Sunday, February 17, 2013

On responsibility


I remember one of the greatest lessons taught to me both at home and at school was about responsibility. It was such a good trait in a person that even if you owned up to wrong-doing, there would be an incentive for the admission (e.g. reduced punishment). I wonder now what happened to make taking responsibility for almost anything such a dirty affair.

Do you know when people are quick to claim responsibility for things? When things go right! Politicians, for example, are a great at speaking of their triumphs in war, claiming they achieved this or that target. For a moment it would be possible to convince yourself that Barack Obama was literally holding the firearm that killed Osama bin Laden, such was the claim that “we got him”. In science journals a string of names appear as the “researchers”, and if the discovery or finding is big news enough, the person giving the interview will be the person who runs the research institute or the head of the lab – not the little guy who actually did all the intellectual and physical work. Similarly in medicine, especially in teaching hospitals, the name of the consultant will always be quoted as the guy who did the surgery or who treated a patient’s complex medical problems – where in reality the consultant probably has never laid eyes on the patient. But I am, of course, talking about when things go right, the successes. The culture extends all the way to clinical records, as I have had to explain to patients in the past:  “I know the information is about you, and it was collected and written by me, but it belongs neither to you or me apparently but to the person who lent me the pen and paper (or computer) with which I recorded the information”. Or at least this is what I have been told in the past by previous employers… Imagine if the same had been done to the great poets and writers of the past. Mark Twain would not have made a cent from the proceeds of the sale of Huckleberry Finn but the manufacturer of the pen and paper he wrote with would have made some very easy money!

Now, when things go wrong in medicine, it’s not the hospital’s or the clinic’s fault, it’s not the consultant’s fault – then it is all about the little guy. When competitions are won, a whole nation claims victory; but when they are lost, it’s the one competitor or team who is the loser. When corruption is uncovered, it is always said it was just one person’s fault, not the institution or the culture that drove him to it, etc. We have become very quick to deny responsibility for ourselves and distance ourselves from all negative events. Unfortunately, this has come to extend to our personal lives too.

If there is one thing I pride myself on is trying to be an understanding and non-judgemental human being. I have met people, though, who confuse taking responsibility with admitting fault, and therefore they refuse/avoid/delay taking responsibility at all. We are all shaped by our childhood experiences, past relationships, our genetics, formal and informal education, etc. All these things together shape how we are today. Now, one or more of those things may have been a profound traumatic negative experience that has gone on to shape us significantly – and maybe even negatively. As a result of that experience perhaps we become highly attuned to certain words people say (perhaps words bullies may have used) or to misinterpreting body language or we come to expect that certain words will be followed by physical abuse, etc. When you experienced those things before it was perhaps appropriate to retaliate or go on the defence. The thing is when you are no longer in that situation and you continue to react as if you were, that is when our own actions/defence become our offense. That is when we hurt ourselves more, or others too. Now, as I said, I can understand this and I can forgive this. No one is saying it is your fault you are the way you are; and it’s certainly not your fault those negative things may have happened to you (emotional or physical abuse, etc.), but it is each individual’s responsibility to decide whether they want to continue to be and act the same or to change. I see the person who refuses to change, who points out how it’s not their fault, who perhaps feels guilt but not motivation to change, as someone caught up in victimhood. And as I have stated many times before, we are not victims of our past but rather the creators of our own future. And trust me, there are still plenty of incentives out there for those that do stand up courageously and take responsibility.

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