In the 16 January 2021 issue Robert Sternberg proposes some ways for
"Rethinking intelligence" ( p26), but mixes individual intelligence
with collective social intelligence, which matters because it is surely
social collective intelligence which will be needed to address problems
such as water, energy, climate change, etc.
He is not alone in this, as an unstated implicit social assumption is
that by maximizing the former we will maximize the latter. However as
any sports coach will tell you, a team of stars does not generate a
star of a team. Interactions and relationships matter. Similarly
airlines have crashed and patients died because professionals when
measured solo failed to form great teams. Virtues such as empathy,
compassion, humility, honesty, and trustworthiness all come into play,
especially over repeated encounters. A diversity of backgrounds
improves decisions, as does being sure the team includes women.
Socially we operant-condition people, from Kindergarten to Tenure, to
focus on individual skills -- then act surprised when teams of them act
like committees and fail us. In aviation and the military teams are now
trained as teams; the entity being taught is "the team". This
demonstrably works. Modifying STEM education metrics can take decades
to have an impact; modifying group decision-making can be done in an
afternoon of professional coaching. But long-term we should educate
youth in what matters not what counts.
Comments on life, science, business, philosophy, and religion from my personal public health viewpoint
Sunday, January 24, 2021
Letter to editor - New Scientist - re mistaking what "intelligence" measures
Moral Distress in Nursing: thoughts on voice, failures, errors and system-level issues
This post is inspired by a tweet from Tese Stephens ( Teresa M. Stephens, PhD, MSN, RN, CNE ) reflecting her current work on "moral distress" in nursing.
The subject of abusive contexts in teams or organizations is tangled with the subject of "psychological safety" as taught by Professor Amy Edmondson.
Her poster is here but you need an image-processing program to zoom in enough to read the text. ( it's a 4096 x 4096 pixel image! ) This is the expanded version of this tweet:
https://twitter.com/DrTese/status/1221089268740902915
https://pbs.twimg.com/media/EPIuNZ1X0AUOHGe?format=jpg&name=4096x4096
She's on twitter as @DrTese. Her self description is: "Christ follower. Boat Rocker. Nurse researcher/educator exploring resilience as a means to fight moral distress and burnout. Holocaust educator. Views are mine."
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Before going on let me put in a plug for the opposite end of the spectrum -- innovation and entrepreneurship and solution of uncharted waters by use of virtue-driven consultation and listening to every voice at every level:
Spiritual Solutions to Economic Problems - through Baha'i consultation
https://newbricks.blogspot.com/2014/05/spiritual-solutions-to-economic.html
I think religious and spiritual factors are extremely relevant because it is precisely a strong fellowship and membership in an organization which upholds very high standards and is polarizing about it that gives a person the strength to stand up in strong headwinds and insist on having a voice.
Examples would be nursing professional organizations, church or other worship communities, and the US Army. It takes a village to be a strong individual, especially if it involves going toe-to-toe with a social culture that opposes virtue, or finds virtue in an assumed culture that accepts, winks at, or even worships selfishness, greed, etc.
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And one more totally surprising fact - the most top-down mission-critical organization in the world probably, the US Army, uses after-action debriefings in order to hear the voices of the lowliest private as to what is working and what is not. So if the US ARMY is capable of retaining authority at the top and still listening to their own staff, why can't every organization?
US Army Leadership Field Manual FM 22-100
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I'm an IT systems analyst ( retired ) and worked 15 years at the University of Michigan 890 bed teaching hospital in Ann Arbor where I observed first hand many ways the nurses were left out of the conversation about what sort of Electronic Health Record or Physician Order Entry system the hospital should have.
Around the globe, it is extremely common for large-scale IT project to fail, and Electronic Health Record System implementations are high on the list of disasters caused by failure of higher ups to listen to the staff. This sort of thing is common across industries, not just in health care. Arrogance of management is wide spread.
Part of the problem is that we have confounded "authority", meaning one who is an expert, with "authority", meaning one who is in charge. In the 1800's this would have been the same person, but today the world is vastly more complicated and no person can possibly be an expert in everything, but the powerful narrative that 'the boss' is supposed to be 'the expert' massively distorts necessary conversations as dissent and well-deserve advice is taken as hostile enemy action.
The Toyota Way describes how Honda and Toyota managed to rise from war devastated Japan to overtake the Big Three auto makers in the USA and a key part of that process was a culture of massive transparency and efforts to expose, and then fix, errors and waste, on every level, including management. There was no taboo on a "360-degree assessment" actually looking up for sources of problems in operations as well as the normal looking around and down -- that's why it worked and that's why it was so unpopular in America.
As a private pilot myself I also had been following the literature on aviation safety as well as Amy Edmondson's work on "Psychological Safety". I did my MPH work at Johns Hopkins and took the course in Patient Safety from Dr. Peter Pronovost which covered many of these topics in depth. I also ended up working the Office of Clinical Affairs, a decade ago now, harvesting data on medication administration and preparing the monthly internal reports as well as the federally mandated reports on same.
Here's an index into some of the post I wrote in the past on safety, errors, system-level errors, etc. I actually wrote several hundred and these are the most important and immediately relevant ones.
A systems-level analysis of why large organizations develop blind spots
The road to error - illustrated
The Crash of Comair 5191 in Lexington KY -- taking off on the wrong runway
The crash of ComAir 5191 - a multi-lelvel systems analysis of how things go so wrong
Comair 5191 - Confirmation Bias and Framing (1/20/07)
Cockpit voice recorder transcripts
Washington DC Crash of Air Florida was 25 years ago - remembered
(with links to BMJ, High-reliability engineering, TEM, etc.)
On the Deepwater Horizons oil-spill into the Gulf of Mexico
https://newbricks.blogspot.com/2020/02/deepwater-horizon-lessons-we-still.html
https://newbricks.blogspot.com/2010/05/oil-next-time.html
https://newbricks.blogspot.com/2010/11/gulf-spill-report-reveals-lack-of.html
Hypnotized in high places - Northwest Flight 188
https://newbricks.blogspot.com/2009/10/hypnotic-trance-in-high-places.html
Things we have to believe to see
Why men don't ask for directions
Pisa/OECD - Why our education stresses the wrong way of seeing
Failure is perhaps our most taboo subject (link to John Gall Systemantics)
Active strength through emergent synthesis
US - Economy of arrogance (and blindness)
Virtue drives the bottom line - secrets of high-reliability systemsHigh-Relability Organizations and asking for help
Secrets of High-Reliability Organizations (in depth, academic paper)
High-Reliability.org web site
Threat and Error Management - aviation and hospital safety
Failure is perhaps our most taboo subject (link to John Gall Systemantics)
The importance of social relationships.
Houston - we have another problem (on complexity and limits of one person's mind)
Institute of Medicine - Crossing the Quality Chasm and microsystems (small group teamwork)
High-Relability Organizations and asking for help(my thoughts)
Secrets of High-Reliability Organizations (in depth, academic paper, MIT)
High-Reliability.org web site
Threat and Error Management - aviation and hospital safety - Texas
Institute of Medicine - Crossing the Quality Chasm and microsystems (small group teamwork)
Nineteen
case studies of health care organizations that dramatically improved
their operations through the use of feedback-regulated small-team
("microsystems") operations are well documented in another post.
Sunday, August 09, 2020
Three tips to help you make it through the day!
We all have hidden strength - the trick is to claim it!
Here's some hints and thoughts that might help. They might not be totally accurate but they're close enough to be helpful!
Tip #1 - Don't drive on your starter engine!
Humans are like cars. All gas-powered cars have two engines - a small electric one to get the big engine going, and the big one. When you wake up in the morning you are running on your starter engine. You need to get your main engine started with a totally different source of power.
Some ways people do that are prayer, rituals, meditation, and music.
One quote I like as near as I can recall is by Martin Luther, the guy who started the Protestant reformation and the Lutheran church. He said "Work, work, work - from early morning till late at night! I have so much to do I shall spend the first 3 hours in prayer.!"
Tip #2 - Act from love
My favorite paraphrased quote from Boys Town's motto is "He ain't heavy, Father -- He's my brother!"
Tip #3 - Don't travel alone!
Studies show that hills seem easier to climb if you walk with someone else. There are about a zillion other reasons why partnering up during a crisis is a great idea.
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More stuff:
U. of Michigan "teach-out" on how to thrive in these hard times:
https://online.umich.edu/teach-outs/thrive-in-trying-times-teach-out-fl/?
Music:
He ain't heavy, he's my brother ( the Hollies )
Hands ( Jewel )
Thursday, April 30, 2020
Smart Meeting Rooms, a concept for Second Life
Here’s what I’m working on
and I'm looking for collaborators!
“Smart meeting rooms” in Second Life
Here's the concept:
* Current teams and meetings in RL are often not very productive
Either mind-numbing or hostile
* In almost all cases, remote meetings via Zoom, etc. are worse. Every day there's a new article in the news about how "remote meetings" are a massive drain on our energy. The major reason is that they are not designed to manage the "emotion channel", the non-verbal clues and cues we send each other constantly in Real Life interactions and meetings -- all those little grunts, twitches, shifts of body positions, tension in the face, etc. add up -- a lot!
* Linden Labs Virtual World Second Life has affordances that RL doesn’t, and that many-faced "remote conferencing" system such as Zoom or GoToMeeting or Skype lack, so possibly the whole “meeting” User Experience ( UX ) could be crafted to boost the odds of having a great meeting.
How could that be done?
Answer: tilt the emotional playing field!

What can be "tilted"? In a virtual world essentially everything can be changed, from the "room" if there is even a room, to the avatars. It can be changed in real-time, and potentially managed as effectively with a control panel as the lighting is for a stage play, or the audio in a recording studio.
Why meet in "rooms" anyway? Would comfortable chairs around a fire-pit make for a better conversation?
Every aspect of a meeting space in Second Life could in principle be controlled dynamically by a wise facilitator using a sophisticated dashboard and controls: seating arrangement, environment ( ambient or response-sounds, lighting, spot-lighting, weather, size of room, walls, fog , table shape/size, jungle?, city?, mountain vista? )
* Since permissions can be given to a Second Life “Experience”, every aspect of avatars themselves could be dynamically controlled: age, sex, size, muscles, clothing, species, ambient and responsive-gestures.
* In practice humans are exquisitely aware on an unconscious level of subtle changes in other humans’ expressions, body language, or echoing behavior, etc. As the book Nudge points out, the clues we respond to may all be both gentle-touches and not even consciously noticed to have a measurable impact on behavior. Participants may not even realize their emotions are being manipulated.
* Someday a human DJ emotional-channel facilitator could be replaced with an AI expert system, relieving the chance that the additional person was a security risk or had an agenda that favored one “side” or another, and lowering the cost and thereby increasing availability of such “smart meeting rooms” to the public.
* side benefit - the changes in concepts, self-image,behaviors, and relationships created in SL may in fact persist once logged out into RL, so a great UX in SL could have downstream benefits as well that compound over time.
You can read more of my ponderings on what's wrong with meeting rooms and why, in my mind, that is potentially the most important question of the decade in terms of addressing how to make better decisions come out of the same groups of people, in a billion small ways, every day, as we actually learn how to work together and put our heads together and solve problems together.
Click to read; We need Serious R&D On How to Improve Meetings
The Baha'i concepts of "consultation" are quite relevant to how meetings should happen and this technology in my mind is only a way, using socio-psycho-biofeedback, to have groups get there in a week, not 20 years, the same way biofeedback can help a person locate their alpha-rhythm in 15 minutes instead of 20 years in a cave in Tibet. The end goal is that the people, once they grok and latch onto the idea, can carry on without the training wheels of technology
It can be compounded, so that those who grok the concept can act as guides to bring new people on-board, and if it can be done in virtual reality, then distance is no barrier and the entire globe can tap into this way to vastly improve the outcomes of their own organic processes of decision-making.
Monday, April 20, 2020
Covid-19 pandemic response - Reprise
Effectiveness of Stress-Reducing Interventions on the Response to Challenges to the Immune System: A Meta-Analytic Review
I should comment that I have no stock in any company that would benefit from such investment, no "skin in the game" other than my own. I just don't see what's wrong with the logic above. Please feel free to comment in the comment section and enlighten us all! I welcome comments, even critical ones, or new directions, if they help us make better decisions now, when it matters the most."Long before coronavirus spread around the world, former Surgeon General Vivek Murthy was sounding the alarm about a different, quiet epidemic: loneliness. We’ll talk to him about why so many Americans are suffering from loneliness and what we can do to take better care of each other even as we’re asked to be physically apart."
Finally, it's a little rough around the edges, but I recently published in this blog some thoughts on how to operate in crisis conditions, when the normal rules no longer apply and nothing is where it used to be, in this post: Tips for Reliable Operation During the Covid-19 Crisis. These are suggestions such as "buddy up with someone", "don't trust your memory", and "be tolerant of other people who are near their breaking point and having trouble concentrating." Please feel free to add your own gems in the comments.
Anyway...
Here's a tweet chain from this morning, slightly amplified and annotated:
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-----Quote TweetAll I don't wanna do is zoom-a-zoom-zoom-zoom@hypervisible·“While neither man has a background in health or epidemiology, the same statistical modeling that applies to fast company growth might also be useful for tracking virus growth.” Stop bros. Just stop. https://bloomberg.com/news/articles/2020-04-17/instagram-founders-build-website-tracking-spread-of-covid-19
https://newbricks.blogspot.com/2020/02/systems-thinking-about-outbreak-science.html
-----
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Meanwhile, fixation on huge system-wide actions from FEMA to social distancing to hospital systems neglects a key intervention point -- what can be done on a personal level to reduce: (a) odds of becoming infected if exposed, and (b) odds of becoming serious if infected.
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The Medical Basis for the Healing Power of IntimacyWe all know that intimacy improves the quality of our lives. Yet most people don't realize how much it can increase the quality of our lives -- our survival.
In this New York Timesworld-renowned physician Dean Ornish, M.D., writes, "I am not aware of any other factor in medicine that has a greater impact on our survival than the healing power of love and intimacy. Not diet, not smoking, not exercise, not stress, not genetics, not drugs, not surgery."
He reveals that the real epidemic in modern culture is not only physical heart disease but also what he calls spiritual heart disease: loneliness, isolation, alienation, and depression. He shows how the very defenses that we think protect us from emotional pain are often the same ones that actually heighten our pain and threaten our survival. Dr. Ornish outlines eight pathways to intimacy and healing that have made a profound difference in his life and in the life of millions of others in turning sadness into happiness, suffering into joy.
Note - UCLA launches New Ornish Lifestyle Medicine Website
UCLA Health has launched a state-of-the-art new website to support their Ornish Lifestyle Medicine program. Dr. Dean Ornish’s Program for Reversing Heart Disease is the only scientifically proven program to stop the progression and even reverse the effects of heart disease.-----
This nationally-recognized program has been so effective that the Centers for Medicare & Medicade decided to make it available to Medicare members under a new benefit category called “Intensive Cardiac Rehabilitation Programs.” UCLA Lifestyle Medicine is the first integrative medicine treatment program of its kind to receive this level of support.
Learn tips for community organizing and maintaining well-being during COVID-19
The COVID-19 pandemic is challenging individuals, communities, and businesses across the globe to work together like never before.
On this course – led by experts from the Center for Positive Organizations at the University of Michigan – you’ll learn how to develop practices to help you get through this crisis.
You’ll discover the scientific grounding behind terms like thriving, resilience, and compassion.
You’ll also consider the value of gratitude and staying connected in a time of social distancing, including tangible steps to take as an individual or part of a larger community
This course is designed for anyone interested in learning more about how to thrive during difficult times and how to respond to crisis effectively.
If I could tell the world just one thingIt would be that we're all OKAnd not to worry 'cause worry is wastefulAnd useless in times like theseI won't be made uselessI won't be idle with despairI will gather myself around my faithFor light does the darkness most fearMy hands are small, I knowBut they're not yours, they are my ownBut they're not yours, they are my ownAnd I am never broken
full lyrics: https://www.google.com/search?client=firefox-b-1-d&q=lyrics+hands+jewel
sung by Judy Collins:
...The men you are in these times derideWhat has been done of good, you find explanationsTo satisfy the rational and enlightened mind....They constantly try to escapeFrom the darkness outside and withinBy dreaming of systems so perfect that no one will need to be good.…I will show you the things that are now being done,And some of the things that were long ago done,That you may take heart. Make perfect your will.Let me show you the work of the humble. Listen....In the vacant placesWe will build with new bricksThere are hands and machinesAnd clay for new brickAnd lime for new mortarWhere the bricks are fallenWe will build with new stoneWhere the beams are rottenWe will build with new timbersWhere the word is unspokenWe will build with new speech
The river flows, the seasons turn
The sparrow and starling have no time to waste.
If men do not build
How shall they live?
When the field is tilled
And the wheat is bread
They shall not die in a shortened bed
And a narrow sheet. In this street
There is no beginning, no movement, no peace and no end
But noise without speech, food without taste.
Without delay, without haste
We would build the beginning and the end of this street.
We build the meaning:
https://www.goodreads.com/en/book/show/39346786-walking-each-other-home
Walking Each Other Home: Conversations on Loving and Dying ( Ram Dass)
( goodreads)
We all sit on the edge of a mystery. We have only known this life, so dying scares us—and we are all dying. But what if dying were perfectly safe? What would it look like if you could approach dying with curiosity and love, in service of other beings? What if dying were the ultimate spiritual practice?In the Google-doc slide show I go off into more emotional, philosophical, and religions directions from there, possibly or probably leaving many readers behind.
Ram Dass and Mirabai Bush began their friendship more than four decades ago at the foot of their guru, Neem Karoli Baba, also known as Maharaj-ji. He transmitted to them a simple philosophy: love everyone, tell the truth, and give up attachment to material things. After impacting millions of people through the years with these teachings, they have reunited once more with Walking Each Other Home to enlighten and engage readers on the spiritual opportunities within the dying process. They generously share intimate personal experiences and timeless practices, told with courage, humor, and heart, gently exploring every aspect of this journey. And, at 86 years old, Ram Dass reminds us, “This time we have a real deadline.”
In Walking Each Other Home, readers will learn about: guidelines for being a “loving rock” for the dying, how to grieve fully and authentically, how to transform a fear of death, leaving a spiritual legacy, creating a sacred space for dying, and much more.
“Everybody you have ever loved is a part of the fabric of your being now,” says Ram Dass. The body may die, but the soul remains. Death is an invitation to a new kind of relationship, in the place where we are all One. Join these two lifelong friends and spiritual luminaries as they explore what it means to live and die consciously, remember who we really are, and illuminate the path we walk together.
In my understanding, extending our emotional and psychological self out to our neighbors, perhaps in a metaphysical or spiritual sense, making them true friends, has a clinically proven measurable effect, a very large effect it turns out, on our own physical well-being.
In a mathematical and systems sense, the boundaries of our "self" seem to be unlimited by our skin, and can extend out to include other people, groups of people, entire religions and nations, or the entire planet... and perhaps, beyond that.
It would seem that we should be exploring not only how to be better friends with each other on a local scale, but on ever-larger, even a global scale as well.
We are all on one small planet, and as our numbers increase it is also increasingly clear that we are in the same lifeboat, and our fates are inextriciably linked on a planet-wide scale. The old boundaries of nation and culture are fading away, as supply-chains, zoom-meetings, and pandemics ignore them and simply form world-wide connectivity.
I think we should go with the flow, accept that, and figure out ways to preserve the best of our heritage and culture while the old boundaries dissolve and new ones form, retaining diversity but also recognizing unity. It makes no sense to talk about or rejoice in "holes in their end of the life-boat." There is only one life-boat. We are all going to sink or all going to survive together.
Eat the meat, spit out the bones.
Wade














