Showing posts with label skills. Show all posts
Showing posts with label skills. Show all posts

Thursday, 23 April 2015

Balancing Inner and Outer Intelligences, Skills, Opportunities, Needs


     "In part because of the blinding brilliance of our technological triumphs, we have distracted and dissociated ourselves from our inner world, sought outside for answers that can only be found within... latent but unexplored creative capacities, depths of psyche, states of consciousness, and stages of development undreamed of by most people."

       Roger Walsh, Frances Vaughan eds. "Paths Beyond Ego - The Transpersonal Vision" Tarcher, 1993.


Monday, 30 September 2013

Caring for Unique Individual Human Beings


     "I’m learning that it’s the WAY you communicate and present things that counts, and how to deal with different cultures and personalities. You can have all the right information but if you’re not being listened to, or people don’t understand what you’re saying, or think you care, it makes no difference. So, can I be honest here? In medicine, there is no accounting for differences in people, or how they might feel about something. There is no focusing on the individual. We need to learn more about this." medical student

       Walcher ME. A look in the mirror: Self-development and transformational learning in medical students. Dissertation Abstracts International Section A: Humanities and Social Sciences 2013; 73: 8-A.  
 
 
Shad Bay area, Nova Scotia, early morning, September 28, 2013

Thursday, 12 September 2013

Emotions, Attention & Introspection are Trainable Skills - The Neuroscience of Mindfulness


     "Mindfulness is described as paying attention in the present moment, on purpose, & without judgment. Mindfulness, which is derived from centuries-old meditative traditions & taught in a secular way, has been linked to heightened activation in brain regions responsible for regulating attention & positive affective states including empathy & other prosocial emotions. Emotions, attention, & introspection are ongoing & labile processes that may be understood & studied as skills that can be trained, similar to others human skills like music, mathematics, or sports. Use of MBSR (mindfulness-based stress reduction) in the workplace has shown that 8 weeks of training for employees of a biomedical company resulted in significantly increased relative left-sided anterior activation of the brain, a pattern that is associated with positive affect & well-being. The intervention group also showed more robust immune response to an influenza vaccine & significantly decreased self-reports of anxiety.
     Mindfulness training enhances attention by bringing awareness to the object of attention whether it is the breath, other bodily sensations, external stimuli, thoughts, or emotions. Training may increase the ability to sustain engagement of self-regulatory neural circuits in the prefrontal cortex resulting in improved sustained attention and emotion regulation as well as alterations in functional connectivity of brain networks associated with attentional focus and reflective awareness of sensory experience. In mindfulness, attention can be deployed flexibly either in a narrow, focused way or broadly, to encompass a range of stimuli. From these practices a greater awareness of sensory experiences may arise. Training attention also enables the deliberate cultivation of positive qualities through specific practices designed to promote empathy and prosocial attitudes. This form of mental training is associated with increased activity in cortical areas responsible for empathy and compassion. Mindfulness may make individuals less reactive to negative experience and more likely to notice positive experience, resulting in a cascade of psychological and physiological benefits.
     Approaches to stress management interventions may operate at different levels by targeting either the intensity of stress at work, perceptions or appraisals of stressful situations, and/or ways of coping with stress. Mindfulness is likely to act on the latter two aspects, that is, perceptions of stress and coping with stress. Mindfulness does not directly act on the target of stress, though a shift in perception & response to stressors could conceivably alter the nature of the stressor itself. In this respect, mindfulness shares similarities with other approaches that have been successfully used to reduce workplace stress, like cognitive reframing, but it also has distinct differences. Whereas a main ingredient of cognitive behavioral approaches involves replacing ‘‘maladaptive beliefs’’ with constructive, positive beliefs, a key difference with mindfulness is that it entails observing & noticing without reacting to or intentionally altering direct experience in the moment. Certain practices are also specifically designed to cultivate an appreciation for & understanding of our interdependence with the world. A mindful approach to stress may involve noticing body sensations, observing thoughts, & emotions related to stress and practicing self-compassion."
 
       Flook L, Goldberg SB, Pinger L, Bonus K, Davidson RJ. Mindfulness for Teachers: A Pilot Study to Assess Effects on Stress, Burnout, and Teaching Efficacy. Mind, Brain & Education 2013; 7(3): 182-95. 
 
 
Harriet Irving Botanical Gardens, Wolfville, Nova Scotia

Tuesday, 23 July 2013

We Embody & Teach Our Current Level of Consciousness, for Better or Worse

     "role modeling is the most common form of teaching values, ethics, and the human dimensions of care.
     Unfortunately, the demonstration of undesirable behaviors & attitudes is also effective. Such 'negative role modeling' has been documented to produce unprofessional behavior and even ethical erosion during clinical training. Sometimes referred to as a 'hidden curriculum,' such negative role modeling can be understood as a pattern of behaviors prevalent in a group that runs contrary to the desired & explicitly stated attitudes & behavior of humanistic care. Further, this hidden curriculum undermines the curricular objectives of courses on professionalism, ethics, and 'the art of medicine' that are usually taught during the first two years of medical school.
     Given the pervasiveness of negative attitudes & nonhumanistic behavior, we believe proper role modeling is an important teaching method by which to counter the hidden curriculum modeled by others. 
     How do master clinical teachers develop their teaching skills with respect to the human dimensions of care? In postencounter interviews, the faculty indicated that they use personal self-reflection to develop their teaching skills. Reflective practice has been recognized as an important element of professional development. For the faculty in our study, self-reflection was an iterative process that continued throughout their teaching careers."
       Weissmann PF et al. Role modeling humanistic behavior: learning bedside manner from the experts. Acad Med 2006; 81(7): 661-7.

      It may be safe to assume that those who manifest 'negative role modeling' are much less self-reflective, have minimal awareness of their poor intra- & inter-personal skills, and likely value technical knowledge over communication and other relational ("soft") skills.
     "Physician, Know Thyself!"

fulviavecchia   www.dpreview.com

Friday, 28 June 2013

Empathy - a Basic Human Competence?

     "Employers prizing empathy in high-paying jobs stretch far beyond the predictable 'compassion sector' organizations such as hospitals, clinics and foundations. They also include global heavyweights in the fiercely competitive worlds of tech, finance, consulting, aerospace and pharmaceuticals. Say hello to Microsoft, Dell, Symantec, Mars, Barclays Capital, McKinsey, Raytheon, Thermo Fisher Scientific, Pfizer and Abbott Laboratories. ...
     At a dinner this week, Eric Openshaw, head of Deloitte's U.S. technology, media and telecom practice, mentioned that 60% to 65% of white-collar productivity involves sorting out exceptions. That's a big number for situations where the routine rules aren't sufficient. Addressing that challenge calls for people who can use both their heads and hearts." 
     George Anders "The 'Soft Skill' That Pays $100,000+" http://www.linkedin.com/today/post/article/20130626195513-59549-empathy-and-jobs-that-pay-100-000?trk=mta-lnk


S Yeh   www.dpreview.com

Monday, 10 June 2013

Common Conversation vs Meaningful Communication

     "If other people are going to talk, conversation becomes impossible."

               James McNeil Whistler, American-born artist (1834-1903)
               Globe & Mail June 4, 2013



     Jokes aside, we've had serious communication problems for a long, long time. The loudest, brashest folks continue to be heard, despite the fact that they invariably have the least worthwhile things to say. 
     There's a serious need to cultivate listening skills individually and in groups - we may need to learn from our aboriginal brothers & sisters to sit in circles and pass the talking stick
     The productivity of our meetings would surely improve if EVERY person was given the chance to fully express herself without being cut off, shouted down, passed over, or otherwise ignored.

Steve Geer   www.dpreview.com

Tuesday, 17 July 2012

Meaningful Conversations & Wait Time

     “Under a wide variety of instructional situations and levels ranging from first grade through university level, from classrooms to museum and business settings [and doctors' offices], the quality of discourse can be markedly improved by increasing to 3 seconds or longer the average wait times used by teachers after a question and after a response. These pauses are ordinarily so brief, 1 second or less on the average, that an adequate exchange of ideas and the nurturing of new ideas cannot take place. Wait time, however, is just another technique if one does not understand why fostering more productive exchanges among us all is so important. Gwen Frostic, a poet and artist, tells us in her book Beyond Time

We must create a great change

in human direction –
an understanding
of the interdependency
by which the universe evolves
Know
– that knowing –
is the underlying foundation
for the life we must develop. …
We cannot leave it to the scientists –
nor any form of government –
each individual
must fuse a philosophy
with a plan of action.

     Wait time provides a context in which teachers and students [doctors and patients] may dialogue together in the service of that purpose.”

       Rowe MB. Wait Time: Slowing Down May Be a Way of Speeding Up. Journal of Teacher Education 1986; 11(1): 38-43.


     See also: http://www.johnlovas.com/2013/04/insight-dialogue-guidelines-for-kinder.html

Portia has time