A problem I sometimes have is that someone will suggest that I do something uncomfortable—physically or emotionally, whichever—and they’ll acknowledge that it’s not going to feel good. And then they won’t follow up by explaining exactly how much and in what way it’s supposed to hurt, let alone why or how to mitigate that. Look: if you’re going for a run, you might get a stitch in your side, your legs might cramp, your lungs might burn. If you feel a sudden stabbing pain in your foot, that’s not the run. You’ve stepped on something sharp and you need to stop and call for a ride, not tough it out. If you’ve been told that running might hurt and that’s a good thing, a sign of weakness leaving the body or whatever, and there’s any ambiguity between "stepped on something sharp" and "this is how it’s supposed to hurt"—are you supposed to have blisters or do you need better-fitting shoes? Are you supposed to have a headache or do you need to drink way more water than you have been? Is a sunburn just part of a healthy experience that means you’re making vitamin D, or should you be wearing sunscreen next time? - then you’re blundering into a problem that you would have noticed and solved if you had encountered it by sitting on the couch. If you’re apologizing for something you’ve done wrong, you might feel guilty, stared-at, awkward, resentful. If you feel like the walls are closing in and you’re going to puke, then you have a more serious problem and might want to get that looked into, not chalk it up to "well, acknowledging that you’ve made a mistake can be painful". If you’re apologizing to someone who’s abusing you, then how much it hurts is a red flag. If you’re in a badly facilitated therapeutic or moderated conversational environment, and you don’t know how much it’s supposed to hurt, then when it hurts more than it’s supposed to you won’t notice that you need to fix or leave the setup. If you’re apologizing for something that isn’t wrong, because you’ve been indoctrinated in a normset that’s unhealthy about what things are violations, then by letting that normset also tell you that it’s supposed to feel bad you’re losing a signal that could tell you to bail. Even things you aren’t actively doing can have this issue: it took me a long time to be really sure that most people don’t experience pain when they have their blood pressure taken, because every time I complained about it, an indifferent nurse would say "yep, lots of pressure, mm-hm, it squeezes pretty tight" and not "actually, while you’re unlikely to be in medical danger, that is not typical; we might make different tradeoffs about how often to recommend this test if it hurt everyone like it does you".* And if you don’t know how something is supposed to hurt, and know that you don’t know it, you will need some risk-aversion there to avoid blundering into sharp objects and mental health triggers and cost-benefit analyses that were not designed for how you’re put together. So this can cut off opportunities to try things, the opposite problem from trying too hard at something that isn’t working. If you are recommending that people do something that might be uncomfortable or painful, tell them what normal tolerances are, and what the things that might be causing abnormal responses might be. Demand this of people telling you to do uncomfortable or painful things too. Pain responses have a purpose; ignoring them outright for the duration of an activity which flirts with the damage that aversion is meant to prevent is insane. *If you have this problem and might give birth and might have an epidural while you do, have them put the blood pressure cuff on your numb leg. Hat tip to Swimmer963.
Relevant XKCD: https://xkcd.com/883/ Pain experience is idiosyncratic, and very often this process of communication about what pain is "walk it off" and what is "stop and call an ambulance" is assumed to have been learned over decades of youth. In reality, everyone’s learned different subsets of it, and we don’t actually KNOW what’s problematic. All advice of this sort, including most non-specialist physicians, and excluding most physical therapists and professional athletic coaches, is suspect.
Comment
A better pain scale: https://i.imgur.com/S2R4pzI.png
Also, I think there is a fair bit of tension between your suggestion that we should be taking advice from others about how much things should hurt and the idea that we should use the degree of pain we feel as a way to identify abusive/harmful communities/relationships. I mean the more we allow the advice from those communities to determine whether we listen to those pain signals the less useful they are to us .
Comment
What I mean is more like "if someone is suggesting that you do something painful, they should present you with a model of why and how that pain is okay". This doesn’t rule out misappropriation—I’m sure cult leaders and certain brands of interpersonal abusers do it handily, especially if they’re weaponizing guilt—but it’s at least robust against generic, opaque commands to "suck it up", and if you go in with that expectation you’ll have an opportunity to notice something is wrong if someone tells you that you shouldn’t be in pain and your pain is invalid (they don’t have a model that describes the thing you are in fact feeling, so they don’t have a good model of the situation as a whole).
Comment
I agree with the idea that it’s important for people to understand their pain when they aren’t going to just flinch from it. The framing you chose seems odd to me though. Instead of saying "if you’re going to suggest people do something painful, you should present them with a model/make sure they understand" or saying "if someone is suggesting you do something painful, make sure you have a model", you say "they should present you with a model". Are you intending to suggest to your audience that they should feel entitled to having a model accompany the initial request, above and beyond the fact that it’s important to understand?
Comment
If you don’t demand an explanation, you will at least sometimes confabulate one. This is part of how hazing works.
Hm, I guess that’s a slightly stronger claim, but I do endorse it now that I think about the distinction; not to the point where every single such piece of advice should come bundled with an unsolicited painfulness model, but to the point where if you’re giving painful advice you should have the model on hand.
It’s hard to identify and convey degrees of pain which I suspect was part of your problem communicating with the nurses. Ultimately, with physical pain we can often muddle through with something like the 10 point pain scale doctors use as most of us have experience roughly equivalent truly intense pain and there isn’t that much interpersonal variation in how unpleasant we find different kinds of physical pain. However, with emotional pain it’s almost impossible to convey how uncomfortable something should be to other people. For instance, we all dislike being called out but my wife finds it almost unbearable that a veiled suggestion she’s being insensitive to X people on an anonymous internet comment of hers can bother her for days. I’ll deliberately jump into such fights but the thought of unknowingly violating a social protocol and being seen as presuming more than my due bothers me enough that I go to great lengths to avoid having to ask people if they speak English (temporarily living in Israel). Both of us find intellectual disagreements completely troubling but I know people who can’t stand being in that kind of aggressive confrontation. So how could I possibly give someone advice on how much apologizing will hurt? If they’re the type of person who takes embarrassment super seriously it will be totally different than if it’s not big deal.
I think it’s quite possible I’m misunderstanding what your suggesting. Maybe you could describe the kind of advice you think would be helpful.
Comment
What makes you think that different people experience the same kind of pain the same way? One thing that produces a kind of pain is to go swimming in a river in spring. Depending on how your body reacts when you touch the water that experience can be both healthy or unhealthy and I don’t think that’s a simple matter of degrees of pain. When Taber Shadburne teaches Radical Honesty he often makes the point that an essential part of Radical Honesty is to become a connoisseur of pain who can tell different kinds of emotional pain apart the way the proverbial wine connoisseur can tell apart the taste of different wines. A wine connoisseur usually doesn’t simply judge a wine on a one-dimensional scale and the one-dimensional nature that’s implied by the "how much apologizing will hurt" isn’t a useful way to think about the emotions either. Taber also used a Yoga metaphor where experienced Yoga practitioners need to be able to tell apart different kinds of pain. The pain of stretching a muscle is an essential part of Yoga and welcome while the pain from overturning an ankle is bad and has to be avoided. I talked about this with one LW’ler who does Yoga and the person said that they are able to tell 7 different kinds of pain apart in their Yoga practice.
Comment
This is only meaningful if it’s sometimes false. Seems better to check whether you can honestly offer that assurance, and if not, do something about it before assuring someone that it’s okay.
Comment
This is not the test for whether a statement has meaning. If I say "this vaccine you’re getting does not cause autism", that would be meaningful even if it’s not sometimes false when applied to other vaccines. It has meaning whenever "this vaccine causes autism" describes a different world than "this vaccine does not cause autism". It may not convey any information to you if you already know "there are no vaccines about which that statement is false", but not everyone shares that certainty, and the people who don’t might benefit from reassurance. This definitely depends on you being right about the "this vaccine doesn’t cause autism" thing, of course. You have to be able to honestly and justifiably state "this vaccine does not cause autism", as encouraging people to take vaccines under false or unjustified premises is bad. You have to maintain openness to checking the data with them and changing your own mind if you do not find what you expect to find, because if you’ve closed your mind to the data not only does that make your job of persuasion harder, it makes your job of actually being reliably right harder. I’d even go so far as to say that not only should you be willing to put your money where your mouth is, you should even be able to do it without flinching. This means being able to put yourself in their shoes and actually experience "okayness" yourself. Yes, if you can’t do all of these things then you should do something about it before assuring them that it’s okay. However, if you have good reason to believe that the statement is always true, that just means "figure out how to do all these things" is the thing you do about it before assuring them that it’s okay.