In this enlightening episode of Truth, Lies & Alzheimer’s, host Lisa Skinner welcomes Dr. Melissa Robinson-Winemiller, an insightful author, speaker, and clinician, for a heartfelt discussion on the true meaning of empathy and how it differs from sympathy.
Together, they explore how understanding this difference can profoundly impact the way we support those living with Alzheimer’s and other forms of dementia — as well as their care partners, families, and communities.
Dr. Robinson-Winemiller also shares highlights from her new book, offering practical tools and real-world examples that help people connect more deeply and communicate more compassionately.
Listeners will learn:
This episode is an inspiring reminder that small shifts in understanding can make a world of difference in the lives of others.
Mentioned Resources:
About the Guest:
Dr. Melissa Robinson-Winemiller isn’t just talking about leadership: she’s challenging us to do it differently. With over 20 years of cross-industry experience, she helps leaders build emotionally intelligent cultures that don’t just feel better, they perform better. A TEDx speaker, EQ coach, and author of The Empathic Leader, Melissa blends research, real-world insight, and lived experience to make empathy actionable at every level of leadership. She’s on a mission to prove that the so-called “soft” skills are the ones driving the hard results — and the future of leadership depends on them.
About the Host:
Author Lisa Skinner is a behavioral specialist with expertise in Alzheimer’s disease and related dementia. In her 30+year career working with family members and caregivers, Lisa has taught them how to successfully navigate the many challenges that accompany this heartbreaking disease. Lisa is both a Certified Dementia Practitioner and is also a certified dementia care trainer through the Alzheimer’s Association. She also holds a degree in Human Behavior.
Her latest book, “Truth, Lies & Alzheimer’s – Its Secret Faces” continues Lisa’s quest of working with dementia-related illnesses and teaching families and caregivers how to better understand the daunting challenges of brain disease. Her #1 Best-seller book “Not All Who Wander Need Be Lost,” was written at their urging. As someone who has had eight family members diagnosed with dementia, Lisa Skinner has found her calling in helping others through the struggle so they can have a better-quality relationship with their loved ones through education and through her workshops on counter-intuitive solutions and tools to help people effectively manage the symptoms of brain disease. Lisa Skinner has appeared on many national and regional media broadcasts. Lisa helps explain behaviors caused by dementia, encourages those who feel burdened, and gives practical advice for how to respond.
So many people today are heavily impacted by Alzheimer's disease and related dementia. The Alzheimer's Association and the World Health Organization have projected that the number of people who will develop Alzheimer's disease by the year 2050 worldwide will triple if a treatment or cure is not found. Society is not prepared to care for the projected increase of people who will develop this devastating disease. In her 30 years of working with family members and caregivers who suffer from dementia, Lisa has recognized how little people really understand the complexities of what living with this disease is really like. For Lisa, it starts with knowledge, education, and training.
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Lisa, welcome back everybody to a brand new episode
Lisa Skinner:of the truth lies and Alzheimer's show. I'm Lisa
Lisa Skinner:Skinner, your host, and I have with me today a very special
Lisa Skinner:guest. As a matter of fact, she and I belong to a speaker's
Lisa Skinner:bureau, and we both ended up going to Oxford, England a year
Lisa Skinner:ago to speak at an event, and I want to tell you I was so
Lisa Skinner:excited to invite her onto my show, because she is an expert
Lisa Skinner:in empathy and empathy is a very foundational part of the human
Lisa Skinner:connection in general, but also in dementia care. So I thought
Lisa Skinner:that she and I could have a really dynamic conversation
Lisa Skinner:about empathy, and we both agreed when we talked the other
Lisa Skinner:day that it seems to be a lost art form of human communication.
Lisa Skinner:So I'm sure we're going to talk about that. But anyway, let me
Lisa Skinner:introduce you to my friend and colleague, Dr. Melissa
Lisa Skinner:Robinson-Winemiller, and Melissa is not just talking about
Lisa Skinner:leadership. She's challenging us to do it differently. With over
Lisa Skinner:20 years of cross industry experience, she helps leaders
Lisa Skinner:build emotionally intelligent cultures that don't just feel
Lisa Skinner:better, they actually perform better. Can't wait to hear about
Lisa Skinner:that. She is an internationally known TEDx speaker, an emotional
Lisa Skinner:intelligence coach and the author of the book The Empathic
Lisa Skinner:leader, Melissa blends research real world insight and lived
Lisa Skinner:experience to make empathy actionable At every level of
Lisa Skinner:leadership, and she is on a mission to prove that the so
Lisa Skinner:called soft skills are the ones driving the hard results, and
Lisa Skinner:the future of leadership depends on them. Welcome, welcome.
Lisa Skinner:Welcome to the show. Melissa, I'm so happy to have you here
Lisa Skinner:today. Oh,
Lisa Skinner:Dr. Melissa Robinson-Winemiller: Lisa, it is my pleasure. Thank you so
Lisa Skinner:much. And just you know, like we were saying before we started
Lisa Skinner:recording, the timing is perfect, since we were live and
Lisa Skinner:in person together just a year ago,
Lisa Skinner:that's right, we had a good time, didn't we? That
Lisa Skinner:was fun? Yeah. So my experience being in the 30 years that I've
Lisa Skinner:been working with families
Unknown:the core
Lisa Skinner:of successful communication and a harmonious
Lisa Skinner:relationship with people living with Alzheimer's disease and
Lisa Skinner:related dementia is empathy. It's foundational to
Lisa Skinner:compassionate dementia care. It informs how caregivers
Lisa Skinner:understand and respond to the lived experience of people who
Lisa Skinner:are living with dementia, guiding interactions, decision
Lisa Skinner:making and the overall quality of life. And I have found that
Lisa Skinner:to be so true in working with these folks who are living with
Lisa Skinner:constant, progressive cognitive decline. How does empathy fit
Lisa Skinner:into our world in just a general sense? Because you and I talked
Lisa Skinner:about this in our first conversation about having you
Lisa Skinner:come on the show. And I think we both agreed that in the last, I
Lisa Skinner:don't know, at least 10 years, maybe more empathy seems to be
Lisa Skinner:coming a lost art of communication. You want to
Lisa Skinner:elaborate on that for us?
Lisa Skinner:Dr. Melissa Robinson-Winemiller: Yeah, yeah, absolutely. So first
Lisa Skinner:you're feeling that there is a lessening of empathy is actually
Lisa Skinner:being backed up by research. There's a longitudinal study
Lisa Skinner:that's been going on since the 70s, and what they looked at was
Lisa Skinner:empathy, specifically in college students. I mean, just that's
Lisa Skinner:the population they chose. And between the 1970s and 2008 they
Lisa Skinner:found a decrease in the amount of empathy in this population by
Lisa Skinner:40. Percent. Oh, that's huge. Yes, it is. I mean, so could you
Lisa Skinner:define empathy for us and maybe even tell us what
Lisa Skinner:the difference is between empathy and sympathy? Because I
Lisa Skinner:think that people may be aren't quite sure what the difference
Lisa Skinner:is between actual empathy and actual sympathy?
Lisa Skinner:Dr. Melissa Robinson-Winemiller: Yeah, no, that's a great question,
Lisa Skinner:because I that's actually one of them. I get a lot because it
Lisa Skinner:does. We kind of think of it all in one big ball, you know,
Lisa Skinner:empathy, sympathy, compassion, and they're really different
Lisa Skinner:things. So empathy, as far as to define it, it's understanding
Lisa Skinner:and connection by taking the perspective of the other. And a
Lisa Skinner:lot of times we think empathy is just about feeling, about I
Lisa Skinner:feel, what you feel. And, yeah, that's part of it. But over the
Lisa Skinner:years, there's actually been 43 different definitions of
Lisa Skinner:empathy. So the feeling is part of it, but it's it's a small
Lisa Skinner:part of it. It's more about perspective, taking
Lisa Skinner:understanding what it is to be that other person and seeing the
Lisa Skinner:world through their eyes. That's the difference between empathy
Lisa Skinner:and sympathy. Empathy, you're trying to see the world through
Lisa Skinner:that other person's eyes. Sympathy, you're seeing it
Lisa Skinner:through your own which means that you always end up with a
Lisa Skinner:comparison. You know, what must this look like compared to what
Lisa Skinner:I do? And that can bring in an element of judgment. That's why,
Lisa Skinner:when we're talking medical people and people in the medical
Lisa Skinner:establishments, they're actually trained not to use sympathy,
Lisa Skinner:because of that reason. If you're dealing with patients and
Lisa Skinner:you know, they're having a hard time, if you come at them with
Lisa Skinner:anything that even kind of seems like judgment, you're going to
Lisa Skinner:get a negative response. So yeah, that's the big difference.
Lisa Skinner:Empathy. You're always trying to see it through their
Lisa Skinner:perspective. It's taking the me out and putting the we in is
Lisa Skinner:really what it comes down to.
Lisa Skinner:And that is exactly what I teach to family
Lisa Skinner:members and caregivers, is to Yeah, and it's actually a matter
Lisa Skinner:of having to retrain our brains to think that way. Do you find
Lisa Skinner:that to be true?
Lisa Skinner:Dr. Melissa Robinson-Winemiller: You know, it kind of depends on the
Lisa Skinner:person, because empathy is another one of those things, you
Lisa Skinner:know, with human behavior, where it's on a spectrum, and you're
Lisa Skinner:going to have some people that just take to it really
Lisa Skinner:naturally. I mean, on the far end, you have dark triad, which
Lisa Skinner:are people that have no empathy at all, and those are
Lisa Skinner:Psychopaths, sociopaths, machiavellians and narcissists.
Lisa Skinner:So there's a small part of humanity that doesn't have any
Lisa Skinner:but then on the other side of that is the light triad, which
Lisa Skinner:are people that have a lot of empathy and that ability to
Lisa Skinner:relate to other people. So but most of us are going to fall in
Lisa Skinner:the middle, right the bell curve and stuff averages in the
Lisa Skinner:middle. So most of us are going to have to work at it a little
Lisa Skinner:bit, but we're also going to have a little bit of innate
Lisa Skinner:talent to be able to build on. It's just a matter of actually
Lisa Skinner:building it as a skill which you can empathy. Isn't all inherent.
Lisa Skinner:There's part of it that's environmental and that you can
Lisa Skinner:work on and get better at.
Lisa Skinner:So do you have you seen in these studies that
Lisa Skinner:you're talking about that have supported it, have you seen the
Lisa Skinner:instinctive, inherent part of our DNA, our human being, that
Lisa Skinner:just inherently is empathetic towards others just waning.
Lisa Skinner:Dr. Melissa Robinson-Winemiller: Not the biological part so much. And
Lisa Skinner:there is a biology biological part. It's more the
Lisa Skinner:environmental and socialized part where we learn as kids, you
Lisa Skinner:know, well, how would you feel if you were that person? Well,
Lisa Skinner:how would you feel if someone hit you with that stick or, you
Lisa Skinner:know, that kind of thing.
Lisa Skinner:Why is that disappearing?
Lisa Skinner:Dr. Melissa Robinson-Winemiller: There's a lot of scholars that think it
Lisa Skinner:goes back to the iPhone and social media and too much
Lisa Skinner:technology. It's called main character syndrome. You get that
Lisa Skinner:limelight on you dealing with social media and that sort of
Lisa Skinner:thing, and you kind of forget there are other people out
Lisa Skinner:there. Well,
Lisa Skinner:that would make sense, since it seems to be an
Lisa Skinner:emotion that's waning since we've been adopting and adapting
Lisa Skinner:all this high tech stuff. Yeah, yeah, absolutely. So how does
Lisa Skinner:compassion, then fit in to the spectrum between empathy and
Lisa Skinner:sympathy.
Lisa Skinner:Dr. Melissa Robinson-Winemiller: So sympathy is kind of its own
Lisa Skinner:thing out on an island. You know, it's it's just the
Lisa Skinner:difference in the viewpoint, like we were talking about,
Lisa Skinner:whether you see it through your own eyes or through the eyes of
Lisa Skinner:the other person. But empathy, there's no action. You're just
Lisa Skinner:feeling it. So you're not taking responsibility, you're not
Lisa Skinner:passing judgment, you're not doing anything. Compassion is
Lisa Skinner:the action you take. So empathy is what you feel and compassion
Lisa Skinner:is what you do. So the two are linked.
Lisa Skinner:Oh, that makes complete sense. Can you give us
Lisa Skinner:an example?
Lisa Skinner:Dr. Melissa Robinson-Winemiller: Sure, so let's say that you are
Lisa Skinner:dealing with a family member that has, you know, a medical
Lisa Skinner:condition that that is, you know, like my father, he's, he's
Lisa Skinner:recently gone through some stuff. He had prostate cancer,
Lisa Skinner:he had all this other stuff going on, and because of that,
Lisa Skinner:he kind of went into a depression. Well, you know what
Lisa Skinner:empathy said is that I needed to be in that feeling with him, and
Lisa Skinner:that doesn't mean I needed to take that on, necessarily, but I
Lisa Skinner:needed to try and understand, from his point of view, why he
Lisa Skinner:was facing some of the mental health challenges he was why he
Lisa Skinner:was having problems, you know, just even doing day to day
Lisa Skinner:stuff, because he was just kind of, it's what Brene Brown calls
Lisa Skinner:being in the suck. And that's, that's very much what he was
Lisa Skinner:dealing with. But I wasn't doing anything. I was just in it with
Lisa Skinner:him. But then the compassion part of that was, okay, he's
Lisa Skinner:having trouble getting through I'm trying to see this through
Lisa Skinner:his point of view. So forcing him to try and get up and be
Lisa Skinner:happy and Woo is not going to be compassionate. What's going to
Lisa Skinner:be compassionate is going to be to meet him where he's at and
Lisa Skinner:take the small steps with him that he needs to be able to
Lisa Skinner:maybe just get out of bed today and get dressed. Maybe today is
Lisa Skinner:just, you know, well, let's clean up the house just a little
Lisa Skinner:bit. Well, maybe we'll just, you know, sit and watch TV together
Lisa Skinner:and not say anything, but I'm going to be here with you, you
Lisa Skinner:know. So that's the difference between the empathy, just being
Lisa Skinner:in that feeling with him, and the compassion, where I'm trying
Lisa Skinner:to actually give the help that he needs, not the help that I
Lisa Skinner:think he needs, the help he needs.
Lisa Skinner:And it's so ironic, that's exact same
Lisa Skinner:approach we take with people living with Alzheimer's disease
Lisa Skinner:and related dementia, I think it's just part of our our human
Lisa Skinner:being, yeah, and it really, you know, based on Maslow's
Lisa Skinner:hierarchy of needs, it falls right there at being one of Our
Lisa Skinner:very, very basic human needs that we all have, regardless of
Lisa Skinner:whether you're functioning, you know, 100% cognitively or you're
Lisa Skinner:not. You agree with that? Yeah,
Lisa Skinner:Dr. Melissa Robinson-Winemiller: absolutely. That's the foundation that's
Lisa Skinner:like the bottom
Lisa Skinner:really, is it really? Is it really? So was
Lisa Skinner:there anything in particular that inspired you to write your
Lisa Skinner:book? The Empathic leader?
Lisa Skinner:Dr. Melissa Robinson-Winemiller: Well, part of it is just that there's
Lisa Skinner:so many myths out there about empathy like that. It's all
Lisa Skinner:about feeling or that. Empathy, you know, is the doing part of
Lisa Skinner:things that you're taking responsibility and you're doing
Lisa Skinner:all this other stuff. And I kind of wanted to set the record
Lisa Skinner:straight, because in many of the conversations that I've had so
Lisa Skinner:my doctorates in interdisciplinary leadership,
Lisa Skinner:and I'm finishing up the dissertation, which is actually
Lisa Skinner:on empathy and leadership, and a lot of the conversations that
Lisa Skinner:I've had with people in leadership positions had to
Lisa Skinner:start with actually figuring out definitions and making sure we
Lisa Skinner:Were talking about the same thing. So part of wanting to
Lisa Skinner:write this was, this is what empathy is. This is what empathy
Lisa Skinner:isn't, and this is how it fits into leadership. The other part
Lisa Skinner:of that is that, you know, through working on this
Lisa Skinner:dissertation, I've kind of developed my own methodology as
Lisa Skinner:far as being able to apply it in leadership for better, profit,
Lisa Skinner:productivity and innovation. And I wanted to write it down so
Lisa Skinner:it's kind of a handbook and a methodology too, so that if I'm
Lisa Skinner:working with clients, they have that they can look at and people
Lisa Skinner:that I'm not as well. I mean, you know, it's there, it's all
Lisa Skinner:in there. It's just a matter of applying it. And the third part
Lisa Skinner:of it, too, is just this reminder that we're all leaders.
Lisa Skinner:You know, even if we're only a leader of one and we're trying
Lisa Skinner:to get ourselves through there's stuff in there that's applicable
Lisa Skinner:for everybody in any situation. So that's kind of what happened.
Lisa Skinner:So let's talk about integrating and applying
Lisa Skinner:empathy, just in daily life in general. How can someone
Lisa Skinner:cultivate more empathy in their everyday interactions? Because,
Lisa Skinner:as we've both mentioned and agreed, it seems to be
Lisa Skinner:disappearing from our culture.
Lisa Skinner:Dr. Melissa Robinson-Winemiller: Yeah, I think the number one place to
Lisa Skinner:start is to start with self empathy. Because,
Lisa Skinner:Oh, that's interesting. How do you do that?
Lisa Skinner:Dr. Melissa Robinson-Winemiller: Well, there's, there's four basic
Lisa Skinner:steps. Because if the idea is understanding and connection
Lisa Skinner:through perspective taking, you need to create a better
Lisa Skinner:understanding and connection with yourself by understanding
Lisa Skinner:different perspectives, right? Because if you can't do
Lisa Skinner:something for yourself. How are you going to do it for somebody
Lisa Skinner:else? And that's true, yeah, yeah. So the way I teach that
Lisa Skinner:actually is in four steps, and the first one is self
Lisa Skinner:observation, being able to step outside yourself and objectively
Lisa Skinner:watch what you're doing without judgment, without you know.
Lisa Skinner:Adding any emotion. You're like a computer. You're just taking
Lisa Skinner:in information, you're trying to understand what you're doing,
Lisa Skinner:but you're not putting an emotional value on it. You're
Lisa Skinner:just watching, and that's hard for us to do, because we
Lisa Skinner:immediately leap to judgment. You know, that was stupid, or,
Lisa Skinner:Why did I do that? Or, well, so and so does it better, you know,
Lisa Skinner:imposter syndrome, that kind of thing. So just understanding
Lisa Skinner:different perspectives, right? The second thing is self
Lisa Skinner:reflection, which is where we turn the lens in and we try to
Lisa Skinner:connect. Why are these things happening? What's happened that
Lisa Skinner:makes me respond this way? What is it about this person that's
Lisa Skinner:triggering me? What is it about this situation that's triggering
Lisa Skinner:me? You know, you're actually asking some of the hard
Lisa Skinner:questions at that point. Once you begin to understand
Lisa Skinner:yourself, you turn the lens outward into self awareness,
Lisa Skinner:which is hard, and I think that's one of the things that
Lisa Skinner:we're missing most when we talk about how the world is kind of
Lisa Skinner:losing this skill, because we're not aware of what our actions,
Lisa Skinner:our inactions do to the people around us. We're not taking
Lisa Skinner:their perspective, because we haven't figured out what our
Lisa Skinner:perspective is. So, you know, we can actually start to say, Oh
Lisa Skinner:yeah, when I was triggered by that person, I completely shut
Lisa Skinner:down the entire room. We got nothing done. And I'm still not
Lisa Skinner:exactly sure why that happened at all, because, you know, we
Lisa Skinner:were supposed to be working together. And now all of a
Lisa Skinner:sudden, everybody's scared of me, and then at that point you
Lisa Skinner:can move to self empathy, meaning that you can actually
Lisa Skinner:start to understand and connect with yourself. And like that may
Lisa Skinner:be where you need to actually use self compassion, that may be
Lisa Skinner:where you need to use some self forgiveness, that may be where
Lisa Skinner:you need to actually make some changes, but always within the
Lisa Skinner:understanding of I'm a human and I'm doing the best I can with
Lisa Skinner:the tools I have at the time, and I can get better. So when
Lisa Skinner:I'm talking to two people, those are the four steps we go
Lisa Skinner:through, which I mean that sounds easier than it is,
Lisa Skinner:because it's a iterative process, right? We're doing it
Lisa Skinner:over and over and over again. But you know, practice doesn't
Lisa Skinner:make perfect. Practice makes permanent. So if you're
Lisa Skinner:practicing it over and over and over again,
Lisa Skinner:okay, well, what have you found are some of the
Lisa Skinner:common barriers to empathy, and how can we start to overcome
Lisa Skinner:them?
Lisa Skinner:Dr. Melissa Robinson-Winemiller: You know, one of the biggest things
Lisa Skinner:I see is just that people get very caught up in themselves,
Lisa Skinner:their own stressors, their own life problems, their own this is
Lisa Skinner:what I feel. This is what I think. This is, you know, again,
Lisa Skinner:putting the me in front of the we instead of the other way
Lisa Skinner:around. When you're busy looking through your own eyes and
Lisa Skinner:putting this judgment out into the world, it becomes hard to
Lisa Skinner:see through somebody else's eyes because you get blinders on,
Lisa Skinner:yeah, you know. And sometimes it's just a matter of slowing
Lisa Skinner:down and saying, Okay, I think I know what this is from my point
Lisa Skinner:of view. What is it from their point of view? What is it that I
Lisa Skinner:may be adding gasoline to this fire? You know? How am I adding
Lisa Skinner:more to this by being sucked up into my own head? And it's easy
Lisa Skinner:to do Life is stressful. I mean, you know, it's not to say that
Lisa Skinner:every
Lisa Skinner:single day in my world of Alzheimer's disease and
Lisa Skinner:dementia with family members and caregivers and I, you know,
Lisa Skinner:there are just so many parallels to what you've been sharing with
Lisa Skinner:us and what I see. And they're, they just, they're just so
Lisa Skinner:connected. So it doesn't matter if you're living with
Lisa Skinner:Alzheimer's disease and dementia. I mean, this is a,
Lisa Skinner:really a fundamental core part of our being. Yes, from what I'm
Lisa Skinner:hearing you say, so and I can relate this to my world, because
Lisa Skinner:this is really difficult for family members and caregivers.
Lisa Skinner:So let's speak to this. How does one stay empathetic when they
Lisa Skinner:are in challenging or really high stress environments? And
Lisa Skinner:this kind of falls back to what I was saying that we have to
Lisa Skinner:practice and work on retraining the brain, especially in
Lisa Skinner:situations like this, because your gut reaction, your
Lisa Skinner:instinctive reaction to stressful situations, is based
Lisa Skinner:on emotion and not On logic, and it sounds like we have to really
Lisa Skinner:fall back and understand empathy through a logistical lens, not
Lisa Skinner:an emotional lens, where sympathy is more through an
Lisa Skinner:emotional lens. Would you agree with what I'm saying there,
Lisa Skinner:Dr. Melissa Robinson-Winemiller: you know, it's, it's actually
Lisa Skinner:interesting, because what, what you've put your finger on, and I
Lisa Skinner:appreciate this is, at first, that there is such a thing as
Lisa Skinner:empathy fatigue. Medical people deal with it all the time, where
Lisa Skinner:they reach the point that it's just like, I can't take anymore,
Lisa Skinner:which is why we talk about what's called. The dual root
Lisa Skinner:model of empathy in that there's two ways to experience empathy,
Lisa Skinner:and one is emotional, but the other is cognitive. You know, I
Lisa Skinner:logically understand what you're feeling. I just don't feel
Lisa Skinner:anything. So a lot of times, you know, when it emotionally, it
Lisa Skinner:gets to be too much. We can move away from that emotional or
Lisa Skinner:affective version of empathy and move into this cognitive
Lisa Skinner:empathy, which is a different thing. It takes it's a different
Lisa Skinner:part of the brain. That's why it's called dual root, because
Lisa Skinner:neurologically, it hits the brain in different places. But
Lisa Skinner:when empathy is really at its best, those two kind of work
Lisa Skinner:together in tandem. And if you're in a situation where
Lisa Skinner:you're dealing with someone with a long term disease, you know,
Lisa Skinner:like Alzheimer's or dementia, sometimes you have to rely on
Lisa Skinner:cognitive empathy so you don't end up with empathy fatigue,
Lisa Skinner:true, and I equate empathy fatigue in my world, I
Lisa Skinner:see it being synonymous with caregiver burnout, which is
Lisa Skinner:very, very common it, and I think it has a lot to do with
Lisa Skinner:what you're just explaining,
Lisa Skinner:Dr. Melissa Robinson-Winemiller: yeah, and I can imagine, because, I
Lisa Skinner:mean, talk about a long term, high stress, really difficult
Lisa Skinner:situation. I mean, you know that's, it's, it's, you would
Lisa Skinner:almost have to rely on cognitive empathy if you didn't want to
Lisa Skinner:burn out.
Lisa Skinner:So how do you go about doing that? It's not easy,
Lisa Skinner:because your emotions will kick in before your logic, right?
Lisa Skinner:Dr. Melissa Robinson-Winemiller: Yeah, they will, and that's part of
Lisa Skinner:it, because, like, the the affective or emotional empathy
Lisa Skinner:is fast. It's instinctive, and it's just like, boom, there it
Lisa Skinner:is. Cognitive empathy is slower, but it's iterative. So you can
Lisa Skinner:go back and think about it again and think about it again. So a
Lisa Skinner:lot of times, if you feel that emotional snap, you know that,
Lisa Skinner:Oh, there's the empathy, oh there's the feeling. And you can
Lisa Skinner:kind of step back out and go, Okay, now let's think about
Lisa Skinner:this. Let's actually tease this apart cognitively. You know,
Lisa Skinner:we're back again to the self reflection and the self
Lisa Skinner:awareness. Over time, you can start to integrate this, and you
Lisa Skinner:can actually make it a skill. The interesting thing about
Lisa Skinner:empathy too. There was another study that was done on this, and
Lisa Skinner:what it showed is that people will tend to shy away from
Lisa Skinner:things that require empathy, because neurologically, it's
Lisa Skinner:harder, it's a lot harder to give empathy. And they actually
Lisa Skinner:broke it down that if people were given two tasks and one had
Lisa Skinner:empathy and one didn't, they would only choose the one that
Lisa Skinner:needed empathy about 35% of the time, especially if there was a
Lisa Skinner:chance that it would be rejected or that they wouldn't get any
Lisa Skinner:kind of feedback out of it, which I think may speak, you
Lisa Skinner:know, directly to some of the Alzheimer's and dementia
Lisa Skinner:patients you talk about, because they're not always in a position
Lisa Skinner:to have a lot of gratitude or be thankful for what's going on,
Lisa Skinner:you know. So I think in this case, cognitive empathy, even
Lisa Skinner:though it might take a little more skill to learn, would
Lisa Skinner:definitely be the way to go, especially in the long run.
Lisa Skinner:So could you maybe tell us so this would be
Lisa Skinner:relatable to people listening to this episode in a caregiver's
Lisa Skinner:world or a family member's world that they've been thrust into
Lisa Skinner:with a loved one or caring for somebody with dementia. What
Lisa Skinner:would it look like for them to do what you just said, to take a
Lisa Skinner:step back and tap into the logical aspect of the situation,
Lisa Skinner:versus reacting completely on the emotional side of it,
Lisa Skinner:because that definitely would lead to The caregiver burnout
Lisa Skinner:and the resentment and, you know, the the even the way they
Lisa Skinner:respond to the people, to their loved ones. So what would what
Lisa Skinner:are some exercises or practices that people could use to help
Lisa Skinner:them be able to accomplish what you just described?
Lisa Skinner:Dr. Melissa Robinson-Winemiller: So the when I'm working with
Lisa Skinner:medical people, and I'll admit that I haven't done a lot of
Lisa Skinner:work with Alzheimer's and Dementia Caregivers, so you're
Lisa Skinner:probably the expert on this more than I am, but in dealing with
Lisa Skinner:the medical professionals, the first thing is just that ability
Lisa Skinner:to take a step back without guilt or judgment, because a lot
Lisa Skinner:of times they're, they're really wrapped up in the caregiving,
Lisa Skinner:right? I mean, and it can be a 24/7, thing, even when you're
Lisa Skinner:dealing with nursing or physicians or that kind of
Lisa Skinner:thing, they get very wrapped up in their career, and because
Lisa Skinner:it's such a big thing for them personally, for them to take a
Lisa Skinner:step back almost. Leaves them feeling like they're not doing
Lisa Skinner:the job well enough, that they're guilty, that they're not
Lisa Skinner:giving enough, or they're not stepping in like they should,
Lisa Skinner:and that's going to lead to burnout. So the first thing is
Lisa Skinner:to be able to take a step back without emotion, like we were
Lisa Skinner:talking about no guilt, no judgment, no. Oh, I should have,
Lisa Skinner:or I could have, but actually, okay, this is going to be better
Lisa Skinner:for them in the long run. If I take this step back, if I take
Lisa Skinner:these 10 or 15 minutes for myself, if there's a day that I
Lisa Skinner:have to step aside so that I can take care of myself, you know,
Lisa Skinner:if I don't let myself get forgotten in the middle of all
Lisa Skinner:of this, you know, that's one of the first things, is just you
Lisa Skinner:have to take care of yourself first, which may mean taking a
Lisa Skinner:step back, which may mean not throwing yourself in emotionally
Lisa Skinner:all the time, which may mean doing some journaling and
Lisa Skinner:actually writing out why. You know, how could I have related
Lisa Skinner:to this in a cognitive way so that my emotions didn't get
Lisa Skinner:involved? What can I do to kind of separate this out? Because
Lisa Skinner:after a while, those neural pathways will shut down. I mean,
Lisa Skinner:the effect of empathy, if you get just fatigued for too long,
Lisa Skinner:it's like burnout. Eventually it just, it's like we're done. So
Lisa Skinner:if you can take a step back, if you can start writing it out,
Lisa Skinner:this is how cognitively I could have dealt with this, now that I
Lisa Skinner:have time to think about it, that I'm outside of the
Lisa Skinner:situation, you know, I'm not, that's a great idea. I'm not in
Lisa Skinner:an emergency, stressful kind of thing, I can actually stop and
Lisa Skinner:think because as we think about things that way, then they're
Lisa Skinner:ready for us to put in place next time. Because we're not
Lisa Skinner:creating new neurological ways of dealing with it, we're
Lisa Skinner:recreating something we've already thought about.
Lisa Skinner:Now I see with a lot of medical professionals
Lisa Skinner:that they actually become desensitized to being empathetic
Lisa Skinner:towards family members, what they're going through, and the
Lisa Skinner:pay their patients, because it's almost overwhelming and too much
Lisa Skinner:to bear to to to put themselves in the emotional funnel, piece
Lisa Skinner:of having to tell that them the diagnosis and all of that so but
Lisa Skinner:I don't think quite as much desensitization occurs with The
Lisa Skinner:caregivers of the family members, I think it might
Lisa Skinner:actually intensify their them being sensitive to, well, what
Lisa Skinner:they're going through, not so much. We have to kind of switch
Lisa Skinner:turn things around and kind of retrain them to have more of a
Lisa Skinner:perspective of what the person they're caring for is going
Lisa Skinner:through, or their loved one, that's not an easy thing,
Lisa Skinner:because that's not the way we're wired.
Lisa Skinner:Dr. Melissa Robinson-Winemiller: No, no and it's but there you are
Lisa Skinner:again. It's about perspective, taking right? I mean, not only
Lisa Skinner:the other person, but also in touch with your own that you
Lisa Skinner:know, we're back to self empathy, that you know, maybe I
Lisa Skinner:snapped in that place where I shouldn't have, maybe I've been
Lisa Skinner:pushing too hard, and it's pushing me over the edge, and
Lisa Skinner:these emotions are getting too much, and that's okay. I'm a
Lisa Skinner:human being. It's okay for me to take a step back. It's okay for
Lisa Skinner:me to try and figure this out. You know, you're you're looking
Lisa Skinner:at the perspectives through your own eyes as well is through the
Lisa Skinner:eyes of the other person. Empathy is fascinating in that
Lisa Skinner:way. I mean, it encompasses so much. It really
Lisa Skinner:does. So can we take that a step farther? And
Lisa Skinner:let's say they were journaling what happened, and they
Lisa Skinner:acknowledge how, how, what they did to maybe exacerbate the
Lisa Skinner:situation. What if we took that a step farther, and they
Lisa Skinner:actually included okay, if this situation comes up again, how
Lisa Skinner:would I handle it better next time?
Lisa Skinner:Dr. Melissa Robinson-Winemiller: Absolutely, that's precisely, yeah, you
Lisa Skinner:know, but, and it allows you to think about it cognitively
Lisa Skinner:outside of the actual event.
Lisa Skinner:Yeah, yeah, I agree. So, how can someone
Lisa Skinner:distinguish? This is an interesting going to be an
Lisa Skinner:interesting question. I'm curious how you're going to
Lisa Skinner:answer this. Can someone distinguish between genuine
Lisa Skinner:empathy and performative, or pretending to be empathetic?
Lisa Skinner:Dr. Melissa Robinson-Winemiller: So you know how we said that
Lisa Skinner:actually using empathy takes more effort, because you're
Lisa Skinner:actually trying to see it through the other person's eyes.
Lisa Skinner:If you're dealing with someone with performative empathy,
Lisa Skinner:they're probably not going to put that effort in. So you know
Lisa Skinner:you're going to understand that they're not really seeing it
Lisa Skinner:from the other person's perspective. Might layer their
Lisa Skinner:own perspective in it. That's when you get things like, oh,
Lisa Skinner:when this happened to me, Oh, I know how you feel, because when
Lisa Skinner:it happened to me, you know, as opposed to, well, I don't really
Lisa Skinner:know how you feel, but I want to know more. Can you explain your
Lisa Skinner:side to me? They're not going to want to put in that extra work.
Lisa Skinner:So I would think that would be a dead giveaway, if you're really
Lisa Skinner:listening, you know, are they talking about the other person,
Lisa Skinner:or are they talking about themselves in terms of the other
Lisa Skinner:person?
Lisa Skinner:The other thing, I think, that probably would not
Lisa Skinner:carry forward, would be the compassionate component that you
Lisa Skinner:spoke about, like what you ended up doing with your dad. That
Lisa Skinner:piece would completely be missing. Is that pretty
Lisa Skinner:accurate?
Lisa Skinner:Dr. Melissa Robinson-Winemiller: Yes. Funny thing, well, just the
Lisa Skinner:funny thing about compassion is, if you don't plug in empathy
Lisa Skinner:first, sometimes you can do things that look compassionate
Lisa Skinner:but aren't compassionate. You take, like completely the wrong
Lisa Skinner:route, because you haven't actually plugged the empathy
Lisa Skinner:piece into understanding connect first.
Lisa Skinner:You're not understanding things from from
Lisa Skinner:from their side of the fence. Yeah, that makes total sense to
Lisa Skinner:me. Yeah, wow. This has really been powerful and dynamic, and
Lisa Skinner:you have given us such, you know, a different look at how to
Lisa Skinner:communicate with people, how to relate to people. How does this
Lisa Skinner:fit into the workplace? Because I know that you know you
Lisa Skinner:actually work a lot with in a leadership environment to
Lisa Skinner:probably bring into the workplace to enhance
Lisa Skinner:communication or relationships within that type of environment.
Lisa Skinner:So how does what does that look like in more of a corporate
Lisa Skinner:structured environment?
Lisa Skinner:Dr. Melissa Robinson-Winemiller: So when I'm looking at corporate
Lisa Skinner:specifically, a lot of times I talk about how to take empathy
Lisa Skinner:and plug it into emotional intelligence skills. Because for
Lisa Skinner:a long time, we thought of emotional intelligence kind of
Lisa Skinner:as this big bucket, right? And it's got motivation, and it's
Lisa Skinner:got communication, and it's got technical, you know, it's got
Lisa Skinner:all this stuff in it. And for a long time we put empathy in that
Lisa Skinner:tool bag. But what I actually talk about is how we have to
Lisa Skinner:take empathy out of that tool bag so that we can understand
Lisa Skinner:and connect first, before we reach into that tool bag,
Lisa Skinner:because otherwise we don't really know which emotional
Lisa Skinner:intelligence skill is going to be the best to use. We don't
Lisa Skinner:know if we're going for a chisel or a left handed screwdriver
Lisa Skinner:without first understanding and connecting. So when I'm in
Lisa Skinner:corporate and I'm dealing specifically with leaders, we
Lisa Skinner:talk a lot about the connection and human to human aspect of
Lisa Skinner:empathy in terms of being able to grab those emotional
Lisa Skinner:intelligence skills to communicate better, to be able
Lisa Skinner:to motivate better, to self motivate better. You know, we're
Lisa Skinner:back to the self empathy side of things again. You know, that way
Lisa Skinner:they're able to actually lead better. And there are studies
Lisa Skinner:that show that if you can lead with empathy, that you are going
Lisa Skinner:to create better profit, productivity and innovation,
Lisa Skinner:profit to the tune of like 84% you know, so that that's a lot
Lisa Skinner:of what my work in corporate looks like. In a nutshell,
Lisa Skinner:that's that's almost a double edged sword,
Lisa Skinner:because leaders tend to be very numbers driven. They're under a
Lisa Skinner:lot of pressure. They have to answer to shareholders the
Lisa Skinner:bottom line. And you know, so they're driven. They want to
Lisa Skinner:drive the people who are underneath them. So how do you
Lisa Skinner:accomplish being empathetic when those are completely almost a
Lisa Skinner:contradiction within itself.
Lisa Skinner:Dr. Melissa Robinson-Winemiller: Well, first of all, I mean empathy
Lisa Skinner:does not mean you don't have boundaries. Having empathy
Lisa Skinner:doesn't mean you don't get business done. You know, it's
Lisa Skinner:like we were talking about earlier, that empathy, you don't
Lisa Skinner:actually do anything. You seek to connect and understand. So
Lisa Skinner:the better you're able to connect and understand with all
Lisa Skinner:people like you were talking about, right? Any stakeholder,
Lisa Skinner:whether it's the board of directors, to, you know, middle
Lisa Skinner:management, to the people below you, the better you're going to
Lisa Skinner:be able to understand how to direct them, to be able to move
Lisa Skinner:them into the best possible, you know, version of themselves
Lisa Skinner:within this organization that you that you can
Lisa Skinner:so they want to remain driven, versus feeling
Lisa Skinner:like they are being bullied into being driven Nice. Okay, that
Lisa Skinner:makes total sense.
Lisa Skinner:Dr. Melissa Robinson-Winemiller: Yep, it's a difference between
Lisa Skinner:management and leadership. Yeah, management
Lisa Skinner:self motivation, Yes, precisely because they feel
Lisa Skinner:somebody understands them. Yeah, that's the root of of my
Lisa Skinner:methodology and what I've been trained to. Teach is, you know,
Lisa Skinner:validate, acknowledge, let them know that you hear them. And I
Lisa Skinner:think that probably applies to people in general, part of our
Lisa Skinner:just being, yeah, absolutely the workplace. It works with, you
Lisa Skinner:know, people living with cognitive decline. Yeah,
Lisa Skinner:anything else we've talked about a lot, and we've covered a lot
Lisa Skinner:of really important points. Um, what's the one piece of advice
Lisa Skinner:you would give to people listening to this show today
Lisa Skinner:that might help them break the unempathetic barrier that a lot
Lisa Skinner:of us, you know, may have developed over time to get
Lisa Skinner:started on a new path to trying to be more empathetic with other
Lisa Skinner:people in any given situation,
Lisa Skinner:Dr. Melissa Robinson-Winemiller: you know, I think it helps just to
Lisa Skinner:remember that it isn't an all or nothing kind of thing. You know,
Lisa Skinner:if you can take five minutes today and just think, well, what
Lisa Skinner:would the perspective be through the eyes of that person? What is
Lisa Skinner:that person actually seeing and feeling and thinking? You know,
Lisa Skinner:and you can raise your empathy by 5% then that's 5% it isn't
Lisa Skinner:like everything has to suddenly be puppies and rainbows, but you
Lisa Skinner:can work on it just a little bit every day. And if you do it
Lisa Skinner:every day and every day and every day, that's how you build
Lisa Skinner:a skill. That's how you become Michael Jordan and the greatest
Lisa Skinner:basketball player of all time, is you work on those skills
Lisa Skinner:every day, and empathy is the same, so just a little bit every
Lisa Skinner:day,
Lisa Skinner:we see a lot of anger in the world now. So how
Lisa Skinner:do you stop yourself from feeling that way and pivot to
Lisa Skinner:trying to understand a situation from somebody else's point of
Lisa Skinner:view.
Lisa Skinner:Dr. Melissa Robinson-Winemiller: That's, that's precisely where I would
Lisa Skinner:switch from emotional empathy, because you can feel it, I mean,
Lisa Skinner:and it is, it is hard not to give into it when you feel it
Lisa Skinner:strongly, you know, into cognitive empathy and understand
Lisa Skinner:that. Cognitive empathy doesn't mean I have to agree with that
Lisa Skinner:person. No, no, and it, you know, I definitely have
Lisa Skinner:boundaries. You know, I don't like what someone's doing, but
Lisa Skinner:at least I'm like, Okay, well, they're probably doing this for
Lisa Skinner:this reason or this reason or this reason, and I don't have to
Lisa Skinner:give in to that. I have control over my empathy and how I want
Lisa Skinner:to react to those emotions, and if I want the world to react
Lisa Skinner:with empathy, then I need to be the first one to do it, even if
Lisa Skinner:it's 2%
Lisa Skinner:I like that. I like I love that. So Melissa,
Lisa Skinner:how do people find your book and find out more about your area of
Lisa Skinner:expertise and what you do.
Lisa Skinner:Dr. Melissa Robinson-Winemiller: So the easiest place is my website,
Lisa Skinner:and that's EQ via, that's vias and Victor IA, empathy.com, you
Lisa Skinner:can order my book there, or you can get it at Barnes and Noble
Lisa Skinner:or Amazon, or, you know, the usual places. And my TEDx talk
Lisa Skinner:was just released a week ago, and we are up to 31,000 views.
Lisa Skinner:Congratulations, thank you. I'm sorry. Where
Unknown:did you do your TED Talk? Tulsa? Oh, in Tulsa. Uh
Unknown:huh, yeah, exciting, yeah, go ahead. Oh, just say I did mine.
Unknown:Gosh, it was about a year and a half ago in Canada. Oh, cool,
Unknown:yeah, in Grand Prairie, Alberta.
Unknown:Dr. Melissa Robinson-Winemiller: Oh, how cool is that? So we got that
Unknown:at coming too. How cool is
Lisa Skinner:that? That off the bucket list, right? Such an
Lisa Skinner:amazing experience. It really was, of course, I did mine on
Lisa Skinner:Alzheimer's disease and dementia. I was drawing
Lisa Skinner:parallels with a story that we can all relate to, to how that
Lisa Skinner:is similar to living with Alzheimer's disease. Because I
Lisa Skinner:wanted people to be more empathetic to what it's really
Lisa Skinner:like to live with Alzheimer's disease and dementia. I imagine
Lisa Skinner:you did yours on empathy, huh?
Lisa Skinner:Dr. Melissa Robinson-Winemiller: I did, I did mine on self empathy
Lisa Skinner:and self judgment. Because, Oh,
Lisa Skinner:beautiful, congratulations.
Lisa Skinner:Congratulations. That's that's a huge accomplishment. Anything
Lisa Skinner:else you'd like to share with our with our viewers, with my
Lisa Skinner:viewers, before we come to a close today.
Lisa Skinner:Dr. Melissa Robinson-Winemiller: I just think that you know what I
Lisa Skinner:the way I break it down for my people is because you're using
Lisa Skinner:cognitive and effective empathy to just remember to keep a cool
Lisa Skinner:head and a. Warm heart.
Lisa Skinner:I like that. Yeah, it's not always as easy done as
Lisa Skinner:it is said, but it's yeah, it's doable. It's quite possible,
Lisa Skinner:Dr. Melissa Robinson-Winemiller: yes, but anything worth having is
Lisa Skinner:worth doing the work for. I agree.
Lisa Skinner:All right, my friend, thank you again for
Lisa Skinner:coming on the show today, this information you've shared to me
Lisa Skinner:is absolutely invaluable, and I appreciate you taking the time
Lisa Skinner:to come on and share this. So for now, you take good care, you
Lisa Skinner:stay happy and healthy, and you keep up all your just invaluable
Lisa Skinner:work.
Lisa Skinner:Dr. Melissa Robinson-Winemiller: Thank you, and thank you so much for
Lisa Skinner:having me. And I hope your audience gets a lot of use out
Lisa Skinner:of this.
Lisa Skinner:Oh, me too. I'm sure they will. I have no doubt,
Lisa Skinner:actually. All right, we'll talk. Be talking to you soon. Melissa,
Lisa Skinner:take care. All right. Thank you. Well, that'll do it for this
Lisa Skinner:week's episode of the truth lies and Alzheimer's Show. I'm your
Lisa Skinner:host. Lisa Skinner, thank you again, Melissa, for being such
Lisa Skinner:an amazing guest. And we will be back next week with another
Lisa Skinner:brand new episode of the truth lies and Alzheimer's show. So
Lisa Skinner:don't go too far, because we will be back next week. Bye for
Lisa Skinner:now.