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Bringing Compassion into Healthcare Education: A guiding workshop with teachings and methodologies for the Julius Center in Utrecht

Oct 31, 2014

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Health & Medicine

Salmaan Sana

This workshop was held on the 19th of December 2013, prepared and delivered by Peter Vermeiren and myself for the educators of the Julius Center for the exploration and implementation of Compassion within Pharmacotherapy. (Apologies for the confusing mix of Dutch and English)

Our goal was to give information and insight on Compassion, exploring its definition and share existing knowledge, science and exercises. In the afternoon we facilitated a brainstorm and strategy session, using appreciative inquiry, on how compassion can have a more substantial role within the curriculum and in which form it would take place.

Within this slide deck we have added youtube video's of concepts and methodologies that we take inspiration from. During the workshop we shortly explained it however for those interested you can find the entire videos within the slides. These include people with whom we work with and concepts we believe embody the work we do within Compassion for Care.

This includes:
- Simon Sinek: His infamous TED talk about "Starting with Why" and actually how to inspire others to action using the golden circle (Why - How - What)
- Andy Bradley: Closing the Compassion Gap: We use an exercise asking our participants which attributes they would wish to see in their care - taker and this was taken from inspiration from Andy Bradley.
- Karen Armstrong: Her winning the TED Prize, sharing the concept of the Charter for Compassion and the video with the Charter
- Thupten Chimpa: Someone who worked very closely with the Dalai Lama sharing the "science" behind compassion.
- Richard Davidson: A very rich presentation on much of the research that has taken plan and is being done on Compassion and meditation.
- Marina Abramović: The beautiful art of 'really' being present and how she responds to the surprise of someone she loved dearly coming to visit her at her exposition.
- Chade-Meng Tan: Sharing his insights on his book "Search Inside Yourself" and how Google too is working towards a more compassionate manner of working.
- Paul Gilbert: Sharing his findings and his model on the 'Caring-Compasionate mind'. We use this to bridge between attributes of a healthcare professional and that of the ones we would wish to have when we are in need of one.
- Kirsten Neff: On the The Space Between Self-Esteem and Self Compassion with an exercise that one can do.
- Dr Robin Youngson: and a beautiful description of his work and book "Time to Care". Its a manual for healthcare workers on how to work compassionately.
- A video demonstration of the concept of Appreciative Inquiry
- A video clip from Patch Adams about looking past the way we see current problems
- The TED talk that launched Compassion for Care where we were given the stage at TEDxMaastricht in 2011.
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Page 1: Bringing Compassion into Healthcare Education: A guiding workshop with teachings and methodologies for the Julius Center in Utrecht

The story

Page 2: Bringing Compassion into Healthcare Education: A guiding workshop with teachings and methodologies for the Julius Center in Utrecht

Creating Context

Page 3: Bringing Compassion into Healthcare Education: A guiding workshop with teachings and methodologies for the Julius Center in Utrecht

“He who knows his ‘why’ can bear any how” - Nietzsche

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Why

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Why - How - What

The Golden Circle

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What if you were a patient??

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The science of Compassion

Page 8: Bringing Compassion into Healthcare Education: A guiding workshop with teachings and methodologies for the Julius Center in Utrecht

Compassie ‘Compassie is het vermogen om vanuit medemenselijkheid met aandacht, inzicht en daadkracht het lijden van patienten te kunnen zien, invoelend begrijpen en zo mogelijk verlichten.’

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Charter for Compassion

Karen Armstrong

Page 11: Bringing Compassion into Healthcare Education: A guiding workshop with teachings and methodologies for the Julius Center in Utrecht

The  science  of  compassion:  wat  is  het  niet?

Page 12: Bringing Compassion into Healthcare Education: A guiding workshop with teachings and methodologies for the Julius Center in Utrecht

The  science  of  compassion:  het  veld  van  onderzoek

Quantum Fysica

Gen onderzoek

Sociologie Neuro sociologie

Contemplatieve ‘wetenschap’ en filosofie

Psychologie Neuroscience

!

Economie Altruisme

Governance Management Bevlogenheid

Welzijn, geluk, Gezondheid Positieve psychologie

Page 13: Bringing Compassion into Healthcare Education: A guiding workshop with teachings and methodologies for the Julius Center in Utrecht

"Een mens is een deel van een geheel, door ons 'universum‘ genoemd, een deel beperkt door tijd en ruimte. Hij ervaart zichzelf, zijn gedachten en gevoelens als iets dat gescheiden is van de rest ... een optisch bedrog van zijn bewustzijn. Dit waanidee is een soort van gevangenis voor ons, het beperkt ons tot onze persoonlijke verlangens en tot affectie voor een paar mensen dicht bij ons. Onze taak moet zijn om ons uit deze gevangenis te bevrijden door verbreding van onze kring van compassie voor alle levende wezens en de volledige natuur in haar schoonheid. "

- Albert Einstein

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wisdom and compassion

The  science  of  compassion:  two  wings  

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De volgende stap: In pilots verder ontwikkelen!

0123456789

10Lichaamsfuncties

Mentaal welbevinden

Spirituele dimensie

Kwaliteit van leven

Soci-maatsch.Participeren

Dagelijksfunctioneren

start

1 maand

2 maand

3 maand

Gezondheid als adaptief vermogen en zelf te sturen

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Compassionate decision making

Can we use concepts such as these in the current healthcare system?

Page 19: Bringing Compassion into Healthcare Education: A guiding workshop with teachings and methodologies for the Julius Center in Utrecht

Nurture

Nature

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Can compassion training impact our genes?

Steve Cole en Richard Davidson

Page 21: Bringing Compassion into Healthcare Education: A guiding workshop with teachings and methodologies for the Julius Center in Utrecht

De barmhartige samaritaan

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The  science  of  compassion:  sociologie  

Tagcloud Compassie en Gezondheidszorg

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William  James,  1890,    Principles  of  Psychology

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Mindfulness

Mindfulness Metta Tong len

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‘The Artist is Present’ Marina Abramovic, MOMA, New York

!

The art of being present and giving someone your attention.

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fMRI met ervaren proefpersonen

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The  science  of  compassion:  neuroscience

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Spiegelneuronen?

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P.  Gilbert  2008:  The  Compassionate  Mind

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‘Zelfcompassie heeft veel voorspellende waarde voor geluk en welzijn en is stabieler dan zelfwaardering.’ - Kirstin Neff. Selfkindness- selfjudgement Common humanity- isolation Mindfulness- overidentification

Test je zelfcompassie: www.selfcompassion.org

Page 32: Bringing Compassion into Healthcare Education: A guiding workshop with teachings and methodologies for the Julius Center in Utrecht

Is veiliger Is efficiënter en effectiever Betere behandelresultaten

Bespaart tijd Verminderd de zorgvraag Betekenisvoller werken

Kost minder

Dr. Robin Younson: Time to Care

Page 33: Bringing Compassion into Healthcare Education: A guiding workshop with teachings and methodologies for the Julius Center in Utrecht

Resources

Overview  of  scientific  research http://ccare.stanford.edu/research !Books    Time to Care; Robin Youngson The Compassionate Mind, Paul Gilbert Disturbing Emotions, Seligman Positive Psychology, Compassievol leven, E. v.d. Brink en F. Koster Search inside Yourself (Google), Chade Meng-Tan !Websites www.compassionforcare.com www.heartsinhealthcare.com www.self-compassion.org www.ccare.stanford.eu

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Methodologies we use to train in our sessions

Mindfulness, metta meditatie, tong len Personal story, what is your why? Why, how, what - Simon Sinek Theory and evidence based science Different forms of contemplation Sharing of experiences and facilitated discussion Appreciative inquiry Heart coherence Art forms such poetry and drawing ‘We stand for compassion’ Self compassion exercises Letter to yourself Exercises in gratefulness !and many more.. these are a few of the examples

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How are things so far?testing the waters before the break … thermometer

So far?

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Lunch

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Mindfulness

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Appreciative Inquiry and its application

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Looking past the problem

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the steps…

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What we already have

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Page 43: Bringing Compassion into Healthcare Education: A guiding workshop with teachings and methodologies for the Julius Center in Utrecht

2 0

The key to motivation is understanding that values inspire action through emotion.

Emotions inform us of what we value in ourselves, in others, and in the world. And it is through emotion that we can move others to act. Stories enable us to communicate our feelings of what matters, not only our ideas of what matters. Because stories allow us to express our values as lived experience instead of as abstract principles, they have the power to move others. In crafting the different elements of your public narrative (story of self, story of us, story of now),  it’s  important  to  consider  who  your audience is.

Some emotions inhibit action, but other emotions facilitate action. The language of emotion is the language of movement—they actually share the same root word. Mindful action is inhibited by inertia, fear, self-doubt, isolation, and apathy. Action is facilitated by urgency, hope, YCMAD (you can make a difference), solidarity, and anger. Stories enable us to mobilize the emotions that encourage mindful action to overcome the emotions that inhibit it.

Public narrative combines a story of self, a story of us, and a story of now.

The stories

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www.compassionforcare.com

@[email protected]

facebook.com/compassionforcare

#compassion4care

Page 45: Bringing Compassion into Healthcare Education: A guiding workshop with teachings and methodologies for the Julius Center in Utrecht

Peter Vermeiren

[email protected]

Twitter: @PJVermeiren Linkedin: Peter Vermeiren

Salmaan Sana

Twitter: @salmaansana Linkedin: Salmaan Sana

[email protected]