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PT236 Don’t Worry! Be Happy! : Harmonize Diversity and Improve Outcomes by Applying Knowledge of Personality Types
PT236
·1.0 hr
Don’t Worry! Be Happy! : Harmonize Diversity and Improve Outcomes by Applying Knowledge of Personality Types
Author: Rosalinda Alfaro-LeFevre, RN, MSN, ANEF
Don’t Worry! Be Happy! : Harmonize Diversity and Improve Outcomes by Applying Knowledge of Personality Types
Author: Rosalinda Alfaro-LeFevre, RN, MSN, ANEF
Course Objectives
The goal of this program is to familiarize PTs with the process and results of creating a personality-sensitive workplace. After you study the information presented here, you will be able to —
- Explain how understanding personality types and developing personality sensitivity improves interpersonal relationships, patient outcomes, and job satisfaction.
- Give examples of how patients benefit from receiving care that’s sensitive to their particular personality traits.
- Describe Hartman’s Color Code theory, detailing the role of motives and the strengths and limitations of its four personality types.
Approval Information
Gannett Healthcare Group is an approved sponsor by the New York State Education Department of continuing education for physical therapists and physical therapist assistants from October 21, 2009 to October 21, 2012.
This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #GED012010TPTA2012004 and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in
As of 4/5/10, Gannett Education is recognized by the Physical Therapy Board of California as an approved reviewer and provider of continuing competency courses for the state of
This course has been approved as meeting the continuing education requirements for PTs and PTAs by the Ohio Physical Therapy Association (approval no. 10S0416 for 2/14/10 to 2/14/11; 11S0680 for 02/15/11 to 02/15/12), the Florida Physical Therapy Association (approval no. CP100215280, expiration date 12/31/10; CP110017073 for 01/01/11 to 12/31/11; CP120417124 for 01/01/12 to 12/31/12); the Pennsylvania Board of Physical Therapy (approval no. PTCE002235 for 05/22/11 to 12/31/12); and the New Jersey Board of Physical Therapy Examiners (approval no. 408-2010, expiration date 1/31/12). Approval of this course does not necessarily imply the Florida Physical Therapy Association supports the views of the presenter or the sponsors.
The Illinois Chapter Continuing Education Committee has certified that this course meets the criteria for approval of Continuing Education offerings established by The Illinois Physical Therapy Association (approval no. 437.3217 for 02/01/10 to 02/01/11; 437-3774 for 04/01/11 to 04/01/12). According to the Rules for the Administration of the Illinois Physical Therapy Act (section 13460.61) published by the Illinois Department of Professional Regulation, a physical therapist or physical therapist assistant applying for re-licensure in Illinois can earn a maximum of 50 percent of their required continuing education hours from self-study. The hours awarded of this course are designated for self-study CE credit.
Other states may accept this course for meeting their CE requirements. Check with your state association or board.
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Have you ever spent a sleepless night trying to decide how to get through to someone who just doesn’t seem to “get it?” Do you find yourself saying things like, “I wish we had less whining and more productivity. We spend most of our time dealing with personality conflicts. Why can’t we all just get along?” If so, don’t worry, be happy! Things are starting to change. Many healthcare organizations now recognize the importance of creating a personality-sensitive workplace. They are helping employees gain the knowledge and skills required to get along with diverse personalities.
There’s a great cartoon online at http://www.glasbergen.com/images/div3.gif that exemplifies the complexity of diversity in the workplace. In the cartoon, a man (obviously the boss) and a woman are standing in an office. The man says to the woman, “We’ve got to focus on diversity. I want you to hire people who all look different but think just like me.” Dealing with diversity requires more than knowing how to work with people of different ethnic and cultural backgrounds. It requires personality sensitivity — knowing how to “read” and work with diverse personalities to achieve the best possible results. This module introduces the concept of personality sensitivity and gives examples of how personality-sensitivity training can improve performance, satisfaction, and outcomes. It may also give you strategies to deal with some of the “difficult” people in your life.
The Personality-Sensitive Workplace
Let’s start by defining a personality-sensitive workplace — one in which the entire staff acquires the insights and strategies needed to build positive relationships with diverse personalities. Today, there are numerous authors and Web sites that deal with the importance of emotional intelligence (EQ) and how it affects ability to get along with others. We know that interpersonal skills are as important as cognitive skills. We have shifted from the Golden Rule (treat others as you would like to be treated) to the Platinum Rule (treat others as they want to be treated).1 Applying the Platinum Rule changes your thinking from “this is what I want, so I’ll give everyone the same thing” to “let me first understand what others want so I can give it to them.”
Many organizations have spent a lot of time and money to facilitate personality-sensitivity training for their managers. Corporations have spent millions training managers worldwide, and many hospitals have hired consultants to train their supervisors. Now, organizations realize that front-line employees — including PTs — need this training as much as anyone. PTs are intimately involved with dealing with patients with diverse personalities and a variety of disabilities and problems. As key members of the healthcare team, they must know how to build relationships with other team members. Understanding personality differences helps PTs deal with “difficult” patients and healthcare team members. Think about it: Wouldn’t it be great if when faced with a patient, peer, or boss who has a personality that seems to make things hard, you could reach into your imaginary “strategy hat” and pull out things to ease the load? Wouldn’t it be wonderful if you knew how to make the most of people’s talents and relationships while still addressing the problems? Personality sensitivity training can help you do this.
There are two main goals of personality-sensitivity training. The first is to help people gain insight into their own natural tendencies and how these tendencies may be quite different from others. The second goal is to help diverse personalities connect with one another in positive ways. Keep these goals in mind as you read on.
What Tools Are Available?
Following pioneer psychologist Carl Jung’s work, more than a few experts developed tools for determining personality types and teaching personality sensitivity. Three commonly used tools are —
- DISC: Based on behavior; uses four categories (Dominant, Influence, Steadiness, Conscientiousness)2
- Myers-Briggs Type Indicator® (MBTI): Based on behavior; uses eight major categories (Extrovert, Introvert, Sensate, Intuitive, Thinking, Feeling, Judging, Perceiving)3
- Hartman’s Color Code: Based on motive, or inner drive; uses four colors to represent main motive (Red = Power, Blue = Intimacy, White = Peace, Yellow = Fun)4
The MBTI Tool
While the DISC tool is quite popular, the MBTI is the oldest tool and has been widely used with various professions. “Personality Characteristics and Expressed Career Choice of Graduating Physical Therapy Students” delineates how two researchers used the MBTI to examine personality characteristics of physical therapy students who had different career goals.5 While this study was done in 1984, it’s well done, cites some classic studies, and has practical applications that clearly apply today. For example, the researchers found statistically significant differences between physical therapy students who wanted careers as generalist clinicians versus those who wanted to be specialists. They concluded that students who wanted to be generalists tended to have the characteristics of precision and order, and they preferred routine procedure. The students who wanted to be specialists tended to be adaptive, curious problem solvers. They also pointed out that their findings had implications for physical therapists’ job satisfaction and for curriculum planning (students who wanted to be generalists might grow and respond cognitively to concrete, task-oriented learning experiences; students who wanted to be specialists might do better with a flexible, nonstructured learning approach. The researchers suggested that faculty members should be responsive to these types of preferences and that both sets of students need to nurture the preferences of their counterpart peer group. Generalist-oriented students might benefit from more problem-solving tasks, and specialist-oriented students may need to work on developing organizational skills.
From my experience teaching personality sensitivity to healthcare professionals in critical thinking workshops, I have learned that Hartman’s Color Code is a simple, powerful tool that’s easy to grasp and remember. It’s also a lot of fun, which promotes meaningful learning because it helps people relax and find the humor in some of life’s most stressful experiences. For this reason, I’ll use it to explain what happens when all team members know how to apply knowledge of personality types to help diverse personalities interact in positive ways.
Hartman’s Color Code
The Color Code is based on the belief that each of us is born with an innate core motive, or drive, that’s characterized by strengths and limitations. Using the colors Red, Blue, White, and Yellow to represent four distinct personality types, here’s how Hartman describes each one.4
Reds have a drive for power. From a very early age, they are productive individuals who want power because they know how to take charge and make things happen. Reds’ strengths are that they are confident, determined, logical people who have the gifts of vision and focus. However, they can also be bossy, impatient, arrogant, argumentative, and focused on themselves.
Blues are driven to achieve intimacy. They enjoy closeness, have strong feelings, want to get to know people well, and enjoy talking about the daily details of life. Blues are creative, caring, committed, reliable, and sincere. They have the gift of service and quality. On the flip side, they tend to be judgmental, worry prone, doubtful, and moody, and they often have unrealistic expectations of others.
Whites strive for peace. They are fair, independent, contented individuals who ask little of those around them. Whites are insightful, flexible, easygoing, patient, and kind. Their major gifts are tolerance and clarity of thought. But Whites tend to avoid conflict at all costs and are indecisive and silently stubborn. They may also “explode” because their need for peace causes them to hold things in until there are so many things bothering them that just one more problem pushes them over the edge.
Yellows are driven to have fun. They wake up happy, want to enjoy life in the present moment, and are simply fun to be around. Yellows are outgoing, popular, and trusting. They bring the gifts of optimism and enthusiasm. However, they tend to avoid facing facts and can be impulsive, undisciplined, disorganized, and uncommitted.
While you may decide that you’re a blend of the above colors, Hartman stresses that you’re dominant in only one, which ultimately drives your innate characteristics. Things like upbringing, birth order, culture, and environment influence your strengths and limitations, but they do not change your core motive. For example, you may be a Yellow with an innate drive for fun but have been raised by parents who stressed the need for taking control and getting jobs done before having fun (in this case, you’re probably a Yellow with leadership skills — you readily take control and get things done even though your core motive is fun). Take a few minutes to reflect on each of the above colors. Do you relate to any one color more than the others? What about some of the other people in your life? Where do they fit in? Does the above explain some of your successful or problematic relationships? If you don’t connect with any of the above colors and want to know more, you can find resources and take the Color Code personality test free at http://hartmancommunications.com.
Some people look at Hartman’s personality types and immediately identify a bias that they have against one sort of person or another. Yet, Hartman stresses that there is no good or bad color. All colors are equally good. He also points out that since each person is born with particular personality traits, it’s useless to wish for something different. It would be like wishing for a different IQ. In other words, if you have a bias, get over it. Through in-depth personality-sensitivity training and a commitment to reach out to diverse human beings, you can move from negative biases to being able to celebrate the gifts and talents of diverse individuals. To get to this positive, productive “place,” Hartman suggests we each learn to do three things —
- Strive to understand and embrace each person’s personality color (including your own), valuing strengths and facing limitations.
- Work to develop strengths that don’t come naturally to you.
- Identify strategies to make positive connections with the various personalities in your lives.
Let’s take a look at some specific examples of how patients, PTs, and other staff benefit from being in a personality-sensitive workplace.
How Patients Benefit
While it’s unrealistic to expect PTs to know their patients’ particular personality types, it’s not that difficult for those who have had training to get a “ball park” idea of what category might be appropriate. For example, if you have someone who appears impatient and directive and generally seems to want to run the show, you might be dealing with a Red. If so, the following are prudent strategies:
- Don’t become upset by what is normal behavior for a Red under stress.
- Focus on efficiency and getting things done, rather than chitchatting or joking around.
- Allow as much control as possible.
On the other hand, if you have someone who is jovial and laughing and joking all the time, you might guess that you’re dealing with a Yellow, who innately values enthusiasm, optimism, and having a good time more than efficiency. You might also guess that you’re going to have to check frequently to be sure this jovial Yellow is getting things done. Yellows tend to need prodding and structure to stay on task. If you connect with the Yellow-type personality, I’m not surprised because, according to Best Careers, PTs tend to be optimistic individuals.6
It’s important to remember the importance of tailoring your approach when communicating with others. Think about the difference between a Red-type patient and Yellow-type patient and how you might need to change your approach with each one. The efficient, cut-to-the-chase-and-get-things-done approach that works best for Reds may leave sociable, fun-loving Yellows feeling isolated in the midst of people they view as a being a “bunch of stuffed shirts.”
Dealing With Families
Color Code principles can also help you understand the dynamics within families. For example, I once worked with a widow who was debilitated and receiving home care. She had three sons who often had disputes over managing their mother’s affairs. The youngest, relegated to being the “low man on the decision pole” by birth order, was a Red. The eldest, a Blue, was constantly offended by his younger brother’s efforts to lead and take charge. The third son, a Yellow, was happy to stay out of it, letting the Red and Blue verbally “duke it out.” Although the brothers didn’t work out their differences during the time I cared for their mother, my explanation of the Color Code to the mother helped her deal with what was happening among her sons. We even laughed at how true these men were to their core motives. This example illustrates that although you can’t always fix the problems (because all those involved must be willing and schooled in the personality model), you can still help people gain insight into the problems. This in itself reduces stress because less time is spent ruminating over questions like “Why is this happening?”
How PTs Benefit
PTs tend to live and work in stressful environments that require patience and persistence. At home, they’re often the ones who nurture family members, all with diverse personalities and needs. They’re teachers, counselors, cooks, chauffeurs, and disciplinarians all at once. Then they come to work to deal with patients who are stressed because of the problems and inconveniences associated with illness and injury. Throw in physicians, nurses, colleagues, and other healthcare workers who are stressed because of heavy demands on their time, and you have the perfect formula for a stressful environment. Thankfully, a key component of personality training is learning what to expect and how to respond to personalities when they are under stress. For example, Reds delegate, demand, give orders, get more productive, and cause more stress in others. Blues tend to worry, get depressed, blame themselves first, and then blame others.4 In the case of stressed Reds, understanding their behavior helps you avoid hard feelings and wasted time trying to fix a problem that’s simply “a tempest in a teapot” — it will soon blow over. In the case of stressed Blues, understanding their commitment to service, yet tendency to worry, you know to reassure them that they’re working as hard as anyone and that you appreciate their efforts.
An educator I know discovered that applying Color Code principles was beneficial when counseling employees. Rather than saying something like, “You don’t do this very well,” she found it easier and more helpful to say, “You’re a Blue. I’m trying to help you to acquire some characteristics of the Red personality that will help you do this job.”
PTs who complete personality-sensitivity training gain an expanded awareness of themselves, their patients, and their colleagues. They make better choices when dealing with the challenges facing themselves and others in relationships. When Color Code training occurs in a supportive environment with a professional counselor, many people have so much fun that everyone “loosens up” and readily talks about their natural tendencies. The information PTs gain about their interaction styles and interpersonal relationships helps them manage themselves and others. It can also help them make decisions about their future. For example, a White (who values peace) might choose to work in research rather than take a leadership position that requires confrontation and conflict management.
Link to Critical Thinking
Being self-aware and understanding how your personality affects how you view and interact with the world is a key step to improving your ability to think critically.7 People also think better when they like and trust one another — when they feel understood, supported, and confidant. They focus on finding solutions rather than on defending or justifying themselves. When I ask my clients the main problems they have related to critical thinking, a common response is, “Problems with interpersonal relationships.”
Another important point is that critical thinking today frequently requires collaborative thinking. We need everyone’s brains, talents, and input to achieve the best outcomes in a timely way. By improving interpersonal relationships through personality sensitivity, we can release the power of great minds coming together.
Recognizing personality characteristics can help identify strengths and limitations related to critical thinking. For example, Reds are able to stay focused, Blues bring creativity and high standards to thinking, Whites bring clarity and insight, and Yellows bring enthusiasm (though they have trouble staying focused). When you’re aware of how personality affects thinking, you can identify ways to improve your own (and others’) ability to think critically. For example, if you identify yourself as being a Yellow, you know that you need help staying focused. When choosing projects, you may want to partner with a Red, who can help you stay on task.
What the Evidence Suggests
As we move toward evidence-based approaches, we can expect to find more information on the importance of understanding the needs of various personalities. For example, a researcher found that nurses’ relationships, interactions, and job satisfaction are likely to be influenced by their personalities.8 The study began with a group of 51 female nursing students and finished 10 years later with a follow-up of 43 of those nurses. The results suggest that the students who were considered to be the “gems” of nursing (very much like the service-minded, creative Blues of Hartman’s Color Code) went on to become nurses who 10 years later had more injuries and long-term illnesses than others. This group also seemed to have difficulties being dominant and asserting their own interests. This study implies that we need to identify nurses with Blue characteristics early and give them the education, support, and tools they need to learn to deal with today’s stressful clinical setting. The implications of this study are also likely to apply to PTs. PTs, like nurses, have chosen a helping profession and are quite likely to have strong Blue characteristics.
What About Outcomes?
Personality-sensitivity training aims to help everyone stay focused on results (outcomes). Forcing someone to comply with your own particular style often doesn’t work. To get the best results in less time and with more satisfaction, tailor your approach to the other person’s wants and needs, rather than your own. For example, those of you who enjoy teaching patients by using games might need to ask yourself, “Is there a quicker, more direct way I can teach my Red, get-to-the-point patients?” You might find that simply handing over a pamphlet and returning later to answer questions may be all a self-directed Red wants or needs. On the other hand, keep the gaming for the Yellows. And if you’re thinking about just handing over a pamphlet and getting results with a Yellow, “forget about it.”
The Impact of Personality-Sensitivity Training
The following summarizes the impact of personality-sensitivity on partnering, team building, performance, retention, and customer satisfaction.
Partnering and team building —
- Helps diverse personalities come together with understanding and respect, promoting solid working relationships between individuals and teams with somewhat different objectives
- Keeps the focus on common goals and on improving quality and efficiency
- Provides strategies to reduce and resolve conflicts
- Facilitates collaboration and maximum individual and team strengths and talents
Performance and retention —
- Promotes critical thinking (people think better when they understand and trust one another)
- Reduces stress, allowing more brainpower for finding solutions
- Increases self-confidence by providing style-specific strategie
- Increases retention by providing an environment that nurtures professional and personal growth
Customer satisfaction —
- Facilitates communication with “difficult” patients and families
- Improves outcomes by helping you tailor approaches to consider different personalities’ wants and needs
- Helps patients and families feel understood, empowered, and motivated by receiving care that's “in synch” with their own specific styles
The Downside
If I were a Yellow, naturally centered on the positives, I might forget to tell you about the downside to personality-type training. But since I’m a White, naturally centered on fairness and seeing both sides, here’s what can go wrong: Facilitating personality sensitivity can be a challenge, and it’s a good idea to be prepared for any issues that may arise. One problem facilitators encounter, no matter what tool they’re using, is that some individuals resist the idea of personality typing because they feel it’s “placing people in boxes.” It helps to explain that even though certain commonalities characterize each of the types, each person is still unique because of influences such as upbringing, culture, gender, birth order, brain differences, and past experience. It’s also good to point out that even if they don’t like the idea of categorizing personalities, they can still benefit from the discussion on the importance of changing approaches depending on certain personality characteristics (most will agree that one approach doesn’t fit all).
Another downside is that occasionally some people want to become amateur psychologists, trying to be testers and counselors without the required knowledge, skills, and experience. For this reason, the use of personality typing should be in the hands of qualified people who are connected with human resource departments.
You can also have problems with people who want to be a certain type and try to respond to profile questions in ways that will reflect who they want to be, rather than who they are. It’s important to push people to be honest with themselves, stressing that no one type is better than another.
Two issues arise with the Color Code. First, some people ask, “Aren’t you worried that some people think the colors represent race?” (I make a statement about this early — something like, “These colors do not represent race. You can be any race, and still be a Red, White, Yellow, or Blue.”) Second, some people find the tool so simple that they think it must be “hokey.” However, if you encourage them to read Hartman’s book, they’ll see that the theory makes sense. Hartman, a psychologist, therapist, and leadership coach, is well-qualified and gives solid rationale. The other thing I do to overcome concerns that the Color Code is too simple is to explain that the simplicity of the tool is one of the reasons it does work. The four-color approach works because the colors act as memory hooks that help you to readily call forth a complex cluster of characteristics. I find that people can readily remember the major characteristics of the various personality colors. On the other hand, because the DISC and MBTI tools use letters to represent personality traits, these two tools seem to take longer to learn and are harder to remember long term.
How to Facilitate Training
If you’re thinking about facilitating training in your workplace, I recommend a few things: Keep the advantages of having an outside, objective, experienced facilitator in mind. Shop around. Interview a few facilitators, and find out what tools they use. Ask for their qualifications and get references. Choose someone who “feels right” for your particular group (choosing the right facilitator is as important as choosing the right tool). Stay focused on your budget, but remember, cheaper isn’t always better (and vice versa, of course). Spend time together with the facilitator to come up with a mutual plan. Your input is crucial because you are the one who knows your group the best.
Summing It Up
Harmonizing diversity to improve outcomes, performance, and satisfaction entails more than understanding different ethnic and cultural groups. It requires understanding various personalities and knowing how to establish relationships with people who are different from you. Personality-sensitivity training can give you the strategies you need to simplify your life and bring out the best in others. But remember: Human relationships are complicated. If you get unexpected behavior, analyze the situation carefully. Your initial interpretations may be wrong, or there may be stress that temporarily changes the person’s response (for example, a Blue might act like a Red). “If at first you don’t succeed, try, try again” is an important motto in improving people-to-people relationships. It has been said the best teacher leaves you wanting to know more. My hope is that you do want to know more. Check out the references, talk with your peers, contact some experts, and most of all, take this tip from “all the colors”: Create a vision (Reds), share what you learn (Blues), be kind (Whites), and have fun (Yellows)!
Recommended Reading
Besner J, Boucher B. The influence of personality type on decision making in the physical therapy admission process. J Allied Health. 2001;30(2):83-91.
Career matches by personality type. My Personality Web site. http://www.mypersonality.info/personality-types/careers. Accessed January 5, 2010.
Darden, L, Freeman M. Relationship between a physical therapist’s personality type and current practice setting. Pacific University Web site. http://commons.pacificu.edu/pt/183. Accessed January 5, 2010.
Draw a Pig Personality Test. (A humorous look at what you can learn about your personality by drawing a pig). http://homosrus.com/drawpig.html Accessed January 5, 2010.
Occupational Outlook Handbook, 2010-11 Edition. United States Department of Labor, Bureau of Labor Statistics Web site. http://www.bls.gov/oco/ocos080.htm. Accessed January 5, 2010.
Your personality – Meyers Briggs. PhysicalTherapist.com Web site. http://forums.physicaltherapist.com/viewtopic.php?f=1&t=3465. Accessed January 5, 2010.
Gannett Education guarantees this educational activity is free from bias.
EDITOR’S NOTE: For another article by this author, see PT168, “Improving Your Ability to Think Critically,” at http://www.todayinpt.com/ce/PT168/Improving-Your-Ability-to-Think-Critically.
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