Patient Motivation Quotes

Don’t we forgive everything of a lover? We forgive selfishness, desire, guile. As long as we are the motive for it.

In short, physicians are getting more and more data, which requires more sophisticated interpretation and which takes more time. AI is the solution, enhancing every stage of patient care from research and discovery to diagnosis and therapy selection. As a result, clinical practice will become more efficient, convenient, personalized, and effective.

Think of the patience God has had for you and let it resonate to others. If you want a more patient world, let patience be your motto

It’s estimated that AI could free up to 25% of clinician time across different specialties. This increased amount of time could mean less hurried encounters and more humane interactions, including more empathy from happier doctors. This is important because empathy has been shown to improve outcomes by boosting patient adherence to the prescribed treatments, increasing motivation, and reducing anxiety and stress.

An algorithm that expedites care to a stroke patient in a chaotic emergency room (ER) has a good chance of adoption. An algorithm that reads a routine scan and provides some quantification of what the physicians can already estimate won’t be in as much demand. There are good reasons for algorithms to parse patient records to look for signs of rare diseases, but there are fewer good reasons for using them to evaluate clinical symptoms. It’s cool that AI tools can make diagnoses from scratch, but for most clinical encounters doctors are already pretty good at it.

The issue of reimbursement by payers is an important factor that should be discussed. Is it possible that if radiologists use AI to read scans, they’ll receive less reimbursement? Or to approach this from the other angle, if payers are reimbursing for the use of AI, will they pay radiologists less as a result? My discussions with insurance executives have shown that they don’t think this is likely. If the use of these technologies will improve patient outcomes and lead to fewer errors, there are benefits to them that will motivate executives to pay for them in addition to radiologists’ reading fees.

In traveling, a companion, in life, compassion,'" she repeats, making sure of it. If she had paper and pencil, it wouldn't surprise me if she wrote it down. "So what does that really mean? In simple terms." I think it over. It takes me a while to gather my thoughts, but she waits patiently. "I think it means," I say, "that chance encounters are what keep us going. In simple terms.

You're going to make it; You're going to be at peace; You're going to create, and love, and laugh, and live; You're going to do great things.

Perhaps, in retrospect, there would be little motivation even for malevolent extraterrestrials to attack the Earth; perhaps, after a preliminary survey, they might decide it is more expedient just to be patient for a little while and wait for us to self-destruct.

It is more important to go slow and gain the lessons you need along the journey then to rush the process and arrive at your destination empty.

We have patiently suffered long enough, hoping that someone or some kind of luck would one day grant us more opportunity and happiness. But nothing external can save us, and the fateful hour is at hand when we either become trapped at this level of life or we choose to ascend to a higher plane of consciousness and joy. In this ailing and turbulent world, we must find peace within and become more self-reliant in creating the life we deserve.

Don't be in a hurry. Everything arise in the due time.

am blessed. I am prosperous. I am successful.” “I am victorious. I am talented. I am creative.” “I am wise. I am healthy. I am in shape.” “I am energetic. I am happy. I am positive.” “I am passionate. I am strong. I am confident.” “I am secure. I am beautiful. I am attractive.” “I am valuable. I am free. I am redeemed.” “I am forgiven. I am anointed. I am accepted.” “I am approved. I am prepared. I am qualified.” “I am motivated. I am focused. I am disciplined.” “I am determined. I am patient. I am kind.” “I am generous. I am excellent. I am equipped.” “I am empowered. I am well able.” “I am a child of the Most High God.

A man worth being with is one… That never lies to you Is kind to people that have hurt him A person that respects another’s life That has manners and shows people respect That goes out of his way to help people That feels every person, no matter how difficult, deserves compassion Who believes you are the most beautiful person he has ever met Who brags about your accomplishments with pride Who talks to you about anything and everything because no bad news will make him love you less That is a peacemaker That will see you through illness Who keeps his promises Who doesn’t blame others, but finds the good in them That raises you up and motivates you to reach for the stars That doesn’t need fame, money or anything materialistic to be happy That is gentle and patient with children Who won’t let you lie to yourself; he tells you what you need to hear, in order to help you grow Who lives what he says he believes in Who doesn’t hold a grudge or hold onto the past Who doesn’t ask his family members to deliberately hurt people that have hurt him Who will run with your dreams That makes you laugh at the world and yourself Who forgives and is quick to apologize Who doesn’t betray you by having inappropriate conversations with other women Who doesn’t react when he is angry, decides when he is sad or keep promises he doesn’t plan to keep Who takes his children’s spiritual life very seriously and teaches by example Who never seeks revenge or would ever put another person down Who communicates to solve problems Who doesn’t play games or passive aggressively ignores people to hurt them Who is real and doesn’t pretend to be something he is not Who has the power to free you from yourself through his positive outlook Who has a deep respect for women and treats them like a daughter of God Who doesn’t have an ego or believes he is better than anyone Who is labeled constantly by people as the nicest person they have ever met Who works hard to provide for the family Who doesn’t feel the need to drink alcohol to have a good time, smoke or do drugs Who doesn't have to hang out a bar with his friends, but would rather spend his time with his family Who is morally free from sin Who sees your potential to be great Who doesn't think a woman's place has to be in the home; he supports your life mission, where ever that takes you Who is a gentleman Who is honest and lives with integrity Who never discusses your private business with anyone Who will protect his family Who forgives, forgets, repairs and restores When you find a man that possesses these traits then all the little things you don’t have in common don’t matter. This is the type of man worth being grateful for.

The conviction that we know others better than they know us—and that we may have insights about them they lack (but not vice versa)—leads us to talk when we would do well to listen and to be less patient than we ought to be when others express the conviction that they are the ones who are being misunderstood or judged unfairly. The same convictions can make us reluctant to take advice from others who cannot know our private thoughts, feelings, interpretations of events, or motives, but all too willing to give advice to others based on our views of their past behavior, without adequate attention to their thoughts, feelings, interpretations, and motives. Indeed, the biases documented here may create a barrier to the type of exchanges of information, and especially to the type of careful and respectful listening, that can go a long way to attenuating the feelings of frustration and resentment that accompany interpersonal and intergroup conflict.

Without the desire to be patient patience doesn't happen, Just like without the desire to grow, LIFE doesn't happen!

Today you are planting seeds to your dream. Be patient because it will be a large harvest.

Perseverance, endurance and patience are the three greatest survival skills.

I am not smart, I pay attention. I am not considerate, I listen. I am not patient, I make time. I’m not lucky, I work hard.

The real motivation was purely selfish. I was on a quest to help myself. I believe the same is true for most people who go into mental health. We are drawn to this profession because we are damaged—we study psychology to heal ourselves.

Write," instructs Annie Dillard, "as if you were dying." We are all terminal patients on this earth-the mystery is not "if" but "when" death appears in the plotline...To this day, I've never been more prolific. Death can be a great motivator.

When we have graciously endured every adversity, we become like a shining diamond.

Stay strong in spirit, be patient and you will overcome any situation.

Miracles are not impossible. Just stay calm and be patient!

The real motivation was purely selfish. I was on a quest to help myself. I believe the same is true for most people who go into mental health.

A patient's passivity must not be unilaterally interpreted as lack of motivation, resistance, lack of confidence, or the like. Many times, passivity is a function of inadequate knowledge and/or skills.

Love begets joy. Joy begets peace. Peace begets patience. Patience begets kindness. Kindness begets goodness. Goodness begets faithfulness. Faithfulness begets gentleness. Gentleness begets self-control.

. I was often surprised by the dispassionate way patients’ symptoms were discussed and by how much time was spent on trying to manage their suicidal thoughts and self-destructive behaviors, rather than on understanding the possible causes of their despair and helplessness. I was also struck by how little attention was paid to their accomplishments and aspirations; whom they cared for, loved, or hated; what motivated and engaged them, what kept them stuck, and what made them feel at peace—the ecology of their lives.

Married people should be best friends; no relationship on earth needs friendship as much as marriage...Friendship in a marriage is so important. It blows away the chaff and takes the kernel, rejoices in the uniqueness of the other, listens patiently, gives generously, forgives freely. Friendship will motivate one to cross the room one day and say 'I'm sorry. I didn't mean that.' it will not pretend perfection nor demand it. It will not insist that both respond exactly the same in every thought and feeling, but it will bring to the union honesty, integrity. There will be repentance and forgiveness in every marriage--every good marriage--and respect and trust.

Let’s not call cancer patients as patients, they are cancer fighters. They are brave hearts.

Practice patience to get the results but don't be much patient to take actions.

I don’t understand hospital chaplains that try to rob my patients of their anger. Sometimes anger is a key motivator that gets people to take action. Anger can push a cancer patient to jump out of his hospital bed, walk down to the nurses station and scream, “I am getting the hell out of here!”. There is a misconception that God is simply sweet and passive. Actually, God can be quite cunning, manipulative and relentless with his children. What we consider as negative traits are actually helpful in molding us. He will use a negative emotion if needed to push people to do things that will change them for the better. He will allow people or situations to derail us if there is a chance that those interactions will push us forward. Personally, I don’t want a God that is going to send some church member to my deathbed with a plate of cookies and tell me to have faith. Actually, I rather have a God that screams, “Get the hell off your ass, stop feeling sorry for yourself. Walk down the hall with that Physical Therapist so you can get on with your life!" A little anger in a person can push them to do amazing things.

Failure isn’t defeating; failure is motivating. Failure provides a healthy dose of perspective, makes us more tolerant and patient, and makes us realize we’re a lot like the people around us. When you realize you aren’t so different or special after all, it’s a lot easier to be happy with the people around you—and with yourself.

Persons Are Turned against Themselves Evil also turns a person against herself so that self is used against self. The case of the woman who received a dismissal letter from her pastor comes to mind again. The psychological decompensation she suffered was successfully used by her husband to intercede with a psychiatrist of his choosing to commit her to the mental unit of a hospital for an extended involuntary stay, which further worsened her condition. Additional examples abound. Some patients report cults using induced hypnotic states to encourage a subject's dissociated hands and arms to do something hurtful to someone else. In such cases, the subject is encouraged to watch the hand that is hers but not hers (because it is dissociated from her). The end result is often extreme guilt. self-loathing, and distrust of one's self and motives.An incestuous parent may use a child's own natural bodily responses to repeated sexual stimulation to make the point that the child really "wants and enjoys“ what is being forced upon her.

Be resilient until you complete a task. Challenge yourself and never limit yourself. Stay humble, hopeful, patient, but never quit!

With patient, you shall possess your soul.

With positive mindset you can graciously overcome any circumstance.

You can conquer any aggressive action, with restraint and patient.

How could we have achieved the set-goal, without endurance to the end?

Whatever you wish for, you can have with hopeful patient wait.

Never give up hope. If you do, you'll be dead already.-- Dementia Patient Rose in The Inspired Caregiver

Be patient. Creating something good takes time. So take your time.

How much kindness should I show? Enough to set all hearts aglow. Just how patient must I be? Enough to calm the stormy sea. How much love doth God require? Enough to lift the heavens higher.

Problems are like traffic jams. They clear up if you wait patiently. But instead of waiting for solution, you start seeking solace in two ways: (1) You target those who you think are cause of your problems (2) You target yourself. As a result problems sink their roots deep into your mind. ॐ

I wanted to help people, I suppose.” I shrugged. “That’s it, really.” Which was bullshit. I mean, of course I wanted to help people. But that was a secondary aim—particularly at the time I started training. The real motivation was purely selfish. I was on a quest to help myself. I believe the same is true for most people who go into mental health.

Eye Contact Can Reveal if a Person is . . . • Shy or gregarious • Honest or deceitful • Confident or terrified • Interested or bored • Patient or irritated • Sincere or inauthentic • Organized or Unprepared • Attentive or distracted

Oh! Almighty and Everlasting God, Creator of Heaven, Earth and the Universe: Help me to be, to think, to act what is right, because it is right; make me truthful, honest and honorable in all things; make me intellectually honest for the sake of right and honor and without thought of reward to me. Give me the ability to be charitable, forgiving and patient with my fellowmen—help me to understand their motives and their shortcomings—even as Thou understandest mine! Amen, Amen, Amen. Say

I don’t think of you as a typical beauty. I never once did. To me your hair mimics asphalt more than the lustrous feathers of ravens. Comparing your eyes to heavenly lights seems a stretch when they are the common color of dirt. I can’t imagine you as a tall, pole-slender image; your God-given shape is right bulky. But I never cared about such pointless things anyway. What good have trivial attributes ever done the world? When I look at you, I see you—or in other words, all of you that really matters. I see a kind heart and compassionate arms. I see a patient, gentle spirit abounding with love towards all of God’s creatures. I see the perfect blend of humility and strength of character. I see a wise intellect as well as an endearing sense of humor. I see all the qualities that make you the person I love, regardless of the bodily package you’re bound in. So forgive me if I don’t think you’re beautiful, because I find you to be far superior to that worthless and pointless nonsense the world calls beauty.

A man's concern, even his despair, over the worthwhileness of life is an existential distress but by no means a mental disease. It may well be that interpreting the first in terms of the latter motivates a doctor to bury his patient's existential despair under a heap of tranquilizing drugs. It is his task, rather , to pilot the patient through his existential crises of growth and development.

The Dialectical Dilemma for the Patient The borderline individual is faced with an apparently irreconcilable dilemma. On the one hand, she has tremendous difficulties with self-regulation of affect and subsequent behavioral competence. She frequently but somewhat unpredictably needs a great deal of assistance, often feels helpless and hopeless, and is afraid of being left alone to fend for herself in a world where she has failed over and over again. Without the ability to predict and control her own well-being, she depends on her social environment to regulate her affect and behavior. On the other hand, she experiences intense shame at behaving dependently in a society that cannot tolerate dependency, and has learned to inhibit expressions of negative affect and helplessness whenever the affect is within controllable limits. Indeed, when in a positive mood, she may be exceptionally competent across a variety of situations. However, in the positive mood state she has difficulty predicting her own behavioral capabilities in a different mood, and thus communicates to others an ability to cope beyond her capabilities. Thus, the borderline individual, even though at times desperate for help, has great difficulty asking for help appropriately or communicating her needs. The inability to integrate or synthesize the notions of helplessness and competence, of noncontrol and control, and of needing and not needing help can lead to further emotional distress and dysfunctional behaviors. Believing that she is competent to “succeed,” the person may experience intense guilt about her presumed lack of motivation when she falls short of objectives. At other times, she experiences extreme anger at others for their lack of understanding and unrealistic expectations. Both the intense guilt and the intense anger can lead to dysfunctional behaviors, including suicide and parasuicide, aimed at reducing the painful emotional states. For the apparently competent person, suicidal behavior is sometimes the only means of communicating to others that she really can’t cope and needs help; that is, suicidal behavior is a cry for help. The behavior may also function as a means to get others to alter their unrealistic expectations—to “prove” to the world that she really cannot do what is expected.

The real motivation was purely selfish. I was on a quest to help myself. I believe the same is true for most people who go into mental health. We are drawn to this profession because we are damaged—we study psychology to heal ourselves. Whether we are prepared to admit this or not is another question.

Impatience makes even the strong weak.

Most of the people who are striving to be great often compare the demands of their goal with those of that of people who are striving to remain average.

Run you own race of life with patient.

We ought to give each other, a chance to change.

Anything good is worth the patient and the endurance.

Every sacred marriage will survive all times with great love and patient commitment.

God never fails. No matter how long it takes, the promise will be fulfilled.

In times of adversity and affliction, may you wait for the Lord to rescue and deliver you.

I have all the patient to wait for what I want.

In times of trouble, be strong. And wait patiently for God to rescue you.

With patience endurance, you can survive any storm.

Your willpower to achieve the goal ought to stronger than any obstacle.

God plans every sacred purpose for a sacred time.

The longer the waiting, the longer the wondering.

All dreams are possible, if we work and wait for the manifest.

Be impatient enough to start going after your dreams now but patient enough to watch them manifest.

Opportunities present themselves only to the patient, man and beast, and only they take advantage of those opportunities.

Keep hoping. Be patient and diligent. Never give up. Hold on to your faith. God helps us when we show Him that we are willing to help ourselves.

Regardless of a patient’s true motives to get out of bed, I always applaud on the inside. That’s what physical therapy is all about. To get them out of bed. To coax them down to the rehab gym.

Healing is an ongoing process, and it’s never done. From a motivational or an attitudinal standpoint, you come at yourself a lot differently if you’re trying to heal than if you’re wanting to fix. To the extent that you are applying more grace and more empathy and more love to yourself as you are navigating behavioral patterns in your life, you are healing more than fixing. Healing is acceptance—radical acceptance. It’s being patient with yourself and not berating yourself up over unmet expectations, either yours or other people’s, and not basing your worth on external validation.

The woods are so human," wrote John Foster, "that to know them one must live with them. An occasional saunter through them, keeping to the well-trodden paths, will never admit us to their intimacy. If we wish to be friends we must seek them out and win them by frequent, reverent visits at all hours; by morning, by noon, and by night; and at all seasons, in spring, in summer, in autumn, in winter. Otherwise we can never really know them and any pretence we may make to the contrary will never impose on them. They have their own effective way of keeping aliens at a distance and shutting their hearts to mere casual sightseers. It is of no use to seek the woods from any motive except sheer love of them; they will find us out at once and hide all their sweet, old-world secrets from us. But if they know we come to them because we love them they will be very kind to us and give us such treasures of beauty and delight as are not bought or sold in any market-place. For the woods, when they give at all, give unstintedly and hold nothing back from their true worshippers. We must go to them lovingly, humbly, patiently, watchfully, and we shall learn what poignant loveliness lurks in the wild places and silent intervales, lying under starshine and sunset, what cadences of unearthly music are harped on aged pine boughs or crooned in copses of fir, what delicate savours exhale from mosses and ferns in sunny corners or on damp brooklands, what dreams and myths and legends of an older time haunt them. Then the immortal heart of the woods will beat against ours and its subtle life will steal into our veins and make us its own forever, so that no matter where we go or how widely we wander we shall yet be drawn back to the forest to find our most enduring kinship.

I believed my motivations were clear: to help the patient see the pattern that had been imposed upon her, this endless repetition of being selected yet judged to be not exactly what was wanted, a purchase the buyer wished to return.

You can't stumble into an adventure. An artist must dance, not walk, in order to inspire their audience. This patient audience who has witnessed all that you've ever performed. So don't be shy. Just dance. Set this scene into motion.

The Holy Spirit is powerfully loving, commandingly joyful, actively peaceful, compellingly patient, emphatically kind, intensely good, infallibly faithful, potently gentle, and vigorously self-controlled. Who wouldn’t want to know a person like this?

It is easy to see why so many people view empathy as a powerful force for goodness and moral change. It is easy to see why so many believe that the only problem with empathy is that too often we don’t have enough of it. I used to believe this as well. But now I don’t. Empathy has its merits. It can be a great source of pleasure, involved in art and fiction and sports, and it can be a valuable aspect of intimate relationships. And it can sometimes spark us to do good. But on the whole, it’s a poor moral guide. It grounds foolish judgments and often motivates indifference and cruelty. It can lead to irrational and unfair political decisions, it can corrode certain important relationships, such as between a doctor and a patient, and make us worse at being friends, parents, husbands, and wives.

Thinking outside the box only works if you know everything inside it. Don’t compare your chapter 1 to someone else’s chapter 20. That’s the biggest mistake young entrepreneurs do and end up getting disappointed. The ones you call conventional are the business models, which have been optimized and modified at various stages over a long period of time. You need to work hard and be a bit more patient.

A man’s concern, even his despair, over the worthwhileness of life is an existential distress but by no means a mental disease. It may well be that interpreting the first in terms of the latter motivates a doctor to bury his patient’s existential despair under a heap of tranquilizing drugs. It is his task, rather, to pilot the patient through his existential crises of growth and development. Logotherapy

The murder was debated in the media, and different theories were espoused in print and on the radio and on morning chat shows. Experts were brought in to explain, condemn, justify Alicia’s actions. She must have been a victim of domestic abuse, surely, pushed too far, before finally exploding? Another theory proposed a sex game gone wrong—the husband was found tied up, wasn’t he? Some suspected it was old-fashioned jealousy that drove Alicia to murder—another woman, probably? But at the trial Gabriel was described by his brother as a devoted husband, deeply in love with his wife. Well, what about money? Alicia didn’t stand to gain much by his death; she was the one who had money, inherited from her father. And so it went on, endless speculation—no answers, only more questions—about Alicia’s motives and her subsequent silence.

I mean, of course I wanted to help people. But that was a secondary aim—particularly at the time I started training. The real motivation was purely selfish. I was on a quest to help myself. I believe the same is true for most people who go into mental health. We are drawn to this profession because we are damaged—we study psychology to heal ourselves. Whether we are prepared to admit this or not is another question.

To better understand the predicament of someone who is rational but emotionless, consider computers. Give a computer a program to run, and it will use flawless logic to execute it. But unless you give a computer a program to run, it will just sit there. Computers need a motivating force before they will do anything, and it is the job of the programmer to provide this motivating force. Damasio’s patient was like an unprogrammed computer. His

The Physical Language of Listening Active listening is a physical process which transcends simply hearing. Your body language speaks on your behalf as to whether you are fully present and engaged . . . • Make eye contact. • Nod your head; confirm. • Use your eyebrows and expressions of emotions to show that you're paying attention. • Lean forward. • Listen patiently to demonstrate respect and sensitivity. • Open your physical presence to encourage them to continue.

We could scrub the floor for a tired friend, or dress a wound for a patient in a hospital, or lay the table and wash up for the family; but we shall not do it in martyr spirit or with that worse spirit of self-congratulation, of feeling that we are making ourselves more perfect, more unselfish, more positively kind. We shall do it just for one thing, that our hands make Christ's hands in our life, that our service may let Christ serve through us, that our patience may bring Christ's patience back to the world.

Regardless of a patient's true motives to get out of bed, I always applaud on the inside. That's what physical therapy is all about. To get them out of bed. To coax them down to the rehab gym. To do their strengthening exercises. To buy into the program. All in order to prepare them for the day they will eventually walk again. But I downplay my enthusiasm at a soldier's pain-tinged request for fear he'll figure out that's what I've been trying to get him to do and rebel. It's always better to make it seem like it is their idea all along.

Gosnell also may have been motivated by his anger. Many people who knew him told us about his ferocious temper, which could flare up at any time. A lot of that anger he took out on his patients, yelling and screaming at them and punching them with his fist when they complained of pain or woke during their abortions.10 And attention-seeking may have motivated him, too. He liked being in the same club as George Tiller and the other late-term abortion doctors, he liked the spotlight, the feeling of power. And now he thinks of himself as a martyr.

Empathy has its merits. It can be a great source of pleasure, involved in art and fiction and sports, and it can be a valuable aspect of intimate relationships. And it can sometimes spark us to do good. But on the whole, it’s a poor moral guide. It grounds foolish judgments and often motivates indifference and cruelty. It can lead to irrational and unfair political decisions, it can corrode certain important relationships, such as between a doctor and a patient, and make us worse at being friends, parents, husbands, and wives. I am against empathy, and one of the goals of this book is to persuade you to be against empathy too.

I am very often asked why, at the age of eighty-five, I continue to practice. Tip number eighty-five (sheer coincidence that I am now eighty-five years old) begins with a simple declaration: my work with patients enriches my life in that it provides meaning in life. Rarely do I hear therapists complain of a lack of meaning. We live lives of service in which we fix our gaze on the needs of others. We take pleasure not only in helping our patients change, but also in hoping their changes will ripple beyond them toward others. We are also privileged by our role as cradlers of secrets. Every day patients grace us with their secrets, often never before shared. The secrets provide a backstage view of the human condition without social frills, role-playing, bravado, or stage posturing. Being entrusted with such secrets is a privilege given to very few. Sometimes the secrets scorch me and I go home and hold my wife and count my blessings. Moreover, our work provides the opportunity to transcend ourselves and to envision the true and tragic knowledge of the human condition. But we are offered even more. We become explorers immersed in the grandest of pursuits—the development and maintenance of the human mind. Hand in hand with patients, we savor the pleasure of discovery—the “aha” experience when disparate ideational fragments suddenly slide smoothly together into a coherent whole. Sometimes I feel like a guide escorting others through the rooms of their own house. What a treat it is to watch them open doors to rooms never before entered, discover unopened wings of their house containing beautiful and creative pieces of identity. Recently I attended a Christmas service at the Stanford Chapel to hear a sermon by Rev. Jane Shaw that underscored the vital importance of love and compassion. I was moved by her call to put such sentiments into practice whenever we can. Acts of caring and generosity can enrich any environment in which we find ourselves. Her words motivated me to reconsider the role of love in my own profession. I became aware that I have never, not once, used the word love or compassion in my discussions of the practice of psychotherapy. It is a huge omission, which I wish now to correct, for I know that I regularly experience love and compassion in my work as a therapist and do all I can to help patients liberate their love and generosity toward others. If I do not experience these feelings for a particular patient, then it is unlikely I will be of much help. Hence I try to remain alert to my loving feelings or absence of such feelings for my patients.

The media squabble over Shchepotin’s final day at the Cancer Institute, and the doubts it raised over the motivation of all concerned, were appropriate, because the most corrosive aspect of corruption is the way that it undermines trust. When corruption is widespread, it becomes impossible to know whom to believe, since the money infects every aspect of state and society. Every newspaper article can be criticized as paid for, every politician can be called corrupt, every court decision can be called into question. Charities are set up by oligarchs to lobby for their interests, and those then provoke doubts about every other non-governmental organization. If even doctors are on the take, can you trust their diagnoses? Are they claiming a patient needs treatment only because that would be to their profit? If policemen are crooked, and courts are paid for, are criminals really criminals? Or are they honest people who interfered in criminals’ business? Not knowing whom to believe, you retreat into trusting only those closest to you—your oldest friends, and your relatives—and that reinforces the divisions in society that corruption thrives on. It is impossible to build a thriving economy, or a healthy democracy, without a society whose members fundamentally trust each other. If you take that away, you are left with something far darker and more mercenary.

The Brits call this sort of thing Functional Neurological Symptoms, or FNS, the psychiatrists call it conversion disorder, and almost everyone else just calls it hysteria. There are three generally acknowledged, albeit uncodified, strategies for dealing with it. The Irish strategy is the most emphatic, and is epitomized by Matt O’Keefe, with whom I rounded a few years back on a stint in Ireland. “What are you going to do?” I asked him about a young woman with pseudoseizures. “What am I going to do?” he said. “I’ll tell you what I’m goin’ to do. I’m going to get her, and her family, and her husband, and the children, and even the feckin’ dog in a room, and tell ’em that they’re wasting my feckin’ time. I want ’em all to hear it so that there is enough feckin’ shame and guilt there that it’ll keep her the feck away from me. It might not cure her, but so what? As long as I get rid of them.” This approach has its adherents even on these shores. It is an approach that Elliott aspires to, as he often tells me, but can never quite marshal the umbrage, the nerve, or a sufficiently convincing accent, to pull off. The English strategy is less caustic, and can best be summarized by a popular slogan of World War II vintage currently enjoying a revival: “Keep Calm and Carry On.” It is dry, not overly explanatory, not psychological, and does not blame the patient: “Yes, you have something,” it says. “This is what it is [insert technical term here], but we will not be expending our time or a psychiatrist’s time on it. You will have to deal with it.” Predictably, the American strategy holds no one accountable, involves a brain-centered euphemistic explanation coupled with some touchy-feely stuff, and ends with a recommendation for a therapeutic program that, very often, the patient will ignore. In its abdication of responsibility, motivated by the fear of a lawsuit, it closely mirrors the beginning of the end of a doomed relationship: “It’s not you, it’s … no wait, it’s not me, either. It just is what it is.” Not surprisingly, estimates of recurrence of symptoms range from a half to two-thirds of all cases, making this one of the most common conditions that a neurologist will face, again and again.

Close friendships, Gandhi says, are dangerous, because “friends react on one another” and through loyalty to a friend one can be led into wrong-doing. This is unquestionably true. Moreover, if one is to love God, or to love humanity as a whole, one cannot give one's preference to any individual person. This again is true, and it marks the point at which the humanistic and the religious attitude cease to be reconcilable. To an ordinary human being, love means nothing if it does not mean loving some people more than others. The autobiography leaves it uncertain whether Gandhi behaved in an inconsiderate way to his wife and children, but at any rate it makes clear that on three occasions he was willing to let his wife or a child die rather than administer the animal food prescribed by the doctor. It is true that the threatened death never actually occurred, and also that Gandhi — with, one gathers, a good deal of moral pressure in the opposite direction — always gave the patient the choice of staying alive at the price of committing a sin: still, if the decision had been solely his own, he would have forbidden the animal food, whatever the risks might be. There must, he says, be some limit to what we will do in order to remain alive, and the limit is well on this side of chicken broth. This attitude is perhaps a noble one, but, in the sense which — I think — most people would give to the word, it is inhuman. The essence of being human is that one does not seek perfection, that one is sometimes willing to commit sins for the sake of loyalty, that one does not push asceticism to the point where it makes friendly intercourse impossible, and that one is prepared in the end to be defeated and broken up by life, which is the inevitable price of fastening one's love upon other human individuals. No doubt alcohol, tobacco, and so forth, are things that a saint must avoid, but sainthood is also a thing that human beings must avoid. There is an obvious retort to this, but one should be wary about making it. In this yogi-ridden age, it is too readily assumed that “non-attachment” is not only better than a full acceptance of earthly life, but that the ordinary man only rejects it because it is too difficult: in other words, that the average human being is a failed saint. It is doubtful whether this is true. Many people genuinely do not wish to be saints, and it is probable that some who achieve or aspire to sainthood have never felt much temptation to be human beings. If one could follow it to its psychological roots, one would, I believe, find that the main motive for “non-attachment” is a desire to escape from the pain of living, and above all from love, which, sexual or non-sexual, is hard work. But it is not necessary here to argue whether the other-worldly or the humanistic ideal is “higher”. The point is that they are incompatible. One must choose between God and Man, and all “radicals” and “progressives”, from the mildest Liberal to the most extreme Anarchist, have in effect chosen Man.

Why is it,” he asked instead, “that if I kept livestock in my home, people would say I was ignorant or daft, but if a pig wanders freely in the mansion of an earl, it’s called eccentric?” “There are three things that everyone expects of an aristocrat,” the valet replied, tugging firmly at the pig’s collar. “A country house, and a weak chin, and eccentricity.” He pushed and pulled at the pig with increasing determination, but the creature only sat more heavily. “I vow,” the valet wheezed, budging him only an inch at a time, “I’ll have you turned into sausage and collops by tomorrow’s breakfast!” Ignoring the determined valet, the pig stared up at Rhys with patient, hopeful eyes. “Quincy,” Rhys said, “look sharp.” He picked up a bread roll from his plate and tossed it casually in the air. The valet caught it deftly in a white-gloved hand. “Thank you, sir.” As he walked to the door with the bread in hand, the pig trotted after him. Rhys watched with a faint smile. “Desire,” he said, “is always better motivation than fear. Remember that, Quincy.

These Things, whose essential life want to express, first ask you, “Are you free? Are you prepared to devote all your love to me, to lie with me as St. Julian the Hospitaller lay beside the leper, giving him the supreme embrace which no simple, fleeting love of one’s neighbor could accomplish, because its motive is love, the whole of love, all the love that exists on earth.” And if the Thing sees that you are otherwise occupied, with even a particle of your interest, it shuts itself off; it may perhaps give you some slight sign of friendship, a word, or a nod, but it will never give you its heart, entrust you with its patient being, its sweet sidereal constancy, which makes it so like the constellations in the sky. In order for a Thing to speak to you, you must regard it for a certain time as the only one that exists, as the one and only phenomenon, which through your laborious and exclusive love is now placed at the center of the universe, and which, in that incomparable place, is on that day attended by angels." —from letter to Baladine Klossowska, (December 16, 1920)

Leadership is about having clear & grand vision, taking initiatives, possessing courage to question the status quo, ability to set large goals, consistently inspire self & others towards those goals, being self motivated and capability to motivate others, being spirited & strong to surmount any obstacle on the path, humility & openness to listen and learn from others, strength to stand for what he believes is right, while being flexible enough to revisit & review his beliefs, ability to organize & shift paradigms of his own & others, ability to attract, retain, develop & work with bigger leaders than himself, ability to trust others & being trust worthy , to think big & not petty, being above self, kind & giving, ability to sacrifice for others and to be bereft of insecurities & suspicion, ability to take risks, learn from both success & failure, being able to forget & forgive mistakes and mishaps of others, being focused, patient & persistent, to possess an amazing ability to be simple & easy to understand, to communicate & express with clarity and above all, being human.

MET therapists build up motivation by encouraging their patients to talk about their healthy desires. There’s an old saying: “We don’t believe what we hear, we believe what we say.” For example, if you give someone a lecture on the importance of honesty, then have them play a game in which cheating is rewarded, you’ll probably find that the lecture had little effect. On the other hand, if you ask someone to give you a lecture on the importance of honesty, they will be less likely to cheat when they sit down to play the game. MET is a little manipulative. When the patient makes a statement the therapist likes, referred to as a pro-change statement, such as, “Sometimes I have trouble getting to work on time after a night of heavy drinking,” the therapist responds with positive reinforcement, or a request to “tell me more about that.” On the other hand, if the patient makes an anti-change statement, such as, “I work hard all day, and I deserve to relax in the evening with a few martinis,” the therapist doesn’t argue, because that would provoke more anti-change statements as the debate goes back and forth. Instead, she simply changes the subject. Patients usually don’t notice what’s going on, so the technique slips past their conscious defenses,

It would be a mistake to imagine that drug companies are the only people applying pressure for fast approvals. Patients can also feel they are being deprived of access to drugs, especially if they are desperate. In fact, in the 1980s and 1990s the key public drive for faster approvals came from an alliance forged between drug companies and AIDS activists such as ACT UP. At the time, HIV and AIDS had suddenly appeared out of nowhere, and young, previously healthy gay men were falling ill and dying in terrifying numbers, with no treatment available. We don’t care, they explained, if the drugs that are currently being researched for effectiveness might kill us: we want them, because we’re dying anyway. Losing a couple of months of life because a currently unapproved drug turned out to be dangerous was nothing, compared to a shot at a normal lifespan. In an extreme form, the HIV-positive community was exemplifying the very best motivations that drive people to participate in clinical trials: they were prepared to take a risk, in the hope of finding better treatments for themselves or others like them in the future. To achieve this goal they blocked traffic on Wall Street, marched on the FDA headquarters in Rockville, Maryland, and campaigned tirelessly for faster approvals.

The fruit of the Spirit is evidence that the kingdom of God is at hand: “For the kingdom of God is…righteousness and peace and joy in the Holy Spirit” (Rom. 14:17). When Jesus rules, righteousness, peace, and joy are evidence His kingdom has come. When we have love, peace, and joy in our heart, we know we’re operating out of the right kingdom: “The kingdom of God is within” (Luke 17:21). The love chapter of the Bible, 1 Corinthians 13, describes how we should allow God’s love to work through us: “Love is patient, love is kind” (1 Cor. 13:4 NASB). Paul writes in regard to the fruit of the Spirit: “The fruit of the Spirit is love, joy, peace, patience, kindness, goodness, faithfulness, gentleness, self-control; against such things there is no law” (Gal. 5:22-23 NASB). Notice that the word fruit is singular. Love is one fruit. In Galatians 5:22-23, the love of God is described as one fruit with nine different expressions. One Fruit: Love Joy is love rejoicing Peace is love resting Patience is love enduring Kindness is love caring Goodness is love motivating Faithfulness (faith) is love trusting Gentleness is love esteeming others (see Phil. 1:3) Self-control is love restraining (power under control) But we all, with unveiled face, beholding as in a mirror the glory of the Lord, are being transformed into the same image from glory to glory, just as by the Spirit of the Lord (2 Corinthians 3:18). The fruit of the Spirit is one fruit with nine expressions.

Cohen continued to struggle with his own well-being. Even though he had achieved his life’s dream of running his own firm, he was still unhappy, and he had become dependent on a psychiatrist named Ari Kiev to help him manage his moods. In addition to treating depression, Kiev’s other area of expertise was success and how to achieve it. He had worked as a psychiatrist and coach with Olympic basketball players and rowers trying to improve their performance and overcome their fear of failure. His background building athletic champions appealed to Cohen’s unrelenting need to dominate in every transaction he entered into, and he started asking Kiev to spend entire days at SAC’s offices, tending to his staff. Kiev was tall, with a bushy mustache and a portly midsection, and he would often appear silently at a trader’s side and ask him how he was feeling. Sometimes the trader would be so startled to see Kiev there he’d practically jump out of his seat. Cohen asked Kiev to give motivational speeches to his employees, to help them get over their anxieties about losing money. Basically, Kiev was there to teach them to be ruthless. Once a week, after the market closed, Cohen’s traders would gather in a conference room and Kiev would lead them through group therapy sessions focused on how to make them more comfortable with risk. Kiev had them talk about their trades and try to understand why some had gone well and others hadn’t. “Are you really motivated to make as much money as you can? This guy’s going to help you become a real killer at it,” was how one skeptical staff member remembered Kiev being pitched to them. Kiev’s work with Olympians had led him to believe that the thing that blocked most people was fear. You might have two investors with the same amount of money: One was prepared to buy 250,000 shares of a stock they liked, while the other wasn’t. Why? Kiev believed that the reluctance was a form of anxiety—and that it could be overcome with proper treatment. Kiev would ask the traders to close their eyes and visualize themselves making trades and generating profits. “Surrendering to the moment” and “speaking the truth” were some of his favorite phrases. “Why weren’t you bigger in the trades that worked? What did you do right?” he’d ask. “Being preoccupied with not losing interferes with winning,” he would say. “Trading not to lose is not a good strategy. You need to trade to win.” Many of the traders hated the group therapy sessions. Some considered Kiev a fraud. “Ari was very aggressive,” said one. “He liked money.” Patricia, Cohen’s first wife, was suspicious of Kiev’s motives and believed that he was using his sessions with Cohen to find stock tips. From Kiev’s perspective, he found the perfect client in Cohen, a patient with unlimited resources who could pay enormous fees and whose reputation as one of the best traders on Wall Street could help Kiev realize his own goal of becoming a bestselling author. Being able to say that you were the

Not every conflict is necessarily neurotic; some amount of conflict is normal and healthy. In a similar sense suffering is not always a pathological phenomenon; rather than being a symptom of neurosis, suffering may well be a human achievement, especially if the suffering grows out of existential frustration. I would strictly deny that one's search or a meaning to his existence, or even his doubt of it, in every case is derived from, or results in, any disease. Existential frustration is neither pathological or pathogenic. A man's concern, even his despair, over the worthwhileness of life is an existential distress but by no means a mental disease. it may well be that interpreting the first in terms of the latter motivates a doctor to bury his patient's existential despair under a heap of tranquilizing drugs. It is his task, rather, to pilot the patient through his existential crises of growth and development. Logotherapy regards its assignment as that of assisting the patient to find meaning in his life. Inasmuch as logotherapy makes him aware of the hidden logos of his existence, it is an analytical process. To this extent, logotherapy resembles psychoanalysis. However, in logotherapy's attempt to make something conscious again it does not restrict its activity to instinctual facts within the individual's unconscious bu also cares for existential realities, such as the potential meaning of his existence to be fulfilled as well as his will to meaning. Any analysis, however, even when it refrains from including the noological dimension in its therapeutic process, tries to make the patient aware of what he actually longs for in the depth of his being. Logotherapy deviates from psychoanalysis insofar as it considers man a being whose main concern consists in fulfilling a meaning, rather than in the mere gratification and satisfaction of drives and instincts, or in merely reconciling the conflict claims of id, ego and supergo, or in the mere adaptation and adjustment to society and environment.

The end is a mystery, therefore think and act well now! Be robust, be focused and run the race with tenacity! When you fall, arise, learn the lessons and use them well! Learn everyday for life is an arena for learning! No one can ever be perfect! When you are speeding, be careful, for excessive speed can sometimes be dangerous, though it can get you to your journey’s end faster, and it can also make you avoid certain attacks! Sometimes the best things come delayed; when there are delays, be patient and wait, for not all things that delay are dead; time will speak with time! When it is going smoothly, watch out never to let comfort lead you astray, for because of comfort, so many people are not who they were truly meant to be, and they are in wrong tracks to an end of no glory! When darkness comes, remember life is about day and night! When day comes, note that darkness puts people to sleep; use the day well then whilst you have it! No day stays forever and no night is ever permanent! Never rejoice because someone falls during the day for you do not know what will happen to you in the night! Serendipity exists, but try your very best to do all you can to ensure that you never faint nor fall, for life is a battle! Stand for what is a must and do what is truly needed to be done! Be vigilant enough never to slumber nor be trapped in another track! Guard your tongue, for no one can hear it until you say it! Mind your actions, for it is the oil that keeps your lamps brighter for a good journey! Mind your mind for it is an engine for life, and a good remote control that controls the entire body to a good or a bad end! Guard your heart, for it is the house of your being! Remember, however in all things that human strength, efforts, wisdom and understanding is always limited! Ask God therefore for that little insight and understanding to get to your journey’s end successfully with a successful story so as to win that awesome praises from His angels! You are here for a purpose! We shall all meet the end, but how we shall meet it is truly a mystery! As you take the journey, mind the end!

Less is more. “A few extremely well-chosen objectives,” Grove wrote, “impart a clear message about what we say ‘yes’ to and what we say ‘no’ to.” A limit of three to five OKRs per cycle leads companies, teams, and individuals to choose what matters most. In general, each objective should be tied to five or fewer key results. (See chapter 4, “Superpower #1: Focus and Commit to Priorities.”) Set goals from the bottom up. To promote engagement, teams and individuals should be encouraged to create roughly half of their own OKRs, in consultation with managers. When all goals are set top-down, motivation is corroded. (See chapter 7, “Superpower #2: Align and Connect for Teamwork.”) No dictating. OKRs are a cooperative social contract to establish priorities and define how progress will be measured. Even after company objectives are closed to debate, their key results continue to be negotiated. Collective agreement is essential to maximum goal achievement. (See chapter 7, “Superpower #2: Align and Connect for Teamwork.”) Stay flexible. If the climate has changed and an objective no longer seems practical or relevant as written, key results can be modified or even discarded mid-cycle. (See chapter 10, “Superpower #3: Track for Accountability.”) Dare to fail. “Output will tend to be greater,” Grove wrote, “when everybody strives for a level of achievement beyond [their] immediate grasp. . . . Such goal-setting is extremely important if what you want is peak performance from yourself and your subordinates.” While certain operational objectives must be met in full, aspirational OKRs should be uncomfortable and possibly unattainable. “Stretched goals,” as Grove called them, push organizations to new heights. (See chapter 12, “Superpower #4: Stretch for Amazing.”) A tool, not a weapon. The OKR system, Grove wrote, “is meant to pace a person—to put a stopwatch in his own hand so he can gauge his own performance. It is not a legal document upon which to base a performance review.” To encourage risk taking and prevent sandbagging, OKRs and bonuses are best kept separate. (See chapter 15, “Continuous Performance Management: OKRs and CFRs.”) Be patient; be resolute. Every process requires trial and error. As Grove told his iOPEC students, Intel “stumbled a lot of times” after adopting OKRs: “We didn’t fully understand the principal purpose of it. And we are kind of doing better with it as time goes on.” An organization may need up to four or five quarterly cycles to fully embrace the system, and even more than that to build mature goal muscle.