Education

Education

Can Empathy Be Taught? Online?

For the CT Health Leadership Fellows Program this month, I've been reading Daniel Goleman's "What Makes a Leader?" In it, he asked, "Can Emotional Intelligence Be Learned?"

Being the social media person that I am, I wondered if we could look at this from a different angle, "Can empathy be taught online?"

My mind went to a few different videos. One was Randy Pausch Last Lecture: Achieving Your Childhood Dreams. The lecture is about an hour and a half long and is very powerful.

In the lecture he tells the audience:

OK, and so one of the expressions I learned at Electronic Arts, which I love, which pertains to this, is experience is what you get when you didn’t get what you wanted. And I think that’s absolutely lovely. And the other thing about football is we send our kids out to play football or soccer or swimming or whatever it is, and it’s the first example of what I’m going to call a head fake, or indirect learning. We actually don’t want our kids to learn football. I mean, yeah, it’s really nice that I have a wonderful three-point stance and that I know how to do a chop block and all this kind of stuff. But we send our kids out to learn much more important things. Teamwork, sportsmanship, perseverance, etcetera, etcetera. And these kinds of head fake learning are absolutely important. And you should keep your eye out for them because they’re everywhere.

Perhaps the head fake, the indirect learning, or when it comes to learning emotional intelligence, some sort of 'heart fake' is part of how empathy is learned or how it can be taught. If we learn by doing, perhaps we lead by example. Perhaps what matters in social media is not the content of the post, but the feelings that surround it. Perhaps, to twist McLuhan, it isn't even the medium that's the message, but the emotions that surround the experience of the medium.

Two other videos come to mind, and I always link them together. They are by Jane McGonigal. The first is Gaming can make a better world. The second is The game that can give you 10 extra years of life.

In the first video she sets up the importance of gaming, and in the second, she makes it intensely personal. The second also ties nicely back to Goleman's article. McGonigal starts off the second video saying that she is a gamer and because of that, she likes to have goals.

In this, she comes close to capturing the five components of emotional intelligence at work, Self-Awareness, Self-Regulation, Motivation, Empathy and Social Skill. She starts off by talking about the Top five regrets of the dying, all of which could me mitigated by playing more games.

She then explores the idea of post traumatic growth in contrast to post traumatic stress disorder. She notes that people experiencing post traumatic growth talk about how they end up doing things that make them happy, feeling closer to friends and family, better understanding who they really are, having a new sense of meaning and being more focused on goals and dreams. She notes that these are the opposite of the regrets of dying people, and I notice that they seem to mirror the five components of emotional intelligence at work.

So, what does it take to experience post traumatic growth? She talks about resiliency. As a side note, one of the Rabbis at the funeral I attended on Sunday made some comments about resiliency that sounded very similar. She described four types of resilience: physical resilience, mental resilience, emotional resilience, and social resilience. In the video, she suggests ways to build up these resiliencies.

Again, as a social media person, I'm wondering if there are ways to build up these resiliencies online. Are there things that can be shared via social media that will help others build up these resiliencies?

When I think about so much that is shared online, it is about the content itself; people praising or cursing the President or members of Congress. People advocating for various issues. Yet perhaps this is not making a difference, or, even worse, it is having a different effect than intended. Are people just becoming more polarized, more offensive by focusing on the content?

Where does indirect learning and emotions around the medium fit in? This is a thought I've been focusing a lot since the shooting in Sandy Hook. I've avoided, as much as possible, news reports going into the horror of the event. Instead, I've focused on sharing stories of people helping one another. I've especially been interested in posting pictures of cute animals, particularly when they are helping others. For example, Gentle Carousel Miniature Therapy Horses has many images and stories, that I believe can help build some of the resiliencies that McGonigal talks about.

Can empathy be taught online? Perhaps; perhaps by focusing on head fakes about resiliency. I'm trying to bring some of that into my social media footprint. Are you? What sort of impact are you having online?

"Then Came Bronson"

As part of the Learning Creative Learning MOOC from MIT, I am writing about something that has impacted my approach to learning. This is based on Seymour Papert's essay, "Gears of My Childhood". When I first read about the essay, I thought about the old alarm clock I had been given as a Christmas present one year, along with a set of screwdrivers. I took apart that alarm clock, looked at how all the pieces fit together, including plenty of gears, but never managed to put it back together into a working alarm clock. Nor, did this experience stay with me as a key force in my educational pursuits over the following years.

So, what has stuck with me all these years? It was a television show that came on when I was about ten years old, "Then Came Bronson". The starting point is Bronson heading off on a motorcycle to find meaning in his life after his best friend commits suicide. Bronson rolls into one town after another and gets involved in the lives of the town people at some crucial point, helping them find a healthy resolution to their situation.

Yes, I loved trying to figure out what made that broken clock tick and I still love tinkering, trying to find out how things work, and exploring how they could work differently. Yet what really pulls it all together for me is trying to figure out what makes the people around me tick and if there are things I can do to help their lives run a little more smoothly.

So, what are the gears of your childhood? How are they helping the people around you? Whatever the answer, "hang in there."

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Creating Better Health, Part 2

On Monday, I wrote a blog post entitled Creating Better Health trying to pull together themes from patient education, the e-patient movement, discussions at the Mayo Clinic Center for Social Media and the Learning Creative Learning class at MIT.

Tuesday, I had a meeting with people from a health care foundation to talk about messaging around health care. It struck me how much money and effort is spent marketing unhealthy products, and how little effort is really spent encouraging Americans to live healthier lifestyles. Wednesday was mostly devoted to health disparity issues, and this morning started off on a similar note.

Then, this afternoon, I had a fascinating discussion that really helped pull some of this together. It seems like so much of patient education is about imparting information to patients. You have diabetes. You need to exercise more. You need to eat less sweets. It also seems like so much of this 'patient education' fails because patients aren't compliant with what their doctors are telling them.

Some of this may relate to health equity issues. Are the doctors imparting information providing information that is culturally aware? Perhaps they've been trained and think about difference between latino patients and caucasian patients. Yet perhaps this is too blunt a tool. My friends of Venezuelan descent are quick to point out how different they are from our Puerto Rican, Mexican or Argentinian friends. For that matter, there are similar differences between Italian-Americans and Irish-Americans, and then you get to families like mine. On my side of the family, there is English, Scottish, Irish, French, Dutch which has been mixed together for generations. We have certain traditions around food and family gatherings. On Kim's side of the family, there is Italian, Irish, English and Russian, some of it much more recently arrived in the United States and mixed together. There are a different set of traditions. As a family, we try to mix all of this together that into something that is uniquely part of our family.

A couple of us have specific dietary concerns related to our health so meals and traditions are created that specifically relate to our cultures and our health conditions. My wife takes great pride in her ability to create great meals that meet all the family requirements. Every family is different. How do other families create meals that meet the specifics of family tradition and health needs? This probably is something that needs to be created by the family, and not imparted by medical providers.

When you look at people confronting major health challenges, they gather at online sites, where they share experiences and ideas, where they discover, together, aspects of their diseases, perhaps information that the medical community has yet to discover. This seems to be constructivist learning about health which is far different from most patient education. The patient support sites, are, in certain ways, massive open online courses (MOOC).

As an alternative to traditional patient education with low compliance rates, can we design massive open online courses where patients with more common and in some cases less threatening diseases can participate in shared learning experiences that result in better health? It seems like an interesting challenge.

Related to the MIT MOOC, I have set up a Google+ community LCL Health. If you're interested in exploring this further, please join us.

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Creating Better Health

Today I listened into the first session of Learning Creative Learning. This is an online learning event run by the folks at MIT's Media Lab rooted firmly in constructivist theories of education. I alluded to it in my blog post yesterday about a learning event taking place around the language of Hollywood, and I hope to tie these events together with some other events soon.

But first, I want to explore my initial reactions to the first lecture. I had read the paper ahead of time, and I've read a lot of related material, so nothing new jumped out at me, with one exception.

This time, I was approaching this whole creative learning thing from a different context. I'm part of the patient education committee at the Community Health Center, trying to help underserved patients learn how to better care for themselves. I'm in the Health Leadership Fellows Program of the Connecticut Health Foundation, trying to find ways to address disparities in our health care system. I've been spending a lot of time thinking about the whole e-Patient movement, and I've been trying to bring some of this together in terms of the Mayo Clinic's Center for Social Media.

The Center for Social Media draws in a lot of e-Patient types. e-Patients are "empowered, engaged, equipped and enabled". Some of them even went to MIT. They gather in groups like the 'Society for Participatory Medicine' and I have to wonder if the Society for Participatory Medicine was influenced by Henry Jenkin's idea of Participatory Culture.

It all fits nicely together for those who are already empowered and have a love of learning, but I have to wonder how it can fit with patient education where I work; the fifty year old man from Puerto Rico with a heart condition and no family doctor, the young muslim women struggling to get by in a society which doesn't embrace them as they deal with domestic violence at home, the newly diagnosed diabetic patient with complicated cultural relationship to food who lives in a food desert. Where does creative learning fit in for these people? How do we help people who have been downtrodden for years to become empowered? How does this relate to the frustration of providers to get the patients comply, take their medicine, get exercise, quit smoking or whatever?

How can we help underserved patients create better health? That's my question for tonight. Care to join with me in this?

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Street Angel 21

I sit and try to write, but start sneezing. I've got a list of things to write about, but I'm aching from some sort of virus exacerbated by too much shoveling after the great storm. I've tried to rest as much as possible, but I have a restless mind and have been thinking about a lot of different things. One is the 1928 silent movie, Street Angel.

The other day someone tweeted about a massive open online course, The Language of Hollywood: Storytelling, Sound, and Color. I signed up, watched the first two lectures and then started watching the first movie.

When I have more time, I'll weave this into a broader story about creative problem solving, tying in McLuhan and Papert. At another time, I'll reflect more on what we can learn about storytelling today by looking at early films. At another time, I won't be struggling to stay awake and write.

So, let me reflect, for a few moments on Street Angel itself. We start off with a daughter committing a crime to get medicine for her dying mother. Today, we have a safety net, but it isn't in the best shape, and I can imagine a young Latina born in Connecticut in a similar circumstance trying to get medication for her ailing undocumented mother.

Angelica, in Street Angel, becomes a fugitive, and their is no forgiveness for those who have broken the law. Again, we see parallels to modern day America. Some people broke the law a couple decades ago, coming to this country illegally. But too many people cannot forgive them, cannot give them a path to citizenship because they broke a law twenty years ago. Right now, there is legislation being considered that would ban citizens of Connecticut who have been convicted of drug related crimes from ever getting public assistance. No chance, ever, for forgiveness. Yet these are probably the people that need it most, and perhaps where we could have the biggest impact, lifting a person out of a life of crime and a circle of poverty.

A twenty-first century Street Angel, Street Angel 21, wouldn't be a silent black and white movie. It might be a mashup of graffiti, pictures, video, and social media, trying to address problems that have been around for a century.

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