Story Time: Good Intentions Won’t Keep You From Screwing Up

Our Story Time series brings you real, personal examples from business life that shed light on specific ways to lead with trust. Our last story told of innovation, trust, and the freedom to fail. Today’s anecdote zeroes in on the importance of living the trust principles all the time.

A New Anthology

When it comes to trust-building, stories are a powerful tool for both learning and change. Our new book, The Trusted Advisor Fieldbook: A Comprehensive Toolkit for Leading with Trust (Wiley, October 2011), contains a multitude of stories. Told by and about people we know, these stories illustrate the fundamental attitudes, truths, and principles of trustworthiness.

Today’s story is excerpted from our chapter on the three trust models. It vividly demonstrates how the difference between intentions and impact can lead a client to conclude “you’re just like all the others.”

From the Front Lines: Living the Principles

Ian Brodie, who specializes in marketing and sales advice for consultants, coaches, and other professionals, tells a story that illustrates the difference between intentions and impact.

“Back in ’98, I was working in the Netherlands; part of my role was to lead a series of workshops with the executive team to develop their strategy. My colleague was a real expert but badly organized. And to be frank, that’s not one of my strong points either.

“We ended up doing the prep very late. For one workshop in particular we were brainstorming in the bar at 2:00 a.m. The next day the client’s executive team was excited about the possibilities we’d discussed. Great result. With one exception.

“I had a partner on the client side I was supposed to be working with to develop the strategy and prepare the workshops. The next day in the workshop he’d been quietly embarrassed that he didn’t know what we’d prepared.

“He was quite blunt with me afterwards: ‘We were supposed to prepare that workshop together. You said when we started this project that you weren’t like other consultants—you’d work in partnership with us. But you’re just like all the others.’

“It didn’t matter that we’d had a great result, or that there was no malicious intent. We’d promised we’d work together and we didn’t. We’d let him down. He no longer shared his opinions or his insights and we suffered because of that.

“Others can’t see your intentions―they can only see your actions. My intention was to be a great collaborative partner. My actions excluded him and told him I was working in my own interests.

“Here’s the bottom line of what I learned that day: It’s important to live the principles all the time.”

—Ian Brodie (UK)

Connect with Ian on LinkedIn, Twitter, and Facebook.

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Read more stories about trust:

 

The Three Ps of Trust

Trust is a complex concept in human relationships. In our Chapter 1 of the still-pretty-new The Trusted Advisor Fieldbook, we explore ten fundamental attitudes that take aim at the complexities of trust, breaking it down so that it can be managed and more readily increased. Think of the Three Ps as the short list; they represent the core of our thinking on trust.

Trust is Personal

When trust is discussed, it usually refers to people. Yes, you can trust a company, but when you do, you are typically focusing on just one part of trust—dependability. It makes perfect sense to say a company or organization is dependable or reliable. It does not make much sense to say that a corporate entity has your best interests at heart or is sensitive to your needs, or is discreet. Those are things you would usually say about people. Even when it does make sense to say an organization is credible or careful or focused on your interests, the reference is usually to the people in it. At root, trust is personal.

Trust is Paradoxical

Over and over again, you will discover that the things that create trust are the opposite of what you may think. That is why we say trust is paradoxical—in other words, it appears to defy logic. The best way to sell, it turns out, is to stop trying to sell. The best way to influence people is to stop trying to influence them. The best way to gain credibility is to admit what you do not know.

The paradoxical qualities of trust arise because trust is a higher-level relationship. The trust-creating thing to do is often the opposite of what your baser passions tell you to do. Fight or flight, self-preservation, the instinct to win—these are not the motives that drive trust. The ultimate paradox is that, by rising above such instincts, you end up getting better results than if you had striven for them in the first place.

Trust is Positively Correlated to Risk

Ronald Reagan, the fortieth president of the United States, was known to quote a Russian proverb, “Trust, but verify.” For our purposes, the opposite is true. Real trust does not need verification; if you have to verify, it is not trust.

Sometimes businesspeople forget this and try to ameliorate or mitigate all risks. This is particularly true in professions like law, finance, or banking. But the essence of trust contains risk. A trust relationship cannot exist without someone taking a chance—and it is your job to lead the way. If you think, I can’t take that kind of risk yet because there’s not enough trust in the relationship, check your thinking. It is the very taking of risks that creates trust in the relationship.

Ready to start your new trust-based mindset? Mind your Ps.

 

Butt-Kicked by the Universe

Oh man, did I do something stupid, embarrassing and untrustworthy today.

A colleague forwarded me a calendar invite originally sent by a client. I NEVER respond to an actual calendar invite as if it’s an email; I always respond to the actual invitation using the buttons “accept,” “reject,” or “tentative.”

But today, for reasons unknown only to whoever is in charge of the universe, I replied (I thought!!) to my colleague, regarding the client (Fred).

I wrote:

“…I’m so mad at Fred…seems like he hasn’t sent out all the materials we worked on last week.  I am trying not to be pissed.  I’m really frustrated. I’m trying to hold off getting too irate in case he did send stuff out…”

You guessed it. My response went straight to Fred.

He wrote back, “Hi Sarah, was this meant for me?”

That Gut-Punched Feeling

Ughh. As I had been writing that email, my gut was screaming at me: “You always say not to put in writing anything you wouldn’t be comfortable having the whole world read.”

You could say – I would – that the universe intervened because I had violated the “Inner Voice” rule.  The Inner Voice Rule is, “Say the things you’re thinking but don’t share.”  It’s where truth lies, and turbo-boosts the Intimacy component of the Trust Equation.

The Inner Voice Rule.

I groaned. Then I immediately wrote back to Fred:  “I am so embarrassed.  The email was meant for Julie, not you, and I’m sorry.  Are you somewhere I can call you?”  We spoke five minutes later.

I started: “Fred, I’m so sorry.  I knew as I was typing that email that I needed to pick up the phone and call you…I’m aware I have been avoiding a conversation with you.”  Fred was extra-gracious, acknowledging that he hadn’t met his commitments and that he understood where my frustration came from.

He then said, “And we’ve both been to Trusted Advisor programs,” which created a clearing for us to deal in an authentic way with the trust breakdown.  We worked through things; we both left the conversation having said what we needed to say, and feeling complete (and a commitment on my part to talk to Fred next time instead of complaining to my colleague).

He sent out the materials within 15 minutes.

The Universe Kicks Butt

I’m a bit fearful of calling myself a hypocrite on a blogpost destined for internet eternity. But if I’m real about it, what I salvaged from my mess du jour is that I talk a big game about clear speaking, using Inner Voice, and sharing constructive feedback – while the truth is, I’m woefully out of practice.  I choose to believe that the universe intervened today to give me a butt kick wake up call; to call me on being real and not a poser.

There, I said it.

So: what did I learn from the Universe today?

  • NEVER, EVER put in writing anything you wouldn’t want shared with the world
  • When what you have to say about another serves to diminish them, it’s time to either:

a) admit you’ve been a jerk and have a conversation with that person, or

b) own up and end the relationship.

  • The courage to have un-had conversations leads to growth, learning and deeper trust.
  • If we think of constructive feedback as “scary, bad, judgmental or otherwise” then we don’t share the most important stuff.  Then all that stuff builds up and – we send stupid emails.
  • If you make a mess – make it Priority One to clean it up immediately.

Lake Wobegon Syndrome: Believing We’re All Above Average

Garrison Keillor’s fictional Lake Wobegon is that Midwestern enclave where:

…the women are strong, the men are good-looking, and all the children are above average.

Lately, there are curious signs of incipient Wobegonism – at least the part about the kids. On average, we’re all looking just a little too above-average.

Unconditional Positive Self-Regard

I once watched Marshall Goldsmith ask a room of conference participants to lower their heads, then raise their hands if they thought they were in the top 50% of performers in the room. Then, to keep their hands up if they were in the top 25%; then, the top 10%.

When he finally asked people to raise their heads, all could plainly see that over half the room had indicated they were in the top 10%.

The concept of unconditional positive regard is well-known among therapists. There’s something to be said about positive self-regard as well, in the simple sense that if you can’t accept yourself you’re going to have trouble dealing with other people.

But what happens if your sense of self-regard begins to diverge from reality? What happens if you begin to believe you’re All That – and honestly, you’re not?

Reality Bites

Generation Y, famously raised on a sense of entitlement, is having a tough time confronting today’s horrific economic environment. 60% think they have the right to work remotely, with flexible schedules, despite the economy.

Worse, Gen Y’s much-vaunted computer skills may have been overstated; social media savvy doesn’t translate well to spreadsheets, or even to navigating hierarchical menu structures.

Perhaps recognizing an inflection point, the Wellesley High School graduating class recently made news for being told in a commencement speech that “You are not special…you are not exceptional.”

But it’s not just about Gen Y – not by a long shot. Here at Trusted Advisor Associates, we’ve noticed a distinct case of “grade inflation.” Scores on our Trust Quotient (TQ) self-assessment, have been creeping up over the past year or two. There are several possible explanations, including:

  1. people are becoming more trustworthy,
  2. people think they are becoming more trustworthy.

I have a sneaking suspicion it’s the latter.  Stay tuned.

Overstating our importance is a natural consequence of ignorance. Believing the world is flat was understandable in a world without airplanes or telescopes. But when a modern nation like the US has 46% of its population who believe in creationism, some cognitive dysfunction is afoot.

Politicians bear some blame.  The Speaker of the House declares that the US has “the best healthcare system in the world,” which defies logic unless you exclude the other developed economies.

Many pols publicly support the fiction that balancing the national budget is fundamentally the same as balancing a household budget. Any undergrad econ major can tell you the rules of national economies and households are precisely the opposite. It’s hard to tell if this statement lie is cynical, or just grossly ignorant, much less which is worse.

In our social haste to abandon low self-esteem, we have overplayed the power of a positive attitude. We once heard phrases like “you make your own luck,” “smile before you dial,” and, “the glass is half full.” Corporate training once taught that you could act your way into right thinking.

Somehow, those morphed into, “Hold fast to your dream and it will come true,” saying affirmations until they “manifest,” and best sellers like The Secret. We’ve gone way past “thinking your way into right action,” all the way to “envision reality until reality changes to fit our thinking!”

One of the biggest instances of hubris in our time has to be finance. Efficient market theory, the agency theory that led to private equity, and the various financial engineering “innovations” we have seen in recent decades – all are testimony to a belief that we have found revealed (financial) truth. Yet time and again, it seems we have not.

Two Flavors of Humility

There are two kinds of humility. One consists “not in thinking less of ourselves, but in thinking of ourselves less.” The other amounts to, well, thinking less of ourselves – realizing that we’re not, in fact, All That.

We need a little of both.

Thinking of ourselves less drives relationship thinking; it civilizes us, focuses us on other people. It is the root of social behavior, charity, and most of the higher virtues.

Thinking of ourselves less drives other-focus, collaboration, and connection. It enables client focus, allows us to see value adding potential, and creates the basis for reciprocity and customer loyalty.

Thinking less of ourselves is neither sin nor virtue except insofar as our starting point is delusional. Thinking we know it all is a cyclical affectation, a very human failing we are nonetheless good at forgetting.

Until once again things blow up, revert to the mean, and we get our comeuppance, or our karmic smackdown, or our luck runs out.  What we call it depends on how much we still believe we understand what just happened.

Here’s what we need a whole lot more of:

“I really am not sure; what do you think?”

Trusted Advisor? Or Just Not a Crook?

The term “trusted advisor” has been around a long time.  Recently I wrote about how the phrase has undergone “trusted advisor inflation” and become far more casually used.

When Maister, Galford and I wrote the book The Trusted Advisor back in 2001, one of our aims was to debunk the idea that trust was mainly about competence, credentials and cognition. We said:

..becoming a good advisor takes more than having good advice to offer. There are additional skills involved, ones that no one ever teaches you, that are critical to your success…you don’t get the chance to employ advisory skills until you can get someone to trust you enough to share their problems with you.

The theme of this book is that the key to professional success is not just technical mastery of one’s discipline (which is, of course, essential), but also the ability to work with clients in such a way as to earn their trust and gain their confidence.

We went on to say:

The trusted advisor is the person the client turns to when an issue first arises, often in times of great urgency, a crisis, a change, a triumph or a defeat.

Issues at this level are no longer just seen as organizational problems, but also involve a personal dimension. Becoming a trusted advisor, the pinnacle level, requires an integration of content expertise with organizational and interpersonal skills.

That was then (2001). To my astonishment, it appears that not everyone in the world has read our book and committed it to memory. (Imagine that.)

Thin Trust

That’s not the way a lot of the world has come to use the term “trusted advisor.” The following quotes are taken from current promotional literature:

Full disclosure of conflicting interests is the only way to build and keep trust with your clients.

For decades, CPAs in public practice have laid a foundation of trust with clients by competently handling confidential financial data and performing core services such as tax preparation.

There has been much talk about how accountants should embrace value based, business improvement services so that they can step up and truly embrace their trusted advisor status. Yet little has been written on how to go about doing that in a way that sits firmly within the accountant’s heartland – the numbers.

A trusted adviser offering objective solutions in wealth structuring based on XYZ Research and industry leading global resources…who understands clients’ specific investment needs, structure and area of interest…the trusted advisor is complemented with a team of financial experts and corporate resources.

As your trusted advisor, XYZ delivers a wealth strategy service to manage the financial complexities in your life.

Your loan closing is just the beginning of our relationship.  Annual mortgage reviews and rate watches are just a few of the benefits XYZ provides to their clients.   That is why __ will not only be your mortgage Planner, but your Trusted Advisor as well.

I’m deliberately not providing links here because I’m not trying to embarrass anyone, but rather to make a simple point: the idea of a “trusted advisor” as synonymous with nothing more than competence, credentials and procedural compliance clearly lives on.

Who should you trust? According to these views, someone who’s been vetted by the industry, many will tell you. How will you know you can trust them? By the number of letters after their name, or by the stress tests they’ve passed. Or in some cases, by the way they are paid (via fees, rather than transactional commissions).

Let’s be clear: basing trustworthiness on whether or not one structurally faces financial temptation is a pretty low hurdle. It reminds me of Nixon’s famous utterance, “I am not a crook.”

Barring someone from temptation doesn’t create deep trust in them. While avoiding conflict of interest is a good thing, it’s entry-level stuff.  We reserve deeper trust for those who face temptation, and who nonetheless rise above it through ethics and character.

The bar for being a trusted advisor is higher than not being a crook, being competent, and passing industry equivalents of drug tests.

Reclaiming Trust

A few years ago, we wrote a White Paper: If You Think Competency Sells, Think Again. In it we provided research proving what Maister, Galford and I had claimed a decade earlier: that the dominant factors driving trustworthiness are not competence, business acumen and procedural rigor.

The more powerful drivers of trustworthiness are, in fact, the ‘softer’ side of things: the “intimacy” and “other-orientation” factors we identified in the trust equation.

It may have become fashionable to deny it, but human wiring has not changed in the last decade; we are still prone to trust those we feel secure confiding in, and those whom we feel have our best interests at heart.

They’re only beginning to teach that at business schools (Bill George is an exception). And you will not find it by mastering documented procedures or by improving your business acumen.

 

Chemical Trust and the Science of Explanation

The Wall Street Journal this weekend scored a lot of views with an article on Oxytocin titled, “The Trust Molecule,” by Dr. Paul Zak.

Dr. Zak makes one critical, powerful point about trust – its reciprocal nature.  Unfortunately, the article is seriously flawed in its approach to what it calls “the new science of morality.”

Science, schmience.

But let’s start with that one good point.

Reciprocal Trust

In discussions about trust, people frequently forget a very simple fact: like tango, it takes two to trust. One party does the trusting, the other party is the one trusted. Risk is taken by the one doing the trusting, and the one who is trusted is the source of that risk.

Critically, the interaction between the trustor and the trustee is reciprocal. One influences the other.

Dr. Zak says, about how to trigger this reaction:

…all you have to do is give someone a sign of trust. When one person extends himself to another in a trusting way—by, say, giving money—the person being trusted experiences a surge in oxytocin that makes her less likely to hold back and less likely to cheat. Which is another way of saying that the feeling of being trusted makes a person more…trustworthy. Which, over time, makes other people more inclined to trust, which in turn…

So right! But where Zak goes wrong is in thinking that by identifying the role of oxytocin, he’s actually explained something.

Chemistry as Explanation

Zak says flat out in the article that oxytocin is an explanation for a variety of human phenomena:

“Research that I have done over the past decade suggests that a chemical messenger called oxytocin accounts for why some people give freely of themselves and others are coldhearted louts, why some people cheat and steal and others you can trust with your life, why some husbands are more faithful than others, and why women tend to be nicer and more generous than men.” (italics mine)

It is no such thing.

For example, Zak hardly discovered the reciprocal nature of trust.

More than half a century ago, Henry Stimson said, “The only way to make a man trustworthy is to trust him.” Before that, Ralpho Waldo Emerson said, “Trust men and they will be true to you.” I doubt either knew of oxytocin.

Much more importantly, calling oxytocin an explanation for trust is like saying you can explain water by translating the word into the French eau.

What Makes For an Explanation

Philosophers (and good scientists) have for millennia suggested that good explanations fit certain criteria. A good explanation might put things in a larger context, as Darwin did with evolution. Or it might suggest a causal link, like tying cigarette smoking to cancer, or lack of hand-washing to sepsis in hospitals. Or, it might shed light on motives, as does the ending of any good TV crime drama.

What Mr. Zak has done is nothing of the kind. He has merely “translated” pieces of wisdom that humans have known for ages into the language of chemistry.

There is a nearly infinite number of ways we can describe any particular phenomenon. I can use the “languages” of poetry, reporting, drama, song, chemistry, and Freudian psychology – all different ways to describe the same underlying phenomena. None have a monopoly on telling the “why” – they are only variations on “how?”

The only relevant question to be asked among these choices is – which is more useful for the task at hand?

Yet Dr. Zak seems to believe he’s on to something. As he puts it:

“After centuries of speculation about human nature and how we decide what is the right thing to do, we at last have some news we can use…many group activities—singing, dancing, praying—cause the release of oxytocin and promote connection and caring.”

The idea that prayer can promote connection and caring, for example, is hardly new.

I fear that Dr. Zak is but one example of the current faddish approach to things neurological. Putting “neuro-” in front of a topic seems to generate groupie-like behavior in business. Hence we have neuro-marketing, neuro-advertising, neuro-leadership – the list is endless.

But like the Emperor’s new clothes, there’s not much ‘there’ there. Not all description deserves to be called an “explanation.”

Though whatever language you say it in, trusting someone does cause them to be more trustworthy

Trust in the Search Business: the Bowdoin Group

The Bowdoin Group is a mid-sized executive recruiting firm based in New England. Sean Walker is a partner at Bowdoin, and heads their Information and Media Division. We met over seafood at the Oyster Bar in Grand Central a few months ago.

I’ve always felt that executive search is one of those “perfect” trusted advisor businesses – like pharmaceutical reps, wealth managers and client managers in accountancies. Perfect in potential, that is; perfection is not the norm in any of those businesses, and far from it in some.

Sean and Bowdoin look like exceptions: they “get it,” and practice the principles of trust, as you’ll see.

—————————–

Charlie Green: Sean, you just lost a big sale; you’re disappointed, but clearly not upset. What’s up with that?

Sean Walker: It’s not about the transaction, it’s about the relationship. We’ve got three other projects working in that organization, and they like us. This one just wasn’t right for them, hence not for us either.

Charlie: So how do you think about this business?

Sean: We don’t think of it as skills-based, and we don’t think of it as project-based. We have to have domain expertise – industry knowledge, networks and so on – but we equally well have to work the relationship. The most important thing we do – and often the hardest – is to approach this business strategically.

Charlie: Can you say more about what that means to Bowdoin?

Sean: It means some of what you write about; you never do a deal or a job or a project – you develop an ongoing relationship, which contains jobs along the way.

When we fail, it’s almost always because we started to follow our own agenda, falling in love with the results, the process. When we get it right is when we remember to listen and learn; to be a human capital advisor, helping them to build their organization.

And the funny thing is, the more you focus on the strategy, the better the tactical results happen to get.

Charlie: How do you deal with the fact that many clients are seeking you out as transactors, looking for a candidate, measuring your lead lists?

Sean: Some clients are like that, some are not, and some can evolve along with us. The client we just lost that project for is a great client – their sales guy wants us to partner with them to create a new organization.

And clients, just like us, can learn to behave more strategically. People can be very short-sighted, but if you take the time to understand the person you’ve got on the other end of the line, if you can get some one to be intimate and speak to you about their fears, you can solve not only the immediate issue in front of them, but you can understand both them and the company better. Then you can get to the core. And then it flows.

Charlie: You said it’s hard to keep focused; what are some of the pitfalls, or temptations, along the way?

Sean:  Oh gee, let’s see. Goals and targets, if you’re not careful. Clients that want to treat you transactionally, price-haggle, are short-term focused. An industry that, more often than not, thinks opportunistically–hopping from opportunity to opportunity.

Charlie: Where does trust fit here?

Sean: It’s all around. It’s the business, if you do it right. The fact that people let you in and give you that trust, it makes it all worthwhile.

Charlie: What do you say to those who say, “Yeah, that’s nice, but you’ve got to make money.”

Sean: They are so missing the point. This way of doing business is 100% more profitable – and it can make your job much easier. Because once you’ve proven yourself, the business comes back to you–you’re not always jumping from opening to opening.

If you take the time up front, it pays off all along the line, across multiple decision-makers. When we fall of the strategic trust wagon, that’s when our profitability goes wrong.

Charlie: Sean, it’s been a pleasure. Good luck, but I bet you don’t need it.

Sean: Thanks Charlie, it’s been a pleasure likewise.

 

Trust Me, I’m Your Doctor

We all hear about health care. Usually it’s through the microcosm of someone’s illness, or the macro-view of dueling pundits and politicians. Frequently it’s adversarial, or negative.

Thanks to long-time Trust Matters’ own trusted advisor Shaula Evans, I met Dr. Craig Koniver. He brings a fascinating perspective to the topic, as you’ll see.

——————————–

Charlie Green: Craig, you’re a doctor in South Carolina. Are you a native?

Craig Koniver: No. I grew up in Delaware, went to one year of undergrad at Johns Hopkins, hated it, and transferred to Brown. I then went on to medical school at Jefferson Medical College in Philadelphia. So I did end up being a doctor, mostly in Arizona, and recently moved here.

Charlie: You say you practice “organic medicine.” How did you come to that?

Craig: First of all, I am a “regular” doctor, board-certified and all that, but I also came to believe in a certain approach to medicine. The transformative event in my life was when our daughter was colicky.

The pediatrician said what I’d been trained to say, but since it was our daughter this time, we were wholly unsatisfied. We went out and found unconventional approaches to the issue. And once you’ve seen behind the curtain, it’s hard to stop.

Charlie: What is behind the curtain?

Craig: The standard routine is label, diagnose, prescribe medicine or surgery. Repeat, repeat, repeat. The paradigm of modern medicine is medicine-based, which is to say, pharmaceutical – pills and chemicals.

100 years ago this was not the case; the doctor had a relationship with the patient. But today, the doctor is trained to see the patient as a series of chemical pathologies.

Charlie: So, on a practical level, what do you do differently than other doctors?

Craig: I am interested in helping the patient reach optimal health through natural means. I am not against prescription medicine, but I think they are highly over-utilized by doctors not interested in pursuing alternative/ natural modalities.

So with my patients we look for the root cause of disease by running specialty lab tests and then use herbs and vitamins and nutrients to get their health back on track. I am a firm believer that there is a natural option for everything–we just have to look in the right place and be willing to try any different options.

Charlie: What’s the effect on patient health?

Craig: One telling study suggested that as many as 1/3 of prescriptions get tossed away on the patient’s way out of the doctor’s building. They want more than a prescription, they want a relationship and they want options.

Charlie: What did you do as this became apparent to you?

Craig: I finally decided to move to a holistic practice. That entailed moving away from insurance, and cutting my patient load from about 4,000 to about 400.

Charlie: Wow. Now, hang on a minute; that raises all kinds of interesting issues. What does that say for coverage?

Craig: It affects many people differently. First, there are a large number of people who are quite willing to pay for personalized, holistic healthcare. It is quite valuable to them!

In addition, remember that existing health insurance policies don’t generally cover doctors suggesting things like exercise and nutritional changes; as well, procedures like bypass surgery are reimbursed while time-tested acupuncture is not.

And I now get to spend real, quality time with my patients. I take as much time as I want and they want, and they leave satisfied feeling that I’m concerned about their whole life.  Which I am! A lot of people find this hugely valuable.

Charlie: What about those who can’t afford it?

Craig: Before we get there, there are number of people who may or may not be able to afford it, but don’t see the value in it. They’re used to thinking that a doctor visit should cost the amount of a co-pay. They can’t get past a more cost-based model.

Are there those who are left out by this? Absolutely there are and it’s a real tragedy because they continue to get the acute-based, chemical-and-surgery, impersonal kind of medicine that doesn’t help them.

Charlie: Ah, interesting. You’re not a selfish doc going off to serve well-heeled patients, there really is no choice.

Craig: That’s true. I’m not abandoning poor people, I’m abandoning bad medicine. And the existing insurance system simply cannot support the kind of medicine I like to practice. Is it tragic? Yes, and a real shame.

You pretty much cannot have a holistic medicine practice that operates within the existing high-volume insurance-based delivery method we have today. The choice is not which clientele to go after – it’s which kind of medicine I want to practice.

Charlie: Does the patient-physician relationship of trust affect health?

Craig: Yes. Again, if the relationship is pill-based, then it’s not personal; that is not a good basis for trust. Before too long, patients will stop trusting a physician because there is only that basis for the relationship.

In a holistic practice, where by definition the doctor is concerned about the whole patient, you have the basis for a personal relationship. That means you have the basis for trust. And with trust, patients share more with you, they take your advice, and there is probably even the positive placebo effect.

Charlie: One implication of what you’re saying is that our existing approach, based on insurance reimbursement of pills and surgery, is basically built to minimize trust.

Craig: Yes, I think that’s an accurate statement of the current situation. The health care delivery system is tied to the doctor-patient trust level. And not in a good way just now.

Charlie: Well, this has been enlightening indeed; thanks so much for spending time with us.

Craig: Thank you, Charlie.

Market Segmentation Does Not Equal Trust

A piece from PharmaVoice caught my eye the other day. Titled Market Capitalization, it talks about how market segmentation can help pharma companies more precisely reach targeted audiences.

All well and good, until I saw this:

…just as personalized medicine is becoming a best practice for delivering optimal healthcare, personalized messaging to the physician audience is increasingly becoming a best practice for marketing.

Careful segmentation allows marketers to specifically target the audience with messages that speak directly to them. Segmentation helps deliver the right message to the right physician at the right time. Personalization shows physicians that they are intimately understood, which fosters trust and value.

No, it doesn’t.

Careful segmentation in messaging tells me there’s a better chance that your information will be relevant to me.

It does not tell me I’m intimately understood; it tells me you’ve got smart robots.

The difference matters.

Trust and Segmentation

Rifle-shot targeting and segmentation affects one out of four of the Trust Equation components: it speaks to your credibility. Credibility tells me you’re smart, credentialed, competent.

That’s helpful, indeed. But it doesn’t speak to the other three components: reliability, intimacy, and low self-orientation – particularly the latter two.

The casual conflation of credibility and intimacy is, I think, a hallmark of modern marketers. Most of them, I suspect, would say, “Oh come on, Charlie, that’s just a small matter of semantics.”

Not so. Our words belie our thoughts. When we easily slide from a mechanical formula to a claim of “intimate understanding,” we have lost something. And to trivialize the slide is to lose even more.

Trust and Understanding

The dynamic of personal trust is complex; part of it is rational and deductive. But much of it is psychological, interior, calling on other-than-frontal-lobe kinds of brain functions.

That sense of being connected, appreciated, and validated leads us to lower our guard, to accept deeper relationships, and be open to advice-giving, among other things.

In this sense of the word, we come to trust by way of being understood; and we come to be understood through the means of other people intentionally paying attention to us.

This business of paying attention to other people is what drives personal trust creation. Marketers using technology to develop rifle-shot segmentation schemes are doing perfectly good and useful work. But not in their wildest dreams does this make customers feel “intimately understood, which fosters trust and value.”

Please, marketing and communications people, let’s try and remember the difference.

Story Time: It’s Trust, Therefore It’s Personal

Our Story Time series brings you real, personal examples from business life that shed light on ways to lead with trust. Our last story illustrated how one conversation changed everything. Today’s selection highlights  the value of making a personal connection.

A New Anthology

When it comes to trust-building, stories are a powerful tool for both learning and change. Our new book, The Trusted Advisor Fieldbook: A Comprehensive Toolkit for Leading with Trust (Wiley, October 2011), contains a multitude of stories. Told by and about people we know, these stories illustrate the fundamental attitudes, truths, and principles of trustworthiness.

Today’s story is excerpted from our chapter on selling to the C-suite. It vividly demonstrates the value of paying attention to more than just the task-at-hand, and taking the risk to put personal before business.

From the Front Lines: Taking a Chance on Connection

Gary Celli tells a story of the business value of building trust quickly with a C-level client.

“I was working in California for a multi-national high-tech company. I was a project manager at the time, and the project I was leading was rife with difficulties—nothing atypical, just the usual stuff. We were also trying to position additional work with the customer.

“One day, the CIO asked specifically to meet with me. Until that point I had been dealing with his directors, so he and I hadn’t spent any time together beyond a brief interaction at the big project kickoff meeting. You can imagine I was a little on edge about the meeting.

“The first thing I noticed when I arrived at his office was what a mess it was. There were papers all over the place. One chair was so stacked with stuff it wasn’t usable. I glanced around and noticed a copy of the Scranton Journal on the floor—the magazine for my alma mater, the University of Scranton, a small Jesuit university in Pennsylvania. I looked around for a diploma on the wall, but didn’t see anything. So I asked about the magazine.

“It turns out that we were both graduates, now living nearly 3,000 miles away in California. Talking about that really helped break the ice and took the edge off. We spent 30 minutes reminiscing about the school, the campus, the local hang-out bar that all the kids went to. Then we spent about 15 minutes talking about project issues.

“It was a very successful meeting. The bond we had established made it possible for me to glean more information from him and he seemed very open to hearing my perspectives on the project. We got to the heart of the matter in no time. My company also got the follow-on work, and the CIO was a loyal client for years to come.”

—Gary Celli

What’s your next opportunity to make it personal?

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Read more stories about trust:

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Many Trusted Advisor programs now offer CPE credits.  Please call Tracey DelCamp for more information at 856-981-5268–or drop us a note @ info@trustedadvisor.com.