Fear Can Put Us in Chains

Fear can put us in chains:

This photo was taken in Asia in January 2020. #Tourists paying to #touch this #tiger supports this industry that has taken away #rights of #animals including tigers. The tiger’s eyes say quite a lot.

Fear is one of the emotions that can save our lives and keep us safe, it is therefore important to listen to what the emotion is saying, but it can also lead to losing lives and increasing risk and harm.

We need to listen to fear, question it, be curious, look at the evidence, weigh evidence-based risks and benefits, finalise a risk management plan or strategy, and act accordingly to reduce risk and prevent harm. This often means running towards a building on fire or meeting with the child in prison classed as ‘very dangerous’, when a team advised that the child not be seen, to positively affect morbidity or mortality.

Risk assessment and management should be completed by individuals, eg clinicians or doctors or Police Officers or social workers, with extensive training and experience in systemic risk assessment and management.

Assessment and management in Medicine are associated with risk – risk is divided in immediate, short term or longterm, and low, high and very high.

We have worked in high risk fields from a bio-psycho-social point of view for at least 25 years and we know from experience that when one tries to avoid risk, one usually causes more harm and increased risk. This is very relevant in when working with hard to reach children, child protection work or working with personality difficulties.

In most medical or mental health domains it is impossible to avoid risk – but clinicians or doctors with extensive and appropriate training and experience in risk assessment and management (which includes assessment of protective factors) can balance risks and benefits, and provide a systemic risk management plan where risk is reduced effectively from a biological, psychological and social view.

Decisions should never be based in fear, if a good outcome is the goal.

Decisions should be based on information, good clinical, medical or scientific evidence and strategy; systemic risk assessments and a risk management plan.

Decisions should be made with a calm mind. Liaison with colleagues or seniors, collaborative working and good communication are evidence-based strategies of risk assessment and management, leading to good clinical outcomes.


May your choices reflect your hopes, not your fears. Nelson Mandela

I have learned over the years that when one’s mind is made up, this diminishes fear; knowing what must be done does away with fear. #RosaParks

We owe our children, the most vulnerable citizens in any society, a life free from violence and fear. Nelson Mandela

I learned that courage was not the absence of fear, but the triumph over it. The brave man is not he who does not feel afraid, but he who conquers that fear. #NelsonMandela

Courage is not the absence of fear, it’s #inspiring others to move beyond it. Nelson Mandela

We can easily forgive a child who is afraid of the dark; the real tragedy of life is when men are afraid of the light. Plato

Fear is mastered through love. Hate is rooted in fear, and the only cure for fear-hate is love. #MartinLutherKingJr

Fear is the path to the dark side. Fear leads to anger, anger leads to hate, hate leads to suffering. Yoda, Star Wars

The enemy is fear. We think it is hate; but, it is fear. #Gandhi

In time we hate that which we often fear. #WilliamShakespeare

Nothing in life is to be feared, it is only to be understood. Now is the time to understand more so that we may fear less. #MarieCurie

Fear defeats more people than any other one thing in the world. #RalphWaldoEmerson

No power so effectually robs the mind of all its powers of acting and reasoning as fear. #EdmundBurke

#Ignorance is the parent of fear. #HermanMelville

A man that flies from his fear may find that he has only taken a short cut to meet it. #JRRTolkien

He who has overcome his fears will truly be free. Aristotle

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