Category Archives: leadership

Acceptance

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Two plutonium bombs in different locations. The only way to save the world is to defuse them at exactly the same 1/10th of a second, but only after the detonation key is deactivated from yet another location. And that cannot happen until the countdown has started, which gives the hero team fifteen minutes to get it all done.
“Okay,” badass girl hero says.
No denial, no, “That can’t be, you’ve got to be kidding me, there must be another way.”
Just, “Okay.”
And they get to it, one step at a time, improvising, committed together and flexing around obstacles one after another. In typical action movie fashion, the villain dies a karmically satisfying death, the heroes prevail, justice is served, and the world never knows it was miliseconds away from nuclear annihilation.
Props if you can name the movie. 😉

How do I do acceptance well already?
–I totally get it in my thinking mind; and when the thing I must accept is not emotionally charged, I adapt easily and take everything in stride. Flexibilty helps with this, and my life is generally smooth sailing.
–I’m better able now to recognize when I don’t actually fully accept something–when recognizing it intellectually is not enough to get to peace with it.
–When this happens, I can sit with the discomfort–accept it–and let is pass. I tell myself it’s normal and human to have a hard time with deep inner conflicts, that self-awareness in service of reflection, regulation, and more right action is a lifelong learning journey.

How could I do better?
–I need to find a better bridge between cognitive and emotional acceptance. I understand what is happening. I don’t like it, and get that I don’t have control. I recognize where I have agency and not. And yet, I still end up wallowing in irritation, anger, sadness, and resentment. Less frequently each year than the last, and less severely now than before, but sheesh, how long before I can just roll easier with it all and suffer less, FFS?
–Breathe breathe breathe. Maybe prayer? Writing definitely helps. Keep doing the work.
–Or (and?) just accept that this amount of mild to moderate pain and suffering is just par for the course? Huh.

How does society already do well at acceptance?

Is this mostly about inclusion? So many of my posts this month relate to identity, both individual and collective. No matter who you are or what there is about you, it seems easier now than ever to find those who will see, understand, accept, and even love you. They may not be physically local, but you can find literature, resources, and virtual communities to bond over almost anything, it seems. The caveat is that our culture is so emotionally charged right now, non-acceptance threatens to overtake and drive our collective in- and out-group encounters, dividing us more than uniting, making acceptance something we don’t even strive for anymore.

How could we all do better together?

Ask better questions. What is it that we need to do better at accepting, exactly? Facts? Fundamental disagreements? Conflicting values and goals? Shared ones? What questions will give us clarity on what is, and help us resist the urge to ignore, deny, dismiss, and minimize? How can we get to “Okay,” and move with calm and equanimity, peace and purpose, and even joy, toward what could be? What does “Okay” feel like, when/where have we felt it before, and how did we get there?

Maybe the first steps toward peaceful and productive acceptance, among others, are curiosity, non-judgment, and openness to learning. The primary reward and benefit of true, honest, cognitive and emotional acceptance, and what I long for most, is inner peace. I want this so much because I know that wherever and whenever I have inner peace about something, that peace lifts me. It exudes with a palpable force, and my impact on my surroundings is positive. When my innards are turbulent, conflicted, and agitated, I’m not the only one who suffers.
*sigh*
Onward. It is through the struggles that we grow.

Flexibility

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Speaking of… I write this from the emergency department, where Daughter is now observed for an anphylactic allergic food reaction (she’s okay now). *sigh* We do what we’ gotta do–will be here at least another 4 hours.

How do I already do flexibility well?
–I have an agile mind. It freezes occasionally, but most of the time I can assess a fluid situation and work out effective solutions on the fly. Every day in executive health is different and unique, with schedule disruptions from new symptoms, exam findings, test results, and events in other departments. The team, physicians and staff alike, move like gears shifting and sliding amongst one another, keeping the machine running as smoothly as possible.
–I have a low threshold to question and challenge ‘how we have always done’ something, especially when it’s no longer relevant or useful. This includes assessing my default assumptions, especially negative ones, about people. I don’t always do this readily, but more often now than before.
–I can change personal plans without much distress, as long as circumstances allow. I am seldom married to any given itinerary; my greatest sadness is when long awaited meetings with loved ones fall through.

How could I do better?
–I know there are situations where I am rigid, attached to my default assumptions, and not aware. Even when I am aware, I still resist flexing. I’m human. *sigh* So: more mindfulness… Polarity management… Perspective taking… Hmmm… I’m really glad I’ve written these posts this month–they will be a helpful handbook of skills and reminders going forward.
–Sometimes I may be too flexible, which can lead to indecisiveness and meandering. Wide collaboration and flat leadership hierarchy style have pitfalls. I think this is a minor weakness, though. I can sense pretty well when I need to decide something; and since most decisions are two-way doors, my openness to flexibility is still rewarded.

How are we already collectively flexible?

Freedom of expression; innovation. Conflicting opinions notwithstanding, American culture is pretty tolerant of widely varying manifestations of individual and group identity. We are relatively open, I think, to new ideas and creativity. We may not be the most flexible or open, but I think the number of innovations in many domains that originate in the US is a testament to our ability to flex…in technical and commercial areas more than social, in my non-evidence-based observation.

How could we do flexibility better together?

Cull bureaucracy. This feels like chasing a better balance between centralized and decentralized government/management, affording better local responses to acutely changing circumstances and needs. How would this work? Off the top of my head:
–Crystal clear vision, mission, values, goals common to and bought in by all locales
–Concrete, relevant, direct, attributable, and achievable metrics–adjusted to local specifics and still clearly aligned with global mission/goals
–Effective accountability and regular assessment, feedback and remediation as needed
–Balanced interdependence between nodes of the system; stakes for each unit in each other unit’s success

Promote experimentation, pilots, start ups. We facilitate flexibility when creativity and innovation is low risk and low cost. Manage sunk cost biases, apply iterative learning, practice seeing more doors that swing two ways. Collaborate and integrate between disciplines.

Stop punishing the masses for transgressions of the few. Regulation is complex. At least in medicine, the vast majority of practitioners make an honest living, making occasional accounting mistakes. My impression is that sporadic examples of fraud, admitedly severe, incite layers of global stricture on billing and verification, strangling all of us with at least as much time spent on paperwork as on face to face patient care, fueling burnout and alienating patients from their care providers. David French has written that it is not the severity of punishment that deters crime; it is the assuredness of it. I will park illegally if I think I won’t get caught, even if the ticket is $100. But if I know I’ll be charged $20 every time I do it, I won’t. So, maximize accountability and optimize systems for members to self-regulate effectively.

I hope you all had a Thanksgiving that fulfilled at least some hopes of communion, connection, and joy. Living with high risk medical conditions, when sudden and severe episodes trigger acute, indiscriminate, and impactful changes in plans, makes us even more flexible than we may already be. It’s useful, if painful, training. I am always grateful to walk out intact on the other side.

Judgment

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How do you feel about judgment? When/what are you most likely to judge quickly and negatively? Do you notice when this happens? Is it okay? How does it affect your mood, conversations, and relationships? How does your judgment help you and those you love? When does the judgment of others hurt you? How do you think we could all do it better?

How do I do judgment well already?
–I make evaluative judgments a lot less often now than in the past. For instance when I dislike an outfit, I say it’s not for me rather than call it outright ugly. I keep my individual, subjective opinions as such, rather than declaring them mindlessly as universal objective truths.
–Similarly about people, I identify behaviors and actions separately from people themselves. A kind person can do unkind things; an honest person may sometimes tell a lie. When I witness one unkind or untrue thing, that does not necessarily define the person’s whole character. At my best, observing a nonvirtuous action by someone I know to be virtuous prompts me to check in with them and see if they are okay.
–I can withhold judgment a long time; I tolerate uncertainty and stay open for any interaction or relationship to evolve toward connection, even if it starts out far from it. I attend conscientiously to my lack of complete information to minimize misjudging, which too often leads to hurting people and damaging relationships.

How could I do better?
–Once I make a negative evaluative judgment about a person, group, or institution, I let that bias lead thereafter. In many cases I can keep the door to changing my mind open at least a crack, but I know which doors are shut and locked today. I could open my mind to the possibility that people and organizations can change; I could unlock those doors.
–I can mitigate my meta-judgment. I value open-mindedness and curiosity and loathe narrow-mindedness and knee-jerk early closure. Thus, I judge others’ (and my own) judgment acutely and strongly in the negative. Funny how this makes me exactly what I hate. Working on it–with mindfulness, self-compassion, forgiveness, accountability, and perspective taking… This is my work.

How does society do judgment well today?

Dialectical Behavior Therapy. More and more, DBT integrates into mainstream talk therapy, and some places are even incorporating DBT skills into school curriculum. DBT teaches us to distinguish between evaluative and discriminating judgments:
–Evaluative: “stating something as a whole and objectively. It is taking the facts of a situation and adding personal preferences, values, and opinions to make it an objective truth. This type of judgment is ineffective because others may view the same situation differently, whether it is marginally different or completely different.”
–Discriminating: “reflect personal preferences and subjective opinions. They are considered judgments that are effective in terms of not projecting one’s perception as a complete conclusion.”
The more this distinction enters general consciousness and awareness, the less our differences and disagreements may escalate into outright opposition and hatred.

How can we all do better?

Stop reinforcing click-bait, incendiary soundbites, oversimplification, and overgeneralization. Before forming and rendering an opinion on anything:
–Ask whether an opinion or position is even necessary–is it worth the time, energy, and resources?
–Vet the information: How reliable is the source? What is their motivation?
–Look for contrary examples of an initial judgment; evaluate honestly the merits of both/all sides of a debate
–Commit to disengaging from information sources–including people–that/who incite, amplify, and perpetuate hair-trigger judgment

BREATHE. Take time. Most things are not an emergency, and additional information is readily available. This is the harder, longer, more complicated path, this slowing and elevation of judgment. And certainly some situations require immediate decision and action. But knee-jerk is too often our collective default judgment setting, and we need better balance.

Make more generous assumptions, at least initially. I would rather regret being too kind than not kind enough. The proverb that people rise or descend to our expectations of them is at least partially true. Since we all make evaluative judgments anyway, why not show up to people in a way that invites–calls–their best selves forth? We can sense one another’s judgments, verbalized and overtly expressed or not. Body language and tone of voice reveal us. So let us be less judgmental, so that we can seem so, also. It’s the honest thing to do.

I really enjoyed thinking about this topic tonight. It reminds me how easily we can fall into oversimplified, dichotomous thinking (and judgment, HA!) about judgment–that it’s all bad and we should eliminate it altogether, or that it’s always necessary in all situations lest we don’t know what we think about anything. Maybe we can think of judgment as a tool, a skill–something we can exercise mindfully to help us make sense and meaning, both individually and collectively. At its best, judgment provides clarity, direction, and connection. At its worst, it polarizes, instigates, and leads to violence. We can each and all do our part to bend the long, human, moral arc toward the former.