Ambady says that she and her colleagues were "totally stunned by the results," and it's not hard to understand why. The judges knew nothing about the skill level of the surgeons. They didn't know how experienced they were, what kind of training they had, or what kind of procedures they tended to do. They didn't even know what the doctors were saying to their patients. All they were using for their prediction was their analysis of the surgeon's tone of voice. In fact, it was even more basic than that: if the surgeon's voice was judged to sound dominant, the surgeon tended to be in the sued group. If the voice sounded less dominant and more concerned, the surgeon tended to be in the non-sued group. Could there be a thinner slice? Malpractice sounds like one of those infinitely complicated and multidimensional problems. But in the end it comes down to a matter of respect, and the simplest way that respect is communicated is through tone of voice, and the most corrosive tone of voice that a doctor can assume is a dominant tone. Did Ambady need to sample the entire history of a patient and doctor to pick up on that tone? No, because a medical consultation is a lot like one of Gottman's conflict discussions or a student's dorm room. It's one of those situations where the signature comes through loud and clear.
Next time you meet a doctor, and you sit down in his office and he starts to talk, if you have the sense that he isn't listening to you, that he's talking down to you, and that he isn't treating you with respect, listen to that feeling. You have thin-sliced him and found him wanting.
6. The Power of the Glance
Thin-slicing is not an exotic gift. It is a central part of what it means to be human. We thin-slice whenever we meet a new person or have to make sense of something quickly or encounter a novel situation. We thin-slice because we have to, and we come to rely on that ability because there are lots of hidden fists out there, lots of situations where careful attention to the details of a very thin slice, even for no more than a second or two, can tell us an awful lot.
It is striking, for instance, how many different professions and disciplines have a word to describe the particular gift of reading deeply into the narrowest slivers of experience. In basketball, the player who can take in and comprehend all that is happening around him or her is said to have "court sense." In the military, brilliant generals are said to possess "coup d'oeil"which, translated from the French, means "power of the glance": the ability to immediately see and make sense of the battlefield. Napoleon had coup d'oeil. So did Patton. The ornithologist David Sibley says that in Cape May, New Jersey, he once spotted a bird in flight from two hundred yards away and knew, instantly, that it was a ruff, a rare sandpiper. He had never seen a ruff in flight before; nor was the moment long enough for him to make a careful identification. But he was able to capture what bird-watchers call the bird's "giss"its essenceand that was enough.
"Most of bird identification is based on a sort of subjective impressionthe way a bird moves and little instantaneous appearances at different angles and sequences of different appearances, and as it turns its head and as it flies and as it turns around, you see sequences of different shapes and angles," Sibley says. "All that combines to create a unique impression of a bird that can't really be taken apart and described in words. When it comes down to being in the field and looking at a bird, you don't take the time to analyze it and say it shows this, this, and this; therefore it must be this species. It's more natural and instinctive. After a lot of practice, you look at the bird, and it triggers little switches in your brain. It looks right. You know what it is at a glance."
This is the full text of Chapter 1 of Blink (pages 18-47). Copyright © 2005 by Malcolm Gladwell. All rights reserved. No part of this book maybe reproduced without written permission from the publisher, Little, Brown & Co.
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