14. Conflict and communication
CHAPTER OBJECTIVES
• Recognise the mutual benefits of communicating appropriately during conflict
• Identify the typical causes of conflict
• Understand the importance of evaluating severity of emotions during conflict
• Demonstrate some awareness of their own patterns of dealing with conflict
• Discuss the different responses to conflict
• Outline the characteristics of assertive communication
• Demonstrate ways of communicating assertively in difficult situations.
Most communicative interactions are relatively straightforward and, although they may require concentration and energy, do not present major difficulties. However, wherever people interact difficult communicative interactions involving conflict are inevitable (Bowe & Martin 2007, Brill & Levine 2005, Devito 2007). Conflict involves a disagreement or clash between people; such communicative interactions are not only difficult, they are also potentially unpleasant. It is beneficial for health professionals to develop understanding of and skills in managing conflict – both to achieve effective communication and to develop skills and confidence when communicating. It is advantageous if health professionals feel confident to resolve situations of conflict calmly and appropriately for the mutual benefit of themselves and the vulnerable individual(s).
Conflict during communication
REFLECTION
• How do you feel about
– Disagreeing with someone
– Presenting a point of view that is different to a popular view
– Saying no to a request
– Discussing an emotionally charged topic?
• Consider your answers to these questions. Your answers indicate the reality of how you face potentially difficult situations involving conflict.
Causes of conflict
• Disagreement about supply of information, reasons for decisions, supervisory feedback (Higgs et al 2005)
• Differences in ideas, principles or even in people
• Differences in ideas about the way things should be organised (Stein-Parbury 2006)
• Different understanding of the same words (Purtilo & Haddad 2002)
• The relative value of certain procedures (Holli et al 2003)
• The order of priority for particular tasks
• Not understanding expectations (Mohan et al 2004).
These are some of the differences that may result in conflict and thus potentially a difficult communicative interaction. Conflict may occur between the health professional and the person seeking assistance, but it may also occur between the health professional and their colleagues. Conflict in itself does not cause difficulty; it is the management of conflict that produces negative or positive results (Rakos 2006). Gaining positive results from situations of conflict requires self-awareness and self-control (Devito 2007).
REFLECTION AND DISCUSSION
• How could an understanding of your blocks to listening and barriers to emotions assist communication during conflict? How could this understanding contribute to changing the way you communicate during conflict?
• How could the need to always be right affect communication during conflict?
• How could the need to appear knowledgeable affect communication during conflict?
• How could being judgemental affect communication during conflict?
• How could feelings of insecurity affect communication during conflict?
• Will explicitly noting these tendencies in yourself or in others assist you to respond appropriately when communicating in difficult situations in the future? If you have these tendencies, will you need to do more than recognise them? That is, will you need to act to overcome these tendencies when communicating?
Identifying emotions during conflict
In order to understand how to communicate appropriately during conflict it is important to identify the severity of the emotions in all communicating parties during the conflict. This recognition will assist in deciding how to control or resolve the conflict. The severity of the emotions associated with the conflict may also indicate the effort and action required to resolve the conflict. If the emotion is simply one of uneasiness or awkwardness, it is probably not too serious. The uneasiness may indicate totally unrelated causes (e.g. tiredness, hunger or lateness). A simple question to clarify the reason for the lack of ease can quickly resolve the awkwardness (e.g. Are you feeling all right today?). Alternatively, a statement to explain the uneasiness (e.g. I am sorry, I have just been to the funeral of a close friend) will assist in clarifying the situation.
Another emotion associated with conflict when communicating is irritation. Irritation or annoyance can occur during an interaction when the potential outcome of the interaction appears unsatisfactory to at least one of the people communicating. In this situation the use of questions (e.g. You seem irritated today – is there something upsetting you?) or an ‘I’ statement or question (e.g. I feel irritated because you said you would be on time today and you were half an hour late again or Are you upset because of something I have done?) can be powerful in highlighting and potentially resolving a difficult communicative event. Despite the use of ‘I’, these responses focus on the problem. They can clarify the cause of the emotion and potentially resolve the situation for the person who feels irritated.
Another result of difficult communicative interactions can be misunderstandings (see Ch 17). A misunderstanding occurs when there is a failure to understand or correctly interpret the meaning of thoughts, intentions, words, associated feelings, non-verbal behaviours or actions. This situation can cause confusion, dissatisfaction and discouragement in all communicating parties. The failure in understanding is not always easy to resolve if there were associated emotional responses. However, if one party feels misunderstood it is possible the other communicating individuals will also feel misunderstood. Honestly acknowledging the misunderstanding, admitting any mistake and apologising is a powerful course of action that can resolve the conflict. This action often allows the other person to apologise and say that it is all right. Remembering that each individual is in control of their emotional responses and can choose what they will feel is important for the health professional in such circumstances.
Choosing to ignore
In some situations it is important to identify the purpose of expressing the emotions. Recognising the reason for the passionate expression of any negative emotion may assist the health professional to determine their response. Such expressions of emotion may cause discomfort for those present in the room. In these situations it is important to assess whether ignoring the expression is the appropriate course of action. Sometimes a person simply needs to express their emotions with minimal response from another person. It may be difficult to evaluate and respond with the correct action. The action might be to quietly leave the room and close the door or perhaps remain quietly in the room until the completion of the expression of the emotion. Whether or not the health professional chooses to ignore, in situations similar to these it is best for health professionals to avoid responding emotionally, nor should they absorb blame if they are not responsible. Dealing appropriately with expressions of emotion will assist the person and the resolution of the situation.
Resolving negative attitudes and emotions towards another
Sometimes negative attitudes and prejudice towards a person can cause constant stress when thinking about or communicating with that person. Such responses may occur between the health professional and the person seeking assistance, and in the health professions they can also occur among colleagues. The opinion that creates this stress may seem justified because of the attitudes or actions of the other person. It will, however, be a source of constant strain. This strain could negatively affect every working relationship connected with that person and would certainly affect the thoughts and ultimately attitudes of the stressed health professional. In order to avoid habitual unproductive ways of relating to that person it is important to resolve such emotions quickly.
REFLECTION AND DISCUSSION
• In the health professions, why is it important to overcome negative thoughts and attitudes towards a person?
• How can an individual overcome negative attitudes and thoughts about a person? Consider what has helped you change your mind about someone towards whom you initially felt negative.
Unresolved stress in a relationship can result in a breakdown in both communication and the relationship. This suggests that resolving the attitude and associated emotions creating the stress is important. Recognition of the source of the attitude of the health professional can assist in resolving the emotions associated with the other person. Investment of time to understand the person and the factors that stimulate a negative response in the health professional can promote a positive attitude and assist the health professional to relate in a positive manner. A focus on the positive attributes of the person as well as similarities shared in experiences or values can also assist in changing a negative attitude. Appropriate management of conflict situations is essential in the health professions. It requires awareness, preparation and commitment to resolution of unresolved emotions on the part of the health professional.