Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Intentions don’t sanitize impact

Amelia L. Bueche, DO
Physician
September 7, 2020
Share
Tweet
Share

While there are certainly instances of malicious intent in thoughts, feelings, and actions, most people operate with the intent to do good, be good, offer good to the world – but what we do isn’t always received in the way we set out to offer it.

In the words of Oscar Wilde, “No good deed goes unpunished.”

It can be frustrating and even paralyzing to consider this consequence, resigning us to, “What is the point of doing anything … I’ll probably get it wrong … someone is going to be mad/hurt, and all I was trying to do was help.”

While it is entirely true that we cannot know or control the response of others, we have the opportunity in every interaction to listen, learn, and decide how to proceed.

Consider accidentally stepping on someone’s foot – in the majority of cases, the person who did the stepping will automatically state, “oh, I’m sorry – I didn’t see you there/mean to step on your foot.” The response is not generally, “that shouldn’t hurt because I didn’t mean to step on your foot.”

That one is a little easier to work with because there wasn’t initial intent to do good that went “wrong” as there was really no intent at all, but it is gives some perspective.

Consider another example where you send a message, with every intent to be helpful and are met with the response that it was actually hurtful. How do you respond? Is it fair to offer an explanation of your intent? Some things can be lost in translation, and clarification can certainly be useful. Notice if your “explanation” is actually insistence that there could be no hurt from this message because of your intent to be helpful. Consider, if you are actually looking to be helpful, that this might not be the ideal follow up.

It is important to note that the hurt from your message only comes from the person’s thoughts about it, not from the message itself. This can be useful in creating space between who you are, what the message said, how it was heard, and who they are.

If we are to continue forward with deeper connections and greater understanding, consider how you might continue with a willingness to listen and hear perspectives without taking it personally.

Think of the message as just words – neutral words.

Think of your intent as your thoughts – you are choosing what you think about the words, and that brings you a certain feeling.

Think of the impact as their thoughts – they are choosing what they think about the words, and that brings them a certain feeling.

When these match, there is resonance and connection.

ADVERTISEMENT

When these don’t match, there is dissonance and disconnection.

When we find ourselves in a mismatch, it is often uncomfortable.

When we find ourselves in a mismatch, we have the opportunity to reflect or to reject.

We can become defensive, or we can become curious.

We can listen, or we can refute.

We can’t change what we said, but we can deepen our understanding and consider how we would like to move forward.

We can decide whether we simply want to stand by our intent and accept that some might find it helpful, and others might find it hurtful, recognizing that both of those are results beyond our control.

We can decide whether we want to make adjustments, to listen to the perspectives of others, and make adjustments in how we proceed going forward.

We can decide whether we want to apologize and how that might sound:

Consider these:

I’m sorry you felt that way.

I’m sorry you felt that way; that’s not what I meant.

I’m sorry you felt that way; that’s not what I meant. I just don’t see how this could be hurtful when I was only trying to help.

While offering an apology, they are essentially blaming the other person and invalidating that it is possible for them to feel hurt because of your intent to help.

Consider these alternatives:

I’m sorry what I said was hurtful; that was not my intent.

I’m sorry what I said was hurtful; that was not my intent. Thank you for taking the time to share your feelings and perspective. I hear what you are saying.

I’m sorry what I said was hurtful; that was not my intent. Thank you for taking the time to share your feelings and perspective. I hear what you are saying. I never considered that.

I’m sorry what I said was hurtful; that was not my intent. Thank you for taking the time to share your feelings and perspective. I hear what you are saying. I never considered that. I will take your thoughts into consideration to clarify my message further.

Acknowledging your intent and allowing for it to be received in a way you did not expect blames no one but creates space for deeper understanding. Each phase in this process allows for growth and adaptation and, if “helpful” was the initial intent, creates an opportunity to get clearer on how to offer effectively. It is important to note that even the next iteration, with all the adjustments and reflectiveness, could be received as unhelpful or hurtful.

You can decide (based on your thoughts) if that feels futile and frustrating or (also based on your thoughts) if that feels promising and possible – that if you are seeking to help, getting this feedback is the best way to do so more effectively, and there is always the opportunity to try again.

Consider the opportunity to meld these two adages:

If you can’t say anything nice, don’t say anything at all.

If at first you don’t succeed, try, try again.

Together they become: If the nice thing you heard wasn’t received as such, listen and try again.

May we have the capacity to see impact unimpeded by the lens of intent, deepening our connection to others through communication and understanding.

Amelia L. Bueche is an osteopathic physician and founder, This Osteopathic Life.

Image credit: Shutterstock.com

Prev

Please call your child’s pediatrician. Checkups and vaccines are more important than ever.

September 7, 2020 Kevin 0
…
Next

Rural communities have unique vulnerabilities worsened by the pandemic [PODCAST]

September 7, 2020 Kevin 0
…

Tagged as: Primary Care

Post navigation

< Previous Post
Please call your child’s pediatrician. Checkups and vaccines are more important than ever.
Next Post >
Rural communities have unique vulnerabilities worsened by the pandemic [PODCAST]

ADVERTISEMENT

More by Amelia L. Bueche, DO

  • From skin to soul: What pain reveals about our health

    Amelia L. Bueche, DO
  • This perspective will change how physicians address pain and recovery

    Amelia L. Bueche, DO
  • Expanding the osteopathic concept for the health of all things

    Amelia L. Bueche, DO

Related Posts

  • Don’t judge when trainees use dating apps in the hospital

    Austin Perlmutter, MD
  • Who says doctors don’t care?

    Cindy Thompson
  • How hospitals can impact generic drug companies

    Mark Kelley, MD
  • A physician’s addiction to social media

    Amanda Xi, MD
  • a desk with keyboard and ipad with the kevinmd logo

    The impact of removing numerical scores from USMLE Step 1

    Cory Michael, MD
  • Please don’t ask about my test scores, Mom

    Casey P. Schukow, DO

More in Physician

  • Clinical attachment in medicine: How familiarity creates safety

    Nesrin Abu Ata, MD
  • Why clinical excellence isn’t enough to sustain a physician-owned hospital

    Dr. Bhavin P. Vadodariya
  • Leading with love: a physician’s guide to clarity and compassion

    Jessie Mahoney, MD
  • Patient expectations in primary care: the structural mismatch

    Ronke Dosunmu, MD
  • The telehealth trap: Why single-service roles lead to burnout

    Adam Carewe, MD
  • Multifactorial drivers of the U.S. physician shortage: a data analysis

    Brian Hudes, MD
  • Most Popular

  • Past Week

    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • The elephant in the room: Why physician burnout is a relationship problem

      Tomi Mitchell, MD | Physician
    • ADHD and cannabis use: Navigating the diagnostic challenge

      Farid Sabet-Sharghi, MD | Conditions
    • Leading with love: a physician’s guide to clarity and compassion

      Jessie Mahoney, MD | Physician
    • Urological analysis of delayed cancer diagnoses in political figures [PODCAST]

      The Podcast by KevinMD | Podcast
    • The economics of prevention: Why an ounce is worth a pound

      Joshua Mirrer, MD | Conditions
  • Past 6 Months

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • Physician on-call compensation: the unpaid labor driving burnout

      Corinne Sundar Rao, MD | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • Is tramadol really ineffective and risky?

      John A. Bumpus, PhD | Meds
  • Recent Posts

    • Why PBM transparency rules aren’t enough to lower drug prices

      Armin Pazooki | Policy
    • Clinical attachment in medicine: How familiarity creates safety

      Nesrin Abu Ata, MD | Physician
    • Racial disparities in pancreatic cancer screening cost Black lives [PODCAST]

      The Podcast by KevinMD | Podcast
    • A poem on kidney cancer survivorship and the annual scan

      Michele Luckenbaugh | Conditions
    • AI-enabled clinical data abstraction: a nurse’s perspective

      Pamela Ashenfelter, RN | Tech
    • Why clinical excellence isn’t enough to sustain a physician-owned hospital

      Dr. Bhavin P. Vadodariya | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • The elephant in the room: Why physician burnout is a relationship problem

      Tomi Mitchell, MD | Physician
    • ADHD and cannabis use: Navigating the diagnostic challenge

      Farid Sabet-Sharghi, MD | Conditions
    • Leading with love: a physician’s guide to clarity and compassion

      Jessie Mahoney, MD | Physician
    • Urological analysis of delayed cancer diagnoses in political figures [PODCAST]

      The Podcast by KevinMD | Podcast
    • The economics of prevention: Why an ounce is worth a pound

      Joshua Mirrer, MD | Conditions
  • Past 6 Months

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • Physician on-call compensation: the unpaid labor driving burnout

      Corinne Sundar Rao, MD | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • Is tramadol really ineffective and risky?

      John A. Bumpus, PhD | Meds
  • Recent Posts

    • Why PBM transparency rules aren’t enough to lower drug prices

      Armin Pazooki | Policy
    • Clinical attachment in medicine: How familiarity creates safety

      Nesrin Abu Ata, MD | Physician
    • Racial disparities in pancreatic cancer screening cost Black lives [PODCAST]

      The Podcast by KevinMD | Podcast
    • A poem on kidney cancer survivorship and the annual scan

      Michele Luckenbaugh | Conditions
    • AI-enabled clinical data abstraction: a nurse’s perspective

      Pamela Ashenfelter, RN | Tech
    • Why clinical excellence isn’t enough to sustain a physician-owned hospital

      Dr. Bhavin P. Vadodariya | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...