
Baron Joseph Lister (1827-1912), who discovered the importance of antiseptic procedures in surgery. Before his innovative work, infections were believed to be caused by airborne agents — "bad air." Surgeons were not required to wash hands or instruments between patients. Meanwhile, midwives, who at the time did wash hands and instruments, had been experiencing infant mortality rates much lower than surgeons. This fact went unexplained until Lister's work. Photo courtesy U.S. National Institutes of Health, from a collection entitled Images from the History of Medicine in the U.S. National Library of Medicine.
On October 14, 2011, the Apple iPhone 4S first became available for sale. Lines formed at Apple stores around the world, and pre-release sales of a million units broke all records for mobile phones. Though no buyers had yet seen it, they felt that the new phone was a welcome change.
On September 21, 1867, the British Medical Journal published a pioneering paper entitled, "On the Antiseptic Principle in the Practice of Surgery," by British surgeon Joseph Lister (1827-1912), in which he advocated sterilization of instruments to prevent infection following surgery. His methods were rapidly adopted throughout Britain. Not so in the United States. The failure of the U.S. medical community to embrace the changes Lister advocated was most unfortunate for President James Garfield, who, on July 2, 1881, was the victim of an assassination attempt in which two bullets struck him. Efforts by surgeons to trace one of the bullets, using their unwashed fingers and unsterilized instruments, led to massive infections. Garfield finally succumbed to a heart attack on September 19.
One change was overwhelmingly welcomed; the other shunned. Why? It's an important question, because our assessments of the net value of changes can be most unreliable. Here's Part I of a catalog of factors that can distort our assessment of changes.
- Inability to grasp circumstantial complexity
- All change involves both losses and gains, but between them there is a fundamental asymmetry. When we experience a loss, it's usually a loss of something we know well. When we experience a gain, it's usually a gain of something we don't yet fully appreciate. Because we don't have it, it's difficult to understand the full scope of its benefits.
- Like all circumstances, the full circumstances of the new status quo are complex. Until we fully adapt to the change, we tend to understand our losses more easily than our gains. That's one reason why our assessment of the net value of a coming change can tend to bias us against it.
- The seductiveness of simplicity
- Some changes appear All change involves both
losses and gains, but
between them there is a
fundamental asymmetrysimple. Whether by design or by happenstance, these changes seem to be minor, or they promise to simplify dramatically some parts of our lives. We tend to welcome these changes even before we understand their full implications. - The error we make here is confusing the change, which seems simple, with the circumstances surrounding the change, which are always complex. This error is responsible for many of the mishaps we call unintended consequences. For most systems, which are far more complex than we appreciate, changing one element can ripple through the system in ways we can understand only after the system demonstrates them to us.
In Part II, we'll examine how social factors can influence our assessment of the goodness of a change. Next in this series Top
Next Issue
Is your organization embroiled in Change? Are you managing a change effort that faces rampant cynicism, passive non-cooperation, or maybe even outright revolt? Read 101 Tips for Managing Change to learn how to survive, how to plan and how to execute change efforts to inspire real, passionate support. Order Now!
Even though the U.S. medical community spurned Lister's methods, some were convinced. In 1879, Listerine was first formulated. At the time, it was intended as a solution for sterilizing surgical instruments. For more about Joseph Lister, see his biography in Wikipedia. See Wikipedia also for more about Listerine. For the story of James Garfield, see the new book by Candice Millard: Destiny of the Republic: A Tale of Madness, Medicine and the Murder of a President.
Your comments are welcome
Would you like to see your comments posted here? rbrenogMhuqCxAnbfLvzbner@ChacigAthhhYwzZDgxshoCanyon.comSend me your comments by email, or by Web form.About Point Lookout
Thank you for reading this article. I hope you enjoyed it and
found it useful, and that you'll consider recommending it to a friend.
This article in its entirety was written by a human being. No machine intelligence was involved in any way.
Point Lookout is a free weekly email newsletter. Browse the archive of past issues. Subscribe for free.
Support Point Lookout by joining the Friends of Point Lookout, as an individual or as an organization.
Do you face a complex interpersonal situation? Send it in, anonymously if you like, and I'll give you my two cents.
Related articles
More articles on Organizational Change:
Look Before You Leap
- When we execute complex organizational change, we sometimes create disasters. It's ironic that even
in companies that test their products thoroughly, we rarely test organizational changes before we "roll
them out." We need systematic methods for discovering problems before we execute change efforts.
One approach that works well is the simulation.
Pick-Up Sticks and the Change Game
- When we change organizational culture, we often stumble over unexpected obstacles. Sometimes the tangle
can be so frustrating that we want to start the company over again. Here are some tips for managing
large-scale cultural change.
Piling Change Upon Change: Management Credibility
- When leaders want to change organizational directions, processes, or structures, some questions arise:
How much change is too much change? Here's a look at one constraint: the risk to management credibility.
The Restructuring-Fear Cycle: II
- When enterprises restructure, reorganize, downsize, outsource, lay off, or make other organizational
adjustments, they usually focus on financial health. Here's Part II of an exploration of how the fear
induced by these changes can lead to the need for further restructuring.
How to Find Lessons to Learn
- When we conduct Lessons Learned sessions, how can we ensure that we find all the important lessons to
be learned? Here's one method.
See also Organizational Change and Emotions at Work for more related articles.
Forthcoming issues of Point Lookout
Coming September 27: On Working Breaks in Meetings
- When we convene a meeting to work a problem, we sometimes find that progress is stalled. Taking a break to allow a subgroup to work part of the problem can be key to finding simple, elegant solutions rapidly. Choosing the subgroup is only the first step. Available here and by RSS on September 27.
And on October 4: Self-Importance and Conversational Narcissism at Work: I
- Conversational narcissism is a set of behaviors that participants use to focus the exchange on their own self-interest rather than the shared objective. This post emphasizes the role of these behaviors in advancing a narcissist's sense of self-importance. Available here and by RSS on October 4.
Coaching services
I offer email and telephone coaching at both corporate and individual rates. Contact Rick for details at rbrenogMhuqCxAnbfLvzbner@ChacigAthhhYwzZDgxshoCanyon.com or (650) 787-6475, or toll-free in the continental US at (866) 378-5470.
Get the ebook!
Past issues of Point Lookout are available in six ebooks:
- Get 2001-2 in Geese Don't Land on Twigs (PDF, )
- Get 2003-4 in Why Dogs Wag (PDF, )
- Get 2005-6 in Loopy Things We Do (PDF, )
- Get 2007-8 in Things We Believe That Maybe Aren't So True (PDF, )
- Get 2009-10 in The Questions Not Asked (PDF, )
- Get all of the first twelve years (2001-2012) in The Collected Issues of Point Lookout (PDF, )
Are you a writer, editor or publisher on deadline? Are you looking for an article that will get people talking and get compliments flying your way? You can have 500-1000 words in your inbox in one hour. License any article from this Web site. More info
Follow Rick





Recommend this issue to a friend
Send an email message to a friend
rbrenogMhuqCxAnbfLvzbner@ChacigAthhhYwzZDgxshoCanyon.comSend a message to Rick
A Tip A Day feed
Point Lookout weekly feed
