A longer read for the lockdown: Compassion and Coronavirus

Thanks to COVID-19 we may well be on the cusp of a public mental health crisis. The ONS (https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/
healthandwellbeing/bulletins/coronavirusandthesocialimpactsongreatbritain/
latest#understanding-the-impact-on-society
) reports that 48% of adults feel their well-being has been affected by COVID-19, with evidence of a continuing upward trend, while 31% of those whose well-being has been affected said it was making their mental health worse. Grief, loneliness, uncertainty, an inability to access health and social care, and rising levels of domestic abuse are only some of the factors that are affecting people’s mental health right now. Many I am sure will have seen the following chart indicating the potential size of this harm relative to other aspects of the COVID-19 crisis.

4 waves of impact

Yet, this picture is in many ways misleading, there is no data behind it, but merely a hypothesis about how the present situation will unfold, put forward by Dr Victor Tseng, a Pulmonary & Critical Care Physician.

In reality, the impact of COVID-19 on people’s mental health will depend greatly on how we respond to it. That is why a group of psychologists and I have put together a briefing note through the Association of Liberal Democrat Engineers and Scientists arguing how we could combine health, education and social policy interventions to form a a compassion based approach to recovery and resilience (http://www.aldes.org.uk/public-mental-health-and-covid-19-a-compassion-based-approach-to-recovery-and-resilience/).

Our work starts with the important fact that not all experiences of COVID-19 have been negative. For many, this crisis as offered opportunities to connect with the local community, reconnect with loved ones, reflect upon their lives and make changes that they have been putting off for years. Often these positive experiences arise in-spite, or even because, the challenges people have faced. Acknowledging and validating these positive experiences does not mean ignoring or invalidating the many negative aspects of COVID-19, quite the opposite, it helps us to understand better why so many are suffering right now, and what we can do about it.

This understanding is the very essence of compassion, which it is important to understand as a psychological motive, not a feeling. Those who have taken on caring responsibilities during COVID-19 have not been compassionate because they are ‘nice’ or ‘heroic’. Rather, many doing this work are forced into it as the only way to make ends meet. Yet they exhibit compassion when they exhibit the courage to seek to understand the suffering of others and the wisdom to find suitable ways of addressing it.

However, the psychological study of compassion reveals that it is not only something that is good for other people, but rather essential for achieving and maintaining good mental health. Roughly speaking, people have three systems (developed during different periods of evolution) to regulate their emotions: a drive system to seek out food and mates; a threat system to detect and respond to danger; and a caring system to create social groups of mutual aid and support. When people engage just one or two of these systems this often leads to unbalanced and unpleasant emotional experiences. Western culture has done much to stimulate the drive and threat systems, and downplay the importance of care, and much about COVID-19 has reinforced this message. However, when we respond by coming together and helping one another this helps to bring our regulation systems into balance and can turn threats of post-traumatic stress into opportunities for post traumatic growth.

Another impact of cultivating compassion is to help people to develop a compassionate self, a positive identity that mediates between individuals and things they feel threatened by (including not only COVID-19 itself, but threats of unemployment or isolation). This helps people to focus their attention away from the stress inducing natural ‘fight and flight’ reflex towards more productive responses of reinforcing personal relationships (tend and befriend), preparing for future challenges (rest and digest).

So, what can we do at the national level to encourage greater compassion? Firstly, we need to actively avoid knee jerk reactions to the threat of a widespread mental health emergency. For instance, many people who come across this idea too often without putting it into context or suggesting ways forward may simply feel even more threatened by COVID-19 than before, or even worse may feel that anything but suffering and anxiety is somehow an incorrect response. Disaster scholars have for decades shown how disasters can have good effects as well as bad ones. However, psychologists and psychiatrists too often only care about negative effects and are willing to overdiagnoses them, and overprescribe whatever remedy is in fashion at the time. So the worst thing we could do would be to role out some one sized fits all mental health strategy that makes people feel that if they aren’t currently sertraline and CBT, there must be something wrong with them.

Rather we propose offering a far wider range of interventions, including through non-medical channels like occupational health and social care. This will also be the easiest way to increase the supply of interventions in what is already an underfunded and understaffed area of health. For obvious reasons, we believe it would be especially helpful for the government to increase access to to compassion focused approaches to mental health promotion, including Compassion Focused Therapy, both as clinical interventions and tools for public mental health.

However, this is more than a healthcare issue. Children and young people are especially vulnerable to negative mental health impacts from COVID-19 due to many factors: living with stressed, frustrated, angry, anxious, or withdrawn parents; missing peer group relationships; and disruption to their educational. Families, schools, and mental health services all have a responsibility to address these challenges. Enhanced stress from the pressure to perform academically also needs to be considered, especially for those coming up to examinations.

Finally, pro-social attitudes, economic equality and empowerment are crucial to ensuring societies bounce back after disasters; while a sense of attachment to what has been lost or threat from how much has changed make communities less resilient. Policies and rhetoric, that inspire compassion as the social change process that many wish to see, can offer a framework for guiding major social and political change. Now is a great time for ambitious and creative thinking: such as developing proposals for a Universal Basic Income; providing more support for businesses that are willing to take on a social purpose (https://www.compassioninpolitics.com/
hotels_and_charities_urge_government_to_support_domestic_abuse_survivors
); and rethinking our approach to many aspects of social policy in a post COVID-19 world. Evidence suggests that these can have an extreamly significant impact, not only on our economy and people’s standard of living, but on our culture, communities and people’s quality of life. For instance, initial results from the Finnish pilot study of a Universal Basic Income found that improvements in people’s wellbeing and mental health were amongst its main benefits (https://stm.fi/en/article/-/asset_publisher/perustulokokeilun-tulokset-tyollisyysvaikutukset-vahaisia-toimeentulo-ja-psyykkinen-terveys-koettiin-paremmaksi), along with poverty reduction and higher levels of employment.

Our paper on compassion and mental health was produced entirely independently of Layla Moran’s very similar recent messaging (https://leftfootforward.org/2020/05/layla-moran-after-the-crisis-heres-how-we-build-a-fairer-country/), yet it is clear that there is a lot of overlap. It is very easy for people to dismiss this kind of talk as lacking substance. However, we can confirm that there is a considerable body of work across psychology, sociology, disaster studies, and even economics, to back up the importance of treating the mental health impacts of COVID-19 with compassion, not only within mental health settings but across society as a whole.

* Simon Beard is Academic Programmes Manager at the Centre for the Study of Existential Risk and a two time PPC for Dartford. He lives in Cambridgeshire.

Read more by or more about or .
This entry was posted in Op-eds.
Advert

4 Comments

  • Sue Sutherland 31st May '20 - 9:11pm

    This is such a refreshing post, partly because it’s dealing with the problem of mental health during and after Covid19, but also because it deals with the well being of communities.
    For so long the economy has been viewed as the driving force of society and of politics and the two main parties express this view in their policies. Now we are going through this pandemic a lot of us are thinking we would like our party to come up with a view of how society should look when we emerge from this crisis.
    Our country has been more exposed than most to the politics of fear and threat because the Brexit battle was fought on these lines. Now we appear to be governed by a selfish group of individuals with little or no compassion.
    I have tried to persuade people who visit LDV that we are the only party which believes in the importance of community, although we haven’t yet translated these values from local to national politics. We certainly believe in a society which values and supports individuals and groups. I don’t think that voters realise that this is what informs our political policies and we should remedy this.
    The detailed paper mentions the value of compassion to the well being of communities. I think the party should be asking you and the other authors of the report, together with social scientists to develop a new basis for valuing communities and judging the success of policies. Of course economics must come into this but the basis of most economics is that an individual is motivated selfishly and by profit. Your paper has clear scientific backing to replace this narrow view with a different premise of human nature.

  • An observation worth making regarding children. They are incredibly low risk from the virus (we don’t understand why, but we know there was a similar effect with children during the Spanish flu).

    You will see almost no consideration in public discussion of the impact on children, but if you speak to parents you will hear many stories of children exhibiting odd behaviour due to the situation.

    I wonder why children are given no consideration in the discussion, I have heard more about the expected number of expected extra cancer deaths due to lockdown.

    For context, the normal approach for a “time out” for a child is one minute for each year of their age as any longer and they will not cope. We have locked them down for 10 weeks unable to socially interact with anyone outside their household.

Post a Comment

Lib Dem Voice welcomes comments from everyone but we ask you to be polite, to be on topic and to be who you say you are. You can read our comments policy in full here. Please respect it and all readers of the site.

If you are a member of the party, you can have the Lib Dem Logo appear next to your comments to show this. You must be registered for our forum and can then login on this public site with the same username and password.

To have your photo next to your comment please signup your email address with Gravatar.

Your email is never published. Required fields are marked *

*
*
Please complete the name of this site, Liberal Democrat ...?

Advert



Recent Comments

  • User AvatarKatharine Pindar 10th Jul - 8:01pm
    On the other hand, David Evershed, the Treasury supporting a higher proportion of the income of the poorest households than it has the income of...
  • User AvatarJoseph Bourke 10th Jul - 7:56pm
    Peter Martin, monetary policy and financial market stability is only one element of economic management. Fiscal policy is equally important but like monetary policy it...
  • User Avatarexpats 10th Jul - 7:00pm
    Manfarang 9th Jul '20 - 8:31am........................Yes indeed. There was no way of borrowing this country out of austerity following the fallout from the 2008 financial...
  • User AvatarJohn Littler 10th Jul - 6:29pm
    Yes, legalise, regulate and tax it. There is no case for doing it any differently. The case for banning the unbanable is usually based on...
  • User AvatarJohn Littler 10th Jul - 6:20pm
    I was not expecting to see Lancashire folk band from the 70's, the Houghton Weavers link on LibDem voice (Lloyd George) When marxist regimes get...
  • User AvatarJLittler 10th Jul - 6:06pm
    When Clegg took the big FB job, he was perfectly entitled to do the best for him and his family and it was not up...