{"id":18628,"date":"2019-11-17T00:17:56","date_gmt":"2019-11-17T00:17:56","guid":{"rendered":"https:\/\/www.lifeandnews.com\/articles\/?p=18628"},"modified":"2019-11-18T01:29:06","modified_gmt":"2019-11-18T01:29:06","slug":"making-life-or-death-decisions-is-very-hard-heres-how-weve-taught-people-to-do-it-better","status":"publish","type":"post","link":"https:\/\/www.lifeandnews.com\/articles\/making-life-or-death-decisions-is-very-hard-heres-how-weve-taught-people-to-do-it-better\/","title":{"rendered":"Making life-or-death decisions is very hard \u2013 here&#8217;s how we&#8217;ve taught people to do it better"},"content":{"rendered":"<p><a href=\"https:\/\/theconversation.com\/profiles\/laurence-alison-147805\">Laurence Alison<\/a>, <em><a href=\"http:\/\/theconversation.com\/institutions\/university-of-liverpool-1198\">University of Liverpool<\/a><\/em> and <a href=\"https:\/\/theconversation.com\/profiles\/neil-shortland-804569\">Neil Shortland<\/a>, <em><a href=\"http:\/\/theconversation.com\/institutions\/university-of-massachusetts-lowell-1534\">University of Massachusetts Lowell<\/a><\/em><\/p>\n<p>When faced with a rapidly advancing fire threatening a community, it can be hard to know how best to save lives.<\/p>\n<p>Is a rapid evacuation better, or is it safer for residents to stay where they are? The whole situation can change in an instant, and delays and indecision can be fatal.<\/p>\n<p>As <a href=\"https:\/\/www.sacbee.com\/news\/california\/article236722528.html\">wildfires spread across California<\/a>, a report about a massive fire in London in 2017 can offer useful lessons for emergency managers and residents.<\/p>\n<h2>Inside the Grenfell Tower fire<\/h2>\n<p>On June 14, 2017, a <a href=\"https:\/\/www.telegraph.co.uk\/news\/2019\/10\/28\/grenfell-tower-report-section-section-1000-pages-damning-criticism\/#\">refrigerator in a London apartment had an electrical malfunction<\/a> that started a fire. For the first two hours after the fire was reported, officials <a href=\"https:\/\/www.telegraph.co.uk\/news\/2019\/10\/28\/grenfell-tower-report-section-section-1000-pages-damning-criticism\/#\">told the apartment building\u2019s residents not to evacuate<\/a>. Rather, they recommended people stay in their apartments and trust the building\u2019s design to contain the fire to the unit where it started.<\/p>\n<p>The city\u2019s fire officials were faced with two types of potential tragedy: people dying in their apartments or getting injured or killed trying to evacuate.<\/p>\n<p>In hindsight, they <a href=\"https:\/\/www.telegraph.co.uk\/news\/2019\/10\/28\/grenfell-tower-report-section-section-1000-pages-damning-criticism\/\">took too long<\/a> to realize the fire was out of control, and to change their instructions, telling people to get out. Less than four hours after it started, the fire had engulfed the 24-story Grenfell Tower, home to just under 300 people, <a href=\"https:\/\/www.telegraph.co.uk\/news\/2019\/10\/28\/grenfell-tower-report-section-section-1000-pages-damning-criticism\/\">of whom 72 died<\/a>.<\/p>\n<p>A <a href=\"https:\/\/www.washingtonpost.com\/nation\/2019\/10\/28\/fires-rage-california-refines-an-important-skill-evacuating\/\">similar problem has arisen in California wildfires<\/a> \u2013 including in 2018, when <a href=\"https:\/\/www.latimes.com\/local\/lanow\/la-me-paradise-fire-evacuations-20181114-story.html\">delays in the order to evacuate the town of Paradise, California<\/a>, led to the deaths of 56 people.<\/p>\n<figure class=\"align-center zoomable\"><a href=\"https:\/\/images.theconversation.com\/files\/300335\/original\/file-20191105-88414-yaq02k.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip\"><img src=\"https:\/\/images.theconversation.com\/files\/300335\/original\/file-20191105-88414-yaq02k.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip\" sizes=\"(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px\" srcset=\"https:\/\/images.theconversation.com\/files\/300335\/original\/file-20191105-88414-yaq02k.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=450&amp;fit=crop&amp;dpr=1 600w, https:\/\/images.theconversation.com\/files\/300335\/original\/file-20191105-88414-yaq02k.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=450&amp;fit=crop&amp;dpr=2 1200w, https:\/\/images.theconversation.com\/files\/300335\/original\/file-20191105-88414-yaq02k.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=450&amp;fit=crop&amp;dpr=3 1800w, https:\/\/images.theconversation.com\/files\/300335\/original\/file-20191105-88414-yaq02k.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=566&amp;fit=crop&amp;dpr=1 754w, https:\/\/images.theconversation.com\/files\/300335\/original\/file-20191105-88414-yaq02k.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=566&amp;fit=crop&amp;dpr=2 1508w, https:\/\/images.theconversation.com\/files\/300335\/original\/file-20191105-88414-yaq02k.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=566&amp;fit=crop&amp;dpr=3 2262w\" alt=\"\" \/><\/a><figcaption><span class=\"caption\">A rapidly growing fire at the Grenfell Tower in London challenged city officials\u2019 decision-making skills.<\/span><br \/>\n<span class=\"attribution\"><a class=\"source\" href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Grenfell_Tower_fire_(wider_view).jpg\">Natalie Oxford\/Wikimedia Commons<\/a>, <a class=\"license\" href=\"http:\/\/creativecommons.org\/licenses\/by\/4.0\/\">CC BY<\/a><\/span><\/figcaption><\/figure>\n<h2>Choosing the \u2018least worst\u2019 option<\/h2>\n<p>As <a href=\"https:\/\/scholar.google.com\/citations?user=1J07riAAAAAJ&amp;hl=en&amp;oi=sra\">scholars<\/a> <a href=\"https:\/\/scholar.google.com\/citations?user=N2wxtlUAAAAJ&amp;hl=en&amp;oi=ao\">who<\/a> study human decision-making in potentially fatal circumstances, we\u2019ve learned that many people, even trained military personnel and emergency responders, find it hard to make decisions in extreme situations, such as large fires.<\/p>\n<p>The resulting delay, which we\u2019ve called \u201c<a href=\"https:\/\/doi.org\/10.1080\/13546783.2019.1589572\">redundant deliberation<\/a>,\u201d happens when people take too long to make a choice between difficult options.<\/p>\n<p>We\u2019ve found indecision is the <a href=\"http:\/\/dx.doi.org\/10.1002\/bdm.723\">most dangerous aspect<\/a> of a high-stakes situation. We have also proposed theories about the origins of this delay, and how it can be overcome, in our recent book, \u201c<a href=\"https:\/\/global.oup.com\/academic\/product\/conflict-9780190623449?cc=us&amp;lang=en&amp;\">Conflict: How Soldiers Make Impossible Decisions<\/a>.\u201d<\/p>\n<p><a href=\"https:\/\/psycnet.apa.org\/record\/2017-03597-001\">Our research<\/a> has found that redundant deliberation is more likely to occur when there is no standard policy to guide decision-makers, or, as in the Grenfell fire, when the normal practice doesn\u2019t fit the actual circumstances.<\/p>\n<p>Many apartment buildings\u2019 fire plans involve telling residents to stay put, because fireproof walls, floors and ceilings are designed to contain flames to the apartment where they started.<\/p>\n<p><a href=\"https:\/\/www.telegraph.co.uk\/news\/2019\/10\/28\/grenfell-tower-report-section-section-1000-pages-damning-criticism\/\">That was the plan<\/a> at the Grenfell Tower. London fire officials stuck to that advice even as the <a href=\"https:\/\/www.telegraph.co.uk\/news\/2019\/10\/28\/grenfell-tower-report-section-section-1000-pages-damning-criticism\/\">fire spread into dozens of neighboring apartments<\/a>.<\/p>\n<p>Their error was in relying too much on fixed rules and written policies, rather than understanding how best to protect human life in a rapidly changing fire that defied the expectations those policies relied on. The London fire chiefs\u2019 years of accumulated firefighting experience had not prepared them to handle what happened at the Grenfell Tower. It was simply too rare an event, with much more at stake than in other fires.<\/p>\n<figure class=\"align-center \"><img src=\"https:\/\/images.theconversation.com\/files\/300341\/original\/file-20191105-88403-1h2828v.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip\" sizes=\"(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px\" srcset=\"https:\/\/images.theconversation.com\/files\/300341\/original\/file-20191105-88403-1h2828v.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=1 600w, https:\/\/images.theconversation.com\/files\/300341\/original\/file-20191105-88403-1h2828v.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=2 1200w, https:\/\/images.theconversation.com\/files\/300341\/original\/file-20191105-88403-1h2828v.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=3 1800w, https:\/\/images.theconversation.com\/files\/300341\/original\/file-20191105-88403-1h2828v.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=1 754w, https:\/\/images.theconversation.com\/files\/300341\/original\/file-20191105-88403-1h2828v.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=2 1508w, https:\/\/images.theconversation.com\/files\/300341\/original\/file-20191105-88403-1h2828v.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=3 2262w\" alt=\"\" \/><figcaption><span class=\"caption\">When soldiers can talk through scenarios, they get better at dealing with unexpected challenges.<\/span><br \/>\n<span class=\"attribution\"><a class=\"source\" href=\"https:\/\/www.army.mil\/article\/211802\/multinational_disaster_response_exercise_wraps_up_in_nepal\">Sgt. 1st Class Corey Ray<\/a><\/span><\/figcaption><\/figure>\n<h2>Telling grim stories<\/h2>\n<p>Our research has developed a better way to train people to act decisively in urgent situations. Instead of being slowed into indecision by rules and experience, quick-thinking leaders need to be creative, adaptive and imaginative.<\/p>\n<p>We have developed a way to teach people to transcend their past training through a method of guided imagination we call \u201cgrim storytelling.\u201d It\u2019s based on <a href=\"https:\/\/doi.org\/10.1016\/j.jarmac.2015.07.001\">scenario-centered discussions<\/a> in which the participants create situations (often from their own experiences) for their colleagues to work through, in the military and aviation communities.<\/p>\n<p>In sessions we conducted, we had three groups of four people. Each group developed a scenario that was based on a real situation they had dealt with in the past, but far more complicated and challenging. Each group then presented the others with the scenario and asked them to choose a course of action from several options, all of which looked quite bad.<\/p>\n<p>For example, one group presented a scenario of lone shooters attacking civilians around the city. The event became a hostage situation at a local hospital, then got more complicated when a group of armed civilians arrived, saying they would \u201cstorm the hospital\u201d if local police weren\u2019t going to.<\/p>\n<p>The most helpful grim stories are those where the group members coming up with the scenario disagree about what option they would choose, or where circumstances require decision-makers to question the standard existing policy or practice.<\/p>\n<p>Some grim stories even have built-in ambushes, like the hospital standoff, where the scenario looks to be unfolding in one way but something happens to change it completely, and responders must deal with the new event.<\/p>\n<p>We\u2019ve found that as military and law enforcement personnel work through these hypothetical situations, they learn a lot about their own values and those of others. They find opportunities to test different policies and flexible problem-solving approaches. Our method is inexpensive and efficient, too, because people can talk about situations without having to physically create or re-enact them. Even when, as happened with the hospital standoff, participants find themselves unable to decide in time, they can gain a real appreciation for how hard some decisions can be and how easy it can be to fall victim to redundant deliberation.<\/p>\n<p>Grim storytelling is also incredibly flexible. In our training with law enforcement and other agencies, we have conducted grim storytelling exercises that last several hours and involve multiple phases, actors, roles and decision makers. But we have also conducted grim storytelling in short bursts, stripped down to simpler, yet no less horrible, decisions.<\/p>\n<p>Whichever method is used, grim storytelling \u2013 a skill informed by storytelling and even <a href=\"https:\/\/www.harpercollins.com\/9780060391683\/story\/\">creative writing<\/a> \u2013 forces people to think in new and unfamiliar ways that can improve their decision-making in real situations that unfold unexpectedly.<\/p>\n<p>[ <em><a href=\"https:\/\/theconversation.com\/us\/newsletters?utm_source=TCUS&amp;utm_medium=inline-link&amp;utm_campaign=newsletter-text&amp;utm_content=expertise\">Expertise in your inbox. Sign up for The Conversation\u2019s newsletter and get a digest of academic takes on today\u2019s news, every day.<\/a><\/em> ]<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img loading=\"lazy\" style=\"border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important; text-shadow: none !important;\" src=\"https:\/\/counter.theconversation.com\/content\/126249\/count.gif?distributor=republish-lightbox-basic\" alt=\"The Conversation\" width=\"1\" height=\"1\" \/><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: http:\/\/theconversation.com\/republishing-guidelines --><\/p>\n<p><a href=\"https:\/\/theconversation.com\/profiles\/laurence-alison-147805\">Laurence Alison<\/a>, Director of the Centre for Critical and Major Incident Psychology, <em><a href=\"http:\/\/theconversation.com\/institutions\/university-of-liverpool-1198\">University of Liverpool<\/a><\/em> and <a href=\"https:\/\/theconversation.com\/profiles\/neil-shortland-804569\">Neil Shortland<\/a>, Director, Center for Terrorism and Security Studies; Assistant Professor of Criminology and Justice Studies, <em><a href=\"http:\/\/theconversation.com\/institutions\/university-of-massachusetts-lowell-1534\">University of Massachusetts Lowell<\/a><\/em><\/p>\n<p>This article is republished from <a href=\"http:\/\/theconversation.com\">The Conversation<\/a> under a Creative Commons license. Read the <a href=\"https:\/\/theconversation.com\/making-life-or-death-decisions-is-very-hard-heres-how-weve-taught-people-to-do-it-better-126249\">original article<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Laurence Alison, University of Liverpool and Neil Shortland, University of Massachusetts Lowell When faced with a rapidly advancing fire threatening a community, it can be hard to know how best to save lives. Is a rapid evacuation better, or is it safer for residents to stay where they are? The whole situation can change in [&hellip;]<\/p>\n","protected":false},"author":44,"featured_media":18623,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[4],"tags":[6229,3220,5552,3041,223,4905,7255,3357,7256],"_links":{"self":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/18628"}],"collection":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/users\/44"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/comments?post=18628"}],"version-history":[{"count":2,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/18628\/revisions"}],"predecessor-version":[{"id":18632,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/18628\/revisions\/18632"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/media\/18623"}],"wp:attachment":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/media?parent=18628"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/categories?post=18628"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/tags?post=18628"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}