A Work of Joy.2 – What is Joy in Work, Where has it Gone? How can We Bring it Back?

What is Joy in Work, Where has it gone, How can We bring it Back?

This is the second in a series of blog posts examining Joy in Work. It is part of an ongoing discussion between Dave Kopacz and Sandy Carter on this topic and will include each of our thoughts individually as well as our dialogue on Joy in Work. This second blog outlines Sandy’s initial thoughts on Joy in Work.

Sandy Carter, Ph.D. works as a physician coach and consultant. Sandy is a professional certified coach, holds a PhD in organizational management with a specialization in leadership, and Masters in Business Administration and Social Work. Her research is in the area of transformational leadership with physicians, and wellness and resiliency.

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What is Joy? How is it different from happiness?

Sandy Carter:

Joy is a state of mind and an orientation of the heart. It is a combination of emotions and contains elements of contentment, confidence, and hope. Joy has more depth, meaning and purpose than happiness. Being joyful means feeling connected to yourself and/or others in life, nature, and appreciating beauty. It requires an acceptance for how life is (not how you’d like it to be), by living in the present. Joy comes from within! It is a sustainable emotional experience that alters our physiology and biochemistry promoting a sense of wellbeing that promotes resilience and supports immune health. In the Biblical sense, Joy is not an emotion, and it is not linked to environmental conditions, but is an attitude of the heart and spirit. It is where internal peace and contentment reside, in spite of, what’s happening ones’   life.

Lotus

Happiness is subjective – it can mean different things to different people and is more of a momentary state of being. Happiness is an emotional state of wellbeing defined by positive feelings that can range from contentment to intense Joy!

Savor the Moment

Why is Joy/happiness important?

 Joy and happiness are connected to wellbeing and are valued as essential for individuals to thrive in their work and personal lives.  On March 20, 2013, the first ever International Day of Happiness was celebrated around the world. The UN General Assembly passed a resolution to promote happiness as a universal goal and aspiration for people everywhere. The UN is urging governments to start measuring wellbeing as a guide to creating public policy. This has roots in the field of sustainable development. The UN recognizes by measuring gross domestic product (GPD) we are placing overemphasize on materialism and incomes (that beyond a certain point) does not enhance life satisfaction.

International Happiness Day

Additionally, by enhancing our overall wellbeing we can directly impact the high costs of healthcare and help create healthier work cultures that can improve hospital safety concerns (medical errors and complications). While working in cultures where there is blame/shame people tend to be hyper-vigilant and low trust. This level of stress impacts energy levels, judgment and health. Often leading to lost revenue from absenteeism, turnover, disability, insurance costs, workplace accidents, violence, workers’ compensation, and lawsuits, etc.

The United States is the most overworked developed nation in the world. Working is not necessarily the problem. If you love what you do, are doing it for the right reasons and can rest and restore – work can be a wonderful thing. However, far too many Americans are driven to work more and more (based on scarcity values of feeling like they don’t have enough) which leads to stress and lower quality of life. Leaving many people without time to unwind, take care of themselves or their homes. Vital connections are lost to friends and family. These kinds of circumstances lead to isolation, loneliness, and burnout. When all of this becomes overwhelming and can lead to coping strategies, further stress and deteriorate health.  Stress is the #1 cause of both mental and physical health problems. Many workers today are burned out and pressured causing heightened anxiety, depression and disease.

Overburdened Doctor

Biology of Joy:

People who experience upper reaches of happiness on psychological tests develop about 50% more antibodies than average. It’s also been discovered that mental states such as hopefulness appear to reduce the risk or limit the risk of cardiovascular disease, pulmonary disease, diabetes, hypertension, etc. Joy, happiness, and positive emotions make your immune system function better, help you fight disease, and even live longer.

Herbert Benson has done research on the Relaxation Response. By initiating the Relaxation Response, we can experience a physical state of deep rest that counteracts the harmful effects of the fight-or-flight response. If we can let go of bad stress, our brains can rearrange themselves neurologically so that the two hemispheres communicate better, and problem solving becomes easier.

Relaxation Response

Stress, Eustress & Joy

The problem is we don’t take care of ourselves very well. For example, the United States is the only industrialized nation without a mandatory option for new parents to take parental leave. Furthermore, 134 countries have laws setting the maximum length of a workweek and the U.S. does not. A large percentage (85.8% male and 66.5% females) work more than a 40-hour workweek. We also are the only nation in the industrialized world that has no legally mandated annual leave and very short vacation times compared to Europe.

Unmanaged stress can be destructive, and… stress also has a positive benefit. Eustress or good stress provides us with energy and motivates us to produce. When we are utilizing eustress, we find clarity, focus, and creative insight.

Joyful Doctor

Joy at work is essential. It is a vital energy in sustaining high levels of passion, performance, and productivity. Meaningful work is about uncovering and utilizing our true gifts.

In these times of unprecedented change, it is vital that we are connected to a deeper, natural energy source from within.

Stress is an essential response in highly competitive environments – it focuses you, but past a certain point it compromises your performance, efficiency and eventually your health. We are at that point today as physicians experience burnout at epidemic levels and commit suicide at a rate higher than the general public.

Poetry describing what it means to live joyfully

 

Mindful

 

Every day

I see or I hear

something

that more or less

 

kills me

with delight,

that leaves me

like a needle

 

in the haystack

of light,

it is what I was born for—

to look, to listen,

 

to lose myself

inside this soft world—

to instruct myself

over and over

 

in joy,

and acclamation.

Nor am I talking

about the exceptional,

 

the fearful, the dreadful,

the very extravagant—

but of the ordinary,

the common, the very drab,

 

the daily presentations.

Oh, good scholar,

I say to myself,

how can you help

 

but grow wise

with such teachings

as these–

the untrimmable light

 

of the world,

the ocean’s shine,

the prayers that are made

out of grass?

 

Mary Oliver from Why I Wake Early, 2004

Mary Oliver

David Whyte on JOY

is the meeting place of deep intentionality and self forgetting, the bodily alchemy of what lies inside us in communion with what formally seemed outside, but is now neither, but become a living frontier, a voice speaking between us and the world: dance, laughter, affection, skin touching skin, singing in the car, music in the kitchen, the quiet irreplaceable and companionable presence of a daughter: the sheer intoxicating beauty of the world inhabited as an edge between what we previously thought was us and what we thought was other than us.

Joy can be made by practiced, hard-won achievement as much as by an unlooked for, passing act of grace arriving out of nowhere; joy is a measure of our relationship to death and our living with death, joy is the act of giving ourselves away before we need to or are asked to, joy is practiced generosity. If joy is a deep form of love, it is also the raw engagement with the passing seasonality of existence, the fleeting presence of those we love understood as gift, going in and out of our lives, faces, voices, memory, aromas of the first spring day or a wood-fire in winter, the last breath of a dying parent as they create a rare, raw, beautiful frontier between loving presence and a new and blossoming absence.

To feel a full and untrammeled joy is to have become fully generous; to allow our selves to be joyful is to have walked through the doorway of fear, the dropping away of the anxious worried self felt like a thankful death itself, a disappearance, a giving away, overheard in the laughter of friendship, the vulnerability of happiness felt suddenly as a strength, a solace and a source, the claiming of our place in the living conversation, the sheer privilege of being in the presence of a mountain, a sky or a well loved familiar face – I was here and you were here and together we made a world.

‘JOY’ David Whyte

From CONSOLATIONS: The Solace, Nourishment and Underlying Meaning of Everyday Words

MANY RIVERS PRESS

David Whyte.3

Consolations

Meaningful work is by far the primary motivator for engagement, and experiencing excitement and joy in one’s work. Today, in healthcare organizations the environments are toxic, as the conditions for creating opportunities for meaningful work are not met.

Conditions of meaningful work include: worker autonomy, having sufficient resources and an opportunity to learn from problems. Currently, many physicians have lost their autonomy, are told to do more with less and work in toxic cultures. These are environments where it’s not safe to expose vulnerability for growth and development, and we know working in environments where there is mutual respect is critical to finding meaning and joy. A precondition for a culture of safety in the workplace is the protection of the physical and psychological safety of the workforce. Joy in the workplace comes from an appreciation of the human spirit and organizational support for developing capabilities.

Conditions for meaningful work also comes from having leaders who are a resource for enabling physicians/others by removing obstacles, providing support and acknowledging/validating strong effort and successful outcomes. When people engage in work at this level – community spirit, innovation and creativity flourishes. Most adults in the U.S. spend more hours at work than anywhere else… work should “ennoble, not kill, the human spirit.”

A Work of Joy.1 < What is Joy in Work, Where has it Gone, How can We bring it Back?

This is the first of a series of blog posts examining Joy in Work – maybe we’ll call it: A Work of Joy! It is part of an ongoing discussion between Dave Kopacz and Sandy Carter on this topic and will include each of our thoughts individually as well as our dialogue on Joy in Work. This first blog will provide a broad outline for subsequent work. We will each start with a monologue and move from there into dialogue.

Dave Kopacz, M.D. works as a psychiatrist at the VA in Primary Care Mental Health Integration. Prior to this he was Clinical Director at Buchanan Rehabilitation Centre in Auckland, New Zealand. He is Board certified in Psychiatry and Integrative & Holistic Medicine. He is the author of Re-humanizing Medicine: A Holistic Framework for Transforming Your Self, Your Practice, and the Culture of Medicine.

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Sandy Carter, Ph.D. works as a physician coach and consultant. Sandy is a professional certified coach, holds a PhD in organizational management with a specialization in leadership, and Masters in Business Administration and Social Work. Her research is in the area of transformational leadership with physicians, and wellness and resiliency.She heads The Center for Physician Leadership Coaching. 

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What is joy in work?

Where has it gone?

How can we bring it back?

Dave: To speak of joy in work can seem like an oxymoron – work is work, after all, isn’t it? The Online Etymology Dictionary describes the roots of “work” as having elements of toil as well as creativity, it can mean a military fortification as well as an artistic labor, Mark Twain wisely points out that the difference between work and play is a matter of conditions or attitude.

Very busy business

Very busy business

Old English weorc…“something done…action (whether voluntary or required)… also “physical labor, toil; skilled trade, craft, or occupation…” “military fortification,” from Proto-Germanic werkan…from Proto-Indian-European werg-o-…“to do…”

Meaning “physical effort, exertion” is from c. 1200; meaning “scholarly labor” or its productions is from c. 1200; meaning “artistic labor” or its productions is from c. 1200…Meaning “embroidery, stitchery, needlepoint” is from late 14c. Work of art attested by 1774 as “artistic creation,” earlier (1728)…

“Work and play are words used to describe the same thing under differing conditions.” [Mark Twain]

“Work,” Online Etymology Dictionary, accessed 11/6/15 

We have a wide range of roots and definitions for the word “work,” at its most simple it is “to do,” and our judgements on that doing determine whether we view it as work or play, hard or easy, meaningless or meaningful. Doing for no reason feels meaningless and tedious, but Doing that is meaningful is rewarding, even if the work is difficult. Sandy notes that we can meet high demands if we have high resources – so in this way success in work depends not only on the external conditions and needs, but also our individual, relational and organizational resources.

Garden-of-eden

In the Judeo-Christian tradition, we read early on in the Bible that human beings have been cast out of the Garden of Eden for their transgression of eating from the fruit of the Tree of Knowledge. God curses Adam and Eve and their descendants, saying that man must earn his living from the ground with toil and that woman must give birth in pain. We have this deeply ingrained belief that our relationship with work and with our bodies is one that is filled with pain – not joy – and that we have the guilt of “original sin” that taints our lives in this world. (Not all theologian ascribe to this idea, for instance Matthew Fox writes in Original Blessing that there are other spiritual perspectives we can take in the relationship between spirit and matter and that we can find joy in our work in the world).

Original Blessing.2

However, there is also a long tradition in all religions of a sense of joy and joyousness that come from the mystical connection with Spirit. Dorothee Soelle, in her work on mysticism in, The Silent Cry: Mysticism and Resistance, lists five domains of mystical experience: Nature, Eroticism, Suffering, Community, and Joy. She describes joy as a state of being, rather than a sense of acquisition or momentary pleasure.

The Silent Cry

“In the mystical sense, joy is something not tied to objects or certain experiences of delight. Joy is a matter of ‘rejoicing in’ rather than of being ‘glad about,’” (The Silent Cry, 179).

Henry Van Dyke wrote “The Hymn of Joy,” written in English and set to Beethoven’s Ninth Symphony, which, in turn was inspired by Schiller’s poem, “Ode to Joy.” Here are Van Dyke’s lyrics as an example of spiritual joy.

Joyful, joyful, we adore Thee,

God of glory, Lord of love;

hearts unfold like flow’rs before Thee,

Opening to the Sun above,

Melt the clouds of sin and sadness;

drive the dark of doubt away;

Giver of immortal gladness,

fill us with the light of day!

All Thy works with joy surround Thee,

earth and heav’n reflect Thy rays,

stars and angels sing around Thee,

center of unbroken praise:

Field and forest, vale and mountain,

Flow’ry meadow, flashing sea,

chanting bird and flowing fountain,

call us to rejoice in Thee.

Thou art giving and forgiving,

ever blessing, ever blest,

well-spring of the joy of living,

ocean-depth of happy rest!

Thou the Father, Christ our Brother,—

all who live in love are Thine:

Teach us how to love each other,

lift us to the Joy Divine.

Mortals join the mighty chorus,

which the morning stars began;

Father-love is reigning o’er us,

brother-love binds man to man.

Ever singing, march we onward,

victors in the midst of strife;

joyful music lifts us sunward

in the triumph song of life

(“The Hymn of Joy,” Wikipedia, accessed 11/6/15)

Ode to Joy combined 9x12 with tab

Work is our action in the world. Joy is the sense of connection to the greater meaning and purpose in our work.

Rael, Joseph 2

Native American visionary, Joseph Rael was taught by his grandmother that “work is worship,” (Ceremonies of the Living Spirit, 22). This brings a different perspective to work, as in the Native American tradition, every action is sacred and there is no separation between spirit and matter. Zen Buddhism takes a similar approach of spiritualizing mundane tasks, such as “polishing the mirror” or “chop wood, carry water.” In the tradition of Kashmiri Saivism, the ultimate Reality is considered to be “a compact mass of bliss (cidānandaghana),” (Dyczkowski, The Doctrine of Vibration, 44). The ultimate union of Being-Consciousness-Bliss is called “saccidānanada.”

Doctrine of Vibration

This is the “Sat, Chit, Ananda,” that Joseph Campbell speaks of when, after studying the wisdom of the Hindu tradition, he coined the phrase, “follow your bliss,” (Joseph Campbell & Bill Moyers, The Power of Myth, 149, 285).

Follow your bliss

In this work that we are undertaking, joy will refer to something deeper than a passing emotion such as happiness or the momentary satisfaction of a desire. We will be looking at joy as the underlying substrate of our Being. This comes from a sense of unity within ourselves and a sense of unity and connection with others. To put it very simply, suffering comes from separation and disconnection and joy emerges from a sense of deep connection and unity within one’s self, between self and other, and within community.

Jack Kornfeld, in his foreword to Awakening Joy, addresses this deeper level of joy. “Joy is our birthright…it is innate to consciousness. Joy is a reflection of our true nature,” (Baraz and Alexander, Awakening Joy, xiii-xiv). Kornfeld describes joy in such a way that we can imagine it to be the foundation of our life, the deep, internal ocean currents, strong and perpetual, beneath the passing, tossing waves of the ups and downs of our daily emotional life. The authors of this book (who have been teaching courses on awakening joy since 2003) describe that having a sense of joy is a choice. “Our joy and happiness is up to us. Our suffering and well-being is not solely determined by what’s happening in our present circumstances but to a large degree by our relationship to what is happening,” (Awakening Joy, xviii).

awakening to joy

Joy, in the way we will be discussing it, relates to connection, innate birthright, choice and a spiritual wisdom perspective on life.

The reason that we need to be talking about joy in the work of health care is because it has been lost in most health care work environments: physician burnout, patient dissatisfaction, long wait times, short appointment times, complicated insurance bureaucracies, costly co-payments and deductibles (for those lucky enough to have insurance) – in short, joyless experiences in giving, receiving, managing, and reimbursing health care. We take a holistic perspective that these variables cannot be dealt with in an isolated way: patient satisfaction cannot be considered without staff well-being and without considering the human needs of administrative and leadership staff. It is all of one piece. That is what we learn when we set off in search of joy – just like in the Wizard of Oz, we already have it within ourselves, but we must set off on a journey of self-exploration in which we support each other’s quest to realize and manifest what it is that we have lost or felt we never had in the first place.

In this joyful work we are undertaking, we will draw on diverse fields of human study, both ancient and modern, including: mysticism, spirituality, poetry, personal growth, well-being, positive psychology, business, economics, leadership, neuroscience, systems theory and relational science. We will look at how to manifest joy at the individual level, interpersonal level and communal level. Fundamental to manifesting joy at all these levels is the principle of connection – connection to dimensions of Self, connection between individuals, and connection in groups and communities. Joy is an emergent property that manifests from a sense of deep connection. We will then look at practical applications of joy at each of these levels and also in relation to leadership in health care and models of health care reform, such as the Triple Aim of the Institute for Health Care Improvement.

Next week we will publish Sandy’s monologue, then the dialogue will start…

A Work of Joy!

Guest Blog: A Counter-Curriculum of Self Care, at the Arnold P. Gold Foundation

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Check out my guest blog on the idea of the counter-curriculum in self care at the Arnold P. Gold Foundation blog.

The Gold Foundation is a great organization whose motto is: “Working to keep the care in health care.”

logo

Similar to the message in my book, Re-humanizing Medicine, the Gold Foundation states “Humanistic medical care is not simply compassion. It is the best of medicine.”

They are a good resource for research on humanism and compassion in medicine. They offer grants to practitioners and researchers (my mate, Hilton Koppe – @doc_hilton – from Lennox Head Australia recently received a Gold Foundation grant for his work on poetry and medicine).

I discuss the counter-curriculum in my book and in this blog I talk a little bit about the background of how I came to the necessity of that idea.

“Sometimes the things you most need to learn are not taught in school.”

Alliance of International Aromatherapists conference – Denver, September 2015

I just got some photos back from a conference I did in Denver back in September. My dear friend, Sara Holmes encouraged me to present at the conference. Here is a photo of the two of us together with Sara promoting my book!

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I have been presenting variations on the topic of “Becoming a Whole Person to Treat a Whole Person.”

title slide

The idea is that we lose important aspects of ourselves as we learn to be good technicians. Therefore we must work to balance out our technical learning with human learning. This is what I call the “counter-curriculum,” the way that we re-humanize ourselves as we go through technical training and work in institutions that value economic and productivity issues in which we can lose sight of our humanity as well as the humanity of the client we are there to serve.

Be a Whole Person slide

In order to be a whole person, we must have some understanding of what it means to be a whole person. This is the framework that I use in my book:

Whole Person

I did a book signing as well as the presentation at the conference. The book signing was fun and I was able to have some great in-depth conversations with some people doing really great work. Here I am talking with Debrah Zepf (center) and Julia Graves, author of a very interesting book, The Language of Plants (right).

David Kopacz, Debrah Zepf, Julia Graves

David Kopacz, Debrah Zepf, Julia Graves

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Here are a few photos from the presentation that the conference photographer took:

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I was originally going to do a workshop, but ended up doing an hour presentation at the conference. I ran out of time to do this visualization, or perhaps I should call it a scentualization exercise. Here was the idea I had for this particular aromatherapy conference:

Integrating the Scents of Self

I also spoke some about my work with veterans and developing the hero’s journey class based on Joseph Campbell’s concept of the hero’s journey. This class uses narrative, story telling, writing, mindfulness, and understanding PTSD as a form of cultural adaptation as well as a conditioned response of the nervous system. Here is a painting that I did as part of the class where we do a “hero’s project.”

Hero's Journey

It was a great conference and I really enjoyed meeting these wonderful healers there. Sara had me stand in front of this painting for a photo and I thought the lighting was interesting, so let’s end this post with that. I forget what Sara was saying to try to make me laugh, but I know it was great seeing her and her husband, Chuck – great friends from our time in Central Illinois:

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