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

Unlearning our habits: a journey from intelligence to wisdom

Brian Sayers, MD
Physician
March 31, 2023
Share
Tweet
Share

Not too long ago, I was struggling over a plate of meatloaf in the doctor’s dining room. Fortunately, the table conversation was better than the food. Somehow it turned to how early career doctors tend to mirror the culture and clinical habits from their training program and how it often takes years to unlearn habits that don’t serve us well in the long run, particularly habits related to work-life integration. Training programs are more sensitive to this now, but the economics of medicine are an inescapable reality we must navigate, and in our counseling program, I hear of the struggles that some physicians experience to sustain meaning and joy in their work and healthy relationships and peace away from work. Students are now referred to as “learners,” and I pray that most of what they learn will serve them well after training, but it makes me wonder if we should all eventually progress from learner to “unlearner” and whether both states aren’t valuable in their own way.

There is much in popular psychology literature about unlearning. J.R. Rim famously noted, “Intelligence is what we learn; wisdom is what we unlearn.” Even the icon of pop culture wisdom, Yoda, of Star Wars fame, advised Luke that in his spiritual path forward, “You must unlearn what you have learned.” Ask any therapist ̶ unlearning is foundational to new beginnings.

I revisited Richard Rohr’s Falling Upward: A Spirituality for the Two Halves of Life, recalling that a theme in much of his writing is about unlearning. As he puts it, “All mature spirituality in one sense or another is about letting go and unlearning.” Rohr holds that life really consists of two phases. The first phase is the egocentric phase, what he calls the “survival dance,” wherein the emphasis is on developing identity, success, security, and image cultivating. This is not to say this phase is bad ̶ it is all necessary, and though there are many struggles, most often great good comes with it, along with important learning, experience, love, and joy. Rohr holds that the ultimate task of this stage of life is building what he calls “a proper container” that will be needed in the second phase of life.

In the second phase of life, those learned survival and identity tasks fall into the background, habits that supported them are questioned  —  unlearned  —  and the container created earlier is emptied and then filled with awareness and appreciation for deeper meaning. Things that the soul thirsts for that were missing earlier can now be fully discovered. It is a time of “letting go.” Rohr calls this the “soul dance,” Zen masters call it seeking the face you had before you were born. Some religious traditions call it being reborn. Some note parallels with the common literary structure of the hero’s journey. In any sense, it is a shedding of baggage accumulated earlier for something better. It can occur subtly or abruptly and depending on your early life experience, it may show itself at any age, or in some, it may never become evident.

There’s no good story nor anything profound in all this, just an observation made over a half-eaten piece of meatloaf. What we call our life journey may be a journey to the true self, spiritual wholeness, or God, but like any hero’s journey, it is always a journey home, the home your soul desires. At some point, young or old, most will find themselves as lost as Dante: “Midway on our life’s journey, I found myself in a dark wood, for the right way was lost.” It will be wise to remember at that point the importance of unlearning, of letting go. It is in the homeward part of that journey where rather than paddling furiously, we might just drift in the current and finally look up to enjoy the scenery that was there all along. And on the long journey home, as Mary Oliver urges, “If you suddenly and unexpectedly feel joy, don’t hesitate. Give in to it.”

Brian Sayers is a rheumatologist.

Prev

Lessons from an orthopedic surgery journey [PODCAST]

March 30, 2023 Kevin 0
…
Next

From hope to heartbreak: a story of loss in the ICU

March 31, 2023 Kevin 0
…

Tagged as: Psychiatry

Post navigation

< Previous Post
Lessons from an orthopedic surgery journey [PODCAST]
Next Post >
From hope to heartbreak: a story of loss in the ICU

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

More by Brian Sayers, MD

  • Physician Suicide Awareness Day: a call to action against the silent epidemic

    Brian Sayers, MD
  • An awkward conversation with a friend might just save someone’s life

    Brian Sayers, MD
  • Malpractice: an officer of the court

    Brian Sayers, MD

Related Posts

  • My healer, please guide me on this journey

    Michele Luckenbaugh
  • A young mother’s medical school journey

    Choryon Park
  • A patient’s frustrating prior authorization journey

    Leslie G. Bank, PT
  • 3 ways pharmacists can change your prescribing habits

    Alex Barker, PharmD
  • From physician to holistic healer: my journey on Clubhouse

    Holly MacKenna, MD
  • The journey of being a parent in medical school

    Amy Zhang, MD

More in Physician

  • Why the physician shortage may be our last line of defense

    Yuri Aronov, MD
  • 5 years later: Doctors reveal the untold truths of COVID-19

    Arthur Lazarus, MD, MBA
  • The hidden cost of health care: burnout, disillusionment, and systemic betrayal

    Nivedita U. Jerath, MD
  • Why this doctor hid her story for a decade

    Diane W. Shannon, MD, MPH
  • When errors of nature are treated as medical negligence

    Howard Smith, MD
  • The hidden chains holding doctors back

    Neil Baum, MD
  • Most Popular

  • Past Week

    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • Addressing the physician shortage: How AI can help, not replace

      Amelia Mercado | Tech
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • Why does rifaximin cost 95 percent more in the U.S. than in Asia?

      Jai Kumar, MD, Brian Nohomovich, DO, PhD and Leonid Shamban, DO | Meds
    • Why physicians deserve more than an oxygen mask

      Jessie Mahoney, MD | Physician
    • Avarie’s story: Confronting the deadly gaps in food allergy education and emergency response [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • Avarie’s story: Confronting the deadly gaps in food allergy education and emergency response [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why the physician shortage may be our last line of defense

      Yuri Aronov, MD | Physician
    • 5 years later: Doctors reveal the untold truths of COVID-19

      Arthur Lazarus, MD, MBA | Physician
    • The hidden cost of health care: burnout, disillusionment, and systemic betrayal

      Nivedita U. Jerath, MD | Physician
    • What one diagnosis can change: the movement to make dining safer

      Lianne Mandelbaum, PT | Conditions
    • Why this doctor hid her story for a decade

      Diane W. Shannon, MD, MPH | 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

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • Addressing the physician shortage: How AI can help, not replace

      Amelia Mercado | Tech
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • Why does rifaximin cost 95 percent more in the U.S. than in Asia?

      Jai Kumar, MD, Brian Nohomovich, DO, PhD and Leonid Shamban, DO | Meds
    • Why physicians deserve more than an oxygen mask

      Jessie Mahoney, MD | Physician
    • Avarie’s story: Confronting the deadly gaps in food allergy education and emergency response [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • Avarie’s story: Confronting the deadly gaps in food allergy education and emergency response [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why the physician shortage may be our last line of defense

      Yuri Aronov, MD | Physician
    • 5 years later: Doctors reveal the untold truths of COVID-19

      Arthur Lazarus, MD, MBA | Physician
    • The hidden cost of health care: burnout, disillusionment, and systemic betrayal

      Nivedita U. Jerath, MD | Physician
    • What one diagnosis can change: the movement to make dining safer

      Lianne Mandelbaum, PT | Conditions
    • Why this doctor hid her story for a decade

      Diane W. Shannon, MD, MPH | 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...