Prevention Is Key Quotes

The key to a successful relationship isn’t just in the words, it’s in the choice of punctuation. When you’re in love with someone, a well-placed question mark can be the difference between bliss and disaster, and a deeply respected period or a cleverly inserted ellipsis can prevent all kinds of exclamations.

All depression has its roots in self-pity, and all self-pity is rooted in people taking themselves too seriously.” At the time Switters had disputed her assertion. Even at seventeen, he was aware that depression could have chemical causes. “The key word here is roots,” Maestra had countered. “The roots of depression. For most people, self-awareness and self-pity blossom simultaneously in early adolescence. It's about that time that we start viewing the world as something other than a whoop-de-doo playground, we start to experience personally how threatening it can be, how cruel and unjust. At the very moment when we become, for the first time, both introspective and socially conscientious, we receive the bad news that the world, by and large, doesn't give a rat's ass. Even an old tomato like me can recall how painful, scary, and disillusioning that realization was. So, there's a tendency, then, to slip into rage and self-pity, which if indulged, can fester into bouts of depression.” “Yeah but Maestra—” “Don't interrupt. Now, unless someone stronger and wiser—a friend, a parent, a novelist, filmmaker, teacher, or musician—can josh us out of it, can elevate us and show us how petty and pompous and monumentally useless it is to take ourselves so seriously, then depression can become a habit, which, in tern, can produce a neurological imprint. Are you with me? Gradually, our brain chemistry becomes conditioned to react to negative stimuli in a particular, predictable way. One thing'll go wrong and it'll automatically switch on its blender and mix us that black cocktail, the ol’ doomsday daiquiri, and before we know it, we’re soused to the gills from the inside out. Once depression has become electrochemically integrated, it can be extremely difficult to philosophically or psychologically override it; by then it's playing by physical rules, a whole different ball game. That's why, Switters my dearest, every time you've shown signs of feeling sorry for yourself, I've played my blues records really loud or read to you from The Horse’s Mouth. And that’s why when you’ve exhibited the slightest tendency toward self-importance, I’ve reminded you that you and me— you and I: excuse me—may be every bit as important as the President or the pope or the biggest prime-time icon in Hollywood, but none of us is much more than a pimple on the ass-end of creation, so let’s not get carried away with ourselves. Preventive medicine, boy. It’s preventive medicine.” “But what about self-esteem?” “Heh! Self-esteem is for sissies. Accept that you’re a pimple and try to keep a lively sense of humor about it. That way lies grace—and maybe even glory.

What is family? They were the people who claimed you. In good, in bad, in parts or in whole, they were the ones who showed up, who stayed in there, regardless. It wasn't just about blood relations or shared chromosomes, but something wider, bigger. Cora was right- we had many families over time. Our family of origin, the family we created, as well as the groups you moved through while all of this was happening: friends, lovers, sometimes even strangers. None of them were perfect, and we couldn't expect them to be. You couldn't make any one person your world. The trick was to take what each could give you and build a world from it. So my true family was not just my mom, lost or found; my dad, gone from the start; and Cora, the only one who had really been there all along. It was Jamie, who took me in without question and gave me a future I once couldn't even imagine; Oliva, who did question, but also gave me answers; Harriet, who, like me, believed she needed no one and discovered otherwise. And then there was Nate. Nate, who was a friend to me before I even knew what a friend was. Who picked me up, literally, over and over again, and never asked for anything in return except for my word and my understanding. I'd given him one but not the other, because at the time I thought I couldn't, and then proved myself right by doing exactly as my mother had, hurting to prevent from being hurt myself. Needing was so easy: it came naturally, like breathing. Being needed by someone else, though, that was the hard part. But as with giving help and accepting it, we had to do both to be made complete- like links overlapping to form a chain, or a lock finding the right key. ~Ruby (pgs 400-401)

I draw a line down the middle of a chalkboard, sketching a male symbol on one side and a female symbol on the other. Then I ask just the men: What steps do you guys take, on a daily basis, to prevent yourselves from being sexually assaulted? At first there is a kind of awkward silence as the men try to figure out if they've been asked a trick question. The silence gives way to a smattering of nervous laughter. Occasionally, a young a guy will raise his hand and say, 'I stay out of prison.' This is typically followed by another moment of laughter, before someone finally raises his hand and soberly states, 'Nothing. I don't think about it.' Then I ask women the same question. What steps do you take on a daily basis to prevent yourselves from being sexually assaulted? Women throughout the audience immediately start raising their hands. As the men sit in stunned silence, the women recount safety precautions they take as part of their daily routine. Here are some of their answers: Hold my keys as a potential weapon. Look in the back seat of the car before getting in. Carry a cell phone. Don't go jogging at night. Lock all the windows when I sleep, even on hot summer nights. Be careful not to drink too much. Don't put my drink down and come back to it; make sure I see it being poured. Own a big dog. Carry Mace or pepper spray. Have an unlisted phone number. Have a man's voice on my answering machine. Park in well-lit areas. Don't use parking garages. Don't get on elevators with only one man, or with a group of men. Vary my route home from work. Watch what I wear. Don't use highway rest areas. Use a home alarm system. Don't wear headphones when jogging. Avoid forests or wooded areas, even in the daytime. Don't take a first-floor apartment. Go out in groups. Own a firearm. Meet men on first dates in public places. Make sure to have a car or cab fare. Don't make eye contact with men on the street. Make assertive eye contact with men on the street.

...suddenly I was afraid of what Father would say. Afraid he would say, "There'll be someone else soon," and that forever afterward this untruth would lie between us. For in some deep part of me I knew already that there would not--soon or ever--be anyone else. The sweet cigar-smell came into the room with Father. And of course he did not say the false, idle words. "Corrie," he began instead, "do you know what hurts so very much? It's love. Love is the strongest force in the world, and when it is blocked that means pain. "There are two things we can do when this happens. We can kill the love so that it stops hurting. But then of course part of us dies, too. Or, Corrie, we can ask God to open up another route for that love to travel. "God loves Karel--even more than you do--and if you ask Him, He will give you His love for this man, a love nothing can prevent, nothing destroy. Whenever we cannot love in the old, human way, Corrie, God can give us his perfect way." I did not know, as I listened to Father's footsteps winding back down the stairs, that he had given me more than the key to this hard moment. I did not know that he had put into my hands the secret that would open far darker rooms than this--places where there was not, on a human level, anything to love at all.

I think computers ought to have a key called I'M DRUNK, and when you push it, it prevents you from sending email for twelve hours. I've got another one: a key called FUCK OFF. You press it every time your computer does something annoying -- in turn this would somehow force your computer to experience pain. And if you pushed SHIFT/FUCK OFF, you'd end up with FUCK OFF AND DIE, the computer equivalent of a razor being raked across your nipples.

Please," Kendra said. "Think of all the lives that will be destroyed." "I have," Mark said. "Believe me, darling, I grasp all aspects of this, I really do. But how much has the public I'm protecting worried about me? My sanity, my happiness, my right to find peace?" "They made no promises," Bracken said. "They are not preventing the end of the world. Those who know about your sacrifice appreciate you immeasurably. Your life may not be fair, but it is absolutely necessary.

The key to the proper treatment of type 2 diabetes is to get rid of the excess sugar, not just move it around the body. The problem is both too much glucose and too much insulin.

Human life is sacred: this means that each and every human being has been set apart for designation as a being of elevated status and dignity. Each human being must therefore be viewed with reverence and treated with due respect and care, with special attention to preventing any desecration or violation of a human being.

Knowing the Techniques of Survival........ Our fears and anxieties will often drive us to build impenetrable walls that act like blinders deflecting others and preventing us from seeing who surrounds us. Getting focused to the things that matter are the Key to what has to be to COMPLETE our MISSION. "I Had Every Excuse to Fail but I Chose None" Speak Life!!! (sky)

Conservatives, who have presumed that the key to preventing AIDS is abstinence-only education, and liberals, who have focused on distribution of condoms, should both note that the intervention that has tested most cost-effective in Africa is neither... Secular bleeding hearts and religious bleeding hearts will have to forge a common cause.

If we want to prevent the concentration of all wealth and power in the hands of a small elite, the key is to regulate the ownership of data.

One key to happiness, then, is to forestall the adaptation process: We need to take steps to prevent ourselves from taking for granted, once we get them, the things we worked so hard to get.

Yet the average white person also has a responsibility. He has to resist the impulse to seize upon the rioter as the exclusive villain. He has to rise up with indignation against his own municipal, state and national governments to demand that the necessary reforms be instituted which alone will protect him. If he reserves his resentment only for the Negro, he will be the victim by allowing those who have the greatest culpability to evade responsibility. Social justice and progress are the absolute guarantors of riot prevention. There is no other answer. Constructive social change will bring certain tranquillity; evasions will merely encourage turmoil. Negroes hold only one key to the double lock of peaceful change. The other is in the hands of the white community.

The rule apparently is – once a social revolution takes place there’s no need to stoke the boiler. But I ask you: why, when this whole business started, should everybody suddenly start clumping up and down the marble staircase in dirty galoshes and felt boots? Why must we now keep our galoshes under lock and key? And put a soldier on guard over them to prevent them from being stolen? Why has the carpet been removed from the front staircase? Did Marx forbid people to keep their staircases carpeted? Did Karl Marx say anywhere that the front door of No. 2 Kalabukhov House in Prechistenka Street must be boarded up so that people have to go round and come in by the back door? What good does it do anybody? Why can’t the proletarians leave their galoshes downstairs instead of dirtying the staircase?’ ‘But the proletarians don’t have any galoshes, Philip Philipovich,’ stammered the doctor.

While the pathology of stroke and Alzheimer’s are different, one key factor unites them: Mounting evidence suggests that a healthy diet may help prevent them both.

Today it's widely understood that one of the most important factors in preventing and addressing toxic stress in children is healthy social connection.

Another savage trait of our time is the disposition to talk about material substances instead of about ideas. The old civilisation talked about the sin of gluttony or excess. We talk about the Problem of Drink--as if drink could be a problem. When people have come to call the problem of human intemperance the Problem of Drink, and to talk about curing it by attacking the drink traffic, they have reached quite a dim stage of barbarism. The thing is an inverted form of fetish worship; it is no sillier to say that a bottle is a god than to say that a bottle is a devil. The people who talk about the curse of drink will probably progress down that dark hill. In a little while we shall have them calling the practice of wife-beating the Problem of Pokers; the habit of housebreaking will be called the Problem of the Skeleton-Key Trade; and for all I know they may try to prevent forgery by shutting up all the stationers' shops by Act of Parliament.

This is a key to understanding our history and psychology. Genus Homo’s position in the food chain was, until quite recently, solidly in the middle. For millions of years, humans hunted smaller creatures and gathered what they could, all the while being hunted by larger predators. It was only 400,000 years ago that several species of man began to hunt large game on a regular basis, and only in the last 100,000 years – with the rise of Homo sapiens – that man jumped to the top of the food chain. That spectacular leap from the middle to the top had enormous consequences. Other animals at the top of the pyramid, such as lions and sharks, evolved into that position very gradually, over millions of years. This enabled the ecosystem to develop checks and balances that prevent lions and sharks from wreaking too much havoc. As lions became deadlier, so gazelles evolved to run faster, hyenas to cooperate better, and rhinoceroses to be more bad-tempered. In contrast, humankind ascended to the top so quickly that the ecosystem was not given time to adjust. Moreover, humans themselves failed to adjust. Most top predators of the planet are majestic creatures. Millions of years of dominion have filled them with self-confidence. Sapiens by contrast is more like a banana republic dictator. Having so recently been one of the underdogs of the savannah, we are full of fears and anxieties over our position, which makes us doubly cruel and dangerous. Many historical calamities, from deadly wars to ecological catastrophes, have resulted from this over-hasty jump.

For the mass prevention of disease, mass education is a key weapon.

Metabolic syndrome, of which obesity and type 2 diabetes are a key part, are ultimately caused by—you guessed it—too much sugar.

Often what prevents us from seeing beauty in the outside world is the fact that we fail to see beauty in ourselves and other people. Forgiveness is the key that can unlock this door for us.

We are not paying taxes, we are investing in our society. We are purchasing quality of life. The key to understanding the high levels of well-being in Denmark is the welfare model’s ability to reduce risk, uncertainty, and anxiety among its citizens and to prevent extreme unhappiness.

Grace knocks us flat, preventing any form of self-congratulation. All the good we achieve is to be attributed to God rather than to ourselves. What makes our lives good is not anything we are ourselves but the presence within us of what we are not, a divine presence never ours by right because never ours by nature. All the glory for the good we exhibit in our lives should therefore be reserved for God.

It turns out that the key to capturing ace and allo experience alike is explaining sexual attraction via negativa, or explaining what it is not and what a lack of sexual attraction does not prevent us from doing.

The key venue for freewheeling discourse was the Monday morning executive team gathering, which started at 9 and went for three or four hours. The focus was always on the future: What should each product do next? What new things should be developed? Jobs used the meeting to enforce a sense of shared mission at Apple. This served to centralize control, which made the company seem as tightly integrated as a good Apple product, and prevented the struggles between divisions that plagued decentralized companies.

Often, it isn’t what you do that prevents success or happiness, but what you don’t do. It’s the missed opportunities that arise from being so focused and absorbed in your own self-pity that keep you from experiencing joy and making the most of the precious time you have.

A stable wormhole is therefore a balancing act, and the key is to maintain the right mixture of positive and negative energy. You need lots of positive energy to naturally create the gateway between universes, as with a black hole. But you also need to create negative matter or energy artificially to keep the gateway open and prevent a collapse.

Faith without works is dead“If you were guaranteed success, what would you do with your life?” Another way to frame it is, “If you already had all the fame, fortune, and power you could ever want, what would you do with your life?” The answers to these questions hold the keys to the purpose of your life. . Action, finally, is the true religion. By taking this bold step, regardless of outcome, you’re sending yourself a message that your dream is real. You’re cutting a new groove in consciousness that says you will no longer be held back by fear or perceived limitation. You’re setting the law of freedom in motion, allowing it to gain momentum, until you won’t be able to prevent your progress even if you tried!

a community able to express itself openly, without fear, whether in the mosque or elsewhere, should be a key element in efforts to prevent terrorism.

The superego, Freud wrote, is the “mischief maker which prevents the ego’s coming to a friendly understanding with the instincts.” It

There is no medicine you can take that will replace what you can do for your own health.

The key to most start-up successes is seeing a need and filling it.

Life energy is the key to health. It prevents and cures diseases. Longevity is consistent care of life energy.

When you eat mostly high-nutrient foods, the body ages slower and is armed to prevent and reverse many common illnesses. The natural self-healing and self-repairing ability that is hibernating in your body wakes up and takes over, and diseases disappear. A nutrient-rich menu of green vegetables, berries, beans, mushrooms, onions, seeds, and other natural foods is the key to achieving optimal weight and health.

The strategy of Fabius was not merely an evasion of battle to gain time, but calculated for its effect on the morale of the enemy-and, still more, for its effect on their potential allies. It was thus primarily a matter of war-policy, or grand strategy. Fabius recognized Hannibal's military superiority too well to risk a military decision. While seeking to avoid this, he aimed by military pin-pricks to wear down the invaders' endurance and, coincidentally, prevent their strength being recruited from the Italian cities or their Carthaginian base. The key condition of the strategy by which this grand strategy was carried out was that the Roman army should keep always to the hills, so as to nullify Hannibal's decisive superiority in cavalry. Thus this phase became a duel between the Hannibalic and the Fabian forms of the indirect approach.

When researchers looked at all the possible means of preventing infant and young child death they found that improving breastfeeding practices could prevent more deaths than any other single strategy; even more than such key benefits as the provision of safe water, sanitation, immunisation and medical services.

As more and more data flows from your body and brain to the smart machines via the biometric sensors, it will become easy for corporations and government agencies to know you, manipulate you, and make decisions on your behalf. Even more importantly, they could decipher the deep mechanisms of all bodies and brains, and thereby gain the power to engineer life. If we want to prevent a small elite from monopolising such godlike powers, and if we want to prevent humankind from splitting into biological castes, the key question is: who owns the data? Does the data about my DNA, my brain and my life belong to me, to the government, to a corporation, or to the human collective?

We had better want the consequences of what we believe or disbelieve, because the consequences will come! . . . But how can a society set priorities if there are no basic standards? Are we to make our calculations using only the arithmetic of appetite? . . . The basic strands which have bound us together socially have begun to fray, and some of them have snapped. Even more pressure is then placed upon the remaining strands. The fact that the giving way is gradual will not prevent it from becoming total. . . . Given the tremendous asset that the family is, we must do all we can within constitutional constraints to protect it from predatory things like homosexuality and pornography. . . . Our whole republic rests upon the notion of “obedience to the unenforceable,” upon a tremendous emphasis on inner controls through self-discipline. . . . Different beliefs do make for different behaviors; what we think does affect our actions; concepts do have consequences. . . . Once society loses its capacity to declare that some things are wrong per se, then it finds itself forever building temporary defenses, revising rationales, drawing new lines—but forever falling back and losing its nerve. A society which permits anything will eventually lose everything! Take away a consciousness of eternity and see how differently time is spent. Take away an acknowledgement of divine design in the structure of life and then watch the mindless scurrying to redesign human systems to make life pain-free and pleasure-filled. Take away regard for the divinity in one’s neighbor, and watch the drop in our regard for his property. Take away basic moral standards and observe how quickly tolerance changes into permissiveness. Take away the sacred sense of belonging to a family or community, and observe how quickly citizens cease to care for big cities. Those of us who are business-oriented are quick to look for the bottom line in our endeavors. In the case of a value-free society, the bottom line is clear—the costs are prohibitive! A value-free society eventually imprisons its inhabitants. It also ends up doing indirectly what most of its inhabitants would never have agreed to do directly—at least initially. Can we turn such trends around? There is still a wealth of wisdom in the people of this good land, even though such wisdom is often mute and in search of leadership. People can often feel in their bones the wrongness of things, long before pollsters pick up such attitudes or before such attitudes are expressed in the ballot box. But it will take leadership and articulate assertion of basic values in all places and in personal behavior to back up such assertions. Even then, time and the tides are against us, so that courage will be a key ingredient. It will take the same kind of spunk the Spartans displayed at Thermopylae when they tenaciously held a small mountain pass against overwhelming numbers of Persians. The Persians could not dislodge the Spartans and sent emissaries forward to threaten what would happen if the Spartans did not surrender. The Spartans were told that if they did not give up, the Persians had so many archers in their army that they would darken the skies with their arrows. The Spartans said simply: “So much the better, we will fight in the shade!

Positive reputation management. I Googled your name, and a few obnoxious articles popu up. I work with the leading reputation management company that can backlink to the positive articles to make a "firewall" which prevents negative pieces from ranking well on Google. Your first page of Google is key as 95% never go beyond the first Google page. Let's improve this. Easy to do.

The herb ephedra has been used in China and India for five thousand years as a stimulant for cold and flu sufferers. Later known as Mormon tea, ephedra is now synthesized as pseudoephedrine and is found in many marketed cold remedies. (Unfortunately, it's also a key ingredient in the illicit manufacture of highly addictive and destructive methamphetamine.) Quinine, from the bark of the rain forest tree, Cinchona ledgeriana, is an effective preventive to malaria, one of the greatest killers of humanity, with up to one million deaths per year. The heart drug, dioxin, is synthesized from the foxglove flower. Aspirin's principle ingredients were recognized in willow bark by Hippocrates around 400 BCE. It was named and marketed by Bayer in 1899 and is still one of the biggest selling drugs in the world.

WHAT’S GOOD FOR THE HEART IS GOOD FOR THE BRAIN. That is, vascular health (meaning low apoB, low inflammation, and low oxidative stress) is crucial to brain health. WHAT’S GOOD FOR THE LIVER (AND PANCREAS) IS GOOD FOR THE BRAIN. Metabolic health is crucial to brain health. TIME IS KEY. We need to think about prevention early, and the more the deck is stacked against you genetically, the harder you need to work and the sooner you need to start. As with cardiovascular disease, we need to play a very long game. OUR MOST POWERFUL TOOL FOR PREVENTING COGNITIVE DECLINE IS EXERCISE. We’ve talked a lot about diet and metabolism, but exercise appears to act in multiple ways (vascular, metabolic) to preserve brain health; we’ll get into more detail in Part III, but exercise—lots of it—is a foundation of our Alzheimer’s-prevention program.

Aside from what I feel to be the intrinsic interest of questions that are so fundamental and deep, I would, in this connection, call attention to the general problem of fragmentation of human consciousness, which is discussed in chapter 1. It is proposed there that the widespread and pervasive distinctions between people (race, nation, family, profession, etc., etc.), which are now preventing mankind from working together for the common good, and indeed, even for survival, have one of the key factors of their origin in a kind of thought that treats things as inherently divided, disconnected, and ‘broken up’ into yet smaller constituent parts. Each part is considered to be essentially independent and self-existent. When man thinks of himself in this way, he will inevitably tend to defend the needs of his own ‘Ego’ against those of the others; or, if he identifies with a group of people of the same kind, he will defend this group in a similar way. He cannot seriously think of mankind as the basic reality, whose claims come first. Even if he does try to consider the needs of mankind he tends to regard humanity as separate from nature, and so on. What I am proposing here is that man’s general way of thinking of the totality, i.e. his general world view, is crucial for overall order of the human mind itself. If he thinks of the totality as constituted of independent fragments, then that is how his mind will tend to operate, but if he can include everything coherently and harmoniously in an overall whole that is undivided, unbroken, and without a border (for every border is a division or break) then his mind will tend to move in a similar way, and from this will flow an orderly action within the whole.

No one achieves excellence or enlightenment without a desire to get better, without a tendency to explore potential areas of improvement. Yet the desire—or the need—for more is often at odds with happiness. Billie Jean King, the tennis great, has spoken about this, about how the mentality that gets an athlete to the top so often prevents them from enjoying the thing they worked so hard for. The need for progress can be the enemy of enjoying the process.

At the Shadow level of awareness change is all you really want, but true change is denied you. It is because you want to change that you cannot change. The 43rd Shadow of Deafness is what prevents you from hearing this simplest of truths. In this sense, deafness is the inability to hear what is going on inside you. Because the Shadow frequency is a field of fear created by human beings, you cannot hear the truth inside you due to the white noise generated by the sub-acoustic aura of humanity.

A woman of Samaria approached, and seeming unconscious of His presence, filled her pitcher with water. As she turned to go away, Jesus asked her for a drink. Such a favor no Oriental would withhold. In the East, water was called “the gift of God.” To offer a drink to the thirsty traveler was held to be a duty so sacred that the Arabs of [184] the desert would go out of their way in order to perform it. The hatred between Jews and Samaritans prevented the woman from offering a kindness to Jesus; but the Saviour was seeking to find the key to this heart, and with the tact born of divine love, He asked, not offered, a favor. The offer of a kindness might have been rejected; but trust awakens trust. The King of heaven came to this outcast soul, asking a service at her hands. He who made the ocean, who controls the waters of the great deep, who opened the springs and channels of the earth, rested from His weariness at Jacob’s well, and was dependent upon a stranger’s kindness for even the gift of a drink of water. The

The bottom line: the very best sexuality education at home and in schools is not about prevention, but about creation. Its purpose is to teach young people how to create for themselves enjoyable, caring, and responsible sexual lives. That's the key to healthy development, and also to your becoming your children's most trusted "go-to" person. When young people know that we care most about their long-term well-being --not just keeping them out of trouble-- they see us as trusted guides they can come to us time and time again.

God loves Karel—even more than you do—and if you ask Him, He will give you His love for this man, a love nothing can prevent, nothing destroy. Whenever we cannot love in the old, human way, Corrie, God can give us the perfect way.” I did not know, as I listened to Father’s footsteps winding back down the stairs, that he had given me more than the key to this hard moment. I did not know that he had put into my hands the secret that would open far darker rooms than this—places where there was not, on a human level, anything to love at all.

The key stone of Westem civilization is the sphere of spontaneous action it secures to the individual. There have always been attempts to curb the individuais initiative, but the power of the persecutors and inquisitors has not been absolute. It could not prevent the rise of Greek philosophy and its Roman offshoot or the development of modem science and philosophy. Driven by their inborn genius, pioneers have accomplished their work in spite of ali hostility and opposition. The innovator did not have to wait for invitation or order from anybody. He could step forward of his own accord and defy traditional teachings. In the orbit of ideas the West has by and large always enjoyed the blessings of freedom. Then came the emancipation of the individual in the field of business, an achievement of that new branch of philosophy, economics. A free hand was given to the enterprising man who knew how to enrich his fellows by improving the methods of production. A horn of plenty was poured upon the common men by the capitalistic business principie of mass production for the satisfaction of the needs of the masses.

What’s the mission? Planning begins with mission analysis. Leaders must identify clear directives for the team. Once they themselves understand the mission, they can impart this knowledge to their key leaders and frontline troops tasked with executing the mission. A broad and ambiguous mission results in lack of focus, ineffective execution, and mission creep. To prevent this, the mission must be carefully refined and simplified so that it is explicitly clear and specifically focused to achieve the greater strategic vision for which that mission is a part.

Had she been able to listen to her body, the true Virginia would certainly have spoken up. In order to do so, however, she needed someone to say to her: “Open your eyes! They didn’t protect you when you were in danger of losing your health and your mind, and now they refuse to see what has been done to you. How can you love them so much after all that?” No one offered that kind of support. Nor can anyone stand up to that kind of abuse alone, not even Virginia Woolf. Malcolm Ingram, the noted lecturer in psychological medicine, believed that Woolf’s “mental illness” had nothing to do with her childhood experiences, and her illness was genetically inherited from her family. Here is his opinion as quoted on the Virginia Woolf Web site: As a child she was sexually abused, but the extent and duration is difficult to establish. At worst she may have been sexually harassed and abused from the age of twelve to twenty-one by her [half-]brother George Duckworth, [fourteen] years her senior, and sexually exploited as early as six by her other [half-] brother… It is unlikely that the sexual abuse and her manic-depressive illness are related. However tempting it may be to relate the two, it must be more likely that, whatever her upbringing, her family history and genetic makeup were the determining factors in her mood swings rather than her unhappy childhood [italics added]. More relevant in her childhood experience is the long history of bereavements that punctuated her adolescence and precipitated her first depressions.3 Ingram’s text goes against my own interpretation and ignores a large volume of literature that deals with trauma and the effects of childhood abuse. Here we see how people minimize the importance of information that might cause pain or discomfort—such as childhood abuse—and blame psychiatric disorders on family history instead. Woolf must have felt keen frustration when seemingly intelligent and well-educated people attributed her condition to her mental history, denying the effects of significant childhood experiences. In the eyes of many she remained a woman possessed by “madness.” Nevertheless, the key to her condition lay tantalizingly close to the surface, so easily attainable, and yet neglected. I think that Woolf’s suicide could have been prevented if she had had an enlightened witness with whom she could have shared her feelings about the horrors inflicted on her at such an early age. But there was no one to turn to, and she considered Freud to be the expert on psychic disorders. Here she made a tragic mistake. His writings cast her into a state of severe uncertainty, and she preferred to despair of her own self rather than doubt the great father figure Sigmund Freud, who represented, as did her family, the system of values upheld by society, especially at the time.   UNFORTUNATELY,

Social: Alizé grew up in an environment that was contributing to lower blood flow in the brain. When she came to live with me and my wife, however, we surrounded her with people who live brain-healthy lives. It has inspired her to start adopting healthier habits that are boosting blood flow to her brain. Spiritual: For many people, like my grandfather, taking care of others takes precedence over taking care of themselves. Making your own health a priority may feel selfish, but making sure you are happy, healthy, and energetic is the key to being there for your family and friends.

For a psychiatrist who holds the keys to this “kingdom of the sick,” there is rarely comfort about committing a patient to care that they refuse. Yes, the near-term gain is clear, because treatments can control the symptoms and prevent a suicide. But the long-term gain is less clear. The gifted therapist Marsha Linehan, who was one of my advisors at NIMH, used to say that there is nothing worse that hospitalizing a suicidal patient. “When you commit a patient, you are saying they are hopeless. You are saying, ‘I can’t help you.’ A suicidal person does not need a locked unit. He needs a reason to live.

Skating along with the key details of his deal unresolved, Trump promoted it with great confidence. Here he exhibited many of the traits that social scientists would eventually ascribe to high achievers. First he set an ambitious goal. Then he focused on it relentlessly, devoting years of effort to the task and refusing to be deterred by obstacles that would have stopped someone with less confidence. Trump held a vivid image of the new hotel in his mind’s eye and refused any suggestion that his tender age, his lack of experience, or the conditions of the marketplace would prevent it from becoming real.

The language of caste may well seem foreign or unfamiliar to some. Public discussions about racial caste in America are relatively rare. We avoid talking about caste in our society because we are ashamed of our racial history. We also avoid talking about race. We even avoid talking about class. Conversations about class are resisted in part because there is a tendency to imagine that one's class reflects upon one's character. What is key to America's understanding of class is the persistent belief - despite all evidence to the contrary - that anyone, with the proper discipline and drive, can move from a lower class to a higher class. We recognize that mobility may be difficult, but the key to our collective self-image is the assumption that mobility is always possible, so failure to move up reflects on one's character. By extension, the failure of a race or ethnic group to move up reflects very poorly on the group as a whole. What is completely missed in the rare public debates today about the plight of African Americans is that a huge percentage of them are not free to move up at all. It is not just that they lack opportunity, attend poor schools, or are plagued by poverty. They are barred by law from doing so. And the major institutions with which they come into contact are designed to prevent their mobility. To put the matter starkly: The current system of control permanently locks a huge percentage of the African American community out of the mainstream society and economy. The system operates through our criminal justice institutions, but it functions more like a caste system than a system of crime control. Viewed from this perspective, the so-called underclass is better understood as an undercaste - a lower caste of individuals who are permanently barred by law and custom from mainstream society. Although this new system of racialized social control purports to be colorblind, it creates and maintains racial hierarchy much as earlier systems of control did. Like Jim Crow (and slavery), mass incarceration operates as a tightly networked system of laws, policies, customs, and institutions that operate collectively to ensure the subordinate status of a group defined largely by race.

When you skip a meal, telling your rumbling stomach that food is coming later in the day, and therefore it has no reason to fear starvation, doesn’t alleviate the powerful sensation of hunger. Similarly, explaining to your brain that the neglected interactions in your overfilled inbox have little to do with your survival doesn’t seem to prevent a corresponding sense of background anxiety. To your entrenched social circuitry, evolved over millennia of food shortages mitigated through strategic alliances, these unanswered messages become the psychological equivalent of ignoring a tribe member who might later prove key to surviving the next drought. From this perspective, the crowded email inbox is not just frustrating—it’s a matter of life or death.

He already knew he could coach. All you had to do was look at each of your players and ask yourself: What story does this guy wish someone would tell him about himself? And then you told the guy that story. You told it with a hint of doom. You included his flaws. You emphasized the obstacles that could prevent him from succeeding. That was what made the story epic: the player, the hero, had to suffer mightily en route to his final triumph. Schwartz knew that people loved to suffer, as long as the suffering made sense. Everybody suffered. The key was to choose the form of your suffering. Most people couldn’t do this alone; they needed a coach. A good coach made you suffer in a way that suited you. A bad coach made everyone suffer in the same way, and so was more like a torturer.

Getting organized can bring us all to the next level in our lives. It’s the human condition to fall prey to old habits. We must consciously look at areas of our lives that need cleaning up, and then methodically and proactively do so. And then keep doing it. Every so often, the universe has a way of doing this for us. We unexpectedly lose a friend, a beloved pet, a business deal, or an entire global economy collapses. The best way to improve upon the brains that nature gave us is to learn to adjust agreeably to new circumstances. My own experience is that when I’ve lost something I thought was irreplaceable, it’s usually replaced with something much better. The key to change is having faith that when we get rid of the old, something or someone even more magnificent will take its place.

Winnicott’s key word was “mothering,” Lacan’s was “desire.” For Lacan, desire is what simultaneously defines us as human subjects and what prevents us from ever being whole or complete. To desire something, after all, is to lack something. Whereas Winnicott’s tropes tended toward the organic–he spoke of “growth,” “development,” and “maturity”–Lacan’s imagery was more somber. (“The cipher of his mortal destiny” is characteristically Lacanian.) For Win-nicott, only in illness was the self divided, while for Lacan human subjectivity was necessarily divided, because of the existence of the unconscious. No matter how successful we become, no matter how much we are loved, we will always be vulnerable to irrational fears and capable of the most self-defeating acts. As Freud said, we can never be “master of our own house.

Some people compared the Trumpian response to COVID-19 to the Soviet government’s response to the catastrophic accident at the Chernobyl power plant in 1986. For once, such a comparison was not far-fetched. The people most at risk were denied necessary, potentially lifesaving information, and this was the government’s failure; there was rumor and fear on the one hand and dangerous oblivion on the other. And, of course, there was unconscionable, preventable tragedy. To be sure, Americans in 2020 had vastly more access to information than did Soviet citizens in 1986. But the Trump administration shared two key features with the Soviet government: utter disregard for human life and a monomaniacal focus on pleasing the leader, to make him appear unerring and all-powerful. These are the features of autocratic leadership.

Men don’t look at pretty women on the street and think, “She’s pretty, so I won’t sexually harass her or follow her home.” It’s the opposite. I walk through life with constant vigilance—anxious about the next man who’ll stick his head out his car window and shout something at me, who’ll spike the drink that my “prettiness” encouraged him to buy for me, or who’ll force me to stop in a shop before I go home to make sure I’m not being followed. Keys between my fingers, heart racing, checking over my shoulder, strategizing my safest route home even if it means spending money on a taxi—this is what navigating public spaces looks like for a lot of women. I can’t tell you the amount of times I have contemplated shaving my head to reduce sexual harassment. But to do so would be giving in to the idea that it’s my responsibility to prevent this harassment, not theirs.

It is understandable that the white community should fear the outbreak of riots. They are indefensible as weapons of struggle, and Negroes must sympathize with whites who feel menaced by them. Indeed, Negroes are themselves no less menaced, and those living in the ghetto always suffer most directly from the destructive turbulence of a riot. Yet the average white person also has a responsibility. He has to resist the impulse to seize upon the rioter as the exclusive villain. He has to rise up with indignation against his own municipal, state and national governments to demand that the necessary reforms be instituted which alone will protect him. If he reserves his resentment only for the Negro, he will be the victim by allowing those who have the greatest culpability to evade responsibility. Social justice and progress are the absolute guarantors of riot prevention. There is no other answer. Constructive social change will bring certain tranquility; evasions will merely encourage turmoil. Negroes hold only one key to the double lock of peaceful change. The other is in the hands of the white community.

Yet skill in the most sophisticated applications of laboratory technology and in the use of the latest therapeutic modality alone does not make a good physician. When a patient poses challenging clinical problems, an effective physician must be able to identify the crucial elements in a complex history and physical examination; order the appropriate laboratory, imaging, and diagnostic tests; and extract the key results from densely populated computer screens to determine whether to treat or to “watch.” As the number of tests increases, so does the likelihood that some incidental finding, completely unrelated to the clinical problem at hand, will be uncovered. Deciding whether a clinical clue is worth pursuing or should be dismissed as a “red herring” and weighing whether a proposed test, preventive measure, or treatment entails a greater risk than the disease itself are essential judgments that a skilled clinician must make many times each day. This combination of medical knowledge, intuition, experience, and judgment defines the art of medicine, which is as necessary to the practice of medicine as is a sound scientific base.

Why is the forest such an effective agent in the prevention of soil erosion and in feeding the springs and rivers? The forest does two things: (1) the trees and undergrowth break up the rainfall into fine spray and the litter on the ground protects the soil from erosion; (2) the residues of the trees and animal life met with in all woodlands are converted into humus, which is then absorbed by the soil underneath, increasing its porosity and waterholding power. The soil cover and the soil humus together prevent erosion and at the same time store large volumes of water. These factors -- soil protection, soil porosity, and water retention -- conferred by the living forest cover, provide the key to the solution of the soil erosion problem. All other purely mechanical remedies such as terracing and drainage are secondary matters, although of course important in their proper place. The soil must have as much cover as possible; it must be well stocked with humus so that it can drink in and retain the rainfall. It follows, therefore, that in the absence of trees there must be a grass cover, some cover-crop, and ample provision for keeping up the supply of humus." (An Agricultural Testament)

My general philosophy regarding endurance contains four key points: 1. Build a great aerobic base. This essential physical and metabolic foundation helps accomplish several important tasks: it prevents injury and maintains a balanced physical body; it increases fat burning for improved stamina, weight loss, and sustained energy; and it improves overall health in the immune and hormonal systems, the intestines and liver, and throughout the body. 2. Eat well. Specific foods influence the developing aerobic system, especially the foods consumed in the course of a typical day. Overall, diet can significantly influence your body’s physical, chemical, and mental state of fitness and health. 3. Reduce stress. Training and competition, combined with other lifestyle factors, can be stressful and adversely affect performance, cause injuries, and even lead to poor nutrition because they can disrupt the normal digestion and absorption of nutrients. 4. Improve brain function. The brain and entire nervous system control virtually all athletic activity, and a healthier brain produces a better athlete. Improved brain function occurs from eating well, controlling stress, and through sensory stimulation, which includes proper training and optimal breathing.

Dopey, in out of his depth, began to look desperate. "Debbie Mancuso," he yelled, "and I are not having sex!" I saw my mom and Andy exchange a quick, bewildered glance. "I should certainly hope not," Doc, Dopey's little brother, said as he breezed past us. "But if you are, Brad, I hope you're using condoms. While a good-quality latex condom has a failure rate of about two percent when used as directed, typically the failure rate averages closer to twelve percent. That makes them only about eighty-five percent effective against preventing pregnancy. If used with a spermicide, the effectiveness improves dramatically. And condoms are our best defense - though not as good, of course, as abstention - against some STDs, including HIV." Everyone in the kitchen - my mother, Andy, Dopey, Sleepy, and I - stared at Doc, who is, as I think I mentioned before, twelve. "You," I finally said, "have way too much time on your hands." Doc shrugged. "It helps to be informed. While I myself am not sexually active at the current time, I hope to become so in the near future." He nodded toward the stove. "Dad, your chimichangas, or whatever they are, are on fire." While Andy jumped to put out his cheese fire, my mother stood there, apparently, for once in her life, at a loss for words.

You think I wanted to hurt you? No. No! No, the only thing I knew was that you, Juliana Crain, were the only hope any of us had. You asked me if you were in the films. You are, you were, over and over again. Sometimes... I'd see you in the background somewhere... a protest, a speech, a war zone, maybe. Some place that mattered. I started knowing where to look. You could never stay out of it. Some of the people you knew... I started seeing them, too, revolving around you like an atom. But... they would change... different behavior, different relationships, different points of view shaped by their lives. But you were always you. You and your unnatural consistent mind. What if I hadn't seen this film? Well, I got to know a woman who would bet on the best in us, who bet on people, no matter what the world said about who they were, who they should be. That woman would do anything to save a sick boy... a Nazi boy, even... because she would believe he deserved the chance, as slim as it might be, to live a valuable life. And I knew that was the key, the only way to make sure that your sister's father wouldn't prevent that boy's father from stopping a war. Dixon died in an alley so that son of a bitch Smith could live. San Francisco is still here. Millions of people will live because of the choice you made, the goodness in you, Juliana. One selfless act of love and hope. That's what I put my money on. 

The entire pre-Columbian literature of Mexico, a vast library of tens of thousands of codices, was carefully and systematically destroyed by the priests and friars who followed in the wake of the conquistadors. In November 1530, for example, Bishop Juan de Zumárraga, who had shortly before been apointed 'Protector of the Indians' by the Spanish crown, proceeded to 'protect' his flock by burning at the stake a Mexican aristocrat, the lord of the city of Texcoco, whom he accused of having worshipped the rain god. In the city's marketplace Zumárraga 'had a pyramid formed of the documents of Aztec history, knowledge and literature, their paintings, manuscripts, and hieroglyphic writings, all of which he committed to the flames while the natives cried and prayed.' More than 30 years later, the holocaust of documents was still under way. In July 1562, in the main square of Mani (just south of modern Merida in the Yucatan), Bishop Diego de Landa burned thousands of Maya codices, story paintings, and hieroglyphs inscribed on rolled-up deer skins. He boasted of destroying countless 'idols' and 'altars,' all of which he described as 'works of the devil, designed by the evil one to delude the Indians and to prevent them from accepting Christianity.' Noting that the Maya 'used certain characters or letters, which they wrote in their books about the antiquities and their sciences' he informs us: 'We found a great number of books in these letters, and since they contained nothing but superstitions and falsehoods of the devil we burned them all, which they took most grievously and which gave them great pain.

In other words, if we believe we can or we believe we can’t, we are right. Belief itself is the key. To reiterate: positive thinking alone has no power. Belief must include our heart. We can make the choice for life by believing the Lord and dealing with any barriers that prevent us from receiving the promises of God. This is why God says in His Word: “I have set before you life and death, blessing and cursing; therefore choose life” (Deut. 30:19). The healing power of the Divine Healer is in our own heart: “All things are possible to him who believes” (Mark 9:23). We make the connection with Him through our belief. “All things are possible to him who believes!” PRACTICE PRAY: PRAYER STEP 1 Notice that when you close your eyes to pray, your focus shifts from your head to your spiritual heart in your belly (see John 7:38 KJV). Yield to Christ within. PRACTICE: Pray Prayer is fellowship with a Person. Come into the presence of the Divine Healer to honor Him. Pray. Close your eyes and pray, placing your hand on your belly. Focus. Focus on Christ within. Feel peace. Yield and feel peace. RECEIVE: PRAYER STEP 2 PRACTICE: Receive Pray. Close your eyes and pray, placing your hand on your belly. Yield. Yield to the Divine Healer in your heart. Receive. Welcome healing into every cell of your body. TROUBLESHOOTING REMOVING FEAR Pray. Close your eyes and pray, placing your hand on your belly. First. You may see a situation, another person, or yourself. Feel. Allow yourself to feel the fear momentarily. Forgive. Receive forgiveness for taking in fear (see 1 John 4:18). ENDNOTES   1. “More than 9 in 10 Americans continue to believe

Key Points: ● Transparency - Blockchain offers significant improvements in transparency compared to existing record keeping and ledgers for many industries. ● Removal of Intermediaries – Blockchain-based systems allow for the removal of intermediaries involved in the record keeping and transfer of assets. ● Decentralization – Blockchain-based systems can run on a decentralized network of computers, reducing the risk of hacking, server downtime and loss of data. ● Trust – Blockchain-based systems increase trust between parties involved in a transaction through improved transparency and decentralized networks along with removal of third-party intermediaries in countries where trust in the intermediaries doesn’t exist. ● Security – Data entered on the blockchain is immutable, preventing against fraud through manipulating transactions and the history of data. Transactions entered on the blockchain provide a clear trail to the very start of the blockchain allowing any transaction to be easily investigated and audited. ● Wide range of uses - Almost anything of value can be recorded on the blockchain and there are many companies and industries already developing blockchain-based systems. These examples are covered later in the book. ● Easily accessible technology – Along with the wide range of uses, blockchain technology makes it easy to create applications without significant investment in infrastructure with recent innovations like the Ethereum platform. Decentralized apps, smart contracts and the Ethereum platform are covered later in the book. ● Reduced costs – Blockchain-based ledgers allow for removal of intermediaries and layers of confirmation involved in transactions. Transactions that may take multiple individual ledgers, could be settled on one shared ledger, reducing the costs of validating, confirming and auditing each transaction across multiple organizations. ● Increased transaction speed – The removal of intermediaries and settlement on distributed ledgers, allows for dramatically increased transaction speeds compared to a wide range of existing systems.

Agnostics and other relativists dispute the value of metaphysical certainty; in order to demonstrate the illusory character of the de jure certainty of truth, they set it in opposition to the de facto certitude of error, as if the psychological phenomenon of false certainties could prevent true certainties from being what they are and from having all their effectiveness, and as if the very existence of false certainties did not prove in its own way the existence of true ones. The fact that a lunatic feels certain he is something that he is not does not prevent us from being certain of what he is and what we ourselves are, and the fact that we are unable to prove to him that he is mistaken does not prevent us from being right; or again, the fact that an unbalanced person may possibly have misgivings about his condition does not oblige us to have them about our own, even if we find it impossible to prove to him that our certainty is well founded. It is absurd to demand absolute proofs of suprasensorial realities that one thinks one ought to question while refusing in the name of reason to consider metaphysical arguments that are sufficient in themselves; for outside of these arguments the only proof of hidden realities—as we have already said—is the realities themselves. One cannot ask the dawn to be the sun or a shadow to be the tree that casts it; the very existence of our intelligence proves the reality of the relationships of causality, relationships that allow us to acknowledge the Invisible and by the same token oblige us to do so; if the world did not prove God, human intelligence would be deprived of its sufficient reason. First and foremost—leaving aside any question of intellectual intuition—the very fact of our existence necessarily implies pure Being; instead of starting with the idea that “I think; therefore I am”, one should say, “I am; therefore Being is”: 'sum ergo est Esse' and not 'cogito ergo sum'. What counts in our eyes is most definitely not some more or less correct line of reasoning but intrinsic certainty itself; reasoning is able to convey this in its own way: it describes the certainty in order to show forth its self-evident nature on the plane of discursive thought, and in this way it provides a key that others might use in actualizing this same certainty.

The AIDS obsession doubtless arises from the fact that the exceptional destiny of the sufferers gives them what others cruelly lack today: a strong, impregnable identity, a sacrificial identity -- the privilege of illness, around which, in other cultures, the entire group once gravitated, and which we have abolished almost everywhere today by the enterprise of therapeutic eradication of Evil [le Mal]. But in another way, the whole strategy of the prevention of illness merely shifts the problem [le mal] from the biological to the social body. All the anti-AIDS campaigns, playing on solidarity and fear -- `Your AIDS interests me' -- give rise to an emotional contagion as noxious as the biological. The promotional infectiousness of information is just as obscene and dangerous as that of the virus. If AIDS destroys biological immunities, then the collective theatricalization and brainwashing, the blackmailing into responsibility and mobilization, are playing their part in propagating the epidemic of information and, as a side-effect, in reinforcing the social body's immunodeficiency -- a process that is already far advanced -- and in promoting that other mental AIDS that is the Aids-athon, the Telethon and other assorted Thanatons -- expiation and atonement of the collective bad conscience, pornographic orchestration of national unity. AIDS itself ends up looking like a side-effect of this demagogic virulence. `Tu me préserves actif, je te préservatif' ['You keep me active, I condom you']: this scabrous irony, heavy with blackmail, which is also that of Benetton, as it once was of the BNP, in fact conceals a technique of manipulation and dissolution of the social body by the stimulation of the vilest emotions: self-pity and self-disgust. Politicians and advertisers have understood that the key to democratic government -- perhaps even the essence of the political? -- is to take general stupidity for granted: `Your idiocy, your resentment, interest us!' Behind which lurks an even more suspect discourse: `Your rights, your destitution, your freedom, interest us!' Democratic souls have been trained to swallow all the horrors, scandals, bluff, brainwashing and misery, and to launder these themselves. Behind the condescending interest there always lurks the voracious countenance of the vampire.

Weaknesses in claims about self-esteem have been evident for a long time. In California in the late 1980s, the state governor set up a special taskforce to examine politician John Vasconcellos’s claim that boosting young people’s self-esteem would prevent a range of societal problems (see chapter 1). One of its briefs was to review the relevant literature and assess whether there was support for this new approach. An author of the resulting report wrote in the introduction that ‘one of the disappointing aspects of every chapter in this volume … is how low the associations between self-esteem and its [presumed] consequences are in research to date.’1 Unfortunately, this early expression of concern was largely ignored. Carol Craig reviews more recent warnings about the self-esteem movement in an online article ‘A short history of self-esteem’, citing the research of five professors of psychology. Craig’s article and related documents are worth reading if you are interested in exploring this issue in depth.2 The following is my summary of her key conclusions about self-esteem:        •   There is no evidence that self-image enhancing techniques, aimed at boosting self-esteem directly, foster improvements in objectively measured ‘performance’.        •   Many people who consider themselves to have high self-esteem tend to grossly overestimate their own abilities, as assessed by objective tests of their performance, and may be insulted and threatened whenever anyone asserts otherwise.        •   Low self-esteem is not a risk factor for educational problems, or problems such as violence, bullying, delinquency, racism, drug-taking or alcohol abuse.        •   Obsession with self-esteem has contributed to an ‘epidemic of depression’ and is undermining the life skills and resilience of young people.        •   Attempts to boost self-esteem are encouraging narcissism and a sense of entitlement.        •   The pursuit of self-esteem has considerable costs and may undermine the wellbeing of both individuals and societies. Some of these findings were brought to wider public attention in an article entitled ‘The trouble with self-esteem’, written by psychologist Lauren Slater, which appeared in The New York Times in 2002.3 Related articles, far too many to mention individually in this book, have emerged, alongside many books in which authors express their concerns about various aspects of the myth of self-esteem.4 There is particular concern about what we are doing to our children.

The key to preventing this is balance. I see the give and take between different constituencies in a business as central to its success. So when I talk about taming the Beast, what I really mean is that keeping its needs balanced with the needs of other, more creative facets of your company will make you stronger. Let me give you an example of what I mean, drawn from the business I know best. In animation, we have many constituencies: story, art, budget, technology, finance, production, marketing, and consumer products. The people within each constituency have priorities that are important—and often opposing. The writer and director want to tell the most affecting story possible; the production designer wants the film to look beautiful; the technical directors want flawless effects; finance wants to keep the budgets within limits; marketing wants a hook that is easily sold to potential viewers; the consumer products people want appealing characters to turn into plush toys and to plaster on lunchboxes and T-shirts; the production managers try to keep everyone happy—and to keep the whole enterprise from spiraling out of control. And so on. Each group is focused on its own needs, which means that no one has a clear view of how their decisions impact other groups; each group is under pressure to perform well, which means achieving stated goals. Particularly in the early months of a project, these goals—which are subgoals, really, in the making of a film—are often easier to articulate and explain than the film itself. But if the director is able to get everything he or she wants, we will likely end up with a film that’s too long. If the marketing people get their way, we will only make a film that mimics those that have already been “proven” to succeed—in other words, familiar to viewers but in all likelihood a creative failure. Each group, then, is trying to do the right thing, but they’re pulling in different directions. If any one of those groups “wins,” we lose. In an unhealthy culture, each group believes that if their objectives trump the goals of the other groups, the company will be better off. In a healthy culture, all constituencies recognize the importance of balancing competing desires—they want to be heard, but they don’t have to win. Their interaction with one another—the push and pull that occurs naturally when talented people are given clear goals—yields the balance we seek. But that only happens if they understand that achieving balance is a central goal of the company.

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.

Revolt of solitary instincts against social bonds is the key to the philosophy, the politics, and the sentiments, not only of what is commonly called the romantic movement, but of its progeny down to the present day. Philosophy, under the influence of German idealism, became solipsistic, and self-development was proclaimed as the fundamental principle of ethics. As regards sentiment, there has to be a distasteful compromise between the search for isolation and the necessities of passion and economics. D. H. Lawrence's story, 'The Man Who Loved Islands', has a hero who disdained such compromise to a gradually increasing extent and at last died of hunger and cold, but in the enjoyment of complete isolation; but this degree of consistency has not been achieved by the writers who praise solitude. The comforts of civilized life are not obtainable by a hermit, and a man who wishes to write books or produce works of art must submit to the ministrations of others if he is to survive while he does his work. In order to continue to feel solitary, he must be able to prevent those who serve him from impinging upon his ego, which is best accomplished if they are slaves. Passionate love, however, is a more difficult matter. So long as passionate lovers are regarded as in revolt against social trammels, they are admired; but in real life the love-relation itself quickly becomes a social trammel, and the partner in love comes to be hated, all the more vehemently if the love is strong enough to make the bond difficult to break. Hence love comes to be conceived as a battle, in which each is attempting to destroy the other by breaking through the protecting walls of his or her ego. This point of view has become familiar through the writings of Strindberg, and, still more, of D. H. Lawrence. Not only passionate love, but every friendly relation to others, is only possible, to this way of feeling, in so far as the others can be regarded as a projection of one's own Self. This is feasible if the others are blood-relations, and the more nearly they are related the more easily it is possible. Hence an emphasis on race, leading, as in the case of the Ptolemys, to endogamy. How this affected Byron, we know; Wagner suggests a similar sentiment in the love of Siegmund and Sieglinde. Nietzsche, though not scandalously, preferred his sister to all other women: 'How strongly I feel,' he writes to her, 'in all that you say and do, that we belong to the same stock. You understand more of me than others do, because we come of the same parentage. This fits in very well with my "philosophy".

A word of explanation about how the information in this book was obtained, evaluated and used. This book is designed to present, as best my reporting could determine, what really happened. The core of this book comes from the written record—National Security Council meeting notes, personal notes, memos, chronologies, letters, PowerPoint slides, e-mails, reports, government cables, calendars, transcripts, diaries and maps. Information in the book was supplied by more than 100 people involved in the Afghanistan War and national security during the first 18 months of President Barack Obama’s administration. Interviews were conducted on “background,” meaning the information could be used but the sources would not be identified by name. Many sources were interviewed five or more times. Most allowed me to record the interviews, which were then transcribed. For several sources, the combined interview transcripts run more than 300 pages. I have attempted to preserve the language of the main characters and sources as much as possible, using their words even when they are not directly quoted, reflecting the flavor of their speech and attitudes. Many key White House aides were interviewed in-depth. They shared meeting notes, important documents, recollections of what happened before, during and after meetings, and assisted extensively with their interpretations. Senior and well-placed military, intelligence and diplomatic officials also provided detailed recollections, read from notes or assisted with documents. Since the reporting was done over 18 months, many interviews were conducted within days or even hours after critical discussions. This often provided a fresher and less-calculated account. Dialogue comes mostly from the written record, but also from participants, usually more than one. Any attribution of thoughts, conclusions or feelings to a person was obtained directly from that person, from notes or from a colleague whom the person told. Occasionally, a source said mid-conversation that something was “off-the-record,” meaning it could not be used unless the information was obtained elsewhere. In many cases, I was able to get the information elsewhere so that it could be included in this book. Some people think they can lock up and prevent publication of information by declaring it “off-the-record” or that they don’t want to see it in the book. But inside any White House, nearly everyone’s business and attitudes become known to others. And in the course of multiple, extensive interviews with firsthand sources about key decision points in the war, the role of the players became clear. Given the diversity of sources, stakes and the lives involved, there is no way I could write a sterilized or laundered version of this story. I interviewed President Obama on-the-record in the Oval Office for one hour and 15 minutes on Saturday, July 10, 2

A nutrient-rich menu of green vegetables, berries, beans, mushrooms, onions, seeds, and other natural foods is the key to achieving optimal weight and health.

In the United States, the government has abrogated its responsibilities to safeguard the food supply of its citizens. The biotech companies do the safety testing of their own products, then pass the positive (big surprise) results to the appropriate government agency (the Food and Drug Administration, in particular), which then approves it for sale and distribution. On top of that, a number of key officials in these agencies over the years have been former executives or employees of the biotech firms.  In short, GMO products in the United States do not receive a critical safety evaluation from an unbiased party before they appear on store shelves. This is compounded by the aforementioned labeling laws that prevent food manufacturers from telling consumers that a product contains GMOs.

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Eisenhower had run the Army; he knew all the ways decision making can go off the rails, and insisted on collective debate precisely to prevent senior officials from freelancing, or putting their departmental interests first. For all the formal machinery, Eisenhower was very literally the commander in chief, making the key decisions himself and monitoring closely how they were carried out. Even years after D-Day, when critics needled him for not being on the front lines with the invading forces, he retorted, “I planned it and took responsibility for it. Did you want me to unload a truck?

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DENGUE FEVER (BREAKBONE FEVER) Dengue fever is a viral infection found throughout Central America. In Costa Rica outbreaks involving thousands of people occur every year. Dengue is transmitted by aedes mosquitoes, which often bite during the daytime and are usually found close to human habitations, often indoors. They breed primarily in artificial water containers such as jars, barrels, cans, plastic containers and discarded tires. Dengue is especially common in densely populated, urban environments. Dengue usually causes flulike symptoms including fever, muscle aches, joint pains, headaches, nausea and vomiting, often followed by a rash. Most cases resolve uneventfully in a few days. Severe cases usually occur in children under the age of 15 who are experiencing their second dengue infection. There is no treatment for dengue fever except taking analgesics such as acetaminophen/paracetamol (Tylenol) and drinking plenty of fluids. Severe cases may require hospitalization for intravenous fluids and supportive care. There is no vaccine. The key to prevention is taking insect-protection measures. HEPATITIS A Hepatitis A is the second-most-common travel-related infection (after traveler’s diarrhea). It’s a viral infection of the liver that is usually acquired by ingestion of contaminated water, food or ice, though it may also be acquired by direct contact with infected persons. Symptoms may include fever, malaise, jaundice, nausea, vomiting and abdominal pain. Most cases resolve without complications, though hepatitis A occasionally causes severe liver damage. There is no treatment. The vaccine for hepatitis A is extremely safe and highly effective. You should get vaccinated before you go to Costa Rica. Because the safety of hepatitis A vaccine has not been established for pregnant women or children under the age of two, they should instead be given a gammaglobulin injection. LEISHMANIASIS Leishmaniasis occurs in the mountains and jungles of all Central American countries. The infection is transmitted by sand flies, which are about one-third the size of mosquitoes. Most cases occur in newly cleared forest or areas of secondary growth. The highest incidence is in Puerto Viejo de Talamanca. It causes slow-growing ulcers over exposed parts of the body There is no vaccine. RABIES Rabies is a viral infection of the brain and spinal cord that is almost always fatal. The rabies virus is carried in the saliva of infected animals and is typically transmitted through an animal bite, though contamination of any break in the skin with infected saliva may result in rabies. Rabies occurs in all Central American countries. However, in Costa Rica only two cases have been reported over the last 30 years. TYPHOID Typhoid fever is caused by ingestion of food or water contaminated by a species of salmonella known as Salmonella typhi . Fever occurs in virtually all cases. Other symptoms may include headache, malaise, muscle aches, dizziness, loss of appetite, nausea and abdominal pain. A pretrip vaccination for typoid is recommended, but not required. It’s usually given orally, and is also available as an injection. TRAVELER’S DIARRHEA Tap water is safe and of a high quality in Costa Rica, but when you’re far off the beaten path it’s best to avoid tap water unless it has been boiled, filtered or chemically disinfected (iodine tablets). To prevent diarrhea, be wary of dairy products that might contain unpasteurized milk; and be highly selective when eating food from street vendors.

I’d love to leave my current relationship for one that truly fulfills me, but I can’t imagine anyone else really loving me.” It is this stage – almost a fear prologue if you will – that prevents us from ever getting off the ground.

Prevention of Privacy Violation In 2008, the KCC implemented a system that imposes a penalty for the violation of key

Juba Teaching Hospital, lacks the key requirements for a hospital. For the hospital to become of quality service to the citizens, it needs to recruit a qualified licensed board of health practioners, prevent malpractice, advocate for all patients, practice aseptic techniques, must have an effective management team, and should never administer expired medications to patients.

Juba Teaching Hospital, lacks the key requirements for a hospital. For the hospital to become of quality service to its citizens, it needs to recruit a qualified licensed board of health practioners, prevent malpractice, advocate for all patients, practice aseptic techniques, must have an effective management team, and should never administer expired medications to patients".

the worst lies are the lies we tell ourselves. We live in denial of what we do, even what we think. We do this because we are afraid’.

Ronald L. Davis, head of the Department of Justice’s Office of Community Oriented Policing Services, told the Post reporters, “We have to get beyond what is legal and start focusing on what is preventable. Most [police shootings] are preventable.”15 According to the Department of Justice, “The shooting of unarmed people who pose no threat is disturbingly common.

What do citizens expect of government agencies entrusted with crime control, risk control, or other harm reduction duties? The public does not expect that governments will be able to prevent all crimes or contain all harms. But they do expect government agencies to provide the best protection possible, and at a reasonable price, by being:           Vigilant, so they can spot emerging threats early, pick up on precursors and warning signs, use their imaginations to work out what could happen, use their intelligence systems to discover what others are planning, and do all this before much harm is done.           Nimble, flexible enough to organize themselves quickly and appropriately around each emerging crime pattern rather than being locked into routines and processes designed for traditional issues.           Skillful, masters of the entire intervention tool kit, experienced (as craftsmen) in picking the best tools for each task, and adept at inventing new approaches when existing methods turn out to be irrelevant or insufficient to suppress an emerging threat.8 Real success in crime control—spotting emerging crime problems early and suppressing them before they do much harm—would not produce substantial year-to-year reductions in crime figures, because genuine and substantial reductions are available only when crime problems have first grown out of control. Neither would best practices produce enormous numbers of arrests, coercive interventions, or any other specific activity, because skill demands economy in the use of force and financial resources and rests on artful and well-tailored responses rather than extensive and costly campaigns. Ironically, therefore, the two classes of metrics that still seem to wield the most influence in many departments—crime reduction and enforcement productivity—would utterly fail to reflect the very best performance in crime control. Further, we must take seriously the fact that other important duties of the police will never be captured through crime statistics or in measures of enforcement output. As NYPD Assistant Commissioner Ronald J. Wilhelmy wrote in a November 2013 internal NYPD strategy document:

Why is the forest such an effective agent in the prevention of soil erosion and in feeding the springs and rivers? The forest does two things: (1) the trees and undergrowth break up the rainfall into fine spray and the litter on the ground protects the soil from erosion; (2) the residues of the trees and animal life met with in all woodlands are converted into humus, which is then absorbed by the soil underneath, increasing its porosity and waterholding power. The soil cover and the soil humus together prevent erosion and at the same time store large volumes of water. These factors -- soil protection, soil porosity, and water retention -- conferred by the living forest cover, provide the key to the solution of the soil erosion problem." (An Agricultural Testament)

Keith came from behind his desk and put his arm around my shoulder. "Calm down, Marco,” he said, leading me to the more comfortable love seat. “There's an un-blending process happening here. The various defender parts have a positive intention in defending against the pain from the abuse. It just happens to be in an incorrect manner.” Keith returned to his seat and leaned back in his chair. He took a deep breath. “When you're concentrating on one particular personality trait, the other parts work in conjunction, in different combinations with each other. They try to prevent you from getting to the core of the respective trait and having to relive the pain and shame from the abuse.” He leaned forward, punctuating his words. “The key ... to un-blending ... the defender parts ... successfully ... is to understand each attribute ... as it steps in to do its job. They protect you from the harmful emotions that are associated from the abuse.” Gazing at me over his wire-rimmed glasses, he said matter-of-factly, “Getting the defender parts to step aside so you can concentrate on the characteristic you want to address is the un-blending process. Once you are able to get through all the various defensive parts that get in the way of dealing with the core part, the true self is now able to answer the part in question in a divine loving place." I sat, pulled on my ear while thinking that over for a moment. "So, the true self is present to bear witness to all the feelings, beliefs, memories, and experiences of the inadequate part." Keith smiled. He leaned forward, resting his elbows on the desktop, his chin perched atop his clasped hands. "In essence, the past is being stirred up so all the associated burdens, pressures, and pain can be released and relieved. Following this unburdening process, the respective part can be cleansed. It can then be recomposed in a more constructive manner—similar to wiping a virus-infected computer hard drive clean ... then reprogramming it with anti-virus protected software." I stood up. With a few deep diaphragmatic breaths, I cleared my mind. While attempting to decipher what part came in and threw me off course, I sucked in my lips, vigorously shaking my head. Skepticism came in as a defensive part. I got back in Keith’s face. “This psychological un-blending is full of shit. The defense against the abuse is another trick to get me to believe that this crap actually works.” I flung my hands in the air. “How is this going to unburden the weight I carry on my shoulders every moment of the day? All my deficient personality traits are a result of me being a dirtball loser.” I shook my head. “I’m not worthy of the slightest bit of solace or happiness that this punishment called life has to offer.” Keith took a deep breath in and a longer breath out. "Marco, you're a miracle. A remarkable good-hearted human being. You're the most determined individual that I've come across in my thirty years of practice.

Marco, remember early on when we discussed your frustration, and you determined that it was the defender part that wanted you to get back into the game of life? And that your anxiety was your fear-based defender part that was alerting you of the impending doom if you slipped and went back to your inappropriate behaviors? Or how about when the depression part stepped in, and you resolved that it was a reminder of your past actions? These are the physical symptoms of the defender parts.” I felt that if a light bulb was hanging over my head, it had now lit up. I was impressed with Keith’s memory of what I had said and the affection in his tone. At this moment, I trusted my therapist implicitly— he was the real deal. “Marco, identifying the defender part’s physical symptoms first is key to acknowledging when that part is coming in to control a situation or thought and identifying which one it is. Catching the defender part at this point is crucial to prevent it from starting to control the situation in an unhealthy manner or overwhelming your emotions with negative judgments.

However, Pauling’s interest in these carotenoids and flavonoids was confined to their chemical structures and the influence of structure on optical properties; he did not address their health functions. In 1941 Pauling was diagnosed with Bright’s disease, or glomerulonephritis, which was at the time an often-fatal kidney disorder. On the advice of physicians at the Rockefeller Institute, he went to San Francisco for treatment by Thomas Addis, an innovative Stanford nephrologist. Addis prescribed a diet low in salt and protein, plenty of water, and supplementary vitamins and minerals that Pauling followed for nearly 14 years and completely recovered. This was dramatic firsthand experience of the therapeutic value of the diet. Revelations When Pauling cast about for a new research direction in the 1950s, he realized that mental illness was a significant public health problem that had not been sufficiently addressed by scientists. Perhaps his mother’s megaloblastic madness and premature death caused by B12 deficiency underlay this interest. At about this time, Pauling’s eldest son, Linus Jr., began a residency in psychiatry, which undoubtedly prompted Pauling to consider the nature of mental illness. Thanks to funding from the Ford Foundation, Pauling investigated the role of enzymes in brain function but made little progress. When he came across a copy of Niacin Therapy in Psychiatry (1962) by Abram Hoffer in 1965, Pauling was astonished to learn that simple substances needed in minute amounts to prevent deficiency diseases could have therapeutic application in unrelated diseases when given in very large amounts. This serendipitous and key event was critically responsible for Pauling’s seminal paper in his emergent medical field. Later, Pauling was especially excited by Hoffer’s observations on the survival of patients with advanced cancer who responded well to his micronutrient and dietary regimen, originally formulated to help schizophrenics manage their illness.19,20 The regimen includes large doses of B vitamins, vitamin C, vitamin E, beta-carotene, selenium, zinc, and other micronutrients. About 40 percent of patients treated adjunctively with Hoffer’s regimen lived, on average, five or more years, and about 60 percent survived four times longer than controls. These results were even better than those achieved by Scottish surgeon Ewan Cameron, Pauling’s close clinical collaborator, in Scotland. After a long and extremely productive career at Caltech,

the important thing to understand is that in the field of nutrition, to have real evidence of something and to prevent cherry-picking of the data, we need to be operating at the level of systematic reviews done on large bodies of well-controlled RCTs, not engaged in silly battles with each group adhering to a particular type of dietary dogma while cherry-picking their handful of studies to “prove” their approach is the best.

Like high blood pressure and diabetes, chronic inflammation has no visible symptoms (though it can be measured by a lab test known as high-sensitivity C-reactive protein [hs CRP]). But it damages the vascular system, the organs, the brain, and body tissues. It slowly erodes your health, gradually overwhelming the body’s anti-inflammatory defenses. It causes heart disease. It causes cognitive decline and memory loss. Even obesity and diabetes are linked to inflammation because fat cells are veritable factories for inflammatory chemicals. In fact, it’s likely that inflammation is the key link between obesity and all the diseases obesity puts you at risk for developing. When your joints are chronically inflamed, degenerative diseases like arthritis are right around the corner. Inflamed lungs cause asthma and other respiratory illnesses. Inflammation in the brain is linked to Alzheimer’s disease and other neurological conditions, including brain fog and everyday memory lapses that we write off as normal aging—except those memory lapses are not an inevitable consequence of aging at all. They are, however, an inevitable consequence of inflammation, because inflammation sets your brain on fire. Those “I forgot where I parked the car” moments start happening more frequently, and occurring prematurely. Inflamed arteries can signal the onset of heart disease. Chronic inflammation has also been linked to various forms of cancer; it triggers harmful changes on a molecular level that result in the growth of cancer cells. Inflammation is so central to the process of aging and breakdown at the cellular level that some health pundits have begun referring to the phenomena as “inflam-aging.” That’s because inflammation accelerates aging, including the visible signs of aging we all see in the skin. In addition to making us sick, chronic inflammation can make permanent weight loss fiendishly difficult. The fat cells keep churning out inflammatory proteins called cytokines, promoting even more inflammation. That inflammation in turn prevents the energy-making structures in the cells, called mitochondria, from doing their jobs efficiently, much like a heat wave would affect the output of a factory that lacks air-conditioning—productivity declines under extreme conditions. One of the duties of the mitochondria is burning fat; inflammation interferes with the job of the mitochondria, making fat burning more difficult and fat loss nearly impossible. While someone trying to lose weight may initially be successful, after a while, the number on the scale gets stuck. The much-discussed weight-loss “plateau” is often a result of this cycle of inflammation and fat storage. And here’s even more bad news: Adding more exercise or eating fewer calories in an attempt to break through the plateau will have some effect on weight loss, but not much. And continuing to lose weight becomes much harder to accomplish. Why? Because inflammation decreases our normal ability to burn calories. (We’ll tell you more about other factors that contribute to the plateau—and how the Smart Fat Solution can help you to move beyond them—in Part 2 of this book.)

Type 2 diabetes, previously known as adult-onset diabetes, accounts for 90–95 percent of diabetes cases.8 In type 2 diabetes, the pancreas can make insulin, but it doesn’t work as well. The accumulation of fat inside the cells of your muscles and liver interferes with the action of insulin.9 If insulin is the key that unlocks the doors to your cells, saturated fat is what appears to gum up the locks. With glucose denied entry into your muscles, the primary consumer of such fuel, sugar levels can rise to damaging levels in your blood. The fat inside these muscle cells can come from the fat you eat or the fat you wear (i.e., your body fat). The prevention, treatment, and reversal of type 2 diabetes therefore depends on diet and lifestyle.

Your digestive system breaks down the carbohydrates you eat into a simple sugar called glucose, which is the primary fuel powering all the cells in your body. To get from the bloodstream into your cells, glucose requires insulin. Think of insulin as the key that unlocks the doors to your cells to allow glucose to enter. Every time you eat a meal, insulin is released by your pancreas to help shuttle the glucose into your cells. Without insulin, your cells can’t accept glucose, and, as a result, the glucose builds up in your blood. Over time, this extra sugar can damage the blood vessels throughout the body. That’s why diabetes can lead to blindness, kidney failure, heart attacks, and stroke. High blood sugar can also damage your nerves, creating a condition known as neuropathy that can cause numbness, tingling, and pain. Because of the damage to their blood vessels and nerves, diabetics may also suffer from poor circulation and lack of feeling in the legs and feet, which can lead to poorly healing injuries that can, in turn, end as amputations.

It turns out that sodium intake appears to suppress the activity of a key antioxidant enzyme in the body called superoxide dismutase,49 which has the ability to detoxify a million free radicals per second.50 With the action of this workhorse of an enzyme stifled by sodium, artery-crippling levels of oxidative stress can build up.

In terms of preventing the sitting diseases, getting up out of the chair many times daily to do the exercise is one of the key benefits. Whichever your choice of 12, 8 or 6 sessions a day, you have to get up and actually do them.