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Listen: A powerful new book about life, death, relationships, mental health and how to talk about what matters – from the Sunday Times bestselling author ... to Find the Words for Tender Conversations

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Tried and tested approaches can help to smooth the way. Here are 10 useful tips from my experience as a psychotherapist and doctor, developed while working in some of the highest-stakes discussions – the tender conversations taking place as people face the end of life. These principles apply whether you are chatting in person, over the phone or during a video call. You can even use them in text message conversations. It is often really difficult to have ‘difficult’ (what Mannix beautifully terms ‘tender’) conversations. I think we all naturally want to be fixers so we often try to reassure the other person or say things that are far from helpful, leaving the other person feel unheard and often finding the situation they are in even more challenging. Mannix writes about the lost art of listening. How silence is not necessarily a bad thing and how to really hear what the other person is saying. This is a little different from the other books about listening that I have listed because it centers the skill within the practice of mindfulness. As someone with an interest in Buddhism, I was interested in how the author related it to listening and it made a lot of sense to me: Some people see zen or mindfulness as empty buzzwords, but her message can be summed up quite simply:

Many police officers will recall the first ‘death message’ they delivered. In chapter three, ‘Building bridges’, the author recalls running away from a difficult conversation with a patient who asked her if she was going to die. Despite knowing this was very likely, Dr Mannix replied, ‘of course not’, removing the patient’s opportunity to say goodbye to her family. The patient died the following morning.Here are five tips she offers to anyone who is faced with leading a challenging conversation. 1. Start with a cup of tea One area mentioned was one I had not come across before. This was the use of fairly formalised and trained peer to peer and teacher "listening". While this wasn't a difficult read it did leave me with a real hope for the future of listening rather more generally.

Although now some months after the publication date it is a timeless book about the power of stories and active listening. Over the past few months I have had to support colleagues, provide unwelcome news and generally muddle through life - Listen has helped me through all this. I recognise that my active listening needs work, but I am improving, my coversations are tender, I try to lead conversations in a way that suprise is minimised and I now have internalised that I can't fix someones situation, however I can be by their side. Brushing up on these communication skills is something we can all do, improving our relationships with friends, family, and colleagues. Maybe if we were better listeners we would be able to understand one another better, and there would be less conflict and we would live in a more empathetic society. When we're trying to talk to our teenagers and they don't want our advice, it's because we're telling, not asking." she said. "It's because we're imposing, not inviting. So this isn't just about medical conversations. This is how we deal with each other when the stakes are high and how that works in conversations right across life." Instead of dispensing advice, she advises to ask open-ended questions, such as, "Do you have any information about this situation? Have you ever dealt with a problem like that in the past? If a friend had a problem like this, what would you advise them to do? What worries you the most about the situation?" Help name someone's worst fear and give them space to hold it, she says. 4. Never use the phrase, "At least…" Kathryn’s uncle would set a place for his wife who had died and talk to her during mealtimes. “He described to me the comfort he got from talking to her and of ritualising her presence in the house,” she states. He knew his wife was gone, and missed her every day, but when he talked to her, he felt her presence.When I started reading this, I was a few weeks into my current placement where I have been working with individuals with social and emotional mental health needs and adverse childhood experiences. I was so worried that I would say the wrong things to these people and cause further upset in their life that I didn't stop to think about what they might say to me and how my response could potentially have a similar effect.

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