Systems vs. Goals

Scott Adams talks a lot about goals vs. systems.  I’m reading this in his latest book How to Fail at Almost Everything but he’s also blogged about it.  His main point is that if you have a goal, you’ve set yourself up to never feel successful.  You’re failing for the time between setting the goal and achieving it, and then once you’ve achieved it, it’s no longer a goal.  You have one, brief transition point to feel like a success.

We could get bogged down here in things like the definition of goal, system, and success, or the fact that meeting goals can pay dividends besides a vague feeling of success, but for now I want to accept this paradigm as useful and apply it to my work at the crisis chat.  Because it would be really, really easy to feel like a failure as a chat specialist.  People are constantly being sad at you, many of their problems are unsolvable and even if you know the solution you can’t make them do it, you never see your most successful chatters again, and you’re operating almost blind.*

If we had a personal goal of “this person feels X better” for each chat, we’d constantly feel like failures.  And the pressure to make them Feel Better would probably make us worse listeners and more proactive fixers.   Instead, we have a system of “listen, reflect, identify, give them space to identify their own solutions.”   I do go off book, and especially with teenagers I often end up giving specific ideas, but they’re presented as examples to provoke brain storming, not commands.

Obviously it’s dangerous to worship a system regardless of results.   But in this case, I think we’ve chosen a really great system that supports our desired results.  I was really worried crisis chat would be too stressful for me because I wouldn’t be allowed/able to fix people’s problems. **   Now I’m trying to figure how can I/should I hold onto this while practicing psychiatry.

*You would be amazing how many people mention that they’re in really great therapy for a diagnosed issue 30 minutes in.  This is why you ask about their current support network before offering suggestions.

**I feel really blessed that several friends very delicately brought up the same concern.  Because they knew me, and they wanted to make sure I had taken this into consideration before committing myself, but they didn’t push it when I said their concerns were valid and I wanted to do it anyway.

Reason #28348 to hate open offices

I’m going to discuss some gender-based psychology research.  Before I begin, I would like to give my standard disclaimer: any such research is measured at the aggregate level.  Individual variation is very high, so even very strong trends don’t tell you much about how any particular person will behave, or why.  I’m not going to speculate as to the relative importance of environment and biology, because it doesn’t matter for these purposes.

Top Dog talks about some very interesting research into group dynamics.  According to the studies they cite, working in dyads requires a very different set of skills than working in groups, to the point that techniques that are beneficial for one can be detrimental in the other.  The most productive way to interact with a group is as a team: with each person taking a specialized role, which includes letting some people be more valuable than others.  Dyads function best if both people are pretty equal.  Treating a group of 5 as 4 individual dyads and managing the relationships as such is exhausting and slows down the group considerably.

It turns out that women are better than men in dyads, and men are better than women in teams.  Men in dyads are more likely to waste energy competing with one another, women in groups are more likely to waste energy signalling a lack of competition.  The reasons for this are undoubtedly a complicated mix of biology and environment we do not possible have time to get into.  But assuming that it is true, in this culture, right now, what are some implications?
I work in an open office.  And I am acutely aware that one of the reasons it slows me down is that I can’t just have a 1:1 conversation.  I have to think about who might overhear us, and how this will sound to them, and prepare if they jump in… and it’s exhausting.  I wonder if this has the same underlying causes as women’s difficulties in groups.
The counter argument to this is that when I am in groups, I am all about specialization and hierarchy. But I am self conscious about that, and do hold back because I’m afraid of what other people will think of me.  Which is not necessarily irrational: it’s entirely possible the women reason react different in groups is that people (gender deliberately unspecified) react differently to them.
I would really love to see some hard data on whether men and women react to open offices differently.

Vestibular processing

My (new, good) sensory integration therapist’s current hypothesis is that the areas of the brain that coordinate between senses aren’t working properly in me.  In particular, she thinks my vestibulo-ocular reflex (the system that automatically adjusts your eyes to compensate for movement) is weak.  This seems plausible.  I get motion sick easily and am constantly running into things, which indicates a proprioception/kinesthesia problem.  But those are not the symptoms that drove me to seek treatment; my inability to filter out sound and especially conversation has a much larger impact on my life.

My first thought was “well, those are right next to each other and develop from similar precursors, it would make sense they’d fail together.”  But she’s not suggesting physical damage*, but miswired connections in the processing apparatus.  I say processing apparatus and not brain because the vestibular system has some extra-brain communication with the eyes, which is why the vestibulo-ocular reflex is so fast.  Some of the neurons that listen to the vestibular (motion/spatial) system run alongside the neurons that listen to the cochlear (hearing) system, which is why they’re grouped to together as the vestibulocochlear nerve, but that wiki article suggested and everything else I read confirmed that the vestibular and cochlear nerves reported to different areas of the brain.  It’s like having two roads run parallel to each other, but it’s impossible to jump from one to another and eventually branch to different locations.  Both will be affected by a snowstorm in their shared area, but a traffic jam at the destination for one won’t affect the other.

My neurology is weak, so I’m not sure what snow storm could be an analogy for.  “Pinched nerve” is a phrase that exists, or perhaps something in the fluid they both float in?  Except the whole point of neurons is to be heavily insulated against outside effects.  What about the destinations?  Were they really so separate?  That is a good question.  The brain does not break down into discrete little units.  It’s not quite true that everything connects to everything else, but it is true that tracking down everything affected by two particular sensory inputs and cross-referencing them is unlikely to be a good use of time.

Now, a digression. After writing down all the reasons The Fabric of Autism was stupid, I find myself reading it again.  Even though it is wrong, it is bringing up facts in the right area, which spurs me to do more research.  Faced with a dense, correct text it’s easy for my eyes to glaze over.  DNBHelp seems to have a pretty good grasp on otology without my help.  But given a light, fuzzy text with an occasional fact that I’m pretty sure is wrong or at least misleading but am unable to explain why, I will do lots of research so I can more accurately explain to it why it is wrong.  This probably won’t scale for the amount of reading I’ll have to do for nursing school, but it’s helpful for now.

I read another two chapters last night.  Mostly it was some nice, fuzzy work about the relationship between sensory input and safety, but there was a throwaway reference to the superior and inferior colliculus as the parts of the brain that process sensory input.  I looked that up, and what do you know:  the inferior colliculus is a processing center for integrating sensory input.  It handles auditory and somatic senses.  Somatic is a broad term, but it includes both proprioception and touch.  It’s involved in both the startle reflex, which means assessing stimulus for danger potential, and that vestibulo-ocular reflex thing we’ve spent so much time on**.  There is some evidence it’s responsible for filtering auditory signals, which is certainly weak in me.

The superior colliculus is just neat.  Say some part of your brain wants to interact with a specific object in the world.  E.g. you want to pick up that glass of water on the table.  How do you translate your sensory input into something your motor system can use to calculate what movements are necessary?  I don’t know, but apparently the superior colliculus does it.  In humans the primary input is visual, but it also handles echolocation and magnetolocation in animals that have them.

After all that, I have a non-exhaustive list of sections of the brain that do sensory integration, one which I find awesome and others of which I glare at with suspicion.  I still don’t have a good sense of what distinguishes a functioning system from a non-functioning one, and that is something I really want.

*Although it seems like something we should maybe check for</divp

**Interesting note:  vestibulo-ocular reflex appears on the inferior colliculus wiki page, but the reverse is not true.  This is probably because a lot of brain structures have their finger in the vestibulo-ocular pot, and we just don’t have time to list them all.