Clinical Leadership Quotes

Restructuring is a favorite tactic of antisocials who have reached a senior position in an organization. The chaos that results is an ideal smokescreen for dysfunctional leadership. Failure at the top goes unnoticed, while the process of restructuring creates the illusion of a strong, creative hand on the helm.

Politics was at once clinical and human, driven by principles and passions that he (the leader) had to master and harness for the good of the whole.

I was taught that the most hardworking nurse is found at the dirtiest part of the clinical ward.

You missed it when you pay more attention to the damaged car in the mechanic shop than the sick human being in the hospital.

The response provided by the Trust’s leadership each time it heard clinical concerns over GIDS appears to have been to criticize the way those concerns have been voiced – the tone of them – or to argue that such remarks are upsetting to other GIDS staff. What seems to have been lacking is a willingness to grapple with the substance of concerns, and put patients first and foremost.

Most people who haven’t had direct contact with the leadership of their own and other countries form their views based on what they learn in the media, and become quite naive and inappropriately opinionated as a result. That’s because dramatic stories and gossip draw more readers and viewers than does clinical objectivity. Also, in some cases “journalists” have their own ideological biases that they are trying to advance. As a result, most people who see the world through the lens of the media tend to look for who is good and who is evil rather than what the vested interests and relative powers are and how they are being played out. For example, people tend to embrace stories about how their own country is moral and the rival country is not, when most of the time these countries have different interests that they are trying to maximize. The best behaviors one can hope for come from leaders who can weigh the benefits of cooperation, and who have long enough time frames that they can see how the gifts they give this year may bring them benefits in the future.

Contrary to popular belief, the psychiatric concept of clinical depression is different from ordinary sadness. Depression adds to sadness a constellation of physical symptoms that produce a general slowing and deadening of bodily functions. A depressive person sleeps less, and the nighttime becomes a dreaded chore that one can never achieve properly. Or one never gets out of bed; better sleep, if one can, since one can’t do anything else. Interest in life and activities declines. Thinking itself is difficult; concentration is shot; it’s hard enough to focus on three consecutive thoughts, much less read an entire book. Energy is low; constant fatigue, inexplicable and unyielding, wears one down. Food loses its taste. Or to feel better, one might eat more, perhaps to stave off boredom. The body moves slowly, falling to the declining rhythm of one’s thoughts. Or one paces anxiously, unable to relax. One feels that everything is one’s own fault; guilty, remorseful thoughts recur over and over. For some depressives, suicide can seem like the only way out of this morass; about 10 percent take their own lives.

When a gale strikes, a leader’s place is not belowdecks, but at the helm. He should strive to maintain a measure of detachment, both from the emotion of others around him and from the crisis itself, observing it clinically, dispassionately. And he must focus his thinking strictly on the decisions he needs to make, rather than on the consequences that might follow if his decisions are wrong. This detachment and focus will afford him as much isolation as circumstances allow, and they will make him resistant to the emotional tumult around him. From there, the leader must draw upon his inner strength.

Every great leader I served with understood the need to share the hardships with the men and women they led. Nothing gains the respect of the troops quicker than spending time on the factory floor, or in the trading room, the warehouse, the clinic, or the foxhole. The C-suite, the corner office, the front office, or the largest cubicle can trap you into believing that your place is above the people you serve. It is not. Wherever you sit as a leader, don’t sit for long. Get out of your office and spend time with the employees. This will give you an appreciation for the work they do, an understanding of the challenges they face, and insights into how to improve the business.

When countries negotiate with one another, they typically operate as if they are opponents in a chess match or merchants in a bazaar in which maximizing one’s own benefit is the sole objective. Smart leaders know their own countries’ vulnerabilities, take advantage of others’ vulnerabilities, and expect the other countries’ leaders to do the same. Most people who haven’t had direct contact with the leadership of their own and other countries form their views based on what they learn in the media, and become quite naive and inappropriately opinionated as a result. That’s because dramatic stories and gossip draw more readers and viewers than does clinical objectivity. Also, in some cases “journalists” have their own ideological biases that they are trying to advance. As a result, most people who see the world through the lens of the media tend to look for who is good and who is evil rather than what the vested interests and relative powers are and how they are being played out. For example, people tend to embrace stories about how their own country is moral and the rival country is not, when most of the time these countries have different interests that they are trying to maximize. The best behaviors one can hope for come from leaders who can weigh the benefits of cooperation, and who have long enough time frames that they can see how the gifts they give this year may bring them benefits in the future.

Christopher Lasch explains the process by which the therapeutic segment of the managerial elite win moral acceptance. Despite the fact that its claims to be providing “mental health” where always self-serving and highly subjective, the theapeutic class offered ethical leadership in the absence of shared principles. By defining emotional well-being as both a social good and the overcoming of what is individually and collectively dangerous, the behavioral scientists have been able to impose their absolutes upon the culturally fluid society. In “The True and Only Heaven” Lasch explores the implications for postwar politics of the “Authoritarian Personality.” A chief contributor to this anthology, Theodro Adorno, abandoned his earlier work as a cultural critic to become a proponent of governmentally imposed social therapy. According to Lasch, Adorno condemns undesirable political attitudes as “prejudice” and “by defining prejudice as a ‘social disease’ substituted a medical for a political idiom. In the end, Adorno and his colleagues “relegated a broad range of controversial issues to the clinic – to scientific study as opposed to philosophical and political debate.

These senators and representatives call themselves “leaders.” One of the primary principles of leadership is that a leader never asks or orders any follower to do what he or she would not do themselves. Such action requires the demonstration of the acknowledged traits of a leader among which are integrity, honesty, and courage, both physical and moral courage. They don’t have those traits nor are they willing to do what they ask and order. Just this proves we elect people who shouldn’t be leading the nation. When the great calamity and pain comes, it will have been earned and deserved. The piper always has to be paid at the end of the party. The party is about over. The bill is not far from coming due. Everybody always wants the guilty identified. The culprits are we the people, primarily the baby boom generation, which allowed their vote to be bought with entitlements at the expense of their children, who are now stuck with the national debt bill that grows by the second and cannot be paid off. These follow-on citizens—I call them the screwed generation—are doomed to lifelong grief and crushing debt unless they take the only other course available to them, which is to repudiate that debt by simply printing up $20 trillion, calling in all federal bills, bonds, and notes for payoff, and then changing from the green dollar to say a red dollar, making the exchange rate 100 or 1000 green dollars for 1 red dollar or even more to get to zero debt. Certainly this will create a great international crisis. But that crisis is coming anyhow. In fact it is here already. The U.S. has no choice but to eventually default on that debt. This at least will be a controlled default rather than an uncontrolled collapse. At present it is out of control. Congress hasn’t come up with a budget in 3 years. That’s because there is no way at this point to create a viable budget that will balance and not just be a written document verifying that we cannot legitimately pay our bills and that we are on an ever-descending course into greater and greater debt. A true, honest budget would but verify that we are a bankrupt nation. We are repeating history, the history we failed to learn from. The history of Rome. Our TV and video games are the equivalent distractions of the Coliseums and circus of Rome. Our printing and borrowing of money to cover our deficit spending is the same as the mixing and devaluation of the gold Roman sisteri with copper. Our dysfunctional and ineffectual Congress is as was the Roman Senate. Our Presidential executive orders the same as the dictatorial edicts of Caesar. Our open borders and multi-millions of illegal alien non-citizens the same as the influx of the Germanic and Gallic tribes. It is as if we were intentionally following the course written in The History of the Decline and Fall of the Roman Empire. The military actions, now 11 years in length, of Iraq and Afghanistan are repeats of the Vietnam fiasco and the RussianAfghan incursion. Our creep toward socialism is no different and will bring the same implosion as socialism did in the U.S.S.R. One should recognize that the repeated application of failed solutions to the same problem is one of the clinical definitions of insanity. * * * I am old, ill, physically used up now. I can’t have much time left in this life. I accept that. All born eventually die and with the life I’ve lived, I probably should have been dead decades ago. Fate has allowed me to screw the world out of a lot of years. I do have one regret: the future holds great challenge. I would like to see that challenge met and overcome and this nation restored to what our founding fathers envisioned. I’d like to be a part of that. Yeah. “I’d like to do it again.” THE END PHOTOS Daniel Hill 1954 – 15

Dr David Wilson is a psychiatrist who is based at a busy clinic in Salt Lake City Utah. In this clinic, he sees patients from all walks of life who are all managing different mental health issues.

The do-as-I-say-and-not-as-I-do mentality is damaging to the morale of the team and damages your credibility as the leader. This

One barrier could entail time restraint. It does require some time to identify the tasks completed and determine who would be best suited for the task. Also, you must factor in training the individual. Consider this as mentoring or developing the team member. Start thinking of delegation as growth of the individual team member and less of a burden on you.

Management is doing the things right; leadership is doing the right things.

When considering tasks to delegate, you should also consider tasks that aren’t appropriate to delegate. Tasks that have unclear objectives, high stakes, rely on your unique skills, or a personal growth opportunity should be completed by you. Once you identify the tasks, it is easier to identify the person. Now, we recognize delegation as growth opportunities for our team. We must also consider the skill sets for the tasks. Take a moment to identify the skills and competencies needed. Consider the individual and assess based on the following: skills, strengths, reliability, workload, and development potential. As the tasks are delegated, keep the individuals’ skills in mind. This will be a new endeavor for them and require you to build their self-confidence.  This is why strength-and-skills matching is important. Set clear goals and routine check-ins. Also provide good feedback to the individuals on the progress

Also, on the implementation of a strict travel provision, the leader cannot stay at the swankiest hotel in the city or initiate strict spending and purchase a luxury car.

Kevin Samrick, a dedicated Eagle Scout and engineer, has woven leadership, technical prowess, and adventure into his life. His journey started at Campolindo High School, where he was a prominent student leader, and continued at Harvey Mudd College, where he received the esteemed William P. Wiesmann Clinic Award.

Jason Fritzler, a distinguished scientist and educator with a PhD in microbiology, excels in infectious diseases and clinical diagnostics. His pioneering research focuses on combating infectious diseases and enhancing patient care, impacting public health significantly. As an inspiring coach, Jason motivates others to excel, showcasing his dedication to microbiology and educational leadership.

Desperate to join the medical mainstream, psychiatry recognized that its diagnostic system was grossly inadequate. For instance, in the 1968 second edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-II), depressive neurosis was defined as “An excessive reaction of depression due to an internal conflict or to an identifiable event such as the loss of a love object or cherished possession.”4 Is moderate depression a week after the loss of a favorite cat “excessive”? One diagnostician would say, “No, not at all, people love their cats”; another, “After a week, it is obviously excessive!” Such disagreements made psychiatry’s scientific aspirations laughable. The solution was a radical revision, DSM-III, published in 1980.5 Written by a task force of the American Psychiatric Association under the leadership of psychiatry researcher Robert Spitzer, it purged psychoanalytic theory from DSM-II and replaced its 134 pages of clinical impressions describing 182 disorders with 494 pages of symptom checklists that defined 265 disorders. “Depressive neurosis” was eliminated. The definition of a new diagnosis, “major depressive disorder,” said nothing about internal conflict; it only required the presence of at least five of nine possible symptoms for at least two weeks. Every diagnosis was now defined by a checklist of necessary and sufficient symptoms. DSM-III transformed psychiatry.6 It made possible standardized interviews that epidemiologists could use to measure the prevalence of specific disorders.

Putting together a care path for a complex disease or condition requires the involvement of doctors, nurses, administrators, and support personnel at all levels and in multiple specialties. Having all those entities on the same team, under the same leadership, and in the same general area greatly facilitates care path development. The

Speak in a way that others love to listen.  Listen in a way that others love to speak. —Anonymous

if someone ever has a manic episode, it is 90 percent likely that he will also have depressive episodes. Hitler too had periods of behavior that meet our current definition of clinical depression, especially when he would suffer setbacks in life, such as being turned down twice by the Vienna Academy of Arts.

This model, the basis for cognitive-behavioral therapy, is contradicted by another theory that has a growing amount of clinical evidence behind it: the

This model, the basis for cognitive-behavioral therapy, is contradicted by another theory that has a growing amount of clinical evidence behind it: the depressive realism hypothesis. This theory argues that depressed people aren’t depressed because they distort reality; they’re depressed because they see reality more clearly than other people do.

THE COURSE OF DEPRESSION is episodic and repetitive. The severe periods of melancholy come and go, and they usually happen more than once or twice in a lifetime. Looking for other periods of clinical depression

Such denial is facile, but the statistics suggest that any teenage suicide attempt should be taken seriously: only about 2 percent of children try to kill themselves, which shows that it is hardly a normal adolescent act. Indeed, 90 percent of children who attempt suicide have a psychiatric disorder, most commonly clinical depression.

Beforehand, many people with depressive illness persist at a mildly depressed baseline, not so severe as to diagnose a clinical “major” depressive episode, but also not completely well. Afterward, once the severe episode is over, some people have mild leftover depression, and they can become even more insightful about their lives.

Strong enough to be weak Successful enough to fail Busy enough to make time Wise enough to say "I don't know" Serious enough to laugh Rich enough to be poor Right enough to say "I'm wrong" Compassionate enough to discipline Mature enough to be childlike Important enough to be last Planned enough to be spontaneous Controlled enough to be flexible Free enough to endure captivity Knowledgeable enough to ask questions Loving enough to be angry Great enough to be anonymous Responsible enough to play Assured enough to be rejected Victorious enough to lose Industrious enough to relax Leading enough to serve Poem by Brewer, as cited by Hansel, in Holy Sweat, Dallas Texas, Word, 1987. (p. 29)

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