EXPERT PERSPECTIVE MANAGEMENT FOCUS PROFESSIONAL PERSPECTIVE MANAGEMENT FOCUS Lose Your Mind (and Come to Your Senses) Coping With Supersized Caseloads and Information Overload By Vergil Metts, PHD I recently had a feel your pain moment, tuning into a Case In Point Webinar and learning about the stunning growth in your field’s caseloads. From my outsider’s perch, it appears ever-tightening industry economics and the information revolution have conspired to make your vital and challenging work, well, even more vital and challenging. As data rushes ever faster, so rises the bar on productivity expectations. That relationship may work for widget makers, but for people in the people business, it’s a huge problem. When the line can’t run any faster, yet still more is demanded, how do you maintain quality? It’s enough to make you lose your mind. So how does a talented, conscientious professional like you keep delivering the service and outcomes you want for your clients and expect of yourself? I suggest you go right ahead and lose your mind. Stay with me for a moment and I’ll explain the practical implications of what I mean. All the information flying at us, the demands of our managers, our clients and our personal lives—by sheer necessity—forces us to operate in a kind of autopilot mode. In psychology’s parlance, we employ cognitive schema. According to Kendra Van Wagner, cognitive schema is “a cognitive framework or concept that helps organize and interpret information. Schemas can be useful, because they allow us to take shortcuts in interpreting a vast amount of information. “ We all use cognitive schema, which evolve over time as the product of what we are told, experience and come to believe. Think of yours as a big sorting tool, automatically guiding reams of data rushing in at the top into tight compartments down below, making information more efficient to process and act on. It’s your mind at work, helping you deal with sheer volume, quite often to good effect. Run it through the system, cross it off the list, move on to the next item. 10 Case In Point • www.dorlandhealth.com • February/March 2010 But what happens when something we experience doesn’t fit into one of those little boxes? Two things, broadly speaking. If incoming information is hugely at odds with our schema— so new or conflicting with what we know, it just doesn’t add up—we shift from automatic to controlled processing. In this mode, we examine incoming information more closely, compare it to what we expect, and may even modify our schema based on what we learn. It’s a good thing, and it happens on scales grand and small. There are events like Magic Johnson’s announcing some 20 years back his HIV positive status, forcing many to reexamine what they knew or thought about AIDS. In our everyday lives, there is the formerly faceless 20-something hatching a brilliant idea in a meeting, who will now be called into many more. These “stop and look” moments’ net effects come courtesy of controlled processing. The problem comes when something that may merit closer inspection isn’t sufficiently at odds with our current schema. That stuff goes into the trash, where it can’t gum up automatic processing’s finely tuned machinery. The problem is, some of that information merits attention. Also, there is simply a limit to our mental holding capacity. By rule, the more that goes in the top (i.e., what the information era has wrought), the more that gets tossed. Demolishing Perceptions Cognitive schemas can have a very real effect on what we see, don’t see, or think we see. In a series of studies focused on perceptions of leadership behavior, psychologist Robert Lord and colleagues showed that when observers believed a team leader to be associated with a high performing group, raters “saw” significantly different behavior during videotaped team BEST PRACTICE sessions than when observers believed the group to be poor performers. Thing is, the two groups of raters were watching the same videotape. Locked in automatic processing mode—being overly mindful, if you will—we may miss not only empirical data but also critical “below the line” cues like facial expressions and tone of voice, essential in fully reading and understanding people and situations. It is indeed about not just what they say, but how they say it. So at times, it’s a really good idea to lose your mind—to self-consciously disable that built-in sorting device and manually shift into controlled-processing mode. Losing your mind literally means coming to your senses, more purely experiencing how something is being said, and how the person saying it feels. It’s the opposite of taking a step back, which is about gaining distance for better analysis. I’m advocating taking a step forward, closer to your subject, to get ahold of more raw data. OK, interesting idea. But how? By being more present in the moment. In a nutshell, better presence in a given moment requires checking your opinions at the door, entering a discussion prepared to judge neither the other party nor what they say. It is a very self-conscious, active and pure type of “good listening.” Switching from automatic processing mode into controlled mode, you’ll gain access to invaluable information that may better convey a client’s true concerns, misconceptions and simple facts. It may help you chart a more pragmatic course, perhaps even saving some time when all is said and done by accelerating the “getting to know” process. Looking and listening for differentiating cues and data, a case may reveal itself to not fit any one particular type. The resulting net benefits on decision making for the patient, their families, third parties and the system overall—and your sense of effectiveness and satisfaction—needn’t be recited, but may be profound. cip Dr. Vergil Metts, president and CEO of Impact Associates, holds a doctorate degree in industrial and organizational psychology from the University of Tennessee. Dr. Metts has extensive experience working for and consulting with public and private organizations. (vmetts@impactassociates.org) This can take some time and effort, especially for newcomers. Over time, with enough practice, it can become part of your everyday routine. To start, I suggest setting two internal alarms. When either goes off, switch your mode button from automatic to controlled: Alarm One. Set to go off on days when it all seems too much to handle—too much e-mail and data, too many cases, new or old. When we feel overwhelmed by work, we tend to work as fast and furiously as we can to handle the barrage of commitments coming at us. But you might be better served to slow down instead of speeding up. Recognize that your ability to engage in active, conscious thought (i.e., controlled processing) is a limited resource. Tackle the big stuff first and leave the simple stuff for later. When you feel most overwhelmed, it is perhaps the most important time to be conscious about your thought process. Alarm Two. Goes off when a situation feels uncomfortable or unfamiliar. Here, your cognitive schema can shift into overdrive, discarding reams of data that don’t neatly fit into a box—the polar opposite of what you need to operate effectively under such circumstances. If something feels different, feel it more, and you’ll get more in return. February/March 2010 • www.dorlandhealth.com • Case In Point 11