During Pandemic COVID-19, the High-Reliability Organization (HRO) Identifies Maladaptive Stress Behaviors: The Stress-Fear-Threat Cascade

The human mind evolved to naturally engage adversity -whether in the environment or from an enemy. Behaviors and our environment will be unpredictable because they are continuously oscillating, creating frequencies, and some of those frequencies have long periods. The long period frequency, acting alone or with other long period frequencies, creates forcing functions. Individuals, organizations, and the environment must respond in some manner to these forcing functions. The human brain will release corticotropin-releasing factor (CRF), which goes to the hypothalamicpituitary-adrenal axis (HPA), and the HPA terminates ongoing activity, suppresses the executive functions, and impairs abstract cognition. Concurrently, CRF enters the locus coeruleus-norepinephrine system (LC-NE) to reorient cognition for attention and arousal -adaptive cognition is started, the individual focuses on behaviors, and engagement follows."During times of extreme stress, the brain takes the prefrontal cortex 'off-line' in favor of automated flight or fight responses." This is a common belief held by scientists, healthcare professionals, and the lay public. However, it is the extensive experience of the authors that one can, and must, think clearly in live-or-die situations. William J. Corr, fire captain, and WWII US Navy veteran, South Pacific, admonished firefighters, "When your body moves faster than your mind can work, slow down."One of the authors (DvS) asked the army medic how he and his experience differed from the teacher and her experience. There was no difference, the medic answered. It was not the fault of either person. The helping responders were not supposed to help. And both individuals have the same brain and had the same response.

Section: Cognitive Functionmentioning

confidence: 99%

Implementation of High Reliability Organizing (HRO): The Inherent Vice of Stress, Fear, and Threat

2022

“…Cognition and behaviors become normalized without the necessary access to inner mental states that may have been impaired by stress and threat. What is missed is stress and threat manifested as contingently linked behaviors (5, 17,46). Detached observation and identification of abstract properties, necessary for scientific objectivity, conceal the situational reasoning and intent of the operator (5, 47,48).…”

Section: The Logic Of Practicementioning

confidence: 99%

Operational Logics and Inference During [1/f or f -1] Noise Events: High-Reliability Operations (HRO)

2022

To prepare for and operate in stochastic environments, we study and even master academic models. The environmental stochastic Noise separates the world of practice from scientific theory. Oscillating and fluctuating processes create frequencies of power, the color of Noise, and unpredictability. These environments also contain the determinants of stress, putting individuals at risk of the peculiar Logic of Stress and the ecology of fear. We effectively engage these environments by logic, a logic of practice shared by those who crossed the threshold with us -not classical logic, however. Modal logics conform to changing events and support flexible thinking. Paraconsistent logics support inferences from contradictions. In topology, the central concept is continuity and how the elements preserve a notion of nearness by a continuous function. They maintain connectedness during deformation without tearing apart to create a new boundary.

“…This develops at a deeper level than acting as healthcare professionals in public. Rather than maladaptive responses to the stress vectors novelty, uncertainty, uncontrollability, or a fear vector (31), individuals more readily adopt allostatic or prosocial responses. Discrepancies and disruptions then become early heralds of failure that trigger engagement.…”

Section: "Through the Art Of Neonatology Neonatologists Care For Their Patients And Gain Life" "Negative Space Is The Space In A Paintingmentioning

confidence: 99%

“…Severe concreteness arises when abstract thought becomes impaired from the loss of executive functions in the prefrontal cortex function. This is a primary stress response (31,35).…”

Section: Liminality Is Experiencementioning

confidence: 99%

See 1 more Smart Citation

The Nature of Neonatal Experience during Pandemic COVID-19

Stralen

Mercer

2021

Self Cite

Life abruptly becomes chaotic. This is much like crossing a threshold into a room where we don't belong. The chaotic situation entrains energy and resources, forming a trajectory to cascading failure. The HRO accepts this trajectory and members of the HRO engage in events even as they do not know how to bring it to an end. This is the liminal period, across the threshold and away from our routines. While it appears daunting, if not dangerous, this approach builds on experiences we have had throughout life. HRO methods uniquely shape the engagement that moves through and out of a liminal period. HRO is a trajectory of engagement that fuses now with the experience of then into simultaneous inquiry and redescription. In these states of engagement, the HRO supports using all our mind.