{"id":36307,"date":"2016-03-11T13:39:25","date_gmt":"2016-03-11T12:39:25","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=36307"},"modified":"2016-03-11T15:10:53","modified_gmt":"2016-03-11T14:10:53","slug":"jeffrey-aronson-when-i-use-a-word-value-and-fulfilment","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2016\/03\/11\/jeffrey-aronson-when-i-use-a-word-value-and-fulfilment\/","title":{"rendered":"Jeffrey Aronson: When I use a word . . . Value and fulfilment"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/12\/jeffrey_aronson.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-32935\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/12\/jeffrey_aronson-223x300.jpg\" alt=\"jeffrey_aronson\" width=\"137\" height=\"184\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/12\/jeffrey_aronson-223x300.jpg 223w, https:\/\/blogs.bmj.com\/bmj\/files\/2014\/12\/jeffrey_aronson.jpg 446w\" sizes=\"auto, (max-width: 137px) 100vw, 137px\" \/><\/a>Some think that the current dispute between the UK Government and the junior hospital doctors is about money. Some think it\u2019s about patient care. Both are only partly right. What it\u2019s really about is feeling valued and fulfilled. The doctors don\u2019t.<\/p>\n<p>The Indo-European root UAL meant power or strength. The Latin derivative valere meant to be physically powerful or strong and hence to be in sound health. The imperative form, vale (two syllables), literally \u201cbe well\u201d, was used as a farewell greeting, and valedicere meant to say farewell, giving us valediction. Valetudo in Latin is health and valetudinarians are excessively concerned about their health\u2014the worried well.<!--more--> Valour is courage or bravery in harnessing one\u2019s power or strength, demonstrated by the valiant. Valence is the combining power of an atom. To be valid is to have adequate power, and an invalid lacks power. Convalescence is a period of recovery, during which you regain your health. To avail is to be of service or benefit and to countervail is to be of service against or to compensate; to prevail is to turn power into victory; travail is excessive labour. Droit au travail, French but found in some English dictionaries, is the right to work, as described in article 23 of the 1948 <a href=\"http:\/\/www.un.org\/en\/universal-declaration-human-rights\">United Nations\u2019 Universal Declaration of Human Rights<\/a>: \u201cEveryone has the right to work, to free choice of employment, to just and favourable conditions of work, and to protection against unemployment.\u201d That\u2019s all the doctors want, under a reasonable contract.<\/p>\n<p>The Latin adjective valens described a medicine that was strong in its effects. Valerian, wrote Mrs Grieve in her <em><a href=\"https:\/\/www.botanical.com\/botanical\/mgmh\/v\/valeri01.html\">Modern Herbal<\/a><\/em> (1931), was thought by some to have been named after Valerius, who first used it in medicine; and by others to have been derived from valere, to be well, because of its medicinal qualities.<\/p>\n<p>The Romans might call a child Valerius or Valentinus if they were born healthy or perhaps as a wish for their future development. Valerie and Valentine are the modern English equivalents and other languages have similar variants, such as Valerio. However, the French name Val\u00e9ry has a different origin, from Germanic words, walh ric, meaning foreign power. Curious that the powerful connection remains, but from a totally different root. The Germanic derivative of UAL is wald or wold, giving other powerful names, such as Arnold (eagle strength), Gerald (spear power), Harold (army leader), Oswald (divine power), and Reginald and Reynold (powerful rulers), all wielding their power at the end of their names, while Walter (powerful warrior) has it up front. To wield is to make use of one\u2019s power.<\/p>\n<p>Value, then, is the power that something has, its worth or quality in general, with many nuances of meaning, each of which can be evaluated: material or monetary worth; the extent or amount of a non-monetary quantity; a numerical measure of a quantity; the duration of a musical sound or a silence; the importance of a playing card or chess piece; due or proper effect or emphasis. It also means worth based on esteem according, for example, to desirability, utility, or ability to serve a specified purpose. It is this last meaning that is relevant to the regard that the government has for the doctors, or rather the lack of it.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright  wp-image-36319\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2016\/03\/aronson_value2-203x300.png\" alt=\"aronson_value2\" width=\"191\" height=\"282\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2016\/03\/aronson_value2-203x300.png 203w, https:\/\/blogs.bmj.com\/bmj\/files\/2016\/03\/aronson_value2-300x444.png 300w, https:\/\/blogs.bmj.com\/bmj\/files\/2016\/03\/aronson_value2.png 400w\" sizes=\"auto, (max-width: 191px) 100vw, 191px\" \/>Being valued makes you feel empowered and enables you to be more effective. It also confers a sense of fulfilment. Lawrence Durrell, in his novel <em>Tunc<\/em> (Faber, 1968), attributed the following aphorism to one of his more pretentious characters, Koepgen: \u201cTo fulfil is to fill full\u201d. No doubt Durrell had a sexual connotation in mind, particularly given the anagrammatic power of the title of the book, stressed by the typography on its cover (picture). But that\u2019s precisely what fulfil means\u2014to fill full. Fill and full both come from the Indo-European root PEL or PLE, giving the Greek \u03c0\u03bf\u03bb\u03cd\u03c2, which has too many meanings and derivatives to deal with here, the Latin plenum, plus, and plebs, and the Germanic fill and full. Value your doctors and they will feel fulfilled, a powerful force for healthcare.<\/p>\n<p>Valere in Latin also meant to have political power, and you might expect good government to be based on good values. But power and the ability to assess value are disconnected by cynicism, an attitude that the current government seems to have towards the NHS. And as Lord Darlington, in Oscar Wilde\u2019s <em>Lady Windermere&#8217;s Fan<\/em>, put it, a cynic is someone who knows the price of everything and the value of nothing.<\/p>\n<p><em><strong>Jeffrey Aronson<\/strong> is a clinical pharmacologist, working in the Centre for Evidence Based Medicine in Oxford&#8217;s Nuffield Department of Primary Care Health Sciences. He is also president emeritus of the British Pharmacological Society.<\/em><\/p>\n<p><em><strong>Competing interests:<\/strong>\u00a0None declared.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Some think that the current dispute between the UK Government and the junior hospital doctors is about money. Some think it\u2019s about patient care. Both are only partly right. What [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2016\/03\/11\/jeffrey-aronson-when-i-use-a-word-value-and-fulfilment\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5762],"tags":[],"class_list":["post-36307","post","type-post","status-publish","format-standard","hentry","category-jeff-aronsons-words"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Jeffrey Aronson: When I use a word . . . 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