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Presenter: Mark Jaben, MD


jabenmm@aol.com
The Science Behind Resistance to Change:
What the Research Says & How it 

Can Help You
Host: Mark Graban
KaiNexus
Mark@KaiNexus.com
@MarkGraban
Agenda	&	Logistics
• Presentation	(40-45	minutes)	
• Your	Questions	(10-15	minutes)	
–Use	the	GoToWebinar	

Meeting	Panel	to	

submit	a	question	at

any	time



• Recording	link	and	slides	will	be	sent	via	
email
About	Mark	Jaben,	MD
Mark	graduated	from	The	University	of	Miami	
School	of	Medicine	in	1981	and	completed	an	
Emergency	Medicine	residency	at	University	
Hospital	in	Jacksonville,	Florida	in	1984.		
His	30+	years	experience	in	community	
emergency	medicine	practice	has	included	
work	with	multiple	hospital	systems	in	the	
United	States	and	New	Zealand.		He	has	spoken	
and	written	extensively	on	how	health	care	
systems	can	apply	continuous	improvement	with	
Lean	and	kaizen	principles	to	improve	health	care	
not	only	for	patients,	but	also	for	those	who	care	
for	patients.
The Science Behind Resistance To Change
Mark Jaben, MD
June 28, 2016
-when it comes to change, why you need them to resist
-why Buy-in doesn’t work
-why TPS needed TWO pillars:
continuous improvement AND respect for people
-why your credibility matters
The Science Behind Resistance To Change
must I suffer with their resistance?
Yes……….For good reason!
Change
it’s not a problem
Change
is a dilemma
Ideal Change
works
workable
Why shouldn’t they resist?
Issue
choice
The Inconvenient Truth-
Brain is not into reality
‘The Split Brain in Man,’
Gazzaniga and Sperry, Scientific American 217(2):24-29, 1967
‘Your misconception about the method of production
adds unnecessary cost’
-Taichi Ohno
there are always options
Issue
choice
desired outcome
options
hopefully
an ideal change
-Change is not a problem; it is a dilemma

-An ideal change must not only work, it must be workable

-Each of us thinks we know just what this should be

-But each of us has a view that is based on incomplete data

-The missing data is not rational; it resides in the Hidden brain

-There are always options
you cannot convince someone to do what you want
‘The Price of Your Soul: neural evidence for the non utilitarian representation
of sacred values’
G. Berns et al, Philosophical Transactions of The Royal Society,
Mar 2012, vol. 367, no. 1589,
when choices don’t match
Issue
choice
desired outcome
options
intervene
here
What NOT to do
But exactly what we do
Instead of buyers………..
what you need are investors
Issue
choice
desired outcome
options
focus
here
What TO do
Issue
choice
desired outcome —> Shared outcome
optionsintervene
here
What TO do
Shared outcome
sorting criteria
story
observed circumstances
start
here
What TO do
- W. Edwards Deming
‘Drive out fear’
“People in positions of power tend to act in a self-interested
manner and display reduced interpersonal sensitivity to their
powerless counterparts.”
‘Power Changes How the Brain Responds to Others,’
Hogeven, Inzlicht, Obhi, Journal of Experimental Psychology,
June, 2013
-the brain prefers to defend its story
-defending stance/dueling solutions/ dead end
-to get to challenging mode, focus on shared outcome
-this takes a focus on the stories
-this takes surfacing the sorting criteria
-this takes accessing the Hidden Brain
-
you cannot read their mind
“As a leader,
if I’m not getting pushback, I’m not doing my job”
-Dan Florzone
not following
through
pushback
‘I’ll try’
conflict
variation
suggestion
silence
‘no’
3 causes of resistance
Don’t agree with the story
Don’t see a way to be successful in what is proposed
Don’t think it is worth the effort
lack of agreement on:
purpose
process
priorities
Respect
how you deal with resistance
Curiosity
your desire to want to know
Credibility
trumps
reason
“A Question of Trust”
Onora O’Neill.2002 BBC Reith lecture
avoid
inadvertent deception
unintentional coercion
What to do
credibility
curiosity
Ideal change
respect
use brain to craft the agenda, rather than defend one
use brain to find the better option, rather than enforce yours
Issue
choice
+ issue
low
less
likely
Credibility
more
likely
hi
resistance
hi low
participation
+ issue shared outcome
low
less
likely
Credibility
more
likely
hi
resistance
hi low
participation
+ issue shared outcome
story
sorting
criteria
observed
circumstances
low
less
likely
Credibility
more
likely
hi
credibility
curiosity
respect
resistance
hi low
participation
R&D
+ issue shared outcome
story
sorting
criteria
observed
circumstances
challenging
mode
defending
stance
catalyst
low
less
likely
Credibility
more
likely
hi
credibility
curiosity
respect
resistance
hi low
participation
R&D
+ issue shared outcome options choice
story
sorting
criteria
observed
circumstances
challenging
mode
defending
stance
catalyst
low
less
likely
Credibility
more
likely
hi
credibility
curiosity
respect
resistance
hi low
participation
R&D
+ issue shared outcome options choice
story
sorting
criteria
observed
circumstances
challenging
mode
defending
stance
catalyst
low
less
likely
Credibility
more
likely
hi
credibility
curiosity
respect
resistance
hi low
participation
Issue
choice
shared outcome
options
focus here
for
an ideal change
here
resistance
Recognize
Reconcile
Respond
What do we agree on?
What can we agree to do?
Is it possible that…….?
What doesn’t work? an example?
What doesn’t work for you?
Are you happy with this?
Something that makes this difficult?
Questions? Concerns?
An Engagement Kata
1- seek the resistance
2- seek their concerns
3- check yourself
4- find the next step
Am I clear with my language, terms?
Misleading with my data?
Misguiding with my metrics?
Does my choice work and is it workable?
Mark Jaben
jabenmm@aol.com
Look for the soon to be released book:
Free The Brain:
Overcome The Struggle People And Organizations Face With Change
freethebrain.com
Webinars	On	Demand
Next	Webinar	–	July	27
• Strategy	Deployment	as	

Experiments	and	Hypotheses
http://www.kainexus.com/webinars
Mark	Graban
Contact	Info																		Q&A
• Web:	
– www.kainexus.com	
– blog.kainexus.com	
– www.freethebrain.com		
• Past	Webinars:	
– www.kainexus.com/webinars	
• Social	media:	
– www.twitter.com/kainexus	
– www.linkedin.com/company/kainexus	
– www.facebook.com/kainexus
Mark Jaben, MD


jabenmm@aol.com
Mark Graban
KaiNexus
Mark@KaiNexus.com
@MarkGraban

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