Until You Walk in My Shoes: A Reframing Methodology to Overcome Systemic Discrimination
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About this ebook
In the second section each of the 18 cases is described and analyzed with the aid of the Equity-Inclusion Culture Matrix. These cases include employees from healthcare - physicians and nurses, employees from government agencies, as well as from large corporations and academic institutions..
These cases are significant because they highlight several important issues. These include the role Equity and Inclusion play in healthcare disparities, employee well-being and health, and productivity in organizations.
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Until You Walk in My Shoes - Dr. Frank L. Douglas
SAFE HAVEN
DIALOGUES’
REFRAMING PROCESS
PART ONE
UNTIL YOU WALK
IN MY SHOES
MAKING IT PERSONAL
BY
REFRAMING THE PROBLEM
AT THE
Chapter 1
EQUITY, INCLUSION, AND INDIVIDUAL ENGAGEMENT
Focus on Equity and Inclusion
This Primer is based on the construct that, while human beings prefer simple solutions, the discomfort of having difficult conversations leads to avoidance or unnecessary complexity. Nonetheless, our better selves know the following with certainty: no one likes to be told that they do not belong, no one likes to be treated unfairly, and no one likes to be robbed of the motivation and the joy of contributing. Everyone likes to feel valued. As a result, the most difficult issues in the social aspects of life can be viewed simply from two principles: Equity and Inclusion. For example, what decision would the Supreme Court of the United States of America have made if they had looked at the Dobbs case (Roe vs. Wade) from the perspectives of Equity and Inclusion, as opposed to Pro-Life vs. Pro-Choice?
The Equity perspective would have addressed the unfairness of selectively punishing women by taking away their right to make a decision about their lives, while not holding the men who helped create the dilemma to account. The debate over Inclusion might have caused them to reflect on the unexpected consequences for a child victim of rape or for a mother with a nonviable pregnancy, who had been deprived of the right to make life-changing decisions.
Discrimination is not new. It has been practiced for centuries, with deadly consequences, by both religious and governmental entities. Each professed a creed that actually paid little attention to Equity or Inclusion.
Another difficult problem that this primer addresses is the reluctance to ‘walk a mile in someone else’s shoes.’ This is a simple yet often eschewed way to understand what those who have lived a different reality feel. Here is a personal example.
I recently reached out to a former colleague for help in extracting examples of microaggressions from the minutes of interviews that form the basis of the Reframing Process in this Primer. My colleague, a White female, began to express her frustrations that Black men try to flee when confronted by police and end up being killed.
‘They must have done something wrong. Otherwise, why would they run?’ she mused.
I responded, "Let me tell you of a situation I experienced five years ago, at the age 74.
It was about 9 p.m., and I was returning from a dinner meeting with a colleague. I live in an upscale, oceanfront, gated condominium complex with about a 150-foot walk to the beach. Through the gate, I saw three police cars near my parking spot. I drove slowly into my parking spot, and the three police cars closed in behind me as if to block any attempt I might make to escape.
I thought it strange as I could not see anyone else as I entered the condominium complex. Two policemen approached me, one on either side of my car, and motioned for me to open my window. I complied.
The one closest to me said, ‘you left the scene of an accident.’
I responded, ‘I was not involved in an accident. In fact, I am just returning from dinner at a restaurant about 3-4 miles from here.’
‘Get out of the car,’ he demanded.
I opened the door slowly, stepped out of the car, and looked up at the windows of the condominium complex to see if any of my neighbors were observing this interaction. My heart sank, and my fear began to rise as I saw no shadows or faces in the windows. It was clear, that since the police officers knew where I lived, they had checked my license plate. This means that it was highly likely they knew who I was. They were also aware, based on their background check, that I had no criminal record nor outstanding traffic tickets. The fact that I was a physician-scientist and CEO of a small Biotech company made no difference.
‘Step away from the car,’ he ordered.
I took two steps away from the car and away from him. Two of the other police officers were examining the surface of the back bumper and trunk of my car with large flashlights. They illuminated the areas of interest and ran their hands on my vehicle.
Suddenly one said, ‘See, here is a smudge!’
I explained that I had the car treated to protect it from the sand, and it had not yet thoroughly dried. I further suggested that they would have the same result if they ran their hands on other parts of the car.
One of the other cops ran his hand on the door as he shone his light on it and produced the same result.
They huddled. After a brief discussion, one of them said, ‘Seems like it was an error.’ They then got into their cars and left."
To my surprise, my colleague airily said: ‘Oh, it was probably just a mistake.’ I explained that I was particularly scared since I could not see any potential witnesses observing the event. My colleague persisted in her view that it was probably a mistake. Finally, I responded: ‘Do you think that, if I were White and had been suspected of having had a minor accident, SIX police officers would have been waiting for me at my residence? Would they have on finding a smudge, declared it as proof that I was involved in an accident? Would they have departed without an apology? Can you understand the fear that I experienced wondering whether the outcome would have been tragic, given the spate of Black men being killed by police officers for seemingly minor infractions?’
Silence ensued, and the conversation ended.
As a physician, I know that fear stimulates our body’s biological response of Fight-or-Flight. It is the feeling every Black man in America experiences when confronted by a show of force from the police, whether they have committed a crime or not. In my case, the show of force was unnecessary, and the instinct to succumb to flight was triggered.
In that moment, I was no exception. However, my greater surprise was that although my colleague knew me well, nonetheless, she could not take a walk in my shoes that night! She did not, would not, or could not empathize with my fear! This is the phenomenal tragedy of Systemic Discrimination. It is not that good people do nothing. It is that good people feel nothing!
The large percentage of Black, Indigenous, and People of Color (BIPOC) who are killed by police has led researchers to call this a ‘public health emergency.’ (Journal of Epidemiology and Community Health). Unarmed Black people are killed by police at three times the rate of White people. The public, callous murder of George Floyd almost appears to be a natural outcome of the facts in the first two sentences of this paragraph. It awakened the conscience and consciousness of the nation to the reality of Systemic Discrimination.
In the aftermath, more CEOs joined the initial 700 who signed the CEO Action for Diversity and Inclusion™. The initiative was organized in 2017 with the aim of ‘rallying the business community to advance diversity and inclusion within the workplace.’ Yet, according to the Society of Human Resource Management (SHRM), 33% of Black employees in companies with DEI programs feel like outsiders (1).
In our view, despite the excellent work being done on DEI, two essential variables are frequently missing. These are resolute commitment to Equity and a palpable passion for Inclusion. Diversity reflects metrics that quantify the different types of individuals or ideas. Inclusion focuses on Individuals and their meaningful participation. Equity represents the foundational processes that signal to individuals within the organization that they are valued.
SHD considers that both Equity and Inclusion are necessary to address Systemic Discrimination effectively. Leaders need to ensure that there is Equity for everyone in the organization. We have observed that, when members of the majority group do not feel they are being treated equitably, they have no capacity to feel empathy, and hence cannot discuss Equity for their marginalized colleagues.
Reviewing rules and regulations are important in assessing the efficacy of Equity. We recommend three dimensions from which to evaluate rules and regulations. These dimensions are: Privilege/Preferences, Processes, and Prospects. Privilege/Preferences refers to employees with special status. Processes refer to the way rules and policies are administered. Prospects pertain to opportunities for development, advancement, and retention in the organization.
In hierarchical as well as relatively flat organizations, individuals with preferential status and various concomitant privileges can emerge. These individuals are often easily identified by the preferred assignments they receive, their visibility to leaders, their visibility within the organization, and the lack of severe criticism for poor performance. Preferred/ Privileged individuals benefit from the flexibility in the implementation of Processes, and their Prospects remain bright. A critical examination of these three dimensions aids in identifying whether the culture is equitable or unfair.
Examples of critical questions to be asked are:
• Do the rules and regulations permit Privilege or Preference for some groups?
• Are Processes applied identically, without exceptions, to everyone?
• Are the Prospects of each individual transparent and related to their performances and contributions to the organization’s mission and goals?
Inclusion can be elusive, and there are many strategies to encourage it. However, when a marginalized individual is not included, they feel it profoundly. In fact, exclusion as a concept and a reality is easier to describe than inclusion. Interestingly, although an individual might remain sanguine when faced with inequities in a system, the reaction is instinctive when that individual is faced with a lack of inclusion. This is not subtle and can be recognized by the presence of microaggressions. Microaggressions are experienced personally and identifying incidences of Microassaults, Microinsults, and Microinvalidations is one way to assess whether an individual is in a culture that does not support behaviors that embrace Inclusion.
We specifically look at some of the negative practices connected with denying Inclusion because these are powerfully experienced and easy to demonstrate when they occur.
• Microassaults refer to actions and words, such as slurs and racial epithets, that are intended to demean an individual.
• Microinsults are the verbal and non-verbal actions that are used as stereotypes that degrade one’s identity, such as one’s gender or ethnicity.
• Microinvalidations are actions or communications intended to subtly or openly weaken and even negate the legitimacy of someone’s status, achievements, or contributions.
It should be noted that a verbal or non-verbal action could fit more than one type of microaggression. For example, if a professor accuses a Black student of malingering, and after discovering that he had misjudged the student, says, ‘Well, that’s what your type usually does.’ This is both a microassault and a microinsult. It is a microassault because he demeaned the student directly,