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How do you make decisions

 
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PostPosted: Sun 22:40, 25 Aug 2013    Post subject: How do you make decisions

How do you make decisions
There is a group exercise that's great for demonstrating differences in people's decision making processes. Divided into the two preferences, the groups are asked to imagine they are a research team that has recently completed a project. So interesting is the project that they have been invited to present its findings at a conference. in Barbados. All expenses paid. The trouble is, only one person can go, and the task is for each group to decide who it will be.
The first time I tried out this exercise was in a research department, and six people were in the group and three in the group. The thinking group had their decision in about five minutes. problem, they said. simply chose the person who is best at presentations. The feeling group took much longer. They agonised and agonised,[link widoczny dla zalogowanych], and when eventually I called time, I saw them drawing straws.
This pair of preferences relate to the basis on which people like to make their decisions. We can all use both preferences, and do, but some people prefer to stand outside a situation in order to make a decision. They use logical analysis to work out the advantages and disadvantages of different options; they may be seen as hardheaded but fair,[link widoczny dla zalogowanych], firm but reasonable, and they are said to prefer Others prefer to make their decisions on the basis of their values,[link widoczny dla zalogowanych], and the effect that a decision will have on the people concerned. They are less concerned, one might say, with what is logically correct than with what is important to them and others. Said to prefer they may be seen as compassionate and tenderhearted. If asked for a preference between the words and a feeling type is more likely to prefer mercy, and a thinking type justice. Box 1 shows some main characteristics of either types.
In the case of the conference exercise, the thinking group had no problem in making a decision, and they did so in double quick time. The right person to go was obviously the one most competent for the job,[link widoczny dla zalogowanych], and they were totally bemused by, and somewhat derisive about, the feeling group. What on earth could be the problem, and why couldn't these half brains make a decision? The feeling group had had a terrible time. They just couldn't bear the thought of putting one person forward for this wonderful trip while others wanted to go. They tried looking at who wanted to go, who deserved to go,[link widoczny dla zalogowanych], who went last time,[link widoczny dla zalogowanych], and so on. Presentation skills didn't come into it. Failing to find a suitably compelling reason for one to be chosen over another, in the end they drew straws.
The results? Well the feeling team were all happy about their choice, but they didn't know how good the presentation was going to be. The thinking group had made a logical decision, but they hadn't asked anyone about how they felt about it, and it turned out that the person selected had a small baby at home whom they didn't want to leave. Arguably the best decision would have been made if the two groups had put their heads together.
It's important to understand that both these ways of making decisions are rational, they are just based on different priorities and different sets of information, and everybody uses both. Thinking deciders will tend to look objectively at a situation,[link widoczny dla zalogowanych], then consider the people aspects, and then return to the objective information for a final decision. Feeling deciders will tend to consider the effect on people first,[link widoczny dla zalogowanych], then look at the logic, and then return to the feeling information for the final decision. Of all the preferences, this is the only one where there is a gender bias,[link widoczny dla zalogowanych], with around 60% of men preferring thinking, and around 60% of women preferring feeling. The jury is still out as to whether this is an inherent or cultural effect.
Thinking and Feeling at work
Both preferences are important in medicine (see box 2), and all doctors will use both in their decision making. However, the scientific basis of medicine and the fact that that it has traditionally been a male profession, mean that medical culture tends to favour thinking over feeling. Why can't they be rational for once? Feelers can be appalled by what they see as the thinker's apparent complete disregard for people's perspectives and feelings. Because of the association of thinking with being male and feeling with being female, these are the battlefields of many a relationship.
As with all the preferences, the trick is understanding difference and using it to your advantage. A surgical trainee came to see me once. A feeling type, he was anxious and depressed about his choice of specialty and was feeling undervalued and incompetent. Once he understood that he was working in a highly thinking culture,[link widoczny dla zalogowanych], and realised that his strength in talking empathetically with patients and relatives was not only valuable but rare in his department,[link widoczny dla zalogowanych], he was able to return to work with a new spring in his step.
Get help from someone who finds them easy. If you are a feeler and you are having problems with making a tough decision, then you may benefit from asking a thinking type for help. If you are a thinking type,[link widoczny dla zalogowanych], and have difficulty dealing with,[link widoczny dla zalogowanych], say, social problems in your clinical work, or even in your personal life, why not ask a feeling type for help or advice? Good quality problem solving includes attention to all the preferences, so when you are about to make an important or difficult decision,[link widoczny dla zalogowanych], try getting a perspective from other preferences first
Gilligan H, Watts C, Welsh F, Treasure T. Square pegs in round holes: has psychometric testing a place in choosing a surgical career? Ann R Coll Surg Engl
1999;81: 73-9,[link widoczny dla zalogowanych].
Clack GB, Allen J, Cooper D, Head JO. Personality differences between doctors and their patients: implications for the teaching of communication skills. Med Educ相关的主题文章:


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