Perfectly Broken and Ready to Heal – Robin Youngson

“Every time I demonized those I wanted to influence, I met resistance.” This is the first point Robin Youngson shares in his TEDxTauranga talk: Perfectly Broken and Ready to Heal. “More people started to listen when I dropped judgment.”

Youngson is a physician and senior medical leader, whose journey to transform the patient experience of health care was sparked by a horrific accident his daughter was in that caused her to be in the hospital, immobilized, looking only at the ceiling, for three months. So little stimulation. So little compassion. So little humanizing of a patient.

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Meredith and Robin Youngson

It began a quest for him. A radical commitment. To humanize caring in the hospital system. He and his wife, Meredith created a company called Hearts in Health Care and they struggled to create change. His worldview of his work, of patient care or human care, has shifted and expanded in his journey. His work and quest is resonant with the foundational philosophies of our work with Worldview Intelligence.

He and Meredith learned that logic and evidence does not help. The facts will not likely change someone’s mind because people are vested in their own worldviews. Non persuasion was more effective. “I discovered my greatest power was vulnerability,” he says. “It was through vulnerability that we began to open hearts and minds.”

They also discovered that casting themselves as experts on compassion did not work. They were confronted by a group of nurses who said, “I imagine you are here to teach us about what we have only been doing for about 3o years.” That reminded them, “Every doctor and nurse already has a depth of compassion. Our job was to draw it out; to draw out the wisdom and compassion that already existed in the room.”

They moved from a business model to a generosity model, bringing greater alignment between their views and how they are showing up in the world, and have been humbled by the generosity of the world. As an example, his book Time to Care is being translated into many different languages by volunteers.

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Hearts in Health Care Lessons Along the Way – Powerful and resonant with much of the Worldview Intelligence work, philosophies and foundational premises

Finally he says, “We discovered that approaching the issues like a pathology only focused people on the problems where they blamed each other. So now we ask better questions, to help people share the very best stories of healing and connection.”

“All the strategies that didn’t work involve separation. All the ones that did work involve connection. The new world we were trying to build was already in the room.”

Youngson offers, “When we fight against what’s wrong we draw up the battle lines.Our protests, fights and campaigns are counterproductive because they serve only to separate us even more.”

Drawing the analogy between patient care and connection to health care, he says, “If I make a compassionate human connection to my patients it boosts their immune system, reduces their stress and pain. It is as powerful as medical treatment. As a doctor I am sometimes confronted by patients who are broken and have no hope. Compassion calls me to sit with them in their darkest hour. When I dare to hold the sacred space I see them crack open and begin to heal.”

“If we can take this gift of brokenness into our hearts we hear the call of compassion and suffer outselves to become more vulnerable, humble and generous. Everything we need is right here, within us.”

He ends with,  “Will you receive this gift? It is perfectly broken.” Well, will you?

 

 

When We See It, It’s Obvious; Until Then, It’s a Hidden Dynamic

When we see it, it’s obvious. Until then, it’s a hidden dynamic. Worldview Intelligence provides many different opportunities to reveal the obvious, making it possible to strategize relationships and communications in ways that move issues of common interest forward, often in new and previously un-thought-of ways.

Each of the Worldview Intelligence explorations – personal, professional, team, organizational, cultural, social systems – provides a window into seeing more of what exists, illuminating patterns, assumptions, belief and value systems in reflective, curious and generative ways. The best way to understand this is through stories. Here we share an example from a health care client we are working with in the United States. It operates in three States with 30,000 employees and is bringing innovation to many areas of its work. One such area is in bringing a team based approach to patient care in their clinics.

In the last year, there have been six clinics in a pilot project led by a team within the organization that is providing the clinics with resources, including evidence based research, leadership development and team cohesion assessments. We were invited to bring Worldview Intelligence to build connections within and across the teams as they were brought altogether for the first time. The impact was revealing and fascinating for all involved.

Shifting the Trust/Risk Dynamics

The co-ordinating team was curious to see if and how we could build enough trust within two days for the teams to become vulnerable enough to share with each other openly and honestly. At the end of Day 1, they weren’t sure they had the answer to that question but by break time the next morning it was clear that the teams were openly sharing successes and challenges and making requests of the co-ordinating team. There was also a demonstrable shift in how members of teams sought each other out to explore new questions at the break and during lunch.

Personal Exploration

How did this happen? The first day focused on the personal worldview exploration including strategies for hosting yourself when your worldview is challenged. While on the surface it didn’t look like much had shifted at the end of the day, it laid a solid foundation for the next day’s exploration related to the social systems of each of the six clinic teams and the co-ordinating team. The personal experience provides an opportunity for people to embody the Worldview Intelligence framework as they gain insight into why they see and experience the world the way they do. The reflection and curiosity that was brought to the personal exploration carried through to subsequent explorations, opening the space for expanded observations, understanding and insights.

Social Systems Mapping

The teams were asked to map their social system and then come back and share what they discovered with the whole group. Social systems mapping is not new, but looking at the mapped systems through the Worldview Intelligence framework is. It has mappers asking different questions to reveal the hidden dynamics and to strategize how to work within and across the system.

Examples of Social Systems Maps

As the team shared their discoveries, not only were they honest and open, there were surprising collective revelations as the entire group began to see the worldview experiences of each clinic and of the whole. By the time all the presentations were complete, the atmosphere in the room had shifted from a collection of teams to a sense of belonging to something bigger and the conversations and relationships had shifted as people sought each other out to learn more.

Worldview Revelations

What were some of the revelations? In short: the impact of the community as a social system on each clinic, unintended consequences and a question about the role of the co-ordinating team.

Impact of Community on Each Clinic

First of all, each clinic is located in a different community or social system. That social system impacts who comes to the clinic, the unique challenges each clinic must address and it influences how the clinic interacts with its community. Different clinics held assumptions about their environment and how it differed from the other clinics and not all those assumptions held true. A clinic located in a larger center assumed they experienced more diversity than clinics in smaller centers. When they said this in their presentation, the members of another clinic team all smiled or chuckled so we knew something was up. When that team did their presentation they talked about the large newcomer population in their area and how that brought 56 different languages into their work, presenting different challenges depending on access to translation services, understanding of cultural traditions and more. Other influences of the communities on the various clinics included availability of staff to fill positions and outreach.

Unintended Consequences

One of the clinics, located in a larger center, had an ongoing relationship with two other clinics in that area. They had spent over seven years working on building consistency across the three clinics so patients would have a similar experience no matter where they went. Only one clinic is in the pilot project and they shared that this was putting their relationships with the other two clinics at risk because they were now changing their approach to patient care and the other clinics did not have the same context.

Role and Relevance of the Co-ordinating Team

Another revelation of note is that for each of the clinics, as they mapped their system, the co-ordinating team was either not on the map or only there in a peripheral way, whereas for the co-ordinating team the clinics were a significant part of their map. This awareness has the members of the co-ordinating team questioning why this is so and becoming curious about their relevance and role and what they might need to shift to support the clinic teams differently.

Consistent and Responsive Systems and Processes

The exploration pointed to the need for an approach, systems and processes that provide consistency across the clinics while allowing for responsiveness to each of the communities and social systems the clinics are located within. It provided key learnings for the current pilot and for what needs to be taken into account when the next round of clinics is brought on for Phase 2.

It all seems completely obvious as it is revealed but it stays hidden until a process, framework and structure is offered to illuminate the patterns and dynamics in a healthy, constructive way that builds relationships and connections for stronger outcomes. Worldview Intelligence is that approach.

Why Asking Someone to Change How They Work May Not Be as Simple as You Think

It happens all the time in work environments. The organization wants or needs to change – the way it works, delivers service, makes its products, is organized. Often this point is missed: change is not just about the mechanics of what is to be changed, it is about the people. People make up and deliver our systems and processes. Most people say they don’t mind change, but they don’t like being changed. Even when it “makes sense”. Because “makes sense” depends on your perspective.

Anais Nin - We don't see things as they are

When we are looking for efficiencies at work, we are often asking someone – or several someones – to change the way they work. To take on new responsibilities or to give up part of your role. It seems to make sense in the grand scheme of things. It is integral to the change working. If we are leading the change or innovation, when we meet resistance we often don’t understand why. What we are asking often seems like a simple request.

conversation-one-on-oneThe challenge we meet is that many of us identify with our role. It forms part of our identity. We think we are simply asking people to change the way they work when we might actually be challenging the way they see themselves. We might be challenging their very sense of identity. And when we feel our identity is being challenged or threatened, psychological research tells us that we respond as if our very life is being threatened. Instead of being open to change, we dig in our heels and overtly or covertly resist being changed. We become more attached to our role or our identity.

Worldview Intelligence offers personal explorations that help us understand our own worldview, where it comes from, what influences it, what values and beliefs are fundamental to who we are. It illuminates typical responsesingrained human patterns, of how we respond to challenges, how we filter information in and out, how our sense of identity shapes our responses, how we become entrenched in our point of view when we feel compelled to defend it. When we can bring curiosity to the exploration we become aware of what is important and why and then we can become conscious of the choices we are making. The very exploration opens up the possibility for each of us to expand our own worldview and be more open to possibility.

For those of us who are responsible for leading change or asking our people to change, understanding that simple requests might have deeper implications allows us to think about how we approach another person or whole department, their role, their work and what is needed to bring about the changes that we need or want rather than becoming frustrated or combative which only serves to make us less effective in our leadership.

Worldview Intelligence Expands Your Ability to Deal With the World – Alan Gaudet

Alan Gaudet describes his experience with Worldview Intelligence. He notes that it is a resilient, rich framework that offers a depth of analysis that takes you places you wouldn’t get to on your own. It really makes you want to pull out the meaning and it is a validating experience. The framework offers better methods to understand difference. Something meaningful happens between you and someone else when you make connections not otherwise possible.

Silos, Communication Breakdown and “I Don’t Know What You Do”

It seems no matter what the size of the organization we work with, we typically hear these three complaints: “We work in silos.” “We don’t communicate well.” “I don’t know what you do.” This seems equally true of an organization that has 30 employees relatively co-located or 30,000 employees spread across many sites across a large geography.

It can be a frustrating experience for leadership teams intent on breaking down those silos, improving communication across the organization and wondering why people just don’t talk to each other to discover what they do to hear the same challenges emerge time and time again. Because these issues are not one off. They can’t be solved with that being the end of the story. They need constant attentiveness.

There is no magic bullet. Ever. So, what is a leadership team to do? Keep these challenges in their sights and invest in the time and opportunities it takes to bring people together to talk to each other, to strategize together how to work across silos and be in conversations about what people do and how they contribute to the overall work of the organization.

We have been using Worldview Intelligence in a variety of settings with our clients. The program surfaces these age old complaints with a framework that provides a new lens of discovery, different language to enter into the conversations, a way to illuminate the hidden dynamics or patterns of behaviour within the silos and the organization overall and ways to think about a shared future that honours the individual workings of departments while making sure all are moving forward in alignment.

It is an iterative process. The same framework offers the opportunity for many different often interrelated explorations, including personal, professional, departmental or team, organizational and social systems.

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Worldview Intelligence Explorations – An Iterative Process

The personal exploration is a leadership practice as individuals become aware of the lenses through which they see the world, work or community and learn how to invite other people to share their perspectives and influences on how they see the world. It is a heart centered exploration as people first turn curiosity and compassion inwards toward their own journey and then outward toward another. It invites genuine listening and learning to really understand how life experiences, including day-to-day reality, are different. This is particularly true when people from different cultures are learning from and about each other and it is also true for what might be considered more minor differences like coming from a different community in the same city or region.

The professional exploration offers people the opportunity to understand how the views of their profession influence their own professional views. This includes everything from educational influences to the patterns and practices of the profession overall. It provides insights into communication challenges and points of tension with other professions or even within a profession. Within health care, for example, the different medical professions often experience points of conflict around scopes of practice and delivery of health care. Examining the worldviews of each of the professions offers insights and reminds people of the points of connection between them, offering new ideas, thoughts and strategies about how to communicate with the well being of the patient at the center.

The departmental and team explorations invite members of a team to reflect on the history of the department and team, even prior to the current composition of the team, how they think about and live into the future and the practices they use with each other and external to the team to get work done. It can illuminate how they treat each other and others outside the department, offering the opportunity to be intentional about their relationships.

When departments and teams share their worldviews with each other the resulting insights are often surprisingly dramatic and simple at the same time. The exploration surfaces things that can be blindingly obvious once illuminated but hidden until that time. Within an organization this could be the result of different leadership styles or perspectives on the future, it could be the lingering influence of conflictual relationships or any number of other scenarios. Across an organization, particularly one geographically dispersed, the location of a department or unit can have a significant impact on how they function and it is often unacknowledged until the system is mapped and explored.

Once departments or units across an organization share their worldviews with each other, the elements of a shared worldview can be elicited. The organization does not need a singular worldview, but worldviews across the organization should have elements that are common. An organization benefits from a diversity of views and learning how to draw out the greatest potential in addressing the issues and challenges the organization faces. The alignment across worldviews can be strategic and intentional as the organization moves forward on issues that are pertinent to its work and its future well-being.

Understanding what comprises the social systems of departments, units or the organization overall provides an opportunity to explore how to create consistent policies and practices across the organization that are also flexible enough to be responsive to local circumstances and influences.

When an organization takes the opportunity to collectively enter a worldview exploration, it also enters the conversation about how to work across silos, communicate more effectively because people are learning from and about each other and what they do. It is an iterative process. In one way it is simple. In another way it is difficult because it takes time, focus and strategic thinking to ensure ongoing attention to the age old issues. And it is important because these age old issues get in the way of getting work done.

Yearning for A Different Conversation, Yearning for a Turning Point

The conversation we are yearning for is a worldview conversation. Maybe the turning point can be discovered through the Worldview Intelligence explorations because the framework provides a structure and a language that offers a different starting point for stuck, entrenched or polarized issues.

Kathy Jourdain's avatarShapeShift

One of the teams I have the pleasure of being part of is an Art of Hosting team comprised of me, Jerry Nagel, Dave Ellis and Bob-e Simpson Epps. We most often have hosted open enrolment programs in the Twin Cities and we have worked together on a few other initiatives. One of the joys in working with this team is the rich and deep learning we are in with each other all the time. Our backgrounds are more varied than the colour of our skins as are our experiences.

When we check in together about hosting conversations, the topic often turns to difficult and challenging conversations, particularly around race, power and privilege, the need for which is growing more pressing every day. The essence of our many conversations is floating through my awareness as I read about the great unrest that is alive in the…

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A “Light-Bulb” Moment – I Am Not My Audience

Christine Johnson describes the “lightbulb” moment she had during the Worldview Intelligence program when she realized she is not her audience and so she needs to understand the worldviews of her audiences to strategize communication differently. “We see health one way. Other people see it differently. They are the people I need to better understand. Worldview Intelligence has given me strategies to expand my practice and engage other perspectives.”

Christine also talks about how refreshing it is to not need everyone “on the same page” telling identical stories because we benefit from the diversity of stories.

 

Worldview Intelligence is Essential for Anyone Working in Community

The framework of Worldview Intelligence is exciting to Jaime Smith, not just because of the academic rigour and research that supports it, but also because it provides a different way to think about your own worldview and to think about community engagement. She is reflecting on what it truly means to bring diverse perspectives into a room and how to frame those needed conversations in more meaningful ways. She offers that learning with curiosity and letting go of judgment, although simplistic, offers who new opportunities for listening and learning.

And, she received an unexpected gift – a revelation. Another consultant in the program, from another country, mapped out her social system and it mirrors Jaime’s own – a fabulous insight into her own networks and work.

 

Amy Brierley on the Accessibility and Applicability of the Worldview Framework

The Worldview Intelligence framework makes it easier to understand complexity, systems change and social systems, translating macro concepts into accessible, applicable concepts. Amy Brierley is finishing up her OceanPath Fellowship and believes the framework will allow her to evaluate and make conclusions about her work and that the shifts in mindset that occurred during and following this program will help her on her future path. She noted the need to stay curious and was delighted by the knowledge generated within the group.

Adaptability and Intuitiveness of the Worldview Intelligence Framework

There are two basic ways we offer Worldview Intelligence programs. One is through open enrolment programs that attract a wide variety of people coming from diverse places and situations and the co-learning is reach. The other is designing client specific programs to address questions or issues the client has identified. The Worldview Intelligence framework is not only academically rigorous as Jerry speaks about in another video, it is also highly adaptable and intuitive. There are any number of equally powerful worldview explorations that can be done through the same six dimensions: personal, organizational, professional, community and social systems are ones we’ve worked with so far.

People who have experienced Worldview Programs are also speaking about how intuitive the framework is – more than most they have come across or used in their work. It can be applied without always consciously thinking about all six dimensions and can be pulled out in full to examine issues that are stuck to find new ways to strategize relationship and communication to make progress on issues that matter. People, departments, organizations, sub-systems do not all have to think alike. In fact, it’s better if they don’t. The worldview exploration helps build bridges between different perspectives by making explicit what is often implicit and inviting in the creative thinking that comes with a diversity of perspectives.