The Mirror Effect Graham Fawcett Consultant Clinical Psychologist

The Mirror Effect Graham Fawcett Consultant Clinical Psychologist For Panel: Can Standards and Reforms Drive Effective Change? IHSA, August 27 -29, 2018

The Mirror Effect How do Mirror Effects impede implementation of staff care standards? • Mirror Effects • Daniel Kahnemann, Thinking, fast and slow (c. f. Trauma circuitry) • Implications and conclusions

The Mirror Effect How do Mirror Effects impede implementation of staff care standards? • Mirror Effects - beneficiaries • Sense of urgency and immediacy • Sense of being overwhelmed • Burn out • Mirror Effects – leadership • Autocratic / liberal / consultative • Behaviour of leaders – the 3 a. m. e-mail. • Daniel Kahnemann, Thinking, fast and slow (c. f. Trauma circuitry) • Implications

The Mirror Effect How do Mirror Effects impede implementation of staff care standards? • Mirror Effects • Daniel Kahnemann, Thinking, fast and slow (c. f. Trauma circuitry) • Fast thinking – system 1. Decisions are: • Fast, emotional, unconscious: (2+2=? ) • Automatic, emotional, unconscious • Survival based • Context free • Unarguable • Slow thinking - system 2: Decisions are: • Slow, effortful, logical, conscious (17*24=? ) • Slow, effortful, logical, calculating, conscious • Strategic • Take account of context • debatable • Implications

Implications • Decision making. • Slow down – huddle, read in meetings, team decisions…. • Vicarious Trauma standards. • For organisation not just the investigators and front line staff • Trauma informed workplace standards. • How is my agency traumatising me – 2+2= ? or 17*24=? • Culture shift through leadership by modelling. • Don’t send e-mails at 3 a. m. if you’re the boss. Just don’t.

Conclusion • Organisations mirror the context • System 1 thinking is the default and mirrors trauma thinking leading to fast but strategically inept decision making. • System 2 thinking is required and mirrors mindful thinking leading to less defensive and more strategic decision making. • Questions, Discussion

Contact Details Graham Fawcett Director of Psychosocial Services Thrive Worldwide • Email: Graham. fawcett@thrive-worldwide. org • http: //www. thrive-worldwide. org • Twitter @Thrive_WW • Facebook @Thrive. WW