Social Connections and the Cancer Community
January 19, 2021Information
January 17, 2020
Yale Cancer Center
visit: http://www.yalecancercenter.org
email: canceranswers@yale.edu
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- 00:00Support for Yale Cancer Answers comes
- 00:03from Astra Zeneca, a biopharmaceutical
- 00:05business that is pushing the boundaries of
- 00:08science to deliver new cancer medicines.
- 00:11More information at astrazeneca-us.com.
- 00:15Welcome to Yale Cancer Answers with
- 00:17your host doctor Anees Chagpar.
- 00:20Yale Cancer Answers features the
- 00:22latest information on cancer care by
- 00:24welcoming oncologists and specialists
- 00:25who are on the forefront of the
- 00:28battle to fight cancer. This week,
- 00:30it's a conversation about social
- 00:31chemistry and the cancer community
- 00:33with Doctor Marissa King.
- 00:34Doctor King is a professor of
- 00:37organizational behavior at the Yale
- 00:38School of Management and Doctor Chagpar
- 00:40is a professor of surgical
- 00:42oncology at the Yale School of Medicine.
- 00:46So for all of our listeners,
- 00:49you may not know this, but I did my
- 00:52MBA at Yale School of Management,
- 00:54and one of the classes that I took was
- 00:58actually your class Marissa on social
- 01:00networking and it got me to thinking
- 01:03that there's a lot of aspects that are
- 01:06pertinent in terms of social networking
- 01:09when we think about the cancer community,
- 01:11I know that many people think about
- 01:14social networking in business
- 01:16and having relationships and
- 01:18how they can build on that in terms
- 01:21of their network and finding jobs
- 01:23and climbing the corporate ladder.
- 01:25But for cancer patients,
- 01:27I think that that's also true.
- 01:29Have you kind of thought about that?
- 01:32Or what are your thoughts on that?
- 01:35Absolutely.
- 01:35We oftentimes
- 01:36think of the idea of networking,
- 01:38and for many people that idea in
- 01:40and of itself is just morally off
- 01:43putting that there's kind
- 01:44of a feeling of like, oh,
- 01:46this is icky, or it doesn't apply.
- 01:48And part of that is people are
- 01:50oftentimes having in mind an idea of a
- 01:52very instrumental type of networking,
- 01:55and particularly professional networking.
- 01:56So the idea that they're going
- 01:58to try to meet someone to get
- 02:00something in a professional context,
- 02:02and we know from a lot of research that that
- 02:05oftentimes is really off putting
- 02:07to people and impedes their ability
- 02:09to form effective networks.
- 02:12And what I've shown in my research
- 02:14and what I think is important
- 02:16to understand is the difference
- 02:18between networks and networking.
- 02:20So we all have networks, networks
- 02:23are simply the traces of interaction
- 02:25that we have on a daily basis.
- 02:28It's the person you've bumped
- 02:30into at a coffee shop,
- 02:32your relationship with your physician.
- 02:33Your more enduring relationships
- 02:35with your closest friends and family.
- 02:37So all of us have networks and those
- 02:40networks have profound implications.
- 02:42They are strong determinant of
- 02:44emotional well being and support.
- 02:46They also impact our physical
- 02:48health and well being.
- 02:50The type of network you have is a
- 02:52strong predictor of premature mortality,
- 02:55and they certainly also impact
- 02:57their professional success.
- 02:58But when thinking about the cancer community,
- 03:01it's really important to
- 03:02understand that your network has
- 03:04extraordinary implications for your
- 03:06emotional support, your ability to
- 03:08help others and also your ability to
- 03:10get information that you may need and
- 03:13navigate the situation that you're facing.
- 03:15So thinking about the idea
- 03:17of your own network,
- 03:18it's really important to try to
- 03:20understand what are your current strings.
- 03:23How might your network be changing
- 03:25if you're navigating a cancer diagnosis,
- 03:27and how can you build a more
- 03:29effective network to help you
- 03:31meet the demands that you're
- 03:33currently facing?
- 03:34Yeah, I love that concept because
- 03:38so many people
- 03:41when faced with a cancer diagnosis,
- 03:44it's kind of like you've
- 03:46just been splashed with cold water,
- 03:49deer in the headlights look of, Oh my gosh,
- 03:52what just happened to my life and I
- 03:55find that oftentimes people when faced
- 03:58with that diagnosis will start looking
- 04:02to their network, to their friends.
- 04:05Their next door neighbor,
- 04:07people at church,
- 04:08people in their work context,
- 04:10who may have had the same experience
- 04:14and from that they start gleaning
- 04:17information that helps to
- 04:20inform some of the
- 04:22decisions that they make,
- 04:23but talk a little bit more about how
- 04:26that works because I find that part
- 04:28of it might be that some
- 04:30patients are very good at that and
- 04:33they're very open with their diagnosis
- 04:35and they talk to almost everybody that
- 04:38they can find who can kind of give
- 04:41them some more advice and guidance
- 04:43and tell them about their experience.
- 04:45Other people,
- 04:46on the other hand,
- 04:47really try to keep that
- 04:49very much to themselves.
- 04:50How does that work?
- 04:53And if you're having difficulty
- 04:56engaging your network,
- 04:58what advice do you have for people?
- 05:01It's a really
- 05:02important point that you make and
- 05:05what's interesting is we know that often
- 05:08times when people are faced with a crisis,
- 05:11whether that's the pandemic itself, or
- 05:13what happens after Hurricane Katrina,
- 05:16or for instance, what happens after a
- 05:19diagnosis when people are in a moment
- 05:22of crisis or uncertainty, networks
- 05:24actually in general tend
- 05:26to what we call Turtle in.
- 05:28People tend to gravitate to the people that
- 05:31are closest to their inner circle.
- 05:33The people that they would tend to
- 05:36rely on routinely for help or support.
- 05:38For most people,
- 05:39this is around two to five people,
- 05:42and our networks really focus
- 05:43on this inner circle.
- 05:45In many ways this makes perfect sense.
- 05:47It's highly adaptive in the sense it's
- 05:50really from your inner circle that you get
- 05:53the strongest emotional and social support.
- 05:56The challenge with that natural tendency
- 05:58that happens for so many people is
- 06:01exactly the flip side of this that you
- 06:03pointed to is it many times when
- 06:06we're trying to navigate a diagnosis,
- 06:09we really need new information and we
- 06:11also may be looking for someone who has
- 06:13a shared experience that wouldn't be in
- 06:16this inner circle and just probabilistically,
- 06:18that's quite unlikely,
- 06:19and because we all have a certain amount of
- 06:23time in a certain amount of cognitive energy,
- 06:25we really have to
- 06:27be cognizant about these trade offs.
- 06:29Are we focusing really on our inner
- 06:31circle or are we reaching out to people
- 06:34who could provide new information?
- 06:36Who may be able to have a similar experience
- 06:40that we wouldn't normally talk to?
- 06:42And so this natural tendency to turtle
- 06:45in and focus on our inner circle while
- 06:48it's adapted from an emotional standpoint,
- 06:50it can have pretty significant drawbacks
- 06:53in terms of information seeking.
- 06:54And so you ask an important question.
- 06:59What does this mean for how you can
- 07:02navigate this moment and there's
- 07:04been work that was done
- 07:06by Ned Smith and Tanya Menon,
- 07:08who first identified
- 07:09this tendency to
- 07:11focus on our inner circle during
- 07:13times of stress and uncertainty,
- 07:15and what they found is that
- 07:17not everyone experiences this.
- 07:18As you mentioned that it particularly is
- 07:21people who have a sense of a lack of control,
- 07:24they tend to focus in on this inner circle
- 07:28but at the same time you
- 07:31need new information and you need to
- 07:32be able to identify people who you
- 07:34wouldn't normally talk to to help you
- 07:36through this moment and in order to
- 07:38think about that part of your network,
- 07:40one of the most powerful things
- 07:41that you can do is actually to try
- 07:43to induce a more controlled sense
- 07:45of your environment in yourself.
- 07:47So there are a couple of ways
- 07:49of thinking about doing this.
- 07:50One of the most powerful ways that they
- 07:52found is actually to have a sense of
- 07:54reaffirmation of your own sense of self.
- 07:56So who you are and what you value.
- 07:59And in thinking about that before you reach
- 08:01out and you think in before trying to
- 08:04figure out who might be able to help you.
- 08:07It allows you to over come this
- 08:09natural tendency to focus inward when we
- 08:12feel out of control and reaching outward can
- 08:14be really important for forming new ties,
- 08:17getting new information,
- 08:18and navigating a landscape that's
- 08:19really uncertain.
- 08:23I think that that's so great,
- 08:26but I think the other thing is that
- 08:28you know it's sometimes difficult
- 08:31because so many cancer patients
- 08:33really do feel out of control in
- 08:36that kind of sense of I'm going
- 08:39to have some self affirmation
- 08:42about myself and about what I value
- 08:44might be difficult in the moment,
- 08:46but I wonder whether
- 08:49that inner circle that you turn
- 08:52to, those two to five people,
- 08:54they may have a much stronger sense of self
- 08:58and may actually be kind of linkers to
- 09:01help you to expand your circle and
- 09:04provide you a safe space to get to
- 09:08information or to connect to other
- 09:11people who might be able to help.
- 09:14Kind of this idea of 6 degrees of separation.
- 09:18It's a beautiful suggestion, and an important one,
- 09:21and I often think of this as
- 09:24trying to find a network
- 09:26partner in many circumstances.
- 09:27There is a patient in this circumstance.
- 09:29In particular, you may feel out of control.
- 09:32It may feel very hard to have this sense
- 09:35of self affirmation and really be able to
- 09:37tap into a sense of stability and control,
- 09:41but instead, if you're able to ask for
- 09:43help and ask for people within your
- 09:45inner circle to reach out to their network,
- 09:48it's extraordinarily powerful.
- 09:49Like if we think about our own network,
- 09:52right? Most people on average have around
- 09:54600 to 900 people within their network,
- 09:57but if you think about relying
- 09:59on that inner circle
- 10:00just the people that you know all
- 10:02of a sudden you may go from 600
- 10:04people to 3000 people and then,
- 10:06as you mentioned,
- 10:07you think about the number of people
- 10:09that they are friends with
- 10:11and then all of a sudden there's
- 10:13extraordinary reach into the amount
- 10:14of information that you're able to
- 10:16access and potentially being able to
- 10:18identify people who can help you with
- 10:20either the right piece of information
- 10:22or even a shared experience.
- 10:23I've been through this too and
- 10:25let me tell you what
- 10:26that experience was like for me.
- 10:28Yeah, and as I think
- 10:30about kind of going through
- 10:31that cancer experience there are people
- 10:34who you may come in contact with who
- 10:38can link you to other people, right?
- 10:40So talking to your doctor or a
- 10:44nurse or a social worker and the
- 10:47concept of even support groups
- 10:49to kind of expand your
- 10:53circle can sometimes be helpful,
- 10:55but I find that there are other again
- 10:58other people who find that support
- 11:01groups really are not so helpful.
- 11:04Particularly when people in that
- 11:06support group may have experiences
- 11:09that are not exactly like yours.
- 11:12So for example,
- 11:13if you have a diagnosis of an early
- 11:16breast cancer and somebody has
- 11:19metastatic pancreatic cancer and is
- 11:22telling you about their experiences,
- 11:25sometimes that can be actually far
- 11:28more scary than having somebody
- 11:31in a support group who really
- 11:34can share experiences
- 11:36that are more in line with
- 11:38what you're going through,
- 11:39but at the same time some people
- 11:41find that these support groups,
- 11:43regardless of how mixed they are,
- 11:46are still helpful.
- 11:48How would you kind of contextualize
- 11:50that and
- 11:52is there a way to kind of think
- 11:56about people's own situations and
- 11:58what they would benefit most from,
- 12:00or how they should filter information
- 12:02that they get from their networks?
- 12:05I think that that's
- 12:07one of the most challenging pieces when
- 12:10you're trying to think about from a
- 12:13support group standpoint is figuring out
- 12:15for you where that boundary lies and
- 12:19I think one piece of the
- 12:22support is oftentimes going to come
- 12:24through being able to identify
- 12:26with others in the group and have a
- 12:28sense of shared experience and that
- 12:30in many ways is easier to navigate
- 12:33when you have some group composed
- 12:35of people who are in a similar
- 12:37situation, right?
- 12:39So for instance,
- 12:40if the group is primarily composed
- 12:42of people with early stage breast
- 12:44cancer versus later stage pancreatic
- 12:46cancer it's going to be
- 12:48easier to find those points
- 12:51of identification and connection,
- 12:53but I think there's also for
- 12:55people who are sort of particularly
- 12:58feeling uncomfortable with respect to
- 13:01how much they feel comfortable
- 13:03sharing or disclosing,
- 13:04people also have very different
- 13:07preferences and tendencies
- 13:08to navigate boundaries about
- 13:10how much can I hear about someone
- 13:13else's experience while still protecting
- 13:15myself and being able to empathize?
- 13:18But not become engrossed
- 13:20in someone else's situation,
- 13:21so those are easier to navigate
- 13:23when you have groups that are
- 13:25more similar with respect to where
- 13:27people are with the disease, but
- 13:30particularly if you NOTE Confidence: 0.849451
- 13:32know that that's not
- 13:35a challenge for you being able to be
- 13:37a part of a broader group and just
- 13:40connecting regardless of your
- 13:42experience is different from mine.
- 13:44They were all in many ways going
- 13:46through a challenging time and talking
- 13:48about what those challenges are
- 13:50instead of the specifics,
- 13:52the medical specifics can generally
- 13:54be really helpful for everybody.
- 13:56I think it's so
- 13:58cool to think about how social connection
- 14:00really affects the cancer experience,
- 14:02and we're going to come back to
- 14:05all of that right after we take a
- 14:08short break for a medical minute.
- 14:10Please stay tuned to learn more about
- 14:13social chemistry in the cancer community
- 14:15with my guest Doctor Marissa King.
- 14:18Support for Yale Cancer Answers
- 14:20comes from AstraZeneca,
- 14:21a biopharmaceutical business with
- 14:23a deep rooted heritage in oncology
- 14:26and a commitment to developing
- 14:29cancer medicines for patients.
- 14:31Learn more at astrazeneca-u.com.
- 14:35This is a medical minute
- 14:36about head and neck cancers,
- 14:38although the percentage of oral
- 14:40and head and neck cancer patients
- 14:42in the United States is only about
- 14:455% of all diagnosed cancers,
- 14:47there are challenging side effects
- 14:49associated with these types
- 14:50of cancer and their treatment.
- 14:52Clinical trials are currently
- 14:53underway to test innovative new
- 14:55treatments for head and neck cancers,
- 14:57and in many cases less radical
- 14:59surgeries are able to preserve nerves,
- 15:02arteries and muscles in the neck,
- 15:04enabling patients to move, speak
- 15:06breathe, and eat normally after surgery.
- 15:09More information is available
- 15:11at yalecancercenter.org.
- 15:12You're listening to Connecticut Public Radio.
- 15:16Welcome
- 15:16back to Yale Cancer Answers.
- 15:18This is doctor Anees Chagpar
- 15:21and I'm joined tonight by my
- 15:24guest Doctor Marissa King.
- 15:25We're talking about social
- 15:27chemistry and the cancer community
- 15:29and right before the break,
- 15:31Marissa, we were talking about
- 15:33the power of social connection,
- 15:35especially when going
- 15:37through a crisis like cancer.
- 15:39And there were a few points that I
- 15:42wanted to just kind of bring up again.
- 15:45One of the things that you mentioned
- 15:47in passing was that there are
- 15:50data that social connection can
- 15:52actually affect your longevity.
- 15:53Can you talk more about that?
- 15:58Our interactions
- 15:59in a moment to moment basis and our
- 16:02ability to connect with one another
- 16:04impacts our physical health and it does
- 16:07that in many ways through
- 16:10stress in particular.
- 16:11So if humans were really built for
- 16:14social connection and because of
- 16:16that there are many biomarkers that
- 16:18change when we're in a high quality,
- 16:21supportive interaction. For instance,
- 16:22when you're in a supportive interaction,
- 16:24your cortisol levels,
- 16:25which is a biomarker for stress,
- 16:27will decrease and overtime
- 16:29those stress levels,
- 16:30whether they are lower because
- 16:31you're in supportive interactions or
- 16:33their higher because you're feeling
- 16:35more isolation and loneliness,
- 16:37it's through those channels
- 16:40and stress is a more
- 16:42immediate factor that impacts longevity.
- 16:46I think that's so interesting
- 16:48that you bring it back to
- 16:50kind of a biological basis.
- 16:52I mean, we think about how
- 16:55when you get a hug your oxytocin
- 16:58levels go up and it's that
- 17:01feel good hormone
- 17:02that makes people feel more comfortable,
- 17:06more safe, but I think that now,
- 17:10especially in the pandemic,
- 17:12when we are
- 17:15physically distancing, socially isolating,
- 17:17especially for people going through
- 17:20cancer that can be particularly
- 17:22problematic and difficult.
- 17:24So even if you have a network,
- 17:28if you can't physically
- 17:32engage with that network
- 17:34what can you do to really reduce
- 17:36some of that stress and still
- 17:39benefit from that social connection?
- 17:41One of the
- 17:42most powerful things that you can do
- 17:45is actually just have a conversation
- 17:47in which you feel heard and we know
- 17:50that listening has an extraordinarily
- 17:52powerful effect on health and well
- 17:55being both physical and mental.
- 17:57There have been clinical trials
- 17:59after clinical trials that have shown this.
- 18:00In fact, feeling
- 18:02listened to reduces pain,
- 18:04and it also reduces recovery time.
- 18:07And one of the things that for me is so
- 18:09interesting about listening is studies
- 18:11that have asked people whether or not
- 18:14they feel like they're a good listener.
- 18:16The vast majority of people,
- 18:1896% of people,
- 18:19will tell you that there are good listener,
- 18:22but most of us,
- 18:23if we've been in conversation,
- 18:25know that's simply not true.
- 18:26And even for people who do actively
- 18:29think about what they're doing in
- 18:31conversation in terms of listening,
- 18:32most of the time there's an
- 18:34emphasis on active listening,
- 18:36asking follow up questions.
- 18:38Perhaps jumping in with your own story,
- 18:40nodding in affirmation,
- 18:41but there's another type of
- 18:43listening that
- 18:45particularly has deep healing effects,
- 18:46and that's deep listening.
- 18:48And in that modality of listening,
- 18:50the idea isn't so much to be
- 18:52engaging with the speaker,
- 18:53but it's just to give them space,
- 18:56and one of the ways to see how much space
- 18:58that you're giving someone in a conversation,
- 19:01if you just simply ask someone,
- 19:03hey, how are you doing today?
- 19:06And let them begin talking.
- 19:08And in the meantime just be silent
- 19:10and notice what your tendencies are.
- 19:12Do you want to jump in with your own story?
- 19:15Do you want to ask a follow up question,
- 19:18but just don't
- 19:19act on that,
- 19:20but just give the other person space.
- 19:22And particularly when people are going
- 19:24through challenging times in many ways,
- 19:26they just want to be heard,
- 19:28but for a lot of people,
- 19:30there's a tendency to want to give advice.
- 19:32So in conversations,
- 19:33actually even asking someone whether
- 19:34it's a patient or someone trying
- 19:36to support the patient, which
- 19:38also can be quite a difficult role
- 19:39to simply even ask,
- 19:41do you want to just be listened to
- 19:43or do you want advice and oftentimes
- 19:46you'll be amazed how often people
- 19:48will say that they actually just
- 19:50want to be listened to.
- 19:52I think that that's
- 19:55so important because I think we've
- 19:57all been in situations like that where
- 20:00somebody is going through a crisis,
- 20:02whether it's a cancer diagnosis
- 20:04or losing a job or
- 20:07facing another health crisis like Covid.
- 20:09I mean, we've all been through
- 20:11all of those situations
- 20:12I feel like in the last year.
- 20:16And people just want to vent.
- 20:20They just want to feel heard.
- 20:22But at the same time you want to help.
- 20:27So how
- 20:28do you kind of overcome that?
- 20:32I think that piece about
- 20:34wanting to help is right.
- 20:36It is important to recognize,
- 20:38if this is your tendency,
- 20:40it's most likely because you
- 20:42actually want to be of help,
- 20:44and so I think asking people at the
- 20:47beginning of a conversation,
- 20:49do you just want to be heard or are you
- 20:52actually seeking advice helps both
- 20:54parties set expectations and the second
- 20:56piece t NOTE Confidence: 0.8345081
- 20:59mention asking for help you think,
- 21:01particularly during times of crisis.
- 21:05And understanding and being able to
- 21:07differentiate are you just listening,
- 21:09are you asking or offering
- 21:11help is really important
- 21:12because those are two very different
- 21:14support functions.
- 21:16But for many people it's extraordinarily
- 21:18difficult no matter what the circumstances.
- 21:20But one of the things that I
- 21:22think is powerful to think about,
- 21:24and overcoming that resistance,
- 21:25is also engaging in perspective taking.
- 21:27So if you're the
- 21:29person who needs help,
- 21:31if you're the patient or the person
- 21:33who just received a diagnosis and
- 21:35you do feel like you need help,
- 21:37but are reluctant to ask for
- 21:39it to imagine what it's like
- 21:41to be on the other side,
- 21:43to be a friend or family
- 21:45member who so wants to help but
- 21:48oftentimes doesn't know how to.
- 21:49Imagine that and thinking about
- 21:52your asking for help is in many
- 21:54an opportunity for them to
- 21:56be of service for them to feel
- 21:59that they have some purpose.
- 22:01It can be extremely gratifying,
- 22:03so no matter who is asking for help,
- 22:05oftentimes there's a reluctance to do that.
- 22:08But one of the most powerful ways to
- 22:10overcome it is actually to think about
- 22:13what it would be like for the other
- 22:15person to be able to provide help.
- 22:18And particularly in this moment
- 22:19in the pandemic.
- 22:20So many of us need a sense of purpose
- 22:23that in many ways you're giving a
- 22:26gift to the other person.
- 22:27Yeah, I think that is really,
- 22:30really on point, because
- 22:31we've all seen it right.
- 22:33Cancer patients oftentimes will retreat.
- 22:36They'll try to do it all,
- 22:39and they'll find that they really can't.
- 22:42And yet they are reluctant
- 22:44to ask anybody for help.
- 22:46And meanwhile,
- 22:47the people who are their support
- 22:50circle don't really know what to do.
- 22:53They want to help,
- 22:56but then they don't want to,
- 22:59and they want to give people space but
- 23:03they want to be of service and I
- 23:05think that your concept of,
- 23:08think about the fact that if
- 23:10the shoe was on the other foot,
- 23:12you would so want to help and it
- 23:15feels so good to help other people.
- 23:17You just need that permission to do so.
- 23:21What other advice do you have for
- 23:25people who are trying to
- 23:28navigate these stressful situations
- 23:29and are feeling isolated and
- 23:32truthfully are physically isolated?
- 23:34I'm thinking more about at the
- 23:37end of life.
- 23:41We've seen these tragic pictures
- 23:44on the news of people with Covid.
- 23:47They may or may not have cancer.
- 23:50They can't have their loved ones around.
- 23:53How do you deal with that?
- 23:57In particular, in those moments
- 23:59when oftentimes we would really
- 24:02be like relying on touch and touch
- 24:05is so powerful and so healing,
- 24:07but particularly in those moments,
- 24:09right now, it's just not possible.
- 24:12Oftentimes people default
- 24:14to video and mthere's a lot
- 24:17of reasons why we're doing this,
- 24:19and it's helpful
- 24:21oftentimes to be able to see someone else,
- 24:24but we know from
- 24:26a lot of research that voice
- 24:28only rather than sort of voice
- 24:30and video at the same time,
- 24:32that voice only is much
- 24:34better at conveying emotion,
- 24:35and it's much better at conveying
- 24:37empathy and so it's something
- 24:39to think about and keep in mind.
- 24:41And perhaps experiment that if you
- 24:44perhaps have been trying to keep in
- 24:46touch only through video and voice,
- 24:48the video actually can be distracting.
- 24:50Video also can make people much more
- 24:53self conscious about how they're
- 24:54looking or focus on the situation at hand.
- 24:57And in many ways it's easier to
- 25:00connect on an emotional level
- 25:02by just hearing someone's voice.
- 25:04It's far more humanizing and it
- 25:07also is able to convey empathy in
- 25:10a way that voice in video at
- 25:13the same time can't.
- 25:15Wow, I would have never thought that
- 25:19I guess because I always
- 25:21thought about communication.
- 25:22You know, being in part,
- 25:24we always think about this nonverbal
- 25:27part of communication, but
- 25:28the data
- 25:31really doesn't support that.
- 25:36A couple reasons that this is true,
- 25:38the data seems
- 25:39to suggest that if we're focusing
- 25:41just on emotion and empathy,
- 25:43that voice only tends to be
- 25:45better and our
- 25:47natural tendency is to
- 25:49default fto video like we're trying
- 25:51to recreate the thing that feels as
- 25:53close to normal life as possible.
- 25:55But in reality, the idea is
- 25:57exactly what you said that the more
- 26:00we can get more nonverbal cues,
- 26:02the problem is that video
- 26:03conferencing is actually pretty bad at
- 26:05conveying nonverbal cues.
- 26:06So I have a choice.
- 26:10Essentially, I
- 26:10can either look at your eyes or
- 26:12I can look at my webcam and not
- 26:15that's a signal of distraction.
- 26:17Our eyes also tend to gravitate
- 26:19towards mouths instead of eyes in video
- 26:21conferencing and our ability just to
- 26:23convey nonverbal cues
- 26:25on video is pretty poor and so that
- 26:27is actually making the cognitive load
- 26:29higher and making it more difficult
- 26:31to connect 'cause we're trying to
- 26:33monitor something that we don't
- 26:35actually have an ability to do well.
- 26:37The second piece of this is it also
- 26:40can create barriers to interaction,
- 26:41so if I'm not feeling well one
- 26:43day
- 26:45or perhaps I've been through
- 26:46treatment and I'm just also not
- 26:48looking my physical best,
- 26:49I may not want to be seen and
- 26:52so I may actually avoid interaction in
- 26:54a way through video that I wouldn't
- 26:56otherwise if it were voice only.
- 26:58So just a phone call and so both
- 27:00from an issue of self presentation,
- 27:02but also our ability to really hone
- 27:05in on what's going on with someone else.
- 27:07The evidence seems to suggest
- 27:09that just hearing voice can be more
- 27:11powerful?
- 27:14That is so so interesting and something that I think a lot of
- 27:19our listeners probably didn't know and
- 27:22can really benefit from.
- 27:26What other tips do you
- 27:29have for perhaps healthcare providers
- 27:31and connecting with patients?
- 27:34Because this is hard on them as well.
- 27:37I mean, I think everybody right now
- 27:40is going through so much stress and
- 27:43the idea of a really kind of trying
- 27:47to step up even more your game as
- 27:50a health care provider.
- 27:53Normally you're trying to deal with patients.
- 27:56You're trying to get the best
- 27:59outcome for them.
- 28:00Connect emotionally with them,
- 28:01and now on top of all of that,
- 28:04you also are dealing with all
- 28:06of your own stresses, right?
- 28:08You're in a Covid rich environment.
- 28:11You've got kids at home who
- 28:13are trying to home school.
- 28:15You may have had a partner who
- 28:19just lost a job or whatever.
- 28:22What advice do you have for health
- 28:25care providers in terms of maintaining
- 28:28their own social connections and
- 28:31being there not only for their
- 28:33patients but also for themselves?
- 28:37I think one of the most important
- 28:39things to realize is that
- 28:41social connection really happens in
- 28:43the minute and the quality of our
- 28:45social connections is determined
- 28:47in a very small time scale.
- 28:52Whether you're a health care provider
- 28:54or patient or just a person trying
- 28:56to get through day to day life
- 28:58in Covid everyone is extraordinarily
- 29:00stressed and particularly if it
- 29:01is in a healthcare setting.
- 29:03You're also extraordinarily busy,
- 29:04and we know from a lot of research
- 29:07there's a beautiful study that looked at
- 29:10The Parable of the Good Samaritan,
- 29:14and they randomly assign people to walk
- 29:17by someone who is in need of help
- 29:19and these were all theologians,
- 29:21and on the one hand,
- 29:22they ask people to either prepare
- 29:24the parable of the Good Samaritan's
- 29:26sermon or something random,
- 29:28and then they were interested in
- 29:30seeing who stopped to help the person
- 29:32in need and it turned out that it
- 29:34didn't matter if they had
- 29:36prepared and thought about the
- 29:37parable of the Good Samaritan or
- 29:39they read something random
- 29:41what mattered the most was
- 29:43whether or not they were told
- 29:44they were in a hurry when
- 29:47they were walking by the person in
- 29:49need on the way to another building.
- 29:51And I think that's true for all of
- 29:54us in the moment that it was really
- 29:56the people who were were not told
- 29:58to hurry that stopped to help.
- 30:00And our ability to help one another
- 30:03and also help ourselves depends on
- 30:05being able to be present in a really
- 30:07small period in the moment to be
- 30:09able to make eye contact when we
- 30:11can to be able to simply be heard
- 30:14and listened to by another person.
- 30:16And it doesn't take a lot of time.
- 30:18Everything we know from research is
- 30:20that it doesn't matter whether or
- 30:22not you're spending an hour a day
- 30:25connecting with people or simply 5 minutes,
- 30:27it's really the quality of that
- 30:29moment that matters for everyone's
- 30:30health and well being.
- 30:32Doctor Marissa King is a professor
- 30:34of organizational behavior at
- 30:36the Yale School of Management.
- 30:38If you have questions,
- 30:39the address is canceranswers@yale.edu
- 30:41and past editions of the program
- 30:43are available in audio and written
- 30:45form at yalecancercenter.org.
- 30:47We hope you'll join us next week to
- 30:49learn more about the fight against
- 30:52cancer here on Connecticut Public Radio.