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A Preliminary Review of the Scientific and Scholarly Literature on Personal Transformation and its Relationship to Social Change
March 32, 2021 | Gretchen Ki Steidle
Abstract
In the following literature review, we synthesize the scientific and scholarly research on five domains of personal transformation (mindfulness, wellbeing and resilience, social and emotional intelligence, empowerment and agency, and community and belonging) and any evidence of their possible influence on social change. Key findings include: Personal transformation is inherently difficult to define and measure, is often self-determined, and is multifaceted in its range of subjective, objective, material, and context-specific indicators. Even still, it has correlating neural mechanisms and behavioral outcomes that can be observed and measured, and contributes to how individuals see themselves, navigate relationships, and act in the world. Each domain of personal transformation relates with one another and has a community or societal intersection. This complex interrelationship most strongly and consistently seems to drive a prosocial orientation and behavior influenced by a pathway that leads from self-awareness and self-regulation to understanding and connecting with others to prosocial action. While existing research does not demonstrate a causal link between personal transformation’s influence on prosocial behavior and positive systemic change, we propose that personal transformation creates positive conditions for the advancement of social change. This suggests that there may be a relationship where personal transformation can positively influence social change, but additional research, especially in non-clinical settings, is necessary to determine whether and how prosocial behavior results in systemic social transformation. Accompanying this full literature review is a summary overview, a proposed conceptual model for how the domains of personal transformation relate to each other and influence social change, an appendix of key measurement tools for each domain, and an appendix of key studies for each domain.
Intention and Methodology
Over the course of six months, Global Grassroots conducted a review of scientific and scholarly research on the topic of personal transformation as it relates to social change. For the purposes of this paper, we define personal transformation as the process and experience of undergoing positive inner change towards personal growth and self-actualization. Personal transformation can take place as of the result of intentional effort over time, as well as a significant life changing experience that shifts our beliefs about ourselves and our relationship with the world. Also, for the purposes of this paper, we define social change or social transformation as a significant and positive shift in the functioning and wellbeing of society. This can result from changes in societal norms and values; changes in the behavior, beliefs and relations of the members of that society; the alleviation of a social ill; and/or through alterations of the systems, institutions, and structures making up that society.
It has been our empirical observation, as practitioners in the field of personal transformation and social change, and our theory from wide-reaching conversations in the social change sector, that personal transformation is important for and takes place as an integral part of most long-term, sustainable, positive social change. For example, to be able to ensure all girls receive an education within a society that prioritizes boys’ schooling, it requires more than school fees. It likely requires a belief-system shift regarding a girls’ role in a family, a change in societal norms valuing girls, a change in household operations and behavior to ensure girls are given time to go to school, a change to existing structures to provide the resources to meet girls’ unique needs once attending, a change in the way that girls are treated by teachers and male classmates, and a change in a girl’s self-perception relating to her rights and future. We know this kind of deeper transformation is necessary to sustain advances in equity, rights, opportunity and social justice. But, it is not easy to measure these intangible experiences themselves, and there is little consensus on how to define the nature of personal transformation or the metrics with which to assess it. As such, there was a need to conduct a review of the literature to help explain what is known about the process and experience of inner change and how it might be relevant to social change.
Global Grassroots is an international non-governmental organization (NGO), founded in 2004, which operates a mindfulness-based leadership program and social venture incubator for women survivors of war in East Africa. Over the last 15 years, we have invested deeply in the personal growth, inner leadership, wellbeing, hard skills, and the ideas of our change agents. We have witnessed their personal transformation as they have advanced their own solutions for the betterment of their community. We embarked upon this literature review to help us understand the link between personal transformation and social impact. The key question we were eager to answer through this review was: in what ways does the cultivation of human qualities such as mindfulness, agency, wellbeing, social intelligence, belonging or compassion contribute to a prosocial orientation and positively influence the advancement of positive social change?
To answer this question, we need to understand how various domains of personal transformation are defined, what happens within individuals and community when it takes place, how it transforms the people who experience it, and what outcomes result that may be relevant. This exploration involved a review of more than 370 key academic and scientific articles across the following five domains:
1. Mindfulness: “the capacity to pay attention in a particular way: on purpose, in the present moment, and non-judgmentally” (Kabat-Zinn, 1994, p. 4).
2. Wellbeing and Resilience: Wellbeing is “a state of being…where human needs are met, where one can act meaningfully to pursue one's goals, and where one enjoys a satisfactory quality of life" (ESRC Research Group on Wellbeing in Developing Countries, 2008, p. 4). Resilience is a positive adaptation despite adversity that leads to growth and greater wellbeing (Fleming & Ledogar, 2008; Luthar et al., 2000; Richardson, 2002).
3. Social and Emotional Intelligence: Emotional intelligence is the ability to be aware of our own and others' feelings in the moment and use that information to inform one’s action in relationship (Goleman, 1995a; Salovey & Mayer, 1990). Social intelligence is “the ability to more deeply understand people by perceiving or experiencing their life situations and as a result gain insight into structural inequalities and disparities” (Segal, 2011, p. 266).
4. Empowerment and Agency: Empowerment is the ability to choose, including the existence of options and a capacity to make purposeful choices in a changing context where little power once existed (Alsop & Heinsohn, 2005; Kabeer 1999; Samman & Santos, 2003; Sidle, 2019).
5. Community and Belonging: A sense of community includes a feeling of belonging, a sense of mattering to the group, a feeling that needs will be met by shared resources, and having a shared emotional connection (McMillan & Chavis, 1986).
We explored a range of literature, including clinical studies, meta-analyses, literature reviews, analyses of scholarly discourse, reviews of measurement tools, proposed operational definitions and mechanisms, and working papers from practitioners. Our criteria included those studies that provided insight and critique on the definition, measures, mechanisms, outcomes, and potential evidence of the social impact of personal transformation.
We chose these five domains because they are the areas of personal transformation we have witnessed most on an ongoing basis and because there already exists a body of clinical work trying to understand the mechanisms and outcomes of each of them. We have undertaken this study at this time because there is a growth of interest in expanding from an exclusive focus on the external and concrete measures of social progress to including the contribution of more intangible, personal shifts towards long-term social change. Our contemporaries in the social justice and international development arena know that something is transpiring among the individuals and communities with whom they work. They believe that the internal condition of people matter, that relationships between them drive connection and community, and that their beliefs and values shape how institutions serve or disadvantage others - and change. Our approach and intention with this literature review, then, was to understand within each of these themes: the consensus definition of each concept; the documented mechanisms of such transformation; potential outcomes; measurement tools for and concerns with measuring each concept; future recommendations for research; and, the scientific and academic evidence for any relevance to social change.
Key Findings
Some of our key, cross-cutting findings from exploring this relationship include:
• There is little consensus on the definition, metrics and measurement methods for most domains of personal transformation, aside from the assessment of post-traumatic stress. • There are a wide range of tools that have been developed for evaluating components of personal transformation, which can help begin to assess whether such transformation has taken place.
• Each domain is multi-faceted, usually involves a component of self-determination, and is context dependent. Tools can measure a range of elements, including self-assessed perspectives, observed behavior, neural activity, or external, material conditions. Therefore, no single tool is likely to be adequate on its own without deeper qualitative evaluation.
Personal transformation is influenced by and has a direct impact on the nature of the community or external environment in which a person’s transformation occurs. As such, the relational field - connection to some form of community or a sense of belonging or relationship with another – is often critical, even for a process of individual, inner transformation.
Personal transformation involves a fundamental change in the structure and functioning of the brain and physiology, resulting in a more positive orientation towards self and the surrounding world.
The domains of personal transformation reviewed have overlapping interrelationships and effects. Yet, the interpretation of data and outcomes are equally challenging. It is not always clear the directionality of impact between the personal, relational, and societal levels.
The domains of mindfulness, wellbeing, social and emotional intelligence, empowerment and agency, and a sense of belonging and community help foster prosocial behavior (including helping, charitable altruism, concern, intrinsic motivation to act for the common good, and social communications. This is influenced by the underlying capacities of self-awareness and self-regulation, compassionate understanding and connection with others, and developing a prosocial orientation for engagement. It is through this pathway that personal transformation is most likely to drive positive social change.
At this time though, there is little research documenting evidence that prosocial behavior itself translates into deep, systemic social transformation. This is likely largely due to the fact that most of the clinical research is conducted short-term in clinical settings versus the actual, practical application of personal transformation by practitioners in the social impact field that would allow us to see longer-term structural or systemic change.
In each section of this review, we focus on an individual domain of personal transformation, exploring its (a) history, (b) definitions, (c) any relevant practices and outcomes, (d) mechanisms, (e) measurement tools and approaches, (f) challenges with measurement, (g) future recommendations for research, and (h) applications for social impact. In a complementary text we propose a conceptual model for how the domains of personal transformation interrelate and influence social change, attempting to draw together from the evidence presented, a theoretical, operational model for this relationship. As appendices, we also share a sample list of the most commonly used measurement tools and a list of key studies for each topic.
Limitations
There are limits to our exploration that we wish to acknowledge. Most of the clinical and scholarly study of these concepts that we were able to access through our search of known databases were predominately conducted by Western researchers in mostly clinical settings. More diverse studies, tools, and perspectives from the Global South and other less represented groups are needed for a comprehensive picture. Additionally, we would have liked to find more studies that focus on non-clinical applications among practicing organizations in the social change sector. We also know that our exploration could not possibly be exhaustive, given the explosion of works that have populated the field in the last decade. We acknowledge the risk that by emphasizing the inner shifts through this research, it might be inferred that concrete, material progress may not be necessary - that if someone finds happiness and life satisfaction, that they no longer need a pathway out of poverty. To the contrary, we believe that the most significant pathway towards long-term sustainable change requires the personal transformation that enables complex change on a deeper level. Our purpose through this initial work is to move the dialogue forward by assessing what is known and what more needs to be explored to understand and measure the relationship between personal transformation and social change.
Gratitude
This literature review was financially supported by the Omidyar Group. Founded by Pierre and Pam Omidyar, The Omidyar Group is a diverse collection of companies, organizations and initiatives, each guided by its own approach, but all united by a common desire to catalyze social impact. We extend our gratitude for their partnership.
We thank Rachel Bellinger, Porter Nenon, Sara Taggart, and Susan Patrice for their invaluable contributions to the research, writing, and editing of this paper.
Domains of Personal Transformation
MINDFULNESS History of Mindfulness 6 Definitions of Mindfulness 7 Mindfulness Practices 8 Mechanisms of Mindfulness 9 Outcomes 14 Measuring Mindfulness 16 Challenges with Measuring Mindfulness 16 Future Recommendations for Research 18 Applications of Mindfulness for Social Impact 19
WELLBEING AND RESILIENCE History of Wellbeing and Resilience 24 Definitions of Wellbeing and Resilience 25 Mechanisms of Trauma and Resilience 29 Measuring Wellbeing and Resilience 34 Challenges with Measuring Wellbeing and Resilience 36 Future Recommendations for Research 37 Applications of Wellbeing and Resilience for Social Impact 39
SOCIAL AND EMOTIONAL INTELLIGENCE History of Social and Emotional Intelligence 43 Definitions of Social and Emotional Intelligence 43 Mechanisms of Social and Emotional Intelligence 44 Measuring Social and Emotional Intelligence 47 Challenges with Measuring Social and Emotional Intelligence 49 Future Recommendations for Research 50 Applications of Social and Emotional Intelligence for Social Impact 50
EMPOWERMENT AND AGENCY History of Empowerment and Agency 55 Definitions of Empowerment and Agency 55 Measuring Empowerment and Agency 57 Challenges with Measuring Empowerment and Agency 60 Future Recommendations for Research 62 Applications of Empowerment and Agency for Social Change 63
COMMUNITY AND BELONGING History of Community and Belonging 65 Definitions of Community and Belonging 65 Mechanisms of Belonging 67 Outcomes 69 Measuring Community and Belonging 71 Challenges with Measuring Community and Belonging 72 Future Recommendations for Research 73 Applications of Community and Belonging for Social Impact 74
CONCLUSION 76 REFERENCES 77 Mindfulness 77 Wellbeing and Resilience 80 Social and Emotional Learning 84 Empowerment and Agency 85 Community and Belonging 89
Mindfulness
History of Mindfulness
Mindfulness comes from the Pali word sati, which means having awareness, attention, and remembering (Davis & Hayes, 2011). The practices are rooted in ancient Buddhist tradition. There are two primary schools of Buddhism –Mahayana, which includes the Vajrayana/Tibetan and Zen traditions, and the Theravada school. Most of the mindfulness practices taught as secular practices in the West have their foundation in the Vipassana practices of the Theravada branch (Cullen, 2011). Vipassana is also a Pali word that means insight, and the practices involve monitoring one’s moment-to-moment physical sensations, emotions, mental activity and the immediate environment with the purpose of drawing insight about the nature of things, including impermanence (Davis & Hayes, 2011; Lutz et al.).
Mindfulness began its journey into mainstream Western use beginning in the late 1970s with Mindfulness-Based Stress Reduction (MBSR), developed by Jon Kabat-Zinn for chronic pain management. Since 1979, MBSR and a variety of derivations and adaptations of the program, including Mindfulness-Based Cognitive Therapy (MBCT) developed in 2002, represent the most widely researched mindfulness-based interventions (MBIs) used for a diverse set of ailments (Cullen, 2011, Kreplin et al, 2018). The popularity and study of mindfulness has grown exponentially in the last decade among practitioners and researchers. A search of scientific journal articles using Scopus revealed about 2000 to 4000 articles on mindfulness in year 2000, and over 32,000 articles in 2015 (Van Dam et al., 2018). The number of randomized controlled trials alone have increased from one in the three-year period between 1995 and 1997 to a total of 216 in the period between 2013 and 2015 (Powell, 2018). The growth in interest may be driven by the search for an antidote to the pace of Western life and an interest in a broad range of secular applications, from social work to politics to policing to education (Bergman et al., 2016; Bristow, 2019; Christopher et al., 2015; Cullen, 2011; Davis & Hayes, 2011; Hick & Furlotte, 2009, 2010; Jones et al., 2019; Kang et al., 2013; Ludvik & Eberhart, 2018; Neff & Pommier, 2012).
Most of the studies and theoretical writing on the topic have focused on the mechanisms, efficacy, and outcomes of mindfulness fostered through mindfulness meditation for various symptoms (Shapiro et al, 2006; Davis & Hayes, 2011). However, there still remains a healthy debate among scholars and scientists about how to accurately define mindfulness and what standards of practices and level of experience enable it, because it can be described as a set of practices, a process of personal transformation, a momentary state, or a way of being (Davis & Hayes, 2011; Kreplin et al, 2018). As both a dispositional trait and a training technique, where various practices lead to different insights and outcomes, it is then challenging to explain exactly what it is, how it works and why. See more below on the scientific definitions of mindfulness.
As scientists work to identify and validate the various facets of mindfulness through neurological imaging, self-report survey instruments, and behavioral analysis, Buddhist tradition does not necessarily see that the multifaceted qualities of mindfulness can be separated (Baer, 2018). Yet many researchers are exploring isolated neurological, physiological, psychological, and interpersonal benefits of mindfulness practice without reference to Buddhist doctrine or tradition. As the secular adaptation and scientific study of mindfulness has increased exponentially, there are further tensions between Buddhist beliefs and the Western understanding of the original purpose behind the practices of supporting liberation from suffering (Kreplin et al, 2018). In particular, there are concerns that when mindfulness practices are separated from their ethical foundation and positive intentions, the practices can not only
become a technique exclusively for self-centered benefit, but could even create harm (Sun, 2014). A common example frequently cited is the nature of a sniper using mindfulness to improve his performance in killing others (Cullen, 2011). And there can be a negative impact to a well-intentioned practitioner as well, depending upon the quality of attention. For example, there may be an increase in rumination and judgment when we focus attention on our thought patterns and emotions without the intentional attitude of openness and curiosity (Baer, 2018; Bishop et al., 2004). Yet, when mindfulness is conducted within an ethical framework or in the context of Buddhist concepts, such as with an awareness of our interconnection, mindfulness can be a positive force for both personal growth and social change (Cullen, 2011; Sun, 2014).
Definitions of Mindfulness
As simple as it may first appear, mindfulness is inherently difficult to define. There is currently no consensus on one single definition. Mindfulness is both referred to as a process or skill to practice as well as a mental state.
As far as a process, mindfulness is seen as a form of brain-training conducted through a range of practices involving intentional present-moment attention regulation that brings our internal experiences, like emotional reactivity, under greater, conscious control (Bishop et al., 2004; Davis & Hayes, 2011). The most frequently referenced definition is that of Jon Kabat-Zinn: “paying attention in a particular way: on purpose, in the present moment, and non-judgmentally” (Kabat-Zinn, 1994, p 4). Another similar definition is: “Moment -to-moment awareness, paying attention in a specific way, in the present moment, as non-reactively, nonjudgmentally and open-heartedly as possible” (Van Dam et al., 2018).
Shapiro et al (2006) propose that mindfulness is an interwoven triumvirate of:
1. intention - along a continuum of self-regulation, self-exploration and self-liberation;
2. attention - focused awareness, switching attention, and cognitive inhibition; and
3. attitude - of patience, openness, and curiosity that work simultaneously to allow a particular quality and process of moment-to-moment attention.
In 2004, a gathering of scientists sought to determine an operational definition. Participants agreed that mindfulness involved two primary components: (1) The self-regulation of attention on the present moment, and (2) an attitude of curiosity, openness and acceptance (Bishop et al., 2004). The more precise definition that evolved was:
“A process of regulating attention in order to bring a quality of nonelaborative awareness to current experience and a quality of relating to one’s experience within an orientation of curiosity, experiential openness, and acceptance. We further see mindfulness as a process of gaining insight into the nature of one’s mind and the adoption of a decentered perspective (Safran & Segal, 1990) on thoughts and feelings so that they can be experienced in terms of their subjectivity (versus their necessary validity) and transient nature (versus their permanence)” (Bishop et al., 2004, p. 234).
In this case, intentional, present-moment awareness with an attitude of openness is married with (a) efforts towards avoiding elaborative or added thought processes like rumination or mind-wandering arising out of what is experienced, yet also (b) allows for insight into the nature of those experiences by taking a decentered perspective as an unattached observer. This allows individuals to notice that their experiences (thoughts, emotions, sensations) come and go and are not fused with who they are.
As a state, mindfulness is characterized by different facets or capacities that can produce other outcomes. Baer et.al. (2006) identified the following five facets of mindfulness, which are regularly referenced in studies of mindfulness capacities:
1. Non-reactivity - to inner experience
2. Observing - noticing sensations/perceptions/thoughts/feelings
3. Acting with awareness - reduction in automatic pilot, non-distractedness and concentration 4. Articulating experience
5. Non-judgment - of experience
It is necessary and yet challenging to distinguish the precise relationship between mindfulness practices, its cognitive mechanisms, the facets describing it as a state, and its correlated or potential outcomes. For example, in Buddhist doctrine, there are considered four foundations of mindfulness – awareness of body, feeling tone, mental states and mental contents, which could describe either the nature of the practices and/or the capacities or facets developed by the practices (Cullen, 2011).
PRACTICES -> COGNITIVE MECHANISMS -> STATES defined by FACETS -> OUTCOMES
Some of the challenges in defining mindfulness include that the terms “mindfulness”, “meditation” and “self-awareness” are often used interchangeably. Yet, critical to the definition of mindfulness is discerning whether we are referring to a wide range of mental states and/or practices and processes (Van Dam et al., 2018). Meditation includes a variety of practices for training attention for self regulation and awareness (Davis & Hayes, 2011). Self-awareness involves going beyond self-observation fostered by a practice like meditation to draw insight into the relationship between feelings, thoughts, and actions (Bishop et al., 2004). Mindfulness seems to include both a set of skills that can be developed with practice that include (but can go beyond) meditation, as well as mental states that are regulated through such practice (Bishop et al., 2004).
It is thus necessary to explore what we may know about the mechanisms of mindfulness to help shed further light on how we might better define mindfulness, how it works, and what it feels like when we experience it. Research on the mechanisms of mindfulness attempt to explain how a person develops
mindfulness, what is happening in their brain, felt sense, and behavior, how these capacities and functions relate to each other, and what they result in as outcomes. The following sections will attempt to summarize current findings across these realms, as well as present how the facets and outcomes of mindfulness may be relevant to those working towards social change.
Mindfulness Practices
In order to begin to explore the mechanisms of mindfulness, it is critical to understand the range of actions research participants are undertaking to foster mindfulness. There is a large variety of mindfulness practices and programs that combine a range of skills.
We have organized mindfulness practices into four primary categories (Steidle, 2017): One category involves a set of practices called focused attention that is usually cultivated during a formal practice, like meditation, where we set aside explicit time from our day to concentrate with sustained attention on something specific like our breathing (Hadash & Bernstein, 2018; Levit-Binnun et al., 2019; Lutz et al., 2008; Steidle, 2017). Many Buddhist traditions start with focused attention practices before moving on to other practices that enable insight (Hölzel et al., 2011b). A second category, open monitoring, usually builds upon the focused attention skills and involves bringing a more general awareness, moment-to-moment, to everything happening inside and around us with non-reactivity and non judgment (Hadash & Bernstein, 2018; Levit-Binnun et al., 2019; Lutz et al., 2008). Open monitoring practices do not require any sustained attention on any one target, but instead involve more open attention on whatever may arise into one’s awareness from bodily sensations, emotional material, the activities of the mind, and the circumstances of the environment around the practitioner. The third category involves seeking deeper understanding about ourselves, others, and our experiences by using mindfulness practices that invite insight. Often, as in Vipassana meditation, the purpose of open monitoring practices is to recognize patterns in our emotions and thoughts, which naturally leads to greater insights into the nature of reality (Lutz et al., 2008). These may allow us to more easily dismantle our distorted and subjective perceptions as we become our own observers and separate our identity from our experiences (Levit-Binnun et al., 2019). The fourth category involves working to cultivate certain qualities like compassion and lovingkindness through intentional contemplative exercises. For example, Lovingkindness meditation, involves a practitioner visualizing offering a blessing or wish to themselves and others and visualizing the other receiving that blessing, such as “May they be happy” (Stell & Farsides, 2015). The broader family of Mindful Compassion Activities use various techniques including a focused attention on the body and emotions, active listening, or moment-to-moment open awareness with curiosity to develop a deeper understanding of how thought influences emotion regulation and to cultivate a more wholesome and prosocial orientation (Levit-Binnun et al., 2019; Ludvik & Eberhart, 2018). While there are similarities between the categories of practice, they can activate different parts of the brain.
Mechanisms of Mindfulness
As mentioned earlier, there are five facets of mindfulness: non-reactivity, observing, acting with awareness, articulating experience, and non-judgment (Baer et al., 2006). As we develop these capacities through mindfulness practice, there are certain neural mechanisms driving our experience. The mechanisms behind mindfulness can be organized into two primary sets of cognitive processes (1) present-centered attention regulation and meta-awareness, involving the mindfulness facets of observing, aware acting, and articulating experience, and (2) emotion acceptance and insight, involving the facets of non-judging and non-reacting, aided by the process of perspective taking, reappraisal and self-inquiry (Dahl et al., 2015; Jones, et al., 2019).
Neural Mechanism Category | Attention Regulation & Meta Awareness | Emotion Acceptance & Insight |
---|---|---|
Practitioner Actions | Focusing attention, recognizing distractions, switching attention back to target of focus (i.e., breath) | Cognitive reappraisal, perspective taking, |
Baer’s 5 Mindfulness Facets or Capacities Developed through Practitioner Actions | Observing Aware Acting Articulating | Non-Judgment Non-Reactivity |
Practices that Foster Facets | Focused Attention, Open Monitoring | Open Monitoring, Insight/Vipassana Meditation, Lovingkindness & Compassion Meditations |
Outcomes | Greater interoception and meta-awareness, decreased rumination, enhanced working memory, improved attention, better emotion regulation, improved response flexibility | Greater empathy, compassion and self-compassion, increased positive affect and decreased negative affect, greater wellbeing, less distress in response to discomfort, decrease in anxiety, disengagement of automatic pathways, responding more consciously and integrating present-moment information, increased social and emotional intelligence, decreased bias, reduced conflict, increased inter-personal communication, increased sense of interconnection, and more positive relationships, ethical decision-making, less anger and assumed hostility |
Part of Brain Activated | Dorsal anterior cingulate cortex and dorsolateral prefrontal cortex (conflict monitoring, executive attention); temporoparietal junction, frontal eye fields, intraparietal sulcus, and ventrolateral prefrontal context (selective attention); right frontal and parietal areas and thalamus (sustaining attention) medial prefrontal cortex (self knowledge, metacognition, self observation, subjective self referential value, morality, and intuition), front-insular cortex (switching between brain networks for cognitive control), insula (interoception of internal experience) | Ventrolateral and ventromedial prefrontal cortex (extinction, labeling, regulation of limbic responses); dorsal frontal systems (cognitive reappraisal) precuneus and posterior cingulate cortex (assessing relevance to self); hippocampus (extinction of fear responses); reduced amygdala activity and gray matter (improved emotion regulation); reduced sympathetic tone (nonreactivity and reduced stress); high amplitude gamma wave synchrony (quiet mind, clarity, focus, consciousness); anterior insula, somatosensory cortex, and anterior cingulate cortex (exteroception of external stimuli like pain and temperature) |
Attention Regulation and Meta-Awareness
Attention regulation requires the following primary actions – consciously initiating, directing and monitoring the focus of attention (such as on your breathing), recognizing a distraction (perhaps an itch or memory), disengaging from that distraction, and then switching attention back towards the original target focus of sustained attention (Dahl et al., 2015; Lutz et al., 2008). Focused attention meditation
results in a decrease in emotional reactivity in part because it is not possible when sustaining focused attention on something in the present moment (Lutz et al., 2008). This attention regulation is critical, especially in the early stages of learning mindfulness, to stay consciously aware of the present-moment without becoming distracted. The process of self-monitoring and regulating attention, then, necessarily involves meta-awareness.
Meta-awareness is being aware of the processes of consciousness and observing your own thought patterns, feelings, and sensations and being able to differentiate that you are separate from and not fused with those experiences (Bishop et al., 2004; Dahl et al., 2015). For example, meta-awareness would involve observing that you are experiencing a feeling of sadness, yet not getting wrapped up in the sadness and thinking you are a sad person or that the emotion is who you are. This process involves the brain not only monitoring and controlling one’s attention, but the direct inhibition of unrelated and secondary elaborative processing of what is arising – that means, keeping yourself from mind wandering, ruminating, daydreaming and other mental content to maintain present-moment awareness (Bishop et al., 2004; Dahl et al., 2015). In other words, in order to stay aware of the present moment, you need to be aware of when you are not in the present moment so that you can bring your attention back to the present. Too much mental activity leads to scattered attention, and too little mental activation leads to a reduced capacity to monitor attention (Isbel & Summers, 2019). Mindfulness with meta-awareness, however, sustains attention and reduces mind-wandering.
Mindfulness meditation stimulates the parts of the middle prefrontal cortex associated with self knowledge and meta-awareness (Davis & Hayes, 2011). Further, the anterior cingulate cortex (ACC) enables executive attention, and the front-insular cortex is involved in switching between different brain networks for cognitive control (Hölzel et al., 2011b). Experienced meditators have shown greater activation in the rostral ACC. However, over time, it is also seen that with greater expertise, these functions become more automatic, as greater activation may not be as needed to manage the ongoing control of attention (Hölzel et al., 2011b). From self-report findings, an attention on bodily sensations, such as is conducted in focused attention practices targeting one’s breath, leads to greater clarity of more subtle interoception measured through an increase in insula activation (Hölzel et al., 2011b). Interoception is the sense of what is going on in your body, such as knowing when you are hungry.
Further, metacognitive awareness and decreased mind-wandering result in improvements in working memory that result in enhanced attention capacities and better emotional regulation (Davis & Hayes, 2011; Isbel & Summers, 2019). The meta-cognitive functions of regulating awareness of consciousness may share neural pathways with the regulation of emotion (Isbel & Summers, 2019). This is fostered by the capacity to recognize and reflect on such emotions in the present moment. First the mindfulness practitioner will notice the distressing thought or emotional challenge, then they use inhibitory cognitive control to pause and not react, then working memory allows the practitioner to consciously consider alternative responses, then they use improved cognitive flexibility to put things into context, and then they finally initiate their response with self-regulation (Ludvik & Eberhart, 2018). Mindfulness practice can improve working memory capacity and, thus, emotion regulation, which often is diminished in times of stress (Davis & Hayes, 2011). In fact, through metacognition and the shifts in mental activity and emotion regulation, mindfulness can indirectly influence behavioral responses, such as promoting active listening and empathy (Jones, et al., 2019).
The training of attention in mindfulness meditation results in functional and structural changes in the brain, especially the attention-relevant neural networks (Dahl et al., 2015). When people are unable to regulate their attention and emotions or separate themselves from these experiences with greater awareness, we see disfunctions in the form of ADHD, addiction, depression and other forms of anxiety that affect mental health (Dahl et al., 2015; Isbel & Summers, 2019). While mind-wandering results in greater unhappiness, increased capacity for meta-awareness allows for an individual to adapt more easily to accepting reality and promotes wellbeing (Baer, 2011; Bishop et al., 2004; Dahl et al., 2015; Isbel & Summers, 2019; Killingsworth & Gilbert, 2010).
For novice practitioners to sustain such attention requires high levels of cognitive control and still results in frequent failures due to distraction (Isbel & Summers, 2019). Yet with experienced meditators (i.e., 44,000 hours of practice vs 19,000), as capacities get stronger, attentional control becomes increasingly automated, leaving room for insight, clarity and interpretation, and a corresponding reduction of activation in the areas of the brain responsible for such attention (Isbel & Summers, 2019; Lutz et al., 2008).
Still, Shapiro et al (2006) note that mindfulness requires more than just attentional practice, but intention and attitude too. Intention is the purpose behind the attentional practice, and tends to move on a continuum from stress management to self-knowledge to self-realization. Shapiro’s work has found that the outcomes of such practice are correlated with the intentions set for such practices (Shapiro et al., 2006). Further, the attitude with which the attention is applied – the orientation of curiosity, openness, and self-acceptance – matter too. In particular, an attitude of non-judgment supports the capacity to detach from and be able to increasingly disidentify with the content of experience. This, in turn, helps self-regulation by disrupting maladaptive and automatic behavior and creating more opportunity for finding acceptance, changing one’s perspective, and acting with greater choice (Shapiro et al., 2006). Let us look closer at these transformative mechanisms.
Emotion Acceptance and Insight
Under the second family of mechanisms, mindfulness promotes a change in perspective. This happens through two primary functions – cognitive reappraisal and perspective-taking, both capacities fostered by the facets of non-judgment and non-reactivity developed through mindfulness practice.
Buddhist doctrine teaches that there is no permanent self, and that if we can become aware of our internal processes, we will find clarity and understanding of the roots of our suffering by releasing our identity and attachment to our rigid sense of self, and instead recognizing the impermanence of the nature of things (Hölzel et al., 2011b). Usually after developing proficiency in focused attention practices, practitioners begin to learn the open monitoring practices where they observe and contemplate their bodily sensations, emotions, and thoughts, leading to greater insights, especially a recognition that these experiences are always changing (Dahl et al., 2015; Hölzel et al., 2011b; Isbel & Summers, 2019). The processes of sustaining present-moment awareness and drawing insight through self-inquiry and deconstructing experience are very different, though meta-awareness fostered by the former enables the latter (Dahl et al., 2015). Open monitoring meditation supports a greater level of emotional flexibility, integrating present-moment information so that responses are less reactive and automatic (Davis & Hayes, 2011; Lutz et al., 2008). Bringing an intention of non-judgment and non reactivity to whatever comes into awareness during meditation practice allows us to cultivate a more objective orientation towards our experiences. With this decentered attitude of curiosity and open acceptance, mindfulness can lead an individual to shift their perspective around what causes them discomfort and begin to experience those things as less distressing (Bishop et al., 2004; Shapiro et al., 2006; Davis & Hayes, 2011). Dahl et al. (2015) describe insight as “a shift in consciousness with a feeling of knowing, understanding, or perceiving something that had previously eluded one’s grasp” (p. 6). This, in part, happens through the mechanism of cognitive reappraisal.
Cognitive reappraisal involves changing the content of thoughts and emotions by reframing them as beneficial, meaningful or unharmful, often by replacing underlying negative judgments and conceptions with a more adaptive orientation (Dahl et al., 2015; Hölzel et al., 2011b). To do so requires non judgmental detachment from identifying with these emotional and mental experiences. As a mindfulness practitioner comes to process emotion more selectively, reappraisal fosters more positive emotions, a decrease in anxiety and other negative emotions, greater emotion regulation, and increased wellbeing, in part by activating the brain networks that involve adapting to stress (Bishop et al., 2004; Dahl et al., 2015; Davis & Hayes, 2011; Hölzel et al., 2011b; Isbel & Summers, 2019; Luberto et al., 2019). Jones et al. (2019) found that non-judging and non-reacting had different effects on people depending upon their level of meditation experience, suggesting that it takes practice for new meditators to let go of their own inner-critic and find acceptance of their emotional states.
In addition to non-judgment, the mindfulness facet of non-reactivity also supports cognitive reappraisal. Increasing awareness of bodily sensation including one’s physical responses to emotion and reframing our experiences, allows individuals to change their reactions to their experiences, disengaging automatic and habitual pathways, and enabling more conscious responses that integrate present-moment information (Davis & Hayes, 2011; Hölzel et al., 2011b). This does not take place through avoidance. Instead, in mindfulness practice, the individual leans in, allowing the uncomfortable stimuli to come into awareness, then contemplates any emotional reaction. This then enables reappraisal, if not complete extinction of the previously habitual reaction (Hölzel et al., 2011b). This reduces unconscious reactivity and increases more adaptive emotional and behavioral responses (Bishop et al., 2004; Shapiro et al., 2006; Hölzel et al., 2011b; Lutz et al., 2008).
The processes behind self-inquiry and insight include questioning one’s basic beliefs and assumptions, deconstructing one’s experiences into various parts, and identifying patterns in the dynamics of experience for the self, others, and the broader world around us (Dahl et al., 2015). Mindfulness reduces the activity of the default mode network responsible for internally-interpreted processes. This includes the middle prefrontal cortex associated with self-knowledge, morality, intuition and fear management, and the posterior cingulate cortex and precuneus, which involve assessing the relevance or significance of something and its integration into our autobiographical sense of self (Dahl et al., 2015; Davis & Hayes, 2011; Hölzel et al., 2011b). Cognitive reappraisal is associated with activity in the prefrontal cortex and the anterior cingulate cortex (Hölzel et al., 2011b). Experienced meditators demonstrate more detached awareness of internal and external sensations, functions controlled by the insula and somatosensory cortex, and demonstrate more cognitive control over default systems that drive more emotional and self-referential responses (Hölzel et al., 2011b).
Mindfulness also increases the activation of the ventrolateral prefrontal cortex and reduces the activation of and gray matter concentration in the amygdala, which is associated with improved emotion regulation and inhibitory control (Hölzel et al., 2011b). The elimination of fear-based reactivity, which improves with mindfulness, involves the ventromedial prefrontal cortex and the hippocampus, which also reduces amygdala activity (Hölzel et al., 2011b). This supports a reduction in stress, an increase in parasympathetic activity that allows for relaxation, and a prevention of depressive symptoms (Davis & Hayes, 2011; Hölzel et al., 2011b).
Perspective-Taking, Self-Compassion, Empathy and Compassion
Mindfulness not only supports changes in self-awareness, insight, and emotion regulation, but it also changes our perspective on others and our external situations, called perspective taking (Hölzel et al., 2011b). Perspective taking is where we consider how another might feel, and includes empathy and compassion. Where empathy is a process of being able to put yourself in another’s shoes and imagine feeling the way they feel, compassion is slightly different. Compassion similarly involves perceiving and appraising another’s feelings, but also includes a desire to help alleviate the other’s suffering. When someone comes in contact with someone who is distressed, they tend to experience one of three things: empathetic perspective-taking, emotional distress, or compassion (Berry et al, 2018). With empathy, there is sometimes the danger of empathetic fatigue and negative emotional experiences like distress and overwhelm (Cameron & Frederickson, 2015; Luberto et al., 2018). This may be because empathetic distress involves a feeling of imagining oneself in someone else’s situation, versus compassion, which involves feeling with someone else. Empathy can thus lead to a sense of emotional contagion that drives aversion or a withdrawal from the situation (Berry et al, 2018). Empathy and compassion both require maintaining a distinction between the observed and simulated state of the other and one’s own state; failure to maintain such distinctions may influence burn-out (Garbarg & Brown, 2019). Empathy is seen as activity in the ventromedial prefrontal-striatal neural networks responsible for self-relevance, value and affiliation (Berry et al, 2018). In contrast, feelings of compassion are associated with the premotor and somatosensory networks responsible for processing the self and mirroring other’s physical states (Berry et al, 2018). Feelings of compassion always involve a positive emotional orientation and altruistic stance towards helping. Through reappraisal, individuals are able to replace negative self-perceptions with more adaptive concepts of self, which can include patience and kindness and can also shift empathy into compassion (Dahl et al., 2015).
Self-compassion is “compassion directed inward” (Neff & Pommier, 2012, p. 1), which includes having kindness for the self without criticism, a sense of being connected to our common human experience, and being able to use mindfulness to be aware of and regulate thoughts and emotions without overly identifying with them (Hölzel et al., 2011b). Mindfulness promotes self-compassion, which is partially responsible for the relationship between mindfulness and wellbeing (Hölzel et al., 2011b).
Overall, studies show that with non-judgment and non-reactivity fostered through mindfulness, we are able to shift our perspective towards ourselves - driving self-compassion – as well as towards others – resulting in less distress in response to others’ suffering and more feelings of kindness, compassion, and interconnection (Davis & Hayes, 2011; Hölzel et al., 2011b; Neff & Pommier, 2012). Levit-Binnum et al. (2019) hypothesize that brain activity previously spent on our defense mechanisms and avoidances for our own self-preservation are then freed up through the process of mindfulness and compassion to allow one to more easily connect with others. Neff and Pommier (2012) demonstrated that self compassion is directly enabled by perspective taking skills and highly correlated with other-oriented concern, but that this is somewhat dependent on one’s level of meditation experience as well as age and gender (more often witnessed among women). This suggests that as we age and egocentric behavior declines, and as meditation practitioners increase their level of compassion and interconnectedness, these capacities may drive altruistic behavior (Neff & Pommier, 2012).
Outcomes
“At the heart of this transformative process is the intention to think and act more positively towards the world, other people, and oneself. Both ethical and psychological frames of reference see this as a positive direction of development. Within an ethical framework, this should bring about a more socially compassionate action, and should reduce aggressiveness and conflict. From a psychological point of view, positive affect brings about a sense of connection, which is usually positively experienced and is linked to wellbeing, secure attachment, and other positive outcomes. Positive outlook reduces negative bias, and creates a sense of wholeness and satisfaction” (Levit-Binnun et al., 2019, p. 9).
Outcomes from developing these facets are wide ranging, including compassion, greater positive emotions and reduced negative emotions, improved concentration and clarity, deeper understanding of one’s sense of self and reality, and general wellbeing (Bishop et al., 2004; Davis & Hayes, 2011; Levit Binnun et al., 2019; Luberto et al., 2018). Physiologically and psychologically, mindfulness has been shown to slow the markers for aging (Epel et al., 2009); reduce anxiety (Khoury et al., 2013); reduce depression (Way et al., 2010); reduce stress and anxiety (Davis & Hayes, 2011); decrease rumination (Corcoran et al., 2009); improve emotional regulation (Erisman & Roemer, 2010); and strengthen the immune system (Davidson et al., 2003). It is believed that meditation results in a relaxation response countering stress, which lowers negative emotion and improves positive emotion (Luberto et al, 2008).
With a decrease in stress and greater self-awareness and emotional regulation, mindfulness helps reduce anger, hostile aggression and the misinterpretation of hostile acts (Bergman et al., 2016; Christopher et al., 2015).
As a practice, mindfulness supports social and emotional intelligence as well (Ludvik & Eberhart, 2018). Social-emotional learning (SEL) involves the process by which an individual develops the capacity for managing emotions, experiencing empathy for others, building and sustaining positive relationships, setting goals, and making responsible decisions towards those goals (Ludvik & Eberhart, 2018). The skills needed for social and emotional intelligence include self-awareness, self-management, and social awareness, among others. These are many of the same capacities that mindfulness fosters – self-control and emotion regulation, cognitive flexibility, a sense of belonging, openness, and interpersonal skills (Ludvik & Eberhart, 2018). As in the mindfulness field, the SEL literature recognizes these skills are challenging to measure, there is little consensus on the duration and frequency of which SEL practices are necessary to foster social and emotional intelligence, and that an individual’s temperament and personality can also strongly influence such capacities (Ludvik & Eberhart, 2018). Still, mindful compassion practices can help an individual notice emotional distress, reflect on the experience with curiosity, use inhibitory control for nonreactivity, draw upon working memory to consider more adaptive responses, then use cognitive flexibility to integrate present moment information, and respond consciously (Ludvik & Eberhart, 2018). This results in a reduction in conflict and bias, increased empathy and social connectedness, improved interpersonal relationships and happiness, and greater engagement in prosocial behavior (Dahl et al., 2015; Davis & Hayes, 2011; Jones, et al., 2019; Kang et al, 2013; Luberto et al., 2018).
Despite the fact that Buddhist communities have been practicing mindfulness purposely to achieve these results for centuries, and many of the studies in this paper show promising results, the scientific community considers these outcomes preliminary. Meta-analyses show inconsistent impacts stemming from the wide variations in definition, practice, method, and measure. Van Dam et al., (2018) writes, “…There is a common misperception in public and government domains that compelling clinical evidence exists for the broad and strong efficacy of mindfulness as a therapeutic intervention” (p. 12). The US Agency for Healthcare Research and Quality found that mindfulness-based interventions, compared to controls, had only moderate, low or no efficacy depending upon the disorder (Van Dam et al., 2018). A recent meta-analysis of 69 randomized controlled trials representing 55 samples of a total 4,743 subjects explored mindfulness-based interventions using mindfulness meditation for a specific disorder and found that MBIs showed larger changes in self-report measures of mindfulness (58.18% using the FFMQ or Kentucky Inventory of Mindfulness) than both active and waitlist control conditions at post-treatment, but that these gains were less evident at a later follow-up (Goldberg et al., 2019). Yet, this should not diminish the impact it has had or the fact that it could be an effective intervention for non-clinical outcomes.
Measuring Mindfulness
Because mindfulness involves several facets and predicts a broad range of behavioral, neurological and felt-sense outcomes, there are a wide-variety of tools that can be used to measure it and its related capacities.
Baer (2006) evaluated the most utilized mindfulness scale, including the 39-Item Kentucky Inventory of Mindfulness Skills (KIMS, Baer, Smith & Allen, 2004), the 15-Item Mindfulness Attention Awareness Scale (MAAS, Brown & Ryan, 2003), the 30-Item Freiburg Mindfulness Inventory (FMI, Buchheld, Grossman & Wallach, 2001), the 12-Item Cognitive & Affective Mindfulness Scale (CAMS, Feldman, Hayes, Kumar & Greeson, 2004), the 16-question Mindfulness Questionnaire (MQ, Chadwick, Hember, Mead, Lilley & Dagan, 2005), and found KIMS most relevant. Thereafter, Baer created a new tool to integrate the most important and validated features, called the 39-Item Five Facet Mindfulness Questionnaire (FFMQ, Baer, Smith, Hopkins, Krietemeyer, & Toney, 2006). This measures the five facets of mindfulness: observing, describing, acting with awareness, nonjudging of inner experience, and nonreactivity to inner experience. Tools measuring mindfulness are often validated by using a range of established scales that measure other relevant components, such as attention regulation, emotion regulation, meta-awareness, cognitive reappraisal, self-concept, self-compassion, stress and resilience, bias, compassion, prosocial behavior, wellbeing and social-emotional intelligence (Baer et al., 2006; Bishop et al., 2004; Hick and Furlotte, 2010; Christopher et al., 2015; Hölzel et al., 2011b ; Jones, et al., 2019; Kang et al., 2013; Ludvik & Eberhart, 2018). The FFMQ has been validated and versions have been adapted for use in Spanish, Hindi, Chinese and French and in a wide range of applications. Appendix A contains a list of those key tools and others that measure more specific capacities.
Challenges with Measuring Mindfulness
There has been little standardization in the research around the study design, type of mindfulness-based interventions, and measures used, which results in several challenges:
Definition: Studies are usually limited in scope, testing one particular practice, facet or outcome without reference to the range of other facets or their interrelationship, which makes building a balanced consensus and validation for a complete definition difficult (Van Dam et al., 2018). For example, Buddhist scholars say mindfulness entails attention, awareness, memory/retention and discernment, but self-report measures may exclude various capacities (Van Dam et al., 2018). This has implications for the metrics used, as most questionnaire developers are not Buddhist scholars. They may apply different definitions of mindfulness, isolate unique components that were not meant to exist alone, and offer different instructions for their interventions, which may diverge from the original intentions of mindfulness practices (Baer, 2011).
Practices and Study Design: In terms of the practice utilized, across studies there is a lack of consistency in the technique and its instructions, whether the participants complied with instructions, the intensity and duration of the practice, whether the participants were experienced meditators or novices (and what even constitutes having meditation experience), how mindfulness is defined within the study, and what was subsequently measured and how (Berry et al, 2018; Cullen, 2011; Hölzel et al., 2011b; Ludvik & Eberhart, 2018; Lutz et al., 2008; Van Dam et al., 2018). Further, there may be bias among the experimenters themselves, especially those leading the practice instruction, as they can unintentionally communicate their preferences related to outcomes (Baer, 2018; Van Dam et al., 2018). Most of the studies reviewed by Van Dam et al. (2018) did not involve the gold standard for randomized controlled studies, and among those that did, only nine percent moved to Stage 2b of comparing to an active control, according to the NIH stage model for clinical science. Only one percent of studies were conducted outside research contexts (Van Dam et al., 2018). And, while MBSR is the most frequently studied mindfulness practice, the practices used across the research vary in type, duration, and frequency. This leaves no consistent intervention that can yet be adopted as the gold standard for clinical treatment by other practitioners (Van Dam et al., 2018). That being said, non-clinical applications of mindfulness, as will be detailed below, show significant promise, and practitioners can be thoughtful about selecting the mindfulness intervention and corresponding measurement tool that has the most promising connection to their desired outcomes.
Measures: Self-report, behavioral, and neural imaging measure different aspects of mindfulness mechanisms, states, and outcomes, without enough clarity on the relationship between all the various aspects and without standardized methods for interpreting results (Van Dam et al., 2018). Further, there is not enough construct validity in measures. It is not easy to determine how the mind changes through practice or how increased mindfulness affects other brain functions or psychological symptoms, which may just be a function of personality and temperament (Hölzel et al., 2011b; Ludvik & Eberhart, 2018; Van Dam et al., 2018). Mindfulness is not easily observed externally and behavioral measures cannot describe the neural mechanisms of mindfulness (Baer, 2011; Isbel & Summers, 2019). While neuroimaging can track improvements in sustained attention and working memory, they do not allow for observing neural activity in daily life circumstances (Baer, 2011; Van Dam et al., 2018). They can also be easily affected by differing levels of experience between meditators, such as breathing rates (Baer, 2011; Van Dam et al., 2018). Further, many researchers assume mindfulness is a trait that is consistent over time and circumstances, when in reality it changes with practice and experience and in various situations (Baer, 2011). As a result, the interpretations of data involving the neural mechanisms may be questionable (Van Dam et al., 2018).
Yet, self-report scales may also be distorted by bias among experienced meditators who understand, interpret, and value facets differently, have more experience noticing these capacities, or who may recognize how much more mindful they may be able to be, underreporting mindfulness (Baer, 2011, Van Dam et al., 2018). There may also be issues among novices who may have self-selected into the study and want to appear mindful (overreporting mindfulness) or have little experience noticing such capacities and interpret them differently than experienced meditators (Baer, 2018; Van Dam et al., 2018). Further, some practices may be attractive and helpful in different ways to different people (Hölzel et al., 2011b). Similarly, it is hard to validate the claims in self-report studies of changes in mental and physical aspects after conducting the mindfulness practice, because the practice itself involves introspection (Van Dam et al., 2018). Finally, many self-report studies involve reverse-scored items that contribute to an overall score, where the absence of a quality does not necessarily suggest the opposite (Baer, 2011).
Contraindications: There are potential adverse effects from practicing mindfulness that are not always well-documented or known, such as in anxiety-based disorders like bipolar disorder, schizophrenia, PTSD, suicidality, and psychosis (Van Dam et al., 2018). In fact, less than 25 percent of studies actively explore adverse effects (Van Dam et al., 2018). And, there are inconsistent results as to the efficacy of mindfulness as a therapeutic intervention (Kreplin et al, 2018). There is little regulation of mindfulness practices, and risk is managed primarily through informed consent overseen by those developing and testing interventions. So far, two universities – University of Massachusetts and Oxford - have created recommendations for exclusion criteria for practicing MBSR and MBCT (Van Dam et al., 2018).
Future Recommendations for Research
To improve upon the mindfulness research, there are several recommendations. Rather than using mindfulness as a broad and generally-defined term, researchers should be specific about exactly how they are defining mindfulness, what practices are being taught, and what they are measuring (Cullen, 2011; Van Dam et al., 2018). What exactly constitutes a mindfulness-based intervention also needs further clarification. Further, given mindfulness is always practiced in a particular context, future studies should clearly define and explore the effect of those contexts (Lutz et al., 2008).
Given the tension and inconsistencies between Buddhist doctrine and practice and clinical research and instructions, more collaboration and the accessibility and translation of Buddhist texts in secular contexts for their study in the psychological and scientific communities would be useful (Baer, 2011). Further, given mindfulness involves engagement with the practitioner’s inner and outer life perspectives and behavior, it should be clear under what ethical expectations mindfulness is to be applied, and an agreement that mindfulness used for harm is not actually mindfulness (Cullen, 2011).
In terms of study design, more randomized controlled studies are needed with double-blind procedures, larger and more diverse sample sizes, that are longer in scope (Kreplin et al, 2018; Luberto et al., 2018). Studies should also seek to show some consistency in definitions, practice and measures, and only use meditation teachers that are not related to the study and analysis to avoid bias that may come from how instructions are presented (Kreplin et al, 2018).
With each mindfulness-based intervention, it is critical to not only measure whether it had a significant effect on a particular symptom, but also deconstruct the mechanisms that underlie the changes to understand how and why it works. (Baer, 2011; Dahl et al., 2015; Goldberg et al., 2019; Kreplin et al, 2018). It is a best practice to utilize a range of behavioral, neurobiological, and self-report measures to validate results rather than simply assessing the aggregate of “mindfulness” (Baer, 2011; Van Dam et al., 2018). Researchers can also use observable behavior tests that allow self-report with third party validation of changes (Van Dam et al., 2018). Further, it is important to continue to study and disentangle the impact of temperament, personality, cultural context, belief systems, ethics and interpersonal dynamics on mindfulness experiences (Dahl et al., 2015). Given mindfulness as a state can vary over time, it is suggested that test instruments are conducted immediately after a practice to reduce any memory bias, and that it is understood they are testing mindfulness within the context of a specific situation (Bishop et al., 2004). Studies should avoid reporting only moderately significant results and ensure consistency in evaluating pre vs. post or post vs. follow-up, or between participants (Kreplin et al, 2018).
Within the international development context, researchers and practitioners need to be conscientious of the spiritual, religious and cultural context in which mindfulness practices are being taught and used, including misconceptions about practices that may foster distrust and opposition. Further, as will be touched upon in the wellbeing literature, it is important to be careful that if there are increases in an individual’s acceptance of reality due to mindfulness practice, that such gains are not used as rationale to uphold inequality or to suggest that material progress is no longer necessary.
Finally, there needs to be additional research on the possible adverse effects of meditation (Van Dam et al., 2018). Given the uncertain impacts and contraindications, with little regulatory oversight of practices, it is recommended that mindfulness not be used as an initial or primary intervention with certain anxiety-based disorders without further study (Van Dam et al., 2018).
Applications of Mindfulness for Social Impact
Mindfulness has been studied in a wide range of applications, but most have to do with its impacts on individual emotional, psychological, and physiological health. There are fewer studies that explore the outcomes that may have social impact implications. Most fall into two categories: perception of others (compassion and bias) or behavior towards others (prosocial or helping behavior and ethical decision making).
Perception of Others
Compassion can result in a permanent change in one’s motivation and feelings towards others (Berry et al, 2018; Leiberg et al., 2011). Because mindfulness builds our awareness, non-judgmental acceptance, and non-reactivity, it also fosters shifts towards more positive, other-regarding emotions. (Jones, et al., 2019; Kang et al., 2013; Stell & Farsides, 2015).
After six to seven weeks of compassion training, participants showed improvements in positive affect, life satisfaction, and stress (Leiberg et al., 2011). Mindfulness also results in greater relationship satisfaction, likely because of improved interpersonal communications, empathy, and a reduction in conflict due to lower reactivity (Davis & Hayes, 2011). Jones et al. (2019) found that the three mindfulness facets of observing, describing, and non-judging directly affected the ways people reappraised their views of others with higher levels of empathy and active listening. Mindfulness also helps with comfort in silence and the ability to align responses with clients’ needs among therapists (Davis & Hayes, 2011). The relaxation response experienced during mindfulness meditation may also involve oxytocin-mediated improvements in attachment and distress tolerance, which can improve feelings of connectedness (Luberto et al., 2018).
One particular practice, lovingkindness meditation, where a practitioner visualizes offering a blessing or wish to themselves and others, has been shown to increase connectedness and compassion, and decrease implicit bias (Cameron & Frederickson, 2015; Kang et al., 2013). This may be due to mindfulness creating more positive associations through reappraisal and perspective taking (Kang et al., 2013). Implicit bias - the unconscious attitudes and stereotypes that affect our beliefs - and explicit (conscious) bias involve different cognitive processes. Kang et al. (2013) found implicit bias is a better predictor of actual behavior. The researchers studied 101 non-blacks and their attitudes towards blacks and homeless people before and after participating in a six-week lovingkindness practice. The study found that bias against blacks involved fear and vulnerability, whereas bias against the homeless involved feelings of disgust and contempt (Kang et al., 2013). Lovingkindness meditation overall helped to decrease implicit bias towards race (Kang et al., 2013). Stell & Farsides (2015) also found that just seven minutes of lovingkindness meditation reduced prejudice against target racial out-groups.
Behavior towards Others
Mindfulness increases compassion and decreases anxiety, which helps drive prosocial behavior (Leiberg et al., 2011; Luberto et al., 2018; Lutz et al., 2008). Prosocial behavior can include helping another in need, advocating for fairness, reciprocity, inclusivity, active listening, and charitable giving (Leiberg et al., 2011). Because mindfulness results in people becoming less reactive and more accepting, people are more likely to respond constructively, and be more likely to engage in helping others (Davis & Hayes, 2011; Luberto et al., 2018).
Kreplin et al. (2018) and Luberto et al. (2018) both conducted meta-analyses of the prosocial effects of meditation, reviewing 22 RCTs involving 1685 people and 26 studies with 1714 subjects, respectively. Kreplin et al. (2018) found that meditation improved compassion and empathy, while Luberto et al. (2018) found that in 85 percent of studies meditation showed improvement, compared to controls, in at least one prosocial outcome, including connectedness and awareness of other’s suffering. A third review of six formal meditation studies found that compassion meditation resulted in an increased social and emotional sense of connection, which resulted in increased altruism, measured as charitable giving (Luberto et al., 2018). A few specific studies involving helping behavior as well as active listening deserve mention.
Mindfulness drives inclusive helping behavior through the facets of present-focused attention and non judging acceptance, which increase compassion and more positive, other-oriented feelings even during distressing experiences (Berry et al., 2018; Cameron & Frederickson, 2015; Leiberg et al., 2011). Researchers propose that with present-focused attention, the individual can focus on their intentions, engage in more perspective taking, and avoid rumination, so that they end up experiencing the positive benefits from helping (Cameron & Frederickson 2015). Berry et al. (2018) studied college students engaged in a ball tossing game, and found that mindfulness was correlated with empathetic concern, helping, and inclusion. Leiberg et al. (2011) found that compassion training increased prosocial behavior, especially with experiences of reciprocity, even if the costs of helping went up. The effects lasted up to five days after the training, influencing behavior in unrelated situations and with strangers (Leiberg et al., 2011). Similarly, Cameron & Frederickson (2015) found that among 313 adults, especially experienced meditators, present-focused attention resulted in more positive feelings during helping, including openness and connectedness, while non-judgmental acceptance predicted a decrease in negative feelings like disgust or guilt.
Mindfulness also has a particular impact on active listening. Jones et al. (2019) studied 183 college students for mindfulness’ influence on person-centered communications. The study found that mindfulness facets of observing and describing positively impacted empathy, reappraisals, and active listening (Jones, et al., 2019). But the study found that non-judging was negatively correlated to empathy and active listening (Jones, et al., 2019). These outcomes were different with experienced versus novice practitioners. This may mean that it takes new meditators longer to let go of one’s own emotional experiences to be able to focus on others, but that with experienced meditators, mindfulness encourages greater acceptance of others and provides the discernment needed for meaningful and compassionate conversations that enable others to accept themselves (Jones, et al., 2019).
Mindfulness has also been shown to increase ethical decision-making (Ruedy & Schweitzer, 2010). In two series of tests, Ruedy & Schweitzer (2010), demonstrated that individuals with higher self-reported mindfulness were more likely to act ethically, uphold their moral identity, and value and apply ethical standards. They believe this is due to mindfulness’ promotion of self-awareness, which improves the likelihood of one recognizing with acceptance an ethical issue, one’s own potential conflict of interest and biases versus reacting with self-protective (and potentially unethical) behavior (Ruedy & Schweitzer, 2010). They also found that mindful participants were more inclined to act in accordance with their internal values and self-image of being ethical versus any external rewards of appearing ethical (Ruedy & Schweitzer, 2010). This suggests that with mindfulness practice, increased levels of awareness, insight, and positive, other-oriented feelings will be complemented by more ethical and prosocial action as well.
Applications
While there are many examples of mindfulness employed in the field of social justice, the scientific research field has been slow to study, validate, and explain the mechanisms that underlie the relationships of mindfulness to social change. Only a few studies have evaluated realms where mindfulness could have a concrete impact on social change issues, though it was mostly related to perspective shifts and behavior orientation. No study yet identified in this review has actually studied how mindfulness has resulted in positive social impact. For example, while Kang et al. (2013) has studied in a clinical setting the impact of mindfulness on racial bias, the study has not gone on to see how mindfulness has resulted in improved racial relations between groups or other social impact when used as a practical application. One study by Hick and Furlotte (2009), assessed an intentional application of mindfulness among homeless people or those at risk of becoming homeless to explore how mindfulness shifted their views towards the systems of inequity. The study found that mindfulness positively impacted participants’ perspective on their experience, and had the potential to empower people to act towards social change (Hick and Furlotte, 2009). However, the study stopped short of examining or demonstrating that any shift in perspective actually resulted in transforming systems of oppression by those same participants. What it does provide, though, is a valuable theoretical proposal for the mechanisms of how mindfulness can support greater social awareness and agency to act on such information towards greater equity.
Hick and Furlotte (2009) propose that without awareness we participate in maintaining a status quo of inequity. The more we foster self-awareness, the more we develop self-compassion and compassion, including an understanding of our interdependence and participation in the common human experience (Hick and Furlotte, 2009). This offers the opportunity to examine how we are affected by and contributing to social inequity through our unconscious behavior, including bias and reactivity.
In the Hick & Furlotte 2010 study, the researchers went on to train a very small sample of 11 severely economically disadvantaged people in an adaptation of MBSR called Radical Mindfulness Training (RMT). RMT integrates mindfulness practice and interpersonal skills with an analysis of social justice themes, such as power, political and economic structures, and oppression to understand the systemic roots of poverty affecting the participants (Hick & Furlotte, 2010). The program found improvements in social connectedness, a decrease in self-judgment, and an increase in self-compassion and wellbeing - defined as life satisfaction - among participants (Hick & Furlotte, 2010). The researchers believe that through self-acceptance, participants could change how they perceived, connected with and accepted others, leading to greater personal wellbeing (Hick & Furlotte, 2010). They also could improve relationships with others and their interactions with structures around them, through the reduction in reactivity and improvements in adaptive responses fostered by mindfulness (Hick & Furlotte, 2010).
Mindfulness has also been used in the realm of politics with initial positive outcomes. Since 2013, over 200 members of the UK Parliament have attended 8-week MBCT sessions (Bristow, 2019). Self-reported benefits have included heightened attention in concentrating despite the barrage of information, greater kindness and decreased reactivity towards political opponents, and the capacity to consider their own bias, reduce defenses, and de-identify with their emotions (Bristow, 2019). The experiment has also catalyzed conversations about the positive implications of integrating mindfulness into policy for national wellbeing, including lower-cost preventative mental health treatments and increased compassion in medical care. Very obviously here, though not yet scientifically studied, there may be benefits from an investment in mindfulness for both self-management and interpersonal relations which can then extend into policy-making and public benefit.
Two studies have shown the promise of mindfulness among law enforcement officers, where high stress levels and elevated cortisol levels have significant implications for health and public safety decision making including hostility from uncontrolled anger (Bergman et al., 2016; Christopher et al., 2015). In policing, anger decreases ethical and constructive problem-solving, increases the interpretation of cues as hostile as well as aggressive responses, and can result in emotional exhaustion (Bergman et al., 2016). Trauma and chronic stress can compound the situation. In a study of 37 police officers who undertook a program in Mindfulness-Based Resilience Training, an adaptation of MBSR, Bergman et al., (2016) found that the mindfulness facets of nonjudging and aware acting reduced such anger and stress (Bergman et al., 2016). Christopher et al. (2015), found that an 8-week intervention in mindfulness training among law enforcement officers resulted in significant increases in resilience, mental and physical health, and emotional intelligence. Overall, mindfulness is negatively correlated with hostile attribution and aggressive reactions, anger, fatigue, stress, sleep disturbances, burnout, and rumination (Bergman et al., 2016; Christopher et al., 2015). This may be due to an increase in awareness and open acceptance that drive greater emotion regulation and decreases in rumination (Bergman et al., 2016). However one study noted a slight lag before benefits were accrued, as mindfulness started increasing before stress started decreasing (Christopher et al., 2015).
Wamsler et al. (2017) conducted a literature review of the role of mindfulness in sustainability and climate change science, practice, and teaching. The review found a blind spot in the research explicitly examining the active role of mindfulness in sustainability, yet also found scientific support for the positive contributions of mindfulness to the field, including its influence on intrinsic core values, wellbeing, consumption behavior, a connection to nature and indigenous wisdom, social activism and equity, as well as adaptive responses (Wamsler et al., 2017). Most of the actual scientific research involves the use of MBIs towards treating resilience after natural disaster, though the review recognizes the growing integration of mindfulness in actual practice outside of scientific study (Wamsler et al., 2017). This particular intersection is only emerging; the researchers found that nearly all the relevant literature had been published in the most recent five years preceding the review (Wamsler et al., 2017). The reviewers propose that the importance of mindfulness to sustainability includes recognition of the interconnectedness of beings; the importance of consciousness and compassion in motivating adaptive behavior and minimizing habitual and harmful actions; the contribution of mindful awareness towards increased social activism for climate change mitigation; its use in education for a more positive interpersonal and reflective learning environment; and MBIs for coping with climate adversity (Wamsler et al., 2017). The study concludes that mindfulness can be a critical asset for sensitizing people to a more holistic and interdependent understanding of our environment and for fostering more just behavior towards adapting to and addressing climate change (Wamsler et al., 2017). Yet, more scientific research is necessary to help understand on a micro-level how mindfulness influences disposition and personal transformation towards more sustainable action, as well as on a macro-level how mindfulness based interventions actually translate into structural and systemic change (Wamsler et al., 2017).
In the realm of youth education, mindfulness and other contemplative practices like Transcendental Meditation has been shown to improve student wellbeing and increase prosocial behavior and social competence (Waters, et al., 2015). There is not enough evidence yet to demonstrate reliable impact on academic performance, but studies do show that mindfulness practice improves cognitive performance and emotion regulation, both of which may contribute to student success (Waters, et al., 2015).
Though no scientific studies have been found explicitly validating the contributions of mindfulness to social impact in the following fields, it is increasingly found as a complementary practice, if not, a core and integral strategy towards positive outcomes in many other fields as well:
Law and criminal justice reform: assisting better performance during arguments, more positive client relationships, more ethical community engagement, decreased implicit age and race bias, and stress management (Magee, 2016)
Therapeutic and social work: for their client’s self-knowledge, their own self-care, better listening, improved attention and awareness, empathy towards clients, and enhanced accountability (Davis & Hayes, 2011; McGarrigle & Walsh, 2011)
Education: for treatment of youth symptoms of psychopathology (Zoogman et al., 2014) and for supporting teachers as mindful, aware and emotionally-stable role models (Jennings, 2015) ● Health care professionals: for combating empathetic fatigue, promoting resilience and building support systems, trust and rapport between providers and patients (Duerr, 2008). ● Economics: to mitigate the impact of systemic over-consumption and the destruction of natural resources driven by unsustainable growth, systemic inequality, and systemic instability of markets driven by speculation with more mindful approaches to social justice, equity, ecological sustainability and stability (Magnuson, J., 2007).
WELLBEING AND RESILIENCE
History of Wellbeing and Resilience
Wellbeing is a concept that integrates a broad range of holistic measures of individual and societal health under a single umbrella (Gibas et al., 2015). The origins date back to 1948 when the World Health Organization expanded its definition of health to include “physical, mental, and social wellbeing.” (Gibas et al., 2015). In the mid-1960s, Harvard Business School professor Raymond Bauer and colleagues began to establish methods to measure and quantify indicators of social wellbeing, which helped broaden a sense of social progress beyond conventional economic measures, such as Gross Domestic Product (GDP) (Gibas et al., 2015). In 1972, Bhutan’s young King Jigme Wangchuk coined the term “Gross National Happiness” coinciding with Richard Easterlin’s research revealing material wealth did not drive happiness (Gibas et al., 2015). It became increasingly understood that wellbeing involved both objective measures of material things like income and education levels, and subjective measures of individuals’ perceptions of their own wellbeing. In the 1980s, Amartya Sen’s Capability Approach took wellbeing one step further by considering not just the level of resources available to support wellbeing, but also the degree to which people had the capacity to take advantage of those resources to improve their wellbeing (Gibas et al., 2015). This catalyzed a new person-centered approach and led to the United Nation’s Development Programme’s Human Development Reports and, later, Human Development Index that endeavored to aggregate the qualities of wellbeing that extended beyond economics (Gibas et al., 2015). In 2008, as the global financial and real estate crisis ensued, Nicolas Sarkozy of France established the Commission on the Measurement of Economic Progress, asking Nobel Prize winners, Joseph Stiglitz and Amartya Sen, among others on the panel, to reevaluate world economic indicators like GDP that seemed to be at a disconnect from people’s daily reality (Goodman, 2009). Stiglitz and Sen criticized traditional markers of economic progress as inadequate for measuring social progress, instead putting wellbeing front and center as a critical assessment tool for global policy (Gibas et al., 2015; Goodman, 2009). The debate around wellbeing and its intersection with national and international development has since continued to move from an externally-defined and pathologizing focus on the social ills of the most disadvantaged, which fostered stigma, to a more inclusive approach enabling greater self-determination and collaboration (White, 2010).
Resilience research going back 50 years has long explored the concept from the perspective of the individual, beginning with the psychological study of children, especially those living in high-risk circumstances (Fleming & Ledogar, 2008; Richardson, 2002). Emily Werner is credited with the seminal research that catalyzed the field through her study of children in Hawaii and the qualities that enabled their resilience (Luthar et al., 2000). The emergence of resilience theory involved shifting from a model of identifying risk factors that lead to psychological and behavioral problems to a model that identified the internal strengths for coping with and overcoming adversity (Richardson, 2002). The research gradually moved beyond studying just the internal resilient qualities of individuals to understanding the risk and protective factors of influence within the family, community, culture and external environment too (Fleming & Ledogar, 2008). In the 80s, resilience theorists began proposing resilience as a process of coping, not a trait. Increasingly, researchers recognized that protective factors are not the sole determinant of resilience, as they do not always result in positive, adaptive outcomes in all circumstances for all people. Instead, resilience is a developmental process whereby new capacities and vulnerabilities emerge over time with changing experiences (Luthar et al., 2000). Richardson (2002) describes a third wave of resilience research that has focused on the inner motivational force for self actualization that drives the capacity and process of resilience. In addition, the literature has increasingly turned towards measuring the resilience of whole communities themselves in addition to the individuals and influencing factors that make up such communities. Resilience is most often studied among people living with high-risk status, managing ongoing toxic stress, and recovering from trauma (Fleming & Ledogar, 2008). Also relevant to this exploration is Polyvagal Theory, proposed by Stephen Porges in the early 2000s, which describes the linkages between the stress response system and other neural networks that support prosocial behavior, health, and resilience (Sullivan et al., 2018).
Definitions of Wellbeing and Resilience
Wellbeing
Wellbeing, like mindfulness, is difficult to define and is built upon a broad range of contexts and differing objective and subjective indicators, where there is currently no consensus. Or perhaps where there is consensus is that wellbeing is multifaceted (Decancq & Lugo, 2013). Certain objective indicators like physical health, nutrition, education, or basic economics are easy to assess and standardize, but may not give an accurate description of an individual’s lived experience or life satisfaction, which is entirely dependent upon one’s context and perception of that context (Gibas et al., 2015, Linton et. al., 2015). As such, wellbeing is naturally a person-centered concept, which requires one’s own subjective take on how well one feels they are experiencing a certain quality of life, according to one’s own priorities (White, 2010). Such holistic and subjective definitions are more able to account for the complexity of circumstances facing people and communities, including tangible and intangible indicators such as household distribution, power and status, human rights, loving relationships, and support networks (Camfield et al, 2008).
Also important may be the distinction between hedonic and eudaimonic definitions of wellbeing: Hedonic measures include pleasure and happiness, the presence of positive feelings, absence of negative feelings and overall subjective satisfaction with life (Cooke et. al, 2016). The eudaimonic model involves psychological wellbeing defined by realizing one’s purpose, fulfilling one’s potential, having a sense of autonomy and competence, having positive relations with others, self-acceptance, and operating at optimal levels (Cooke et. al, 2016).
Definitions of wellbeing invite debate over which combination of components should be included, and more recently there has been a push to develop indexes to aggregate these many components (Gibas et al., 2015). Measures like the Human Development Index, Gallup-Healthways Wellbeing Index, Social Progress Index, OECD Better Life Index, World Values Survey, and the Sustainable Development Goals attempt to provide a more comprehensive perspective on what enables individual and social wellbeing (Camfield et.al, 2008; Gibas et al., 2015; White & Jha, 2014).
Following are a few more of the more comprehensive definitions:
"Wellbeing is a state of being with others, where human needs are met, where one can act meaningfully to pursue one's goals, and where one enjoys a satisfactory quality of life." (ESRC Research Group on Wellbeing in Developing Countries, 2008, p. 4). This definition recognizes that wellbeing has not only an objective and subjective dimension, but also a social or relational dimension. It is both a state and a process.
In resilience literature, individual wellbeing is considered to involve four characteristics: (1) being free from psychological illness, (2) healthy patterns of behavior, (3) adequate functioning in family and society, and (4) a perceived high quality of life (Norris et al., 2007).
According to the New Economic Foundation’s (UK) Measuring Wellbeing: A Guide for Practitioners, “Well-being can be understood as how people feel and how they function, both on a personal and a social level, and how they evaluate their lives as a whole” (Michaelson et al., 2012, p 6). Michaelson et al. (2012) suggest that dimensions of wellbeing that matter most to people include:
Emotional wellbeing: The overall balance between the frequency of experiencing positive and negative emotions.
Satisfying life: Having a positive evaluation of your life overall.
Vitality: Having energy, feeling well-rested and healthy, and being physically active. ● Resilience and self-esteem: A measure of individuals’ psychological resources. It comprises the subcomponents:
Self-esteem – Feeling good about yourself.
Optimism – Feeling optimistic about your future.
Resilience – Being able to deal with life’s difficulties.
Positive functioning: This concept of “doing well” includes four subcomponents: o Autonomy – Feeling free to do what you want and having the time to do it. o Competence – Feeling accomplishment with the capacity to make use of your abilities. o Engagement – Feeling absorbed in what you are doing with opportunities to learn. o Meaning and purpose – Feeling that what you do in life is valuable, worthwhile, and valued by others.
The Wellbeing in Developing Countries (WeD) initiative at the University of Bath, UK defines wellbeing as involving three dimensions, with objective and subjective indicators for each (White, 2010):
Material:
Objective: assets, income, consumption, livelihoods, wealth
Subjective: satisfaction with income and wealth, and perceptions on standards of living compared with others and the past
Social:
Objective: social, political and cultural identities; violence, conflict and security; relationship with and access to public amenities (law, politics, justice, welfare); networks of support and obligation; environmental resources
Subjective: perceptions of safety, respect and discrimination; satisfaction with access to amenities; assessment of treatment and support; perceptions of environmental quality
Human:
Objective: household structure and composition; human health; education; skills; disabilities and capabilities; relationships
Subjective: satisfaction with capabilities; education; skills; health; self-concept; personality; trust; confidence; ideologies and beliefs
Positive Psychology’s definition of wellbeing, referred to as flourishing, is contained in a framework known by the acronym PERMA (Kern et al., 2015):
Positive Emotion: hedonic feelings of happiness (e.g. feeling joyful, content, and cheerful) ● Engagement: psychological connection to activities or organizations (e.g. feeling absorbed, interested, and engaged in life)
Relationships: feeling socially integrated, cared about and supported by others, and satisfied with one’s social connections
Meaning: believing that one’s life is valuable and feeling connected to something greater than oneself
Accomplishment: making progress toward goals, feeling capable to do daily activities, and having a sense of achievement
The Wellbeing Project defines personal wellbeing as including an experience of wholeness and interconnectedness, and that it is action-oriented and a continuous journey (Severns and Murphy Johnson, 2020).
Resilience and Trauma-Healing
Resilience is often seen as a component of or contributing to wellbeing and can be defined as positive adaptation despite adversity (Fleming & Ledogar, 2008). In the wellbeing literature, Michaelson et al. (2012) suggest that resilience is one of three components of psychological resources on which wellbeing depends, which ensure individuals are capable of handling the difficulties they encounter.
Another definition is “a dynamic process encompassing positive adaptation within the context of significant adversity” (Luthar et al, 2000, pg. 543). This suggests that resilience is not necessarily a state of being, but a process, and requires the existence of adversity or very substantive risk, against which someone adapts, leading to greater wellbeing (Fleming & Ledogar, 2008; Luthar et al., 2000; Richardson, 2002). Resilience theory sees this process as involving a level of growth and adaptation, not just bouncing back to homeostasis (Richardson, 2002).
Like many of the other personal transformation processes covered in this review, there is little consensus on a definition (Luthar et al., 2000). This includes the definitions for the adversity conditions themselves against which resilience is assessed, the risk and protective factors affecting resilience, and the adaptation process (resilience itself) that takes place after adversity (Luthar et al.,2000).
Protective factors that support resilience come from within various domains: the individual level, family, community, environment and culture. These are wide ranging within each domain, including (Fleming & Ledogar, 2008; Luthar, et al., 2000; Richardson, 2002):
Individual: temperament, attachment, self-efficacy, sense of self, hopefulness, good problem solving skills, self-discipline, critical thinking skills, positive values, social competencies, and grit
Family: parental encouragement, high expectations, marital support, material resources, and cohesion of the family
Community: supportive peers and teachers, academic success, and supportive community
Cultural: traditional activities, spirituality, language, and healing
In the psychological literature, resilience involves “resistance to psychosocial risk experiences”, which can present on a continuum of less optimum to optimum behaviors (Fleming & Ledogar, 2008, p. 2). In the field of positive psychology, subjective wellbeing is actually one of the optimal qualities for resilience (Richardson, 2002). Others include happiness, optimism, faith, self-determination, wisdom, excellence, morality, gratitude, self-control, forgiveness, humility, and creativity (Richardson, 2002). The field of psychoneuroimmunology has found that people who are optimistic, hopeful, and have some sort of passion or purpose, even have higher immune system functioning (Richardson, 2002). According to resilience theorist Michael Rutter, resilience is possible when these factors catalyze the process of building a positive self-image, breaking a negative cycle and opening up new opportunities, and reducing the effect of risk factors (Fleming & Ledogar, 2008).
The “challenge model” of resilience denotes some form of personal growth. Glenn Richardson’s (2002) describes this as being able to manage a moderate level of risk (not too much to be overwhelmed, but enough to be challenged), resulting in a positive outcome of resilient reintegration - a level of growth or insight in self-understanding, strength, and coping qualities (Fleming & Ledogar, 2008; Richardson, 2002). This is driven by “the motivational force within everyone that drives them to pursue wisdom, self actualization and altruism and to be in harmony with a spiritual source of strength” (Richardson, 2002, p 309). Resilience-based therapies, then, work to move through the protective layers of the ego to help an individual reconnect with their innate human spirit (i.e., resilience) (Richardson, 2002). According to Richardson (2002), resilience theory assumes each individual has innate needs for self-worth, self esteem, freedom, morality, purpose, and to give back, and so the process of reintegrating with resilience includes reframing their experience of adversity to find a positive opportunity, seek meaning and purpose in their recovery, and reconnect with their deeper source of strength.
Resilience can be considered on an individual or collective level, which can include the process of adapting to chronic or toxic stress, rebuilding after natural or human disaster, protecting from burn-out or empathetic fatigue, or the ability to recover from a traumatic event. A definition of community resilience, provided by Healy (2006) is “the capacity of a distinct community or cultural system to absorb disturbance and reorganize while undergoing change so as to regain key elements of structure and identity that preserve its distinctness” (Fleming & Ledogar, 2008, p. 3).
One significant form of adversity is trauma. Individuals who experience or witness traumatic events, especially war, genocide, torture, and sexual violence, very often undergo deep psychological stress, otherwise known in Western psychology as complex post-traumatic stress disorder (PTSD). Trauma and PTSD are often used interchangeably to represent the impact of such stressors. Unlike other realms of adversity, trauma and the resulting PTSD is relatively clear in definition. Usually preceded by exposure to a significant, traumatic stressor that involved a response of intense fear or panic, helplessness or horror, PTSD is a psychiatric condition with very specific symptoms (Vermetten & Bremner, 2002). According to the Diagnostic Statistical Manual IV (DSM), in the definition of PTSD:
The person has been exposed to a traumatic event in which both of the following were present: [a]the person experienced, witnessed, or was confronted with an event or events that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others. [b] the person’s response involved intense fear, helplessness, or horror…The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.(American Psychiatric Association, 2002, p. 25)
This can include an entire spectrum of symptoms. The DSM-V, divides PTSD symptoms into four categories (APA 2013):
1. Intrusion Symptoms or Reexperiencing: These include symptoms that intrude upon your regular daily life, often unexpectedly, such as flashbacks; repeated, disturbing dreams or nightmares of a stressful experience; triggers; repeated, disturbing memories, thoughts or images of the stressful experience
2. Avoidance Behavior: These are ways individuals avoid people, places and things through intentional or unintentional behavior like: dissociation; loss of interest in activities that once brought joy; difficulty remembering stressful experiences; feeling distant or cut-off from others; feeling emotionally numb
3. Symptoms of Increased and Ongoing Arousal or Reactivity: These are experiences where the stress response system engages, is overworked, and causes difficulty calming down, such as an extreme emotional response when reminded of a stressful experience; physical response when reminded of a stressful experience (heart pounding, trouble breathing, sweating); angry outbursts; being easily startled, hyper-arousal; insomnia; hyper-vigilance
4. Negative Mood and Thoughts: These are experiences like ruminating over negative events; depression; difficulty concentrating
Over time, PTSD is associated with an increased risk of several other conditions including panic disorder, alcoholism and other addictions, chronic or severe depression, generalized anxiety disorder, and social phobias (Vermetten & Bremner, 2002).
Mechanisms of Trauma and Resilience
Trauma and our Stress Response
Our autonomic nervous system is made up of two branches. One is the sympathetic nervous system or stress response system that activates to protect us from danger (what we know as our fight or flight response). When activated, it floods our systems with adrenaline, cortisol, and other stress hormones to ensure we can move quickly with strength, be hyper alert and respond with energy to avoid danger or harm or fight against a threat. The other, the parasympathetic branch of the autonomic nervous system is what slows us down and helps us relax, feel safe, restore ourselves, and recharge our energy. This also supports growth and health. Most of the neural pathways for the parasympathetic nervous system travel through the vagus nerve between the brain stem and several organs, like the heart, lungs, and digestive system, involving bidirectional communication.
Normally, when we feel safe, our body regulates between the sympathetic and parasympathetic branches as necessary – we get startled by a loud noise, which activates the stress response system, then we realize we are not in danger and we relax again. The autonomic nervous system then acts like a pendulum, with the sympathetic nervous system activated as needed in response to external stimuli followed by an extinction of the stress response and a corresponding parasympathetic (relaxation) response to return to homeostasis after the threat has passed and safety is perceived.
Functionally, safety is a state determined by the nervous system itself - which can be completely independent of and divergent from any actual threat - and which is assessed through sensory input from the environment without the need for cognitive awareness - a process called neuroception (Porges & Carter, in press). In fact, in normal functioning, the stress response system usually stays partially activated for our protection, existing in a state of alert or readiness, resulting in a slightly elevated heart rate, higher frequency breathing, a level of muscular tension, and anxiety than when in a relaxed state (Elliott & Edmonson, 2006).
When we experience a traumatic event or are exposed to repeated stressors, the stress response system turns on automatically to help ensure our survival. But it is also possible that it can get stuck on, become over-stimulated and dysregulated, or completely depleted. Overtime, this system burns a lot of energy, and when it stays on for too long, it leads to exhaustion and illness, and results in the symptoms of PTSD discussed earlier, which often emerge shortly after exposure (Vermetten & Bremner, 2002).
The mechanisms underlying PTSD involve the stress response system conditioning itself around fear and stress, and failing to move through to extinction of its response (Vermetten & Bremner, 2002). When people are reminded of their traumatic experience, the parts of the brain responsible for intense emotions are activated (including the right medial orbitofrontal cortex, insula, amygdala, anterior temporal pole), and the neural networks responsible for regulating emotions and communicating experience, thoughts, and feelings (including the left anterior PFC specifically Broca’s area) are deactivated (Van der Kolk, 2006).
Any prolonged experience of a threat with a maladaptive response may result in longer-term disorders involving imbalances of the physical state, emotions, and behavior (Sullivan et al., 2018). Traumatic experiences are often associated with severe guilt, disgust and shame, self-blaming, and frequent rumination, which exacerbate the impact of the stress (Chopko & Schwartz, 2013; Van der Kolk, 2006). Individuals can find such emotions overwhelming and have difficulty managing their inner sensations and perceptions, understanding what these experiences mean, and using them effectively as guides for action - a condition called “alexithymia” (Van der Kolk, 2006). This results in challenges in understanding and caring for their own needs and appraising the emotions of others. When in such vulnerable states, the social behavior of others can be misinterpreted as aggressive if time is not taken to calm sympathetic reactivity to a perceived threat, such as by slowing the rate of breath, and allow higher cognitive functions to overtake the defensive orientation (Porges & Carter, in press). Individuals instead lash out or collapse in response to stress (Van der Kolk, 2006). Further, traumatized individuals often lose the effective use of the stress response system, which results in responding to new, perceived danger with paralysis and immobilization (Van der Kolk, 2006). Individuals have resulting issues with working memory, sustained attention and focused concentration, which effectively means they have a hard time being fully present (Van der Kolk, 2006). Bessel van der Kolk (2006) attributes this most likely to dysfunction in the front-subcortical neural networks and corticothalamic integration.
It is also important to give special mention to the impact of adversity and trauma on youth, which is even more complex. First, studies have shown that early life trauma impacts the neurochemical systems in the brain that are responsible for the stress response, causing greater likelihood of developing anxiety and emotional conditions as adults (Vermetten & Bremner, 2002). Second, children are affected by both by the impact of trauma on parent’s availability to adequately parent their children and possibly also through epigenetic transmissions from one generation to the next, making them more susceptible to PTSD (Fenton, 2018; Portney, 2003). Empirical evidence reveals that there is a transgenerational inheritance of the impact of PTSD on genes from the person who experienced the trauma to their offspring, such as hormone levels, which result in higher rates of PTSD in children as well as children being more susceptible to suffering similar symptoms in response to stressors (Fenton, 2018). This is also influenced by the context in which children are raised, including the breakdown of collective wellbeing, such as community trust, social norms and values (Fenton, 2018). It can be much more difficult to treat children affected by trauma through epigenetics, parenting, and environmental context, when there is no underlying traumatic event for them to reference (Fenton, 2018).
Often the impact of a traumatic event goes beyond the individual and next generation to affect the entire community as well. When whole communities are wounded by war and natural disaster, the trauma and resulting displacement dismantles collective structures such as social networks, families, political systems, economies, health services, and trust (Hostland, 2012; Steidle, 2019). And trauma can extend beyond those affected by the traumatic event to front-line first responders, including humanitarian aid workers, rescue personnel, and even journalists (The Antares Foundation, 2012).
Displacement itself can cause trauma through a loss of a sense of place – “root shock” - and emotional support system, as well as the extreme conditions individuals endure in seeking safety (Fullilove, 1996; Steidle, 2019). Often, post-migration conditions, from housing and financial security to perceived lack of safety and discrimination, can contribute to even greater mental health issues, such as PTSD, depression and anxiety (Coffey et al, 2010; Hamid and Musa, 2010; Li et al., 2016; Steel et al, 2006). Following conflict and disaster, mental health systems are either completely destroyed or minimally functioning and accessible, and individuals face large obstacles to treatment including stigma, affordability, accessibility, child care, time, and difficulty traveling (Rugema et al., 2015; Steidle, 2019). Collective wellbeing depends on objective, material elements such as social justice, welfare, law enforcement, leadership, and cultural identities, as well as the subjective perception of safety, trust, respect, satisfaction with treatment, and support (White, 2010).
Resilience
The mechanisms of the process of resilience first involve the disruption to homeostasis that creates adversity. Reintegration begins as people explore how to adapt, and experience a form of growth or insight from this experience, which strengthens the resilient qualities that enabled the recovery. This process may take minutes or may take place over years (Richardson, 2002). Without this resilient reintegration, people may continue to experience adversity because they have not developed the characteristics that allow for ongoing growth and resilience the next time (Richardson, 2002). Others may turn to maladaptive behavior, such as destruction, addiction and other negative coping mechanisms.
Polyvagal theory is a field of research related to the relationship between the autonomic nervous system, emotion and behavior, and the role of the vagus nerve (10th cranial nerve), a part of the parasympathetic nervous system (PNS), in self-regulation, resilience, and prosocial communications (Porges and Carter, in press; Sullivan et al., 2018). As mentioned previously, the vagus acts as a bidirectional pathway between the brain stem and the visceral organs like the gut, which pick up on external stimuli. The vagus serves an essential role in the body’s capacity to regulate our response to perceived safety or danger, through both informing the brain and regulating specific organs. In times of safety, the PNS operates synergistically with the SNS as an inhibitory “vagal break” to support health, rest, and restoration.
According to polyvagal theory, there are three primary neural platforms involved in the detection of and response to safety or threat, which also influence the conditions for recovery and resilience. These circuits operate in an evolutionary-determined hierarchy. First is the social communications system (listening, facial expressions), second is the defensive system associated with mobilization (fight/flight), and third is the defensive system associated with immobilization (freeze) (Porges and Carter, in press).
When the environment is perceived to be safe, there is an increase in the vagus influence on the regulation of visceral organs for homeostasis, growth and restoration, including a dampening of the stress response system. This includes the “social engagement system”, managed by the ventral vagal complex (VVC), which is responsible for regulating facial expressions and communications. The VCC, in connection with breathing and heart rate, allows more spontaneous prosocial and adaptive social interactions in response to challenges (Porges, 2009; Sullivan et al., 2018). For example, the neural pathways activated in making eye contact (raising the eyelids via the facial nerve) are also responsible for helping us listen to a human voice against background noise (by tensing the stapedius muscle in the middle ear), which then provides additional input on safety (Porges & Carter, in press). When the VVC is active and a person feels safe, a person is in the optimal state for experiencing feelings of connectedness, love, empathy, compassion, and altruism (Gerbarg et al., 2019; Sullivan et al., 2018).
When the VVC has failed to address a threat, the inhibitory vagal break is turned off, enabling the sympathetic nervous system (fight/flight) to be activated. When the SNS is activated, there is a significant mobilization of physiological changes to allow for an immediate protective response to danger to ensure survival, such as increases in heart and breathing rate, redirection of blood to central organs, release of hormones for immediate action, and emotions are oriented around fear and anger (Sullivan et al., 2018). There are also blended states, such as in play, dance, and sexual intimacy, where the VVC remains fully functioning along with higher SNS activation (Porges & Carter, in press; Sullivan et al., 2018).
Finally, the dorsal vagal complex (DVC), connected to organs below the diaphragm, is involved in the most primitive response to danger. In response to very severe terror, the PNS is recruited as a defense system, resulting in activation of the “freeze” response experienced as an almost complete shut-down of the body to the minimum functioning necessary for survival, which may include loss of consciousness and feigning death (Sullivan et al., 2018).
Polyvagal theory asserts that the range of emotions and behaviors accessible to a person depend on their physiological state dictated by these neural platforms. This suggests that sympathovagal balance – a self-regulated balance between the SNS and PNS - may be related to balance between bodily sensations, emotions, mental activity and our capacity for greater vagal control. Higher vagal control hinges on our ability to interpret and respond accurately to sensory information delivered, in part, by the vagus nerve (Sullivan et al., 2018). High vagal control is correlated with more adaptive neurological processes such as attention and emotion regulation, greater behavioral flexibility to challenges, lower anxiety, and improved interoception (Porges & Carter, in press; Sullivan et al., 2018). Interoception, a capacity also fostered through mindfulness practice, is the sense of what is happening in your body. Interoception is also seen as an integrative function between “top-down” higher cognitive functioning like attention regulation, and “bottom-up” processes connected to breathing and movement, and can help foster a return to homeostasis (Sullivan et al., 2018).
To switch from the defensive systems to the social engagement system, the body must first assess risk/safety and then inhibit the more evolutionary primitive systems that are activated for defense (Porges, 2009). However, the assessment of risk is a continual process that does not require conscious awareness. People who have experienced a traumatic incident may continue to discern risk even when it does not exist. These states of stress activation then affect one’s ability to detect positive social cues. In turn, visceral cues can also impact our perception of our external environment (Porges, 2009). Fortunately, this bidirectional pathway can be engaged actively or passively to support a return to homeostasis within the body, which is key to our healing and resilience. (Gerbarg et al., 2019; Porges & Carter, in press).
Resilience is critical before any other form of wellbeing can manifest adequately. If one’s psychophysiological functioning is not optimal due to trauma, it is extremely difficult for the entire system to be open to change when it remains locked in a defensive state (Gerbarg et al., 2019).
Trauma-Healing
Effective interventions for trauma-healing require a reprogramming of the stress response system, enabling individuals to find a sense of physical control and self-protection capacity to feel safe (Van der Kolk, 2006). The process involves helping individuals to:
1. gradually increase their capacity to focus on their internal experience, and to realize these experiences are constantly changing,
2. recognize, through careful non-traumatic stimuli, that it is safe to have feelings and sensations, 3. accurately assess threat or safety,
4. activate the corresponding neural platform for protection or for calm and resilience, and then 5. integrate the aspects of the mind, heart and body related to their experience of trauma, so they can begin to find relief from the overwhelming emotional experience of their traumatic past (Porges & Carter, in press; Van der Kolk, 2006).
Evidence-based psychotherapy interventions include cognitive behavioral therapy, prolonged exposure, and cognitive processing therapy (Watkins et al., 2018). Mindfulness is even being utilized now for treatment, though it is not yet widely recognized as a standard method. Van der Kolk (2006) suggests that mindfulness and other mind-body practices can help the individual to notice their internal experience with curiosity, identify sensations and emotions in safety, and learn how to articulate and understand their experience. As has been explored earlier, mindfulness promotes the capacity for meta awareness, interoception, reappraisal, self-compassion, decreased rumination and anxiety, and experiencing less distress in response to discomfort, all of which can be supportive of the trauma healing process. The benefit of mindfulness-based interventions is learning to be present with one’s experience in a way that is healing versus triggering or retraumatizing (Magyari, 2016; Van der Kolk, 2006). Survivors also may experience empowerment from knowing there are practices that they can proactively use to help regulate emotion and physical states (Van der Kolk, 2006). There are still challenges using mindfulness practices for trauma-healing, including the fact that long durations of silence and practices conducted with eyes closed can trigger the stress response system (Magyari, 2016). Yet there are also efforts to understand and train practitioners to avoid those harms (Treleaven, 2018). The facets developed through mindfulness practice of non-judgment and acceptance has been associated with a reduction in intrusion, avoidance and hyperarousal categories of PTSD symptoms, especially in working against overwhelming feelings of guilt and shame (Chopko & Schwartz, 2013).
Mind-body therapies that use somatic practices that foster interoception, along with mindfulness capacities of nonjudgment and non-reactivity, also work together to support the reappraisal of sensations as non-threatening for greater adaptive responses and improved self-regulation (Sullivan et al., 2018). In addition, we can learn to proactively regulate our ability to relax by consciously controlling one function also regulated unconsciously by the autonomic nervous system – our breath – which can be altered through breath practices, meditation, song, chants, playing wind instruments, and other intentional forms of breathing (Porges & Carter, in press). Breathing practices, especially those that involve a longer out-breath than in-breath, help stimulate the vagus nerves’ influence over the heart, increasing high frequency heart rate variability, which supports emotional states of compassion, love, and safety (Gerbarg et al., 2019; Porges & Carter, in press). Mind-body practices, like yoga and tai chi, can essentially “exercise” these systems proactively and preventatively for greater future adaptability and resilience (Brown et al., 2013; Porges & Carter, in press; Sullivan et al., 2018). This is because they involve simultaneous engagement of all the circuits of the social engagement system with attention to the body, breath, emotion, mental processes and insight (Porges & Carter, in press). This then stimulates the integration of top-down and bottom-up processes in healthy response to sensory input, resulting in a person becoming more proficient in actively regulating the autonomic nervous system (Porges & Carter, in print; Sullivan et al., 2018). Supporting this natural capacity for assessing risk or safety, mind body practices that utilize melodic harmony in the frequency of a mother’s lullaby can also override hypervigilance (Porges & Carter, in press). Others can support this process through social behaviors (e.g., calming voice, facial expressions) that signal safety, such as is used in cognitive-behavioral therapy and dialectical behavioral therapy. These treatments have optimal benefits during states of feeling safe, which makes it easier to downregulate the body’s stress response system (Porges & Carter, in print). This can lead to outcomes of eudaimonic wellbeing, sense of connection, compassion, peace, self regulation, and physical, emotional and behavioral health, again driving prosocial behavior and resilience (Gerbarg et al., 2019; Sullivan et al., 2018).
Measuring Wellbeing and Resilience
Wellbeing
Given the variation in the definition of wellbeing, it is no surprise that the tools for measuring wellbeing on a psychological, biological, economic, social, and spiritual level are just as varied. In fact, there have been 99 tools alone created since the 1960s (Linton et al., 2016). These tools have intended to measure positive functioning and wellbeing over measures of negative ills, and have been applied in a range of clinical, research, and public policy purposes at an individual, group, and community level (Cooke et al., 2016).
In addition to the material/objective and subjective measures, wellbeing is also dependent on priorities for relational needs like love, support, equality, and security (Summer et al., 2009). Satisfaction towards meeting personal goals on these varied levels is dependent upon not only an individual sense of agency, but also the relational context in which individuals exist, and the capacity to make use of available
resources to navigate that context. Therefore, wellbeing is both a self-determined concept and interconnected with and influenced by cultural values, community, and the particular social context (Summer et al., 2009). A few tools include:
Flourishing Scale (Diener et al., 2010). Designed to measure eudaimonic wellbeing including social-psychological prosperity defined by positive social relationships, purposeful and meaningful life, engagement and interest in one’s activities, and feeling competent and capable in activities that are important to the person.
Subjective Happiness Scale (Lyubomirsky & Lepper, 1999). Designed to measure hedonic wellbeing in terms of levels of happiness and comparison of level of happiness to others.
Authentic Happiness Inventory (Zabihi, Ketabi, Tavakoli & Ghadiri, 2014). A composite index designed to measure pleasure, engagement, meaning in life, and interpersonal connectedness as elements of happiness.
Resilience
Most measures of resilience seek to identify the risk factors and protective factors that an individual draws upon in their process of adapting to adversity, though these factors and their influence can vary widely. Sometimes this involves comparing people with differing levels of adversity and coping capacity, or exploring the impact of specific variables independently or in combination (Luthar, 2000). As two examples, the Zigler-Phillips Social Competence Index (Zigler & Glick, 1986) measures various interlinked areas of competency through composites (Luthar et al., 2000). The Community Assessment of Resilience Tool (CART, Pfefferbaum et al., 2006) assesses community resilience.
It is also possible to measure heart rate variability as an indicator of individual stress. High frequency heart rate variability is associated with parasympathetic activity, emotional calm, self-regulation, activation of the social engagement network, and prosocial behavior (Gerbarg et al., 2019). One study found that high vagally-mediated heart rate variability was supportive of people experiencing mutual understanding in relationships, which contributes to a prosocial orientation (Gerbarg et al., 2019).
Trauma-Healing
Most measures of the healing of trauma involve testing for the occurrence of and decrease in 17 key symptoms of PTSD in a single individual, which represents an improvement in the self-regulation of the autonomic nervous system and a downregulation of sympathetic tone. Considered the gold-standard in assessing PTSD, the Clinician-Administered PTSD Scale (CAPS, Blake et al., 1995) is a 30-question, structured interview delivered by trained professionals that assesses 17 symptoms of PTSD and provides a severity score for current or long-term diagnosis (Brom et al., 2017). Also common is the 17-question PTSD Check List (PCL – 17), a measure for self-report symptoms of PTSD using a 5-part Likert scale. Scores range from 17-85, with measures of 50 or higher indicating PTSD (Descilo et al., 2010). Finally, there is the Posttraumatic Diagnostics Scale (PDS, Foa, Cashman, Jaycox & Perry, 1997) with a 49-item self-report questionnaire for adults with a score range of 0-51 for measuring the severity of 17 symptoms in the last month (Brom et al., 2017).
Challenges with Measuring Wellbeing and Resilience
Wellbeing
The excessive proliferation of tools and the multifaceted nature of wellbeing result in varied outputs that do not have consistent standardization allowing for broader-reaching comparisons. And there are challenges of using various methods without a common means of establishing validity (Camfield et al, 2008). This may have driven the development of multidimensional indexes of wellbeing, that allow an aggregated measure for comparison of all individuals within a particular society or context (Cooke et al., 2016).
Yet indices alone may not provide a complete picture. Though composite measures may give leaders and policy makers a snapshot of wellbeing across a wide range of indicators and population diversity, they may not effectively consider the challenges of people’s differing abilities, desires to make use of available resources to improve their lives, and the structural inequities that create obstacles to such support (Gibas et al., 2015; White, 2010).
Amartya Sen’s Capability Approach uses a social justice lens to consider the role that different circumstances and choices play in the status of an individual’s wellbeing (Gibas et al., 2015). There is a difference in simply having resources available versus one’s freedom of choice or other capacity to take advantage of those resources (Gibas et al., 2015). For example, the experience of someone choosing to smoke and the implications of that choice on their health is very different than the experience of someone forced to breathe air pollution in an area away from which they cannot afford to move. This is indicative of the link between agency, empowerment and wellbeing, which will be covered in more detail in our section on Empowerment and Agency. In a developing country context, the availability of resources needed for an individual to pursue their definition of wellbeing may also involve costly trade offs between self and family, current or future priorities, political and social barriers, and tensions with the overarching development goals of larger players (Camfield et al., 2008). Newer subjective approaches, including participatory and qualitative methods, can help incorporate contextual influences and ensure a more holistic and comprehensive view of the personal realms that matter to people, like spirituality and relationships, which may contribute to wellbeing (Camfield et al., 2008; White, 2010).
Still, even in collecting subjective data, the ways wellbeing is measured and interpreted can be largely political. While qualitative measures are critical to be able to incorporate local understandings and contextual differences, these differences may also be vulnerable to manipulation and bias for specific purposes (Camfield et al., 2008). Using qualitative methods in developing countries can still be extractive and top-down, may lack credibility with certain local audiences, may suffer from a lack of supporting infrastructure for research, may involve quality issues, and may be costly and time consuming (Camfield et al, 2008). Finally, local audiences more accustom to quantitative statistics may be less trusting of subjective measures, resulting in credibility issues (Camfield et al., 2008). There may also be challenges in finding expertise locally to assist in the collection and interpretation of qualitative research data without framing insights in ways that result in a loss of meaning (Camfield et al., 2008).
Further, measures of subjective wellbeing can be used to idealize the “poor, but happy” simplicity of the disadvantaged, undercutting the legitimate need for material benefits from government or aid programs in favor of policies aimed at just changing local perception of needs (White, 2010). While person centered subjective measures allow for more holistic, individually-driven definitions of needs, desires, and perceptions, they may also limit the capacity for policy-makers to evaluate structural inequalities of social difference, like race, class, and gender (White, 2010). As such, there are concerns around who and how wellbeing is defined and applied, especially in circumstances where outsiders of greater privilege are dictating priorities for those of disadvantage. This can result in a dilution of concepts like quality of life to include only those factors most necessary for survival, while dismissing other qualities like human rights, love, and care, as “luxuries” for the impoverished (White, 2010).
Resilience
Luthar et al. (2000) specifies a range of concerns with resilience research: It is difficult to identify any optimal set of qualities or circumstances that would cultivate resilience. Some people exhibit resilience based on some qualities while others do not. There are also questions about how to assess whether the experiences of adversity are similar between study participants, and, like other studies of personal transformation, subjective experiences vary widely. Without any standard approach to measuring, outcomes will vary even within similar groups depending upon the risk factors, protective factors and coping strategies considered. Researchers also still differ in their approach and terminology in considering resilience as either a trait or a process. This results in concerns that the concept of resilience may not be a valid construct in the first place due to is variability.
Trauma-Healing
Many of the concerns with measuring trauma healing involve ensuring methods are culturally appropriate and take into account the cultural context in which trauma and trauma-healing is taking place. This includes understanding indigenous perspectives on mental health, methods and practices, stigma, accessibility issues, long-term support, language differences, religion, and how and by whom interventions are being funded and delivered (Hostland, 2012; Steidle, 2019). Many interventions are delivered and evaluated by foreign entities that may lack a complex understanding of the local context as well as trauma-informed methods of working with traumatized individuals. Further, the scientific nature of diagnosing PTSD may not incorporate the holistic experience of trauma, including the cultural, social, political, and spiritual (Hostland, 2012). Specifically in the context of conflict, measures of individual trauma cannot completely account for the impact of trauma collectively (Hostland, 2012). Collective trauma involves the shared experience of all members of community witnessing or experiencing trauma from violence, death and loss, displacement, abandonment, or betrayal (Hostland, 2012; Steidle, 2019).
There are also challenges with treating trauma. Those who are traumatized may present with a fear of intimacy resulting from betrayal, abandonment, and violence, especially if their trauma was experienced in an intimate relationship (Van der Kolk, 2006). This may pose challenges to the therapeutic process in their having to forge a relationship of trust and human contact while still fearing closeness in order to feel seen, heard and understood (Van der Kolk, 2006). Further, because the physical arousal patterns and sensations stemming from PTSD are outside the capacity of the executive functioning centers of the brain, the cognitive methods of psychotherapy can be ineffective in addressing the patterns of stress response system dysfunction (Van der Kolk, 2006). Also, interventions that involve pharmacology often treat some of the distressing behaviors, but not the underlying conditions that cause those behaviors (Van der Kolk, 2006).
Future Recommendations for Research
It is essential for all assessments of personal transformation to include qualitative components as a complement to using any of the many quantitative measures, especially when the context in which the work is taking place is different than the environments in which the tools were developed and tested (Camfield et al., 2008; White & Jha, 2014). This allows practitioners to assess and ensure (not assume) local participant experience and understanding of wellbeing and the tools themselves (White & Jha, 2014). These efforts are most successful when conducted by trained researchers working in the local language after building a level of trust and rapport (Camfield et al., 2008). These efforts may take time and will be challenged by working through translators and attempting to protect against loss of meaning through interpreting data, but may still offer the most robust insights.
Wellbeing
Researchers need to be aware of the components of wellbeing measured by various tools and indices, as many still heavily emphasize externally-determined, objective, economic indicators, which might be significantly misaligned with local priorities. Ensuring the broadest measures, while keeping locally driven priorities front and center allows for measuring intended as well as unintended impacts according to local perspectives (Beban, 2012). It may not be possible to utilize universally-applied indicators and goals if they alienate the desires of local populations for their own form of happiness (ESRC Research Group on Wellbeing in Developing Countries, 2008). Researchers and program designers also need to be aware of the bias that might affect local responses when those with resources are managing data collection from those who may feel they need to compete for those resources. Ensuring local participation at the earliest stages and throughout the process of feasibility studies, program design, implementation and impact assessment is critical. When determining interventions both for internal organizational wellbeing and within target populations, concepts of wellbeing, drivers of wellbeing, and measures of wellbeing ideally should be aligned with the goals of program beneficiaries (Beban, 2012). Some recommend conducting periodic wellbeing audits to ensure policy is creating the actual impact it is designed to create (ESRC Research Group on Wellbeing in Developing Countries, 2008).
Resilience
The biggest challenge with measures of resilience involve the lack of standardization in definition and in the choice of risk and protective factors. As such, it is important for researchers to look for recurring, cross-cutting themes even across diverse approaches, while also being explicit about what approaches and factors are being measured (Luthar et al., 2000). It is also important to look for consistent results at least within similar themes of factors to ensure some level of validity of the construct of resilience (Luthar et al., 2000). Research needs to invest more deeply in understanding how a particular variable affects resilience rather than just identifying the most impactful factors. Studies should present a clear theoretical framework that explores the interrelationship of factors and how they are affected by the particular adversity circumstances being studied.
It is critical for researchers to be clear about the terminology describing the conceptualization of resilience as a trait or a process so as to not confuse the outcomes, as well as other terminology describing the risk or protective factors and how they affect resilience (Luthar et al., 2000). Studies should use both person-oriented and variable-oriented processes and study factors and their influence within specific domains (family, community) both short and long-term to ensure the most robust conclusions (Luthar et al., 2000). Finally, cross-discipline research can enable deeper understanding, and can contribute towards designing more effective interventions.
Applications of Wellbeing and Resilience for Social Impact
Wellbeing
Self-reported feelings of wellbeing are of growing importance in several fields, including health, public policy, international development, and service professions. Because objective, external measures of wellbeing, such as household income or education level, only capture a part of what contributes to wellbeing, self-reported metrics are important to include in any assessment of wellbeing (Cooke et al., 2016). Local priorities and context are key in defining wellbeing goals for policy and development interventions, and may drive whether goals go beyond material outputs to accommodate intangible concepts too (Camfield et al., 2008; White, 2010). It is also important to note that concepts of wellbeing involve relatedness, including how people experience support and care or neglect and exploitation by social structures and subject to power relations, within the home and society (White, 2010). As such, wellbeing is a concept that invites a collective definition and process that takes place within relationships and community (White, 2010). At a policy level, this suggests that advancing wellbeing for the disadvantaged and excluded will also need to involve shifts in how they engage and relate to others on a structural level (White, 2010). See more on collective wellbeing in our section on Community and Belonging.
In the field of public policy, leaders are recognizing that integrating measures of wellbeing into policy evaluation allows for a broader set of indicators of people’s needs and desires, the impact of policy decisions, and national progress towards a more positive end goal (OECD, 2013). Likewise, in international development, there is a shift towards more person-centered metrics of wellbeing instead of objective, external measures that only hint at wellness (Camfield et al., 2008) While much of the international development and public policy approach has historically focused on progress toward alleviating negative social ills, measuring wellbeing offers a more inclusive and positive outlook that may also begin to lighten the stigma and “othering” dynamic more commonly associated with conventional measures (White, 2010). Further, wellbeing takes a more holistic approach to development priorities, incorporating a range of metrics, lessening the tendency to compartmentalize impact according to outsider priorities (White, 2010). In other words, aspiring to reach a certain level of national (or community) wellbeing is an inclusive concept that can appeal across the board, not just to vulnerable populations, and allows a more holistic interpretation of what that will entail. In contrast, agencies working in silos to reduce a single-focused social ill, such as unemployment, can fuel policy towards that isolated end without an understanding of the interconnections on a systemic level with other issues. Thus, a wellbeing lens ensures that public policy and development goals carry a more holistic and comprehensive approach.
In the humanitarian aid field and within service professions, the wellbeing discourse has prioritized the effect of stress and its impact on burn-out, secondary trauma, and compassion fatigue. The need for greater wellbeing is well documented in anecdotal accounts, but it seems that there are fewer empirical studies that have looked more deeply at the impact of psychosocial stress and trauma on practitioners of social change (Ehrenreich & Elliot, 2004). In such surveys, it was found that between 15 percent and 33 percent of humanitarian aid and human rights workers showed signs of elevated levels of anxiety, depression or post-traumatic stress (Ehrenreich & Elliot, 2004). A more recent survey of 1657 members of the Young Non-Profit Professionals Network revealed that 45 percent planned to leave the sector primarily due to burn-out (Solomon and Sandahl, 2010). The impact of stress on workers in these fields affects the wellbeing of the organization too. This includes increases in illness and health-related expenses, higher legal liabilities, greater risk-taking, higher rates of accidents, more internal conflict, reduced effectiveness, and more turn-over (Antares Foundation, 2012; Ehrenreich & Elliot, 2004). Stress prevention programs are still lacking across the board in these fields. Reasons include lack of funding and lack of local capacity to implement such resilience programs (Antares Foundation, 2012; Ehrenreich & Elliot, 2004).
One of the most significant explorations of wellbeing in the context of social change involves the work of The Wellbeing Project (TWP), co-created with Ashoka, Esalen Institute, Porticus, Impact Hub, Skoll Foundation and Synergos Institute. TWP studied the importance of an 18-month wellbeing intervention among three cohorts of 20 social entrepreneurs from 45 countries and surveyed over 300 change agents from 55 countries on their perspectives on wellbeing (Severns and Murphy Johnson, 2020). The study found that an investment in inner wellbeing resulted in an increased sense of self, clarity of purpose, more positive and compassionate relationships, and healthier management of personal and professional boundaries (Severns and Murphy Johnson, 2020). The wellbeing intervention involved three six-day retreats every six months and ongoing communications with their cohort and teachers, as well as outside study with wisdom teachers and personal inner work of their own choice in between retreats. The outcomes included changes on a personal, organizational and societal level. On a personal level, participants revealed shifts in their sense of self, including: greater self-awareness and presence, deeper connection to core values, ability to ask for help, improved self-compassion and sense of personal power, and ability to make wellbeing a priority. They also found reductions in feelings of anxiety, shame, anger, judgment, and fear of vulnerability (Severns and Murphy Johnson, 2020). This resulted in shifts in how participants related to others too. Participants described being able to listen more deeply, make deeper connection, judge less, trust more, be more flexible and open, and be less reactive (Severns and Murphy Johnson, 2020). This, in turn, affected their working environment. Participants reported giving up the hero mentality of thinking things would fall apart if they were not available, experiencing less stress around failure, finding new meaning in their personal motivations, placing more trust in colleagues and encouraging others, creating more space for creative possibilities and collaboration, releasing an attachment to rapid scale, and building a culture of wellbeing within their organizations (Severns and Murphy Johnson, 2020). Most importantly, the experience shifted how they approached their work, in that they saw collaboration as an objective, were more likely to welcome diverse perspectives, and approached their change work on a deeper, more holistic level (Severns and Murphy Johnson, 2020). This indicates the possibility that the pursuit of wellbeing through inner work and personal transformation shifts the orientation of change leaders towards themselves, their relationships, and their work in ways that enable greater connection and more effective problem solving.
Resilience
Consensus in the scholarly literature conceptualizes community resilience as more of a process or strategy over an outcome, and involves the adaptive capacities of individuals and groups to return to equilibrium quickly and efficiently after adversity (Norris et al., 2007). This means adaptability is preferred, and stability may actually indicate rigidity and a lack of ability to respond or change (Norris et a., 2007). Resilience is often presented as a goal of humanitarian responses, disaster preparedness, and development work, as crisis can result not only from the disaster or stressor itself, but from the community’s capacity to meet the needs that follow (Norris et al., 2007).
Norris et al. (2007), in evaluating resilience theory, concluded that the personal, social, and economic capacities and structures that enable resilient systems, have the following qualities: (1) robustness – the ability of communities to withstand stress without breakdown, (2) redundancy - resources that can be substituted during disruption, and (3) rapidity – the ability to mobilize resources and achieve outcomes quickly. Building upon these qualities, there are four categories of networked resources that support, resilience, including: (1) economic development - the quantity and diversity of economic resources, especially where lower socio-economic members suffer more during adversity, (2) social capital – including social support like inter-organizational networks, perceived support, reciprocity, and engagement of community members, (3) trusted sources of information and communication systems, and (4) community competence - including decision-making, and collective efficacy (Norris et al., 2007; Sherrieb et al., 2010). These resources empower individuals and communities to adapt to uncertainty, engage local people, mitigate risk, reduce resource inequities, and build social supports and linkages, though the precise strategies and outcomes are still complicated by the variety in the meaning of community (Norris et al., 2007).
In terms of outcomes, it is acknowledged in the scholarly discussion that a group of resilient people does not necessarily guarantee a resilient community, and people are resilient together in different ways than they are alone (Norris et al., 2007). Assessing community wellness, though – the outcome of resilience – can be seen as related to definitions of individual wellbeing for the collective: (1) mental and behavioral health, (2) adequate functioning of and healthy behavior of participants in community, and (3) perceived
quality of life (Norris et al., 2007). Future research is needed to understand the implications of resilience for other outcomes, such as health, and its adaptive capacities. Also needed within resilience research is greater distinction between what counts as resilience versus recovery - a longer and more dysfunctional trajectory towards healthy functioning (Norris et al., 2007).
Resilience often goes hand-in-hand with efforts towards trauma-healing after a significant environmental or man-made tragedy. Often, social capital is damaged when a community fails to protect a survivor from harm. Further, displacement itself can be a source of trauma, often called root shock, “the traumatic stress reaction to the loss of some or all of one’s emotional ecosystem” (Fullilove, 2017). This reflects the reality that place or community is interlinked with one’s mental health (perceptions of belonging, trust, agency, quality of life, and support), socioeconomic status (financial, housing), interpersonal relations (connection or separation from others), perception of environment (safety, discrimination), and access to support services that enable and are driven by the systems of community (law, justice, security, welfare, health, communications, political representation, education systems) (Steidle, 2019).
Consequently, the individual process of healing is reinforced and enhanced through some form of societal recourse. When survivors have a voice in the context of achieving justice or deriving meaning from one’s experience, it helps to restore that sense of connection between survivors and community on which collective wellbeing depends (Herman, 1992). Social capital and resilience are fostered by efforts like restorative justice endeavors, which engage stakeholders in a community using a collective dialogue process to rehabilitate the offender, empower the survivor, and repair the relationship between individuals and community. Community justice includes the community in all aspects of crime prevention and justice processes, shifting the problem-solving emphasis from individual actors and incidents to an understanding of the systemic level with outcomes for the common good (Chavis & Pretty, 1999). This catalyzes community members to act in alignment with common values.
Trauma-Healing
Trauma-healing is necessary for both individual and collective functioning, which means trauma can, in certain circumstances, be linked to the realm of social impact. Collective wellbeing depends on the wellbeing of each of its citizens and social structures, and the wellbeing of each individual is, in part, dependent upon the collective context in which they find safety, justice, security, and emotional support. In addition, individual trauma-healing is supported by the process of finding empowerment and agency after the experience of helplessness inherent in a traumatic event. Studies show that personal qualities like self-efficacy and the feeling of having control over one’s destiny are associated with greater resilience and lower psychological stress (Herman, 1997; Li at al., 2016).
In Judith Herman’s book, Trauma and Recovery, she explores the elements and stages of recovery from trauma, which include not only an individual process of healing but also one that involves “restoring the connection between survivors and their community,” often through endeavors that give survivors a voice in the context of political or social change (Herman, 1997, p 3). This is an element critical not only to individual psychological healing but also to the effectiveness of community reconstruction. Holistic approaches that integrate an individual and community healing component can be particularly effective in the context of complex trauma, such as from war and sexual violence. When society has failed to protect a survivor from harm, the situation involves a dissolution of trust in the fundamental aspects of one’s relationship to society and community. The roles of society and community, including the rule of law, social justice, security and safety, connection, meaning, preservation of one’s rights, capacity for change, control, reconciliation and accountability, all come sharply into question. As expressed by the Psychosocial Working Group, a collaboration between academic institutions and humanitarian agencies to further the development of knowledge and best practice in the field of psychosocial interventions in complex emergencies, “interventions focusing narrowly on mental health concepts… run the risk of ignoring aspects of the social context that are vital to well-being… The psychosocial emphasis on social as well as psychological aspects of well-being also ensures that the family and community are fully brought into the picture in assessing needs.” (Psychosocial Working Group, 2004).
Because the techniques used to establish control over another involve disempowerment and disconnection in order to instill terror and dependency, efforts to support empowerment, connection, and self-sufficiency can help repair the damage from long-term abuse, torture, and violence that causes psychological trauma (Herman, 1997). Judith Herman states about the healing process of rape victims, “…we do know that women who recover most successfully are those who discover some meaning in their experience that transcends the limits of personal tragedy. Most commonly, women find this meaning by joining with others in social action” (Herman, 1997, p 73).
Communities as a whole may need more comprehensive and collective practices and efforts to heal as a community, including strengthening community solidarity, and restoring a sense of dignity and control (Hostland, 2012; The Psychosocial Working Group, 2004). Often communities wounded by violence and aggression come together through cultural or spiritual ceremony or practices to begin to rebuild the fabric of trust and support, without waiting on the mental health system to provide such support, which builds resilience and supports healing (Fenton, 2018). Collective healing also requires a sense of empowerment and social justice, built on changes to social systems (Hostland, 2012).
SOCIAL AND EMOTIONAL INTELLIGENCE
Emotional intelligence, social intelligence, social empathy, and social and emotional learning (SEL) are overlapping concepts increasingly accepted in western literature as key to effective leadership and lifelong success. There is a slight difference between these concepts, though they are related.
History of Social and Emotional Intelligence
In the 1920s, the concept of social intelligence was first proposed by Thorndike as a singular concept involving the “ability to understand and manage people” (Crowne, 2009, p. 151). Intelligence theorist Howard Gardner further refined the concept in the early 1980s with his proposal of multiple intelligences that included interpersonal and intrapersonal capacities; emotional intelligence capacities were a subset of social intelligence (Crowne, 2009; Pfeiffer, 2000). Building upon this early work, Peter Salovey and John Mayer (1990) are credited with helping coin the term Emotional Intelligence (EI), which Daniel Goleman later helped firmly establish in the mainstream as a valid and legitimate realm of intelligence with his best-selling book, Emotional Intelligence (1995a). Goleman (1995a) proposed that our success is dictated by how intelligently we act, which is driven by our capacity for both rational and emotional intelligence – two sets of mental activity that act as partners. In the years since, neuroscientists have been able to demonstrate more insights into the relationship between the emotional domain, rational decision-making, and leadership.
In 1994, a gathering was held at the Fetzer Institute to discuss strategies to support students’ social and emotional capacities, as well as their academic performance. The Fetzer Group introduced the term, Social and Emotional Learning as a conceptual framework to coordinate programming between schools, families and communities to address such goals among young people (Weissberg et al., 2015). It was at this convening that the Collaborative for Academic, Social, and Emotional Learning (CASEL) was established.
Definitions of Social and Emotional Intelligence
Emotional intelligence (EI) definitions tend to involve three components – (a) awareness of and the regulation of one’s emotions, (b) the perception and appraisal of another’s emotions, and (c) the use of both to inform one’s action in relationship. Daniel Goleman (1995a) defines EI as, “being able to rein in emotional impulse; to read another’s innermost feelings; to handle relationship smoothly.” (p xiii). Salovey and Mayer (1990) propose EI as, "the ability to monitor one’s own and others’ feeling and emotions, to discriminate among them and to use this information to guide one’s thinking and actions.” (p 189). Essentially, EI requires self-awareness to perceive and appraise one’s emotional state, the capacity to regulate one’s emotional state, empathy towards another’s emotional state, and the ability and willingness to integrate such understandings into adaptive responses (Salovey & Mayer, 1990). Examples include our level of fear, sadness, anger, and joy, among other emotional experiences that influence our attunement to and empathy for others, motivation and persistence, impulse control and gratification delay, frustration tolerance, hopefulness, and mood regulation (Goleman, 1995a). People with high EI are better at using emotional information to achieve goals and solve problems (Kilgore et al., 2017). “Such individuals [with EI] should be perceived as genuine and warm by others, while individuals lacking these skills should appear oblivious and boorish.” (Salovey & Mayer, 1990, p 195).
Social and Emotional Learning (SEL) is more specifically defined as "the process through which children and adults understand and manage emotions, set and achieve positive goals, feel and show empathy for others, establish and maintain positive relationships, and make responsible decisions." (CASEL website, 2020) This involves policy and program interventions utilized in education to support an increase in self awareness and prosocial behavior, such as altruistic responses to suffering.
SEL has become a powerful force in transforming how youth education is approached today, though there is some debate about how much and for how long to practice SEL interventions (Ludvik & Eberhart, 2018). A 2011 meta-analysis of educational programs that incorporate social-emotional learning revealed remarkable impact on youth academic performance, classroom behavior, decision making, maturity, emotional stability, and motivation to learn (Durlak et al., 2011). Objectives for the outcomes of SEL programs include fostering skills and attitudes for personal development that enable positive relationships, effective and ethical decision-making, and caring and concern for others (Weissberg et al., 2015). Research also indicates that mindful compassion practices result in similar outcomes (Ludvik & Eberhart, 2018).
Social Intelligence & Social Empathy: Where emotional intelligence is the capacity to recognize and act on the emotions of self and other, and social and emotional learning is the process by which individuals develop certain skills and attitudes involving self-awareness and empathy which they apply to a whole range of competencies for self-regulation, relationships, and decision-making, social intelligence and social empathy involve our impact on others, often at a societal level. Social intelligence involves being socially aware and being able to get along with other people, including reading non-verbal cues, understanding social rules, decoding and being flexible and sensitive in different social situations and other interpersonal behavior for navigating successful relationships (Crowne, 2009). Thorndike defined social intelligence as involving both a cognitive component of understanding others and a behavioral component of acting wise in relationship (Frankovsky & Birknerová, 2014). Marlowe saw social intelligence also as the capacity to understand other people and their social interactions, and then to use this insight in positively influencing other people for mutual benefit (Frankovsky & Birknerová, 2014). Emotional Intelligence is an aspect of being socially intelligent, because to be able to understand and relate appropriately to others, you have to also draw upon a capacity to self-reflect, interpret and regulate emotion and behavior, and develop social skills to create and manage positive relationships (Crowne, 2009; Frankovsky & Birknerová, 2014). Socially intelligent behavior is generally considered prosocial, ethical and moral (Frankovsky & Birknerová, 2014).
Empathy and emotional attunement to others, along with other interpersonal capacities developed through SEL and as a part of emotional intelligence, can affect both an individual and the other’s brain chemistry (Goleman & Boyatzis, 2008). This, called social intelligence, results in “neural circuits (and related endocrine systems) that inspire others to be effective.” (Goleman & Boyatzis, 2008, p 3). Going further, the concept of social empathy was proposed as “the ability to more deeply understand people by perceiving or experiencing their life situations and as a result gain insight into structural inequalities and disparities” (Segal, 2011, p 266).
Mechanisms of Social and Emotional Intelligence
There are two kinds of emotional intelligence that are measured by researchers – ability EI – which includes one’s maximal performance with respect to their theoretical understanding of emotion and their cognitive capacities for perceiving and using emotional information, and trait EI – which involves subjective, self-perception and normal behaviors in social situations where emotion is relevant (Kilgore, et al, 2017; O’Connor et al., 2019).
Neural network activity differs between these two ways of understanding emotional intelligence (Kilgore et al., 2017). Emotional intelligence involves activation of several neural networks that are involved in emotion, perception, regulation, and decision-making (Kilgore et al., 2017; Ludvig & Eberhart, 2018). Any form of emotion regulation involves top-down regulation by the pre-frontal cortex (PFC) of the limbic system (Ludvig & Eberhart, 2018). These include the amygdala, insular cortex, ventromedial PFC, and ACC, many of which are also engaged through mindfulness practice (Bishop et al., 2004; Dahl et al., 2015; Davis & Hayes, 2011; Hölzel et al., 2011b; Isbel & Summers, 2019; Kilgore et al., 2017; Luberto et al., 2019; Ludvik & Eberhart, 2018). There is also little correlation between the mechanisms and outcomes of Trait EI and Ability EI (Brackett et al, 2006; Kilgore et al., 2017; Salovey, et al., 2009). More on these measures below.
Studying 54 adults, Kilgore et al. (2017) compared Trait EI and Ability EI for activity within four neural networks:
Basal Ganglia/Limbic Network (BGN)
Posterior Default Mode Network (DMN)
Reward Learning
Self-Referential Processing Network
Researchers found no effects associated with Trait EI (Kilgore et al., 2017). They acknowledge that these findings on Trait EI are in contrast to Takeuchi et al., (2013) – a study in Japan of Trait EI involving younger participants, which was shown to activate the medial frontal cortex and ACC, responsible for self-knowledge, intuition, self-referential and autobiographical thought, and was anti-correlated with certain regions of the default mode network (DMN) and task positive network (TPN), an indicator of higher cognitive performance requiring more demanding attention and inhibitory control (Kilgore et al., 2017).
With Ability EI, researchers found there was no activation of Reward Learning or Self-Referential Processing Networks. But, the study found that Ability EI was significantly negatively associated with the connectivity of the BGN and the Posterior DMN (Kilgore et al., 2017). These are networks that involve emotion regulation processes such as threat assessment (amygdala), interoception of internal experience (insula), autobiographical memory recall (posterior cingulate), conflict monitoring of external stimuli (ACC), reward processing (ventral striatum) and behavioral control (lateral orbitofrontal cortex (OFC)) (Kilgore et al., 2017). This means that the capacity to reason about emotion information (ability EI), as opposed to just your perception of your emotional competencies (trait EI) is what is actually related to your assessment and regulation of emotional experience.
The findings suggest that someone with low Ability EI would have trouble separating their emotional experience from self-reflective processing (Kilgore et al., 2017). Further, participants with low Ability EI showed the strongest connectivity of the BGN between the vmPFC, anterior insula, amygdala (emotion regulation related to risk appraisal), and lateral OFC (emotion regulation related to reappraisal), suggesting low EI means difficulty regulating emotional experiences via cognitive control within the prefrontal regions (Kilgore et al., 2017).
One of the capacities of emotional intelligence is empathy. Empathy usually involves three mechanism: (a) perceiving and mirroring another person’s emotions, (b) perspective taking and making meaning of those emotions through the awareness of self and other, and (c) taking empathic action based on that information - a form of compassion (Gerdes & Segal, 2009; Segal, 2011). Emotional responses are largely controlled unconsciously by mirror neurons, which result in the automatic mimicking of another’s feelings as well as facial expressions and movements or gestures, giving us a felt sense of what someone else is experiencing (Goleman & Boyatzis, 2008; Segal, 2011). The other mechanisms involve voluntary cognitive effort in discerning a difference between self and other and managing emotions to avoid empathetic overwhelm (Segal, 2011).
Like empathy, social intelligence also engages mirror neurons as well as what has been called by neuroscientists, our “social guidance system” responsible for our intuition (Goleman & Boyatzis, 2008). This system is activated whenever we need to choose the best response among many choices, and involves the activation of neurons called spindle cells - owing to their size at four times other neurons - which help to transmit thoughts, beliefs, judgments, and feelings about people or situations more quickly to other parts of the brain (Goleman & Boyatzis, 2008). This helps us make split-moment decisions involving gut-level instincts around trust, for example (Goleman & Boyatzis, 2008).
Segal (2011) posits that empathy alone is not enough to guarantee moral action. But a deeper understanding of the context and personal experiences are necessary to catalyze social responsibility and action towards social justice (Segal, 2011). Because we are more likely to identify with those who are like us, empathy requires a foundation of strong personal values and a social justice lens to help overcome stereotyping and blaming of outgroups (Segal, 2011). As such, the framework for social empathy also has a three-part mechanism: (a) experiencing empathy, (b) gaining insight and knowledge about inequality and disparity, and (c) embracing and acting towards social justice (Segal, 2011).
“One way to enhance social empathy is through a three-tiered approach, developing exposure, explanations, and experiences with groups who are different from our own...At a minimum, we need to find ways for people from different groups—economic, political, social, racial, cultural, gender—to be exposed to each others’ living situations. Once we have promoted opportunities for cross-exposure, we can pursue opportunities for explanation. We can help people talk about their differences and what they mean and why they exist. Experience is the most impactful level.” (Segal, 2011, P 274).
In terms of social-emotional learning, there are five competence domains that are developed through SEL programs (CASEL website, 2020):
1. Self-awareness: The ability to accurately recognize one’s emotions and thoughts and their influence on behavior. This includes accurately assessing one’s strengths and limitations and possessing a well-grounded sense of confidence and optimism.
2. Self-management: The ability to regulate one’s emotions, thoughts, and behaviors effectively in different situations. This includes managing stress, controlling impulses, motivating oneself, and setting and working toward achieving personal and academic goals.
3. Social awareness: The ability to take the perspective of and empathize with others; recognizing and appreciating individual and group similarities and differences; recognizing and using family, school, and community resources. This includes prosocial behavior, empathy, compassion and gratitude.
4. Relationship skills: The ability to establish and maintain healthy and rewarding relationships with diverse individuals and groups. This includes communicating clearly, listening actively, cooperating, resisting inappropriate social pressure, negotiating conflict constructively, and seeking and offering help when needed.
5. Responsible decision making: The ability to make constructive and respectful choices about personal behavior and social interactions based on consideration of ethical standards, safety concerns, social norms, the realistic evaluation of consequences of various actions, and contributing to the wellbeing of self and community.
SEL involves the concept of fluid intelligence, which is a form of learning that involves cognitive flexibility (taking into account another’s perspective or solving problems in multiple ways), working memory (recalling information and applying it meaningfully), and inhibitory control (redirecting attention after a distraction or impulse) (Ludvig & Eberhart, 2018). It works like this: In order for a student to engage in proactive emotion regulation, there is a series of mechanisms that take place: first they notice the emotional charge, then they use inhibitory control to pause and avoid reacting, then they use cognitive flexibility to make sense of the situation and the other’s perspective, then they can respond with greater self-regulation (Ludvig & Eberhart, 2018). This process is basically identical to the process of emotional regulation driven by mindfulness practice. This form of fluid intelligence is composed of two influential factors: temperament and personality, as well as positive, goal-oriented actions. The temperament and personality dimension of fluid intelligence includes traits like openness, grit, growth mindset, a sense of belonging and conscientiousness (Ludvig & Eberhart, 2018). Positive goal directed behavior includes actions such as self-control, proactive problem solving, emotional regulation, planning, prosocial goals, academic self-efficacy, positive future self, reflective learning and persistence (Ludvig & Eberhart, 2018). The internal capacities of self-regulation help lead to interpersonal competencies in understanding others and responding with adaptive behavior towards them (Ludvig & Eberhart, 2018).
Measuring Social and Emotional Intelligence
Initial measures of emotional intelligence were catalyzed by the early interest in the concept catalyzed by Salovey, Mayer and Goleman’s research and writings. There are more than 30 different and frequently used measures of EI as of the date of this review, in part due to the commercial opportunities for developing such tests (O’Connor et al., 2019). Most explore participant’s perception and regulation of emotions in oneself and others and using emotions and emotional understanding purposefully (O’Connor et al., 2019).
The measurement tools that assess trait EI use self-report questionnaires that explore typical behavior related to emotion (O’Connor et al., 2019). Over a dozen approaches focus on trait EI, such as the Bar On Emotion Quotient Inventory (Bar-On, 1997) which measures perceptions on handling relationships
and other traits like optimism (Brackett et al, 2006; Pfeiffer, 2001). One study showed that trait EI predicts long-term career success and satisfaction (Kilgore et al., 2017; O’Connor et al., 2019).
Other instruments involve task-based tests of various emotional capacities and abilities. The ability EI questionnaires require respondents to solve emotion-related problems to show they understand how emotions work (e.g., what emotion might you feel if you lost your wallet?) (O’Connor et al., 2019). Studies have shown that individuals with high ability EI tend to be better decision-makers and problem solvers because of their increased capacities at perceiving and understanding emotions, and among children, there are associations with social competence (O’Connor et al., 2019). The task-based, ability questionnaires are better able to assess capacity on emotional tasks than the self-report, trait questionnaires previously used (Brackett et al, 2006; Kilgore et al., 2017; Salovey, et al., 2009). But, these measures do not predict typical behavior and are weak predictors of outcomes (O’Connor et al., 2019).
There are also a series of mixed EI tests that measure a combination of traits and emotional competencies, most often self-report as well as 360 degree assessments conducted by peers or colleagues, which are intended for workplace performance (O’Connor et al., 2019).
The Emotion Perception Tests (EPT, Mayer et al., 1990) attempted to measure emotional perception (Pfeiffer, 2001). A more comprehensive test, the Multifactor Emotional Intelligence Scale (MEIS, Mayer, Caruso, & Salovey, 1999), assesses and individual’s ability to perceive, express, understand, regulate, and use emotions to enable thoughts or other cognitive activity (Salovey, et al., 2009). The MEIS was further refined into the briefer Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT) which has helped reduce the time needed for such a comprehensive four-part assessment (Salovey, et al., 2009). The MSCEIT has been deemed reliable and distinct from other measures of personality (Brackett et al., 2006). There is also the Self-Report Emotional Intelligence Test (SREIT, Schutte et al., 1998); the Trait Emotional Intelligence Questionnaire (TEIQue, Petrides and Furnham, 2001), the Bar-On Emotional Quotient Inventory (EQ-I 2.0, Bar-On, 2004) and the Emotional and Social Competence Inventory (ESCI, Boyatzis and Goleman, 2007).
SEL is hard to measure even if it is easy to define what the outcomes should look like and in what ways it can be cultivated (Ludvig & Eberhart, 2018). The interest in and proliferation of social and emotional learning programs has also exploded over the last two decades, with more than 500 studies of SEL programs (Weissberg et al., 2015). SEL outcomes are often measured through self-report surveys of students, educator observational assessments and scoring of simulated game-like scenarios to evaluate behavioral responses (Elias, 2019). There are tools that measure various aspects of SEL, including the temperament/personality dimensions as well as the positive, goal-directed behavior, including tools like the Growth Mindset Scale (Dweck, 2006), Grit Scale (Duckworth, 2007) among others (Ludvig & Eberhart, 2018).
A large-scale meta-analysis of 213 studies among more than 270,000 students verified that SEL programs result in positive outcomes (Weissberg et al., 2015). These include several benefits for the individual: academic achievement, self-awareness, emotional regulation, lower risk-taking and good decision-making, decreased stress, and positive attitudes such as self-efficacy, confidence, persistence, and a sense of purpose (Weissberg et al., 2015). SEL also has a positive impact on the ways students relate to others, including: perspective-taking, better relationships with peers and adults, prosocial behavior, empathy and feeling interconnected (Weissberg et al., 2015).
Social intelligence is usually measured through self-evaluation along three sets of capacities – social information processing, social skills and social awareness (Frankovsky & Birknerová, 2014). The psychometric approach towards social intelligence involves evaluating a person as high or low in a set of abilities, whereas the personality approach assesses behavior within a variety of interpersonal circumstances (Frankovsky & Birknerová, 2014). One such tool is the 21-item Tromsø Social Intelligence Scale (TSIS, Silvera, Martinussen & Dahl, 2001), a self-report scale that evaluates social information processing, social skills and social awareness. The MESI Methodology (Frankovsky & Birknerová, 2014) is a 21-item self-report tool using the psychometric approach to evaluate social intelligence along three factors of manipulation, empathy, and social irritability.
See Appendix A for a list of such instruments.
Challenges with Measuring Social and Emotional Intelligence
Overall, there is a lack of scientifically, objective measures of emotional intelligence (Pfeiffer, 2001). It is extremely challenging to measure emotion-focused questions of ability where there is no right answer or where it is difficult for experts to judge accuracy or distinguish between normal or optimal responses (O’Connor et al., 2019). The self-report, trait EI instruments do not provide levels of internal consistency or standardization, and almost none provide any data to back up the test developer’s interpretations of what the tests are designed to assess (Pfeiffer, 2001). Self-report surveys measuring trait emotional intelligence have tended to focus on a very wide range of psychological and personality constructs, are prone to bias related to social desirability, and are not easily validated or precise enough measures of exclusively emotional intelligence (Brackett et al., 2006; Kilgore et al., 2017; Pfeiffer, 2001; Salovey, et al., 2009). Further, like in the self-report measures of mindfulness, a person’s level of emotional intelligence may also distort their ability to assess their own EI; individuals with low EI may not have the capacity to accurately self-assess, while those with high EI may overestimate the EI of others (Brackett et al., 2006; O’Connor et al., 2019).
In contrast, the ability EI assessments that do not use self-report questionnaires cannot be manipulated, as they seek to measure maximal performance (O’Connor et al., 2019). But they have challenges with reliability and validity (O’Connor et al., 2019). Ability-based measures of emotional intelligence seem more promising for assessing theoretical emotion understanding, such as determining the competencies of professionals in decision-making and negotiating (O’Connor et al., 2019; Salovey et al., 2009). But trait EI measures are better predictors of typical behavioral, such as stress coping styles in adults and children (O’Connor et al., 2019). Overall, O’Connor et al. (2019) recommend the Trait Emotional Intelligence Questionnaire (TEIQue, Petrides and Furnham, 2001) as the best comprehensive measure of trait EI and the Caruso Emotional Intelligence test (MSCEIT, Mayer, Salovey, Caruso, 2002a,b, 2003) as the best tool for measuring ability EI.
More research is needed into the process by which emotional intelligence works within interpersonal relationships and a social context (Brackett et al., 2006). For example, emotional intelligence may be impacted by the quality of relationships, gender, collaborative experiences, cultural context, inequitable power dynamics, or the influence of mood on social interactions (Brackett et al., 2006; Salovey et al., 2009). Further, it is unclear how individual capacities that contribute to emotional intelligence, such as emotional regulation or perception, influence social functioning (Brackett et al., 2006). Because emotional intelligence involves both self-awareness, subjective perceptions as well as behavioral capacities, utilizing some form of both trait and ability-based EI measures will provide the most comprehensive assessment of emotional and social intelligence (Kilgore et al., 2017).
In terms of SEL programs, like mindfulness practices, there is no consensus on what activities these should entail, how long they should be utilized and how to measure the impact (Ludvig & Eberhart, 2018). Additional research is needed to understand the key drivers of successful outcomes among
environmental factors (e.g., classroom, teachers, community, etc.), student capacities (e.g., emotional regulation, decision-making, etc.), age, and ethnic and cultural contexts (Ludvig & Eberhart, 2018; Weissberg et al., 2015). It is also important to understand any differing priorities between assessment developers, researchers, educators, and mental health professionals which may influence programs, assessments and reported outcomes (Elias, 2019). Within the SEL field, self-report is also a frequent technique, which presumes students have enough emotional intelligence to be able to monitor and report on their social and emotional learning, and may also involve bias when students respond according to how they would like to be perceived by teachers (Elias, 2019). Educators or independent third-parties can also provide assessments, which may prompt “best behavior” distortions, and may also be biased in their capacity to subjectively rate the internal experience of students, such as students’ levels of empathy (Elias, 2019). Simulated scenarios are a third assessment method, but may lack accuracy due to the lack of authentic circumstances and because they do not account for the influence of the context or background of students, such as age, gender or culture (Elias, 2019).
Future Recommendations for Research
For future research and programs involving the contribution of social and emotional intelligence towards social change, there are a few important recommendations:
Utilizing a combination of trait and ability measures of social and emotional intelligence may provide additional insights (Brackett et al., 2006; Kilgore et al., 2017; Pfeiffer, 2001; Salovey, et al., 2009).
It is suggested that practitioners use the TEIQue or MSCEIT, currently the most reliable measures of emotional intelligence, but any measure used should have good evidence of reliability and validity in multiple studies (Brackett et al., 2006; O’Connor et al., 2019).
More research is needed to evaluate the role of gender, relationships, cultural context, power dynamics and other interpersonal relationships on emotional intelligence, and to determine how emotional intelligence influences social functioning (Brackett et al., 2006; Salovey et al., 2009).
Similarly, for SEL programs, additional research is needed to understand the influence of learning environment factors, student capacities, cultural contexts, program priorities, and potential bias in evaluation methods, which may distort findings (Elias, 2019; Weissberg et al., 2015).
When investigating the drivers of prosocial behavior, it is important to consider the influence of internalized principle of care vs. empathy and to ensure altruistic and universalist approaches to helping to avoid egoism and bias towards in-groups (Wilhelm and Bekkers, 2010).
More studies that confirm theories that increased levels of emotional intelligence result in more social intelligence and prosocial behavior that then fosters greater social impact.
Applications of Social and Emotional Intelligence for Social Impact
Social intelligence and social empathy - arising from our emotional intelligence, prosocial perspectives and behavior from SEL programs, along with an understanding of structural inequity - can lead to action that can benefit positive social change (Segal, 2011). With an accurate understanding of the needs, conditions, and perspectives of others, and an understanding of the context of structural disparities, people are more inclined to feel and act socially responsible (Segal, 2011). According to Segal (2011) this may be due in part to the experience of empathy and moral values that drives cooperation.
Dispositional empathetic concern is a determinant of prosocial behavior. Also significant is a moral orientation towards helping behavior, otherwise known as the “principle of care”, stemming from an internalized value that helping is good and right and one should help someone in need (Wilhelm & Bekkers, 2010). In a study of 2680 people across 10 types of helping behavior, Wilhelm and Bekkers (2010) found that such an internalized value towards helping others was more consistently associated with helping behavior than just empathy, especially with out-groups. While empathetic concern is still a driver of helping behavior, its influence is less significant when the principle of care is eliminated (Wilhelm and Bekkers, 2010). Without an internalized value towards helping, empathetic concern was only supportive of spontaneous assistance involving contact with a person in need, but was not a driver of helping that involved longer-term planning for an abstract population (Wilhelm and Bekkers, 2010). Further, the principle of care was associated with helping that was purely altruistic versus egoic, where behavior is instead driven by guilt or the anticipation of feeling good about such actions (Wilhelm and Bekkers, 2010). For example, studies of those who rescued or did not rescue Jews during the Holocaust, found that rescuers speak of care in universal principle terms (Wilhelm and Bekkers, 2010). Because the principle of care is an internalized value, it is important to understand when and how it is fostered, including through parents and other institutions like schools, especially during adolescence when the internalization of values is most likely (Wilhelm and Bekkers, 2010). This suggests that the elements of SEL programs that foster prosocial helping behavior as a result of cultivating empathy, social awareness, responsible decision-making, and relationship skills are of critical importance in reinforcing principle of care values.
SDG Goal 4 is to ensure inclusive and equitable quality education and promote lifelong learning opportunities for all (UN, 2020). Target 4.7 says that by 2030, “all learners acquire the knowledge and skills needed to promote sustainable development, including, among others, through education for sustainable development and sustainable lifestyles, human rights, gender equality, promotion of a culture of peace and non-violence, global citizenship and appreciation of cultural diversity and of culture’s contribution to sustainable development (UN, 2020). To foster the SDG notion of global citizenship, this requires a sense of belonging with greater humanity, which is built upon empathy, knowledge about others, shared values, respect for diversity, and social responsibility (Ludvig & Eberhart, 2018). Social and emotional intelligence may, then, be a necessary force that supports movement towards the Sustainable Development Goals. In the following table, Ludvig and Eberhart (2018, p. 12) mapped all the SEL outcomes and mindful compassion practices to the specific SDG outcomes and appropriate measurement tools:
INSERT TABLES
If the development of emotional intelligence is based on self-awareness, emotion regulation, perspective-taking and appraisal, (Gerdes & Segal, 2009; Goleman, 1995a; Goleman & Boyatzis, 2008; Salovey & Mayer, 1990), then one-way emotional intelligence can be fostered is likely through mindfulness, given mindfulness also cultivates these capacities (Bishop et al., 2004; Dahl et al., 2015; Davis & Hayes, 2011; Hölzel et al., 2011b; Isbel & Summers, 2019; Luberto et al., 2019). We know that mindfulness and emotional intelligence both contribute to empathy and compassion, which in turn leads to prosocial behavior (Goleman & Boyatzis, 2008; Segal, 2011; Weissberg et al., 2015). But we also know that helping behavior that goes beyond a spontaneous, empathetic response and a more fully developed social justice orientation also requires (a) an understanding of the context of social inequity and (b) strong, internalized values towards beneficial action (Segal, 2011; Weissberg et al., 2015; Wilhelm & Bekkers, 2010). SEL programs, especially during adolescence when such internalized values are established, can then be significant in driving prosocial behavior that can contribute to advancing social change (Wilhelm & Bekkers, 2010). This includes outcomes from the SEL capacities of social awareness, relationship skills and responsible decision-making that result in feeling connected, helping behavior, empathy and gratitude, active listening, cooperating, negotiating conflict constructively, ethical choices, and contributing to the wellbeing of all (CASEL, 2020; Weissberg et al., 2015).
EMPOWERMENT AND AGENCY
History of Empowerment and Agency
The concept of empowerment has been ascribed many different definitions and meanings in the various, often divergent contexts in which it has been used globally. Paulo Freire’s seminal work, Pedagogy of the Oppressed (1968, 1972) advocated for the involvement of the oppressed in the process of transformation and for oppressors to constantly evaluate their role in the nature of oppression, using dialogue, reflection and action in search of truth and change in social, political and economic systems (Jupp & Ali, 2010). In the 1970s, participatory development and in the 1980s, participatory rural appraisal emerged as an alternative to top-down approaches, whereby the participation and leadership of communities themselves, especially the poor, was considered essential as a process of empowerment (Batliwala, 2007; Chambers, 2009, Jupp & Ali, 2010). In the 1980s, Amartya Sen’s Capability Approach proposed that it was not just the availability of resources, but the extent to which individuals had the capacity to use those resources that influenced wellbeing and empowerment (Gibas et al., 2015; Nussbaum, 2001; Sen, 1980, 1985, 1993, 1999). Robert Chambers was also very influential during this period in advocating for a participatory, bottom-up and human-centered approach to development (Jupp & Ali, 2010). In the 1990s, empowerment work most widely involved women’s rights, which culminated at the Fourth World Conference on Women in 1995 with the Beijing Platform for Action towards gender-equity (Batliwala, 2007). Today, women and the poor are still the two populations typically foregrounded in discussions of empowerment. In 2000, The World Bank acknowledged empowerment as one of three pillars of poverty reduction (Alsop & Heinsohn, 2005). The empowerment of vulnerable groups is included as a primary strategy towards ensuring equity under the Sustainable Development Goals established in 2015, including SDG 5, calling for “the empowerment of all women and girls at all levels”, and SDG 10, by 2030 to “empower and promote the social, economic and political inclusion of all, irrespective of age, sex, disability, race, ethnicity, origin, religion or economic or other status” (UN, 2015). Increasingly, though, the term is understood to be multidimensional, culturally specific, and relational, meaning it can be used to analyze a person’s position along other axes of power and identity as well (Alkire and Ibrahim, 2007).
Definitions of Empowerment and Agency
Broadly, empowerment is understood as the ability to choose, a definition which hinges on both the existence of options within a changing context of power, and a capacity to make purposeful choices, termed “agency” (Alsop & Heinsohn, 2005; Kabeer 1999; Samman & Santos, 2003; Sidle, 2019). It is thus useful to differentiate between agency and empowerment.
Agency, as defined by Sidle (2019), is “the capacity of individuals to define aspirational goals and coordinate the knowledge, skills, attitudes, and resources both internally available to them (individual capacities) and externally available to them (in their social, institutional or physical environments) in order to take action to achieve stated goals” (p. 4-5). Similarly, Sen (1985) says that agency is “what a person is free to do and achieve in pursuit of whatever goals or values he or she regards as important” (p. 203). Thus, agency involves a positive belief in one’s self and actual, concrete skills, which combine to drive confidence that one can achieve their goals to reach wellbeing, including happiness and fulfillment (Narayan, 2005; Sidle, 2019).
Empowerment then goes beyond agency’s more static capacity or potential to take action, and references whether the individual has developed agency within a particular context where little power once existed. For empowerment, the environment, including its constraints, is a determinant of one’s change in perceived power. One of the first and most influential conceptions of empowerment came from economist Naila Kabeer, who considered empowerment “the expansion in people’s ability to make strategic life choices in a context where this ability was previously denied to them” (Kabeer, 1999, p. 437). Choice is not the sole metric, then, because a powerful person can make choices without being empowered if they were not previously denied or always had the ability to choose.
In addition to the shifts in the environment enabling choice, empowerment is also associated with success in achieving desired outcomes. Kabeer associates choice in empowerment with three interrelated dimensions: resources (the pre-conditions of choice), agency (the process of choosing), and achievements (the outcomes of choice) (Kabeer, 1999). Deepa Narayan (2005) went further to suggest that in addition to achieving desired personal outcomes, empowerment involves the powerless transforming the environment around them (i.e., to affect social change): “The expansion of assets and capabilities of poor people to participate in, negotiate with, influence, control and hold accountable institutions that affect their lives.” (p. 5).
Other definitions are more concrete as to what empowerment requires and looks like when achieved. The World Bank Sourcebook proposes four important factors for empowerment: information access, participation, social accountability and local organizational capacity with the objectives of improved governance, access to markets and justice, and provision of services (Jupp & Ali, 2010). But efforts to standardize definitions that articulate what empowerment outcomes should be may inadvertently disempower by disregarding local preferences. Empowerment may result in changes in political, social, economic realms among individuals and community (Batliwala, 2007). But for empowerment to exist, these outcomes should be determined by locals themselves. Thus, empowerment definitions should include the ability of people to define their preferences and have an impact towards realizing those goals (Ibrahim & Alkire, 2007). Nilsson and Thorfinn (2010) agree that empowerment is a “key prerequisite for social change and development, and [must be] measured and accounted for by the people closest to these change processes” (p. 7). Page and Czuba (1999, online) say, “power (that is, capacity to implement) in people, for use in their own lives, their communities and their society, [is] being able to act on issues they define as important.”
Rowlands (1997) states, “empowerment is more than participation in decision-making; it must also include the processes that lead people to perceive themselves as able and entitled to make decisions,” (p. 14). Rowlands proposed four categories of power: power over (ability to resist manipulation); power to (creating new possibilities); power with (acting in a group); and power from within (enhancing self respect and self-acceptance) (Ibrahim & Alkire, 2007, p 384-385). Rowlands fits within a broader feminist critique of empowerment as an originally feminist demand to change power structures that was then de-contextualized and de-politicized by the international development discourses (Batliwala, 2007, p. 557).
Huis et al. (2017) propose that empowerment must also evolve from participants’ understanding of the cultural context and causes of their suppression and preferences, otherwise, empowerment is pursued with processes and outcomes that reflect and up-hold the majority-world perspectives and systems, limiting actual progress towards equity. It is possible, then, that training in mindfulness and social and emotional intelligence for practitioners and evaluators may provide an antidote to top-down, disempowering approaches. These forms of personal transformation foster more openness, connection and curiosity, which may result in an orientation that is more likely to honor local experiences and processes.
Huis et al. (2017) define empowerment as “a multifaceted process, which involves individual as well as collective awareness, beliefs, and behavior embedded in the social structure of specific cultural contexts” (p. 3). They propose a Three-Dimensional Model of Women’s Empowerment that differentiates empowerment of action and beliefs at the (1) personal level (e.g., personal self confidence), (2) relational level (e.g., feeling empowered relative to their partner or household), and (3) macro, societal-level (Huis et al., 2017).
Agency also is influenced by the surrounding environment, but in a different way. In order for agency to emerge, individuals need safe space for individual expression and to explore a positive self-identity, which then builds self-efficacy (Sidle, 2019). From a position of self-efficacy, agency, in turn, can involve an individual’s capacity and potential to influence their environment.
Recently, some scholars have sought to refine the relationship between empowerment and agency. For example, Samman and Santos (2009) argue: “empowerment is conceived as the expansion of agency (Ibrahim & Alkire, 2007), in other words, as a trend variable: Just as growth is the increase in GDP per capita, empowerment can be seen as the increase in agency” (p. 4). Alkire (2005) states, “Empowerment is an increase in certain kinds of agency that are deemed particularly instrumental to the situation at hand…empowerment is a subset of agency, and that increases in empowerment would be reflected in increased agency (but not necessarily vice versa)” (p. 5).
While scholars appear to disagree as to whether empowerment drives and is necessary for agency or whether agency is a contributor to empowerment, the two concepts are integral and interconnected. Jo Rowlands (1997) made an influential early critique of the sole emphasis on individual decision-making, arguing that individual self-belief mattered at least as much as structural opportunity; moreover, the type of power matters, as it should not simply be assumed that increased power and agency will be used in socially beneficial ways (p. 14).
Measuring Empowerment and Agency
The debate regarding measuring empowerment or agency, like wellbeing, centers around the variety of potential metrics, which may involve the objective and subjective, individual and collective, universal and “domain specific”, psychological, and intrinsic or externally derived (Narayan, 2005; Ibrahim & Alkire, 2007, p. 383). Some measures involve the internal or moral domains of empowerment such as personal fulfilment and human rights, whereas others involve the relational, such as engagement in social and political action, and still others more concrete, material indicators such as economic shifts (Ibrahim & Alkire, 2007).
Self-assessment methods and subjective measures are more commonly used and accepted to ascertain empowerment than measures of external conditions (Narayan, 2005). This is in part because one’s perspective on their power is determined by the relative context in which that power had previously been absent. Focusing on the “central importance of choice”, is a critical determinant of empowerment and agency, and this relies upon self-reported perceptions of power (Nussbaum, 2001, p. 68; Ibrahim & Alkire, 2007).
Ibramin and Alkire (2007) propose a self-assessment-based framework with suggested questions for measuring power or control over choice in four domains: control over personal decisions, domain specific autonomy relevant to the individual (e.g., choice and use of choice in household decision-making), change in one’s life on an individual level, and change within community (Ibrahim & Alkire, 2007). These measures attempt to assess the extent to which people are constrained by patriarchal or other unequal power relations, whether people are initiating their own choices or are coerced, and the degree to which they can make changes within their life and environment. Ibrahim & Alkire (2007) recommend that indicators chosen for measuring empowerment and agency on these four levels should:
(1) Be relevant to the poor
(2) Be internationally comparable to contribute to comparative studies of empowerment (3) Assess both the actual levels of agency and the intrinsic, personal values of aspects of empowerment
(4) Be able to measure changes over time
(5) Draw upon particular indicators that have already been tested and validated
The most common arenas for evaluating empowerment and agency involve the household and politics, and most often focus on women. In the realm of women’s empowerment Huis et al. (2017) proposed a three-dimensional framework across the following factors:
(1) Personal-level: self-report assessments of control over life outcomes, self-confidence, self-esteem, and self-efficacy.
(2) Relational-level: self-report indicators of decision-making power, incidents of violence within specific relationships such as the household, bargaining power, freedom of mobility, social network size, social capital, and involvement in collective action.
(3) Societal-level: measured with maps of gender equity gaps across nations or in specific domains like leadership positions, percentage of female microfinance borrowers, percentage of female staff promotion and attrition, etc.
Progress in empowerment and agency has been argued as essential for progress towards any development goals, including income, health, access to services and justice, and stronger civil society (Ibrahim & Alkire, 2007; Wallerstein & Bernstein, 1994). According to Jupp & Ali (2010) methods often fall into two categories - measuring comparable outcomes at the country and regional level or evaluating the process and impact of empowerment strategies at the program level.
The World Bank undertook a five-country study on measuring empowerment, defined as the capacity to make effective choices, under the assumption that degrees of empowerment could be measured and compared across nations (Alsop & Heinsohn, 2005). The resulting Measuring Empowerment (ME) Framework, is a comprehensive set of indicators for measuring degrees of empowerment in three parts: (1) whether there is an opportunity for a choice, (2) whether the person uses that opportunity to choose, and (3) whether it results in a desired outcome once chosen (Alsop & Heinsohn, 2005). The World Bank suggests a theory of change that empowerment depends on two factors - agency and opportunity - which then drives development outcomes (Alsop & Heinsohn, 2005). Agency or “the capacity to make a meaningful choice” is measured according to a set of “asset endowment” indicators, which include psychological assets like the capacity to envision an alternative, access to trusted information, human assets like education or skills, material assets, financial assets, and social assets (Alsop & Heinsohn, 2005). Opportunity is seen as contained in the external context, including laws, customs, and social norms. The ME Framework divides decision-making at the local, intermediate and macro levels into very concrete domains, including state - justice, politics, services; market - credit, labor, and goods; and society - household and community (Alsop & Heinsohn, 2005). It should be noted that the level about which data is collected (women’s family planning choices) may differ from the level at which data is collected (which could be at the household level or public health level, etc.).
As an example, assessing the degree of empowerment of a woman to make a personal decision on family planning, this framework would first assess whether she had actual access to contraception and it was customary for women to make such a decision (existence of choice), whether she the chose to use contraception (use of choice), and finally did that choice allow her to control how often she got pregnant according to her desire (achievement of choice). This simplified, standard framework still requires an in-depth understanding of the individual’s particular context, but is applicable to a wide range of circumstances and can be compared across countries. The approach is aligned with both Sen’s capability approach and Kabeer’s definition incorporating agency, and is intended for universal use (Jupp & Ali, 2010). However, it is context dependent, must be applied to each area of choice, and varies based on that choice and the societal level at which someone is acting (Alsop & Heinsohn, 2005).
In contrast, another approach, more program dependent, might incorporate factors such as sense of self and vision for the future, which would be defined by the local participants themselves and the norms in their particular context, and may not be universally applicable, yet still very relevant (Jupp & Ali, 2010). Jupp and Ali (2010) recommend a two-part process: the first led by the in-group experiencing the empowerment and agency in conceptualizing what is to be measured, deciding indicators, determining a well-defined method, and generating insights. The process is self-facilitated so that there is no bias influenced by outsider preferences and yields important, unexaggerated insights for their own reflection and decision-making. With the permission of the participants, the second part led by outsiders involves collecting, aggregating, and analyzing participant data to ensure that insider values and perspectives do not influence the results. Overall the experience itself is empowering in that it honors people’s own perspectives on what has changed and how it has affected them, but it also yields quantitative, results based data on outcomes. For example, the focal community in the Jubb and Ali study involved groups of women and men in rural Bangladesh who delivered three theatrical productions to describe how they viewed empowerment, yielding a much more robust and contextualized understanding of their experience and goals than had ever been considered before, resulting in very specific and measurable individual and community-level indicators (Jupp & Ali, 2010).
In addition to methods and frameworks that are applicable across programs or even nations, there are other tools that measure single dimensions of empowerment. One long-standing tool used for measuring control over life outcomes in the personal domain of empowerment is the 13-Item Locus of Control or Internal-External Scale (Rotter, 1966). This tool measures whether an individual has an internal locus of control (outcomes depend on personal actions) or external locus of control (that experiences and rewards are dictated by external forces).
There is also the widely-tested Ryan & Deci (1985) General Causality in Orientation Scale of Self Determination, which measures autonomy or empowerment across three dimensions – autonomy orientation (high degree of personal choice and internal locus of causality), control orientation (how much is behavior compliant with extrinsic factors or a sense of what “should” be), and impersonal orientation (how much do people feel their behavior is beyond their intentional control), representing a continuum of self-determination from high to low. In the autonomy orientation, there is an association with high levels of self-esteem. In the control orientation there is self-esteem, but it is conditional upon the perceptions of the external, control environment. And in the impersonal orientation, there is a sense of inadequacy and low self-esteem (Ryan & Deci, 1985).
See appendix for all suggested resources for measuring empowerment and agency.
Challenges with Measuring Empowerment and Agency
Measuring empowerment is a challenging undertaking in terms of the metrics used, methods implemented, and interpretation of data for outcomes, including the impact of measuring empowerment on empowerment itself.
Choosing Metrics
One of the core debates in measuring empowerment and agency is what indicators to choose. At issue are the prolific intangible and subjective indicators that are difficult to quantify. Empowerment is, by nature, a relative context – influenced by the nature of how one has shifted in disempowerment to power, dependent upon the surrounding environment. This makes any concrete set of measures difficult to standardize, difficult to compare across context, difficult to assess over time, and difficult to understand the complex interrelationships between metrics (Huis et al., 2017; Ibrahim & Alkire, 2007; Narayan, 2005).
Most measures tend to be domain-specific, such as decision-making in the household, economic or political sphere, and so a comprehensive understanding of empowerment must include a range of metrics that operate on an individual, relational and societal level (Huis et al., 2017; Nussbaum, 2001). Then, there are choices as to whether to measure quantitatively or qualitatively and with what unit of analysis (Ibrahim & Alkire, 2007; Narayan, 2005). This also involves deciding which variables are universal versus context-specific (Ibrahim & Alkire, 2007; Narayan, 2005). For example, is the metric of women holding their own bank account one indicator of women’s empowerment that is true in all contexts, or is it possible that in some contexts, women prefer a community-based approach to financial security? Further, these measures can include aspects that are intrinsic versus material. For example, is it important for indicators to differentiate what powers are valued whether or not people have them? (Ibrahim & Alkire, 2007).
With so many choices at various societal levels, this leads to a concern with the measures’ scope of complexity versus precision within a particular context. Huis et al. (2017) stress that aggregates, like development indices, don’t adequately capture the dynamics of empowerment at the personal, relational, and societal level. Yet single-dimensional measures of societal empowerment, for example, those that assess the numbers of women in positions of leadership or other societal function, are too narrow and may not give a complete picture of women’s position and agency in their societal context either (Huis et al., 2017). One of the single most often used indicator of empowerment is control over income, though this question alone does not shed light on the division of labor within a household, nor preferences or choice regarding the earning of said income (Ibrahim & Alkire, 2007). For example, just because women may choose how to spend certain money at the market for their family’s nutrition, they may still be severely limited in whether and how they can earn any of that income without their husband’s permission.
Methods
In addition to the indicators themselves, there are challenges with choosing adequate methods of evaluation. Who should conduct the measurements – should all measures be self-reported, subjective perspectives of the vulnerable themselves, or independent professional assessments of objective or observational indicators? Processes can also either be imposed and unempowering or empowering and completely unique to the particular context at hand (Jupp & Ali, 2010). Thus, much of the efforts towards measuring empowerment and agency are seen as either anecdotal and less consequential when information comes from communities themselves, or involving simplified metrics imposed by outsiders for their own use, eliminating the empowering learning process within the local community (Jupp & Ali, 2010).
Processes led by professionals differ by field – psychology and clinical research use randomized controlled trials; economics and sociology use and manipulate large surveys; anthropology uses ethnographic methods such as life histories; and participatory practitioners learn by doing and listening to local communities (Narayan, 2005). Bias can also show up in the interpretation of data dependent upon who is conducting the evaluation. The metrics chosen are often related to the outcomes sought by the professionals carrying out the evaluation – for example, sociologists may be looking for changes in rights and power while economists may be looking for economic outcomes and efficiencies (Jull & Ali, 2010). As such, it can be inherently ineffective, if not inappropriate, for empowerment to be decided by outsiders or for outsiders’ exclusive use (Nilsson and Thorfinn, 2010).
For processes that are more locally-led, conceptions of empowerment among those experiencing it are constantly changing as the context evolves. True participatory processes in establishing metrics and determining outcomes, then, will themselves regularly change over time, making longitudinal analysis difficult (Jupp & Ali, 2010). For example, across ten years of empowerment programs with women in one particular place, concepts of empowerment might range and shift from being able to make decisions over use of household income to managing one’s own money to sharing household chores with male partners to making independent family planning decisions. This results in outcomes that are difficult to measure over time, hard to compare and inconclusive in their causal attribution (Jupp & Ali, 2010). It is also important to caution that participatory methods have also been taken to the extreme as “participation by command”, whereby top-down enforced participation is manipulated and imposed as a means for the outcomes of efficiency of programs and research, not necessarily for the empowerment possibilities as an end of its own (Jupp & Ali, 2010).
Interpretation and Outcomes
The interpretation of data and outcomes are equally challenging. It is not always clear the directionality of impact between the personal, relational, and societal levels (Huis et al., 2017). For example, a woman’s self-confidence may shift her bargaining power within a household, or changes in bargaining power within a household that comes from increased economic influence may contribute to greater levels of self-confidence and self-efficacy.
There is also an interplay between individuals and their environment that impacts and is reflected in their perspectives on what empowerment looks like and how different components of empowerment are valued (Huis et al., 2017). People’s experience of empowerment on the personal, relational and societal levels are particularly influenced by both their sense of self and the cultural context in which they exist. For example, in one cultural context empowerment might look like the individual freedom to pursue a career of choice or divorce where socially acceptable, and in another it might be expressed as the capacity to care collectively for more members of an extended network.
Empowerment itself is a non-linear process and does not fit well with monitoring and evaluation processes that seek to understand outcomes within a specific time frame (Jupp & Ali, 2010). An assessment of empowerment at one particular snap-shot of time may not take into consideration the time required for gains to be achieved within a particular set of societal structures and cultural norms without more complex and longitudinal studies (Huis et al., 2017). For example, a particular empowerment training might immediately impact self-confidence, but changes within the household and partner relationships as well as women’s standing in society, would require a longer-term, multifaceted set of interventions to shift.
Finally, in terms of outcomes, it is not always explicit whether the power obtained through the empowerment process is solely a perception, used to benefit the common good through a new possibility or to create harm, whether it reduces the power of another population, or involves collective action (Ibrahim & Alkire, 2007).
Future Recommendations for Research
Because empowerment is context-dependent, interventions need to be informed, if not determined, by the local populations they are intended to benefit to ensure empowerment gains are in alignment with local preferences and not contributing to majority-dominant perceptions and processes (Chambers, 2009; Huis et al., 2017; Narayan, 2005). It is most important that the indicators and data collection should be decided and conducted by the local population themselves before aggregated and analyzed by experts (Jupp & Ali, 2010). Even still, the method needs to be transparent and able to be repeated with consistent results (Jupp & Ali, 2010). Such methodologies are valuable for policymakers—who need tools to enact and evaluate international organizations’ pledges to make their work more genuinely participatory —and for scholars and activists who increasingly understand empowerment as a remedy to global threats like climate change (Ajani et al. 2013).
Research should ensure that studies of empowerment interventions clearly specify on which dimension (personal, relational or societal) the intervention is intended to focus, and to measure outcomes with differentiated metrics for each level (Huis at al., 2017). It is possible to promote empowerment in distinct ways at each level, and so, it is important to measure comprehensively at all three levels, but to also distinguish between the levels in the measures used (Huis et al., 2017). Globally, there is increasing interest from governments—in Sweden, most notably—and from international organizations like the International Rescue Committee in formulating a feminist foreign policy and practice (Thompson & Clement 2013; Miliband 2019); further research is needed on how feminist policies function on different levels of intervention, and how those levels interact.
Assessment tools need to be multi-faceted: for example, looking at women’s perceptions of personal and relational power, it would be important to consider objective measures of women’s social conditions as well as their position relative to men, and further explore how women are utilizing improvements in empowerment to effectively change women’s wellbeing for the future (Huis et al., 2017). Further, studies should not only look at aggregate indices of women’s positions in society, but to understand their position relative to those in power within the local cultural context and over time to understand the changes in equity more comprehensively (Huis et al., 2017). At the same time, there is a clear need to use the term ‘gender’ more precisely, given increasing uncertainty about whether terms like ‘vulnerability’ or ‘empowerment’ can or should apply to men (Carpenter 2003; Henry 2017), or to other non-normative gender and sexual identities (Quilty 2015).
Methodologically, Ibrahim & Alkire (2007) emphasize the lack of rigorous, comparative studies of empowerment and agency, and thus recommend that future indicators be internationally comparable. Similarly, Aili Mari Tripp and Melanie Hughes (2018) make a specific call for quantitative and mixed methods studies. Though the study of gender and politics has historically preferenced theoretical, conceptual and qualitative work, the increasing use of quantitative or mixed-methods approaches seeks to add a greater degree of transparency and replicability to longstanding feminist research questions and critiques.
Applications of Empowerment and Agency for Social Change
Empowerment and agency are widely viewed as essential for progress along a diverse range of social development indicators, including improvements in economic wellbeing; access to social services, justice, and markets; better governance; and stronger civil society (Ibrahim & Alkire, 2007). Brazilian thought leader and educator, Paolo Freire, identified the critical link between individual empowerment and community wellbeing. “While individual empowerment, the feeling of being changed, is not enough concerning the transformation of the whole society, it is absolutely necessary for the process of social transformation” (Wallerstein & Bernstein, 1994, p. 143).
The rationale for the link between individual empowerment and social change includes a few key relationships. The first is the evidence of the benefits of women’s empowerment and leadership on wellbeing. Women’s economic empowerment feeds a “virtuous spiral” of greater family wellbeing, as women are shown to invest more significantly in health and education, and also greater influence and involvement in social and political decision-making (Chattopadhyay & Duflo, 2001; Malhotra et al., 2002; Mayoux, 1999, p. 1; Sen, 1999).
Second, empowerment may also contribute towards good governance, including more effective justice systems, protection of civil liberties and rule of law, if held accountable by empowered citizens who have access to trusted and transparent information and authentic avenues for ongoing participation (Ibrahim & Alkire, 2007). When more vulnerable groups have opportunities to participate in decision making and have their voice heard, studies have shown there are better development outcomes at the local level and more equitable income distribution and access to social services (Ibrahim & Alkire, 2007). Empowerment may also influence confidence in making choices that result in lower exploitation, greater bargaining power, and greater accountability among those in leadership, allowing for more inclusive, participatory transformation (Ibrahim & Alkire, 2007).
The World Bank (Alsop & Heinsohn, 2005) explored 14 different empowerment approaches implemented globally, some of which were themselves reviews of dozens of other studies, across a wide range of contexts, including women’s empowerment, poverty reduction and political participation. The approaches use a wide range of definitions, indicators, measurement methods, and data sources, customized to each context. Some of the important conclusions from this (Alsop & Heinsohn, 2005) review include:
empowerment can occur in one or more circumstances of life, can take place at various levels, and can be experienced individually or collectively
empowerment within a group is influenced by group-level culture
most studies of women’s empowerment (Malhotra, 2002 review of 45 studies) focus on the household level and are weak with intervening processes and longitudinal perspectives • community is a stronger predictor of women’s empowerment at the individual level, than are individual qualities
indicators of empowerment imposed by the outside are not always easy to conceptualize by participants, and concepts mean different things to different people, so measures must be based in the realities of the poor
empowering methods of measurement are important
Finally, empowerment is shown to drive health and wellbeing. A lack of power is shown to be a significant risk factor for disease (Wallerstein & Bernstein, 1994). As such, the individual as well as community empowerment of vulnerable groups, can lead to greater health outcomes as they have increased power and capacity to transform the underlying social, cultural, political and economic underpinnings of inequity feeding disease (UNDP; Wallerstein & Bernstein, 1994).
COMMUNITY AND BELONGING
History of Community and Belonging
The literature on community, especially in international development discourses, is much less extensive than the academic research on empowerment and agency. Much of the early literature explored loneliness and alienation in Western culture and the decline in a sense of community due to urbanization, individualism, industrialization, and imbalances between centralized bureaucracy and local autonomy (Durkheim, 1964; Glynn 1981; Stevens et al., 2011). There has also been a longstanding interest within social psychology in understanding what it means to have a sense of community, and it is well-documented and increasingly discussed that feelings of belonging are important aspects of mental health and community wellbeing (Herman, 1994; Fullilove, 2017; Norris et al, 2007; Sherrieb et al., 2010; Steidle, 2019). This has been particularly relevant to the realms of community resilience and participatory development, where processes that draw upon the participation of and adaptive capacities of community as a whole are a desired outcome of development interventions (Arnstein, 1969; DFID, 2012; Norris et al, 2007).
Definitions of Community and Belonging
Community is somewhat difficult to define as a single, narrow concept, as it is multifaceted and self determined. But it almost always involves some form of common thread that binds its members through relationship, if not also place. Community is conventionally defined as existing within a geo-political boundary, such as a county line (Sherrieb et al., 2010). Yet, in an age where displacements from war and natural disaster continue to rise, a sense of community is increasingly understood as context dependent, not necessarily always place-based. As such, community can also be defined by common experience between individuals (e.g., veterans) or a form of connection fostered through webs of alternative networks, like online social networks.
In addition to establishing the concrete boundaries of what defines community membership, definitions also involve the multidimensional nature of what makes up a sense of community. Kitto (1951) offers, “A sense of community was present in its ideal form in the [ancient Greek] poli and was based on loyalty, commitment, and primary interactions among people” (Glynn, 1981, p. 791).
The McMillan and Chavis (1986) definition of a sense of community (SOC) is most often sited, and includes four primary components: (1) membership: a feeling of belonging or relatedness, (2) influence: a sense of mattering or making a difference to the members of the group and vice versa, (3) reinforcement: an integrated feeling that the members needs will be met by shared resources through membership, and (4) shared emotional connection. Membership involves boundaries that dictate in group and out-group belonging, which provides emotional, if not physical, safety against social threats to those who are members so as to allow needs, feeling, and connection to develop (McMillan & Chavis, 1986). A personal investment in the group as well as common symbols of membership (e.g., language, dress) contribute to feelings of membership and SOC (McMillan & Chavis, 1986). There is then, a strong pressure to conform that is seen with group cohesiveness, even while there is often still space to appreciate individual differences (McMillan & Chavis, 1986). Reinforcers of group membership include status, competence, rewards, shared values, and other resources that meet individual needs (McMillan & Chavis, 1986). Finally, shared emotional connection is built on a community’s history, quality of interactions, investment of its members, intimacy, rewards that honor versus humiliate, and spiritual bonding (McMillan & Chavis, 1986). In general, emotional safety and feelings of belonging lead to someone investing in their community and then feeling that they have earned their place as a member (McMillan & Chavis, 1986).
SOC seems to be made up of the values, relations, and other social capital that help foster community bonds and the degree of social cohesion (Chavis & Pretty, 1999). Social capital can be defined as the shared group resources among the network of relationships that allow that community to function. It is often divided into two categories – (1) structural social capital, which involves the various organizations and networks that contribute, and (2) cognitive social capital, which includes the mental processes and perceptions that reinforce cooperative behaviors, including perceived fairness, perceived helpfulness, shared identity, social support, shared norms, values, and beliefs, community bonds and trust (Jeeyon et al., 2020; Kawachi et al., 1997; Norris et al., 2007; Office of Disease Prevention and Health Promotion, 2020; Sherrieb et al., 2010). Social cohesion denotes the strength of those relationships and a sense of solidarity, shared purpose, trust, and support that extends from them (Jeeyon et al, 2020; Kawachi & Berkman, 2000; Office of Disease Prevention and Health Promotion, 2020). Jeeyon et al. (2020) identify six of the most commonly measured qualities of social cohesion that contribute to the sense of shared trust and purpose and a wiliness to cooperate in order to thrive together: trust, collective action norms, belonging, common group characteristics, attitudes toward out-groups and civic participation to improve the collective wellbeing.
Glynn (1981) studied what contributed to a psychological SOC among three different towns, finding that the strongest predictors of a SOC include how long one expects to live in a community and the number of community members that one can identify by first name. These same variables in addition to not having to need a car to get around in the community also drove community satisfaction and community competence (Glynn, 1981). The conclusions from the Glynn study suggest that a SOC is something that varies based on its members’ behaviors, needs and perspectives, giving the collective the power to cultivate SOC intentionally (Glynn, 1981). For example, if not having a need for a car is a predictor of a greater sense of community, urban planners can work to create more connective infrastructure like foot paths, public transportation or bike paths to foster interconnection within community.
Hand in hand with the definition of community is the definition of belonging, and how we define a sense of being a part of something larger than ourselves, including community. In particular, people need frequent positive interactions within an ongoing relationship or bond, and resist the dissolution of such relationships (Ryan & Deci, 2000). Belonging has been critical to our evolutionary flourishing, because being accepted and included within a group means we partake in the collective resources that enable us to survive, if not thrive (Lieberman & Eisenberger, 2008). It is here where the individual and societal level is bridged.
Belonging involves a sense of connectedness among a set of significant relationships, which can be found in two forms. Belonging can be defined by strong interpersonal and interdependent relationships built on common bonds (e.g., a parent-child relationship or the relationship between people who are members of a small, connected group) or belonging can be defined by a common identity (e.g., membership in a larger political party or being a cancer survivor), which involves a depersonalized sense of self and collective identity (Brewer & Gardner, 1996). “[T]he belongingness hypothesis is that human beings have a pervasive drive to form and maintain at least a minimum quantity of lasting, positive, and significant interpersonal relationships” (Baumeister & Leary, 1995, p. 497). This requires emotionally pleasant interactions on a frequent basis with a minimum number of other people to whom one feels connected, and the relationships must be stable, ideally reciprocal, and endure over time to produce a feeling of connection and membership (Baumeister & Leary, 1995).
It is important to note that belongingness goes beyond a need for simple affiliation. Belonging impacts our self-esteem, the relationships we form, and our sense of a collective self - the social groups with which we identify (Brewer & Gardner, 1996). Belonging may be at the root of a range of other needs, including the need for power, the desire for achievements that are valued by others, the need for approval, and intimacy (Baumeister & Leary, 1995). Finally, belonging and community have a bi directional nature - individuals affect and are affected by community, and connection manifests both as “belonging” at the individual level and as “community” at a group level, sometimes simultaneously, but not always.
Mechanisms of Belonging
When we do not feel a sense of belonging
When people’s need for belonging is not being met sufficiently, it is responsible for significant negative affect, including loneliness, jealousy, rejection, anxiety, grief or depression (Baumeister & Leary, 1995). When people feel that they do not belong and are members of the “out-group”, they use up significant
cognitive energy being hypervigilant towards threats, including threats that might put them at risk of confirming a negative stereotype about themselves (Laldin, 2016). This anxiety uses up working memory, our short-term capacity to manage information.
Social threats seem to be processed in the brain the same way as a threat of real physical harm (Ladin, 2016; Eisenberger, 2013; Lieberman & Eisenberger, 2008). This includes (1) the activation of the amygdala, which manages threat processing and the expression of fear; (2) stimulation of the sympathetic branch of the autonomic nervous system (SNS), our stress response system responsible for our fight or flight response; (3) activation of the dorsal anterior cingulate cortex (dACC), which also increases the SNS response; (4) increased activity in the hypothalamic-pituitary-adrenal (HPA) axis, which secretes the stress hormone, cortisol; and (5) decreased activity in the hippocampus, which is responsible for learning, memory, and stress management (Eisenberger, 2013; Eisenberger & Cole, 2012). In essence, an experience of social exclusion activates the body’s threat response system. The brain may have evolved to respond to threats of social rejection in the same way as other survival threats because it was more dangerous to exist alone (Eisenberger, 2013).
Also activated is the body’s pain system, which involves (1) the somatosensory cortex, which helps identify where the pain is happening; (2) the insula, which provides insight into the overall physical state; (3) the dorsal anterior cingulate cortex (dACC), which is related to the distress associated with pain, and (4) the right ventrolateral PFC, which is associated with pain regulation (Lieberman & Eisenberger, 2008). It is possible to separate the experience of physical pain from the distress related to it, finding pain as more or less distressing, which is correlated with activity in the dACC (Lieberman & Eisenberger, 2008). In an experiment of social exclusion, those who felt excluded compared to when they were included demonstrated greater activity in the dACC and right ventrolateral PFC, indicating that social pain is processed in the same way that physical pain is (Lieberman & Eisenberger, 2008). Follow-up studies have shown that people with greater tolerance for physical pain also have greater tolerance for social pain, and, in contrast, those with greater sensitivity to rejection resulted in greater activity in the dACC in response to social exclusion (Lieberman & Eisenberger, 2008). In summary, exclusion causes us real pain.
When we feel that we belong
When people experience feelings of belongingness, it results in positive affect including happiness, contentment, calm and elation (Baumeister & Leary, 1995). In fact, experiences of social connection appear to activate the reward centers in the brain that help inhibit our stress response and process a sense of safety (Eisenberger, 2013; Eisenberger & Cole, 2012; Lieberman & Eisenberger, 2008). The ventral striatum, the brain’s reward system, is activated as strongly, if not more so, when experiencing social rewards (including fairness, choosing philanthropic altruism, and receiving positive feedback from others), as it is when receiving extrinsic rewards (e.g., money) (Lieberman & Eisenberger, 2008). Studies have also shown that the formation of bonds stimulate the brain opioid system, whereas the dissolution of such bonds impedes the opioid system, suggesting that social bonding is reinforced by neurochemical mechanisms (Baumeister & Leary, 1995).
The systems that process safety include the ventromedial prefrontal cortex (VMPFC) and posterior cingulate cortex (PCC). Activity in these regions reduce SNS activity, increase parasympathetic nervous system activity – the rest and relaxation system, and signal the absence of negative threats (Eisenberger, 2013). This can also be experienced as diminished fear and rewards. Two studies have shown that just seeing a photograph of a supportive relationship partner during both physical pain and a negative social experience can increase activity in the VMPFC and PCC, and decrease activity in the insula (Eisenberger, 2013). Experiencing social support enhances stress coping, which may be due to belonging mitigating the stress-inducing experience of a lack of belonging (Baumeister & Leary, 1995).
When we feel that we belong, our sense of identity can also be reshaped to represent the most salient features shared with others within the in-group, where a sense of social attraction involves a preference for in-group characteristics over out-group qualities (Brewer & Gardner, 1996). Individual and group self-concepts are stored in separate locations in our brain; information about out-group members are organized on the basis of attribute and traits, whereas in-group information is processed on the basis of the person with whom there is a connection (Baumeister & Leary, 1995; Brewer & Gardner, 1996). This “collective self” involves internalizing the norms, values and characteristics of the group that are consistent with the self (Brewer & Gardner, 1996). Further, self-worth is developed in assessing the in group’s status as compared with other groups (Brewer & Gardner, 1996). Once the definition of self is held in the realm of the group, the motivations also shift towards the group with a concern for and altruistic motivation to benefit others and contribute toward shared problems (Brewer & Gardner, 1996). This can happen even without interpersonal communications or attachment to group members, but simply from the knowledge of sharing a common group identity.
Yet, the more that assimilation between self and in-group takes place, this can also lead to the mistreatment of out-groups (Brewer & Gardner, 1996). People tend to be more optimistic or favorable about their closest relationships or in-group (Baumeister & Leary, 1995). Studies have shown that despite being organized into groups on a random basis, the preferential treatment of in-group members takes shape almost immediately (Baumeister & Leary, 1995). Group identities to which there is little opportunity to change your membership, such as race and ethnicity, are often the characteristics that experience the most common prejudice (Baumeister & Leary, 1995). In fact, a great deal of maladaptive and harmful behavior has to do with responding to perceived threats to belongingness or reacting from difficulty in establishing a sense of belonging (Baumeister & Leary, 1995). Studies have shown external threats improve social cohesion within the group, but interaction between groups tend to be, and are expected to be, more confrontational than interactions between individuals (Baumeister & Leary, 1995). One study found that 67% of college students gave in to an act of cheating, theft and lying to conceal their actions in response to the request of a group partner, and loyalty has been shown repeatedly as a driver of action overriding personal morals, including violence (Baumeister & Leary, 1995). As another example of harmful behavior, Baumeister & Leary (1995), noting the work of Hans Morgenthau, suggest that the pursuit of power may have at its core, the desire to belong - individuals may be seeking to improve the sense of connection and overcome loneliness by bending others to their will. Mitigating the maladaptive behavior of groups, some interventions have helped decrease in-group bias with an increase in interaction with members of out-groups, although other interventions have not shown as much effectiveness (Baumeister & Leary, 1995; FitzGerald et al, 2019).
People invest energy in building relationships and forge them easily. It does not take much to form social bonds – even mere proximity is a significant factor, and just being in the presence of someone is comforting (Baumeister & Leary, 1995). People also strongly resist the dissolution of such social bonds (Baumeister & Leary, 1995). Not only do bonds result in positive emotions, but positive emotions may also help solidify the bond and be a key driver of the formation of small groups (Baumeister & Leary, 1995). Overall, helping and altruistic behavior seems to be improved by the strength of social bonds, especially a sense of familiarity and interpersonal dependency (Baumeister & Leary, 1995). Studies have shown that feelings of belonging can overcome unhelpfulness: In particular, the bystander effect – a phenomena where bystanders do not tend to come to the aid of someone in need when there are many people present out of a desire to avoid any negative impact to themselves – is strong among strangers, but the opposite is true among cohesive groups (Baumeister & Leary, 1995). Further, cohesive groups can build a sense of common duty - when people feel they can make a unique and meaningful contribution to a group, they are more likely to give beyond the minimal effort necessary to enjoy the benefits of the group (Baumeister & Leary, 1995). Another study showed that when people feel that they belong, they are less likely to use up collective resources for personal gain and instead retrain their needs for the good of the group (Baumeister & Leary, 1995).
Outcomes
Early SOC work found that when people feel safe, they desire greater neighbor interactivity, but not when people indicate a desire for greater privacy and anonymity (McMillan & Chavis, 1986). Studies show that SOC is driven by high behavioral rootedness (e.g., length of residency, owned home) and high social bonding (e.g., feeling satisfied and part of community, the number of neighbors that could be named) (McMillan & Chavis, 1986). Further, the strength of interpersonal relationships within community contribute to satisfaction, commitment and loyalty to community, as well as more problem focused behavior and community contributions in response to a perceived threat (McMillan & Chavis, 1986). Further, SOC also is associated with an individual’s capacity to function competently within the community (McMillan & Chavis, 1986).
On an individual level, belonging has a significant, positive effect on emotional and mental processes, whereas a lack of belonging or the threat of the loss of a bond – from social exclusion to a child’s separation anxiety - is shown to create significant negative affect and have negative impact on health and wellbeing (Baumeister & Leary, 1995; Glynn, 1981; Mellor et al., 2008). Belonging promotes wellbeing by reducing stress and generating happiness through relational bonds and a sense of meaning (Baumeister & Leary, 1995; Lambert et al., 2013; Pogosyan, 2017). One study showed that loneliness correlated to a decrease in immune functioning (Baumeister & Leary, 1995). Another study found that among people who report a higher need to belong, they also report higher levels of loneliness, and that the less satisfied people are with their relationships, the lonelier they feel (Mellor et al., 2008). Important in this study was that people have different needs for belonging and different experiences of loneliness, and that this is not determined by whether people live alone or with others, but if someone has unmet needs for belonging, it will dictate their feelings of wellbeing (Mellor et al., 2008). For example, among combat vets, a sense of social support was a significant determinant of whether individuals experienced PTSD (Baumeister & Leary, 1995).
In the international development field, it has been shown that participatory processes can foster a strong sense of belonging that help reinforce community bonds. Jupp & Ali (2010) present a significant case study of a community-based organization in Bangladesh called, The Movement, which started as a youth organization and grew to advocate for land rights for the poor and indigenous beginning over 40 years ago. Now, despite relatively meager gains on one level – less than a third of the members achieved successful outcomes – The Movement continued to grow and sustain its membership over time, reaching 543,000 members as of 2007. A study was undertaken to understand the benefits of the membership despite economic outcomes. The method involved a participatory rural appraisal process that ensured local members led the process, determined metrics, obtained the data and conducted the analysis using visual mapping, dialogue and local language that encourage unbiased, inclusive participation. Over 8000 insights helped clarify along 132 indicators what engendered the powerful bonds and collective empowerment, grouped into four categories (Jupp & Ali, 2010, p. 47):
(1) Individual perceptions of increased power, including the ability to articulate and negotiate for their own outcomes in formal and informal decision-making,
(2) The mutual trust, support, respect and equity of the group
(3) Access and use of economic resources
(4) Sense of the group’s capability and independence
Within each category, the group mapped a spectrum of progression: “(i) awareness, (ii) confidence and capability, and (iii) effectiveness and self-sustaining” with an understanding of the time frame required to move from one level to the next varied between eight and eleven years (Jupp & Ali, 2010, p. 50.) The grassroots-led process itself was empowering and enlightening, and demonstrated the importance of the sense of community and belonging that sustained membership over the long-term. These member defined indicators included the McMillan and Chavis requirements of membership, as sense of mattering, shared resources, and shared emotional connection and the social capital that incorporated both the structural and interpersonal that helped to foster trust, shared values and community bonds (Kawachi et al., 1997; McMillan & Chavis, 1986; Norris et al., 2007; Office of Disease Prevention and Health Promotion, 2020; Sherrieb et al., 2010). Outcomes in terms of empowerment and sense of community, and their impact on wellbeing and political engagement were significant: 99 percent of members voted, 80 percent followed up on complaints of human rights abuses, members from 63 percent of groups had been nominated for office, 88 percent of groups are sending their girls and boys to school regularly, and in 72 percent of groups they had influenced village level politics in favor of the poor, among other outcomes (Jupp & Ali, 2010). In some places, the choices of one group were adopted and replicated by another group within The Movement. The successes were determined to be due to experiences of solidarity that catalyzed a sense of confidence and agency to act collectively to work towards change, defined according to the priorities of the local community (Jupp & Ali, 2010).
In the field of education, studies have shown a sense of belonging improves academic performance (Laldin, 2016; Walton & Cohen, 2011). This is due, in part, to a capacity to reappraise experiences from a non-threatening lens – seeing challenges as shared versus stemming from a personal deficit – which, in turn likely counters the impact of perceived social threats on stress, working memory, and higher thinking capacity (Laldin, 2016; Walton & Cohen, 2011). Similarly, four experiments conducted by Walton et al., (2012) found that various experiences of belonging from sharing a birthday to having similar preferences affected important aspects of self, resulting in greater motivation for achievement of a series of goals.
In health fields, research shows that social capital is a driver of social cohesion, which in turn, impacts community wellbeing through encouragement of positive behavior along social norms (Sampson et al, 1997; Uchino, 2006). One study tested four measures of social capital (perceived fairness, perceived helpfulness, group membership and trust) all of which were found to affect mortality (Kawachi et al., 1997). Other studies have shown that there is a greater incidence of heart attacks, cancer, tuberculosis and several other physiological and mental illnesses among those who are without a significant relationship than among those who are attached (Baumeister & Leary, 1995). Further, group therapy builds upon a sense of belonging and acceptance in its effectiveness (Baumeister & Leary, 1995).
Measuring Community and Belonging
Most measures of a sense of community or belonging are found in the realms of psychology and mental health as well as economics.
One of the early measures was the 40-Item Sense of Community Scale (SCS Doolittle and MacDonald, 1978), which attempted to differentiate between low, medium and high sense of community in their level of informal interaction, safety, privacy, preferences for neighbor interaction and local participation (McMillan & Chavis, 1986). Other measures have included components such as feeling at home, agreement with common values, feelings of belonging, and interest in what goes on in the community (McMillan & Chavis, 1986).
Building out of this early work emerged the 12-Item short-form Sense of Community Index (SCI, Perkins, Florin, Rich, Wandersman & Chavis, 1990) based on the 1986 McMillan and Chavis definition of a sense of community. The SCI has been most widely used, and it attempts to blend both the internal, subjective perception of and role of individuals in the collective (Stevens et al., 2011). The SCI measures across 12
questions, four subscales, including (1) membership, (2) influence, (3) integration and fulfillment of needs, and (4) shared emotional connection (McMillan & Chavis, 1986; Stevens et al., 2011). These four categories are not necessarily independent, can be bi-directional, and are interconnected (e.g., shared emotional connection needs a sense of belonging), which also makes them challenging factors for measuring, especially as a cross cultural measure (Stevens et al., 2011). The SCI-2 (version 2) was developed to address these concerns, and offers a more robust and validated 24-item questionnaire (Chavis et al, 2008).
Another, revised, 8-item Brief Sense of Community Scale (BSCS, Peterson, Speer & McMillan, 2008) was crafted to refine the earlier version, which was found to have good reliability, but some weakness due to the limited number of questions per factor (Stevens, 2011).
A few other measures look at specific components that contribute to community wellbeing. This includes the Social Health Index (Shaw-Taylor, 1999), which assesses how well a community functions in caring for its most disadvantaged populations and the Gini Coefficient or Index that measures inequality in income distribution (Sherrieb et al., 2010). The Social Capital Assessment Tool (SOCAT) assesses variations of social capital, to include structural and cognitive social capital, across a wide range of contexts at the household, organizational and community (geographical) level to assess the level of economic and social wellbeing, social participation and support, as well as community bonds (Sherrieb et al., 2010). Finally, the Social Vulnerability Index (SOVI, Cutter et al., 2003) measures demographic and socioeconomic data to assess vulnerability that is negatively correlated with economic development, social capital and community resilience measures (Sherrieb et al., 2010).
A new, comprehensive measurement tool designed for international community-driven development programs was developed by Mercy Corps and the World Bank. Built on a comprehensive survey of available literature and the evaluation of 2600 survey questions from existing tools utilized around the world, it proposes a 15-item survey for measuring social capital and social cohesion combined with a qualitative contextualization guide that helps to adapt the tool for a particular context (Jeeyon et al., 2020). Most common in the measurements of social capital and social cohesion are relationships, resources, level of trust, shared purpose (including belonging, shared identity, and attitude towards diversity) collective action norms, and civic participation (i.e., willingness to take action for the good of the group) (Jeeyon et al., 2020).
Another recent initiative – a working group of community-driven development organizations has been working to define Community Intelligence, called “CQ”, which brings together many of the aforementioned topics into one overarching scale. This concept draws upon standard concepts of IQ (human intelligence) and emotional intelligence to establish a new form of intelligence that involves a recognition and valuing of communities, a sense of being part of a bigger global network, and working collaboratively and participatorily to improve “the health, impact, and sustainability of the global philanthropic community” (Mercaldo, 2018). The CQ vision involves a global community of people and organizations who trust local communities to realize their ambitions, value the contributions of all, share power, and work with and for local communities to rebalance the distribution of power and agency (Mercaldo, 2018). The working group is now collaborating to develop a tool for actors to assess their CQ as High, Moderate, or Low, providing not just a set of metrics to evaluate the level of social capital and cohesion at a particular snapshot of time, but to suggest processes and roles that actors would be using to increase CQ across a continuum. Such examples include how research, programming, philanthropy, market-based strategies, and government interventions are enacted with stakeholder participation, fostering trust, addressing inequities, investing in support mechanisms, and respecting or fostering positive local values, culture, systems and culture.
Challenges with Measuring Community and Belonging
Like many other measures of the intangible, there is a lack of consensus or consistency in the definition of and metrics for a sense of community.
The challenges are four-fold. First, there is a lack of clarity on what components make up SOC, which is multifaceted. SOC may not always relate to a geographical neighborhood, but may hinge on common identity, such as SOC among members of a minority group embedded within a larger dominant group environment (Chavis & Pretty, 1999). There is a need to understand further the differing impact of the material, systemic and relational components of community on an individuals’ perception of SOC (Chavis & Pretty, 1999). However, researchers caution in drawing conclusions on isolated conditions as indicators of SOC. Though they may contribute to some measures of community wellbeing, they may not have any relationship to the level of a sense of community (Chavis & Pretty, 1999). For example, owning one’s home in a longstanding neighborhood versus owning a home in a neighborhood that recently went through gentrification has different impact on SOC (Chavis & Pretty, 1999).
Second, it is unclear how the various factors in the various scales making up SOC relate to each other. The Sense of Community Index has been broadly validated across different types of communities, ages, and cultures, though its four subscales have not shown consistency, resulting in researchers picking and choosing those subscales that are most useful, limiting broader research (Chavis & Pretty, 1999).
Third, there is a need to understand more clearly how SOC manifests and differs on an individual versus collective level. For example, research has found that an individual perception of a sense of community is different from the overall community level of SOC measured through other conditions like crime level
(Chavis & Pretty, 1999). Particular challenges include the bidirectional relationship between a community and its individual members (Chavis & Pretty, 1999). For example, do strong communities produce good citizens or vice versa or both?
Finally, there is the question of who should be determining the definition and boundaries of community and community membership. In most cases, the idea of community and sense of community must involve some level of individual subjective perspective. But, as is true with all the self-report measures considered for personal transformation, there may exist inherent biases and inaccuracies. People are relatively good at reporting how they feel, but not skilled at identifying the reasons why they feel a certain way, relying more on judgments and causal theory over true introspection (Nisbett & Wilson, 1977). For example, self-report measures of a sense of belonging to a community may accurately determine that belonging exists, but may not be able to accurately assess the aspects of one’s life and community that contribute to that sense of belonging.
Future Recommendations for Research
Research and the resulting definitions need to help clarify what constitutes SOC on an individual and community level, what to assess on an individual versus group level, and the relationship between individual belonging and SOC. There are other individual variables that need further study to understand their impact on SOC, including size of community, similar or diverse cultures, proximity to larger cities, rural versus urban, neighborhoods versus communities, and climate (Glynn, 1981).
There is also a need for more refined tools that can reliably study the interrelationships between category of factors (subjective perception, material resources, functioning and interrelationships) contributing to a sense of community (Stevens, et al., 2011). For example, if the facets of SOC can be defined, then what influences how strong a SOC is in a given community, and is there any correlation between satisfaction with SOC and people’s competent functioning within that community (Glynn, 1981)?
Once the factors contributing to strong SOC are better defined, research can contribute significantly to understanding what actions or interventions support a strong and positive SOC and belonging. For example, as practitioners increasingly adopt participatory and community-driven development approaches, further research can validate the impact of such processes in fostering belonging, social capital, and social cohesion as well as improvements in wellbeing.
Finally, there is a need to understand the outcomes from long-term experiences of SOC and belonging, or their absence. On an individual level, it will be helpful to study whether the current understanding of how neural networks respond to social exclusion as a threat or social inclusion as a reward are affected over long-term, chronic social experiences (Eisenberger, 2013). This may help understand how social experiences contribute to mental wellbeing (Eisenberger, 2013). Similarly, there is a need for more research in understanding the predictive capabilities of community. If we can measure what defines a community and how it functions, in what ways do its adaptive capacities predict functioning or resilience, and how does this drive future SOC, wellbeing outcomes or certain behavior?
Applications of Community and Belonging for Social Impact
By its very nature, a strong, positive sense of community is likely fundamental to improvements in collective wellbeing and social change. Trust and social support, both drivers of social capital and social cohesion, play an important role in a sense of collective efficacy, a community’s ability to create change and influence behavior through social norms (Sampson et al, 1997). Studies have shown, high levels of social support can encourage people to make healthier lifestyle choices, like healthier diets (Uchino, 2006). Having a sense of community, including the relationships between members and the involvement of community institutions, has also been shown to be a driver of civic engagement (Chavis & Pretty, 1999). This depends on the interrelationship and interdependence between the individual and community. Areas where this is particularly evident include the realms of community healing, resilience, restorative justice, social capital, participatory development, and community intelligence.
Participation, or participatory development theory, involves the leadership of local communities in defining priorities and designing solutions. Wall and Hedlund (2016) note that “‘Localisation’ is used across the [humanitarian] sector to refer to everything from the practice of increasing numbers of local staff in international organisations, to the outsourcing of aid delivery to local partners, to the development of locally specific response models.” (p. 3). Such localized, bottom-up solutions are increasingly advocated as more effective methods of development than top-down, outsider-imposed interventions (Chambers, 2009; Mercy Corps, 2010). Still, there is not always a clear delineation between the local level beneficiary communities and the international implementing bodies facilitating the work. Without care, these programs can easily morph from facilitation at the grassroots level to imposing solutions that are dictated from the top-down. Thus, in these approaches, the definition of community, like the concept of wellbeing, is ideally determined by the community (or person) itself (themselves) (Chambers, 2009).
Under a participatory approach, when outsiders are involved, they facilitate and listen, not lead. Methods and tools are shared, and rather than impose, experts invite and encourage local populations to identify and express their needs, ideas, and visions (Chambers, 2009). Under these approaches, the goal is sustainable wellbeing for all, including quality of life, economic, social, mental, spiritual, physical, and mental wellbeing, as defined by the person or community themselves (Chambers, 2009). Participatory methods work slowly to build trust, aim to ensure the marginalized come first, and that outcomes are economically, socially, institutionally, and environmentally sustainable (Chambers, 2009). Such models of community-driven development are critical in forming an understanding of the whole and building social capital, connection, and a sense of belonging. They ensure all stakeholders find ownership in the diagnosis and solution, and thus participate in the behavior required to achieve the desired outcomes (Steidle, 2017).
A 2010 Mercy Corps study in Iraq and Afghanistan reveal that community leaders and community members agree that community-led programs - and the more and different actors the better - lead to optimal outcomes. Three main reasons they have found such success include (1) participation allows ownership, (2) programs can be tailored more specifically to local urgent needs, and (3) it builds trusting relationships (Mercy Corps, 2010). According to Mercy Corps, successful community-led approaches involve capacity-building through constructive collaboration, transparency, and high accountability; community-building through diverse stakeholder engagement, cooperation and minimal competition in addressing needs and identifying resources; and ownership-building to increase local willingness to participate and invest in benefiting the community (Mercy Corps, 2010). In surveys assessing the role of multiple actors, international NGOs were seen by local community members to play a significant role in building trust, reducing corruption, cooperating with officials, achieving outcomes that benefit the majority of community on time and at reasonable cost, and reducing local tension (Mercy Corps, 2010).
What are the corresponding mechanisms on an individual level? Studies have shown that intrinsic or internal rewards are significantly more effective than extrinsic or external rewards in motivating behavior and driving greater interest, persistence and performance (Ryan & Deci, 2000). For example, a child doing their homework because they enjoy the subject matter is likely to perform better, persevere when it gets challenging, and find satisfaction in doing so, more so than if they are just doing their homework because they know they are required to do so by school or their parents. Incidentally, though, there are factors that enhance intrinsic motivation that must take place within a relational context. These influencers include positive feedback, feeling supported, opportunities for self-direction, being given choice, and having personal feelings acknowledged (Ryan & Deci, 2000).
In particular, research in the realm of self-determination theory, which explores the importance of inner resources for the regulation of behavior and social development, has distilled these supportive experiences into three primary factors – competence, autonomy and relatedness – that drive self motivation and mental health, and when absent reduce wellbeing and motivation (Ryan & Deci, 2000). Relatedness involves a close, secure and supportive connection to another. Relatedness, belonging and a sense of community, all hinge on the importance of connection and relationships. The key is that such supportive relationships reinforce intrinsic motivation only if they contribute to a sense of internalized and integrated competency and perceived autonomy (Ryan & Deci, 2000). People who feel close and securely connected to other people, will see behavior modeled by those people, which they are more likely to adopt, especially if they feel competent and encouraged, and feel they have choice in doing so (Ryan & Deci, 2000). In contrast, though it seems natural to tell or pressure people to comply using punitive measures or incentives, these types of extrinsic rewards, threats and directives consistently sabotage intrinsic motivation, in part because they result in a sense of a loss of autonomy (Ryan & Deci, 2000).
In summary, relatedness and connection, fostered in relationships that offer positive support, honor autonomy, and enable individuals to feel competent, will then allow people to internalize the values and behaviors that are expected of them and find meaning in complying. This forms the collective self, resulting in a greater level of perseverance and sustainability of expected behavior, as well as better relationships and perceived well-being (Brewer & Gardner, 1996; Ryan & Deci, 2000). And so, feeling a sense of belonging and experiencing high levels of social support from a sense of community, can contribute directly to the intrinsic motivation that will result in behavior that is in alignment with the shared values and norms of that community, especially towards a greater social good.
Conclusion
Through this preliminary literature review of the scientific and scholarly writing on personal transformation, we have explored the existing knowledge and challenges of defining, measuring and understanding the mechanisms and outcomes of some of the more intangible aspects of human nature. Despite a lack of consensus on the precise definitions and metrics that would adequately capture all aspects of personal transformation, evidence suggests that it involves a process of self-development with a range of positive outcomes. The five domains of personal transformation reviewed tend to work through a five-part pathway to influence prosocial outcomes and potentially social change: (1) Mindfulness and emotional intelligence build the self-awareness and self-knowledge that enable us to (2) move into a place of greater self-regulation. From this process of inner growth, we find greater agency and wellbeing, and (3) develop the capacity to understand others more completely. As we continue to invest in our inner development and relationships, we (4) find deeper connectedness and engage positively with others. As we continue to foster mindfulness, social and emotional intelligence, and a sense of belonging and/or community, we (5) cultivate the foundational prosocial orientation that motivates us to act on behalf of the common good. While the existing research reviewed does not yet demonstrate a direct, causal link between prosocial behavior and positive systemic change, we propose that personal transformation creates positive conditions for the advancement of social change as mindfulness, social intelligence, belonging, and agency combine to drive altruistic action towards greater collective wellbeing. We have outlined the details of this proposed conceptual model for the interrelationships between personal transformation, prosocial behavior and social change in an accompanying paper. Additional research, especially in non-clinical settings, is still necessary to determine whether and how prosocial behavior results in systemic social transformation. For now, we hope that this review engenders greater dialogue about what is known and what more needs to be explored to understand more deeply the relationship between personal transformation and social change.
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