Home Organizational Psychology Leadership Physician as Leader II: From Theory to Practice Regarding Blended Leadership Styles

Physician as Leader II: From Theory to Practice Regarding Blended Leadership Styles

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Effective narratives emerge from and cluster around something called an Appreciative Perspective (Bergquist, 2003; Bergquist and Mura, 2011).  What is the nature of such a perspective? In essence, an appreciative perspective concerns a willingness to engage with other people from an assumption of mutual respect, in a mutual search for discovery of distinctive competencies and strengths—areas of expertise– with a view to helping them fulfill their aspirations and their potential. This simple statement might at first seem to be rather naive and idealistic, but at its core it holds the promise of helping to encourage and make use of collective expertise. Furthermore, this perspective comes in several different forms and has several different meanings that build on one another.

Understanding Another Person: Appreciation refers first to a clearer understanding of another person’s perspective. We come to appreciate the point of view being offered by our colleague and with this understanding, we can receive and build on their expertise. The tools of active listening are engaged to enable this understanding to take place. We offer a paraphrase of what another person has said so that we might not only benefit from what they have said, but also gained greater insight into their own perspectives by testing the accuracy of what we have heard (as processed through our own perspective).

This appreciative tool arises not from some detached observation, but rather from direct engagement. One gains knowledge from an appreciative perspective by “identifying with the observed.” (Harmon, 1990) Empathy is critical. One cares about the matter being studied and about those people with whom one is collaborating. Neutrality is inappropriate in such a setting, though compassion implies neither a loss of discipline nor a loss of boundaries between one’s own perspectives and those of the other person. Appreciation, in other words, is about fuller understanding, not merging, with another person’s perspectives. It is about being open to, not necessarily uncritically embracing, another person’s apparent expertise.

Valuing Another Person: Appreciation also refers to an increase in worth or value. A painting or stock portfolio appreciates in value. Van Gogh looked at a vase of sunflowers and in appreciating (painting) these flowers, he increased their value for everyone. Van Gogh similarly appreciated and brought new value to his friends through his friendship: “Van Gogh did not merely articulate admiration for his friend: He created new values and new ways of seeing the world through the very act of valuing.” (Cooperrider, 1990)

Peter Vaill recounts a scene from the movie Lawrence of Arabia in which Lawrence tells a British Colonel that his job at the Arab camp was to “appreciate the situation.” (Vaill, 1990) By appreciating the situation, Lawrence assessed and helped add credibility to the Arab cause, much as a knowledgeable jeweler or art appraiser can increase the value of a diamond or painting through nothing more than thoughtful appraisal. Lawrence’s appreciation of the Arab situation, in turn, helped to produce a new level of courage and ambition on the part of the Arab communities with which Lawrence was associated.

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