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The Examined Life
Conference:
Writing, Humanities and
The Art of Medicine


    April 11-13, 2013
    University of Iowa
     Iowa City, IA
A story about listening
0 “If I were not a
  physicist, I would
  probably be a musician. I
  often think in music. I live
  my daydreams
  in music. I see my life in
  terms of music.”
0 Albert Einstein
“The Night I Met Einstein”
            by Jerome Weidman
                          0 “’Just allow yourself to listen,” he
                            whispered. “That is all.’
                          0 It wasn’t really all, of course. Without
                            the effort he had just poured out for a
                            total stranger I would never have
                            heard, as I did that night for the first
                            time in my life, Bach’s “Sheep May
                            Safely Graze.” I have heard it many
                            times since. I don’t think I shall ever
                            tire of it. Because I never listen to it
                            alone. I am sitting beside a
                            small, round man with a shock of
http://www.rd.com/true-     untidy white hair, a dead pipe
                            clamped between his teeth, and eyes
stories/inspiring/the-      that contain in their extraordinary
night-i-met-              0
                            warmth all the wonder of the world.”
einstein/#ixzz2QmKkrpXj
The arts, creativity and joy:
     about chemistry
0 Dopamine is produced                      0 “Thus, we feel rewarded
                                             when we create new
 in the oldest part of the                   objects or actions, and
 brain, the brainstem, but                   since creativity is based on
 released in the                             the decisions made by the
                                             creator, the reward system
 newest, the cortex—                         kicks in when we are in
 where we                                    control and inventing
                                             things that we have
 create, think, decide, and                  thought of ourselves.
 plan.” James Zull, “Arts, Neuroscience      Freedom and ownership
 and Learning,” New Horizons for Learning
 (March 2005): para. 10. 20 Nov. 2005
                                             are part and parcel of the
 <http://www.newhorizons.org>.               neurochemistry of the
                                             arts.”
Every response we give to another person
   involves our intellect and emotions.


The intellect
composes the
message, and the
emotions provide
animation and grace.
Howard Hopkins, retired teacher, Montreal
Emotional Intelligence:
  its not (only) what you feel

Emotion is to   Its what you
thinking what   think about
music is to a   what you feel
lyric.
“The skill to combine intellect and
emotion in this dramatic and
powerful fashion is emotional
intelligence, and it possesses the
power to elevate even the common
exchanges of everyday encounters
from the base level of you-and-me to
the sublimity of I-and-Thou!”
Howard Hopkins, retired teacher, Montreal
www.canadone.com/ezine/july04.eq.interview.html
Emotional Intelligence is as important as technical or
               academic intelligence.

 0 Interpersonal skills are found to be as essential as medical
   knowledge and technical skill in the operating room
 0 Medical errors – with resulting complications and
   sometimes catastrophic outcomes for patients – were
   found to be directly related to communication failures
   among medical and surgical teams.
 0 Social, relational, and organizational factors - are
   complex and relate to hierarchical differences, concerns
   with upward influence, conflicting roles and role
   ambiguity, and interpersonal power and conflict.
  Michelle O’Daniel & Alan Rosenstein, “Professional Communication and Team Collaboration” Patient Safety and Quality:
  An Evidence-Based Handbook for Nurses, Agency for Healthcare Research and Quality April 2008.


                                                                                                    www.lifestage.org
Emotional Intelligence is associated
       with the ability to:

0 accurately appraise oneself;
0 perceive and understand one’s
  own emotions and the emotions
  of others;
0 form and maintain intimate
    relationships;
0   express and manage emotions;
0   regulate and control the
    expression of emotions;
0   validate one’s thinking and
    feeling;
0   handle change and effectively
    solve problems.
 Mark Slaski and Susan Cartwright, “Emotional intelligence
 training and its implications for stress, health and
 performance” Stress and Health Volume 19 2003
                                                             www.lifestage.org
The creative process of
        emotional growth
0 Emotional Intelligence is
 involved in the capacity to
 perceive                                 0Respectful
 emotion, assimilate                       listening,
 emotion-related
 feelings, understand the                 0Self-and-other-
 information of those
 emotions and manage
                                           awareness, Self-
 them.” Mayer, J.D., Salovey, P., &        regulation,
 Caruso, D. (2000). Models of emotional
 intelligence. In R.J. Steinberg
 (Ed.), Handbook of intelligence.         0Creativity
 Cambridge, UK: Cambridge University
 Press.                                   0Sense of play
Listening is the most fundamental
   component of interpersonal
         communication
Listening is not something
that just happens, it is an
active process in which a
conscious decision is made to
listen to and understand the
messages of the speaker.

0 “The skills you need”
  www.skillsyouneed.co.uk/IPS/active_listening.
  html#ixzzsMpHTGa5Y
“When others speak, we typically
  divide our attention between
 what they are saying now and
what they are going to say next -
   For many of us, the opposite of
 talking isn’t listening, it’s waiting.”
        Daniel Pink, To Sell Is Human, Riverhead Books, 2012, p. 190
The nonverbal dialogue
0 “Human interaction is nonlinear and characterized by
   unpredictable and emergent patterns of meaning or
   patterns of relating that self-organize without anyone's
   intention or direction. These patterns emerge from the
   relationship process itself. Words and phrases or
   nonverbal gestures introduced into dialogue merge with
   memories, beliefs, judgments, and emotions in each
   individual. These interior dimensions of the relationship
   process are invisible to the researching observer. They
   occur in an internal dialogue within the brain and body of
   each participant.”
0 F. Daniel Duffy, “Complexity and Healing Relationships” Journal of General Internal Medicine, 2006 January;
   21(S1): S45–S47.
“Artistic and scientific approaches
        need not be at odds
but must be carefully harmonized.”
   “When Should A Process Be Art, Not Science?” Harvard Business Review, March 2009, www.hbr.org
Creative experiences cultivate the
              competencies of
          Emotional Intelligence
  Creative process:                                                 Emotional
0 Full engagement with the creative
                                                                    Intelligence
  process and partners;                                             0 Focused awareness of
0 Focused attention;                                                  internal experience;
0 Observational skills;                                             0 The ability to focus attention
0 Awareness of and responsiveness to                                  and make creative choices;
  new information that emerges
  through interaction;                                              0 Capacity to observe both “big
0 Spontaneity                                                         picture” and details of
                                                                      situations;
                                                                    0 Capacity to shift gears when
“Aesthetic Intelligence: What Businesses Can Learn From The Arts”
Rotman Magazine, Spring 2010
                                                                      necessary and respond
                                                                      effectively to the unexpected;
Everyone can
 develop these
 skills. Some
 people just need
 a little more time
 than others.
“I'll give you a winter
prediction: It's gonna
be cold, it's gonna be
grey, and it's gonna
last you for the rest
of your life.”Bill Murray as Phil
Connors in Groundhog Day (1993)
Same day, different guy

“When Chekhov saw the long
winter, he saw a winter bleak
and dark and bereft of hope. Yet
we know that winter is just
another step in the cycle of life.
But standing here among the
people of Punxsutawney and
basking in the warmth of their
hearths and hearts, I couldn't
imagine a better fate than a long
and lustrous winter.” Bill Murray as
Phil Connors in Groundhog Day (1993)
0“Neuroscience has discovered that
  our brain’s very design makes it
  social, inexorably drawn into an
  intimate brain-to-brain linkup
  whenever we engage with another
  person. That neural bridge lets us
  affect the brain – and the body – of
  everyone we interact with just as
  they do us.”
0 Fishbane, M “Wired To Connect: Neuroscience, Relationships and Therapy” Family Process, Vol
  46, No. 3, 2007
If a story is told and no one
           hears it….
Storytelling is human
connection at its most
primal form. Storytelling
is to entertainment as the
slow food movement is to
dining – it’s fresh and it’s
local.” Catherine Burns, Artistic Director for
The Moth storytelling broadcast
A highly engaging narrative
evokes powerful empathic
         responses
0The
              0 The Set-Up
 Dramatic     0 The Inciting Incident
              0 The Rising Action

 Arc          0 The Turning Point
              0 The Resolution
“Neural coupling” occurs in
 successful communication
              0    The findings indicate that
                  during successful
                  communication, speakers’ and
                  listeners’ brains exhibit
                  joint, temporally
                  coupled, response patterns.
                  Such neural coupling
                  substantially diminishes in the
                  absence of
                  communication, such as when
                  listening to an unintelligible
                  foreign language.

                  “Speaker-listener neural coupling underlies successful
                  communication” Proceedings of the National Academy of Science
                  Vol. 107 No. 32
                  http://www.pnas.org/content/107/32/14425.full
“We often tell ourselves a story
       about others’ real intent.
These stories determine our emotional
              response.”
  The Cost of Conflict Avoidance” VitalSmarts Research , www.vitalsmarts.com
Happiness and
                Emotional Intelligence
      “The experience of
joy, contentment or positive
well-being, combined with a
   sense that one’s life is
   good, meaningful, and
         worthwhile.”
  0Sonja Lyubomirsky, “Why are some people
happier than others? The Role of Cognitive and
Motivational Processes in Well-Being”, American
          Psychologist, March 2001



Magellan Health
Services, Inc. | 23
Happiness is the fuel to thrive and to
flourish, and to leave this world in better shape
                than you found it.
“You tap into it whenever you feel
energized and excited by new ideas. You
tap into it whenever you feel at one with
your surroundings, at peace. You tap into it
whenever you feel playful, creative, or silly.
You tap into it whenever you feel your soul
stirred by the sheer beauty of existence.
You tap into it whenever you feel
connected to others and loved. In
short, you tap into it whenever positive
emotions resonate within you.”

0Dr. Barbara Fredrickson, the Chief Researcher and
Head of the Positive Emotion and Psychophysiology
Lab at University of North Carolina, Chapel Hill
Happiness is not the same as positive thinking
  – but positive efforts to learn, change or
acquire a new skill combined with cognitive
             shifts can create it.

                        0 “People who learn to
                        control inner experience will
                        be able to determine the
                        quality of their lives, which is
                        as close as any of us can
                        come to being happy.”
                        0Mihaly Csikszentmihalyi, Flow: The Psychology of Optimal
                        Experience (New York: Harper & Rose, 1990): 20
Happy experiences
promote long-term well-being
0 “Positive emotions - like joy, interest, pride and gratitude -
    don't just feel good in the moment - they also affect our
    long term well-being. Research shows that experiencing
    positive emotions in a 3-to-1 ratio to negative ones leads to
    a tipping point beyond which we naturally become more
    resilient to adversity and better able to achieve things. The
    evidence linking an upbeat outlook to increased longevity
    is actually stronger than the evidence linking obesity to
    reduced longevity.”
0   B.L. Fredrickson, Positivity: Groundbreaking research reveals how to embrace the hidden strength of positive
    emotions, overcome negativity, and thrive, 2009. E. Diener and M. Chan,Applied Psychology: Health and Well-
    Being, 3(1):1-43, March 2011
“I Swear I Found The Keys To
            The Universe”
0 “You will never know any parkland, never understand a collectively-
                                     Christopher Cooper, Wiscasset Newspaper
 owned mountain with the intimacy possible when you live on and
 work with a piece of ordinary land…I think as I work that my
 purpose is product -a grove of ginkgos, a curved retaining wall, a
 woods road extension. And so it is to the extent that these ends give
 me focus and order and the satisfaction of seeing my plans put to
 concreteness.
0 But more fundamentally and necessarily, and essential to my
 emotional good health, this art, like I think all acts of creation
 however rude or refined, is about process. Writing the song and
 singing it, painting the picture, chiseling the stone, stacking the
 bricks to a height and in a form nobody has yet quite done-in these
 and similar acts are we made whole for a time.”
0            http://www.commondreams.org/archive/2007/10/20/4689
www.lifestage.org

0 Lifestage is a training and consulting company that
 designs creative, experiential programs for personal
 and professional development. Read articles by
 Lifestage trainers at
 www.livesinprogressnewsletter.blogspot.com


0 contact Jude Treder-Wolff at 631-366-4265 or
 lifestage_2000@yahoo.com

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Words & music the examined life 2013

  • 1. The Examined Life Conference: Writing, Humanities and The Art of Medicine April 11-13, 2013 University of Iowa Iowa City, IA
  • 2. A story about listening 0 “If I were not a physicist, I would probably be a musician. I often think in music. I live my daydreams in music. I see my life in terms of music.” 0 Albert Einstein
  • 3. “The Night I Met Einstein” by Jerome Weidman 0 “’Just allow yourself to listen,” he whispered. “That is all.’ 0 It wasn’t really all, of course. Without the effort he had just poured out for a total stranger I would never have heard, as I did that night for the first time in my life, Bach’s “Sheep May Safely Graze.” I have heard it many times since. I don’t think I shall ever tire of it. Because I never listen to it alone. I am sitting beside a small, round man with a shock of http://www.rd.com/true- untidy white hair, a dead pipe clamped between his teeth, and eyes stories/inspiring/the- that contain in their extraordinary night-i-met- 0 warmth all the wonder of the world.” einstein/#ixzz2QmKkrpXj
  • 4. The arts, creativity and joy: about chemistry 0 Dopamine is produced 0 “Thus, we feel rewarded when we create new in the oldest part of the objects or actions, and brain, the brainstem, but since creativity is based on released in the the decisions made by the creator, the reward system newest, the cortex— kicks in when we are in where we control and inventing things that we have create, think, decide, and thought of ourselves. plan.” James Zull, “Arts, Neuroscience Freedom and ownership and Learning,” New Horizons for Learning (March 2005): para. 10. 20 Nov. 2005 are part and parcel of the <http://www.newhorizons.org>. neurochemistry of the arts.”
  • 5. Every response we give to another person involves our intellect and emotions. The intellect composes the message, and the emotions provide animation and grace. Howard Hopkins, retired teacher, Montreal
  • 6. Emotional Intelligence: its not (only) what you feel Emotion is to Its what you thinking what think about music is to a what you feel lyric.
  • 7. “The skill to combine intellect and emotion in this dramatic and powerful fashion is emotional intelligence, and it possesses the power to elevate even the common exchanges of everyday encounters from the base level of you-and-me to the sublimity of I-and-Thou!” Howard Hopkins, retired teacher, Montreal www.canadone.com/ezine/july04.eq.interview.html
  • 8. Emotional Intelligence is as important as technical or academic intelligence. 0 Interpersonal skills are found to be as essential as medical knowledge and technical skill in the operating room 0 Medical errors – with resulting complications and sometimes catastrophic outcomes for patients – were found to be directly related to communication failures among medical and surgical teams. 0 Social, relational, and organizational factors - are complex and relate to hierarchical differences, concerns with upward influence, conflicting roles and role ambiguity, and interpersonal power and conflict. Michelle O’Daniel & Alan Rosenstein, “Professional Communication and Team Collaboration” Patient Safety and Quality: An Evidence-Based Handbook for Nurses, Agency for Healthcare Research and Quality April 2008. www.lifestage.org
  • 9. Emotional Intelligence is associated with the ability to: 0 accurately appraise oneself; 0 perceive and understand one’s own emotions and the emotions of others; 0 form and maintain intimate relationships; 0 express and manage emotions; 0 regulate and control the expression of emotions; 0 validate one’s thinking and feeling; 0 handle change and effectively solve problems. Mark Slaski and Susan Cartwright, “Emotional intelligence training and its implications for stress, health and performance” Stress and Health Volume 19 2003 www.lifestage.org
  • 10. The creative process of emotional growth 0 Emotional Intelligence is involved in the capacity to perceive 0Respectful emotion, assimilate listening, emotion-related feelings, understand the 0Self-and-other- information of those emotions and manage awareness, Self- them.” Mayer, J.D., Salovey, P., & regulation, Caruso, D. (2000). Models of emotional intelligence. In R.J. Steinberg (Ed.), Handbook of intelligence. 0Creativity Cambridge, UK: Cambridge University Press. 0Sense of play
  • 11. Listening is the most fundamental component of interpersonal communication Listening is not something that just happens, it is an active process in which a conscious decision is made to listen to and understand the messages of the speaker. 0 “The skills you need” www.skillsyouneed.co.uk/IPS/active_listening. html#ixzzsMpHTGa5Y
  • 12. “When others speak, we typically divide our attention between what they are saying now and what they are going to say next - For many of us, the opposite of talking isn’t listening, it’s waiting.” Daniel Pink, To Sell Is Human, Riverhead Books, 2012, p. 190
  • 13. The nonverbal dialogue 0 “Human interaction is nonlinear and characterized by unpredictable and emergent patterns of meaning or patterns of relating that self-organize without anyone's intention or direction. These patterns emerge from the relationship process itself. Words and phrases or nonverbal gestures introduced into dialogue merge with memories, beliefs, judgments, and emotions in each individual. These interior dimensions of the relationship process are invisible to the researching observer. They occur in an internal dialogue within the brain and body of each participant.” 0 F. Daniel Duffy, “Complexity and Healing Relationships” Journal of General Internal Medicine, 2006 January; 21(S1): S45–S47.
  • 14. “Artistic and scientific approaches need not be at odds but must be carefully harmonized.” “When Should A Process Be Art, Not Science?” Harvard Business Review, March 2009, www.hbr.org
  • 15. Creative experiences cultivate the competencies of Emotional Intelligence Creative process: Emotional 0 Full engagement with the creative Intelligence process and partners; 0 Focused awareness of 0 Focused attention; internal experience; 0 Observational skills; 0 The ability to focus attention 0 Awareness of and responsiveness to and make creative choices; new information that emerges through interaction; 0 Capacity to observe both “big 0 Spontaneity picture” and details of situations; 0 Capacity to shift gears when “Aesthetic Intelligence: What Businesses Can Learn From The Arts” Rotman Magazine, Spring 2010 necessary and respond effectively to the unexpected;
  • 16. Everyone can develop these skills. Some people just need a little more time than others. “I'll give you a winter prediction: It's gonna be cold, it's gonna be grey, and it's gonna last you for the rest of your life.”Bill Murray as Phil Connors in Groundhog Day (1993)
  • 17. Same day, different guy “When Chekhov saw the long winter, he saw a winter bleak and dark and bereft of hope. Yet we know that winter is just another step in the cycle of life. But standing here among the people of Punxsutawney and basking in the warmth of their hearths and hearts, I couldn't imagine a better fate than a long and lustrous winter.” Bill Murray as Phil Connors in Groundhog Day (1993)
  • 18. 0“Neuroscience has discovered that our brain’s very design makes it social, inexorably drawn into an intimate brain-to-brain linkup whenever we engage with another person. That neural bridge lets us affect the brain – and the body – of everyone we interact with just as they do us.” 0 Fishbane, M “Wired To Connect: Neuroscience, Relationships and Therapy” Family Process, Vol 46, No. 3, 2007
  • 19. If a story is told and no one hears it…. Storytelling is human connection at its most primal form. Storytelling is to entertainment as the slow food movement is to dining – it’s fresh and it’s local.” Catherine Burns, Artistic Director for The Moth storytelling broadcast
  • 20. A highly engaging narrative evokes powerful empathic responses 0The 0 The Set-Up Dramatic 0 The Inciting Incident 0 The Rising Action Arc 0 The Turning Point 0 The Resolution
  • 21. “Neural coupling” occurs in successful communication 0 The findings indicate that during successful communication, speakers’ and listeners’ brains exhibit joint, temporally coupled, response patterns. Such neural coupling substantially diminishes in the absence of communication, such as when listening to an unintelligible foreign language. “Speaker-listener neural coupling underlies successful communication” Proceedings of the National Academy of Science Vol. 107 No. 32 http://www.pnas.org/content/107/32/14425.full
  • 22. “We often tell ourselves a story about others’ real intent. These stories determine our emotional response.” The Cost of Conflict Avoidance” VitalSmarts Research , www.vitalsmarts.com
  • 23. Happiness and Emotional Intelligence “The experience of joy, contentment or positive well-being, combined with a sense that one’s life is good, meaningful, and worthwhile.” 0Sonja Lyubomirsky, “Why are some people happier than others? The Role of Cognitive and Motivational Processes in Well-Being”, American Psychologist, March 2001 Magellan Health Services, Inc. | 23
  • 24. Happiness is the fuel to thrive and to flourish, and to leave this world in better shape than you found it. “You tap into it whenever you feel energized and excited by new ideas. You tap into it whenever you feel at one with your surroundings, at peace. You tap into it whenever you feel playful, creative, or silly. You tap into it whenever you feel your soul stirred by the sheer beauty of existence. You tap into it whenever you feel connected to others and loved. In short, you tap into it whenever positive emotions resonate within you.” 0Dr. Barbara Fredrickson, the Chief Researcher and Head of the Positive Emotion and Psychophysiology Lab at University of North Carolina, Chapel Hill
  • 25. Happiness is not the same as positive thinking – but positive efforts to learn, change or acquire a new skill combined with cognitive shifts can create it. 0 “People who learn to control inner experience will be able to determine the quality of their lives, which is as close as any of us can come to being happy.” 0Mihaly Csikszentmihalyi, Flow: The Psychology of Optimal Experience (New York: Harper & Rose, 1990): 20
  • 26. Happy experiences promote long-term well-being 0 “Positive emotions - like joy, interest, pride and gratitude - don't just feel good in the moment - they also affect our long term well-being. Research shows that experiencing positive emotions in a 3-to-1 ratio to negative ones leads to a tipping point beyond which we naturally become more resilient to adversity and better able to achieve things. The evidence linking an upbeat outlook to increased longevity is actually stronger than the evidence linking obesity to reduced longevity.” 0 B.L. Fredrickson, Positivity: Groundbreaking research reveals how to embrace the hidden strength of positive emotions, overcome negativity, and thrive, 2009. E. Diener and M. Chan,Applied Psychology: Health and Well- Being, 3(1):1-43, March 2011
  • 27. “I Swear I Found The Keys To The Universe” 0 “You will never know any parkland, never understand a collectively- Christopher Cooper, Wiscasset Newspaper owned mountain with the intimacy possible when you live on and work with a piece of ordinary land…I think as I work that my purpose is product -a grove of ginkgos, a curved retaining wall, a woods road extension. And so it is to the extent that these ends give me focus and order and the satisfaction of seeing my plans put to concreteness. 0 But more fundamentally and necessarily, and essential to my emotional good health, this art, like I think all acts of creation however rude or refined, is about process. Writing the song and singing it, painting the picture, chiseling the stone, stacking the bricks to a height and in a form nobody has yet quite done-in these and similar acts are we made whole for a time.” 0 http://www.commondreams.org/archive/2007/10/20/4689
  • 28. www.lifestage.org 0 Lifestage is a training and consulting company that designs creative, experiential programs for personal and professional development. Read articles by Lifestage trainers at www.livesinprogressnewsletter.blogspot.com 0 contact Jude Treder-Wolff at 631-366-4265 or lifestage_2000@yahoo.com