Untangling Change KNOT #051

Resistance Misdiagnosis

The resistance isn't the problem. It's the diagnosis.

Diagnose the disease. Trace its origin. Find the right remedy. Apply it precisely. Valluvar’s medical protocol is four steps: identify, trace, find, apply. Organisations skip steps 2 and 3. Your team isn’t adopting the new system. Leadership calls it ‘resistance to change.’ But the team isn’t resisting change. They’re resisting this change, this specific one, for specific reasons that nobody asked about. The old system worked. Not perfectly, but predictably. The new system is better on paper and worse in practice. The training was a two-hour webinar. The support is a FAQ page. The timeline assumed instant adoption. The resistance isn’t the problem. It’s the diagnosis.

I counted the digital transformation pilots in the NHS. Over 200for electronic health records alone. App pilots, telehealth pilots, AI diagnostic pilots. The research shows a graveyard of successful pilots that never graduated to production. Each pilot proved the concept. Each pilot failed to navigate the procurement process, the interoperability standards, or the political landscape required for national rollout. Pilot purgatory is not a technology problem. It’s an organizational immune response that welcomes innovation in the lab and destroys it at the gate.

Resistance is a symptom, not the disease. In medicine, treating symptoms instead of causes is the definition of misdiagnosis. If a patient has chest pain from a blocked artery and you prescribe painkillers, the pain stops but the blockage progresses. The symptom was addressed. The patient gets worse. Change resistance works identically: when an organisation labels pushback as ‘resistance’ and prescribes training, mandates, or incentives, it’s treating the symptom. The cause might be: the change doesn’t solve a real problem, the implementation ignores workflow reality, the transition support is inadequate, or the people who know best were never asked. None of those causes respond to a training session.

Ask the three most resistant people: ‘What would need to be true for this change to work for you?’ Not ‘why are you resisting?’ That’s accusation. What. Would. Need. To. Be. True. The answer is your actual diagnosis.

That wrong prescription has a name. Resistance Misdiagnosis. And once you see it, you can’t unsee it.

Untie The Knot

Uproot

Resistance was misdiagnosed because it was cheaper to blame people than to examine the system. Labeling pushback as ‘resistance’ allowed leadership to prescribe training instead of redesigning the change. The diagnosis protected the plan from feedback.

Navigate

Pushback is treated as diagnostic information, not as a problem to overcome. The three most resistant people are consulted first, not last.

Tool

CORE / Calling: the diagnostic that asks whether change connects to the purpose people carry. When Calling is aligned, adoption follows. When it isn’t, resistance is the healthy response.

Implement

Ask the three most resistant people: what would need to be true for this change to work for you? The answer is your actual diagnosis, not the resistance itself.

Emerge

When resistance is understood instead of overridden, change designs improve, adoption becomes voluntary, and the organisation stops fighting the people it needs to convince.