It came up in the comments that doctors might have an implied dispensation from communicating with empathy to their patients. I think many people, not least many doctors, would hold this view.
It’s based on a number of unexamined assumptions.
1. Skill or service or efficiency is not concerned with empathy or relating.
2. Not only is skill or service or efficiency not concerned with empathy or relating, they are in contradistinction; more of one guarantees less of the other.
3. Empathy or relating is a “nice-to-have”; it’s the icing on top but makes no appreciable (read, measurable) difference in the execution of a skill or service, nor in the world generally.
There’s also a fourth underlying assumption which Seth Godin notes (how great is this guy? Posts seven days a week, produces potent little gems most):
4. Trapped in the “scarcity model” of thinking, we assume if someone is truly gifted they don’t have the “time or focus to also be kind or reasonable or good at understanding our needs”. In short, a “diva” is great because she is a jerk.
All these types of assumptions are markers of the “scarcity model” of thinking, the conception of the world in which everything is finite. They are also markers of a conception of the world in which a fatuously mechanistic cause-and-effect operates.
It’s all nonsense, all a fundamental delusion about the world and the way it works, and people like Professor Jody Hoffer Gittell are illustrating it.
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Professor Gittell is Professor of Management at Brandeis University in the US, and on a recent trip to Australia she shared her findings about the determinants of performance in the airline industry and hospital sector.
Professor Gittell looked at the organisations in each sector that performed well and those that performed less well, and distinguished three parameters as being vital to the performance differential:
- shared goals
- shared knowledge
- mutual respect among workers.
So what? we might ask. We could all intuitively predict the presence of these factors, or factors like these, may lead to increased performance in an organisation.
Her findings are startling in showing the degree to which these factors make a difference. In fact, in the hospital setting, she finds these factors – factors which pertain to what’s happening outside the operating theatre – to be the greatest determinant of the effectiveness of the hospital, the satisfaction of staff and the patient outcome.
She has now shared her model of organisational performance which she calls “Relational Coordination” with many hospital systems around the world. And all over she meets with the same startlement, the same evidence of our delusion about the way the world works. As one UK surgeon, a little less invested in his amour propre, said to her:
It’s really hard to get it’s not what we’re doing in the operating theatre that determines the outcomes.
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For more information about Professor Gittell, go to her website or to the Relational Coordination site.








