Knee-Jerk Actions – Micro-Aggression or Humor: A Choice!

Exclamation MarkLet me be clear, upfront, and personal; I am not here to tell you what to think, how to think when to think, or where to think.  I will not force my opinions and ideas upon you as the global corporate media does.  I will offer ideas and suggestions and how you proceed is your affair.  Your choices will determine your destiny.  I aim to aid you in understanding and viewing the world a little differently to improve your destination.

Action vs. Reaction

Action encapsulates intention, producing accomplishment from organized activity; action is a process of thinking, acting, and becoming.  Only in physics should we ever consider every action having an equal and opposite reaction.  Why; because for humans, any reaction gives control to someone else and removes intentional controls.  A reaction is all about response to stimulus, no thinking, no changing, no intent, no organized activity, and no recovery until we, the human agent, retake control of our action.Paradox

Easy example, consider the toddler throwing a fit.  The toddler is trying to obtain a reaction from the parents favorable to that toddler’s individual desires at that moment.  However, any good parent will not respond to the toddler’s demands and usually provide behavior correction to enforce the thought that the toddler cannot make demands.  To regain control over the stimulus provided, the toddler must correct behavior or will not gain control over the future individual actions without additional parental intervention, an undesirable activity.  Thus, early on, the toddler will realize actions do not bring reactions but decisive action by parental figures, which is generally not the desired outcome.

Action versus reaction is an essential principle with foundations in moral agency, individual agency, and long-term consequences.  However, if the parent reacts to every toddler fit, the toddler gains power over the parental figure, which is an undesirable activity for the parent.  Action versus reaction is not splitting philosophical hairs or linguistic nuance; action is an intention-producing accomplishment; the reaction is an intentionless activity where self-control has been given to others.Calvin & Hobbes - Irony Hurts

Victor Frankl, author of “Man’s Search for Meaning,” and Robert Solomon, author of “Not Passion’s Slave: Emotions and Choice,” both speak to this action versus reaction principle in a manner easily grasped.  We, as individuals, might not be able to control our every environment nor control the activities of others upon us, but we can control our actions in response.  Retaining control of self, improving who and what we are, and keeping the power of intentional activity.

Knee-Jerk Reactions

The ‘knee-jerk response’ is any reaction that is done automatically, without thought.  The knee-jerk reflex is what’s known as a mono-synaptic response. The impulse only has to jump from one nerve to another once.  Thus, the medical definition for a social activity, a knee-jerk reaction, requires no cognitive thinking, no intention and is the worst form of response to the intentional stimulus of others.

Bait & Switch 2For example, Speaker Pelosi tore up President Trump’s State of the Union speech record on live, national TV as a knee-jerk response to the sitting US President.  Of all the US President’s Speaker Pelosi has experienced, her behavior to President Trump was the most toddler-like, and people quickly excused this behavior as “Trump-Derangement Syndrome (TDS).”  Thus, we can drop the “knee” in knee-jerk responses and describe the activity aptly as being a jerk.  No thought, not intentional activity (even though the action has intention, the brain does not register cognitive effort), and the reaction to the stimulus is mono-synaptic.

Micro-Aggression and Macro-Aggression

Micro-aggression, according to Webster, is “a comment or action that subtly and often unconsciously or unintentionally expresses a prejudiced attitude toward a member of a marginalized group (such as a racial minority).”  What is missing in this definition; individual perspective.  Micro-aggression is a personal choice to take offense at “a comment or action that” is judged to be “subtly and often unconsciously or unintentionally” expressing what is considered by person one to be “a prejudiced attitude toward a member of a marginalized group (such as a racial minority).”

Social Justice WarriorMacro-aggression is the complete opposite and are “obvious, intentional, above-board insults, where there is no chance of a mistake on the part of the transgressor to be provoking, insulting, or otherwise discourteous.”  But, again, the definition does not include the fact that the person claiming another person’s activities are macro-aggressive is a personal choice, a judgment, and a socially powered decision.

Social Justice Warrior 2Micro- and macro-aggression are often claimed to be “triggered” by specific words, colors, foods, waters, fruits, and a host of other items.  Essentially using fear and envy to demand people act differently or the consequences are toddler-like fits and fussing, picketing, rioting, looting, e.g., acting like a terrorist.  Thus, micro- and macro- aggression is nothing but the toddler throwing a temper tantrum because they are not getting what they want at that moment.  While claiming their aggression is on behalf of someone else, and their acts of terrorism are excusable because the aggression was triggered by someone or something else.  This is like the eight-year-old older brother or sister throwing a fit that the toddler was punished and claiming they are behaving irrationally in support of the toddler’s tantrum.  How many parents will buy this logic; I do not!

Humor

cropped-laughing-owlLove them or hate them, comedians have changed since I was a kid sneaking peaks of comic relief on cable while washing dishes late into the night.  Comedians now carefully pick their materials based upon their perceptions of the audience.  Thus, we have classes of comedians, including “Shock Comedians,” who try to be as offensive as possible and still get laughs.  We have political comedians; some come down equally on both sides of the political aisle, others are as cemented to a political agenda as they can be and use their “comedy” as a tool to influence their audiences towards that political agenda.  We have a host of comedians dedicated to helping people laugh and others who see themselves as able to influence, regardless of consequences.

I am not providing marketing to any comedian by giving examples of the statements made above.  You can certainly use a search engine to find these examples for yourself if interested.  You might even be able to think of several instances from history, especially recent history, that fit into the descriptions provided.  As I said in the beginning, you remain empowered to think as you prefer.

Bobblehead DollMy point is that humor, like every other emotion, can be a tool to build or a tool to destroy, and the choice of build or destroy rests in the user, but the consequences rest in the hands of the audience.  Consider this for a moment, how fast would a “Shock” comedian change their tune if the swearing, foul and degrading language, and behaviors manifested on stage did not get a single laugh, or worse, resulted in people standing up and walking out?  Some would change quickly, others it might take a little more pushing, but the result would be the same, a changed comedian.  Why; because capitalism works!

The comedian is the greatest example of capitalism at work in the world.  People will pay money for entertainment, but if the entertainer insults, denigrates, and derides, that entertainer is history and is told to find a different line of work through capitalism.  The pattern of comedians can be witnessed and applied across the spectrum from politicians to judges, from businesses to non-profits, all because capitalism works.

Why?

Why this article; why now?  On Monday this week, I received an email talking about micro-aggression.  The author used greeting cards and their sayings as representations of trigger events for micro-aggression.  We have the US President (Fraudulent or Not) being hostile and aggressive towards unvaccinated people.  But unvaccinated people are not spreading the Delta-Variant COVID virus; vaccinated people are.  We have social unrest in Cuba, where nobody is taking notice because for too long, the social elite has said that Cuba, as a Marxist-Leninist country, is a good thing and cannot stand watching their lies become evident.

Knowledge Check!Like the disc-jockey’s of my youth said, “And the Hits just keep on coming!”  Pick a spot on the globe, and you will find problems, issues, and concerns driven by micro- and macro-aggressive people who refuse to understand the difference between action and reaction—leaving this article as an attempt to aid in making better decisions.  How you choose to respond to the day’s events informs the political leaders and social influencers if they are winning or losing.  Thus, choose better, knowing that the social influencers and political leaders want you to react, not act!  Hence, choose to act.  Choose to use your moral agency and individual agency as a tool to intentionally choose your following action in the process of becoming who you want to be and not what others want you to be for their selfish gain.

© 2021 M. Dave Salisbury
All Rights Reserved
The images used herein were obtained in the public domain; this author holds no copyright to the images displayed.

NO MORE BS: Come, Let us Reason Together

Knowledge Check!In physics, for every action, there is an equal and opposite reaction.  I am not a fan of the word reaction, for a reaction places all the control of the action into the control of the original actor, and nature does not work like that.  But, to reason, we sometimes must use language common to all to understand each other; thus, it is sufficient to my purposes to use the term reaction in this discussion.  A similar law applies to psychology; a human chooses to act, natural consequences follow.  The ability to as, agency, and the person being acted upon, the actor, play a significant role in how and why businesses succeed and fail.

Plato 2Societies, cultures, governments, and countries all rise and fall on the moral agency of the individuals in power, the common citizen, and the collective leaders of those groups of people.  I have always liked the movie “The Fiddler on the Roof,” Tevye makes a statement about how without tradition, they would be as shaky as a fiddler on the roof.  Bringing a mental image of a fiddler, balancing upon a roof, and having two options, climb down and resume playing, or learn to balance on the roof while playing.  Both choices offer natural consequences that are easily understood, especially if you have ever worked on a roof.

Detective 4I have consistently written about VA Leadership failures for several weeks, rightly calling out the administrators at the local VAHCS and VAMC, the VISN, and the Federal levels.  Hospital leadership is not so different than leadership in any other industry, even though the VA has tried to make hospital leadership distinct.  Herein lay the problem, an employee, a nursing assistant, has just been sentenced to 7 consecutive life sentences for second-degree murder.

“Mays was employed as a nursing assistant at the VAMC, working the night shift during the same period of time that the veterans in her care died of hypoglycemia while being treated at the hospital. Nursing assistants at the VAMC are not qualified or authorized to administer any medication to patients, including insulin. Mays would sit one-on-one with patients. She admitted to administering insulin to several patients with the intent to cause their deaths” [emphasis mine].VA 3

We have an affect, but what was the cause?

“While responsibility for these heinous criminal acts lies with Reta Mays, an extensive healthcare inspection by our office found the facility had serious and pervasive clinical and administrative failures that contributed to them going undetected,” said VA Inspector General Michael J. Missal” [emphasis mine].VA 3

Regardless of her intention, an employee was allowed to commit murder because of the “pervasive clinical and administrative failures” of the VAMC leadership.  Now, two days prior to receiving the results of Reta Mays’ court proceedings, I received the Department of Veterans Affairs – Office of Inspector General report on the clinical leadership failures.  I have not witnessed a more despicable and damnable report of leadership failures in the decade-plus; I have been following and writing about the Department of Veterans Affairs or any other government agency!

“In June 2018, facility leaders identified nine patients with profound and concerning hypoglycemic events dating from November 2017 to June 2018” [emphasis mine].VA 3

The scope of the administrative investigation is as follows.  Staff from the VA-OIG’s Office of Healthcare Inspections (OHI) assessed the following areas, in parentheses is who owns the problem raised in the investigation:

      • Mays’s hiring and performance (Human Resources)
      • Medication management and security (Pharmacy and Security)
      • Clinical evaluations of unexplained hypoglycemic events (Nursing and Doctoral Staff)
      • Reporting of and responding to the events (Facility Leadership)
      • Quality programs and oversight activities (Facility Leadership)
      • Facility, Veterans Integrated Service Network (VISN), and VHA leaders’ responses and corrective actions (Local and area-wide administrators)
      • During the course of this review (investigation), the OIG also noted areas of concern regarding hospice and palliative care practices and nursing policies and practices (Nursing, Patient Care and Safety, and Hospital Administrators)VA 3

Just as logic tells the fiddler on the roof that he has two choices to live a long and musically fruitful life, the investigation reveals that the VAMC leadership had choices and made both poor and potentially criminal choices in this investigation of Mays’ conduct.

Ultimately, quality health care is dependent on leaders who promote a culture of safety that reduces or eliminates those risks whenever possible. Providing high-quality health care to a diverse and complex patient population demands the support of, and adherence to, an organization-wide culture of safety. When this occurs, a patient-centric environment becomes the “norm.” Conversely, systemic weaknesses in a facility’s culture of safety can have devastating consequences. The OIG found that the facility had serious, pervasive, and deep-rooted clinical and administrative failures that contributed to Ms. Mays’s criminal actions not being identified and stopped earlier. The failures occurred in virtually all the critical functions and areas required to promote patient safety and prevent avoidable adverse events at the facility” (pg ii) [emphasis mine].VA 3

Before we go further into the report, it must be made clear; the investigation team found the leadership, the hospital administrators responsible for allowing Mays to kill seven patients.  Attack another patient with the intent to kill and a potential additional hypoglycemic patient who died under her care but could not be directly linked to Mays.  A question arises, how did Mays gain employment with the VA; the answer, a former HR employee, failed to do their job in conducting “… background investigation file and determining her suitability for employment!”  In a previous article, I wrote about the hazards the VA was purposefully opening themselves to by using “COVID” as an excuse to delay proper investigations into backgrounds when hiring.  Here is a classic case where “COVID” is not related, and failing to investigate a background led to people dying!Plato 3

The VA-OIG last year reported that hiring practices had been relaxed due to COVID and background checks delayed for employees being hired during a pandemic.  Yet, when will those background checks be completed?  If someone is found unfit due to background checks, will they be forced to return all their wages for lying on a government form?  If there is a testament to the need for comprehensive background checks on employees, the seven (7) dead patients who died at the hands of Reta Mays!  How many times will this story replicate because the hiring managers are not doing their jobs?VA 3

Let us reason together, is the VA administrators the problem with the VA?  Does the VA leadership require immediate and total removal?  How would you resolve the issues without breaking the system and further endangering the lives of veterans?  Please let me know in the comments section.

I-CareVA Secretary Denis McDonough signed onto the “I-Care” principles as core values in care for veterans in the VAHCS.  When can we, the veterans, see that these core principles have been onboarded and are correcting behavior?

“VA Core Values describe how VA will accomplish its mission and inform every interaction with our customers. These Core Values are Integrity, Commitment, Advocacy, Respect, and Excellence — better known as “I CARE.” VA’s Core Values will continue to serve as the right guide for all our interactions and remind us and others that “I CARE.”

          • I care about those who have served.
          • I care about my fellow VA employees.
          • I care about choosing “the harder right instead of the easier wrong.”
          • I care about performing my duties to the very best of my abilities.

Mr. Secretary…  The veterans are dying now!  We are waiting!

© 2021 M. Dave Salisbury
All Rights Reserved
The images used herein were obtained in the public domain; this author holds no copyright to the images displayed.