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Practicing the Art of Possibility Since 2009

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It’s been 15 years since I attended the second ever Harvard Coaching Conference, where I met Ben Zander and The Art of Possibility changed my life. I reference the book’s concepts and practices regularly on this blog, and have given four copies to friends in the last five months–a spate that catches my attention. With the most recent gift, I was moved to listen again, prepared for yet a deeper, more incisive experience, even after having read and listened countless times already. HA!–this just occurs to me–It may be the very practices from the book that underlie this latest re-exploration. Openness, humility, honesty, creativity, authenticity, and connection–I valued these highly even before 2009, and AofP has reinforced them all repeatedly.

Describing the book to a new friend recently, I focused on the authors’ distinction between our Calculating Self, the one engaged in social norms of measurement, competition, and conventional success, and our Central Self, the honest, inner, relational soul that understands and seeks connection and collaboration that brings deep meaning, joy, and peace. I remember flipping through my print copy sometime last year and thinking wow, I have really internalized these teachings! I pull on the catch phrases often–Give the A, Be a Contribution, Rule #6, The Way Things Are, Be the Board–and the practices they point to guide me daily through circumstances and interactions that would have perturbed me much more a decade ago than they do today. The more I thought about it and spoke to Friend, however, the more I wondered what new and more I’d get out of yet another listen–ready for advanced, deeper practice–because though the slope of the curve may have shallowed, I am definitely still learning; I have Possibility yet to harness!

I feel proud of the work I’ve done to lead with my Central Self. It started before the Harvard conference when I connected with Christine, my life coach, in 2005. At that time coaching was seen as froo-froo fringe activity, as evidenced by the groan and eye roll from my colleague when I mentioned it. So I continued silently after that, learning techniques of open, honest questioning, mind-body query, and honoring peoples’ stories, the unique meaning we each make out of any situation, regardless of how or whether it makes sense to anyone else. I have honed high self-awareness and -regulation of my own stories, appreciating both their partial validity and heavy biases, ready (almost) always to have them challenged, corrected, and nuanced. Showing up from my Central Self, recognizing and lovingly inviting forth others’ Central Selves, has yielded such color, texture, meaning, learning, and connection in my life, that it increasingly defies verbal description. Meeting Lessa Lamb at Readers Take Denver last weekend and feeling this instant resonance, I tried articulating it anyway, and it came out as, “Exponentially Synergistic Cosmic ROCKET FUEL,” which is pretty close!

Now halfway through The Art of Possibility again, the humbling has struck. I am indeed proficient at these skills in multiple domains. I have incorporated the principles seamlessly into patient action plans and public presentations for at least the past ten years, each year more organically and easily. Still, in my most complex and difficult relationships, I have far yet to go. Old narratives and deeply grooved relational patterns stemming from childhood–oh how they persist wih force! Thankfully, I also follow Tara Brach and Kristin Neff, and as my self-compassion grows, so too does my capacity for deeper honesty, acceptance, and advanced inner Possibility work. I vibrate at a high relational frequency, and The Art of Possibility has resonated deeply from the moment I heard the authors speak. The teachings amplify my innate signals of deep human connection, and help me show up increasingly All In, All Me, with courage and conviction, including to the work of the slaying and dissecting my own demons.

–*sigh*–

Part of me regrets not being further along on this self-development journey. I’m already 50 years old, worked with Christine since age 32, and others before her. Even with the turbo boost from The Zanders at age 36 and Simon Sinek, Brene Brown, Adam Grant, and others since, I still swirl at times in patterns of fixation, reactivity, and agitation. The episodes are definitely less frequent, intense, damaging, and prolonged, though, so that’s a win, and I feel my inner peace proficiency accelerating lately.

So, to the practices I return:

The Way Things Are: Be with it all, whatever it is, including how I feel about it. I am competent, maybe even expert, and not yet a master. Learn, practice, train, ad infinitum. Mastery may or may not come; the nature of the work is to persist. I can be at peace with this, with all of it, the way it is, while I work to make it all better.

Give the A: As I do for others, I can give myself grace and compassion for showing up every day to do my best. I see my potential and that of others. I help myself by getting help from others, so that I can help others, all of us together on the journey.

Being a Contribution: Every day, with any and every interaction, I can bring my best self, show up to lift up. It doesn’t have to be big or flashy. Presence, eye contact, listening, reflecting, connecting. People can feel well when they meet me. I can help, and lead by example in this way.

Telling the We Story: This one makes me shiver with Possibility. It’s about seeing us all, every single one of us, as inextricably connected–we all matter to one another and to everything in nature–a complex, adaptive system of systems, the butterfly effect in motion and action. When I remember the We story, rather than feeling overwhelmed, I feel calm, empowered, and purposeful, because just by being a better me, I make the world better.

I hope my friends get as much out of this book as I have, over the last 15 years and for many years to come. The wisdom and application are infinite, as we humans muddle and struggle through our own counterproductive behaviors and conventions. The practices in The Art of Possibility give me the validation, confidence, hope, and conviction to keep sharing, speaking, and loving, every chance I get, even (especially) when it’s hard.

Wishing us all a present, open, kind, and loving week. May we connect meaningfully with our fellow humans, and may that connection both anchor and uplift us all.

How Are You a Helper?

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Photo by Eileen Barrett

I have thought actively about this question for weeks now, if not many years.

It’s easy to see doctors, nurses, teachers, and childcare workers as Helpers–we do it for a living. Do you consider yourself a member of a Helping profession? Why and why not?
Here is my premise: We are all Helpers.

I just spent two days at Readers Take Denver, my first ever book event (it’s all about romance, surprise!). I skipped my annual national professional society meeting, in the city where Son goes to school, to attend this giant convention where I would meet some of my favorite voice actors and fellow Shane East fanatics. It. Was. Glorious.

I decided to get the whole experience, so I registered to volunteer for parts of the event. I was assigned to help Susie Tate for an afternoon, taking pictures with readers and moving books. I knew of her but have not read or listened to any of her work. Turns out she’s a doctor in the UK! We hung out between signings, and when anyone approached the table I got so excited to help a fellow woman physician writer connect with her readers! What a privilege. Looking back on our conversations, it stands out to me that Susie’s work as both physician and romance author helps people immensely. She may see 50 patients a day in her general practice clinic, and when someone is sick she knows how to navigate the system to get them admitted while also caring for everybody else on her schedule. It’s heroic. She draws on her medical knowledge and experience in writing novels with complex characters, living relationships of struggle and redemption. Readers and listeners relate to her stories and gush about how much her books mean to them. Susie Tate and all of her romance author peers are Helpers, no question.

Let’s also consider the amazing, talented, generous, and gifted romance narrators, shall we? I have now met Shane, as well as Jason Clarke, Sofia Lette, Kit Swann, Angelina Rocca, Gary Furlong, Henry Kramer, Sean Crisden, Lessa Lamb, Chris Brinkley, Aaron Shedlock, and Teri Schnaubelt. Not only do they bring these empathic stories to life in our ears, but they are, themselves, some of the most kind, compassionate, present, thoughtful, and attuned people I have met. It makes sense, right? They engage with stories every day, putting themselves in a diversity of characters’ shoes, minds, and hearts, all in service of helping us relate more deeply and meaningfully to our shared humanity. Wow. Helpers. God bless ’em all.

En route to Denver, I texted my Ethos friends (who are all basically 20 years my junior):

The Ethos Breakfast Club showed up! Encouragement, reflection, validation, humor, and love flowed forth more than I could have imagined, and I felt immediately buoyed. I was able to present at the convention not just to Shane, but to everybody I met, all me and all in, feeling humbly confident, grounded, and attuned. If you are a friend, you are a Helper! In times of struggle, pain, defeat, and fear, who but our friends lift us up? In times of joy, accomplishment, celebration, and connection, who but our friends ampify the light most brightly? I say often, “The only way out is through; the best way through is together.” It is a truth I hold sacred; none of us does anything without help from others.

And it was on me to ask for the help I needed, no? Helping oneself, in this case knowing when, where, and on whom to call, is a life skill, as important as any other. Individualistic Western culture promotes a delusion of self-made-ness that harms us. With help from one another, we can learn to balance independence with interdependence and live richer, more stable, and more fulfilling lives. We simply cannot overestimate how much human connection helps and heals.

Know it, like it, want it or not, we are all in relationship. All humans, everything in nature, the cosmos. Therefore, anytime you do something that makes anything better for anyone else, you Help us all. Stocking grocery store shelves. Driving a city bus. Growing food. Performing standup comedy. Listening. Parenting. Taking care of yourself.
Imagine if we defined any given job or activity as Helping? How would this change our perspective about its role in society? How would we show up differently to the work in this new context? ‘Helping,’ as a concept, feels very different from ‘providing a service.’ The former is personal; the latter is transactional.
Helping is connecting, person to person, recognizing and honoring shared humanity.

Identify as a Helper.

How could everything be better if we all practiced this, even a little bit?

Susceptible

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How do you assess risk?

For a long while now I have thought of risk in terms of intrinsic and extrinsic factors. For any given challenge, any individual (or collective) may have certain baseline predispositions for a certain consequence or outcome. The intersection of those innate properties with the external environment and conditions then create the actual outcome(s). This post is about self-awareness and self-regulation in service of mitigating risk in two situations: Infection and severe mental stress.

Infection

When was your last COVID vaccine? There have now been two booster vaccines available after the initial doses back in 2021. In the current endemic state of the virus, repeated vaccination feels less urgent than before. Some will continue to say ‘always’ or ‘never,’ but most of my patients want to discern more thoughtfully. I advise situationally. The following applies not just to COVID, but for any infection we may contract in the wild:

Intrinsic risk: What is your overall state of health? How many risk factors for infection and complication do you have (eg advanced age, respiratory illness, diabetes, other immune compromise)? What are your nutrition, exercise, and sleep habits, generally and now, and do they protect you or make you vulnerable (sleep deprivation and high mental stress increase risk)?

Extrinsic risk: What is your likelihood of exposure, in terms of intensity, duration, and novelty? What is your access to healthcare in case of severe illness? How would infection impact your function, livelihood, and the health and function of those around you (and what are their intrinsic risks, if you were to expose them)?

I did not get my second COVID booster until right before I traveled to Taiwan last month, even though it’s been available since last fall. It was mostly due to inconvenience, though I also did not want to spend a whole day in bed (my reaction to this vaccine), and I assessed my risk of infection and complication to be low. Then Husband got infected at the same time that Friend told me all about her severe and prolonged experience with long COVID, and I learned that cases in Taiwan were still fruequent and severe. I would be traveling alone with Daughter, who has asthma, spending 20+ hours each way and all days in country in crowded airports and public spaces. So while I had no overt intrinsic health risks, I was moved to vaccinate by both subjective and objective extrinsic factors.
I prioritized sleep the week before and all through traveling. I minimized caffeine intake. We wore KN95 masks in all public spaces throughout the trip and washed hands vigilantly. COVID infection during international travel is no joke, and we took no chances. Thankfully, we arrived back home uninfected and healthy.

When thinking about any infectious disease, I consider goals and trade offs. How important is it to avoid this illness, in general and right now? What are we willing to do and not do to prevent infection? What are the real costs of prevention and potential costs of illness? How can I minimize my susceptibility in a realistic, pragmatic, and balanced way? As a physician, I must consider infection impact not just on an individual’s health, but on public health as well.

Severe Mental Stress

In recent years, I have added a slide on distress tolerance to my wellness presentations. Practices like cold water to the face, paced breathing, and progressive muscle relaxation can help de-escalate us in the throes of acute emotional hijack, helping us get back from fight or flight to thinking clearly and acting reasonably. We have all encountered situations when we feel overwhelmed, out of control, and powerless. We each have our own unique triggers and reaction patterns, whether it’s performance anxiety, phobia, vicarious trauma, or simply rage, sadness, shame, etc.

Intrinsic risks for severe acute mental stress include history of trauma, tendency to avoid uncomfortable feelings, difficulty managing and expressing feelings or thoughts, and baseline anxiety, depression, etc.

Extrinsic risks for emotional hijack include inciting events that trigger past trauma reactions, often subconsciously. This could be anything from seeing someone else experience the harm you endured, to simply entering an environment similar to one in which you felt unsafe before. Certain words or gestures can trigger us–it can literally be anything. We each have a different threshold in any given situation, depending on the intersection of our current state, baseline traits, and real time conditions.

Susceptibility to mental stress, however, goes beyond simply passive innate attributes coming in contact with inciting circumstances. We all have our stress tendencies, many of which we can only partially control, if at all. Here is where our daily patterns, habits, and practices can really save us. Sleep deprivation and dehydration make everything feel exponentially worse, in my observation. Regular physical activity regulates the autonomic nervous system and improves sleep quality. Moderation of caffeine and alcohol help mitigate these substances’ disruptive effects on brain and body. Consistent self-assessment of mood and energy, what affects them, and anticipating challenges and threats on the horizon can increase confidence in our ability to meet them. Practices such as mindfulness, prayer, and communion with loving others also boost resilience–both mental and physical. And we cannot overestimate the profound importance of healthy, strong, and loving relationships to hold us up through anything life may bring.

For mental stress, while intrinsic psychological risks matter, our strong and consistent habits in the 5 reciprocal domains of health can (sleep, exercise, nutrition, stress management, and relationships) combine in synergy to minimize (or at least mitigate) our susceptibility to acute emotional hijack. Mindset, self-talk, communication skills, and attunement to others in daily life can set us up generally to encounter adversity feeling grounded and solid or vulnerable and insecure.

Thus, in addition to intrinsic and extrinsic risks, intrinsic assets also matter. The more we strengthen them when things are easy, the more easily we can call them forth when things get really hard.

I remind myself that though dividing risk into intrinsic and extrinsic is clear and helpful, it is also an oversimplification. History of trauma is not innate to me as a person, but the experience is integrated into my nervous system. Repeated subjective experiences accumulate and integrate further. I have, one could argue, adapted to it all in a way that protects me from recurrent harm in the future by alarming my system, mind and body, to similar threats, perceived and real. And while I practice my centering, grounding, inner peace methods, it also behooves me to honor and embrace my natural, un-peaceful tendencies. My best outcomes occur when I hold these all in dynamic balance, with nonjudgmental awareness and self-regulation. Anticipation, preparedness, and seeking support from trusted others also help mitigate my susceptibility to adverse outcomes and suffering.

In the end, I wish for all of us to live more peaceful, self-aware, self-efficacious lives. I want us all to move through good fortune with joy, and through adversity with fortitude and confidence, even while we allow ourselves to fully feel fear and distress. As an advanced practice in this domain, the better we understand our own intrinsic vulnerabilities and the conditions which expose them, and manage them effectively, the more likely we may recognize the unique struggles of others. We may all suffer less when these skills help us see, hear, and understand one another more empathically, compassionately, intimately, and lovingly.
We can, if we choose, help minimize one another’s susceptibility to pain and suffering.