The Art of Professional Discourse: Civility in Adversarial Fields
- Matthew P. Garvey, DNP, MBA, RN, EMT-B

- Jul 25
- 8 min read

Disclaimer
This article contains information based on my education, professional knowledge, and clinical experience. I am not an attorney; this content is for informational purposes only and should not be construed as legal advice.
Introduction
The legal and healthcare fields are inherently adversarial by nature. Legal Nurse Consulting exists at the intersection of these two competitive environments. Recent responses to my published work have reminded me of an important truth. Professional disagreement can occur without personal attacks or unprofessional behavior.
The adversarial nature of our field does not excuse incivility. In fact, maintaining professional standards becomes more important when tensions run high. The ability to disagree respectfully while maintaining professional relationships separates true experts from mere practitioners.
My recent article generated significant attention within the Legal Nurse Consulting community. While most responses were thoughtful and professional, some crossed the line into personal attacks and unprofessional commentary. This experience highlighted the need for a broader conversation about civility in our field.
Professional discourse elevates our entire field. When we engage in respectful debate, we demonstrate the intellectual rigor and professional maturity that clients and attorneys expect. When we resort to personal attacks, we diminish our collective credibility and reputation.
The History of Adversarial Professions
Adversarial systems developed to ensure thorough examination of complex issues. The legal system uses opposing advocates to present different perspectives before neutral decision makers. This structure helps uncover truth through rigorous challenge and debate. Medical practice similarly involves competing diagnoses and treatment approaches.
Professional adversarial systems work best when participants maintain respect for their opponents. Historical examples show that the most effective advocates combined zealous representation with professional courtesy. They understood that attacking ideas strengthens debate while attacking people weakens it.
The difference between healthy professional debate and personal attacks is fundamental. Professional debate focuses on evidence, methodology, and reasoning. Personal attacks target character, motives, and individual worth. One advances knowledge while the other destroys relationships and credibility.
Great professionals throughout history have demonstrated that fierce intellectual competition can coexist with personal respect. They challenged ideas vigorously while treating colleagues with dignity. This balance created environments where knowledge advanced through rigorous but respectful exchange.
Why Legal Nurse Consulting Mirrors Legal Practice
Legal Nurse Consulting operates at the intersection of healthcare and legal adversarial systems. LNCs must navigate both medical disagreements and legal battles. This dual exposure intensifies the competitive pressures we face. We inherit the adversarial nature of both professions.
LNCs often find themselves caught between opposing sides in legal disputes. Plaintiff attorneys want us to find problems with care. Defense attorneys want us to defend medical decisions. This pressure to take sides can compromise our objectivity and professional relationships.
The hybrid nature of our role creates unique professional identity challenges. We are neither purely medical nor purely legal professionals. This ambiguity can lead to uncertainty about appropriate professional standards. Some LNCs adopt the most combative aspects of both fields while ignoring their professional restraints.
Professional identity confusion does not excuse unprofessional behavior. Instead, it should motivate us to adopt the highest standards from both professions. We should combine medical ethics with legal professionalism to create an elevated standard of conduct.
The Cost of Incivility
Unprofessional behavior damages individual reputations in lasting ways. Clients and attorneys notice how we treat colleagues and critics. They question whether someone who attacks peers will maintain objectivity about their cases. Professional relationships take years to build but can be destroyed with a single inappropriate response.
Incivility damages our entire profession's credibility. When LNCs engage in public attacks or unprofessional commentary, observers question the field's maturity and professionalism. Attorneys may hesitate to use LNC services if they view us as unprofessional or unreliable.
Unprofessional responses shut down meaningful dialogue and learning opportunities. When discussions become personal attacks, the focus shifts from ideas to personalities. Important professional issues get lost in the noise of conflict. Everyone loses when professional discourse degenerates into personal feuds.
Incivility undermines the expertise we claim to possess. If we cannot discuss professional issues rationally and respectfully, clients question our ability to analyze complex cases objectively. Professional competence includes the ability to engage in civil discourse about difficult topics.
The Power of Professional Response
Maintaining civility demonstrates confidence and competence. Professionals who respond thoughtfully to criticism show they are secure in their knowledge and abilities. They address substantive issues without feeling the need to attack critics personally. This response builds credibility and respect.
Professional behavior provides a competitive advantage in our field. Attorneys prefer working with LNCs who maintain professional standards even under pressure. Clients trust professionals who demonstrate emotional stability and mature judgment. Civility becomes a differentiating factor in a competitive marketplace.
Consistent professional behavior builds trust over time. Colleagues know they can disagree with us without facing personal attacks. This trust enables honest professional relationships and meaningful collaboration. Professional networks expand when people feel safe engaging with us.
Professional responses attract quality clients and colleagues. High-caliber attorneys want to work with LNCs who enhance their own professional reputations. Professional behavior signals that we share their commitment to excellence and ethical practice.
Strategies for Dealing with Unprofessional Colleagues
The "Gray Rock" method involves remaining neutral and unengaging when faced with unprofessional behavior. Respond with facts rather than emotions. Avoid taking bait designed to provoke angry responses. This approach deprives unprofessional colleagues of the reaction they seek.
When responding to criticism, focus on substantive issues rather than personal attacks. Address factual errors or methodological concerns without attacking the critic's character or motives. This approach demonstrates professionalism while advancing discussion.
Know when to engage and when to disengage. Some colleagues genuinely want professional dialogue despite initial hostile presentation. Others seek only conflict and attention. Learn to distinguish between the two and respond appropriately. Prolonged engagement with purely hostile individuals wastes time and energy.
Set clear boundaries while maintaining professionalism. You can refuse to engage in personal attacks while remaining open to substantive professional discussion. Communicate these boundaries clearly and consistently. This approach protects your reputation while leaving doors open for future professional relationships.
Use criticism as an opportunity for self-reflection and improvement. Even hostile criticism may contain valid points worth considering. Separate the delivery from the content when evaluating feedback. This approach turns negative experiences into professional growth opportunities.
Social Media and Public Discourse Guidelines
Online behavior is permanent and searchable. Future clients and employers will see how you handle professional disagreements on social media. Posts made in anger can haunt professional reputations for years. Consider the long-term consequences before posting emotional responses.
Professional standards apply equally to online and offline interactions. The same civility expected in professional meetings should govern social media engagement. The informal nature of social media does not excuse unprofessional behavior. If anything, the public nature of online discourse demands higher standards.
Disagreeing respectfully in public forums demonstrates professional maturity. Acknowledge valid points in opposing views while presenting your own perspective clearly. Use evidence and reasoning rather than personal attacks. This approach shows you can handle professional pressure with grace.
Managing your digital professional reputation requires consistent attention. Monitor how your online presence appears to potential clients and colleagues. Consider whether your social media activity enhances or detracts from your professional credibility. Adjust when necessary to align with your professional goals.
Leading by Example
Individual actions influence field-wide standards more than most professionals realize. When respected LNCs maintain high professional standards, others follow their example. When established professionals engage in unprofessional behavior, it signals that such conduct is acceptable. Every professional bears responsibility for our collective reputation.
Mentoring newer professionals in civility helps build better field-wide standards. New LNCs learn professional norms from observing established practitioners. Teaching them to engage professionally even during disagreements improves our entire field's reputation. This investment pays dividends for years to come.
Creating positive professional culture requires intentional effort from field leaders. Promote environments where disagreement is welcome but personal attacks are not tolerated. Recognize and reward professional behavior while discouraging incivility. Cultural change starts with individual commitment to higher standards.
The ripple effect of professional excellence extends far beyond individual careers. Clients and attorneys who experience professional LNC services develop positive impressions of our entire field. They become advocates who recommend LNC services to colleagues. Professional behavior literally grows our market.
The Legal Profession's Lessons
The legal profession provides excellent examples of civility despite adversarial roles. Opposing attorneys often maintain cordial relationships while zealously advocating for their clients. They understand that personal relationships survive individual cases. Professional courtesy enables ongoing working relationships.
Professional conduct rules in legal practice establish clear standards for behavior. Attorneys face disciplinary action for unprofessional conduct even when zealously advocating. These rules recognize that professional effectiveness does not require personal attacks or incivility. Competence and professionalism can coexist.
Successful attorneys demonstrate that zealous advocacy and professional courtesy are not mutually exclusive. They challenge opposing positions vigorously while treating opponents with respect. This balance enhances their effectiveness by building credibility with judges and juries.
LNCs can learn valuable lessons from legal professionalism standards. We can adapt their approaches to professional disagreement while maintaining our unique role in healthcare litigation. The goal is to combine zealous professional advocacy with unwavering personal respect.
Moving Forward Together
Our field deserves elevated professional discourse that matches our expertise and responsibilities. We analyze complex medical cases that affect people's lives and substantial financial interests. This responsibility demands the highest levels of professional conduct and intellectual honesty.
Civility advances our entire field by demonstrating that LNCs are mature professionals capable of handling difficult situations with grace. When attorneys and clients see us engaging professionally even during disagreements, they develop confidence in our ability to remain objective under pressure.
Each professional bears responsibility for improving our collective reputation. We cannot control how others behave, but we can control our own responses. By consistently choosing professional excellence over personal satisfaction, we contribute to positive change in our field.
Building a reputation for excellence rather than antagonism serves everyone's interests.
Professional reputations attract better clients, more interesting cases, and higher compensation. The choice between professionalism and combativeness is ultimately a choice between long-term success and short-term satisfaction.
Conclusion
The art of professional discourse requires skill, discipline, and commitment to excellence. It demands that we separate personal feelings from professional responsibilities. Most importantly, it requires us to treat colleagues with respect even when we disagree with their positions.
Professional civility is not weakness or compromise. It is a demonstration of strength, confidence, and professional maturity. It shows that we are secure enough in our expertise to engage in respectful debate without resorting to personal attacks.
Our field will be judged by how we handle professional disagreements. We can choose to elevate the discourse and build a reputation for professional excellence. Or we can allow personal conflicts to undermine our collective credibility and opportunities.
I want to be transparent about something important. I too struggle with maintaining civility at times. When faced with unfair criticism or personal attacks, my initial impulse is often to respond defensively or even aggressively. The temptation to match hostility with hostility is very real.
This is a journey, not a destination. Professional civility requires continuous work and self-reflection. I am not kidding myself into thinking I have mastered this skill. There are days when I fail to meet my own standards. There are responses I wish I could take back and conversations I could have handled better.
What matters is the commitment to keep trying. Each interaction provides an opportunity to choose professionalism over personal satisfaction. Each criticism offers a chance to demonstrate grace under pressure. The goal is progress, not perfection.
We must continuously work on ourselves while encouraging others to do the same. This shared commitment to improvement can transform our field's culture over time. The choice is ours, and it matters more than we might think.
AI Assistance Disclosure: This article was developed, in part, with the assistance of artificial intelligence tools. The author has reviewed and edited all content to ensure accuracy and alignment with the author's professional expertise and opinions.



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