Ladies, please grow some thick skin!

“Ladies, please grow some thick skin.”

With all the skincare advice females get, this one is the best of all! Why? Because this does not come from dermatologists or beauty experts. This comes from the place we least expect!

If growing thick skin is something we can do, sure, why not! Keep feeding us junk and unhealthy nutrients, expose us to UV Ray lights without SPF 100 formula, and we will work on growing thick skin! Some go too far at providing SPF 30 and then claiming, "we got it all covered for you," and then expose us to xxx amount of radiation, but we cannot complain! Because we ask for too much na! Defensive, gaslighting, criticism, told you, too adamant, not flexible! But then we are expected to be friendly and glowing, for which we are pushed to use steroids containing whitening creams, which makes us thin-skinned, literally and figuratively! So, our niceness makes us vulnerable, and we are thin-skinned!

Now let me tell you as a doctor, what is skin, what is the role of skin, its functions, and layers & their importance.

Skin: Skin is the largest organ of the body. It has an area of 2 square meters in adults and weighs about 5 kilograms. The thickness of the skin varies from 0.5mm thick on the eyelids to 4.0mm thick on the heels of your feet. Functions of the skin include:

  • Protection against UV light, mechanical, thermal, and chemical stresses, dehydration, and invasion by microorganisms

  • Sensation via receptors that sense touch, pressure, pain, and temperature

  • Thermoregulation by regulating the temperature of the body

  • Metabolic functions via subcutaneous adipose tissue, which is involved in producing vitamin D, and triglycerides.

The three layers of the skin are (see endnote 1):

  • the epidermis: a thin, keratinized outer portion of the skin with multiple layers essential for the protective function of the skin. Thin skin contains four types of layers, and thick skin has five;

  • the dermis: a thicker inner portion, which is a connective tissue layer of the skin. It is necessary for sensation, protection, and thermoregulation. The folded layers of the dermis are particularly prominent in thick skin;

  • the hypodermis: This layer is underneath the dermis and merges with it. It mainly contains fatty tissue and sweat glands responsible for producing vitamin D and triglycerides.

Ample of brainy brag!

Thick Skin Origins: Someone who is thick-skinned does not appear to be easily hurt by criticism. The Oxford Dictionary’s earliest reference for "thick-skinned" in this figurative sense is dated 1602. Etymologically, "thick skin" is the English translation of "pachyderm." Pachydermal is a term derived from two Greek words παχύς pachys, "thick" and δερμα derma, "skin," implying 'thick skin.’

Beyond stringent biological classification, the term "pachyderm" remains commonly used to describe elephants, rhinoceroses, and hippopotamuses. The perceived calmness of elephants may have led to the word. Interestingly, in German, the term is to this day a warm synonym for elephant: Dickhäuter.

I see a connection! Hey Dukhtar, be a Dickhäuter!

Thin Skin: According to Healthline.com,

“thin skin is referred to as skin that tears, bruises, or breaks quickly, sometimes called thinning skin or fragile skin… Thin skin is a common condition in older adults and is most noticeable in the face, arms, and hands, and one can see the veins, tendons, bones, and capillaries under the skin of their hands and arms. Your skin is made up of many layers, and the middle layer is called the dermis. It contributes 90 percent of your skin’s thickness. The thick, fibrous tissue of the dermis is made of collagen and elastin. The dermis provides strength, flexibility, and elasticity to the skin (Resilience?). Thin skin is the result of the thinning of the dermis. Thin skin is most often associated with aging but can also be caused by UV exposure, genetics, lifestyle, and the use of certain medications.”

The right amount of Sun Protection Factor (SPF): SPF means Sun Protection Factor using this equation (from Skin911):

“Take the time you would naturally burn in the sun without protection; 20 minutes will typically produce redness on a light-skinned individual. Multiply this number by the SPF of your product. Example: with an SPF 15 x 20 minutes of sun time = 300 … is how many minutes you can stay in the sun without burning. Three hundred minutes divided by 1 hour of 60 minutes = 5 hours of sun protection without a sunburn.”

Skin911 also recommends,

“a high SPF due to a study report of participants not applying enough sunscreen to reach the SPF level of the product. Higher SPF sunscreens only increase protection by 3%, but you may achieve an SPF 15 if not applying enough SPF 30 sunscreen… Fun fact: 2 minutes of casual sun a day at the end of one year = 2 full weeks of sunbathing.”

Skin thickness at the workplace: In a Forbes article on 7 Ways To Develop A Thick Skin In the Office, the idea of vanity was brought up as well as how learning to be emotionless at a workplace is a gift. It also asserted that the best thing about developing thick skin is our newfound calm:

“The thicker your skin, the less stress you will have. Managers love employees who can survive feedback and grow from it… With your new chill factor, you can weather any criticism. Instead of looking at having to redo work as a negative, look at it as an opportunity to expand your creativity and stretch your mind in a new way. The most desirable trait you can have in the workplace is a positive attitude and the ability to adapt to change.”

While the author made these suggestions: overcommunicate; establish the deadline; be your own best judge, I could not stop thinking of all the gaslighting tactics I have seen, experienced, and observed! The gaslighting effect is cumulative and stacks up over time, and some of the maneuvering strategies that cause higher degrees of the gaslighting impact are referred to as using the ‘gaslighting tactic.’ Some of them include (see endnote 2):

  • Stonewalling: The abuser acts confused, pretends they do not understand what the victim is telling them, and withhold feelings – more like silent treatment.

  • Countering: The abuser questions the memory and thoughts of the victim, endorses and quotes the past accusations with examples.

  • Blocking/Diverting: The abuser refuses to answer or comment, changes the subject, faults the victim accusing or blaming them for acting the way they did.

  • Trivializing: The abuser makes the thoughts and needs of the victim seem unimportant.

  • Intentional Forgetting or Denial: The abuser denies that things ever happened or denies promises they made to the victim to prevent them from getting a resolution.

    • “Why are you trying to confuse me?”

    • “You are not making any sense.”

    • “I have no idea what you want me to say”

    • “You never remember things correctly.”

    • “You know I never said that.”

    • “You have a highly active imagination.”

    • “Please get your facts straight.”

    • “I am not going to go through this again.”

    • “We already talked about this.”

    • “You are always picking fights.”

    • “You always have to be right.”

    • “That is hardly important.”

    • “Why would you let something so stupid come between us?”

    • “You are just too sensitive.”

    • “You always blow things out of proportion.”

    • “Let it go already or I never did/said that.”

    • “That never happened.”

    • “I have never been there before.”

    • “I don't remember you telling me that.”

    • “You are confusing me with someone else.”

    • “There is nothing wrong with my memory.”

In such cases, how can we just grow thick skin and stay quiet? Can we afford to sit and wait, thinking that the “truth” of what happened will come out eventually and rebuild our credibility or undo the regret of that missed opportunity?

My answer is no! Today’s world does not work that way! In these moments, we must learn to set boundaries. Boundaries do not enter the defensiveness patterning. They are not about proving that we are right, and they are wrong. Instead, they let the person know that we have reached our limit with what they say to us or how they are saying it to us!

“Sociologist Arlie Hochschild has coined the idea of feeling rules. Feeling rules are the social norms that dictate what an appropriate feeling or gravity of feeling in each situation and when is and for how long we can feel that way. Hochschild also recognizes a difference between feeling rules and different genders. Women’s rules often tell them to tone down their anger or aggressive responses. In men, these responses are representations of masculinity and are positive.” (See endnote 3)

While it is healthy to learn how to sit with the discomfort of being misunderstood regardless of gender, there are moments when the other person misunderstands you so profoundly, or the misunderstanding is dangerous or harmful to you. You must be proactive in standing up for yourself to build or defend a good work reputation, which will support your career success. It is also essential to know when to stand up for yourself. But would this make me sound being defensive?

Defensiveness vs. setting boundaries: “Being defensive is about keeping people out and guarding yourself about the information they are giving you. Setting boundaries is about taking the lead in and protecting yourself—and potentially saving the relationship from further harm”. (See endnote 4)

“Learning to step away from the need to defend yourself in any given interaction is one of the most potent relational skills you can develop. There are very few scenarios in which we genuinely need to defend our point of view. Instead, we are mostly driven to do so by the desire to be right. In these moments, we are held within the ego's grips, which acts as a barrier to authentic communication and connection.” (See endnote 4)

While in a group setting, if someone says you did something that you did not do, standing up for yourself with all the facts and “fighting with them” right there and them is unwise. You can still be respectful and share your surprise by their accusations and that you disagree. Later, take the dispute offline and note that it could be a misunderstanding.

Thick vs. Thin Skin – Dilemma: Alice H. Eagly, Ph.D., is a psychology professor at Northwestern University and a social psychologist known for her work on gender, feminism, attitudes, prejudice, stereotyping, and leadership. In her recent article: Once more: The rise of female leaders, she highlights prescriptive stereotypes that present an agency paradox to aspiring women:

“On one hand, women, considered as a general social category, are thought to lack the agency required to be an effective leader; on the other hand, a woman’s strong display of agency often brings disapproval. Society prefers that women be nice and kind and not overly harsh or dominating. Such women may be accused of being “nasty” or “bitchy” and not at all nice. This resistance to women’s overt dominance usually does not target their competence but their audacity in seeking or achieving leadership positions, as in the ‘nasty woman’”

label, or worse, “Jezebel.”

“People often had to speak up to defend their turf, but when women did so, they were vilified. They were labeled ‘control freaks’; men acting the same way were called ‘passionate.” (See endnote 5)

There are all sorts of metaphors for women’s leadership paths: glass ceiling, labyrinth, jungle gym, etc. I have added skin to a list of many. If we are expected to support or stay with situations - thick and thin, even if there are problems or difficulties, please stop mansplaining to us the millimeters of our dermis!

Perhaps, wearing a mask is what we should be advising females! It will not protect us, but with the discomfort, people around us will sense when we unconsciously flinch to microaggressions at the workplace! My dermatologist friends can tell more about how thick skin can work as a flexible surface as my histology knowledge is outdated and rusty nowadays.


ENDNOTES

  1. From Skin: The Histology Guide - Skin Functions and Layers, (https://www.histology.leeds.ac.uk/skin/skin_layers.php)

  2. From Gaslighting: The Five Tactics Narcissists Use, Randi Fine (https://randifine.com/gaslighting-five-tactics-used-by-narcissists)

  3. From Feeling rules and pitfalls of “be a man”, Makena Schultz, Michigan State University Extension - June 10, 2015 (https://www.canr.msu.edu/news/feelings_rules_and_pitfalls_of_be_a_man)

  4. From You Cannot Defend Yourself Without Being Defensive — So Here’s What To Do Instead, Elizabeth Earnshaw, LMFT, November 27 2019, (https://www.mindbodygreen.com/articles/how-to-respond-to-criticism-without-being-defensive)

  5. From A Modest Manifesto for Shattering the Glass Ceiling, Debra Meyerson and Joyce K. Fletcher, January-February 2000 (https://hbr.org/2000/01/a-modest-manifesto-for-shattering-the-glass-ceiling)

Aisha Sanober Chachar, MBBS, FCPS (Psychiatry), Consultant Adult and Pediatric Psychiatrist, Fellowship Child & Adolescent Psychiatry. Aga Khan University. Commonpurpose SALP 2017 alumna, fellow of Helmut Remschmidt Research Seminar (HRRS) 2019 and a winner of 2020 ACAMH Award for the Trainee of the Year.

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