Exploration of Evolution-Informed Compassion-Focused Therapy and Buddhist Approaches to Insight Meditation: A Three-Way Exploration

Gilbert, Paul; Huxter, Malcolm; Choden,

doi:10.1007/s12671-023-02141-4

Cited by 5 publications

(3 citation statements)

References 67 publications

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“…We suggest that a new concept of reverse compassion emerged between patients and professionals. Compassion, defined as the sensitivity to suffering in self and others with a commitment to try to alleviate and prevent it (Gilbert and Choden, 2013), has been usually referred to the healthcare professionals' behaviours and care (Brown et al, 2014;Gilbert and Choden, 2013;Sonis et al, 2020), or to the organisation's compassionate treatment towards professionals (Shea, 2015;Tronto, 2010). In this case, we describe the feelings of gratitude and compassion from patients to the healthcare professionals coping with the emergency (Douglas, 2020).…”

Section: Discussionmentioning

confidence: 99%

Reverse compassion: value-in-use and value-in-context of healthcare services during crisis

Rosis

Gilmore

Nuti

2023

TQM

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PurposeUsing data from a continuous and ongoing cross-sectional web survey on hospitalisation service experiences in two Italian regions, the authors used multilevel and multivariate logistic regression models to identify factors related to users' demographics, emotional and informative support, technical and physical aspects of the provision, influencing satisfaction and willingness-to-recommend, before and during a crisis.Design/methodology/approachThe value-in-use, defined in terms of a positive or negative value given by the experience with services, can be evaluated by users and influenced by the context of provision. The authors tested whether and how the value-in-use of services changed in a context of crisis. This study is applied to the healthcare sector during the coronavirus disease 2019 (COVID-19) epidemic, by evaluating the impact of the pandemic on hospitalisation experience.FindingsOverall, analyses of 8,712 questionnaires found a greater value after the pandemic spread. In a time of crisis, technical and informative aspects of care were found to be most valued by patients that may recognise the extraordinary professionalism of workers during the crisis.Research limitations/implicationsThis study empirically suggests that context can affect the evaluation of value-in-use by patients during unprecedented circumstances, producing additional value-in-context.Practical implicationsThese findings imply that during critical periods where there is less scope for expressions of gratitude and appreciation towards front-line workers, user-reported data can be used for motivating professionals and increase resilience. These results reiterate the need to continue collecting and reporting the service users' voices, including as activity within plans for managing challenging situations.Social implicationsThe level of healthcare system distress, due to the COVID-19 epidemic, positively affects patients' propensity to recommend, which the authors suggest is driven by healthcare services' feelings of reverse compassion. These findings imply that during critical periods where there is less scope for expressions of gratitude and appreciation towards front-line workers, user-reported data can be used for motivating professionals and increase resilience, which can have positive social implications. These results reiterate the need to continue collecting and reporting the service users' voices, including as activity within plans for managing challenging situations.Originality/valueResearch based on the intersection of theoretical and empirical research regarding value-in-use, value-in-context and service quality measured through user experience is scarce, in particular in the healthcare sector. The authors' findings set the direction for future research on the influence of context on value creation and value creation's perception by users, on the concept of reverse compassion and on reverse compassion's impact on organisational well-being, particularly in times of crisis.

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Section: Discussionmentioning

confidence: 99%

Reverse compassion: value-in-use and value-in-context of healthcare services during crisis

Rosis

Gilmore

Nuti

2023

TQM

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“…Previous studies about this relationship are mainly focused on the link between CF and BO. We formulate our hypotheses based on a relatively new conceptualization of compassion (Gilbert, 2009, 2017; Gilbert & Choden, 2013). In this study, we simultaneously validate a new compassion scale (Gilbert et al, 2017) and test the relationships between compassion for others, self-compassion, EE, D, and PA.…”

Section: Discussionmentioning

confidence: 99%

“…Fernando and Consedine (2014) have called to the attention that it seems to contradict the construct of compassion itself as it implies that being compassionate is tiring. On the other hand, Gilbert (2009, 2019) and Gilbert & Choden (2013) proposed a broader definition of compassion, as outlined before. This approach to compassion in physicians is relatively new (Gribben et al, 2019, 2019).…”

Section: Burnoutmentioning

confidence: 99%

Compassion and Self-Compassion: Counterfactors of Burnout in Medical Students and Physicians

et al. 2022

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Objective To examine the relationship between self-compassion, compassion for others and Burnout in medical students and physicians. Methods A cross-sectional study was conducted. Medicine students and general physicians from two Colombian cities participated ( n = 359). The Compassion Scales and the Maslach Inventory were administered. An Exploratory Structural Equation approach was used for validating new measures and testing for relationships between latent variables. Results Most participants were students (85.9%), mean age was 22 years (SD = 7), 55.2% were female, 62,6% dedicated more than 48 weekly hours to study or practice, while physicians had worked a mean of 10.34 years (SD = 8.67). Self-compassion and Compassion for others action subscales were validated, but engagement subscales of were not. Participant´s compassion actions for others and self-compassion actions are negatively related to depersonalization and emotional exhaustion, respectively. Additionally, compassion dimensions were positively associated with professional accomplishment. Conclusion Our findings indicate that compassion and self-compassion actions inversely relate to different components of Burnout and could constitute protective factors against the stress of healthcare. Compassion and self-compassion training programs for medical students and physicians might be an alternative to avoid Burnout, diminishing physicians’ depersonalization and emotional exhaustion while enhancing their professional accomplishment.

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Compassion as a Skill: A Comparison of Contemplative and Evolution-Based Approaches

Gilbert

Gordon

2023

Mindfulness

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The editors to this volume posed a series of fascinating questions relating to how seeing compassion as a skill can help us understand its nature, cultivation and effects within secular contexts. This paper addresses these questions by comparing evolutionary with contemplative approaches to compassion. Recent scientific approaches have explored the evolved roots and biopsychosocial manifestations of compassion and their impact on mental states and prosocial behaviour, particularly in regard to both its facilitators and inhibitors. In contrast, we discuss how the contemplative traditions have approached the origins and cultivation of compassion through observing the mind (e.g. meditation), with a focus on gaining insight into self-transcendent experiences, the nature of inter-connectivity and non-separate existence (also referred to as non-duality), through which compassion arises naturally. Both evolutionary and contemplative perspectives have the same focus which is to understand and prevent the causes of suffering, including the suffering we cause ourselves because of our harmful potentials. However, in terms of training the mind in compassion skills, this paper considers how training approaches linked to the evolutionary model often use thinking, empathising, reflecting and guided behaviour change to activate psychophysiological systems linked to caring and compassion. In contrast, the contemplative traditions focus less on thinking and reflecting and more on creating conditions for direct experiencing. A key reason for doing so is to settle the mind so that subtler levels of consciousness can enable the experience of self-transcendent compassion to arise. Thus, both evolutionary and contemplative approaches can focus on developing mind awareness and the importance of practise, but evolutionary approaches such as compassion focused therapy do not pursue transcendent wisdoms or insights.

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Exploration of Evolution-Informed Compassion-Focused Therapy and Buddhist Approaches to Insight Meditation: A Three-Way Exploration

Cited by 5 publications

References 67 publications

Reverse compassion: value-in-use and value-in-context of healthcare services during crisis

Reverse compassion: value-in-use and value-in-context of healthcare services during crisis

Compassion and Self-Compassion: Counterfactors of Burnout in Medical Students and Physicians

Compassion as a Skill: A Comparison of Contemplative and Evolution-Based Approaches

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