----- Original Message -----
From: "Fleur Bickford" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, February 25, 2009 1:38 PM
Subject: Re: [LACTNET] Disconnect with available information
**Hi Fleur,
Health Care Providers *are* supposed to know, but many of them don't know
much of anything when it comes to breastfeeding, and that is what I find
frustrating.
I'm not saying that the fault is entirely with the health care providers,
although I do feel that they should take responsibility for their own
learning if they are seeing a lot of something and know that their education
needs improving.
**I think much of a problem lies in here: *know that their eduction needs
improving*... question is: *DO* they know and if so, are they willing...?
I probably mentioned this sequence before: unknowingly incompetent -
knowingly incompetent - knowingly competent - unknowingly competent.
Getting from the first to the second stage is a *very* important step.
Between stage 2 and stage 3 is the active learning process. From stage 3 to
stage 4 is an ongoing process, once you have started, such as reading on
Lactnet and being taken by the hand by those who know more and then someday
not recognizing anymore how much you've picked up here... ;o)
The sequence is neverending, though: the fact that for instance all of us
*are* on Lactnet in the first place, is because we are continuously between
stage 2 and 3, albeit not always on the same topic, but learning
nevertheless. This is a matter of attitude, not so much of knowledge. Anyone
can, in theory, adopt an open learning attitude, but whether one does that
or not, has a lot to do with social environmental and psychological aspects:
is it a sign of weakness or of strength, to say you don't know something and
want to learn more? How can we break through defense mechanisms, when people
don't want to learn and consider others annoying when they come up with
undisputable knowledge or expertise...? Is that cause to call the other
person authoritarian and oppose him or her...?
And as for self-reflection: when people get annoyed or angry over *facts* we
present, is that our fault or should we stay calm and keep repeating the
facts until they sink in...?
Are there other issues in a non-learner, that have to be addressed before
learning can take place. You cannot force someone to self-development. How
to promote willingness to learn?
And back to my project of the last year: what have insecure attachment,
false self and sad 'internal working models' to do with all this...? The
urge to learn and to explore are natural and are activated by the limbic
system, *not* by the neocortex. It is insecure attachment that causes
disorders in the communication between limbic system and neocortex. To me,
that means that if people are not open to new learning, that might indicate
a disturbed attachment, because it means the stress system is overstimulated
somehow by learning stimuli and regulation by the neocortex is insufficient.
In line with the previous... this statement might cause people to either
feel angry or thrilled by new insights and learning opportunities... ;o)
For those of you who have managed to improve the knowledge and/or attitudes
of the health care providers that you work with, how did you go about it?
**Superb question. I am interested in answers, too! :-)
Warmly,
Marianne Vanderveen IBCLC, Netherlands
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