Avainsana: qualified empathy

Ethnographic writing and Qualified Empathy: skills for social service professionals, working in urban areas

7.10.2021
Leigh Ann Rauhala

What do you get when two Social Work lecturers from different countries, involved in developing professionals’ urban social work skills, want to work more closely together, but they're locked in their respective homes? — We Zoom, of course! Virtual exchange supports intercultural competences, research and practice! As a part of a workshop series held by my colleague Dorthe Høvids, we found our first opportunity to collaborate around some of our research and teaching areas by using materials created for the Urban SOS project. Dorthe is a social anthropologist and researcher focusing on using ethnographic methods to explore muslim immigrant’s lived experiences in Europe and Denmark as well as lecturing in the social work degree programme at University College Copenhagen. Our common Erasmus project, Urban SOS, brings together educational institutions and work-place organizations—who work in the cities with social issues caused by processes of migration, urbanization and the unequal accumulation of economic growth in many urban areas. During the project collaborations, we realized that our different curriculums offered Ethnographic writing in Denmark and Qualified Empathy in Finland. Shortly, ethnographic writing uses sensory detail and storytelling techniques to describe and bring a topic closer to a reader. Qualified empathy involves the ability of a responder to engage, identify with, develop an understanding and then to distance oneself from an emotionally charged situation or experience in order to assist without secondary trauma or burnout becoming an issue. Both of these skills are core in our research project so we decided to broaden our student’s exposure through a virtual workshop. After introducing the two skills and doing an immersive listening exercise about a homeless man in Copenhagen, we had a discussion about the relevance and necessity for ethnographic writing and qualified empathy skills in their future careers in the social services sector with about 30 students from Denmark and Finland on Zoom. The conversation was lively as ethnographic writing and qualified empathy were unfamiliar to many of the students. The feedback was positive and the students shared that they were inspired and learned a lot about the topics during the discussion. Phronesis and value based analysis As stated earlier, we based our workshop on the Urban SOS project as well as our research and teaching areas. The project aims to teach educators and professionals a new way of investigating our quickly expanding urban areas. We apply a phronetic analysis model, as developed by Bent Flyvbjerg (2012). Phronetic analysis seeks to clarify values, interests, and power relations as a basis for praxis. Flybjerg (2012) argues that social science should always involve at least episteme (i.e., abstract theory and concepts) and phronesis (analysis of values and concrete practices)—the combination is what makes ‘it’ matter. Social science and it’s practitioners must produce value-based deliberations with clear and relevant references to practice. Only by doing so will we ensure that we push our societies in an ethically articulated direction when making decisions and implementing projects, methods, solutions etc. The alternative is that we blindly follow a societal development that we find unjust or even unethical. Inherent to this argument is an ethical responsibility and a political (or at least normative) motivation of supporting social change through research and education—thus, as phronetic researchers and practitioners, we willingly give up on the idea that our actions, research, and even education, is, or should be, neutral or objective. Instead, it must be transparent, responsible and developed through dialogue. (Rauhala, Høvids & Lehto-Lundén 2020) He uses four value-rational questions when investigating a specific place, system or organization: Where are we going? Who gains and who loses, and by which mechanisms of power? Is this development desirable? What, if anything, should we do about it? In the project, we map and analyse intersections between urbanisation, social issues in Europe, and the lived (human) experiences (Rauhala, Høvids & Lehto-Lundén 2020). We are developing a new transnational and interactive platform and educational materials for educators, students and practitioners. We argue that we cannot Writing reflectively to develop ‘qualified’ empathy As the project partners create, reflect and write together as part of our project work, we keep coming back to the idea that in order to be present in our encounters as professionals with people living and struggling in the urban context we need to be able to empathically understand their situation in context in order to identify ways to support them. One of the ways in which to develop this more targeted type of empathy is to write reflectively. There is no greater example of reflective writing than ethnographic writing due to its depth and detail. Ethnography is a type of writing common in the social sciences, especially anthropology. Ethnographic writing uses narrative immersion to share experiential information, alongside objective description and interview data. When we tell stories, we use our own understanding of other people’s lived experiences. This helps us to move into a more empathic and non-judgemental mind-set; the beginning of a search for meaning but not its end result. Empathy is not the same as understanding, but it is a step on the way to understanding. This brought us back to the issue of empathic understanding. ‘Qualified’ empathy for reducing burnout and stress Qualified Empathy is a concept and model created as part of a NordPlus project called ”Qualified Empathy”. The project took place at Helsinki Metropolia University of Applied Sciences, with partners in Norway and Denmark as a way to develop diverse and creative teaching and learning methods to help social work students learn and develop more professional or targeted empathy skills. Qualified Empathy is defined as the ability to reflectively and emotionally separate oneself from another and to understand the context; then in an intentional process, focus on understanding of the other person’s viewpoint both cognitively and emotionally. The three phases of this are: We feel like us, I feel like you (”as if ”) and I know better how you feel, but I am not you. In the first phase we acknowledge that we belong to certain groups, we identify with them in some way. In the second phase we try to move out of our own ‘shared group’ understanding of the world and closer to the other person’s understanding; to see the situation through their eyes. This shift helps us to develop a greater ‘felt’ understanding from their perspective. In the third phase, once we begin to feel this connection, we need to draw back and acknowledge that we are not the other person so that we do not over identify and become emotionally involved. We need to be able to access our own critical thinking skills and our knowledge of the service system and legislation in order to assist them in creating the best path forward for themselves. To these initial three phases, we added the additional dimension of action which we see as a critical part of a Qualified Empathy professional’s process. It is an admirable thing to be regarded as empathic but if it stops there, without action, the benefit may only be felt by the worker and not by the individual, group or community they are working with. For the professional, proper use of empathy has been shown to reduce burnout and protect against secondary traumatic stress, which is a common concern for students or social workers new to the field. Final take-aways The workshop with the Finnish and Danish students was fun and full of discussion. The main take-away’s from the students were: Learning new concepts and discussing with students from a different national context but similar educational path was interesting and helpful as a way to support our understanding of our profession on both a local and a global level. Interacting with other students, listening to a story of a homeless person, and discussing how the story could be viewed through the lens of ethnography and qualified empathy was valuable and instructive. This was a more comprehensive look at skills often overlooked but necessary for professionals when hearing about or encountering traumatic situations. From our perspective as teachers, we received lots of feedback that this kind of exchange between students from different national contexts was fun and helped the students to practice intercultural dialogue in a third language and put faces to others studying the same profession in another country. Based on this experience we will be developing a longer Virtual Exchange which will address the student’s desires for longer interaction time with each other. This also reinforced for us the idea that these skills may be beneficial for more than just social services students and professionals. We invite other interested parties to get acquainted with these methods and to explore how they might be adapted and beneficially applied in their fields. For us, this was an afternoon well spent for a university lecturer! Author Leigh Anne Rauhala is a Licensed Clinical Social Worker (FL-USA) turned Social Work Educator living in Finland. Her background is in the Mental Health sector working with severe and persistent mental disorders in the Community Health Care setting prior to moving to Finland.  She has been teaching Bachelor of Social Services students since 2007. She serves as the Mobility Contact for Social Services students and is involved in several international teaching and research projects focusing on Social Work in Urban Contexts (Urban SOS) and Teaching Qualified Empathy. References Austring, B. D. & Sørensen, M. 2006. Æstetik og læring – en grundbog om æstetiske læreprocesser (Aesthetics and learning – a textbook on aesthetic learning processes). Copenhagen, Denmark: Hans Reitzels Forlag, 83–101 Bundgaard, H. Overgaard Mogensen, H. and Rubow, C., (2018). Antropologiske Projekter. En grundbog. Frederiksberg: Samfundslitteratur. Erasmus+ Strategic Partnership Grant, 2019. URBAN-SOS: towards a trans-disciplinary, inclusive sustainable future Project nr 2019-1-NL01-KA203-060543 Flyvbjerg, B. (2012). Making Social Science Matter: Why Social Inquiry Fails and How it Can Succeed Again. UK: Cambridge University Press Geertz, Clifford (1973). "Thick Description: Toward an Interpretative Theory of Culture." In: The Interpretation of Cultures. New York: Basic Books”Qualified Empathy” (2015–2017, NORDPLUS) Raatikainen, E., Rauhala, L., & Mäenpää, S. (2017) Qualified Empathy : A key element for an empowerment professional. Sosiaalipedagoginen aikakauskirja. Rauhala, L., Høvids, D. J. & Lehto-Lundén, T. (2020). Urban-SOS: Notes on a Framework for Phronetic Analysis. Unpublished paper. Wagman, M. A., Geiger, J. M., Shockley C. & Segal, E. A. 2014. The Role of Empathy in Burnout, Compassion Satisfaction, and Secondary Traumatic Stress among Social Workers. Social Work 60 (3), 201–209. Williams, C., 2016. Social Work And The City: Urban Themes In 21St-Century Social Work. UK: Palgrave Macmillan.

Qualified Empathy – the new superpower! Can using aesthetic methods help you flourish?

21.8.2018
Leigh Anne Rauhala, Seija Mäenpää and Eija Raatikainen

Empathy has traditionally been taught through: Informal learning opportunities, like Service Learning projects (Engaged scholarship) (Trad 2013). Movie review reflections (Briggs, Fox & Abell 2012). Literature and poetry readings (Shapiro, Morrison & Boker 2004) Learning communication skills (Winefield & Chur-Hansen 2000) Self-assessments: different types of empathy self-evaluation measures (e.g. The Empathy Scale for Social Workers, ESSW) (King, S. & Holosko, MJ 2011). What if, instead of focusing on the verbal, oral or written reflection of learning, holistic experiences would be emphasized when teaching critically important empathy skills? In this blog text, we introduce a way of teaching empathy through aesthetic learning by using creative, multisensory methods. Austring and Sørensen (2012) have shown that aesthetic methods are particularly efficient for expressing and interpreting emotions.  When working with our first year Bachelor’s students, we gave them a series of versatile and inspiring visualization and visual art tasks through which they could develop an experiential understanding of empathy. How did we practically implement the Teaching and Learning of Empathy in the Social Services Degree Programme at Metropolia UAS? The idea behind our project on qualified empathy was to facilitate students in taking their learning from a cognitive and discursive level to an experiential understanding, as if they were the client, in order to develop a better understanding of the client’s ”experiential” world. ‘Qualified Empathy’ is defined as the ability to reflectively and emotionally separate oneself from the other and to understand the context; then in an intentional process, focus on understanding the other person’s viewpoint both cognitively and emotionally (Raatikainen, Rauhala & Mäenpää, 2017).  The following are key phrases used to express our movement through the process of developing our qualified empathy skill: The qualified empathy learning process took place in a sixteen-calendar week timeframe during the first-year studies.  The participants were students (n=47) from the Social Services degree programme (2015- 2017*). Two study modules were included: 1) Individual and Community Counselling (5 cu) and 2) Supporting Daily Lives through Social Pedagogical Work and the first internship (15 cu) (Metropolia Degree Programme Curriculum, 2016). Figure: Three ways of Learning During the Individual and Community Counselling course, the students were guided through the three ways of learning and introduced to the theoretical underpinnings of empathy as well sensory activation exercises such as visualization and reflection (discursive and aesthetic learning).  Students took part in a storytelling/visualization exercise focusing on refugees fleeing to Europe.  As this topic has been very prominent in the media and public discussion, we wanted to help the students get in touch with the emotional dimension that the refugees themselves might be experiencing. Images and sounds were used in the background as students were instructed to close their eyes and listen to the story while visualizing in their heads the thoughts and emotions a young refugee boy travelling with his younger siblings might be experiencing while crossing a storm-tossed sea in an overloaded boat. Afterwards, students were asked to ponder on their experience and then share and reflect with the group what emotions and thoughts they had.  We then discussed the different understandings they had from reading and learning the factual information about the refugee crisis (discursive learning) and the more experiential understanding after the visualization and reflection exercise (aesthetic learning).  This was then reflected back onto the previously explored theoretical framework of empathy as discussed by Gerdes and Segal (2009) regarding the components of empathy (cognitive processing, affective response and conscious decision-making). ‘How do I feel, when I feel empathy?’ During the Supporting Daily Lives and Internship module, students used visual arts as the method of exploration. They used gouache paints as a medium to express their understanding of how they ‘feel’ when they feel empathy, and then expressed it through color choices and use of paint. Some groups decided not to communicate verbally while they were working. Giving meanings to different colors, brush movements and simultaneously mirroring other group members’ body gestures and reactions helped them when trying to describe and express their own understanding of their feelings of empathy towards others and other’s perspectives on the matter. The core questions in teaching empathy by using aesthetic methods were: ‘How do I feel, when I feel empathy?’, ‘How do I understand another person’s experience’ and later ‘How do I refine the feeling of empathy to qualified empathy towards the client and what does it mean?’. So…how did the students experience the process? During the one-semester long process, starting from the counselling course and ending with the internship, the students moved from defining the concept as “the skill of stepping into another’s shoes” and were verbalizing it in more “qualified” terminology such as “Qualified Empathy means supportive rather than reactive actions to client situations”. By this, they meant to say that the social services provider is not solely reacting according to their own feelings but is rather reflecting on and transforming their own feelings into actions that support the clients. The quotes and pictures below show how students reflected verbally and through art on their own learning.  This process helped them to concretize their learning because they had to explain it to someone else.   ”Using the concept of ”qualified empathy”, it was way easier to understand the kids and  deal with the problems they were facing…I stopped judging misbehaving kids and came to understand the reasons behind their behavior.” (DR)     The ”qualified empathy” part was the most difficult for me.  I didn’t quite grasp the difference between ”normal” empathy and ”qualified” empathy during the lectures and I had to re-read some of the material. Now I think I understand the concept better, but it is still hard to connect it to practice.” (HP)   ”Qualified empathy” helped me to get into his shoes and to feel his concerns and worries in order to prevent situation(s) where he would feel insecure.” (AP) Where do we go from here? Although the process of teaching empathy skills has traditionally focused on the verbal, oral or written reflection of learning, research has not systematically reviewed holistic ways of learning empathy in the literature.  We feel that it is vital to raise awareness about how important aesthetic methods can be in helping students to understand and experience the development of their empathy skills in a safe and creative environment.  If we expect the people we serve to engage with us in an authentic manner, is it not important that we teach our students to engage authentically in the learning process themselves?  Aesthetic methods give us an efficient method to access the often-unexplored territory of the individual’s perceived experience. For social and healthcare providers, we think it is also essential to raise the student’s awareness of their own emotional capacity and ability to use their empathy skills so that they can protect themselves from compassion fatigue and burnout. We would like to leave the reader with the following thought: while the social and healthcare fields have a great need for practitioners to be able to access and ethically use their empathy skills when working with vulnerable populations there is the larger question of the importance of people working humanely and empathically in other fields which have human interaction as part of their process. Those readers living their adventure in other contexts such as business, engineering, IT, and education we would love to hear your thoughts and ideas in the comments section. How could your field benefit from learning empathy skills? *NORDPLUS PROJECT QUALIFIED EMPATHY (2015-2017) Writers Writers are lecturers in the Social Services Degree Programme at Metropolia UAS. Leigh Anne Rauhala (MSW, LCSW) teaches social work/pedagogy courses in the English Language Degree Programme in Social Services (Sosionomi AMK) and works internationally in the Social Work in Urban Areas joint programme. Eija Raatikainen, PhD, is Senior lecturer in University of Applied Sciences of Metropolia in Social Service programme. Her academic focus in “Trust” as a phenomena in different field, as like in social work and educational practice. She also worked as the Vocational teacher educator in University of Applied of Sciences of HAAGA-HELIA in the teacher education programme. In addition, she has a five years’ experience as an academic coordinator in  multicultural and multiprofessional Erasmus Intensive Programme(Poverty and Social Exclusion (2011-2013) and Combating Risk behavior Among Youngster (2014-2015). She has also worked in other projects (Matti, MOTIIVI, Tutu, SOCRE). Seija Mäenpää has a Master’s Degree in Art Education and currently works for Metropolia University of Applied Sciences in the Social Wellbeing Unit. She specializes in combining a social pedagogical approach with visual arts in working with different people in social work sector. Visual arts education is one focus of her collaboration projects in early childhood education. She is a founding member of the INECS network (International Network for Creative Professionals in Education of Social Pedagogical Work http://blog.han.nl/inecs). Her vocation is to make visual arts activities and visual culture accessible for everyone. Sources Austring, B. D & Sørensen, C. M. 2012. A Scandinavian View on the Aesthetics as Learning Media. Journal of Modern Education Review 2 (2) 90–101. Briggs, C. L., Fox, L. & Abell, C.H. 2012. The Influence of Film on the Empathy Rating of Nursing students. International Journal for Human Caring. Vol.16, 2. 59-63. Gerdes, Karen & Segal, Elizabeth. 2011. Importance of Empathy for Social Work Practice: Integrating New Science. Social Work 56 (2), 141-147. King, S. & Holosko, M.J. 2011. The Development and Initial Validation of the Empathy Scale for Social Workers. Research on Social Work Practice 22(2) 174-185. Metropolia Curriculum (2016). http://opinto-opas-ops.metropolia.fi/index.php/en/88094/en/70321/SXG16S1/year/2016 Raatikainen E., Rauhala L., Mäenpää S.2017.Qualified Empathy- a Key Element for an Empowerment Professional.Sosiaalipedagoginen aikakausikirja, vuosikirja 2017,vol18. Shapiro, J.,  Morrison, E.H. & Boker, J.R. 2004. Teaching Empathy to First Year Medical Students: Evaluation of an Elective Literature and Medicine Course.  Educational for Health, Volume 17, 1. 73-84. Trad, M. 2013. Teaching Communication Skill and Empathy through Engaged Sholarship. Radiation therapist, Volume 22, 1. 21-31. Winefield, H.R. & Chur-Hansen, A. 2000. Evaluating the outcome of communication skill teaching for entry-level medical students: does knowledge of empathy increases? Medical Education, 34: 90-94 Article picture: www.pixabay.com, Gordon Johnson (CC0)