Holding the space for patients

I thought this was a lovely article about listening and supporting others. Click here for the full article. Thank you Deb Connor for pointing me in the direction of this reminder. Here are eight ways in which we can hold the space for our patients, as told by one woman’s experience of loss:

 

1. Give people permission to trust their own intuition and wisdom. When we were supporting Mom in her final days, we had no experience to rely on, and yet, intuitively, we knew what was needed. We knew how to carry her shrinking body to the washroom, we knew how to sit and sing hymns to her, and we knew how to love her. We even knew when it was time to inject the medication that would help ease her pain. In a very gentle way, Ann let us know that we didn’t need to do things according to some arbitrary health care protocol – we simply needed to trust our intuition and accumulated wisdom from the many years we’d loved Mom.

2. Give people only as much information as they can handle. Ann gave us some simple instructions and left us with a few handouts, but did not overwhelm us with far more than we could process in our tender time of grief. Too much information would have left us feeling incompetent and unworthy.

Alt text hereKnowing how much information to give people in times of grief
 

3. Don’t take their power away. When we take decision-making power out of people’s hands, we leave them feeling useless and incompetent. There may be some times when we need to step in and make hard decisions for other people (ie. when they’re dealing with an addiction and an intervention feels like the only thing that will save them), but in almost every other case, people need the autonomy to make their own choices (even our children). Ann knew that we needed to feel empowered in making decisions on our Mom’s behalf, and so she offered support but never tried to direct or control us. 4. Keep your own ego out of it. This is a big one. We all get caught in that trap now and then – when we begin to believe that someone else’s success is dependent on our intervention, or when we think that their failure reflects poorly on us, or when we’re convinced that whatever emotions they choose to unload on us are about us instead of them. It’s a trap I’ve occasionally found myself slipping into when I teach. I can become more concerned about my own success (Do the students like me? Do their marks reflect on my ability to teach? Etc.) than about the success of my students. But that doesn’t serve anyone – not even me. To truly support their growth, I need to keep my ego out of it and create the space where they have the opportunity to grow and learn.

Alt text hereKeep your own ego out of it
 

5. Make them feel safe enough to fail. When people are learning, growing, or going through grief or transition, they are bound to make some mistakes along the way. When we, as their space holders, withhold judgement and shame, we offer them the opportunity to reach inside themselves to find the courage to take risks and the resilience to keep going even when they fail. When we let them know that failure is simply a part of the journey and not the end of the world, they’ll spend less time beating themselves up for it and more time learning from their mistakes. 6. Give guidance and help with humility and thoughtfulness. A wise space holder knows when to withhold guidance (ie. when it makes a person feel foolish and inadequate) and when to offer it gently (ie. when a person asks for it or is too lost to know what to ask for). Though Ann did not take our power or autonomy away, she did offer to come and give Mom baths and do some of the more challenging parts of caregiving. This was a relief to us, as we had no practice at it and didn’t want to place Mom in a position that might make her feel shame (ie. having her children see her naked). This is a careful dance that we all must do when we hold space for other people. Recognizing the areas in which they feel most vulnerable and incapable and offering the right kind of help without shaming them takes practice and humility.

Alt text hereA wise space holder knows when to withhold guidance and when to offer it gently
 

7. Create a container for complex emotions, fear, trauma, etc. When people feel that they are held in a deeper way than they are used to, they feel safe enough to allow complex emotions to surface that might normally remain hidden. Someone who is practiced atholding space knows that this can happen and will be prepared to hold it in a gentle, supportive, and nonjudgmental way. In The Circle Way, we talk about “holding the rim” for people. The circle becomes the space where people feel safe enough to fall apart without fearing that this will leave them permanently broken or that they will be shamed by others in the room. Someone is always there to offer strength and courage. This is not easy work, and it is work that I continue to learn about as I host increasingly more challenging conversations. We cannot do it if we are overly emotional ourselves, if we haven’t done the hard work of looking into our own shadow, or if we don’t trust the people we are holding space for. In Ann’s case, she did this by showing up with tenderness, compassion, and confidence. If she had shown up in a way that didn’t offer us assurance that she could handle difficult situations or that she was afraid of death, we wouldn’t have been able to trust her as we did.

Alt text hereThe circle becomes the space where people feel safe enough to fall apart
 

8. Allow them to make different decisions and to have different experiences than you would. Holding space is about respecting each person’s differences and recognising that those differences may lead to them making choices that we would not make. Sometimes, for example, they make choices based on cultural norms that we can’t understand from within our own experience. When we hold space, we release control and we honour differences. This showed up, for example, in the way that Ann supported us in making decisions about what to do with Mom’s body after her spirit was no longer housed there. If there had been some ritual that we felt we needed to conduct before releasing her body, we were free to do that in the privacy of Mom’s home. Holding space is not something that we can master overnight, or that can be adequately addressed in a list of tips like the ones I’ve just offered. It’s a complex practice that evolves as we practice it, and it is unique to each person and each situation.

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