Physical Health May be At Risk When Legal Conflict Resolution Settlements Create “Haves” and “Have Not’s”

I often use Maslow’s Hierarchy of Needs as a tool in my conflict resolution courses and workshops for lawyers.  It posits that before anyone can attend to higher-level needs such as love, belonging, esteem, and realizing dreams, the lower level needs (survival needs like food, shelter, clothing, followed by safety) have to be satisfied.

Maslow’s Hierarchy of Needs

When we negotiate settlement agreements on behalf of clients in relational disputes (e.g. divorce, will contests, small business dissolutions) whose lower-level needs are adequately met by any reasonable measure, it can sometimes be perplexing for lawyers to appreciate the degree to which some  clients focus not on the sufficiency of their own resources but on the gap between what they will end up with as compared to the other party or parties in the dispute.

A recent article in the New Scientist explains how health and relative wealth may be directly linked in unexpected ways.

Thomas McDade, a biological anthropologist at Northwestern University and director of Cells to Society at the Center on Social Disparities and Health at the Institute for Policy Research in Evanston, Illinois, says that additional research [shows]. . .” that even if you have a stable job and a middle-class income, then your health is not as good as that of someone who is in the 1 per cent. There is something more fundamental about social stratification that matters to health and the quality of social relationships.”

The issues of relative poverty are more nuanced than meeting basic needs for food and shelter. A hundred years ago it might have been whether you could afford to eat meat once a week – or have an indoor toilet. Today it might be whether you can afford to mark your child’s birthday with a party, Marmot  [Michael Marmot, an epidemiologist at University College London specialising in the health effects of inequality] says. “It matters because of what it means: can I participate in society?”

The great divide

Relative poverty goes hand in hand with inequality. “What we find is that the bigger the inequalities, income, educational, social, in a whole variety of ways, the bigger the health inequalities,” Marmot says.

The key is that having less than your peers seems to generate stress, at least at the level of large groups. And many studies over decades draw a straight line between stress and disease.

“How does having less relative to your peers undermine health? Study after study identifies the culprit as stress. Not day-to-day fretting, but persistent psychological and physiological reactions to external threats that cannot necessarily be addressed or avoided. Much of this research focuses on those living in impoverished communities, but these associations only diminish by degree as you ascend the economic ranks of a society. “Socioeconomic status, and social stratification in particular, is a very powerful determinant of health – for populations and for individuals,” says McDade.

Toxic stress

Unrelenting stress is toxic because it can turn the body’s defence system against itself. Neuroendocrinologist Bruce McEwen at Rockefeller University in New York says the stress response that evolved to protect us from harm can be hijacked and actually cause harm when the stress never abates. In a normal situation, the introduction of stress causes the body to deliver a boost of energy – by sending a surge of glucose to the muscles – and to increase heart rate, blood pressure and breathing to get oxygen to the muscles in a hurry. At the same time, blood vessels constrict and clotting factors increase – ready to slow bleeding in case you are wounded. These responses are part of a fight-or-flight survival kit, and once the stress has passed, these should subside.

But for people under unremitting stress, this response never quite switches off – leaving sugar levels unregulated, high blood pressure, increased risk of blood clots, depressed sex drive and an immune system buckling under the strain. Prolonged exposure to stress hormones can have other effects as well, including affecting the brain by altering the structure of neurons and their connections, which in turn can influence behaviour and change hormonal processes.”

 

How can we apply these ideas to conflict resolution work?

What applies at the macro level may well apply also at the  level of individuals in their families and communities and in the negotiating room.  These ideas are worth thinking about as a tool for educating parties to a conflict about interests that may live below awareness but nonetheless are in the room affecting the negotiating process.  Surfacing the issue certainly won’t worsen the problem, and may help parties to hear one another more empathically.

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