With 3 Amazing Tools from the Former Chief FBI Hostage Negotiator
Disruptive physicians and staff have a knack for causing havoc with your patient safety or quality initiatives.
Their angry outbursts, demeaning behaviors, and caustic comments can derail the culture of high performance you are trying to create.
Most leaders become overwhelmed by the voices in their own head when dealing with difficult staff. Leaders and staff needĀ proven communication tools to prevent being overwhelmed by the emotional conflict with these difficult people.
The best way to learn these communication tools is to take some lessons from the former Chief FBI Hostage Negotiator, Chris Voss, and his book, āNever Split the Difference.āĀ The FBIās negotiation teamās tactics must work, because failure often means death for the hostage and the hostage taker. Their proven tactics are based on Nobel Prize-winning ābehavioral economicsā and neuroscience documenting how the human mind actually works. Mr. Voss described his system of handling disruptive personalities as one āthat had successfully resolved almost every kidnapping we applied it to."
1. Mirroring
Itās almost laughably simple - a āmirrorā is when you repeat the last three words (or the critical one to three words) of what someone has just said. For example, a disruptive person my angrily exclaim, āthis happens to me all the time and I am sick of it!ā To mirror, you would respond, āAll the time?ā
Of the entirety of the FBIās hostage negotiation skill set, negotiators believe that mirroring is the closest one that gets to a Jedi mind trick. Itās simple, and yet uncannily effective (when you try youāll see what they mean). The reason it works is that it is based on a neuro-behavior that humans (and other animals) display in which we copy each other to comfort each other. It can be done with speech patterns, body language, vocabulary, tempo, and tone of voice. We fear whatās different and are drawn to whatās similar.
Lots of research has proven its effectiveness. One study showed the average tip of the waiters who mirrored the words of those they served was 70 percent more than of those waiters who used positive reinforcement.
Research has proven the effectiveness of Mirroring
After mirroring the last three words (or the critical one to three words) of what someone has just said, it is critical to use āSilence.ā Donāt say anything else. Wait, at least four seconds, to let the mirror work its magic on your counterpart.
2. Labeling
Labeling is a way of validating someoneās emotion by acknowledging it. Give someoneās emotion a name and you show you identify with how that person feels. It is a timesaving emotional hack. You spot the disruptive personās feelings, turn them into words, and then very calmly and respectfully repeat their emotions back to them by saying something like, āIt seems as if this causes you a lot of anger.ā
If you are worried about āpoking the bear,ā keep in mind the words of Mr. Voss, āEarly on in my hostage negotiation career, I learned how important it was to go directly at negative dynamics in a fearless but deferential manner." Neuroscience is on your side.
"Go directly at negative dynamics"
Exposing negative thoughts to daylightāāIt looks like you are frustrated and donāt want to wait to re-do the countāālessens the effective of negative emotions. Neuroscience reveals that when you label the emotion, brain activity moves to the areas of the mind that govern rational thinking. In other words, labeling an emotionāapplying rational words to a fearādisrupts its raw intensity. The research shows that the best way to deal with negativity is to observe it, without reaction and without judgment. Then consciously label each negative feeling.
When you label, you must use words like āIt seems like . . . It sounds like . . . or, It looks like . . .ā āIt sounds like . . .ā and not āIām hearing that . . .ā Thatās because the word āIā gets peopleās guard up. When you say āI,ā it says youāre more interested in yourself than the other person, and it makes you take personal responsibility and negates the cognitive effect of labeling.
3. Open-Ended Question
The calibrated open-ended question takes the aggression out of a confrontational statement or close-ended request that might otherwise anger the disruptive team member. What makes these questions work is that they are subject to interpretation by the person with whom you are dealing.
These questions offer no target for attack like statements do. They avoid causing conflict by telling the difficult person what the problem is.
A calibrated, open-ended question always begins with, āHow.ā The most common version of the question is...
āHow am I supposed to do that?ā
Now, letās tie all three tactics together with an example.
During a surgical procedure, the count is incorrect. The surgeon is obviously in a hurry and angry that a recount must be done. During his outburst, he heatedly says that he is going to close the incision anyway, and not wait on a successful recount.Ā The circulator has already made an assertive, stop-the-line statement. The surgeon has ignored the stop-the-line statement. He loudly insists he is going ahead with closing the incision because he is sure nothing has been left in the body.
Circulator: (Labeling) āIt seems as if a recount causes you a lot of anger.ā Silence for 4 seconds.
Surgeon:Ā āI am angry. I donāt know why you canāt get this right the first time. This happens to me all the time!ā
Circulator: (Mirroring) āAll the time?ā Silence.
Surgeon: āWell not every time, but way too much. Iām tired of always waiting on you to get the count right. Letās go ahead and close and you guys do the count afterwards.ā
Circulator: (Open-ended question.) āHow are we supposed to that?ā Silence. Surgeon: āI know what the policy says, but Iām tired of waiting. Letās close.ā
Circulator: (Mirroring) āClose despite the policy?ā Silence.
Surgeon: āWell, no. Okay. Letās get a correct count before we close.ā
These three communication tactics will calm the voices in your head, and get you over the fear of conflict with disruptive physicians and staff. They give you the tools to navigate it with empathy and preserve your culture of safety. If youāre going to have a great culture and create a high performing organizationāyouāre going to have to do just that.
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