March 28, 2007
Vol. 5 Issue 13
IN THIS ISSUE
Crucial Conversations

Want to take your crucial skills to the next level?

Read the New York Times bestseller Crucial Conversations: Tools for Talking When Stakes are High.

Based on the award-winning training program of the same title, Crucial Conversations teaches skills that top performers use to effectively step up to controversial issues in a way that not only strengthens relationships, but also guarantees the best results.

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Advocate Safely

When discussions become heated, more often than not it's a result of how the information is discussed.

Consider the comments below.

"The CEO, myself, and all right-thinking people in the free world think that this is the way we should go."

"Nobody, and I mean NOBODY, in the universe has a mother who sets a curfew like that. NOBODY."

"Look, I didn't make up the facts; that's just the way it is and always has been. It'll never change."

When you hear statements that are this forceful, do you look forward to adding your meaning to the pool?

There is nothing wrong with presenting an idea as persuasively as we see it. However, the way we speak what's on our minds does make a difference. Based on our forceful delivery, others may infer that their ideas are not valued, welcomed, or respected.

The more we believe strongly in something, the harder we must try to sound thoughtful, open-minded, and even tentative.

For more on safety and other crucial skills terms, visit our online glossary.


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    "I never learn anything talking. I only learn
    things when I ask questions."
    – Lou Holtz

    The Buck Stops Here

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    About the Author


    Kerry Patterson is coauthor of the New York Times bestseller, Crucial Conversations: Tools for Talking When Stakes Are High. more

    Today I'd like to use this column to honor a select group of people out there who provide a critical role in society. These are the people who find themselves in a family, company, or community that routinely demonstrates unhealthy behaviors—and yet they've found a way to create a safe and healthier haven within these unhealthy domains. Instead of continuing the culture that's being perpetuated all around them, they take responsibility for making changes and improving circumstances for those who depend on them. The buck stops with them.

    I first learned the value of this role in my days in the United States Coast Guard.

    In 1971 I found myself in charge of the Coast Guard's west-coast clothing locker. As a newly graduated officer I was assigned to lead the team that measured and outfitted enlisted recruits with white Dixie cup hats, bell-bottom sailor outfits, cool looking pea coats, and the like. By the time the recruits left our domain, they would be fully fitted for whatever the U.S. inland waterways and international seaways had to offer.

    Before we saw the recruits, they would arrive at boot camp where they were given baggy army fatigues to wear while they were harangued and emotionally abused for a week. During this first seven days they were mistreated in almost every way imaginable. For instance, they'd be awakened at 2 A.M. and forced to shave their face with their belt buckle while looking at their reflection in their metal locker. Then they'd be asked to drag massive chains around until someone passed out. Some days the recruits would be marched straight into the estuary holding their rifles over their heads where they'd be forced to slog along until someone would nearly drown.

    Of course, the real agenda of the first week was to get those who were going to quit the Coast Guard to quit before they showed up at the clothing locker and we fit them with expensive uniforms. No use wasting money on people who were just going to take the clothing home and sell it. So the boot-pushers worked extra hard at haranguing and humiliating the troops the week before they showed up at our door.

    My first day at work I watched the clothing locker operation unfold. The troops marched in wearing their army fatigues, and marched out ten hours later out wearing their Coast Guard uniforms. The only thing was, the sorry looking bunch looked more frightened, exhausted, and cowed than any group of humans I'd ever encountered.

    The support staff members who worked the locker every day didn't like the abuse that had gone on any more than I did, so they did their best to treat every new recruit with kindness and respect. But the beleaguered troops never dropped their guard. Not for a moment. No amount of decency on our part could undo the utter terror that now consumed each newcomer's every waking moment. Besides, as we encouraged people to calm down, standing within a few brisk steps of each recruit stood the fellow who had been abusing him for an entire week. As long as he was in the room, nothing was going to change.

    But that didn't keep us from trying. Each week we'd do something new to help set the young men at ease so we could readily measure them, but nothing overcame the sheer terror the recruits carried.

    Once I stumbled on an idea that seemed just too good not to work. If I could simply get recruits to laugh at a joke or two, surely it would go a long way toward encouraging the frightened fellows to settle down. So I decided to find something funny. One Monday morning after looking around for a minute or two, I noticed that one of the recruits had put his skivvies on backward. Somehow that seemed funny to me at the time, so I mentioned something to him about not knowing his front from his back.

    Nobody laughed.

    In fact, everyone tensed up a bit more as they snuck a quick glance at their trainer. No sooner had I chided the poor recruit than the petty officer who had been training the company decided that this truly egregious error deserved his special attention. How could America possibly prepare for the oncoming onslaught of the communist hoards while wearing their undershorts backward? Oh no, this kind of sloppy behavior needed to be nipped in the bud. So the boot-pusher quickly stepped up to the recruit who was now completely terrified in anticipation of the punishment that was sure to follow.

    After thrusting his grizzled face to a point about a millimeter from the recruit's mug, the angry trainer shouted, "You've embarrassed me in front of an officer and a gentleman and I won't have that!" In a thousand years I never would have expected what came next. After pronouncing his embarrassment, the petty officer in charge made a fist, reached back, and took a swing at the vulnerable recruit—knocking him to the cement floor where he hit his head with a sickening thud and then lay there unconscious.

    Eventually several corpsmen attended to the fallen fellow and within an hour he was back being measured right along with his company mates. I, on the other hand, wasn't doing so well. I had just put an innocent recruit in harm's way because I had the audacity to believe that I could somehow act in a decent and human way in a world that was abrasive and violent—more so than I had imagined. I hadn't helped the recruit and I most certainly hadn't put anyone at ease. Nobody laughed, nobody relaxed, and our job of measuring people wasn't made one bit easier.

    It was at that moment I realized that if was if I was going be a "border guard," keeping out the abuse routinely handed out by the wider and more noxious environment, I'd have to speak the language of both domains. For the next year I learned how to play the game the way that it was normally played. I learned how to survive in the world as it existed. But day by day I learned new ways to create the world I wanted.

    For instance, I learned to give the boot-pusher a dollar and suggest that he leave his company in our care and go get a cup of coffee at the club. "Don't worry," I'd enthuse, "we'll give you a call when we're through." Removing the primary source of terror went a long way toward helping the young men relax so we could then do our job of outfitting them. We could also more easily live up to our values of treating people with respect. In a similar vein, I learned that no matter how poorly I was treated when given an assignment or command, I could pass it down the chain of command in a far more respectful, caring, and involving way. When it came to insults and threats, I didn't have to pay it forward.

    Over time I discovered hundreds of methods that allowed me to survive in both worlds.

    People play this role in corporation and family settings all the time. They create a healthy haven despite the far less healthy world around them. I know this because I frequently run into leaders who are truly admired by their direct reports, no matter how awful or repressive the broader organization they serve. You can always find a few individuals who have found a way to stick to their own values, despite the insane world about them.

    So today I extend these noble folks my heartfelt congratulations for having the courage to stand at the border between their haven and the prickly, noxious world around them and boldly proclaim: "the buck stops here."



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    RE: "Salvaging Lost Opportunities" (March 7, 2007)

    Joseph's response regarding salvaging lost opportunities was an exceptional example of putting "crucial" thinking and processes into practice—balancing the practical and ethical elements of a dilemma to clarify priorities and proceed effectively and honestly. I was very impressed.

    Alan T.

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    RE: "Dealing with an Abusive Physician" (Feb. 14, 2007)

    "Trying To Be Tactful" needs to have a crucial conversation with the right person first—and that is with the offensive physician. Dealing with undesirable physician behavior is a fairly common issue in hospitals. Not dealing directly with the physician at the time of the event can put a patient at risk due to miscommunication or avoidance of communication. One cannot afford the time it takes to contact a supervisor every time a conflict arises. The relationship must be built with daily appropriate conversations. Physicians cannot afford to take the risk of being labeled abusive or difficult.

    When physicians get labeled, nurses or pharmacists may passively choose not to call, leave uncomfortable conversations to rookies who aren't wise to the impending abuse, or actively choose to implement erroneous orders just to show the physician he/she was wrong. These choices put patients at risk. We all make exceptions for coworkers who may be having a bad day. When you have built a relationship, you can tell the difference between routine behavior and a bad day.

    Therese S.

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    I've got to respond to the Crucial Skills article entitled "Dealing with an Abusive Physician." As a manager in a large industrial setting, I have seen many examples of abusive speech in the past 20+ years. What my experience has shown me is that regardless of whether the person is having a bad day, disrespectful communications are never acceptable. We're all in the workplace for the same reasons (i.e., money, benefits, family, etc), so if one's intentions are sound, they deserve the respect.

    Now, with that stated, I also believe that some people are too sensitive to any critical feedback or coaching. As you stated, the best way to ensure the "victim's" cause is heard and understood is to document what exactly is being said. Let's face it though, this is easier said than done—especially if you become emotional. It's best to calm down and then recreate what has transpired—then put pen to paper.

    I really enjoy your electronic mailings—keep up the good work!

    Sincerely,
    Michael

    ------------------

    I am a physician who feels that professional behavior includes treating staff, patients, and family members with respect and kindness. If this nurse did not speak directly to the offending physicians, then he or she should do so. I find being bypassed intolerable. Since the physicians probably don't even recognize what they have done wrong, they don't get an opportunity to fix the problem at the grassroots level, and they are still doing it to people!

    Sincerely,

    L. Tan


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