engage with suffering, and the second is focused on action, specifically acting to help alleviate and prevent suffering. It is an integrated and multi-modal approach concerned with alleviating the sense of shame and high levels of self-criticism we often experience.

B) Mindful Self-Compassion: . . . . . . . . . . This was developed as a program to help cultivate self-compassion, that is treating ourselves with the same kindness, concern, and support we would show to a good friend. This combines the skills of mindfulness and self-compassion to enhance our capacity for emotional well-being. Its emphasis is on distinguishing between the inner critic and compassionate-self.

C) Compassion Cultivation Training: . . . . . . . . . . It draws its theoretical underpinnings from contemplative practices of Tibetan Buddhism and Western psychology. It delivers training in compassion practices across six steps:

D) Cognitively-Based Compassion Training: . . . . . . . . . . This draws from what is known as ‘lojong’ in Indo-Tibetan Buddhism and coaches practitioners to cultivate compassion through simple contemplative practices. It incorporates mindfulness and cognitive restructuring strategies to encourage a shift of perspective through reflection about ourselves and our relationship to others.

E) Cultivating Emotional Balance: . . . . . . . . . . This is based on Western scientific research on emotions, and traditional Eastern contemplative practices and is aimed at building emotional balance. Here there is an emphasis on understanding emotions and being able to recognize the emotions of others. It is an educational training method that creates pathways to compassion by training and teaching individuals to recognize the suffering of others and of oneself, and to tolerate the distress more effectively through learning new ways of managing emotions.

F) Compassion Meditations and Loving-Kindness Meditations: . . . . . . . . . .These are often combined and practiced together in compassion-based interventions to help settle the mind, increase compassion to self and others, and to improve mental health. They are meditations during which the aim is to express goodwill, kindness, and warmth towards others by silently repeating a series of mantras. Both practices involve a structured approach where individuals can learn to direct caring feelings towards oneself, then towards loved ones, then towards acquaintances, then towards strangers, then towards someone with whom one experiences interpersonal difficulties, and finally towards all living beings without distinction.

Can Compassion Be Measured?

Existing research based popular psychometric instruments (questionnaires) that are used in the measurement of compassion are mentioned below. Each has its own varying validity and focuses on different aspects of compassion.

  1. Compassionate love scale
    • Intended for the general population
    • Consists of two forms: one relating to close family and friends, and one focusing on humanity as a whole.
  2. Santa Clara brief compassion scale
    • Examines compassion in relation to strangers
  3. The compassion scale
    • Provides measure of compassion across domains that could be strengthened through guided coaching.
  4. Self-compassion scale
    • Does not include items specifically relating to being attentive to how one is feeling.
  5. The compassion scale (Pommier)
    • Based on the theory compassion consists of kindness, mindfulness, and common humanity.
  6. Relational compassion scale
    • Measures compassion for others, for themselves, their beliefs about how compassionate people are to one another, and their beliefs about how compassionate other people are towards them.
  7. Compassionate care assessment tool
    • This tool is completed by receivers in relation to their caregivers.
  8. The Schwartz Center compassionate care scale
    • Measures receivers’ ratings of compassionate care received from their caregivers.

Ways to Build and Cultivate Compassion in Daily Routines

The aim of these exercises and activities is to cultivate compassion in whatever state you currently occupy.

  • Begin each day with compassion in mind
  • Volunteer: . . . Donating our time to a worthwhile cause is just one of the ways we can actively show compassion to others.
  • Actively listen: . . .Being fully present and truly listening to others. Listening provides relief to those in a world that can be indifferent to suffering.
  • Have a self-compassion break – Taking a self-compassion break to help bring the important aspects of compassion to mind when you need it most. Example: Think of a situation that is causing us stress and tell ourselves ‘I am struggling in this moment and that’s ok’, ‘I am not alone’, and offering ourselves soothing words of acceptance.
  • Ask ourselves- How would I treat a friend? – We are often more critical and judgmental about our own struggles than those of others. How would we treat a friend experiencing hard times? Why treat ourselves any differently?
  • Practicing mindfulness – Mindfulness is the process of bringing one’s attention to experiences occurring in the present moment and develops the ability to recognize distress in ourselves while encouraging emotional balance in the face of adversity.
  • Keeping a compassion journal –to record the moments we experienced compassion, anything we felt bad about, and anything we judged ourselves harshly for. Write down some kind, understanding words of comfort.
  • Commonalities – Rather than focusing on how we differ from others, we can try instead to recognize what we have in common. Reflect on the commonalities we have with everyone else – we are all connected to the larger human experience.
  • Guided meditation – Compassion meditation and related practices can have many positive outcomes, including increasing self-compassion and other-focused compassion
  • Write a compassion letter to ourselves. Example: Think of something that tends to make us feel bad about ourselves. Now imagine an unconditionally loving and compassionate friend who can see all our strengths and weaknesses. Write a letter to ourself from the perspective of this friend, focusing on the perceived inadequacy we tend to judge ourselves for. What would this friend say from the perspective of unlimited compassion? After writing the letter, put it down for a little while. Then come back to it and read it again, really letting the words sink in.
  • The Eastern wisdom practice of Tonglen – take a moment to imagine all the people in the world who may be struggling in the same way that we are. Inhale and think of how we are experiencing the same feelings as others are. Exhale and focus on the compassion we feel both for ourself and for others.

We often consider some people to be more compassionate than others, but we have the potential to adopt a more compassionate outlook through training and deliberate practice. While it may be challenging, the cultivation of compassion is undeniably beneficial – to us and to those around us.

Content Curated By: Dr Shoury Kuttappa.

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SELF DIFFERENTIATION: – BEHAVIOURS LINKED

Self-differentiation is a word we probably do not hear in everyday usage. But it is a crucial process to living (and eating) well. It is happening when we hear people speaking their minds with thoughtful conviction even though others might disapprove. It is lacking when someone spends their life rebelling against the views and values of parents/ colleagues and clinging to their opposite. It is missing when someone stifles feelings and thoughts in fear of hurting others or being rejected or shamed by them.  

Differentiation of self was defined by Murray Bowen (Psychiatrist, Professor- Georgetown University) in 1978 as the degree to which one is able to balance: (a) emotional and intellectual functioning, and (b) intimacy and autonomy in relationships.

His theory has two major parts.

1) Differentiation of self is the ability to separate feelings and thoughts. Undifferentiated people cannot separate feelings and thoughts; when asked to think, they are flooded with feelings, and have difficulty thinking logically and basing their responses on that.

2) Further, they have difficulty separating their own from others’ feelings; they look to family to define how they think about issues, feel about people, and interpret their experiences.

On an intrapsychic level, differentiation refers to the ability to distinguish thoughts from feelings and to choose between being guided by one’s intellect or one’s emotions.

Self-differentiation involves being able to possess and identify our own thoughts and feelings and distinguish them from others. It is a process of not losing connection to self while holding a deep connection to others, including those we love whose views may differ from ours. For Example- if we grow up in a family in which everyone maintains attachment (or has only brief disconnects) in spite of having different thoughts and feelings, we can begin to self-differentiate.

Greater differentiation allows one to experience strong affect or shift to calm, logical reasoning when circumstances dictate. Flexible, adaptable, and better able to cope with stress, more differentiated individuals operate equally well on both emotional and rational levels while maintaining a measure of autonomy within their intimate relationships. Highly differentiated individuals are thought to demonstrate better psychological adjustment.

In contrast, poorly differentiated persons tend to be more emotionally reactive, finding it difficult to remain calm in response to the emotionality of others. With intellect and emotions fused, they tend to make decisions based on what “feels right”; in short, they are trapped in an emotional world. Less differentiated individuals experience greater chronic anxiety.

From a process orientation, differentiation is an active, ongoing process of connecting to and honouring our own experience, acting in integrity with our values, and engaging in collaboration with others to meet needs. When differentiated, we are able to identify our needs and preferences in any given situation and to speak up for them when necessary. We regularly and explicitly clarify boundaries. We are able to manage the reactivity and discomfort that comes from either risking greater intimacy or potential separation and conflict.

Not only do problems with lack of self-differentiation make healthy adult relationships impossible, but they cause tremendous inner turmoil which can often lead to comfort eating. We may get furious because we feel controlled by someone who wants us to do something we do not wish to do but believe we are unsafe expressing our feelings openly. Or we may silence ourselves around others and feel inauthentic, unheard, or invisible, and with needs unmet, seek food for solace.

Here are some core skills and behaviors that signify and support differentiation to cultivate and watch for:-

  1. Groundedness and clarity about our identity; confidence in our innate goodness and lovability.
  2. Self-awareness, self-empathy, self-regulation/soothing remain accessible and consistent throughout a given day.
  3. Self-responsibility: an ability to share unmet needs without blame, criticism, or demands.
  4. An ability to meet differences with respect, curiosity, empathy, or celebration.
  5. An ability to listen with empathy in interactions we perceive as difficult or challenging.
  6. An ability to make changes within or to end relationships in which collaboration and mutual respect are not met.
  7. Consistent engagement in activities and behaviours that support our thriving.
  8. Having multiple trusted strategies to meet any given need; not expecting to meet any need with just one person or one strategy.
  9. A consistent sense of meaning and purpose.
  10. A consistent and confident sense of autonomy and agency.
  11. An ability to express authentically while considering the needs of others and risking conflict.
  12. Mindfulness practice: noticing your experience with compassion; having an ability to identify your intention, feelings, needs, and requests in any given moment.

Emotional fusion refers to an emotional intertwining between people and or between people and other animals or between people and objects. This is an attachment that is a part of all relationships but varies in quantity depending on two variables: the level of chronic anxiety and the level of differentiation of self of the individuals involved.

A high degree of fusion or attachment reflects a high degree of sensitivity of people to each other and when sufficiently intense takes one of two forms: “I can’t do without you” or “I can’t stand to be around you.” Regardless of the external form fusion takes, it reflects a state of “we-ness” in that people believe, to some extent, that they must feel alike, think alike, and behave alike.

Anger and over-compliance, for example, are two sides of the same coin. Both are the result of fusion or the inability to function, the result of having thoughts and actions determined by others. We should take pride in our emotions but be wary of the forces that are trying to manipulate them. We must always balance emotion with reason.

Content Curated By: Dr Shoury Kuttappa.

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THE REFLECTIVE MIND: UNDERSTANDING THE MECHANICS OF SELF-REFLECTION

Being present with oneself, in the moment, being mindful, mentalizing, reflective function—all of these constructs point toward a crucial recognition of one’s own experience that takes place repeatedly on short time scales, as much as it is an overarching way of seeing that spans a lifetime. Practicing curiosity fosters open-mindedness.

There is a firm but gentle way to be intently aware, where one almost sees oneself as a beloved stranger. Being a stranger to oneself can represent alienation and nihilism, but it can also be the beginning of a love affair as we meet ourselves anew. Closeness to oneself, however, can pose a variety of real and imagined threats. It is important to respect our own boundaries, self-consent to all major decisions, and equip ourselves well.

Self-Absorption vs. Self-Reflection

In the journey of self-discovery and personal growth, two seemingly similar yet fundamentally different concepts often arise: self-absorption and self-reflection. While both involve introspection and inward focus, understanding the nuances between them is crucial for fostering genuine growth and avoiding potential pitfalls.

The Key Distinctions: Intentions and Outcomes

At the core of the distinction between self-absorption and self-reflection lie the intentions and outcomes of each mindset. Self-absorption is driven by a need for validation, self-aggrandizement, and the preservation of one’s ego. It often leads to stagnation, interpersonal conflicts, and a lack of meaningful connections.

In contrast, self-reflection is motivated by a genuine desire for personal growth, understanding, and empathy. It fosters deeper connections with oneself and others, promotes self-awareness and emotional intelligence, and cultivates resilience in the face of challenges. Achieving a balance between self-absorption and self-reflection requires mindfulness and conscious effort. Here are some practical strategies to navigate this balance effectively:

Understanding Self-Inquiry

Rooted in various philosophical and spiritual traditions, self-inquiry involves a deep exploration of one’s thoughts, emotions, beliefs, and motivations. At its core, self-inquiry is a process of asking ourselves profound questions and reflecting on the answers that arise. These questions may vary depending on individual needs and circumstances, but they often revolve around themes such as identity, purpose, values, fears, desires, and relationships. Through self-inquiry, we seek to unravel the layers of conditioning, assumptions, and unconscious patterns that shape our perceptions and behaviors. Key Principles of Self-Inquiry may include:

The Dangers of Excessive Self-Reflection: When Introspection Becomes a Trap

Self-reflection, like any tool, can be misused or taken to extremes, leading to a host of negative consequences.

  1. Paralysis by Analysis: The tendency to overanalyze every aspect of our thoughts, feelings, and actions. Instead of leading to clarity and understanding, this can result in a state of paralysis where individuals become stuck in endless loops of rumination and indecision. They may find themselves constantly second-guessing their choices, unable to take action for fear of making the wrong decision.
  • Increased Stress and Anxiety: Constantly scrutinizing our thoughts and behaviors can also lead to heightened levels of stress and anxiety. When we are hyper-focused on our perceived flaws and shortcomings, we are more likely to experience negative emotions such as worry, self-doubt, and fear of failure.
  • Self-Obsession and Narcissism: Excessive self-reflection can also fuel self-obsession and narcissistic tendencies. When individuals become overly fixated on themselves and their own needs, they may lose sight of the bigger picture and struggle to empathize with others. This can lead to a sense of entitlement, a lack of empathy, and difficulties in maintaining healthy relationships. Eventually it can result in feelings of loneliness, isolation, and a lack of meaningful connections.
  • Inhibition of Spontaneity and Creativity: Constantly analyzing every thought and idea can stifle innovation and prevent individuals from taking risks or thinking outside the box.
  • Distorted Self-Perception: Excessive self-reflection can also lead to a distorted self-perception, where individuals become overly critical or judgmental of themselves. They may magnify their flaws and shortcomings while minimizing their strengths and achievements. This can erode self-esteem and confidence over time, leading to feelings of inadequacy and unworthiness.

Benefits of Self-Inquiry

The practice of self-inquiry offers a multitude of benefits for personal growth and well-being:

Self-Inquiry Is A Complex Affair

There are so many layers and options, and fully cataloguing every dimension would be quite an undertaking. Taking it all in and using it implicitly would be ridiculous. In the meantime, here are a few questions and related observations, which may be handy.

A) Why am I thinking this? I mean this thought, right now: . . . While this can simply be a curious question, it may feel critical particularly if the emotional tone (the inner tone of voice) is short or explicitly berating. However, there is a possibility that this is a useful question, as it allows one to trace back the origins or triggers of a particular train of thought or sequence of experiences. “How come” or “when did you first notice this” can be other ways to wonder why.

B) What is happening? This is what is passing through my mind: . . . This feels like recognition, though the content may change. There is a sense of sureness, no doubt. It may be a fleeting notion, or an old familiar companion. Getting such repeating complexes of thought-emotion-behaviour, holistic experience, is useful. They may represent the brain’s resting state network, or default mode network (DMN) activity. Many people do not pay attention to this background noise, but it is not fully random. There are often large parts which are consistent over time. Whether they work as we wish, and so on, is another question.

C) What am I seeing? More to the point, where is attention focused?: . .  . .  A lot of how we think is in a visual mode. The mind is a high-entropy system, meaning it can be in many possible states.  According to physicist Emerson M. Pugh (though often ascribed to others), “If the human brain were so simple that we could understand it, we would be so simple that we couldn’t.” We can imagine anything, given enough time, but the reality is that at any given moment we have a limited capacity to hold information in mind. This is the paradox of the brain, which is effectively infinite to itself while being severely constrained, as in theory I can think, say or experience a massive number of possible things. In the visual metaphor, we can control how far away we are from the object of attention, creating a degree of detachment without disengagement.

D) Am I listening? Did I stop listening to what is important to me?: . .. .  Listening is key because we can expand the soundscape of how we take our own thoughts. Sometimes the littlest voices are the most important, as is often said. For example, suppose we look at it in different modes. Our default listening mode is meant to meander, and meandering is healthy, creative, and restorative. It lets us stumble upon interesting and potentially important things we might otherwise zip past. The executive control mode can remember what was prioritized, execute plans, and direct resources. The salience mode decides what to highlight and what to filter out, to a significant extent based on past experiences, for better or worse. Clearing the mind makes listening easier.

E) Am I using all my senses? . . .  . Other ways of self-attention track with other sensory modalities, scent or olfaction, touch, taste, body sense or proprioception, and subtle cues of a very basic nature, such as level of tension and groundness, feeling uprooted or firmly planted. It takes a bit of a Sherlock Holmes mentality to fully get a sense of oneself first by looking for all the tell-tale clues. Any sense can be a metaphor or template for ways of inner perception. The immersion in digital reality tends to make it harder to cultivate other senses, though, as audio-visual systems get disproportionately used, and highly developed. Adaptations to cyber-reality may make it harder to be present in an embodied form, as we come to expect and have become accustomed to obvious simulation. It also changes the way we relate to one another.

F) Am I present? . . . . .  The act of asking this question, which may be dispassionate and compassionate, can have the immediate effect of returning one to the present. This is especially true if the path is well-travelled. Neurotic tendencies interfere, with second-guessing and worry. It is like building a bridge into the air over a canyon without being able to see the other side. Being present uses up mental resources, taking other brain systems offline, such as those involved in excessive worry. It also means that we cannot think about the past and future in quite the same ways, as there is a sense of time standing still in the present moment. Long-term planning from this perspective is more of a blueprint, perhaps as imperfectly glimpsed in a dream.

There is a question of whether humanity has been sleepwalking — a manifestation of collective self-hypnotic somnambulism — and whether we are becoming woke, or not. Being present allows us to at least take stock of our personal inventory, possibly catching more of what we ordinarily downplay or completely miss.

Sometimes we have an idea, and while we are thinking about it, we realize we are struggling to clarify to ourselves what we are really thinking. We have an idea and wanted to communicate it to someone else, but find ourselves saying, “it’s hard to explain”. Some questions that may help us out of this are:

Content Curated By: Dr Shoury Kuttappa

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GENERALIZED ANXIETY DISORDER: AN OVERVIEW

Anxiety disorders are a class of mental disorders that distinguish themselves from other problems with two key features: fear and anxiety. Fear is an emotion experienced in response to an imminent threat (real or imagined). Anxiety, on the other hand, is an emotional state experienced in anticipation of a potential future threat.

Generalized anxiety disorder (GAD)—despite its name—is a specific type of anxiety disorder. The hallmark feature of GAD is persistent, excessive, and intrusive worry.

Who Gets GAD

GAD is among the three most common psychiatric problems in youngsters (alongside separation anxiety and social anxiety disorders). However, early detection and intervention can result in significant or full remission of symptoms and may protect against the development of other problems later in life.

GAD is also the most commonly occurring anxiety disorder in older adults. New onset GAD in older adults is commonly related to co-occurring depression. In this age group, GAD has historically likely been underdiagnosed and undertreated for a number of reasons.

Signs and Symptoms

To meet formalized diagnostic criteria for GAD, excessive anxiety and worry must be present most of the day more days than not for at least six months.

Features of excessive worry include:

  1. Worry even when there is nothing wrong
  2. Worry about a perceived threat in a manner that is disproportionate to the actual risk
  3. Worrying about something for the majority of your waking hours
  4. Asking others for reassurance about your specific concern, but continuing to worry anyways
  5. Worry that shifts from one topic to another

For people with GAD, the worry is very difficult to control and is associated with multiple physical or cognitive symptoms such as:

  1. Restlessness or edginess
  2. Fatigue
  3. Poor concentration (sometimes with memory problems)
  4. Irritability (sometimes observable to others)
  5. Muscle tension or soreness
  6. Impaired sleep

Many people with GAD also experience other uncomfortable markers of prolonged anxiety, including sweating, stomach upset, or migraine headaches.

Diagnosis

GAD can be challenging to accurately identify because anxiety is an emotional state that everyone experiences from time to time in response to the stresses of everyday life. In fact, moderate anxiety can be quite helpful in a range of ways—for example, providing us with motivation to get things done or to respond to actual threats to our safety if they occur.

Causes and Risk Factors

Like many other psychiatric disorders, GAD is thought to emerge in the context of particular biological and environmental factors. A key biological factor is a genetic vulnerability. It is estimated that one-third of the risk of experiencing GAD is genetic, but genetic factors may overlap with other anxiety and mood disorders (particularly major depression). Temperament is another associated factor with GAD. Temperament refers to personality traits that are often regarded as innate (and therefore might be biologically mediated). Temperamental characteristics known to be associated with GAD include harm avoidance, neuroticism (or the tendency to be in a negative emotional state), and behavioural inhibition.

No specific environmental factors have been identified as specific or necessary to cause GAD. However, environmental features associated with GAD include (but are not limited to):

  1. Observation of constant worrying by family members
  2. Overprotective parents
  3. Modelling of dealing with stress in an anxious manner
  4. Exposure to an unsafe setting (including trauma)
  5. Periods of prolonged stress

Again, no one factor—biological or environmental—is understood to cause GAD. Rather, the disorder is thought to result from a “perfect storm” of environmental stressors that occur in an individual with a genetic predisposition for anxiety.

Treatment

Treatment for GAD typically falls into one of three categories: medication, psychotherapy, and self-help. Treatment research is ongoing and encouraging, particularly with regards to the helpfulness of approaches like yoga and mindfulness. Because anxiety is a natural part of the human experience and treatments for GAD appear to offer far-reaching benefits on day-to-day functioning, even people with low-grade anxiety may benefit from treatment.

Coping

People with GAD have to cope with a variety of physical, behavioural, and emotional symptoms on a day-to-day basis. There are proven strategies to target each. Social coping strategies, for example, involve talking to someone and recruiting support, while emotional coping strategies like mindfulness and learning the triggers can help quell intrusive thoughts and overwhelm. Every person has a unique situation, and not every strategy will work for everyone. Part of coping involves determining which strategy works best and optimizing it to get the most from it.

For Loved Ones

Living with someone having anxiety has its challenges, but there are several ways that you can help including learning about the problem, discouraging avoidance, limiting reassurance-seeking behaviour, and championing successes large and small. There will, of course, be limits to the ways in which you can be helpful to your loved one with GAD. This is when it is especially useful for your loved one to use the treatment resources (i.e., clinicians) available to them. If your loved one is reluctant to seek treatment for anxiety, or unaware of the severity of the problem, look for a quiet moment to have a non-judgmental conversation about how treatment might be a way to feel better, faster.

Content Curated By: Dr Shoury Kuttappa