We often talk about feedback as if it’s rational, neutral, and technical. This research shows that’s a myth.
Feedback is saturated with feeling. Not just how feedback is received, but how it is given, judged, remembered, and acted on. Emotions aren’t background noise. They're doing the work.
The authors observed real feedback moments in high-pressure medical settings (ICU and surgery). They watched. They listened. They traced what feelings did over time.
Not just what people said but:
body language
tone
silences
what lingered
what people avoided later
This is called focused ethnography, grounded in modern emotion theory.
Performance judgements are felt, not just thought. A sigh. A raised eyebrow. A pause. A “neutral” tone.
These are judgements — and they land emotionally. Even when supervisors think they’re being objective, feelings are already in the room.
Emotions don’t stay inside one person. They:
circulate between people
stick over time
intensify long after the moment has passed
A brief comment can shape confidence for months. A single feedback session can trigger avoidance, self-doubt, or withdrawal. This explains why feedback can change behaviour even when it’s vague or indirect.
High-stakes feedback moments (reviews, assessments) amplify feelings. Especially when:
criticism is unexpected
feedback feels “out of the blue”
there’s no shared narrative over time
In these moments, people don’t just reflect — they react. Sometimes by disengaging. Sometimes by avoiding feedback altogether.
The same words land differently depending on:
trust
psychological safety
prior experience
When there’s a strong relationship:
irritation doesn’t always stick
bluntness is easier to metabolise
When trust is weak:
small signals loom large
body language speaks louder than words
This reinforces what many of you already know: feedback lives inside relationships, not systems.
Supervisors often judged trainees for being:
“too aggressive”
“not confident enough”
“too emotional”
“disinterested”
These are emotional norms, not performance facts.
The research also surfaced gendered patterns:
anger seen as acceptable in men, problematic in women
emotion reframed as “hormonal” or personal
This matters far beyond medicine.
Trying to “manage” emotions by pushing them aside doesn’t work.
It often:
intensifies feelings
increases power imbalances
creates silence and avoidance
Ignoring emotion doesn’t make feedback cleaner. It makes it leakier.
Emotion isn’t an individual failure to regulate. It’s collective, relational, and contextual. That means responsibility is shared:
leaders
peers
systems
cultures
A “calm” tone still communicates judgement. Silence still signals meaning.
Process doesn’t cancel power. Being explicit about feelings can reduce their hidden impact.
The study suggests something simple but powerful:
Create space to ask:
“What’s affecting you right now?”
“What stayed with you from that conversation?”
“What felt hard about that feedback?”
Not therapy. Not fixing. Just legitimising what’s already there.
Before feedback
Build shared expectations over time
Avoid surprises
Signal care before critique
During feedback
Pay attention to your body language and tone
Name uncertainty rather than masking it
Acknowledge emotion without analysing it
After feedback
Invite reflection on how it felt, not just what was learned
Check what’s sticking
Watch for avoidance — it’s data
This study backs something many of us sense intuitively: Culture is emotional before it is cognitive. Feedback is one of the most powerful emotional culture moments we have.
Handled well, it builds trust and growth. Handled poorly, it quietly erodes confidence and connection. The work is not to eliminate emotion — but to work with it, together.
At riders&elephants, we’ve designed a structured emotional culture conversation called ECD Difficult Conversations.
It’s designed specifically for moments like feedback conversations — when emotion, judgement, and stakes collide.
The tool helps you:
prepare for difficult conversations
surface and understand the emotions involved
work with those emotions, rather than around them
create more honest, humane, and effective dialogue
If feedback often feels harder than it should, this is one way to bring structure and clarity to the emotional work it involves.
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