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The Edge of Compassion | Françoise Mathieu | TEDxQueensU


have you ever had a friend who went

through the world’s longest ever breakup

and the first time or two or three you

are totally there for them you’re like

you call me anytime forget about that

guy that girl forget about that person I

got you and then they went back five six

seven times and then something shifted

inside of you and instead of being like

I got you you call me you notice that

something changed and all of a sudden

you started screaming their calls and

kind of having this shift in your

ability to feel empathy or compassion

for them can you relate to this now the

truth is that we’re all compassionate in

a different way

some of us have a huge pool of

compassion we are the go-to for our

loved ones or friends and some of us

have quite a small tank of compassion

and most people maybe don’t go to us

very often so it’s not kind of a metric

that everyone has in the same way but I

became really interested in this idea of

emotional depletion towards people who

are experiencing pain or suffering or

chronic illness and I became interested

in this in my profession and also as a

result of working at Queen’s University

so I was a crisis counselor at Queen’s

University for about seven years and I

also worked with the military for ten

years and I’m a trauma specialist and

I’m a psychotherapist and I started

noticing a shift in people’s energy and

ability to be present for other people

but first of all in their personal lives

and also in our professional lives if

that’s what we do for a living and so I

started asking myself some years ago

is there a sweet spot between caring

just the right amount

not caring at all so I started

researching this I’ve been in the field

of crisis and trauma for over 20-some

years

and about 15 or 16 years ago something

happened that made me kind of pause as I

was working at Queen’s University at the

time and I was starting to see a lot of

burnt-out students a lot of burnt-out

residents Dawn’s I had a couple of

residents Don’s that at some point lost

their entire year because they were

helping so many students who were

suicidal or in crisis and I started to

think where is it that we fail to teach

people about boundaries and limits and

how do we get kind of swallowed up into

other people’s pain and suffering and is

there a different way to do that I also

started seeing a lot of housemates and

maybe you’ve been through this where one

person in the house is suffering from a

mental illness or a legitimate crisis

and the entire house becomes consumed

with this person’s problem or issue at

the cost of their own suffering so

that’s the first thing that made me

pause was basically watching students

burnout the second thing I became a

little concerned about when I was

working at Queens is how service

providers such as myself

nurses cops social workers what-have-you

were not always the most compassionate

towards my clients and I’ll never forget

one day I took a very distressed young

man to the hospital emergency ward and

don’t get me wrong I love nurses I work

with nurses all the time but in this

instance the nurse we saw at the triage

in the emergency ward was quite frankly

an asshole and I’m not beating up on

nurses there’s lots of good nurses and

even maybe this nurse is usually great

but on that day she had nothing she had

nothing to offer him she had no

compassion she was impatient she kind of

profiled him she said to me oh I’m sure

he’s got a lot of money or he’s rich he

just she knew nothing about him but she

had nothing to offer him and I kind of

asked myself as I was kind

interacting with this one nurse I

thought to myself surely did goodness

you didn’t go into nursing because you

hated human beings right and I started

having the same experience with some

teachers some law enforcement people a

variety of people I was working with and

I do I work with them people who do what

we call high trauma high stress trauma

exposed work so I work with the victims

of trafficking unit child pornography

investigators you get the idea like I

work with people who do really

challenging work and some of them seem

to do a really good job and other people

it ends up costing them their marriages

their health and their ability to be

empathic towards other people and that’s

what by the way we call compassion

fatigue I kind of prefer the term

empathic strain this emotional and

physical exhaustion that develops over

time when you’re either faced with one

person’s intractable chronic problem or

a very large volume of very similar

issues can you imagine when I worked at

Queen’s University how many first year

students came to me saying that their

long distance relationship was gonna

last do you think after the fifth

hundredth person let’s call her Miffy

all right and miffy’s going out with

chip and chips at Laurier and they’re

gonna make it last do you think after

the four hundredth person who says that

to me do you think I’m still listening

to her or I’m just scheduling her for

after Thanksgiving when you know what

happens then right it’s so common it’s

got a name because by the way 95 percent

of long distance relationships at

university don’t last I’m sorry if

that’s you but so part of what happened

for me as I started noticing that high

volume exposure to very similar stories

were causing me to become a little bit

desensitized and numb and I wanted to

make sure that that didn’t happen to me

because I actually loved my work with

the students so then I start working

with law enforcement and I work with the

FBI

and I work with the LAPD and I work with

all sort with the RCMP homicide unit in

Edmonton I’m doing a lot of high trauma

work and I start noticing that they’re

having some negative impacts on their

personal lives and it’s not just PTSD

which is a whole other conversation this

has to do with numbing or

desensitization the other thing I

started noticing in myself as well as my

service providers is that we might have

done a great job at work but when we

went home we had nothing left and so

maybe we do a tough job and then we get

home in somewhat home at home has a

crisis and you’re thinking I’ll show

your crisis right and so I started

noticing that some of us were having a

hard time transitioning from one to the

other so based on all of that the

students I was seeing the residence

Dawn’s the teachers the social workers

the nurses the cops I started doing some

research on the topic of compassion

fatigue we created a think tank few

years ago and we meet three or four

times a year and we’re a combination of

researchers educators policy people in

the field and we’re always meeting and

saying what works and what is the sweet

spot so what is exactly carrying the

right amount and we started kind of

looking at this and realizing that there

is a sweet spot between being so

desensitized that I’m doing my grocery

list while you’re telling me about your

problem or being so over engaged that

I’m crying harder than you when you’re

telling me that my problem

are you a problem there was actually a

really interesting study that was done

on this topic over ten years ago and it

was two researchers at UBC who

identified this term that’s called

what’s not there anyways exquisite

empathy an exquisite empathy refers to

that exact thing

what is the sweet spot between caring

just the right amount so what I want to

offer you today are some strategies that

we have found to be really helpful for

you as an individual as someone in a

relationship family friends and also as

a global citizen and this is what we do

we travel my team travels all over North

America

we do trainings like this every single

week and we want to provide you with

some suggestions of what we call best

practices what does work now this isn’t

rocket science you probably know this

already but I want to kind of

reconsolidate it for all of us so the

first thing we’ve realized is that we

all need to understand what your warning

signs are now I think you all know what

the Green Zone looks like have you ever

realized like let’s say you’ve just

finished your summer holiday and you get

back to school or to work if you notice

how great you feel on the first day you

get back and you’re like namaste

[Music]

you know how long does that last one

hour a week so the truth is that a lot

of us have quite a high level of stress

but we don’t really always notice it and

so what I invite you to start noticing

is what we call the big three what are

the top three warning signs that you are

starting to exhibit that let you know

that you’re kind of headed towards the

red zone which is when of course you

crash and burn now here’s your homework

for today I want to invite you to go

home and ask your loved ones what your

yellow zone warning signs look like they

will be delighted to tell you because

they already know your dog knows what

your yellow zone looks like your cat –

but she doesn’t care so I want to give

you a little experiment you can kind of

try out right here right now all right I

want you to pretend that you have spilt

milk all inside of your refrigerator

those of you who are sitting here right

now saying what’s the problem with that

your housemates don’t like you

all right so you expect milk all inside

your refrigerator from the very top

shelf all the way down you’re still with

me is it not true that sometimes you

react to that in quite a pretty Zend

chill way and other times we lose our

mind so what we’ve noticed is the reason

that sometimes we’re pretty done about

that and other times we lose our mind

depends on something that is called the

window of tolerance and the window of

tolerance my friend Diana calls it WTF

in case you want to remember that and

the window of tolerance refers to this

zone that we live in and for some of us

that sweet spot you know the zone where

we have of course modulations where we

might go up or down a little bit but

that zone for some of us is actually

quite wide so for people who are who do

a lot of yoga and exercise and don’t

have a lot of stress or previous

stressors in their life

they tend to be pretty chill about those

things I don’t know if you’ve ever been

in a traffic jam with a friend of yours

who’s always calm and you’re

white-knuckling it and you have white

and you know kind of road rage and they

go what a great opportunity to listen to

our favorite radio show so I’d like to

suggest that their window is a little

bit wider than yours so this research

came out of some trauma work actually

that came out of the last two decades

and what we started noticing is that

people who had significant childhood or

other types of trauma tended to have

quite a small window of tolerance so if

you don’t mind I’ll give you an example

from my clinical practice some years ago

we had a soldier who had just come back

from a war zone two weeks ago and he had

also early childhood trauma

this guy had a pretty heavy load on him

and he was at the corner of Bath and

Princess Street which some of you know

is a big intersection and instead of

stopping at the red light he panicked

and he went right through the red light

almost crashing his car and his wife

said to him what are you doing what are

you doing he said it’s not safe it’s not

safe we can’t stop because what happened

is his window of Tolerance was this

small already and where he had been in

the war zone you never stopped at an

intersection and what happened is his

limbic system actually said to him

you’re actually in a life-and-death

situation right now when he was not so

what we’ve learned which is really

interesting is there ways to widen your

zone widen your window of tolerance so

that you’re not lying on the floor

raging at the refrigerator or completely

giving up and walking away hyper and

hypo arousal so there’s some really cool

stuff about that so how do we figure

that out in three strategies number one

figure out what your big three warning

signs are how does your body let you

know that you’re headed for trouble and

a lot of people say to me I know this

stuff well do you really though right

your eye twitch your migraines your neck

and shoulder pain you’re irritable bowel

your back pain what is it how is your

body letting you know and when your

body’s letting you know that your

headed for trouble do you ignore

Medicaid or slow down how is your body

letting you know Gabor Matta said years

ago the body does not live in isolation

from daily experiences the immune system

does not live in isolation from daily

experience number two what are your

behaviors what’s your number one

behavior when you’re starting to head

into the yellow zone and thirdly what

are some of the emotional reactions you

have so I don’t know what it is for you

but I know because I do a very

challenging work and I do a lot of

trauma work that when I’m in the green

zone I might go home after my work day

and exercise and watch one or two

episodes of my favorite funny show and

when I’m not in a good place and I’m in

the red zone I may watch seven seasons

of Breaking Bad while drinking into our

bottle of wine right and so I know that

those are ways for me to modulate and

self monitor and we refer to that of

course as self-awareness on a regular

basis the other thing that’s really

interesting and I’m very very excited

about some of this research is something

that is called equanimity what

equanimity refers to is the ability to

engage be present especially when

there’s a stressful event but also

remain calm and return to your baseline

more quickly I can give you an example I

don’t know if you’re familiar with the

interior BC but last week I accidentally

ended up driving in a tiny little car in

the middle of winter in the middle of

the night along the Kahala Highway and

if you don’t know what that is it’s

called Canada’s most dangerous road I

almost died okay it was awful and the

thing about it is that you can

understand that as I was on that freeway

it did not make sense for me to be

super-chill and to be going check it you

know it makes sense that in that moment

I was in the activated state but what

equanimity means is that you can more

rapidly return to baseline and how do

you learn to do that well we can get a

lot of information from folks that we

call expert meditators there’s been some

really interesting research and last

cade where they had tea they have taken

people who are considered expert

meditators now for example in one of the

studies there were buddhist monks who

have between 10,000 and 50,000 hours of

meditation under their belts and with

their consent

obviously we put them in a scanner and

we exposed them to traumatic images or

sounds and we had a control group where

we did the very same thing what was

really interesting is that expert

meditators had a combination of more

compassion towards the pain and

suffering while being much calmer and

less agitated or disrupted by it so they

had figured out figured out a way of

having equanimity having a dual

awareness where I can notice what’s

happening I can be present for you but

at the same time it’s not actually

distressing me that’s the secret with

that we’re all trying to seek now you

may not want to do 10,000 hours of

meditation or you may not want to do

meditation at all there are some new

modalities that are finding that very

brief periods of meditation can be very

helpful that’s why yoga works that’s why

exercise works and that’s why

mindfulness is highly effective so

what’s at stake and why am I so fired up

about this why do I spend almost two

thirds of my year away from my family

traveling and doing education I realized

at some point that if we do not have

compassion for each other

we’re in trouble as a society as

professionals and individuals so I don’t

think compassion is the problem I

actually think it’s the solution thank you

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