The art of encouraging

After uncovering the enchanting story of how Prince Albert encouraged Queen Victoria, Belle Tindall explains why it's not only children who crave the art of encouragement.

Belle Tindall

Belle is the staff writer at Seen & Unseen.

Under a gilded arch, a statue of a young Queen Victoria sits, between two standing figures.

The Queen Victoria statue in the House of Lords.

Queen Victoria 1819-1901 Reigned 1837-1901 Supporting figures: Justice & Clemency Bas-reliefs: Science Commerce Industry / Useful Arts, Fully-rounded carving by John Gibson , © UK Parliament, WOA S88 heritagecollections.parliament.uk

In the Prince’s Chamber of the House of Lords sits a mighty marble statue of Queen Victoria.

She is sitting on her throne, holding both her sceptre and her crown, hemmed in on either side by two figures who represent justice and mercy. Her expression is strong, her posture is powerful, she is visibly assured and confident in her identity and role as Queen.

You can view the statue, in all its glory, on Parliament's website.

To say it’s striking is an understatement. It’s simply unmissable.

And yet, the most remarkable thing about this statue is not that it exists, there are nine similar figures in London alone. No, what’s so notable about this statue is where it exists, and why.

The story is an admittedly enchanting one. Prince Albert commissioned this particular statue of his wife, and had it precisely placed so that it greeted her head-on as she stepped out of her Robing Room and made her way to the Chamber of the Lords. It had one purpose and one purpose only - to give Queen Victoria courage when she was likely to need it most.

And that’s exactly where it still sits, its colour may be long faded, but its impact is not. It sits as somewhat of an alter to this historic romance, but more profoundly, as an ode to something that is notably overlooked in our culture: it is an ode to the practice of encouragement.

Psychologist and Professor Y Joel Wong powerfully defines encouragement as

‘The expression of affirmation through language or other symbolic representations to instil courage, perseverance, confidence, inspiration, or hope in a person(s) within the context of addressing a challenging situation or realizing a potential’.

When defined this way, it is clear to see just how integral such expressions of affirmation are to the cultivation of a flourishing life. And yet, Prof. Wong also observes just how underestimated, understudied, and undervalued the art of encouragement is. The vast majority of research that has attempted to theorize encouragement places its focus exclusively on early childhood development, implying that they believe it to be an essential need that humans simply outgrow. And yet, while such an idea floats around on an academic level, it’s likely that we each feel a sense that this is simply not congruent with personal experiences. The delight we feel upon learning the story behind Queen Victoria’s statue in the House of Lords is surely evidence that this kind of encouragement from another person is something that we continue to crave well into adulthood.

I would suggest that the underestimation of the practice of encouragement may be a subtle symptom of the individualistic culture we now find ourselves in.

What individualism may starve us of

The political and social philosophy of individualism can be dated back to the late 1700s, primarily as a reaction to the French Revolution. Since then, it has been re-framed and refined countless times, perhaps most influentially by Emile Durkheim in 1893 and Max Weber in 1947. Each philosopher foresaw a society that looks strikingly like ours, here in the 21st Century. A society which expects individuals to grow, learn and flourish independently of each other, which values self-definition, self-sufficiency, and self-actualisation, which ultimately encourages a self-centred and goal-oriented life.

In his 1841 essay, Self-Reliance, Ralph Waldo Emerson famously wrote that ‘nothing is at last sacred but the integrity of your own mind’. According to this school of thought, the rights and convictions of the individual supersede the duties of the community, and the Western world is arguably steeped in this very notion (of course, there are exceptions to the rule - the NHS and welfare system being two prime examples).

To condemn individualism completely seems to me to be too simple of a judgment; the notion that one is responsible for their own actions undergirds much of our justice system, our right to question institutions and power structures is integral, while the freedom that each person has (in theory) to pursue their own passions and convictions is a wonderful thing. And yet, it could be argued that the emphasis it places on individual success feeds competition and comparison, which is consequently starving us of empowerment and encouragement.

Perhaps this is one reason the theorizing of encouragement is notably neglected in so much psychological study.

Further to that, maybe this is why stories such as Prince Albert commissioning a statue of Queen Victoria, or Marilyn Monroe famously sitting front row at every one of Ella Fitzgerald’s shows in a notoriously segregated club, or the Barcelonian crowd at the 1992 Olympics who erupted in applause as Team GB’s 400m runner, Derek Redmond, weepingly limped across the finish line with a freshly-torn hamstring, affect us so profoundly. Because encouragement is profoundly absent from our culture - and we miss it.

Christianity and the emotional life

Christianity, as you can imagine, has an awful lot to say about the emotional life of humanity and the key ingredients involved in human flourishing. Although it stresses the individuality and dignity of every single human being, while also emphasising the agency (or ‘free will’) of every person, that is largely where its relationship with individualism comes to a halt. To untangle the inherent value of community from Christianity is a mean feat indeed.

In his book, Unapologetic: Why, Despite Everything, Christianity Can Still Make Surprising Emotional Sense, Francis Spufford writes that Christianity is supposed to make us

‘full of passion for each other’s minds, hearts, souls, and bodies’ because it is in this curiosity and passion that we ‘recreate as best we can some fraction of the absolute and inimitable love behind everything.’

This certainly doesn’t leave much room for an exclusively self-actualising existence.

If Francis Spufford is correct, if Christianity’s worldview has even a little sense to it, then it’s possible that our success is directly linked to the success of others. Individual victories, communal victories, collective losses, personal losses – they are, to a point, inseparable from each other. If this is the case, it is worth suggesting that the art and the impact of encouragement may well be worthy of far more of our attention.

Article

Change

26 July 2024

6 min read

Are we forgetting how to care?

The profound act at the heart of nursing.

Helen Cowan

Helen is a registered nurse and freelance writer, writing for audiences ranging from the general public to practitioners and scientists.

A nurse bends beside a bed and talks to a patient

Marie Curie.

Recently, at a nursing leadership programme in Oxford, attendees focused on the fundamentals of care. Have we forgotten how to care? What can we re-learn from those who pioneered an ordinary yet profound act that affects millions?"

Anam Cara is an old Gaelic term for ‘soul friend’, a person with whom you can share your innermost self, your mind and your heart. It is a term that Tom Hill, former chief executive at Helen House Hospice in Oxford, used to describe the relationship between his staff and the thousands of children and their families who passed through their ‘big red door’ in its first twenty-five years. The hospice (or ‘loving respice’ as it became known) had been founded by Sister Frances Dominica in 1982.

Other care in this country can also trace its religious roots. Between 1048 and 1070 in Jerusalem, the Order of St. John was founded for the purpose of helping pilgrims (“our Lords, The Sick”) who had become lost, weary, or beset by other difficulties while on their way to the Holy Land. Today, in the United Kingdom, the British Association of the Order has extended care to older people first in almshouses and later in care homes. A trustee for ten years was John Monckton, a man of ‘considerable talent, enormous integrity and deep religious conviction’; his tragic murder in 2004 led to the creation of the John Monckton Memorial Prize, which recognised and rightly celebrated commitment to care by care workers.

Today, across the world, seen and unseen, nurses, carers and families continue to provide compassionate care. “Assisting individuals, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge” is the very essence of nursing, captured by ‘architect of nursing’, researcher and author Virginia Henderson in 1966. Meeting more than basic needs such as breathing, eating, drinking and eliminating bodily waste (which are of essential importance), Henderson recognised the role of the nurse in enabling humans to communicate with others, worship according to their faith, satisfy curiosity and sense accomplishment.

In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care?

An uncomfortable truth brought out in healthcare reports such as the Final Report of the Special Commission of Inquiry (The Garling Report) 2008, and the Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (The Francis Report) 2013 is though that this type of nursing is too often done badly or even missed, leading to pressure injury, medication errors, hospital-acquired infection, falls, unplanned readmission, critical incidents and mortality. According to nurse scientist and scholar Professor Debra Jackson, “missed care occurs much more frequently than we might think”. She cites a systematic review in which ‘care left undone’ on the last shift ranged from 75 per cent in England, to 93 per cent in Germany, with an overall estimate of 88 per cent across 12 European countries’.

In one offensively-titled paper, “Shitty nursing - the new normal?” (in which the authors apologise for the title but not the questions raised), real-life pen portraits are drawn of patients lying for hours on hospital trolleys, immobile through infection or injury, ignored by staff. Whilst acknowledging contextual factors for poor care, such as a shortage of nurses and resources, the authors argue that circumstances cannot be the sole cause of missed nursing care.

A report published by the University of Adelaide, School of Nursing, has called for nurses to ‘reclaim and redefine’ the fundamentals of care. It asks whether the cause of the problem (of missed nursing care) lies “deep in the psyche of the nursing profession itself?” “Has something happened to the way modern nursing views and values caring?” it continues. “Indeed, is nursing in danger of losing its claim to care? In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care? Or is this a broader social pattern where individuals are less inclined to show kindness, compassion, and care for others even if it is a necessary requirement of the job?”

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness.

Writing in the British Medical Journal, Professor of critical care medicine Peter Brindley and Consultant in intensive care Matt Morgan wonder whether doctors also “too often default to high-tech and low-touch” when patients are dying – a time “when community and connection matter most”. They powerfully begin with a mother’s comment: “Humans are gardens to tend – not machines to fix.”

Professor Sir Al Aynsley-Green, the first National Clinical Director for Children in Government and former Children’s Commissioner for England, and past president of the British Medical Association, suggests that we as a society need a “momentum for compassion”. Struck by the extremes of compassion witnessed during his wife’s treatment in the last years of her life, Sir Al wants to see a cultural transformation in healthcare: for compassion to be a key operating principle in NHS and care settings, led by the Chief Nurse’s Office; for every organisation to promote the importance of compassion at the professional level; for the views of patients and families to be sought regularly; for much earlier and better focus on compassion in undergraduate and postgraduate teaching programmes for all staff; for compassion to be inspected against by the Care Quality Commission; and for a willingness to encourage staff at all levels to expose poor practice as well as celebrating excellent care.

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness. “It’s putting yourself into somebody else’s shoes – and doing something about it.” Recently appointed the UK’s first Visiting Professor in Compassionate Care at Northampton University, at the age of 80, Sir Al certainly is doing something about it. He has made it his new purpose in life to “embed compassion into every aspect of care”.

Like Sir Al, Queen Elizabeth II, the UK’s longest serving monarch, espoused compassion, in word and deed. Living a life of compassionate service, the Queen made clear that her Christian faith was her guiding principle. She speaks of Jesus Christ as ‘an inspiration,’ a ‘role model’ and ‘an anchor’. “Many will have been inspired by Jesus’ simple but powerful teaching,” she said in her Christmas Broadcast, 2000. “Love God and love thy neighbour as thyself – in other words, treat others as you would like them to treat you. His great emphasis was to give spirituality a practical purpose.”

When nurses do unto others as they would have done unto themselves, and act as role model to colleagues, not only do patient experiences of care and their outcomes improve – but so does job satisfaction for nurses: a critical factor in nurse recruitment and retention – the biggest workforce challenge faced by healthcare organisations. Across the UK, there are currently more than 40,000 nursing vacancies, and thousands of burnt-out nurses are leaving the profession early. Whether nurses decide to stay or go is driven in part by their daily experience at work. The late Kate Granger, Consultant in medicine for older people, inspired Compassionate Care Awards in her name, envisioning that such a legacy would drive up standards in care - and surely also help retain nurses, through restoring a sense of pride, achievement and fulfilment to the nursing workforce.