Emotional inteligence
358/661effects would be to impart most basic emotional intelligenceskills to children, so that they become lifelonghabits. Another high-payoff preventive strategy wouldbe to teach emotion management to people reaching retirementage, since emotional well-being is one factorthat determines whether an older person declines rapidlyor thrives. A third target group might be so-calledat-risk populations—the very poor, single workingmothers, residents of high-crime neighborhoods, andthe like—who live under extraordinary pressure day inand day out, and so might do better medically with helpin handling the emotional toll of these stresses.2. Many patients can benefit measurably when theirpsychological needs are attended to along with theirpurely medical ones. While it is a step toward more humanecare when a physician or nurse offers a distressedpatient comfort and consolation, more can be done. Butemotional care is an opportunity too often lost in theway medicine is practiced today; it is a blind spot formedicine. Despite mounting data on the medical usefulnessof attending to emotional needs, as well as supportingevidence for connections between the brain's emotionalcenter and the immune system, many physiciansremain skeptical that their patients' emotions matterclinically, dismissing the evidence for this as trivial and
359/661anecdotal, as "fringe," or, worse, as the exaggerations ofa self-promoting few.Though more and more patients seek a more humanemedicine, it is becoming endangered. Of course, thereremain dedicated nurses and physicians who give theirpatients tender, sensitive care. But the changing cultureof medicine itself, as it becomes more responsive to theimperatives of business, is making such care increasinglydifficult to find.On the other hand, there may be a business advantageto humane medicine: treating emotional distress in patients,early evidence suggests, can save money—especiallyto the extent that it prevents or delays the onset ofsickness, or helps patients heal more quickly. In a studyof elderly patients with hip fracture at Mt. Sinai Schoolof Medicine in New York City and at NorthwesternUniversity, patients who received therapy for depressionin addition to normal orthopedic care left the hospitalan average of two days earlier; total savings for the hundredor so patients was $97,361 in medical costs. 55Such care also makes patients more satisfied withtheir physicians and medical treatment. In the emergingmedical marketplace, where patients often have the optionto choose between competing health plans, satisfactionlevels will no doubt enter the equation of these verypersonal decisions—souring experiences can lead
- Page 308 and 309: 308/661way; respect for the individ
- Page 310 and 311: Still, since prejudices are a varie
- Page 312 and 313: 312/661that the explicit hierarchy
- Page 314 and 315: 314/661But harmony allows a group t
- Page 316 and 317: 316/661with people whose services m
- Page 318 and 319: 318/661self-motivated enough to tak
- Page 320 and 321: 320/661was irrelevant at that momen
- Page 322 and 323: 322/661by a medical model that dism
- Page 324 and 325: 324/661travel in the bloodstream th
- Page 326 and 327: 326/661cells are stored or made—a
- Page 328 and 329: 328/661bleeding is one of the most
- Page 330 and 331: 330/661percent or greater—a range
- Page 332 and 333: 332/661Once heart disease develops,
- Page 334 and 335: 334/661help them soften the attitud
- Page 336 and 337: 336/661that are conjured by the min
- Page 338 and 339: 338/661the most stressful lives, 47
- Page 340 and 341: stress, their ATP levels rose sharp
- Page 342 and 343: 342/661One complication in treating
- Page 344 and 345: 344/661walk again. But depressed wo
- Page 346 and 347: 346/661Like its near cousin optimis
- Page 348 and 349: 348/661comforting than the same sma
- Page 350 and 351: relationships take their own toll.
- Page 352 and 353: 352/661Perhaps the most powerful de
- Page 354 and 355: 354/661As we were leaving the exam
- Page 356 and 357: 356/661home—a progressive step th
- Page 360 and 361: patients to go elsewhere for care,
- Page 362 and 363: 12The Family CrucibleIt's a low-key
- Page 364 and 365: 364/661There are hundreds of studie
- Page 366 and 367: 366/661instance, use bargaining and
- Page 368 and 369: physiological indicators of emotion
- Page 370 and 371: 370/661The difference between the t
- Page 372 and 373: 4. Self-control. The ability to mod
- Page 374 and 375: 374/661efforts to get solace will m
- Page 376 and 377: opportunity at all, let alone equal
- Page 378 and 379: learned, and how grim the costs for
- Page 380 and 381: 380/661distress of a child nearby w
- Page 382 and 383: 382/661of the brain's limbic center
- Page 384 and 385: 384/661In ensuing months, the Purdy
- Page 386 and 387: 386/661disorder, or PTSD. At the co
- Page 388 and 389: endured semistarvation, the slaught
- Page 390 and 391: 390/661overwhelming terror. 4 While
- Page 392 and 393: and dying—or for a teacher there,
- Page 394 and 395: 394/661ceruleus—alerting the body
- Page 396 and 397: All these neural changes offer shor
- Page 398 and 399: of calm—the amygdala never relear
- Page 400 and 401: 400/661better outcome: sometimes in
- Page 402 and 403: ex-lover. The man brought them to a
- Page 404 and 405: 404/661friends and family to form a
- Page 406 and 407: 406/661The therapist encourages the
358/661
effects would be to impart most basic emotional intelligence
skills to children, so that they become lifelong
habits. Another high-payoff preventive strategy would
be to teach emotion management to people reaching retirement
age, since emotional well-being is one factor
that determines whether an older person declines rapidly
or thrives. A third target group might be so-called
at-risk populations—the very poor, single working
mothers, residents of high-crime neighborhoods, and
the like—who live under extraordinary pressure day in
and day out, and so might do better medically with help
in handling the emotional toll of these stresses.
2. Many patients can benefit measurably when their
psychological needs are attended to along with their
purely medical ones. While it is a step toward more humane
care when a physician or nurse offers a distressed
patient comfort and consolation, more can be done. But
emotional care is an opportunity too often lost in the
way medicine is practiced today; it is a blind spot for
medicine. Despite mounting data on the medical usefulness
of attending to emotional needs, as well as supporting
evidence for connections between the brain's emotional
center and the immune system, many physicians
remain skeptical that their patients' emotions matter
clinically, dismissing the evidence for this as trivial and