On the importance of relationships in the successful outcomes any kind of planning, but especially in health behaviors...this might be a fair additional summary:
1) For a human to sustain peak performance, it is not enough to engage the brain; we have to engage the heart.
2) We're very social animals, always watching each other for clues; to sustain a value, we need to see constant reaffirmation from others that it is still a value today.
3) We are each other's context, and have to pro-actively make an effort daily to give that reaffirmation of our shared values and positive feedback/encouragement for the right thing, not just criticism of the wrong thing.
4) Sustaining that shared spirit is what makes the daily pain tolerable; to paraphrase old wisdom: the spirit can survive any illness, but a broken spirit - who can bear?
5) The side-conversation of any "business" decision has to be a human conversation that says: "We share a goal, we share these values. I really like you. Now, what was it we were arguing over/deciding?"
6) If it doesn't have a spirit, create one; if it has a Spirit, treat that as if it were a living being, with its own "health" and "fitness," and make sure that there's a program to keep it healthy.
7) Beware of solutions based on technology or "systems" that neglect compassion. Compassion is the strongest suit there is, the strength to build on - "He ain't heavy, Father, he's my brother." The "caring" in "health care" is what makes it work. Not caring will kill any business model, cold. We don't build cars. We don't entertain. We care about people and do something about it. And that's what defines us and gets us up in the morning and holds us up 36 hours later.
8) Spiritual issues (above) have a dramatic impact on the bottom line, clinically and financially. I see this daily in software design and performance outcomes our IT shop produces, something that at first looks 100% technical.
A story is told of two stone-masons working on a huge church in Europe, one with great work and one with sloppy work that needed to be torn down and redone. When asked what they were doing, the poor one said: "I'm building a wall." The other said: "I'm building a cathedral." The spiritual issue matters so much it hurts, in ways science doesn't begin to grasp at the moment.
(I Previously published this elsewhere. It satisfies my rule that,
if it's worth saying, it's worth saying again.)
Wade
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