12 Steps For Handling Difficult Relationships During The Holidays

Avoiding Conflict During The Holidays By Georgianna Donadio of National Institute of Whole Health

Thanksgiving is approaching, and the December holidays are on the horizon. Some say: “It’s the most wonderful time of the year!” Or is it? For many of us, the holiday visits back home to family members are something to be dreaded.

While we look forward to the pleasure of celebrating these festive times, there is also the memory of past conflicts and the very real possibility of new confrontations that we find ourselves anxious to avoid. We can tell ourselves that this is the year we will not get stressed out or upset with visits to or from our families.

This is what we strive for yet, most often, not how things turn out. So, how can we better navigate difficult relationships during the holidays in a way that is beneficial, and not harmful, to our whole person health?

Difficult Family Dynamics

According to Dr. Jeffrey Fine, Ph.D., director of the American Foundation for Conscious Parenting, our families can be “a breeding ground for repressed resentments and hostilities left over from childhood.” We might anticipate that once we have grown up and moved away to create our own lives and families these feelings would diminish, but, as many of us experience, unfortunately they do not.

One potential solution to transforming the holidays from stressful to joyful is the application of identified communication skills that have been researched and shown to facilitate changing difficult relationships. Behavioral Engagement is a 12-step set of communication skills that has been the subject of hospital pilot studies over a 2-year period.

The outcomes of these pilots showed the participants experienced a significant improvement in their relational outlook and attitude after interacting with the communication skills model. Originally developed to enhance relationships between whole health oriented doctors, nurses and patients, the model was also applied and studied with business and family relationships.

James Prochaska, Ph.D., renowned researcher on behavior change and author of Change for Good — the Six Stages of Transtheoretical Change says of Behavioral Engagement: “The process of Behavioral Engagement has the potential to transform relationships that are suffering or struggling to ones that are thriving!”

Generally, one of the most recommended approaches to staving off holiday conflicts is to “try and accept family members or friends as they are.” Unfortunately, this good intention can be easily sidelined without specific communications skills that can help keep us on track.

Easy 12-Step Model

The 12-Step Model of Behavioral Engagement offers specific, easy-to-learn communication skills that have been proven effective in changing conflicted relationships into compatible relationships based on the understanding that we all want to be valued, respected and listened to. The steps are based on physical, psychological, hormonal and neurological aspects of human relationships and communication. They start with the understanding that while we cannot change others’ behavior we can change our own behavior in how we relate to others, which can result in a transformative outcome for all participants.

Handling Difficult relationships during the holidays by georgianna donadio of national institute of whole health

We can do so by using specific, simple communication skills and following the steps that have been shown to be effective in creating greater receptivity and generating more positive emotions in relationships that have previously been conflicted or stressful.

If you have experienced or are anticipating challenging relationships during the holidays, you may wish to apply these easy steps and see if they can assist you in having happier and even healthier holidays.

Step One: Be physically comfortable when communicating. This removes discomfort that can distract from the conversation. Distractions reduce your attention, focus on the person you are speaking with, and decrease the conversational rapport and receptivity.

Step Two: Understand what you want. Our intentions are powerful behavior motivators. Understanding what we want from an exchange or a relationship can assist us in communicating more clearly our thoughts and feelings, inviting greater understanding and intimacy. Example: “I really want to understand what you are upset about.”

Step Three: Centered body posture. Uncross arms and legs and present open, receptive body language. To send the message that you are respecting the conversation and giving the other person your fully attention, do not play with your watch, glasses, hair or continually look away from the person you are speaking with. Committing to being focused is an important element in communication and sends the message that you care. We can all feel when someone values being with or speaking to us.

Step Four : Sustained, soft eye contact has been shown to stimulate oxytocin, which opens emotional centers of the brain and enhances trust and feelings of love and intimacy.

Step Five : Respectful inquiry. Asking rather than telling or directing and using “I” statements rather than “you” statements creates a safe, non-judgmental environment for the other person to communicate openly.

Step Six: Responsiveness. Using appropriate responses, such as facial expressions, smiling, head nodding and so forth, indicates you are listening and understanding what the other is saying without interrupting or interjecting. This acknowledges the value you have for their communication.

Step Seven: Pauses between responses. Instead of immediately speaking as soon as the other person is finished, allowing for appropriate pauses when someone has shared a thought or feeling with you creates for them the experience that they are being respectfully listened to, and that you are truly present to them.

Step Eight: Non-judgment. By not allowing yourself to focus on your unspoken mental and emotional judgments you eliminate the unconscious communication that is sent through subtle and gross body language. Unconscious, non-verbal body language is something most of us pick up on and they can make or break the communication.

Step Nine: Leave the ego at the door. Eliminate the push-pull or power struggle of previous relationship interactions by letting go of taking control of the communication and allow for equity between you and the other individual.

Step Ten: Re-centering when you start to lose focus. Mentally repeating simple words you identify as prompts to get you back to the focus of the conversation is a quick and effective way to get yourself re-centered in the exchange. Example: “Back to focus” or “Get centered.”

Step Eleven: Collaborative mindset. Working toward having a win-win outcome eliminates conflict and improves the quality of the relationship in both the short term and the long term.

Step Twelve: Sacredness of relationship. Sacredness means “worthy of respect.” When we are aware of appropriate verbal and behavioral boundaries within our communications, we hold the other person in high esteem and create fulfilling, lasting relationships.

When dealing with family holiday conflicts it can be helpful for us to try simple, proven communications skills but also to reflect on the wisdom of the question: “Would you rather be loved than be right?” Often times when we elect love over being in control or being right relationships shift for the better.


Genes And Behavior

genes and behavior - bee and apple blossom instinctsDuring the summer my apple trees, with their sweet droppings all about the orchard, produce an enormous population of fruit flies. Apart from being occasionally annoying and making a bit of noise, they would not be a topic to capture one’s attention. At least I never thought so, until I read a fascinating study about fruit flies that indicated our gender may be largely connected to our genes.

Geneticist Barry Dickson and graduate student Ebru Demir, of the Institute of Molecular Biotechnology of the Austrian Academy of Sciences in Vienna, Austria made a small change to a genetically altered gene that they engineered into female fruit flies. This very specific gene alteration that was integrated into the female flies would always produce male fruit fly protein.

The genetically altered female fruit flies behaved like amorous male flies – perusing other female fruit flies and wooing them with the species elaborate courtship display. This gene altering and its subsequent behavioral results were reported in the scientific professional journal Cell.

The engineered females rejected males that tried to mate with them and began to imitate the multi-step male courting dance which is truly fascinating but a bit too racy to describe in this article. I am not kidding! The two scientists hypothesize that the altered genes set into motion a cascade of genetic changes to re-program the female fruit flies sexual behavior.

One of the most spell binding books I have ever read about behavior and genetics is Melvin Konner’s brilliant and stunning book, The Tangled Wing. His book is about humans and not fruit flies.

It is also an amazing book to read to better understand the wide range of “masculinity” and “feminine” behavior that exits in men and women. When we explore the science of how our brains function through our biochemistry and how this biochemistry is in control of the actions and behaviors it helps us to be more understanding and compassionate about ourselves and others.

The renowned behaviorist, B.F. Skinner, stated many decades ago that our hormones were the most powerful movers of how we lived our lives. More recently, Candyce Pert, PhD, author of Molecules of Emotions, has done the research that demonstrates exactly how the brain’s neuropeptides achieve our behavior outcomes.

For those interested in the subject of behavior and brain function, Melvin Konner’s and Candyce Pert’s work is highly recommended. For a free download of the bestselling, award winning behavior change book, Changing Behavior, visit www.changingbehavior.org.

Reference: www.wholehealtheducation.com

Transforming Relationships with Easy to Learn, Proven Communication Skills

By Georgianna Donadio, MSc, DC, PhD- 

Changing BehaviorAll of us, from time to time, identify things about how we behave that we would like to change. Changing our behavior is very difficult because it is the result of the many learned responses we develop as soon as we come into the world. There is research today suggesting that conditioning that can begin even in the womb.

How we learn to adapt to our environment, what outside events or stimulation feel safe or threatening, how we view the world we live in, what our beliefs and values are, and so forth all play a role in how we learn to behave towards ourselves and others. These factors also influence how we learn to communicate.

The variations of how each of us learns to adapt in the world around us are most noticeable when we are in relationships with others. What behaviors each of us bring to a relationship determines how well, or not, we are able to work together, live together or love together.

An example of how our conditioning impacts our relationships is seen in how couples relate to each other and get along before and after having children together. It is often, after the children come along, that the couple begins to have conflicts that stem from how each of the individuals was raised, what values they have, or what they believe is best for raising a healthy or successful child.

While it is inevitable that we do have conflicts with others because we are uniquely different and uniquely conditioned individuals, there are easy-to-learn, proven communication skills that we can all apply to any of our relationships to make them more fulfilling and positive for both ourselves and others.

A basic and simple skill that we can all apply to our very next encounter to improve our communications with others is putting aside the ongoing conversation in our mind, our concerns of the moment, or what we want to say next, and focusing completely on the individual in front of us and what they are sharing with us. Being fully present to another person shows them that you value and respect them and that you are sincerely interested in what they are feeling, thinking, and communicating with you. This is the basis of the National Institute of Whole Health’s Behavioral Engagement with Pure Presence model.

We all want to be valued and in our fast-paced, electronic-communication world having another person look at us directly while we speak, respond to us with smiles, head nodding or other gestures that let us know they are listening, without their speaking or interrupting us is a wonderfully validating experience that uplifts both ourselves and the person who is generous enough to give such affirming attention.

If you would like more information on how to make your relationships more rewarding and successful through easy-to-learn, proven communication skills, you can download a free chapter from Changing Behavior: Immediately Transform Your Relationships with East to Learn, Proven Communication Skills by going to www.changingbehavior.org.

communication and behavioral engagementThis self-help book focuses on how to transform all types of relationships with hospital-tested, proven communication skills that enhance and improve all relationships, even those that are suffering and struggling. Donadio presents the research with an easy-to-read and understand style that allows the reader to walk away armed with new skills and tools to create a happier, healthier life through more fulfilling relationships.

The title is a #1 Top Rated Amazon Kindle bestseller, the recipient of the coveted 5 STARS from ForeWord Clarion. Changing Behavior has also received high recommendations and outstanding reviews from Kirkus Reviews, “the world’s toughest book critics”, and the popular Mid-West Book Reviews.

Kirkus says of Changing Behavior – “Recommended as a top-tier psychological self-help book… [a] strikingly original case for the transformative power of receptiveness.” Mid-West Book Review states – “Changing Behavior is a choice pick for community library and self-help collections.”

For more more information on whole health and changing your behavior, explore these resources:

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Love As Nourishment

Love as Nourishment

Valentine’s Day is the designated holiday for expressing our love to those in our life who provide us with the nourishment of love. We don’t often think of love as a nutrient, but indeed it is.

Freud made a statement about the power of love to create in us happiness, joy, hope and well being when he said: “We are never so hopelessly unhappy as when we lose love.”

As a physician who saw the ravages of lost love, Freud knew something from his experience about the human condition – something we often forget. Those who love us and those we love fulfill our basic human need to be known, valued and wanted by those we care about and seek out in our lives.

As an older adult who, like Freud, has seen the ravages of loves loss, I have come to appreciate and cherish those in my life who fulfill my need to be valued and wanted – my need to be loved.

It is important for each of us to remember that no one is perfect and that if we expect perfection in love we will surely be disappointed. One of the gifts of age and experience is the relief of realizing that each act of love we give from our imperfect self to another and the love given to us by imperfect others, is the most important wealth we possess.

At the end of the day, when all else is stilled and the distractions of work, ambition, success and achievement are put aside, it is those we “go home to” and the nourishment they provide us that is our real treasure.

HAPPY VALENTINES DAY to all of us – and may we take the time to appreciate how profound a blessing the gift of love is in our lives.

Warning! Being In Love Can Cause Weight Gain

Love Is Fattening- Heart - Cocoa - Chocolate

Here’s a great article, written by Nicholas Bakalar, about a study that was published on the relationship between the weight gain of women who live with a mate in comparison to women who do not. Rather than excerpt material from the article, I would like to share it with you in its entirety. I hope this information is useful for you or someone you know.

Study Says Women With Mate Get Heavier
by Nicholas Bakalar

It is widely known that women tend to gain weight after giving birth, but now a large study has found evidence that even among childless women, those who live with a mate put on more pounds than those who live without one.

The differences, the scientists found, were stark.

After adjusting for other variables, the 10-year weight gain for an average 140-pound woman was 20 pounds if she had a baby and a partner, 15 if she had a partner but no baby, and only 11 pounds if she was childless with no partner. The number of women with a baby but no partner was too small to draw statistically significant conclusions.

There is no reason to believe that having a partner causes metabolic changes, so the weight gain among childless women with partners was almost surely caused by altered behavior. Moreover, there was a steady weight gain among all women over the 10 years of the study.

This does not explain the still larger weight gain in women who became pregnant. The lead author, Annette J. Dobson, a professor of bio-statistics at the University of Queensland in Australia, suggested that physiological changes might be at work.

“Women’s bodies may adjust to the increased weight associated with having a baby,” Dr. Dobson said. “There may be a metabolic adjustment that goes on when women are pregnant that is hard to reverse. This would be more consistent with our findings than any other explanation.”

The study covered more than 6,000 Australian women over a 10-year period ending in 2006.

At the start, the women ranged in age from 18 to 23. Each woman periodically completed a survey with more than 300 questions about weight and height, age, level of education, physical activity, smoking status, alcohol consumption, medications used, and a wide range of other health and health care issues.

Love Is Fattening- Surprise Weight GainBy the end of the study, published in the January issue of The American Journal of Preventive Medicine, more than half the women had college degrees, about three-quarters had partners and half had had at least one baby. Almost all of the weight gain happened with the first baby; subsequent births had little effect.

Also by the end of the study period, there were fewer smokers and risky drinkers than at the beginning, more women who exercised less, and a larger proportion without paid employment.

But even after adjusting for all of these factors and more, the differences in weight gain among women with and without babies, and among women with and without partners, remained.

Despite the study’s limitations — weight was self-reported, for example, and the sample size diminished over time because people dropped out — other experts found the results valuable.

“It’s interesting and brings out some important points,” said Maureen A. Murtaugh, an associate professor of epidemiology at the University of Utah who has published widely on weight gain in women. Perhaps, she suggested, a more active social life may help explain why women with partners gain more weight.

“Think of going to a restaurant,” Dr. Murtaugh said. “They serve a 6-foot man the same amount as they serve me, even though I’m 5 feet 5 inches and 60 pounds lighter.”

The study included only women, but the researchers cited one earlier study that showed an increase in obesity among men who had children, adding further evidence that social and behavioral factors are part of the explanation.

Dr. Dobson said the finding of weight gain among all the women, with families or without, was troubling.

“This is a general health concern,” she said. “Getting married or moving in with a partner and having a baby are events that trigger even further weight gain.

“From a prevention point of view, one can look at these as particular times when women need to be especially careful.”

Article Originally Published by the Herald Tribune.


Join the conversation. If you enjoyed this article, be sure to follow NIWH on Facebook and Twitter for regular updates filled with useful accredited health program information for holistic nurses and health coaches.

Listen to Whole Health discussions on my weekly radio show Living Above The Drama available on iHeartRadio.

Three Things You Can Do Right Now To Change Your Life

The most important relationship we have is with ourselves. The way we think, eat, behave and use our resources define the quality of life we live. We all want to thrive and enjoy a healthy fulfilling life. Yet, in our over scheduled, frenzied personal environments and ever encroaching culture, the simple, basic, no-cost things we can to do to have an excellent relationship with ourselves and a happy, healthy life are often overlooked.

Here is a list of 3 simple immediate actions any of us can do immediately to improve and restore our well-being and enhance our health.

1. Buy with Cash –

Over the last 5 years, most of us have had a reality check regarding the corrosive nature of debt. It can cause stress, anxiety and sleepless nights, robbing us of our well-being and causing us to lose control over our relationship with money.

One of the fastest and easiest ways of “turning the ship around” when it comes to debt is to commit to using only cash for purchases and cutting up the credit cards. While we can have an emergency card or line of credit squirreled away for a real emergency, by reining in our spending habits and eliminating debt we can do more for our sense of well-being and health than following the latest health trends and starting an exercise program.

Yes, it’s true – reducing and eliminating the crushing stress of debt accumulation is the number one act of self-care we all need to commit to. Studies show that chronic stress and worry will make us sicker and even cause life threatening events such as stroke and heart attack more so than any other lifestyle behavior. Also, by paying in cash you are more aware of what you are actually spending and have the opportunity to ask yourself – “Do I really need to make this purchase?”

2. Clean out Your Closets

In our consumer drive environment we are invited daily to buy, buy, buy and can find ourselves living with closet, attics and basements overflowing with “stuff”. Much of this stuff we do not even use and may not even remember we have.

One of the most satisfying experiences is to clean out closets, drawers, basements, attics, garages, storage areas, etc., and thin out all the excess material possessions we have and do not need or use. Giving things away to the local “swap shop” or donating these unnecessary belongings to Goodwill or the Salvation Army will not only free up room and space in our homes but will also provide a greater sense of control over your living space as well as provide a sense of orderliness and cleanliness – all good things for our health and happiness.
3. Post Your Life Goals and Affirmations

We all have goals and dreams we want to realize. One of the fastest, proven ways to achieve those goals and manifest our dreams is to write them down and post them throughout our whole working and living environments. Take the most urgent and important goal you have at this time and focus on it daily using post-its or other reminders of what you want to manifest.

This no cost, proven method for creating the things we want in our lives can become an excellent life-long habit. When one goal is realized or achieved we can identify the next important goal and work on that specifically, using our desire and unconscious mind to manifest our dreams. After all, thoughts really are “things” and by repeatedly thinking on something, we can create it into reality. Everything was a thought before it became a reality – the chair you are sitting on was a thought in someone’s mind before it was created. We can and do create our lives with our thoughts – so post away and realize your goals.

Avoid Boredom To Live Longer And Healthier

boredom

Do you know anyone who is often bored? Do you find yourself feeling bored? A study, conducted in the United Kingdom identified a connection between individuals who experience chronic boredom and a shorter life expectancy. The expression being “bored to death” has some literal truth in it, according to the 1980’s UK study that followed 7,500 civil servants in the UK for a period of 25 years. In this blog, NIWH explores the study to see what applications can be derived from the results.

Bored To Death

The study conducted interviews on the civil servants, recording their attitudes and outlook on life. The updates continued until 25 years after the initial interviews. The data found that subjects who stated they were bored in the original interview screening were almost 40% more likely to have died during the 25 year period than those who found life to be interesting.

This same study revealed that people living with “high levels of tedium” were 2.5 times more likely to die of heart disease than those who lived a more varied lifestyle. This particular study is a wonderful example of the connection between our mind and body and how our thoughts and feelings have a huge impact on our health and even longevity.

Examining Discontent

boredAccording to Daily Health News journalist Lauren Zander, most of us live with experiences of boredom, but when our lives take on a chronic sense of boredom, the effects can be destructive to our work, relationships and, ultimately, our health and longevity. When we are willing to examine what aspects of our lives feel “boring,” we can identify in which areas of our life we feel stuck, frustrated or unfulfilled. This allows us to make a plan and take action toward change.

Boredom is a loss of interest or enthusiasm for aspects of your life. You “go through the motions” rather than being engaged and enjoying life. For instance, in personal relationships, it is easy to get in a rut and not look for new ways of enjoying the company of the people we care about most. By taking a step back and looking at our relationships as if we were meeting the person for the first time, this brings a renewed perspective and interest in what we may take for granted on a daily basis.

Renovate Your Life

This information lends to several suggestions. If your work, family life, or love life is leaving you disinterested or bored, try “renovating” your relationship by adding new and imaginative ways to refresh your communication or shared experience. Kiss your special someone in the car instead of waiting to get home to physically connect. Bring home some special “treats” your kids or partner will love and serve it with breakfast, lunch or brunch instead of going out to eat. Plan a lunchtime activity at your office with co-workers or a mystery party at home with your friends to liven up rapport.

Find new ways to refresh your relationships and your life. Encourage those around you to do the same. It’s not only fun, but this can help you live a longer and healthier life!

For more whole health discussions like this, listen to my weekly radio show Living Above The Drama available on iHeartRadio.

Do We Unknowingly Create Unhappiness?

Most people identify themselves as a “glass half full” kind of person. We don’t intentionally set out to wreck our moods or think ourselves into unhappiness… do we?  However, we can feel like tumbleweeds in the wind, our moods – which can create stress — may quickly shift from the impact of a difficult work environment, a nagging spouse, or even something as seemingly benign as the weather.  And all these mood stressors impact us on a physical level too – by increasing the body’s production of a stress hormone called cortisol.

Cortisol initiates a vicious cycle of food versus mood, wherein we crave sugary, carb-laden foods and shun healthier alternatives like fish and vegetables. Of course, eating all this garbage makes us feel more depressed and more negative, which floods the body with more cortisol.  But the good news is that you can break the cycle – and it all starts with something as simple as a thought.

As it turns out, the more frequently you have negative thoughts, the more depressed you feel [1].  Conversely, the happier you feel, the more your health and your mood improves. Classes in understanding happiness have even sprung up on college campuses. Tal Ben-Shahar, Ph.D., an associate of the Harvard Psychology Department teaches the single most popular course on campus – a course about how our levels of happiness and unhappiness are rooted in our thoughts, deeds and words.[2]

But can we really learn to be happy?  A new school of thought put forward by psychologist Martin Seligman, former president of the American Psychology Association believes that we can all be happier by recognizing how our thoughts and words contribute to our moods. The good news is that you can start feeling better today by following a few proven steps that boost your body’s natural “happiness chemicals”.

According to an article by the Cleveland Clinic,[3] you can quell a bad mood almost instantly by:

  • Holding hands or hugging – A 20-second hug with your spouse releases the feel-good brain chemical oxytocin, which in turn helps you relax and feel calmer.
  • Get social – Resist the urge to hibernate in your home alone and grab a pal (or two, or three) for an evening out. When women are emotionally close to their friends, the hormone progesterone is increased, which subdues anxiety and reduces stress. Men get the same benefits whether they’re with their buddies or with women.
  • Enjoy more of nature – The fresh air, the trees, the crisp leaves under your feet, the warmth of the sun on your face… getting out into nature revitalizes your body and mind while clearing out the cobwebs of too much time spent indoors.
  • Laugh out loud – Rent a comedy movie or listen to your favorite comedian. Boisterous laughter releases endorphins which help you feel happier and more at ease.

Feeling happier is not a matter of willing your body to do so. Your brain is smarter than you think, and no amount of telling yourself “I am happy…I am happy” is going to change your mood. Instead, combine your affirmative statement with a reason – such as:

  • Today I am going to feel happy BECAUSE…(I’ll finish that big project at work / I’m grateful for my family / I’m taking better care of my health, etc.)

Back to the cortisol culprit – how do you slam the breaks on a seemingly never-ending cycle of cravings that can disrupt your mood?  Follow these tips, from the Food and Mood connection by the Mayo Clinic [4]

  • Keep your blood sugar levels even throughout the day by consuming more whole grains, fruits, and leafy green vegetables
  • Avoid alcohol as it can interfere with your body’s natural ability to get a good night’s sleep
  • Eliminate caffeine as you’re likely to experience a “crash” later when your blood sugar takes a nose-dive
  • Consider eating 5-6 smaller meals per day rather than 3 large ones as this also contributes to better blood sugar levels.

Overall, you can learn to improve your mood and well-being by taking these simple steps. Try it out and let me know your results in the comments below!


For more whole health discussions, listen to Dr. Georgianna Donadio’s radio show Living Above The Drama.

Sources:

[1] The Effects of Reducing Frequency of Negative Thoughts on the Mood of Depressed Patients
http://www.ncbi.nlm.nih.gov/pubmed/620107

[2] Tal Ben-Sharar: The Secret to Happiness:
http://harvardmagazine.com/2007/01/the-science-of-happiness.html

[3] The Cleveland Clinic: Mood Boosters: Think Happy Thoughts to Boost Your Mood
http://www.clevelandclinicwellness.com/mind/moodboosters/Pages/ThinkHappyThoughtstoBoostYourMood.aspx

[4] The Food and Mood Connection:   http://www.mayoclinic.com/health/food-and-mood/my00716

How Essential Is Doctor-Patient Communication To Whole Health?

Nurse-Patient Communication

At the National Health Policy Conference held in Washington, D.C., members of the Agency for Healthcare Research and Policy agreed that the need for research focusing on the doctor-patient relationship was urgent in order to address the current crisis of patient dissatisfaction, medical-error, malpractice claims and physician burnout. Communication between the patient and all practitioners or  caregivers is thus an essential component of any whole health approach.

Patients are not happy, doctors and medical teams are not happy, and the health care system is struggling to adapt measures to turn the tide of this growing problem. The 2012 Institute for HealthCare Communication (IHC) report regarding research on the impact of poor communication revealed the following:

  • Research conducted during the 10 year period of 1995-2005 has demonstrated that ineffective team communication is the root cause for nearly 66 percent of all medical errors during that period.
  • This means that when healthcare team members do not communicate effectively, patient care often suffers.
  • Further, medical error vulnerability is increased when healthcare team members are under stress, are in high-task situations, and when they are not communicating clearly or effectively.

The research from the IHC reports cites that 50% of all malpractice is the result of poor communication between doctor and patient.

The IHC report states: “Research evidence indicates that there are strong positive relationships between a healthcare team member’s communication skills and a patient’s capacity to follow through with medical recommendations, self-manage a chronic medical condition, and adopt preventive health behaviors. Studies conducted during the past three decades show that the clinician’s ability to explain, listen and empathize can have a profound effect on biological and functional health outcomes as well as patient satisfaction and experience of care.”

IHC goes on to make an alarming statement that “Extensive research has shown that no matter how knowledgeable a clinician might be, if he or she is not able to open good communication with the patient, he or she may be of no help.”

And, while the addition of nurse health coaches to the medical team has been viewed by some as a solution to the communication problem, the relationship between the physician or primary care provider and the patient cannot be corrected by these additional team members. In fact, not addressing the underlying cause of doctor-patient discomfort may even increase the distrust and discomfort the patient experiences with their doctor or primary care provider.

As physicians, physician assistants and nurse practitioners are the diagnostic experts in our medical care system, ensuring the communication between these providers and their patients is critical, as research data demonstrates.

A recent pilot study, conducted through Central Michigan University (CMU), on the effects of a communication model, Behavior Engagement with Pure Presence, on patient and physician satisfaction has just concluded, and will be published shortly. The study was funded by Blue Cross and Blue Shield Foundation of Michigan.

The Primary Investigator (P.I.) of this study, Dr. Christine Clipper, wanted to thoroughly test the Behavioral Engagement model by including renowned endocrinologist, Dr. Opada Alzohaili, who was trained in the model’s communication skills and had previously earned high patient satisfaction survey ratings. Dr. Alzohaili’s post-pilot patient satisfaction scores were significant, revealing 100% improvement on all measures of patient perception of relational empathy during their encounter with the doctor, in contrast to his pre-pilot patient satisfaction scores.

Dr. Clipper’s research data demonstrated that Behavioral Engagement with Pure Presence has “…a psychological effect on the patient’s perception of the patient-provider relationship. The patient perception of relational empathy with their doctor increased through improved provider communication skills through applying the Behavioral Engagement model.”

Further research on the application of the model includes a pilot study on the Behavioral Engagement model in Electronic Medical Record Communication, funded by the U.S. Department of Health and Human Services/ MI Dept. of Community Health;
and a randomized controlled clinical trial study with funding from major national health care organizations.


For more whole health discussions like this, listen to Dr. Georgianna Donadio’s radio show Living Above The Drama.

 

Loving Again After Loss

Meaningful relationships, belonging and love are essential to our health, happiness and what we want, need and desire. It is one of psychologist Abraham Maslow's Hierarchy of Human Needs and one of the most conflicted areas of human interaction. The willingness to be vulnerable after things go badly in an intimate relationship requires both courage and resilience to traverse the landscape of such deep emotion.

Losing love by breakup or death is one of the most profound and stressful things we as human being can experience. The loss of love can literally “break our hearts” and can even undermine our will to live. Sigmund Freud, MD, the well-known father of modern psychoanalysis, many decades ago stated that we "are never as hopelessly unhappy as when we lose love."

Love is what sustains our lives. Research shows the impact of grief on the development and exacerbation of unresolved grief, and how it can result in the development of serious illness or fatal heart disease. The loss of love is something many of us fear and something many of us don’t imagine can happen when, on the surface, things in our relationship seems to be on an even keel.  Yet, for most of us at one time or another to experience the crushing pain of losing love and the almost obsessive reaction we have to regaining that love or finding a way to end the pain and sense of emptiness that can often accompany such loss.

If you are familiar with a small press literary publication, The Sun, you may not have read this poignant essay, published in that magazine, written by Poe Ballantine. He provides insight to the necessity of trust within love. Trust is the element of love which provides the safe place necessary to share our lives and hearts with others. Trusting, and dealing with the loss of trust within love, requires great courage to be able to move beyond the loss and love again. It is interesting that we are inundated from many sources these days with information about wellness and how to prevent illness, when what many of us need is information about how to create more fulfilling and healthy relationships and prevent the heartbreak of losing love.

Ballantine's essay tells a story about his father:

"He kept a close ritual of coffee, then work, dinner, his television shows and his cigarettes. The newspaper stayed on the table open to the personals. He had opened them the first day she had left him, like the reflex of a man covering a wound after being shot. His face was gray from survival. He was a man who could not allow himself to break. The despair stretched out. The music from the stereo could not fill the emptiness. Our conversations were automatic, clock talk. His single guiding hope was that she would return."

"What had happened to my father he never believes would happen. He was fifty years old, settled, comfortable, secure. His children were raised. He had worked hard all his life and now he could relax. I understood why my mother had left him, but I still condemned her for leaving – for taking the easy way out. My father and I played cards and watched private-eye dramas on television. He looked in the personals, called once at something that looked right, but cancelled soon after; it just wasn't in him."

"One Sunday afternoon I heard him crying in the bedroom. I didn't know what to do with a father who cried. He taught me all I knew, the important things: honesty, loyalty, firm handshake, the love beyond self-love, the duty of a man. Trust was his only religion and it was failing him and in turn it was the failure of the world."

"The one thing a human being asks for on this earth is to be loved. Why should it be impossible?"

Trusting, loving and the resilience to come back from the loss of love may be the next "health frontier". Nutrition, one of the more popular health topics, is not just about nourishing our tissues. Nourishing our hearts, which are hungry for love and acceptance, is another skill we need to learn. If we should be mindful of what we eat, how mindful should we become about how and who we love?

 


For more whole health discussions like this, listen to my hit radio show Living Above The Drama available on iHeartRadio.