Transcript Wisdom Imagination and Time - South Bristol GP trainers workshop

Wisdom Imagination and Time
At the very heart of medical science is
a void that is unpredictable and
uncontrollable-it is the murmurings of a
human voice. Cecil Helman
A cunning plan for today
• 3 groups one for each word
• What does it mean to the group
• One by one feedback
• Sandwich with my thoughts
• Summary
Wisdom Imagination Time
• 3 groups
• What does this word mean to you?
• Summarise on flipchart to feed back to
SBTW
• 10 minutes
TIME
TIME
• Usually means life time
• Connects people together
• Different types-subjective/event/distant/
chronological
• Stories create knowledge
• Quality v quantity
Few quotes
Souls mingle and blend together so that the
seam which joins them together can no
longer be found
Live in the moment. Now is gone and the
future isn’t here yet
Doctors stick to chronological time but
Healers transcend time
TIME
• Reflection
• Durability
• Causality
• Flow
Few quotes
The clergy promised life after death. Doctors
promise life before death.
Flow- a state of effortless concentration so
deep that you lose the sense of time
The idea that the future is unpredictable is
undermined every day by the ease with
which the past is explained.
TIME and Memory
We are depositories of sensory memories in
us and us in others linked by time
Regret and blame. We go back to a point in
time where a change would prevent us from
beating ourselves up (regret) or others
beating us up (blame)
IMAGINATION
IMAGINATION
• Time-anticipation of the future
• Mood
• Self dependent
• Foresight-we are judged on outcomes
• Memory-ease of retrieval
• Walking in someonelses shoes
• Plausability and coherence
• Probability
System 1 and system 2
• System 1 is automatic responsive reactive
and often wrong
• System 2 is rational rationed and designed
to affirm rather than question system1
• Links to our evolution and means that first
impressions do count
• We often decide emotionally and based on
the ease of recall
Few quotes
Regret and hindsight are worse when we
have put in a lot of foresight
Unbiased appreciation of uncertainty is the
cornerstone of rationality
Illusions of validity and skill are maintained
by professional cultures
We like cognitive ease-positive emotion/
good story/feels familiar/true/effortless
IMAGINATION and Memory
• Without memory we are stuck between a
past we cant recall and a future we cant
anticipate
• Both creative and associative memory
need to work well
WISDOM
WISDOM
• Knowledge
• Truth
• Time dependent
• Expertise-intuition instinct impulse
• We decide emotionally but justify
intellectually (tail wags the dog!)
• Enhancement/betterment
Knowledge
Know is related to things in the past
Normality needs regular updating
Is psychosociocultural-belief based values
WISDOM
• Knowledge
• Truth
• Time dependent
• Expertise-intuition instinct impulse
• We decide emotionally but justify
intellectually (tail wags the dog!)
• Enhancement/betterment
Truth
• Likelihood of it being accepted to be true
is linked to the ease of memory retrieval
construction and association
• Pinball wizard. Truth->
Certainty->Perception->Belief
• Multiple observations
• Important observers
• Scepticism (system 2 activity)
WISDOM
• Knowledge
• Truth
• Time dependent
• Expertise-intuition instinct impulse
• We decide emotionally but justify
intellectually (tail wags the dog!)
• Enhancement/betterment
TIME
• Causality
• Truth is Time dependent
• Expertise-instinct intuition impulse
• We decide emotionally but justify
intellectually
• Enhancement/betterment
Few quotes
Individuals are a mixture of natural cause
and chance occurrence.
Insight into the self+moral sense+sufficient
drive causes change.
Success = talent+luck!
The gap between experience and feedback
needs to be short to develop expertise.
Intuition is simply recognition
Expertise
• Cognitive dissonance/resonance
• Learning cycle
– Conceptualise
– Experiment
– Experience
– Reflect
• Barriers to learning
Few quotes
We have almost unlimited capacity to ignore
our ignorance
Unbiased appreciation of uncertainty is the
cornerstone of rationality
Illusions of validity and skill are maintained
by professional cultures
Knowledge is knowing that a tomato is a
fruit. Wisdom is not putting it in a fruit salad
MEMORY
• Ease of retrieval trumps the number
retrieved
• We decide based on
– Emotional response
– Ease of recall-recently
We remember the peak and the end bits rather
than the duration
MEMORY is the KEY
“Memory is the treasury and guardian of all
things…..The life of the dead is placed in the
memory of the living.” Cicero
It is the link between Wisdom Imagination
and Time
THANK YOU ALL… for the memories