I work with people who cause a lot of harm, in wide ranging ways, yet and fail to recognise this - for a range of reasons. My role is to help them develop better insight into the relationship between their thoughts and feelings, their corresponding actions, and their impact on others.
The work involves differentiating hate and hateful, whereby the word hate is used to describe a feeling, and hateful to describe an action that is driven by or significantly influenced by hate.
We help patients to differentiate between hate and dislike by reflecting on the intensity and duration of feeling.
We also talk about considering the likely impact of behaviour and the toxicity of knowingly or intentionally inflicting harm, versus unintentionally or unavoidably causing harm.
In line with this, if a person has an intense and persistent dislike of an individual or group of individuals, and acts in a way that will knowingly cause distress, with the intent to cause distress, we describe this as hateful.
To this end, pretty much anything could be hateful, but it needs to meet criteria relating to intent and impact.