Prosociality should be a public health priority

Kubzansky, L.D., Epel, E.S. & Davidson, R.J. 

Nat Hum Behav (2023).

https://doi.org/10.1038/s41562-023-01717-3

Standfirst:

Hopelessness and despair threaten health and longevity. We urgently need strategies to counteract these effects and improve population health. Prosociality contributes to better mental and physical health for individuals, and for the communities in which they live. We propose that prosociality should be a public health priority.

Comment:

The COVID-19 pandemic produced high levels of stress, loneliness, and mental health problems, magnifying global trends in health disparities.1 Hopelessness and despair are growing problems particularly in the U.S. The sharp increase in rates of poor mental health is problematic in its own right, but poor mental health also contributes to greater morbidity and mortality. Without action, we will see steep declines in global population health and related costs to society. An approach that is “more of the same” is insufficient to stem the cascading effects of emotional ill-being. Something new is desperately needed.

To this point, recent work called on the discipline of psychiatry to contribute more meaningfully to the deaths of despair framework (i.e., conceptualizing rises in suicide, drug poisoning and alcoholic liver disease as due to misery of difficult social and economic circumstances).2 Recognizing that simply expanding mental health services cannot address the problem, the authors noted the importance of population-level prevention and targeting macro-level causes for intervention. This requires identifying upstream factors causally related to these deaths. However, factors explaining population health trends are poorly delineated and focus on risks and deficits (e.g., adverse childhood experiences, unemployment). A ‘deficit-based’ approach has limits as the absence of a risk factor does not inevitably indicate presence of a protective asset; we also need an ‘assetbased’ approach to understanding more comprehensively the forces that shape good health and buffer harmful effects of stress and adversity.

A pdf is here.

My take:

Prosociality refers to positive behaviors and beliefs that benefit others. It is a broad concept that encompasses many different qualities, such as altruism, trust, reciprocity, compassion, and empathy.

Research has shown that prosociality has a number of benefits for both individuals and communities. For individuals, prosociality can lead to improved mental and physical health, greater life satisfaction, and stronger social relationships. For communities, prosociality can lead to increased trust and cooperation, reduced crime rates, and improved overall well-being.

The authors of the article argue that prosociality should be a public health priority. They point out that prosociality can help to address a number of major public health challenges, such as loneliness, social isolation, and mental illness. They also argue that prosociality can help to build stronger communities and create a more just and equitable society.

How Other- and Self-Compassion Reduce Burnout through Resource Replenishment

Kira Schabram and Yu Tse Heng

Academy of Management Journal, Vol. 65, No. 2

Abstract

The average employee feels burnt out, a multidimensional state of depletion likely to persist without intervention. In this paper, we consider compassion as an agentic action by which employees may replenish their own depleted resources and thereby recover. We draw on conservation of resources theory to examine the resource-generating power of two distinct expressions of compassion (self- and other-directed) on three dimensions of burnout (exhaustion, cynicism, inefficacy). Utilizing two complementary designs—a longitudinal field survey of 130 social service providers and an experiential sampling methodology with 100 business students across 10 days—we find a complex pattern of results indicating that both compassion expressions have the potential to generate salutogenic resources (self-control, belonging, self-esteem) that replenish different dimensions of burnout. Specifically, self-compassion remedies exhaustion and other-compassion remedies cynicism—directly or indirectly through resources—while the effects of self- and other-compassion on inefficacy vary. Our key takeaway is that compassion can indeed contribute to human sustainability in organizations, but only when the type of compassion provided generates resources that fit the idiosyncratic experience of burnout.

From the Discussion Section

Our work suggests a more immediate benefit, namely that giving compassion can serve an important resource generative function for the self. Indeed, in neither of our studies did we find either compassion expression to ever have a deleterious effect. While this is in line with the broader literature on self-compassion (Neff, 2011), it is somewhat surprising when it comes to other-compassion. Hobfoll (1989) speculated that when people find themselves depleted, giving support to others should sap them further and such personal costs have been identified in previously cited research on prosocial gestures (Bolino & Grant, 2016; Lanaj et al., 2016; Uy et al., 2017). Why then did other-compassion serve a singularly restorative function? As we noted in our literature review, compassion is distinguished among the family of prosocial behaviors by its principal attendance to human needs (Tsui, 2013) rather than organizational effectiveness, and this may offer an explanation. Perhaps, there is something fundamentally more beneficial for actors about engaging in acts of kindness and care (e.g. taking someone who is having a hard time out for coffee) than in providing instrumental support (e.g. exerting oneself to provide a friendly review). We further note that our study also did not find any evidence of ‘compassion fatigue’ (Figley, 2013), identified frequently by practitioners among the social service employees that comprised our first sample. In line with the ‘desperation corollary’ of COR (Hobfoll et al., 2018), which suggests that individuals can reach a state of extreme depletion characterized by maladaptive coping, it may be that there exists a tipping point after which compassion ceases to offer benefits. If there is, however, it must be quite high to not have registered in either the longitudinal or diary designs. 

The research is here, behind a paywall.