Trust

L. Toledo-Pereyra

Published 2006 in Mediation Behaviour

ABSTRACT

Imagine you were in the middle of the Pacific Ocean, there was not a soul you could depend on, and your life could only be saved by one person, a person you knew from college as a deceiving and untrustworthy human being. The reality and importance of this situation is evidently clear when considering trust in the life of a person, society, or the world, even if this story is fictional. Now, imagine you were airborne in a commercial airliner, negotiating altitude at the eye of a heavy storm. And, image your life depended on the knowledge and ability of the plane’s captain, who had suffered a mild stroke and was unable to perform optimally. The co-captain, with less experience, immediately took over control of the faltering plane although with less predictable results. When considering this possibility, trust, again, represents the essence of continuing survival. Imagine once more that your welfare relied on the dedication and participation of poorly prepared health professionals and that you were not sure you were receiving the best health care. Imagine you could not accept their care if your life depended on it. Your future, suddenly and dramatically, becomes threatened and purposeless. Trust is missing! The previous examples reflect very clearly the far-reaching dimensions and overwhelming, encompassing effects of trust. Trust means to believe in the integrity and reliance of another. According to Webster’s Dictionary, trust is “to have confidence in; to expect with assurance; to believe in someone in whom confidence is placed” [1]. Confidence, at the same time, is to have “certainty in the trustworthiness of another” [1]. Trust and confidence come from the same tree and represent the same family. They are basically the same word with a different wrapping. Confidence is “the assurance that someone will keep a secret” [1, 2]. How is it then that surgeons utilize trust in the evolving and changing relationships of their profession? How is it that surgeons cannot proceed further without the enduring presence of trust? How is it that surgeons cannot practice their art or science under trustless circumstances? The response is so evidently clear that an explanation appears to be hardly required and mostly redundant. Surgery and trust are synonymous with

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