Showing posts with label emotional needs. Show all posts
Showing posts with label emotional needs. Show all posts

Sunday, 19 September 2010

Wired for empathy?

Emotions are increasingly recognised as the language our bodies use to communicate. Between cells, between genes, between body processes, the chemicals of emotion trigger, calm, irritate, inflame and soothe.

John Heron, one of my heroes, was the first person I read who talked about our emotional needs. John identified that we have three core emotional needs and if these emotional needs are not met, we develop defense mechanisms.
The core emotional needs that John Heron identified are:

1. To love and be loved
2. To understand and be understood
3. To choose and be chosen.

When our emotional needs are not met, to avoid feelings of distress, we develop defense mechanisms


      Rationalisation – judging, blaming
      Projection – attributing one’s own faults to other people eg gossip, criticising behind backs
      Reaction formation – overdoing the opposite of the emotion
      Dissociation – distancing from feelings by excessive theorising, analysing, measuring
      Substitution – carrying out activities guaranteed to succeed – focusing on minutae instead of addressing big issues (which may fail!)
      Repression and denial of own emotions – intrinsic part of each of the previous defense mechanisms – ‘water off a duck’s back’ – ‘doesn’t bother me at all!’

The defence mechanisms can be seen as the foundations for bullying and violence generally. 

There are, according to John Heron, steps in  managing our emotions, now known as emotional and social intelligence and competence.

Emotion has the central role in determining what we perceive, experience and do (Goleman, 2006). According to the perspective taken by both Goleman and Heron, our power and ability in human affairs is a direct result of our feeling nature. Our deepest feelings are meant to guide us in how to live our lives.  Goleman suggests that the emotional life of an individual underpins their ethical and moral stance and therefore social behaviour. Obviously, if the individual's life has started in the right way, in a loving family with their emotional needs met, then they will be emotionally and socially intelligent and therefore empathetic to the needs of others.


An easy way to understand how we are wired for empathy came into my life this morning in the form of the You Tube video below.





Are we doomed if we didn't have the best start?  No, we can change. However change needs to be sought and new behaviours practiced so that our neurology and the emotional 'codes' are more in alignment with our desired way of being.  Norman Doidge has written a great book explaining how change can happen.

For John Heron, the process requires understanding the four basic skills and practising them continually to become competent.

These skills are: 


1.      Awareness – of one’s own emotions and their effect on behaviour
2.      Choice – between control and spontaneity
3.      Sharing emotions with other people as appropriate
4.      Releasing emotions cathartically (4 aspects)

    4.1 controlled letting go – aware of process and choosing time and place to do it
    4.2 letting go- allowing oneself to let go both emotionally and physically
    4.3 insights – catching intuitive and creative insights
    4.4 decision-making – after moving through emotion and intuition, use our intellect to consider the                learning and make decisions

What do you think of the video? Do you agree we are wired for empathy?  Do you think we can develop the self management skills as suggested by Heron and Goleman? The really big aspect in all of this for me is how to be self managing and stay embodied - to allow ourselves to feel the feelings and cherish the full gamut of what it means to be human.  Of course, like everything, the applications of all this for me is with our work as midwives with birthing women and their families.  Our role in facilitating the best environment so that a woman and her baby can grow well, birth well and enter the early parenting phase well and the woman feeling in control is vital to 'setting' foundational feelings of safety and love for the mother and her baby's relationship.

Thursday, 20 May 2010

BBC News - Post-natal depression in fathers 'often undiagnosed'

Modern day pressures on men have escalated in the last couple of decades as men seek to find relevance in a world that is rapidly changing their role in society and the family.

At last researchers are turning their attention to men's experiences of birth and early parenting. Researchers from the Eastern Virginia Medical School team looked at 43 studies involving 28,004 parents from 16 different countries. The countries included the UK and the US. In a news item in the BBC news, the researchers were quoted as saying:
"One in 10 new fathers may have the baby blues, US researchers believe - based on their trawl of medical literature. While this rate is lower than in new mothers, it is more than currently recognised, they told the Journal of the American Medical Association. Lack of sleep and new responsibilities, or supporting a wife with post-natal depression can be triggers, they say".
Childbearing and early parenting are stressful experiences.  New roles, new experiences and general unfamiliarity with babies provide a catalogue of changes that both women and men are having to deal with and integrate. A new reality for many along with smaller family sizes and the nuclear family phenomenon is that a vast majority of young parents have never even held a baby before they hold their own. Many men are inadequately prepared for being present at the birth of their baby and parenting.



Midwives have a real role in including fathers-to-be in their work with childbearing women. Many men feel left out and sidelined during antenatal visits and during the birth process. Feedback from women on their experiences of midwifery student follow through often contain comments about how the student included their partner. The women always say how grateful they are that their partner was included and made to feel important by the student. The fact that the women feel a need to comment on this aspect of the student's involvement in their childbearing experience indicates to me that partners are not generally included in the care given by midwives and doctors.

Midwives and other health professionals have to recognise that childbearing is an emotional experience for men too. Working with women across the continuum of childbearing is enhanced when their partners are included in the woman centred focus of the midwife. Respect, kindness, inclusion and relationship building are core attributes of midwifery practice and set the foundation for women's feelings of being well cared for and valued during their experience of maternity care. Engaging fathers in the same way obviously has implications for how men emerge from their experience of maternity care too.

John Heron (born 1928) , a wonderful man who pioneered a participatory research method called cooperative inquiry, provided (for me) the first clear understanding about the importance of emotions in human interactions and wellbeing. John Heron identified three core emotional needs:

1. To love and be loved
2. To choose and be chosen
3. To understand and be understood

Heron said when these core emotional needs were not met, people develop defense mechanisms. Defense mechanisms are often counter productive to optimal relationships; optimal interactions on both cellular and social levels and overall mental and physical health and wellbeing.

If midwives and other health practitioners make a clear goal to ensure the emotional needs of women and their partners are met in their work with them through the childbearing year and beyond, many of the ills that plague new parents may be 'headed off at the pass'.

BBC News - Post-natal depression in fathers 'often undiagnosed'