numa caring for the spirit in viha THE COST OF EMPATHY It’s difficult to find an empathy card in the greeting card aisle at your local supermarket. There are plenty of sympathy cards but few, if any, empathy cards. Why is that? As well, at funerals you will often hear someone say to a grieving family member, “You have our deepest sympathy,” but you rarely, if ever, hear “You have our deepest empathy.” Why is that you think? The reason can be seen if we consider how empathy differs from sympathy. Sympathy means to feel with. We can see someone in their pain and feel for them, feel with them. We can acknowledge what they are going through and say we feel bad for them. We are able to do this because we ourselves have experienced pain. We know what it is like. Empathy means to feel into. When we empathize with someone, we do more than remember what it was like for us to feel pain. Instead we seek to understand the pain that the other person is experiencing. We imagine ourselves being them. In so far as we can, we put ourselves in their shoes. Empathy can only happen if the relationship between the two people allows it. The person in pain must be willing to accept the empathy of the other Beautiful people do not just happen. Elisabeth Kubler-Ross and be willing to share what they have gone through and are going through. We do not open our hearts to everyone. For empathy to happen, both people must do some work. The person in pain must do the work of sharing their inner experience, and that is not always easy. The person offering empathy must set aside their focus on themselves, and work to understand someone who is different from them, and that too is not easy. There is a cost to empathy that both people must pay. It calls for more work than sympathy. What is the benefit of empathy? A person in pain feels very alone in their pain. When someone shows empathy that loneliness lessens. One person illustrated the difference between sympathy and empathy this way. Imagine being at the bottom of a deep, dark hole. Peer up to the top of the hole and you might see some of your friends and family looking down at you, calling out words of support and encouragement. They are anxious and concerned for you. This is sympathy; they want to help you out of the pit you have found yourself in. www.viha.ca/spiritual_care/ numa – fall 2013 But that does not stop you feeling very alone. Now imagine that one of those people climbs down into the hole and stands beside you and holds your hand. Suddenly you no longer feel alone. A great burden has been lifted. This is empathy. This is not to undervalue sympathy. We don’t need everyone at the top of the pit to join us at the bottom. One person may be enough. Having all those people at the top shouting encouragement and showing that they care about us is a source of great comfort. But there is an art to offering sympathy just as there is to offering empathy. If not done the right way, expressing sympathy can leave a person feeling like an object of pity, inferior and disempowered. Carl Rogers, the founder of person-centered therapy, defines empathy as the ability “to perceive the internal frame of reference of another with accuracy and with the emotional components and meanings which pertain thereto as if one were the person, but without ever losing the as if condition.” It is hard to teach empathy. It is hard to educate people to be more empathic. Having empathy for another is rooted in working through the pain you have been through yourself. Elizabeth Kubler Ross puts it this way: “The most beautiful people we have known are those who have known defeat, known suffering, known struggle, known loss, and have found their way out of the depths. These persons have an appreciation, a sensitivity, and an understanding of life that fills them with compassion, gentleness, and a deep loving concern. Beautiful people do not just happen.” Some of these beautiful people work and volunteer at Nanaimo Community Hospice. There volunteers and counselors enter into the pain of those going through the struggles at the end of life. Many hospice volunteers have faced death themselves and bring to the bedside a world of understanding. This deep connection and empathic understanding is part of what makes hospice volunteers such a gift to people going through the valley of death. The capacity for empathy is part of the job description of the Spiritual Health Practitioners (Hospital Chaplains) who work for Island Health. But it is also a quality displayed by many others who work in health care. For all of those who include empathy in the care they give, let us be grateful. For some inspiration on empathy, check out this video from a hospital in Cleveland Ohio. . http://www.youtube.com/watch?v=cDDWvj_qo8&feature=player_embedded For Suffering May you be blessed in the holy names of those Who, without you knowing it, Help to carry and lighten your pain. May you know serenity When you are called To enter the house of suffering. May a window of light always surprise you. May you be granted the wisdom To avoid false resistance; When suffering knocks on the door of your life, May you glimpse its eventual gifts. May you be able to receive the fruits of suffering. May memory bless and protect you With the hard-earned light of past travail; To remind you that you have survived before And though the darkness now is deep, You will soon see the approaching light. May the grace of time heal your wounds. May you know that though the storm might rage, Not a hair of your head will be harmed. John O’Donohue numa is a quarterly newsletter produced by VIHA Spiritual Care Services to draw awareness to issues of spiritual health in health care. The editor of numa is Darren Colyn the coordinator of Spiritual Care at NRGH (54022). www.viha.ca/spiritual_care/ numa - fall 2013 numa is a produced by VIHA Spiritual Care
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