Hidden Brain - Relationships 2.0: The Price of Disconnection

Episode Date: March 31, 2025

All of us want to "seen" by the people around us. We want to be recognized as unique individuals. Yet the experience of being seen in this way can be dispiritingly rare. This week, we kick off our "Relationships 2.0" series by talking with researcher Allison Pugh about the psychological benefits of what she calls "connective labor." She explains why this labor is often overlooked, and how to cultivate the superpower of making other people feel seen.  In this episode, you'll learn: *The definition of connective labor, and why this skill is like "engine grease" for our personal and professional relationships.*Why connective labor is vital to success in a surprisingly broad array of careers. *The gender stereotypes around connective labor, and why these stereotypes overlook the role that men play as connectors. *How connective labor affects our mental and physical health.*How connective labor by teachers may affect students' ability to learn. *How to slow down in interactions with other people and explore the emotional context behind their words. If you have a follow-up question for Allison Pugh after listening to this episode, and you’d be willing to share it with the Hidden Brain audience, please record a voice memo on your phone. Once you’ve done so, email it to us at [e-mail]. Use the subject line “connection.” And thanks for listening!    

This is Hidden Brain. I'm Shankar Vedantam. Some years ago, a homeless woman was being discharged at a Philadelphia hospital. On her way out, nurses noticed the woman was wearing flip-flops. It was January, and Januaries in Philadelphia can get very cold. Nursing director Julie Munger had an idea. Her daughter was a basketball player and had left a bunch of old sneakers in the trunk of Julie's car. Would one of those pairs fit the homeless woman? They went out and took a look, but the shoes were all a size and a half too small for the woman's feet.

That's when Julie told a reporter from WTXF TV, things took an unexpected turn. So as I was leaving she's like your shoes are nice. I said well what size are your feet and she's like a 10. Julie looked down at her own shoes. They were a size 10. They were also super comfortable and she loved them. Like these are a 10 do you want these and she just cried and thought these are 10, do you want these? And she just cried and thought it would be great. So I just gave her the shoes.

Julie unlaced her shoes and handed them to the other woman. Perhaps you've had experiences like this yourself. Our sister show, My Unsung Hero, often features stories like this where people reach out to help one another in unusual acts of generosity. But the reason these stories stand out is because they're at odds with the way most of us feel treated as we go about our days.

We don't feel seen and heard. We feel ignored and passed over. This week on Hidden Brain and in a companion story on Hidden Brain Plus, we examine the reasons behind the growing disconnection in our schools, hospitals and workplaces and what we can do about it. It's also the start of a series that has long been a favorite with listeners, Relationships 2.0. In the coming weeks, we will look at the art of negotiation and ways in which we can get along better with the people in our lives.

When boarding a train or subway, or going shopping at the mall, we may take in hundreds of people at a glance. On a Zoom call for work, the faces of our co-workers fit into a grid. Even when we are spending time with close friends and family, our familiarity can get in the way of really seeing the person in front of us. Alison Pugh is a sociologist at Johns Hopkins University. She studies how we relate to one another and how this has changed over time.

Alison Pugh, welcome to Hidden Brain. Thank you so much for having me. Alison, growing up, you were the youngest of five children. You have a story about the first new bathing suit you ever owned. Can you tell me that story? Sure. You know, right, the youngest of five,

it was a generally loving environment. But I would say it was one my mother still sometimes calls it benign neglect. So I did not get a bathing suit that wasn't owned by someone else until I was in college. And I went myself to a department store and picked out I think a pink bathing suit that I wanted instead of the you know scores of other kinds I had had over the years. The bathing suit story is one of many incidents where Allison remembers she was seen as one kid in a crowd.

It wasn't about being treated badly. It was about being ignored. Another time, Allison remembers coming home in middle school upset because some boys in her school were bothering her. She told her mother what had happened. I remember coming home kind of full of outrage and being like, this is not okay. You know, they shouldn't be doing this. And I was trying to figuring out, I just did not handle it. And she did not take it seriously at all, you know, unfortunately. She just kind of said, oh, that's because they like you.

That was her rationale. And at the time, I remember a really sharp disjuncture between my own, I would say, half-desperate outrage and her kind of semi-humorous, oh, you know, they just like you. So you felt that you weren't really seen by your mom? No, that was a big moment of a kind of cognitive dissonance between what I thought was going on and her response for sure.

I did not feel seen. Allison is now a mom of three daughters herself. She remembers one incident when the shoe was on the other foot. At the time we were living in California and there would be old boxes or, you know, interesting rocks or, you know, kind of things that they'd be on the sidewalk, obviously, either somebody – part of nature that was just there or some things that other people were putting out for either garbage or for people to pick up. And my daughter was always the one to pick them up.

So she had a name for them. She called them her inventions. She was very young. I think she meant that they were a kind of art or maybe that she was inventing, that she would be imagining what she could do with them or something, but I really viewed them as junk. I actually threw them out and she still remembers that and reminds me. And, you know, to me it's really a primary moment of me not seeing her and how she viewed these small, we'll call them treasures. Allison started to notice these moments of unseeing or misseeing as she went about her

days. One time, during a visit to a new doctor, her physician did a quick evaluation, saw some elevated numbers, and advised Allison to eat fewer cookies. Now, Allison happens to love cookies, but she also wanted to tell the doctor, shouldn't you learn more about me and my lifestyle before leaping to a conclusion?

It didn't land well at all. You know, I just, I have a very unusual lifestyle, I think, that she probably doesn't see very often because I row crew and I have done so for 30 years. And right now I'm involved in a team that's very intense in Washington, DC, which involves, you know, one to two hours daily. I also don't have any caffeine, I don't have any alcohol. You know, there's just, I think I'm an unusual person health-wise, and so when she was like, you know,

these are elevated, try not to have so many cookies, she didn't see the person she was talking to. She didn't really have all that context that can produce a good witnessing moment, and along with it, good advice. And I think many people have these experiences, right? You go to the doctor and, you know, even if the doctor is very competent, you know, he or she spends, you know, all their time staring at a computer screen and asking you questions and glancing at you once every 15 seconds. I think many of us have had experiences like that. And you have the sense, is my doctor actually

listening to me or watching me or seeing me or not? Yeah, the fabulous writer Abraham Verghese has called that the eye patient, that we're all to some degree an eye patient, meaning a patient that exists almost more by computer than in our holistic embodied selves in front of each other. And that, if that is how you feel, that often will affect whether or not you do what they say. Like, it's going to take a lot more than that to have me stop eating cookies. So as a sociologist, Alison, you've conducted some of your research by carrying out dozens of in-depth interviews. A few years ago you interviewed a chaplain whom you call Hank. It was a very intense conversation but at the end

of it he had something to tell you about what the exchange meant to him. Tell me that story. Sure. Yeah, Hank, he started off as a programs for low-income youth in the community. So he started tutoring centers and I think sports camps and all sorts of things to try and reach kids. And by his account, he did reach them. They would come to his tutoring centers and they would kind of hang out with him and share stories. And he felt like he had attained some real connection to those youth. And he was so proud of it, as he's telling me. And then he gets a job in another city, moves there, but he ends up losing that job and feeling really defeated in that moment.

And so he leaves that and he comes to be a chaplain in the hospital in which I was doing some observations. And so he talks to me about this trajectory. And at the very end of the exchange, he talked to me about what it was like to be interviewed. And he said, you know, this was very powerful. And then he said, And this is not true just of Hank, right? You've heard this from other people as well? Oh, yeah. It's something that's very common. People often say, oh, this was just like therapy. It's not like therapy because I'm not really there to solve any problems or really to counsel them in any way. And they know that. So it's more like it's the language we have for that feeling of being seen.

Music Allison started to see that the act of really noticing another person, paying attention to them, being present for them, this was not just something that was nice to have. It was something that people craved. She heard from one doctor who told her that her patients often seem to need this kind of attention when she first started her practice how much she was supposed to be attending to the mothers rather than the children. That was something that was a surprise to her. She often found herself giving,

say, parenting advice or talking about car seats or talking about what it's like when you can't get any sleep or something like that. And the mother's desperately needed that. She felt their need on the other end, but she often felt like she told me she didn't feel like she was practicing on the top of her medical license. That was the language she used to mean that she had all this expertise in children and children's symptoms and diseases and disorders. And really the bulk of her job was about like kind of listening, hearing, and being attuned

to what the mothers were saying. And she ultimately ended up saying, you know, the mothers don't need me. They need, they need an hour with a good listener. I mean, all these stories in some ways reflect something that is an underlying theme here, Allison, which is that when we are not seen, when we're not heard, you know, we notice it. You know, we bring home a set of rocks and twigs and our mom throws them out. And you know, it feels like a big deal to us,

even though it doesn't feel like a big deal to the other person. On the other hand, someone spends 10 minutes listening to you and looking you in the eye, it makes a huge difference to us. Talk about just the emotional effect of feeling seen and feeling unseen. Yeah, I think that's the most important dimension of this for me is the emotional impact, because

so many of the other impacts get kind of carried on along on the emotional impact. The emotional impact of being seen, people feel like they have dignity, people feel like they have understanding, people feel like they have purpose. Those are all things that other researchers, as well as my own research, has found. And when you're not seen, it can really dissuade you from following good advice, because you don't hear the good advice. You don't think that it's relevant to you, or it doesn't feel like it recognizes the particularities of your situation. None of us wants to be just another face in the crowd. All of us want to be seen for the unique individuals we are. And yet, the experience of being seen in this way can be dispiritingly rare.

When we come back, the psychological benefits of being seen and why it often doesn't happen. You're listening to Hidden Brain. I'm Shankar Vedantam. This is Hidden Brain. I'm Shankar Vedantam. Alison Pugh is a sociologist at Johns Hopkins University. In the course of conducting detailed interviews with people, she came to see she was performing a sort of therapy. She wasn't trying to be a therapist, but the people she talked with reported the experience of being deeply seen and heard felt therapeutic. Allison, as you notice the effects of people feeling seen, you

started to recognize the importance of this in different settings. You noticed this in your kids' schools, in doctors' offices, in community settings. In fact, you started to see this everywhere. That's right. It's kind of most obviously true for therapists. It's also true for teachers. It's also true for primary care physicians. So those seem like almost the most obvious cases,

but it's also true for, you know, I interviewed people who were like community organizers. I interviewed people who were funeral home directors, home healthcare aides, sex workers, even police. I interviewed a detective, I interviewed somebody who works with prison guards, you know, people you wouldn't expect to, you know, be particularly empathetic or who themselves might not talk about relationship as an important part of their work. But seeing the other is part

of how people do their jobs across many occupations. When people sign up to be therapists, they know their job is to listen to other people, to try to really see them. But what Alison noticed was that people who went into lots of other fields were also discovering that an essential component of their jobs was paying close attention to the people around them. Being a great detective or dancer or computer programmer involves being skilled at human relationships. Allison started to call this work of seeing and hearing other people connective labor. Connective labor is the act of seeing the other and the other feeling seen.

You know, this is very common in sales, for example. If you want to sell something to somebody, they're more likely to buy it if you convey to them that you see that they have a particular problem that this solves or you see that they have a particular approach that this, you know, kind of works with or whatever. You know, like the seeing is kind of the engine powering so many different outcomes that we are pointing at and thinking about that is so important in so many different occupations. I mean, on the surface, you know, we might say we are sending a kid to a school because we want the kid to learn, you know, writing or algebra. We go to a doctor because we want

to get a treatment for an illness. But what you're saying is that underlying those things actually happening, underlying someone learning algebra, underlying someone listening to their doctor, involves this system of trust and feeling seen. And if you don't experience that, you're much less likely to say, I want to play along. Exactly. What I felt was not known is how much these different occupations have in common and how it extends well beyond prototypical ones. So like the hairdresser also needs to be able to see you, to be able to give you a haircut that you want and have you accept that haircut and you know like it's actually a dynamic and that dynamic is common in many different kinds of jobs not just

you know the ones that have articulated how important relationships are. Connective labor can often be invisible but when people don't have the skill to see and hear those around them, the lack of this invisible thing, it suddenly becomes very visible. Allison says connective labor is like engine grease. When you don't have it, the engine might still run, but you're going to hear some screeching sounds. So you can force yourself to learn even though you hate that teacher and they're not really seeing you and you're sitting in the back of the class and you can kind of roll that rock up the hill, but it's not going to be a pleasant or joyful experience and also you probably won't go as far as you could go. And that's true in many different fields.

I love the analogy to engine grease, because it truly is at some level it's invisible, but yet when it's not there, you can see the results very plainly. Mm-hmm, exactly, yeah. I think there's an assumption that the work of seeing and caring for people is largely women's work. You say that this assumption leads us to overlook the connective labor that many men perform, both in the workplace and in communities? Absolutely. This concept of connective labor, I'm really thinking of as it can be deployed

for all kinds of reasons. So it could be deployed for well-being, as the teachers or the therapists might do, but it could also be deployed for like persuasion, you could say. And that might be the sales people, or it could be deployed for control, and that might be as, you know, the hostage negotiator or the detective or, you know. So, many of those jobs, I'm sure you can hear, are occupied by men. So, I think, for instance, lawyers definitely need this, judges need this, and many of those are occupied by men. So, when you started talking about connective labor in public, did people resonate with that idea?

Did people recognize what that was, Allison? People would definitely come up to me afterward and say, you know, I'm a nurse and thank God that you're writing about this because I need to be able to go back to my employer and say, you know, I'm doing more than bedpans. I'm doing more than, you know, I'm doing more than bedpans, I'm doing more than, you know, medication timing. You know, this is important work of sitting and seeing the patient, you know, or the client. And they felt, I suppose they felt seen themselves, but it felt like it had important potential

impact for them in their conversations about their work. So when you started talking about connective labor in talks about your research with people, people would recognize that this was an important part of what it is that they were doing. But you say that they used the word magic to describe the power of connection that they themselves had seen firsthand, that when they connected with other people, magical things seemed to happen. Yeah, they definitely used the word magic to describe what they saw of the effects of seeing patients or students. You know, people definitely would come up and describe it as magical.

I think they use that word because we don't really understand it well. It's tied to this invisibility in that there's this really important process that's happening underneath all these, you know, economic tasks that we value and this kind of underlying process, shadowy, you know, opaque. We don't understand it well. And that's why people use the word magic, because it feels like it just comes upon us as this great gift without really understanding what goes into it and what produces it. I mean, I think we've all been in workplaces where, perhaps one boss

is replaced by another boss and the new person basically, you know, really has a human touch to them. And within, you know, days or weeks sometimes, you know, a very toxic environment can be transformed and people are suddenly working together and they're cooperating together. And it does feel, you know, quite magical that something could have happened that quickly. Yeah. I mean, I've had that experience. And what I like about that example actually is that you're talking not just about the

impact of one person seeing you, but also how we can create a kind of culture in which people are seeing others, that you're not the only person doing the seeing. So, really, a warm, competent leader can make an enormous difference, in part by catalyzing this kind of magic. You've tried to pinpoint the benefits of connection in different domains. One study by a group of researchers in Finland found that this type of connection helps us manage our emotions. Yes. I love that study. I think it's so well done. What they did was they had pairs of people who don't actually know each other tell stories to each other. And then they

measured, I guess they had, you know, kind of wires attached to them while they did this. But they measured the emotional arousal of the storyteller and the story listener. And they found that when the listener conveyed that they heard and understood the other person, and you can imagine that's through nods or facial expressions or encouraging noises. The storytellers actually noticeably benefited. They felt calmer, their emotional arousal decreased, and the more their listeners conveyed this affiliation, the stronger the impact. Meanwhile, it also had an impact on the listeners. The more the listeners

were allied in this way, you know, nods, facial expressions, encouraging noises, etc., the more they experienced increased arousal. So it was like the arousal moved from the storyteller to the listener as the storyteller was telling the story and as the listener was conveying that they understood and saw the other person. So it's a real sharing or spreading of the emotional load. It's a really beautifully designed study. In your own research you followed a

chaplain you call her Erin as she went about her rounds at a hospital. And she recounted an incident where she helped a patient regulate some very intense emotions. Tell me the story she told you. Sure. Erin, she sees one patient who is intubated and he is so angry at being intubated. He didn't want to be intubated, even though the doctors told him he had to be because he would die otherwise. He couldn't speak, obviously, through the tube. He also couldn't write because he was on, I guess, medications that made that difficult. So he's just steaming full of fury. And then comes Erin, and she sees him.

She sees this bottled up anger. And she says, you know, why don't you take this Kleenex box and like throw it, throw it against the wall. And he was so astounded, so relieved and powerfully moved by that, that he like grabs her arm and pulls her in and she sits with him for, you know, 15 minutes or 20 minutes. And then the next time she sees him, it's about, it's a couple days later and he's emerged from the procedure and he's no longer intubated. And he says to her, there is nothing like being in the worst moment of your life, and you feel like someone understands you.

And that is such a perfect capture of what being seen feels like and what it can do for you in your worst moment. And of course the fact that she was sitting with him and holding his hand, it doesn't take away or change any of the physical things that he's going through, but some of what he's going through is not just physical, he's also experiencing emotional pain and presumably Erin was able to reduce some of that pain. Exactly. And there's actually a lot of research by psychologists and neuroscientists that show that, you know, when someone's holding your hand, it can alleviate pain. But here's an

articulated moment where Hiram, the patient, is saying to Erin, you saw me and that was transporting. A feeling of connection might also help us learn new things. What have researchers discovered about the effects of being seen and heard for students, Helleson? So this is a really voluminous area. I have a couple of favorites. One author reviewed a thousand articles with 355,000 students and came away with this meta finding that among school-age children, he says, the effect size of teacher-student relationships is bigger than most typical educational innovations or curriculum changes.

So like the teacher-student relationship that underlies whether or not someone is learning algebra or can, you know, parse a sentence, that is more powerful, has a greater impact than, say, standard curriculum changes or other innovations. You might expect that to be true for the younger kids, maybe, but maybe less true for middle school or high schoolers. And actually, it's the opposite. The effect sizes are larger in studies that are conducted in higher grades. And teacher-student relationships are even more important when kids are academically at risk. You know, kids from disadvantaged economic backgrounds, for example, and kids with learning difficulties. So it's like even more important for adolescents even though we don't usually structure those schools to enable it to happen very well.

So this type of emotional connection also seems to be related to physical health. We touched on this a little bit earlier in our conversation, Allison. What is the effect on patients of feeling seen and heard by their doctors? There's a lot of research that talks about how being seen by one's doctor leads to better health outcomes and leads directly to patient well-being. And my favorite perhaps study here is a meta-analysis that has extremely strict inclusion criteria. So it's only randomized controlled trials in which the relationship between doctor and patient is experimentally manipulated. So, they tell the physicians to, you know, do or don't make eye contact or do or don't interrupt, et cetera. And

based on that, these scholars, researchers conclude that the impact of clinician-patient relationship on health outcomes was significant and exceeded that of taking an aspirin every day to ward off heart attacks. Wow. So, I mean, it has sort of actual physical consequences here, not just psychological consequences. Exactly.

I mean, think how many people take an aspirin every day to ward off heart attacks, and this is something that actually exceeds even that. You know, an experience of being seen by a chaplain or a teacher or a doctor can be quite intense. But research has also found that, you know, being seen by a passing acquaintance can also make a difference to our well-being. We've featured Gillian Sandstrom and Liz Dunn on Hidden Brain before. Tell me about some of their work, looking at the effects of even casual acquaintances noticing us as we go through our day.

Yeah, they've done great work on this stuff. The first, the study that I most enjoy thinking and talking about is they experimentally varied how cafe customers interacted with baristas and then they measured their well-being afterward. And they gave some participants, they gave them instructions to like, you know, have a genuine interaction with the cashier, smile, make eye contact, and have a brief conversation. That was the social condition. And then they had the efficient condition. Those participants were told, make your interaction with the cashier as efficient as possible, have your money ready, and avoid unnecessary conversation. And it found that people who took the time to have a social interaction with the barista,

that increased people's sense of belonging. You know, the study and its two conditions point to one reason many of us don't stop to see one another and that's because many of us, in fact, are frenetically busy and harried as we move through the day. And it's hard to notice the person in front of you when you feel like you have to be in two places at the same time. Yes, that is a quite profound observation actually, because what makes us busy? There's a couple of things that lead to it,

but in the United States, a lot of times what makes you busy is an inordinate work schedule, kind of overworking, can really shrink the amount of time we have for the other parts of our lives. And if, oops if research like this suggests that if you don't kind of give the time and space to those unscripted, trivial encounters throughout your life, if you're always trying to make everything so efficient so that you can maximize the time that you have available for other pursuits, that can have well-being effects.

I mean, it is the case that sometimes when we see people who are masters of communication, people are just really good and fun to be around. They often have an unhurried air about them. And sometimes these are very busy people, but they somehow are able to communicate a sense that they're not in a rush. Yeah, I mean, I've seen that too. I'm always amazed. One of my brothers, for example,

is always really good at honoring the moment, kind of. Just being there present with the other person. But he's also often late. And I, on the other hand, am really almost never late. And I really need to teach myself. I have needed to teach myself to pause and, you know, who's this person that I'm kind of blowing by. Yeah. I've had relatives like this as well who are often perennially late, but they're often people who are more than happy to have a conversation. And when they ask someone, how are you, and the person actually gives you a five-minute answer, they actually sit and listen, and they will ask follow-up questions.

And then it's not surprising that they don't show up on time to wherever they're going. Yeah, I mean like maybe we should, we who are not late, should be more understanding that those who are are helping you know. Seeing others for who they truly are has many benefits for their emotions, for their health, for their learning. It also has benefits for us, and yet many of us feel it occurs too infrequently in our harried world. When we come back, how to actually see another person and the surprising transformations this can produce in them and in us. You're listening to Hidden Brain. I'm Shankar Vedantam.

Allison Pugh is a sociologist at Johns Hopkins University. She's the author of The Last Human Job, the work of connecting in a disconnected world. Allison says it's possible for people to learn to get better at seeing other people. In fact, she teaches this skill to students. Yes, I realized that the in-depth interviewing that I do that involves this kind of seeing is a clinical practice. And it's a clinical practice like nursing and like teaching and like therapy. And what do all of those professions have in common is they have an apprentice model of teaching

in which someone does something in front of other people and then gets immediate feedback. One of the first things that they have to do is kind of get out of the way. And I often like to think about airspace as like a soccer ball and who is controlling the soccer ball. And you want to pass the soccer ball, you know. If you're too present, then the other person just doesn't have the space to put themselves in there. And that can preclude, that can impede seeing of the other for sure.

It's also the case that sometimes as people talk, you know, we have very quick interpretations of what it is that they're saying and sometimes we have very quick reactions to what they're saying. Talk a moment about the importance of trying to set those things aside as well, setting aside, you know, our assumptions and expectations in order to be truly good listeners and how difficult that can be to do. Yeah, so if you're like completely sure that the other person is really passionate about such and such and you say that to them and they're like, no, actually it's more like this, this is what I actually care about. You have to hear that. And actually, the correcting process can help people feel even more seen.

If they are able to correct you and you say, oh, yes, now I get it. The other thing I would say is in our quickness to leap into a conversation with somebody with our own views or assumptions, what I think is really important is actually hearing what the other person is not saying, hearing the emotion that they're not naming. If you can hear an emotion behind what someone's saying and say, wow, it sounds like you're feeling nervous about that,

or it sounds like you're feeling, it sounds like that gives you a lot of pride. It doesn't have to be a negative emotion. It's like if you can kind of hear whatever emotion is behind, that's very powerful for people. If they didn't say it and you name it, they feel very seen. And kind of in the naming,

when you're doing that kind of naming, you're making it safe for them. In some ways, being able to get one level below what they're saying, to sort of say, I can recognize that you're feeling pride or I can recognize that you're feeling sad, that might be even more effective than just simply repeating back to people, here's what I'm hearing you say, or repeating back their words to them, because it really shows that you have actually taken in what they have said, you understood it,

and you're actually trying to give the essence of it back to them. Exactly, that's why it's like, it's a boost, a huge boost. Now I would also say it's a little more challenging, maybe. But it is true that if you can bump it up a level and go to what's not being said out loud, but that you really perceive, that if we happen to not see someone accurately, if we mis-see someone, this can itself be an opportunity.

If we stop to show the other person that we really do want to see them and to correct ourselves, you interviewed a therapist whom you call Sarah who told you that an episode of mis-seeing was actually crucial to her patient's progress. Can you tell me that story? LESLIE KENDRICK Yeah. So, Sarah was a therapist at the VA hospital, and so she was seeing veterans, and she said she had, she told me about a woman she had been seeing who had experienced sexual trauma in the military. And at the end of like the third or fourth week, the woman leaves the session with a comment saying that she might not be able to come back. You know, how she might get busy is what she said to Sarah. And Sarah said to me, you know, something was just kind

of off. Like it didn't feel the same. It just didn't feel right. So she calls her before the next week. And she says to her, you know, I think I said something. You know, I'm wondering if I maybe missed something or didn't hear something right. The session felt different today. And I think it could be helpful to talk about that if

you're able to come in again." So the woman comes in, she comes back, and they were able to talk. And Sarah said, at that point, the relationship really shifted, and she ended up making tons of progress. And so at the end of the treatment, Sarah asks the woman, you know, what worked for you? And the woman said, there was this point where you noticed that I wasn't happy with whatever you did. And the fact that you even noticed that was a big deal. And so, Sarah took away from that this notion of actually therapists have written about this.

They call it therapeutic rupture and that if you can redeem yourself there, if you manage a reconciliation, it can be powerfully transformative to the people who are being seen and heard, but you also are finding that the act of seeing and hearing others can be powerfully transformative for us. You tell the story of a nurse practitioner whom you call Birdie. Can you tell me her story, Allison? So, Birdie was a nurse practitioner in California.

She had this bright smile, you know, a high beam smile. And she was quite kind of bustling and friendly and very warm. And she told me that she had always assumed she would be a doctor like her father until she failed organic chemistry. And she then kind of was like, what am I going to do next? So she actually decides to become a nurse practitioner, but even as a nurse practitioner, she said, she struggled with ego issues. This is what she said. But the good thing about being a nurse, she said, is that she could focus on the human element. And she told me an example of what she considered really to epitomize what nursing meant to her. And that was the example of this homeless man.

He came into her clinic. He had been on the streets for years. She said he had probably walked cross-country homeless back and forth. He had never really been in a shelter. She said he had some wounds on his feet. They were, she said, just gnarly, calloused. And she said he was so hunched over from years of osteoporosis and walking,

and so few people would be able to even have eye contact with him because he physiologically couldn't even really look up. And I just sat and did wound care for his feet. So she just sat and washed and cleaned his wounds. And she said, it wasn't going to do much. He was still going to be on his feet all the time. He was so resistant to going into any shelter.

It was just a band-aid over a really big problem. But for her, it captured what nursing was about, like this humility, this service, and the witnessing. So she said, she tells me, just to give him that moment of, I'm seeing you, I'm acknowledging you, this is me caring for you. She said it was powerful for both of us. You know, I'm reminded of this new story I just saw about Pope Francis in 2024. He washed and kissed the feet of 12 women who were incarcerated at a prison in Rome. You know, the Pope was

in a wheelchair, so the women were sitting on a raised stage and he was wheeled from one person to the next. What was remarkable to me when I watched the video of this event was to see the reaction of the women. I mean, uniformly they were weeping and it was clear that no one had put them on a pedestal in a long time, no one had seen them. And so the effects of seeing someone really has transformative effects on both the seer and the person being seen. Exactly. The power of just connecting to another human being. And by doing that connecting, you're saying to the other person, you are a person of value. You have humanity humanity just like I do,

and together we are sharing this moment. It confers dignity and humanity to both participants. In our companion episode, available exclusively to subscribers to Hidden Brain Plus, we look at how powerful forces are getting in the way of our seeing one another as people. These forces are everywhere, and they're systematically making it harder for teachers, doctors, parents, and caregivers to really see and hear the people they are working with. If you're a subscriber, that episode is available right now. It's titled, Recovering the Human Touch. If you're not yet a subscriber, please visit support.hiddenbrain.org.

If you're using an Apple device, you can go to apple.co.hiddenbrain.org. If you're using an Apple device, you can go to apple.co. slash hiddenbrain. You'll get a free seven-day trial in both places and you'll instantly have access to all our subscriber-only content. Again, that's support.hiddenbrain.org or apple.co. slash hiddenbrain. Allison Pugh is a sociologist at Johns Hopkins University. She's the author of The Last Human Job, the work of connecting in a disconnected world. Allison, thank you so much for joining me today on Hidden Brain. Thank you.

If you have a follow-up question for Allison, and you'd be willing to share it with the Hidden Brain audience, please record a voice memo on your phone. Once you've done so, email it to us at ideas at hiddenbrain.org. That email address again is ideas at hiddenbrain.org. Use the subject line connection. Hidden Brain is produced by Hidden Brain Media. Our audio production team includes Annie Murphy-Paul, Kristen Wong, Laura Quirell, Ryan Katz, Autumn Burns, Andrew Chadwick and Nick Woodbury.

Tara Boyle is our executive producer. I'm Hidden Brains executive editor. Thanks for listening. See you soon.