Chapter 6 - AUTHORITY Directed Deference

Follow an expert.

—Virgil


SUPPOSE THAT WHILE LEAFING THROUGH THE NEWSPAPER, YOU notice an ad for volunteers to take part in a "study of memory" being done in the psychology department of a nearby university. Let's suppose further that, finding the idea of such an experiment intriguing, you contact the director of the study, a Professor Stanley Milgram, and make arrangements to participate in an hour-long session. When you arrive at the laboratory suite, you meet two men. One is the researcher in charge of the experiment, as is clearly evidenced by the gray lab coat he wears and the clipboard he carries. The other is a volunteer like yourself who seems average in all respects.

After initial greetings and pleasantries are exchanged, the researcher begins to explain the procedures to be followed. He says that the experiment is a study of how punishment affects learning and memory. Therefore, one participant will have the task of learning pairs of words in a long list until each pair can be recalled perfectly; this person is to be called the Learner. The other partici-pant's job will be to test the Learner's memory and to deliver increasingly strong electric shocks for every mistake; this person will be designated the Teacher.

Naturally, you get a bit nervous at this news. And your apprehension increases when, after drawing lots with your partner, you find that you are assigned the Learner role. You hadn't expected the possibility of pain as part of the study, so you briefly consider leaving. But no, you think, there's plenty of time for that if need be and, besides, how strong a shock could it be?

After you have had a chance to study the list of word pairs, the researcher straps you into a chair and, with the Teacher looking on, attaches electrodes to your arm. More worried now about the effect of the shock, you inquire into its severity. The researcher's response is hardly comforting; he says that although the shocks can be extremely painful, they will cause you "no permanent tissue damage." With that, the researcher and the Teacher leave you alone and go to the next room, where the Teacher asks you the test questions through an intercom system and delivers electric punishment for every wrong response.

As the test proceeds, you quickly recognize the pattern that the Teacher follows: He asks the question and waits for your answer over the intercom. Whenever you err, he announces the voltage of the shock you are about to receive and pulls a level to deliver the punishment. The most troubling thing is that with each error you make, the shock increases by 15 volts.

The first part of the test progresses smoothly. The shocks are annoying but tolerable. Later on, though, as your mistakes accumulate and the shock voltages climb, the punishment begins to hurt enough to disrupt your concentration, which leads to more errors and ever more disruptive shocks. At the 75-, 90-, and 105-volt levels, the pain makes you grunt audibly. At 120 volts, you exclaim into the intercom that the shocks are really starting to hurt. You take one more punishment with a groan and decide that you can't take much more pain. After the Teacher delivers the 150-volt shock, you shout back into the intercom, "That's all! Get me out of here! Get me out of here, please! Let me out!"

But instead of the assurance you expect from the Teacher that he and the researcher are coming to release you, the Teacher merely gives you the next test question to answer. Surprised and confused, you mumble the first answer to come into your head. It's wrong, of course, and the Teacher delivers a 165-volt shock. You scream at the Teacher to stop, to let you out. But he responds only with the next test question—and with the next slashing shock when your frenzied answer is incorrect. You can't hold down the panic any longer; the shocks are so strong now they make you writhe and shriek. You kick the wall, demand to be released, beg the Teacher to help you. But the test questions continue as before and so do the dreaded shocks—in searing jolts of 195, 210, 225, 240, 255, 270, 285, and 300 volts. You realize that you can't possibly answer the test correctly now, so you shout to the Teacher that you won't answer his questions any longer. Nothing changes; the Teacher interprets your failure to respond as an incorrect response and sends another bolt. The ordeal continues in this way until, finally, the power of the shocks stuns you into near paralysis. You can no longer cry out, no longer struggle. You can only feel each terrible electric bite. Perhaps, you think, this total inactivity will cause the Teacher to stop. There can be no reason to continue this experiment. But he proceeds relentlessly, calling out the test questions, announcing the horrid shock levels (about 400 volts now), and pulling the levers. What must this man be like? you wonder in confusion. Why doesn't he help me? Why won't he stop?

For most of us, the above scenario reads like a bad dream. To recognize how nightmarish it is, though, we should understand that in most respects it is real. There was such an experiment—actually, a whole series—run by a psychology professor named Milgram in which participants in the Teacher role were willing to deliver continued, intense, and dangerous levels of shock to a kicking, screeching, pleading other person. Only one major aspect of the experiment was not genuine. No real shock was delivered; the Learner, the victim who repeatedly cried out in agony for mercy and release, was not a true subject but an actor who only pretended to be shocked. The actual purpose of Milgram's study, then, had nothing to do with the effects of punishment on learning and memory. Rather, it involved an entirely different question: When it is their job, how much suffering will ordinary people be willing to inflict on an entirely innocent other person?

The answer is most unsettling. Under circumstances mirroring precisely the features of the "bad dream," the typical Teacher was willing to deliver as much pain as was available to give. Rather than yield to the pleas of the victim, about two thirds of the subjects in Milgram's experiment pulled every one of the thirty shock switches in front of them and continued to engage the last switch (450 volts) until the researcher ended the experiment. More alarming still, not one of the forty subjects in this study quit his job as Teacher when the victim first began to demand his release; nor later, when he began to beg for it; nor even later, when his reaction to each shock had become, in Milgram's words, "definitely an agonized scream." Not until the 300-volt shock had been sent and the victim had "shouted in desperation that he would no longer provide answers to the memory test" did anyone stop—and even then, it was a distinct minority who did.

These results surprised everyone associated with the project, Milgram included. In fact, before the study began, he asked groups of colleagues, graduate students, and psychology majors at Yale University (where the experiment was performed) to read a copy of the experimental procedures and estimate how many subjects would go all the way to the last (450-volt) shock. Invariably, the answers fell in the 1 to 2 percent range. A separate group of thirty-nine psychiatrists predicted that only about one person in a thousand would be willing to continue to the end. No one, then, was prepared for the behavior patterns that the experiment actually produced.

How can we explain those alarming patterns? Perhaps, as some have argued, it has to do with the fact that the subjects were all males who are known as a group for their aggressive tendencies, or that the subjects didn't recognize the potential harm that such high shock voltages could cause, or that the subjects were a freakish collection of moral cretins who enjoyed the chance to inflict misery. But there is good evidence against each of these possibilities. First, the subjects' sex was shown by a later experiment to be irrelevant to their willingness to give all the shocks to the victim; female Teachers were just as likely to do so as the males in Milgram's initial study.

The explanation that subjects weren't aware of the potential physical danger to the victim was also examined in a subsequent experiment and found to be wanting. In that version, when the victim was instructed to announce that he had a heart condition and to declare that his heart was being affected by the shock—"That's all. Get me out of here. I told you I had heart trouble. My heart's starting to bother me. I refuse to go on. Let me out"—the results were the same as before; 65 percent of the subjects carried out their duties faithfully through the maximum shock.

Finally, the explanation that Milgram's subjects were a twisted, sadistic bunch not at all representative of the average citizen has proven unsatisfactory as well. The people who answered Milgram's newspaper ad to participate in his "memory" experiment represented a standard cross section of ages, occupations, and educational levels within our society. What's more, later on, a battery of personality scales showed these people to be quite normal psychologically, with not a hint of psychosis as a group. They were, in fact, just like you and me; or, as Milgram likes to term it, they are you and me. If he is right that his studies implicate us in their grisly findings, the unanswered question becomes an uncomfortably personal one: What could make us do such things?

Milgram is sure he knows the answer. It has to do, he says, with a deep-seated sense of duty to authority within us all. According to Milgram, the real culprit in the experiments was his subject's inability to defy the wishes of the boss of the study—the lab-coated researcher who urged and, if need be, directed the subjects to perform their duties, despite the emotional and physical mayhem they were causing.

The evidence supporting Milgram's obedience to authority explanation is strong. First, it is clear that, without the researcher's directives to continue, the subjects would have ended the experiment quickly. They hated what they were doing and agonized over their victim's agony. They implored the researcher to let them stop. When he refused, they went on, but in the process they trembled, they perspired, they shook, they stammered protests and additional pleas for the victim's release. Their fingernails dug into their own flesh; they bit their lips until they bled; they held their heads in their hands; some fell into fits of uncontrollable nervous laughter. As one outside observer to the experiment wrote:

I observed a mature and initially poised businessman enter the laboratory smiling and confident. Within twenty minutes he was reduced to a twitching, stuttering wreck who was rapidly approaching a point of nervous collapse. He constantly pulled on his earlobe and twisted his hands. At one point he pushed his fist into his forehead and muttered: "Oh, God, let's stop it." And yet he continued to re1spond to every word of the experimenter and obeyed to the end.

In addition to these observations, Milgram has provided even more convincing evidence for the obedience-to-authority interpretation of his subjects' behavior. In a later study, for instance, he had the researcher and the victim switch scripts so that the researcher told the Teacher to stop delivering shocks to the victim, while the victim insisted bravely that the Teacher continue. The result couldn't have been clearer; 100 percent of the subjects refused to give one additional shock when it was merely the fellow subject who demanded it. The identical finding appeared in another version of the experiment in which the researcher and fellow subject switched roles so that it was the researcher who was strapped into the chair and the fellow subject who ordered the Teacher to continue—over the protests of the researcher. Again, not one subject touched another shock lever.

The extreme degree to which subjects in Milgram's situation were attentive to the wishes of authority was documented in yet another variation of the basic study. In this case, Milgram presented the Teacher with two researchers, who issued contradictory orders; one ordered the Teacher to terminate the shocks when the victim cried out for release, while the other maintained that the experiment should go on. These conflicting instructions reliably produced what may have been the project's only humor: In tragicomic befuddlement and with eyes darting from one researcher to another, subjects would beseech the pair to agree on a single command they could follow: "Wait, wait. Which is it going to be? One says stop, one says go. Which is it!?" When the researchers remained at loggerheads, the subjects tried frantically to determine who was the bigger boss. Failing this route to obedience with the authority, every subject finally followed his better instincts and ended the shocks. As in the other experimental variations, such a result would hardly be expected had the subjects' motivations involved some form of sadism or neurotic aggressiveness.

To Milgram's mind, evidence of a chilling phenomenon emerges repeatedly from his accumulated data: "It is the extreme willingness of adults to go to almost any lengths on the command of an authority that constitutes the chief finding of the study." There are sobering implications of this finding for those concerned about the ability of another form of authority—government—to extract frightening levels of obedience from ordinary citizens. Furthermore, the finding tells us something about the sheer strength of authority pressures in controlling our behavior. After witnessing Milgram's subjects squirming and sweating and suffering at their task, could anyone doubt the power of the force that held them there?

For those whose doubts remain, the story of S. Brian Willson might prove instructive. On September 1, 1987, to protest U.S. shipments of military equipment to Nicaragua, Mr. Willson and two other men stretched their bodies across the railroad tracks leading out of the Concord, California, Naval Weapons Station. The protesters were confident that their act would halt the scheduled train's progress that day, as they had notified Navy and railroad officials of their intent three days before. But the civilian crew, which had been given orders not to stop, never even slowed the train, despite being able to see the protesters six hundred feet ahead. Although two of the men managed to scramble out of harm's way, Mr. Willson was not quick enough to avoid being struck and having both legs severed below the knee. Because Navy medical corpsmen at the scene refused to treat him or allow him to be taken to the hospital in their ambulance, onlookers—including Mr. Willson's wife and son—were left to try to stanch the flow of blood for forty-five minutes until a private ambulance arrived.

Amazingly, Mr. Willson, who served four years in Vietnam, does not blame either the crewmen or the corpsmen for his misfortune; he points his finger, instead, at a system that constrained their actions through the pressure to obey: "They were just doing what I did in 'Nam. They were following orders that are part of an insane policy. They're the fall guys." Although the crew members shared Mr. Willson's assessment of them as victims, they did not share his magnanimity. In what is perhaps the most remarkable aspect of the incident, the train crew filed suit against him, requesting punitive damages for the "humiliation, mental anguish, and physical stress" they suffered because he hadn't allowed them to carry out their orders without cutting off his legs.

Whenever we are faced with so potent a motivator of human action, it is natural to expect that good reasons exist for the motivation. In the case of obedience to authority, even a brief consideration of human social organization offers justification aplenty. A multilayered and widely accepted system of authority confers an immense advantage upon a society. It allows the development of sophisticated structures for resource production, trade, defense, expansion, and social control that would otherwise be impossible. The other alternative, anarchy, is a state that is hardly known for its beneficial effects on cultural groups and one that the social philosopher Thomas Hobbes assures us would render life "solitary, poor, nasty, brutish, and short." Consequently, we are trained from birth that obedience to proper authority is right and disobedience is wrong. The essential message fills the parental lessons, the schoolhouse rhymes, stories, and songs of our childhood and is carried forward in the legal, military, and political systems we encounter as adults. Notions of submission and loyalty to legitimate rule are accorded much value in each.

Religious instruction contributes as well. The very first book of the Bible, for example, describes how failure to obey the ultimate authority produced the loss of paradise for Adam, Eve, and the rest of the human race. Should that particular metaphor prove too subtle, just a bit further into the Old Testament we can read—in what might be the closest biblical representation of the Milgram experiment—the respectful account of Abraham's willingness to plunge a dagger through the heart of his young son, because God, without any explanation, ordered it. We learn it this story that the correctness of an action was not adjudged by such considerations as apparent senselessness, harmfulness, injustice, or usual moral standards, but by the mere command of a higher authority. Abraham's tormented ordeal was a test of obedience, and he—like Milgram's subjects, who perhaps had learned an early lesson from him—passed.

Stories like those of Abraham and Milgram's subjects can tell us much about the power of and value for obedience in our culture. In another sense, however, they may be misleading as to the way obedience typically occurs. We rarely agonize to such a degree over the pros and cons of authority's demands. In fact, our obedience frequently takes place in a click, whirr fashion, with little or no conscious deliberation. Information from a recognized authority can provide us a valuable shortcut for deciding how to act in a situation.

After all, as Milgram himself suggests, conforming to the dictates of authority figures has always had genuine practical advantages for us. Early on, these people (for example, parents, teachers) knew more than we did, and we found that taking their advice proved beneficial—partly because of their greater wisdom and partly because they controlled our rewards and punishments. As adults, the same benefits persist for the same reasons, though the authority figures now appear as employers, judges, and government leaders. Because their positions speak of superior access to information and power, it makes great sense to comply with the wishes of properly constituted authorities. It makes so much sense, in fact, that we often do so when it makes no sense at all.

This paradox is, of course, the same one that attends all major weapons of influence. In this instance, once we realize that obedience to authority is mostly rewarding, it is easy to allow ourselves the convenience of automatic obedience. The simultaneous blessing and bane of such blind obedience is its mechanical character. We don't have to think; therefore, we don't. Although such mindless obedience leads us to appropriate action in the great majority of cases, there will be conspicuous exceptions—because we are reacting rather than thinking.

Let's take an example from one facet of our lives where authority pressures are visible and strong: medicine. Health is enormously important to us. Thus, physicians, who possess large amounts of knowledge and influence in this vital area, hold the position of respected authorities. In addition, the medical establishment has a clearly terraced power and prestige structure. The various kinds of health workers well understand the level of their jobs in this structure; and they well understand, too, that the M.D. sits at the top. No one may overrule the doctor's judgment in a case, except perhaps, another doctor of higher rank. As a consequence, a long-established tradition of automatic obedience to a doctor's orders has developed among health-care staffs.

The worrisome possibility arises, then, that when a physician makes a clear error, no one lower in the hierarchy will think to question it—precisely because, once a legitimate authority has given an order, subordinates stop thinking in the situation and start reacting. Mix this kind of click, whirr response into a complex hospital environment and mistakes are certain. Indeed a study done in the early 1980s by the U.S. Health Care Financing Administration showed that, for patient medication alone, the average hospital had a 12 percent daily error rate. A decade later, things had not improved: According to a Harvard University study, 10 percent of all cardiac arrests in hospitals are attributable to medication errors. Errors in the medicine patients receive can occur for a variety of reasons. However, a book entitled Medication Errors: Causes and Prevention by two Temple University pharmacology professors, Michael Cohen and Neil Davis, attributes much of the problem to the mindless deference given the "boss" of the patient's case: the attending physician. According to Professor Cohen, "in case after case, patients, nurses, pharmacists, and other physicians do not question the prescription." Take, for example, the strange case of the "rectal earache" reported by Cohen and Davis. A physician ordered ear drops to be administered to the right ear of a patient suffering pain and infection there. But instead of writing out completely the location "right ear" on the prescription, the doctor abbreviated it so that the instructions read "place in R ear." Upon receiving the prescription, the duty nurse promptly put the required number of ear drops into the patient's anus.

Obviously, rectal treatment of an earache made no sense. Yet neither the patient nor the nurse questioned it. The important lesson of this story is that in many situations where a legitimate authority has spoken, what would otherwise make sense is irrelevant. In these instances, we don't consider the situation as a whole but attend and respond to only one aspect of it.

Wherever our behaviors are governed in such an unthinking manner, we can be confident that there will be compliance professionals trying to take advantage. We can stay within the field of medicine and see that advertisers have frequently harnessed the respect accorded to doctors in our culture by hiring actors to play the roles of doctors speaking on behalf of the product. My favorite example is a TV commercial featuring actor Robert Young counseling people against the dangers of caffeine and recommending caffeine-free Sanka Brand coffee. The commercial was highly successful, selling so much coffee that it was played for years in several versions. But why should this commercial prove so effective? Why on earth would we take Robert Young's word for the health consequences of decaffeinated coffee? Because—as the advertising agency that hired him knew perfectly well—he is associated in the minds of the American public with Marcus Welby, M.D., the role he played in an earlier long-running television series. Objectively it doesn't make sense to be swayed by the comments of a man we know to be just an actor who used to play a doctor. But, as a practical matter, that man moved the Sanka.

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