Emotions

“Emotions are the window to reality.”  Really? I have not bought into that.  Why? Probably because I was raised to be out of touch with my emotions.  I strive at being non-emotive.   But it turns out that emotions and their physiological effects play a key part in our decision making.

Why do police departments generally do not allow their officers to participate in high speed chases?  What is the cause of most medical errors? Answer: Emotions.  Really? Yes.

In Malcolm Gladwell’s book Blink,  Gladwell points out that there is a physiological response to stress/fear/anger/ie our emotions.  One of the findings reported by a police officer who has studied police shooting incidents has found that when we are stressed and our heart rate goes about 145 beats per minute we start to lose our ability to reason, think clearly, etc.  There is a sweet spot to stress when our heart rate is between 110-145 our body responds by making our ability to think clearly sharper in this heart rate range.  Some police departments have banned high speed car chases for this very reason.  They have found that the police in a high speed chase are so stressed that they will often respond by being overly aggressive at the time of arrest.

Dr. Groopman in How Doctors Think points out that most medical errors are related to our emotions…

“But what I and my colleagues rarely recognized, and what physicians still rarely discussed as medical students, interns, residents, and indeed throughout their professional lives, is how other emotions influence a doctor’s perceptions and judgments, his actions and reactions. I long believed that the errors we made in medicine were largely technical ones—prescribing the wrong dose of a drug, transfusing a unit of blood matched for another person, mislabeling an x-ray of an arm as “right” instead of “left.” But as a growing body of research shows, technical errors account for only a small fraction of our incorrect diagnoses and treatments. Most errors are mistakes in thinking. And part of what causes these cognitive errors is our inner feelings, feelings we do not readily admit to and often don’t even recognize.”

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