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Dr Jim Farrell's avatar

I agree entirely with this, Nathan, but implementing it is not easy. In particular I have often felt that to be fully mindful is in some way cowardly. It is to ignore reality and, particularly, responsibility for ones own actions. A denial of ownership, if you like. It seemed to me too much like letting oneself off the hook.

As a Doctor I inevitably made errors. We all do. I would ruminate about them endlessly, affecting my own health and my relations with those around me. Crucially, it would affect my ability to do my job, as I would be overly cautious, which in medicine is almost as bad as not being cautious enough. Rationally I knew that it would be better for everyone, including my patients if I let it go. Forgave myself and moved on. That, however, felt like cowardice and a lack of responsibility.

This is a dilemma which faces everyone except Sociopaths. I am better at it now, but it isnt an easy one.

Religion, confession, forgiveness from a deity, offers a practical solution, but I fear I am not, and will never be, a religious person

and always saw that as an excuse for people to continue behaving badly knowing they had a get out of jail free card for their conscience.

When I talk to young doctors, I make a point of telling them a) that they will make mistakes b) that when they do they must be open and honest about it with their patients, learn the relevant lessons and make it right if possible, but c) they then need to forgive themselves and move on, because they have a higher responsibility to all their other patients and their family and friends to live well and do their job well. That is their duty.

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