Comment

Just about Bees . . .

Screen Shot 2019-06-17 at 9.37.15 AM.png

I will hazard the boast that I probably know more about bees than the average person. I’ve read the book. (See above. A 6 lb. whopper!) Actually several. I’ve studied bee-keeping through on-line content and You Tube videos. I’ve been a bee-keeper for more than a dozen years. So here are a few things I know just “off the top of my head.”

  1. The Queen is a critical member of the hive. She influences every aspect of the hive’s well being. But she doesn’t do this directly. She is not running around the hive making sure every bee is doing it’s job. She is not coaching, supervising, and directing their actions. But she definitely has a great influence over their behavior.. In the insect world, it is pheromones, secreted by the Queen, that permeates the hive and influences the behavior of the bees. Worker bees will voluntarily take on what ever roles needed for the hive’s survival and well being. Worker bees change roles as they age—or not—so that the hive is healthy and functioning at it’s peak.

  2. Worker bees take care of the Queen. Workers and drones know that without a strong Queen the hive will not prosper. When the hive has no home, they cluster around the Queen, protecting her, feeding her, preparing for the next stage where brood can be raised, pollen and nectar collected and the hive can survive and thrive once again. They understand that undermining the Queen only serves to undermine the hive itself.

  3. Worker bees will prepare to succeed a failing Queen. At times a worker bee will act as a pseudo-Queen if the hive is dysfunctional. Worker bees, however, do not, long-term, enable a Queen that is failing and, thus, creates a threat to the hive’s survival. They plan ahead, create supercedure cells. In the best scenario, a new Queen emerges and the transition is a—relatively—peaceful one for the hive. In worst case scenarios, they eventually, drive off a weakened queen and some of the hive to make sure the hive can raise a new Queen and survive.

  4. At times, poor hive conditions lead to workers raising a new Queen and the old Queen creates a swarm. This swarm leaves the hive, some of the bees and the new Queen, maximizing survival as there is now two colonies that have the chance to grow and flourish.

I’m sure some bright reader can correlate this observations with human leadership. But not me. I’m just taking about a group of simple insects.

Later . . . Okay, I’ll say a little more about leadership. Human not insect.

  1. Leaders can have tremendous influence—and should strive to achieve this organically—through out an organization but it is impossible, and unadvisable to try, to control an organization of any size. Leaders need to work on their ability to influence.

  2. No leader can do it alone. The organization has to see the value of leadership and provide a interdependent support of the leader’s role and efforts. For both leaders and their charges this is hardest to do at times when it is also the most important—moments of risk or failure.

  3. The role is what is important. Hives need a strong Queen. Organizations need strong leadership. Leaders must see the connection between the needs of the organization and their performance—making choices to continue to grow and remain strong. Otherwise, the survival needs to the organization will require a replacement.

  4. Sometimes conditions require the realignment, transitioning, or elimination of teams or organizations as they exist. These global shifts are best done in a playful way but will ultimately happen if poor conditions become critical for survival.

There, that’s it. Hopefully, we’ve captured the “bee’s knees” of leadership. :)

Comment

Comment

When you task a graphic designer to keep notes . . .

We . . . Bryan, Keith, and Andrew . . . just returned from providing a training with a group of government employees. The training, which focuses on using an interactive game to help improve communication, understand the relationship of mistakes and learning, and be willing to take reasonable risks to add to their strengths and become better team members.

Bryan and Keith were co-facilitating the training while Andrew was along to expose him to the training—since he had not participated in our past trainings. I tasked Andrew with being our tech support and quality improvement observer. The first meaning using his knowledge of gaming to help the training flow smoothly and the second to think about the strengths of the training and what needs continued improvement.

He did both jobs well.

I will share, for the fun of it, what you get when you task a graphic designer to take notes. Take a look . . .

Andrew’s quality improvement notes . . . .

Andrew’s quality improvement notes . . . .

I flipped through my entire spiral-bound notebook. A notebook I loaned him to in which to make his own notes. Page after page, nearly 40, of my own sterile, austere, notes. Just notes. Not one illustration, squiggly line, or doodle. Boring.

The amazing thing to me, is that this kid--can I still call him a kid at 30?-who obviously shares a creative talent inherited from his mother . . . and not me, had some great insights. As a result, we will have a much stronger training product through implementing several of his ideas.

If you are developing your own products, don’t forget to include an observer who can help you refine your process—and it doesn’t hurt if their ways of processing are different than yours, in fact, it might open up your eyes to new opportunities for improvement!

Below, are pictures of a couple pages of our new Training Lesson Plan developed from one of Andrew’s suggestions. We will introduce this new tool during our free training on Sunday.


Screen Shot 2019-06-16 at 2.18.26 PM.png
Screen Shot 2019-06-16 at 2.18.59 PM.png

Comment

Comment

Nine Signs You are a Normal Therapist . . . and encouragement to break the mold.

Image: villagehat.com

Image: villagehat.com

In the BBC hit series, Sherlock, the protagonist, Mr. Sherlock Holmes, characteristically known by his unusual double-billed hat called a “deerstalker,” given to him by his faithful Dr. Watson, describes himself as a “consulting detective.” Further, he also describes his nemesis, James Moriarty, in similar fashion, as a “consulting criminal.” This description, of an external expert as consultant, is something we need. In the profession of mental health, we need more “consulting experts” and fewer “normal therapists.” Consulting experts . . . ready to use their knowledge and skills to assist in all kinds of venues. Medical, legal, business, government, education. Here’s why.

I’ve been a professional therapist for over 35 years. I don’t consider my journey within the profession to be that remarkable or different from the “average” or “normal” therapist. Where it has been different, has been in the things I have done outside the “normal” parameters. In working with manufacturing companies, with family-businesses, non-profit organizations, and others.

Being a “normal therapist” myself, I’ve also supervised, administered, trained, and taught hundreds of other normal therapists over the years, and . . .

Let me be blunt . . . there are a lot of things about being “normal” that, over time, will drastically increase the risk—the risk of practicing in a manner that will undermine the therapist’s life and career. Over time, doing significant damage if not understood, addressed, and overcome.

What do I mean? Well, let me tell you. I mean that I have cringed as I have heard too many therapists, often nearing the end of their careers, that don’t have good retirement savings, do not take off quality time from their practices (some skip vacations and have not had a quality vacations for years), are not in a position to financially help their children or families and who are burned out, tired, and, sometimes, defeated by the very career they chose to support and sustain them and their families.

From a business/career stand point, the normal therapist is often their own worst problem. Let me lay it out for you . . .

Nine signs of the normal therapist:

  • Believes that working for an organization is safer than working for themselves. Ah the benefits! Salary, insurance, paid time off, training budget . . . there are several aspects of working for an organization that appear to make it the safe choice. But is it? It feels like it until the the layoffs, down-sizing, closings happen. Most businesses, even Fortune 500 firms, don’t last more than about a couple generations. It’s just not as safe as you think.

  • Thinks that the most reliable way to get paid is to be dependent upon insurance reimbursements. I hear many talking about wanting to get away from insurance but most, even the experienced, see insurance as a reliable source of revenue. Okay, sure, it is. But, organizations—who provide coverage for your clients— change insurance providers. Reimbursement rates are dropped. Getting paneled becomes more limited. You either spend time chasing the payments or pay someone to chase them for you. Is this really the most reliable form of income? For me, the answer is, “No!” Contracts, several that have laster more tan 12 years in my case are far more reliable. Negotiated rates with organizations that appreciate the value you offer is far different than the insurance panels trying to minimize costs.

  • Worries that peers, or others, may think they are driven by a desire for money. Occasionally I wonder if the worst thing you could say to a “helping professional” is that they seem to be “interested in being financially successful.” Most deny this by quickly pointing to other priorities for their work. But, just because it is not their primary goal, does it mean that they don’t want to be financially successful. In most cases, “No.” However, they are uncomfortable acknowledging this. They constantly make sure that peers know, and will not judge them, by downplaying and insisting their focus is not on money.

  • Are willing to trade time for vague benefits. They are wooed by vague benefits to their own career and live based on hopes reaping “marketing benefits,” unplanned “giving back” to the community or profession, and “just a good experience. They accepting being on call, providing free phone support, writing letters, and other tasks without much, if any, benefit to their business. I’m not suggesting that none of these things should happen—circumstance dependent, any and all of these may be appropriate or necessary; my point is, that the normal therapist simply does this, and accepts doing it, because it has been the standard practice historically.

  • Makes excuses about the unsavory elements of their career rather than working to change them. Long term complaints about hating paperwork, insurance, no shows, without taking assertive steps to remove those things from their business life. Most will simply accept these things as part of the profession rather than re-examining their utility in today’s environment or seek other forms of practice that minimize or eliminate some of these elements.

  • Constantly seeks to reassure themselves that they are competent. I hate to say it, but a majority of normal therapists have a lot of self-doubt. Just like the college student taking Psych 101 and wondering if the symptoms described in class men that they have a certain diagnosis, therapists, perhaps due to the personal intensity of their studies or primal interest, often give marquee attention to their weaknesses or deficits rather than their strengths. Few feel confident that they “know enough” or are an “expert” beyond a narrow and specifically trained knowledge base and skill-set. Yet, in truth, their life-experiences, knowledge, and training make their utility much more broad then they imagine.

  • Doesn’t take risks, even small ones, that could provide significant improvements in their career. You’ve probably heard the old joke, “How many therapists does it take to change a light bulb?*” How about the correlary, “How many therapists . . . will change.” Therapists tend to play it safe. Leaps of faith for the sake of their career are rare. This includes wisely spending money to increase the likelihood of progressing in their careers. So, they go to mediocre trainings, don’t pay for supervision to gain expertise, do not spend money to learn new processes or products that could make their practice stand out and separate them from other providers.

  • Follows the rules. While their are pioneers in our field, out there breaking new ground, as a group, therapists are prone to follow the “tried and true” of that the profession has dictated health care “is.” There are few “disrupters” or “contrarians” as a rule in the group and thus not much innovation. Tendencies run more toward “am I doing it right?” and against, “could it be done better?”

  • Feels victimized by outside sources. Let’s face it colleagues. We often “play the victim.” Whether it is society, insurance companies, culture, history, etc. there is often a stain of helplessness norms in our thinking. These professionals, among the highest educated and trained people in the world, feel trapped and powerless by forces outside their control. We may seek to liberate others from the forces that we fear may be in fact constricting our own trajectory.

Professionals that stay trapped in this normative mindset may have an adequate, or even good, careers. Many do. They will, however, be subject to operating within the confines of the health care system and their own perceived limitation of their profession. The tragedy of this is that their are no “consulting therapists” in daycare centers, oncology offices, pediatrician practices, legal firms, or on family business boards—among many other places where they could provide significant benefits. More sadly, most professionals have never even asked themselves the question, “Could they benefit from my consulting?” Thus, the inquiry is never made. No discussions take place. No services are defined or contracts completed . . . and no help is available.

Do you see these signs in our profession? How does it affect the careers of your colleagues? How many of the nine traits influence your thinking?

As a profession, we need to focus on becoming more entreprenurial, taking a broad view of our capabilities, and turning those into non-traditional areas that could use our help. IN as sense, we need to see our selves as “consulting professionals” and not just therapists. Are you ready? If so, grab your “deerstalker” and let’s go. The game is afoot, dear Watson.

Ready to be abnormal? Share our post, make a comment, or more than one, and include in your comments how you shared the post, and you will be entered in a drawing for a digital copy of our book Beyond the Couch: Turning your behavioral health degree into cash without losing your soul and other prizes. To encourage comments, we will give away one copy of the book for every 10 comments. So, even if you already have it, or are not interested in the book for yourself, you can tell us who you’d like to give to or we will give it away for you!

*So, how many therapists does it take to change a light build? “Only one, but the light bulb has to want to change.”

Comment

Comment

Consulting "glam" or "other duties" of a consulting.

IMG_20190607_083144-1.jpg

Today’s tasK: Assemble all the materials for our training next week in Missouri. Using a “bomb difusal” game to teach principles, and train skills, of high-functioning teams. One thing I don’t mind about running my own consulting company is the “hands on” work. It’s a nice day of listening to music, mindless tasks, and dreaming about other ways to help! Having worked in the health care system for 35+ years, it’s a nice break from heavy clinical work.

By-the-way, this is the same process that we will be demonstrating in our June 23rd free training.

Comment

Comment

24 days . . . 5 open seats

SpaceEx on Unsplash.com

SpaceEx on Unsplash.com

"Please think about your legacy, because you're writing it every day." --Gary Vaynerchuck

"I have learned over the years that when one's mind is made up, this diminishes fear." --Rosa Parks

The Countdown

We’re 24 days away from our free on-line training and we fave 5 seats left open. The training is on Sunday, June 23rd from 3-4 pm. By the time we do the training we will be fresh from completing another (6 hour) training using our model with a governmental agency. We purposely piggy-backed our training at this time, after providing the training to yet another sector of the work force, a governmental agency, to continue to be able to inform and provide value to trainees who have a special interest, or opportunity, with in serving governmental teams.

Those that attend will learn . . .

  • How our decision to use a “bomb-defusing” game with a group of professionals (Head Start, Counseling, Family Support) unveiled the power of games to create a “low-risk” setting to deal with team dynamics and teach real skills.

  • That the game-training format tends to yield enthusiastic support for the learning process and avoids many of the typical defensiveness of more direct approaches (conflict resolution).

  • How the training format can prepare leaders to be ready to sustain and act to follow up on the training with actions that will promote improved team functioning and growth.

  • That providing training’s to organizations can be economically viable (not marketing opportunities or “giving back”) to allow professionals a “day away from the couch” and not lose their ability to pay their bills.

In the training we will give you an overview of the process we use, the slide presentation that includes instructions on the entire process, access to the various games we have found to be useful, and other resources.

How to Reserve Your Seat

Are you ready? Come and join us! It will cost you nothing and you may walk away inspired to use your skills and knowledge in a new, fun, and creative way.

There is a $20 reservation fee, refunded to those who attend, to prevent “no shows” and empty seats.

Want to know more?

Watch our You Tube trailer.

Email Bryan

Reserve your seat at Gumroad. A $20 fully refundable fee required —to prevent no shows.

The training doesn’t work for you but you still want to know more? Check out our website where you can Subscribe, become a part of our community, and get a free eBook in the process.

As always, thanks for recommending us, commenting, and subscribing!

"I am not a product of my circumstances. I am a product of my decisions." --Stephen Covey

"Courage is the greatest of all virtues, because if you haven't courage, you may not have an opportunity to use any of the others." --Samuel Johnson

Comment

Comment

Six spots left for our free training.

Andrew's people.png

As of today, May 23rd, we have 6 spots left for our free training. As a reminder, this training is designed to be a brief tutorial on how we have used games to create trainings for organizations focused on improving teamwork and leadership. These workshops, typically delivered in a 4 or 6 hour format focuses on using game processes to teach real life skills.

For us, this process provides an alternative to another therapy-heavy clinical day , easily replaces, or surpasses, any displaced income, and gives the professional a break from providing healthcare services.

If you are interested in learning if this is something you would like to add to your practice, feel free to reserve a spot while there a some left.

Here is the original announcement . . . with the links to get registered . . . maybe we’ll see you in June!

Providing Team Training: Teamwork through Gaming . . . free training June 23rd!

On Sunday, June 23rd from 3 to 4 pm central time Bryan Miller, Ph.D. will be providing an on-line training on the HSC process of using gaming to train work teams to be effective. This is a training we have done in 4 to 6 hour segments with nonprofits, ecclesiastical bodies, business owners, and governmental departments.

The training is for professionals in the behavioral health field who are interested in providing training to organizations and who would like to find new and innovative ways to deliver good value and work outside of their typical clinical practice.

May 13th Update: We are now opening the training to professionals beyond our subscribers.

Want to know more?

Watch our You Tube trailer.

Email Bryan

Reserve your seat at Gumroad. A $20 fully refundable fee required —to prevent no shows.

Or check out our website where you can Subscribe and get a free eBook.

Summary Block
This is example content. Double-click here and select a page to feature its content. Learn more


Comment

Comment

5 Reasons Communication Fails

Photo by  Cayla1  on  Unsplash

Photo by Cayla1 on Unsplash

I sat at my kitchen table. where I was eating breakfast, staring, dumbfounded, at the woman, whom I did not know, who had just burst into the house. She saw me, and demanded, “What are you doing here?” “I live here, it’s my house.” I stammered, vexed at her demanding tone, and surprised by her brashness. Afterwards, as she stomped out, I knew she had “heard my words,” but really wasn’t listening and certainly didn’t get the point.

What is the problem?

  • Parents know that if they can get their kids to listen they can provide valuable guidance.

  • Teacher’s know that if students listen they will learn, grow, and be inspired.

  • Doctor’s know that if patient’s listen their health can be improved.

It’s obvious, the problem, often, is getting people to listen. Isn’t it? So, based on this belief, parents spend a lot of time trying to figure out how to get kids to hear what they say; teachers continually train, and plan, and work to help kids learn; and Doctor’s worry about compliance with their recommendations and helping patients heed their advice. Yes, getting others to listen is a problem . . . but often it it’s not the right focus and certainly it’s not just for kids, students, and patients!

Yes, getting others to listen is a problem, but . . . and here is a big but . . . it’s the good listeners (parents, teachers, and doctor’s) who have the most influence on those they are trying to “get to listen.”

Too often, Communication is handicapped, not by the intentions or efforts of the listener—as if patient's want to have bad health, students want to remain ignorant, or kids want to make bad life choices—but because of a basic human error of “attribution.” In other words, the “expert”—parent, teacher, doctor—assumes that they are independent from the problem, and therefore, the problem must be the other person. Those doggone “others” are, it is assumed, just not properly motivated—they are willful, distracted, resistant. But, in reality, the experts tell us that people are always motivated . . . by something . . . it may be to avoid conflict, feel less stress, get attention, have less work and more fun . . . or something else that impedes their performance. Yet, even when people say they trying to listen and understand, rarely, are they “simply” motivated to really listen.

Listening, often shows up in lists as a critical skill for those trying to influence others but rarely is it a skill that’s value is demonstrated by tenacious practice or active training of this particular skill. But, then again, remember, most of us think we possess this skill and the speaker may not be anymore aware of their lack of motivated listening than the person they are trying to help. The truth is, communication is harder than people think it is and they are often unaware that the real problem is their own poor listening and communication skills.

An Example

As I said, in my three decades of working with people, I find that secretly, most people—no, not all, but most—believe that they are at least adequate or even good listeners and thus have few communication problems. But the reality just does not bear this out. Give someone a random sequence of data, say numbers to keep it simple, and ask them to repeat them . . . “59387274” . . . most people will struggle. It’s not a memory thing. It’s attention, emotion, and a lack of skill. Give them a “grocery list” of 18 items, with one repeated 3 times, and 60% and 75%, respectively, will remember the first and last item; 80% will remember the item repeated three times; almost no one gets the whole list correct; and, interestingly, a full 20% will include a common grocery item (like bread) that wasn’t on the list at all!

Now ask these same listeners to listen to and remember (track) complex information . . . in an emotionally charged environment . . . and their performance will drop even more precipitously. Oh, they’ll may the major point(s). But they’ll miss significant information related to the context of the conversations and the more subtle details that make the difference between “hearing” and “understanding.” Without that high level of understanding, their strategies to get others to listen and influence them are more likely to fail.

By contrast, if you run into an exceptional listener, you may not overtly label that expertise, but you will know it . . . because you leave conversations feeling really heard and understood. You may even find yourself starting to soften toward their views when expressed. Not a common experience.

So, why don’t we listen better? Why does communication often break down? Here are five common reasons.

5 Reasons Communications Fail

1. We don’t value listening. To be honest, few people are there to really listen they are to tell. "Waiting your turn to speak." Listening is work. Telling is, often, easy and many times fun. Listening requires effort and may cause us to reconsider our position. Listening can lead to genuine conflict, recognizing we have differences with the speaker where telling may gloss over those divisions. However, telling often leads to conflict over “surface issues” instead of real divisions. Listening promotes griping and dissatisfaction.

2. We are impatient or assume listening is a simple process. “I heard you,” we often state, at the very moment the other person is not feeling heard. We don’t recognize the miscommunication when constructs are not defined and assumptions about the meaning of words (think “hose”) are made.

3. Our minds are already made up and our attitudes stink. “I don’t need to listen. I already know what they are going to say.” Ever hear that one? How condescending that must feel to people whose future thoughts and verbalizations are redacted to simple characters as if they cannot have independent or unique thoughts or change their opinions. Nonverbals often signal true intent—and it is often not a “posture of wanting to hear.”

4. We just don’t get it. The people with the highest need for improvement—the poorest communicators—often are the least aware that they need new skills. Often they have a general lack of emotional intelligence. For example, one morning I was sitting at my kitchen table eating breakfast. A woman, whom I did not know, burst into the house, saw me, and demanded, “What are you doing here?” (I must pause to say we lived in a very small community, so knocking and entering among friends is not uncommon.) “I live here, it’s my house.” I replied, vexed at her demanding tone. “Where are Jim and Elna?” she demanded. “We bought the house from them, six months ago, and they moved across town.” I stated, feeling a rising irritation over her brazen attitude. “Why did they do that?” She quiried. “I guess you’d have to ask them.” I pointed out. “Humpf” she snorted, turned, and walked out. There was no apparent embarrassment at having burst into my home or interrupting my breakfast. No awareness that cross-examining me about my presence in my own home may have been “over the top.” No apology for her mistake. Nothing. Just verbal demands and then, a swift exit. I found out later that I had just “met” a woman who was infamous in our town for her poor social behavior. Not surprised. It’s the same principle as “you only need fences with bad neighbors who, likely, don’t think you need fences” in other words, good neighbors respect your property for the others, you need fences.

5. There is no focus on skill building. If I “played around” every day on my piano would I become a skilled piano player? No, I would not. Maybe someone with a true musical “gift” could learn this way but an average person would gain some skill . . . but never become a master. Because people “dabble” everyday with communication many come to believe they have expertise. Repetitive misunderstandings, conflict, communication failures of various types does nothing to challenge this fallacy. To master a critical skill, be must engage in intentional and focused practice not just “play around.” Few—outside those whose training, education, or interest in communication—have undertaken this challenge.

Organizational Learning

One of the most fun activities we do as consultants—and what our client’s have identified as the highest impact exercises we do with teams—is to have the workteams attempt to complete a task or game that relies almost entirely on communication. One example is having the team deactivate a live “bomb” where a team member is the only one who can see and manipulate the bomb while other team members can only access the manual that explains how defuse the armament. The only way to succeed constantly at this task is to communicate well. The team quickly becomes aware of the difficulty of communication and how their conditioned behaviors—even if well intentioned—can cause the team to fail. With each round, we tease out the assumptions, defenses, and behaviors that impede the team’s performance—including team members who are not actively participating in the solutions.

This process of game-playing, typically creates a “low-threat” environment, The perception that “it’s just a game,” can lower apprehensions about engaging as a team (in front of peers and often with the bosses in the room) and this then sets the team up to talk about their real strengths and also the growth areas they need to focus on as a team. Peers often identify strengths in other team members. Individuals, themselves also self-identify their own strengths and often even publicly state their own need for growth in a particular area.

The critical factor here though is not “raising awareness” or even “teaching” it is having the teams experience and practice the skills. Afterwards, they will need continued repetitions of practicing the skills to make this a habit leading to reliable and sustainable success . . . but it is incredibly fun to be there as it begins and to promote this skill development as they begin to experience deeper listening and better communication.

Enjoy this? Let us know it helps us target content to what you want. If you liked this you might want to check out our post on the proper relationship of mistakes and learning.

P.S. — Do we use “P.S.” anymore? Two things. One, if you have questions about how to help your team feel free to contact us. Two, if you are a professional “people person” and want to learn about using games in training, we occasionally do free trainings on our process. Let us know if you are interested.

Comment

Comment

Update: Announcing . . . Free training . . . June, 2019.

Engaging Your Team People Small.png

Teamwork through Gaming . . . free training in June

On Sunday, June 23rd from 3 to 4 pm central time Bryan Miller, Ph.D. will be providing an on-line training on the HSC process of using gaming to train work teams to be effective. This is a training we have done in 4 to 6 hour segments with nonprofits, ecclesiastical bodies, business owners, and governmental departments.

The training is for professionals in the behavioral health field who are interested in providing training to organizations and who would like to find new and innovative ways to deliver good value and work outside of their typical clinical practice.

May 13th Update: We are now opening the training to professionals beyond our subscribers.

Want to know more?

Watch our You Tube trailer.

Email Bryan

Reserve your seat at Gumroad. A $20 fully refundable fee required —to prevent no shows.

Or check out our website where you can Subscribe and get a free eBook.

Comment

Comment

If you practice like no one else, your practice can be like no one else!

Pic 2.jpg

Some of our giveaways I got to share with my colleague at coffee. (Graphic Design by Andrew Miller (andhegames.com and andhedrew.com)

If you practice like everyone else, your practice will be like everyone else!

Throughout my almost 30 years working in the health care field I have had great colleagues. These experts provide critical services for individuals, couples, and families. They are specialists—true experts—in their scope of practice and I happily refer to, collaborate with, and respect them for their work.

However . . .

Considering the “State of the Art”

Colleagues in our field as a group, perhaps like most industries, generally talk, month in and month out, about the same repetitive topics . . . referrals, going “fee only” (or dumping insurance), recruiting new professionals, insurance contracts, and procedures or techniques they are learning or implementing. Go to coffee with many in the behavioral health industry and you are sure to wind up talking about these issues.

There’s nothing, at all, wrong with that of course.. These are the daily concerns of the typical practice and the variables that owners/providers need to focus on to be successful. Many are happy to confine their “work life” to these issues but some of us are not.

For the “others” these topics, while necessary to deal with, are often redundant, task-focused, conversations that—like chores—need to be done but rarely result in a “bounce in the step” after the conversation. After almost three decades in the industry, while these continue to be necessary discussions, engaged in regularly, I find myself more interested in conversations about the national melodrama of politics, the latest cool product (currently Darn Tough socks), new technologies, or woodworking projects. Maybe you can relate?

A different practice

I was reflecting on this after a recent coffee meeting with a colleague. No, not because the conversation was a better version of the typical topics, quite the opposite, because it wasn’t—at least not the vast majority of the meeting. A meeting that I left feeling energized, excited, and ready to push my business forward. Why? What was different? What was different is we weren’t just talking about the same-ole-same-ole topics.

My colleage isn’t just practicing like everyone else. He is more entrepreneurial that the average clinician.

Through serendipity and the encouragement of others less risk-aversive, I have learned, despite my natural tendencies toward the opposite, to do the same. So our conversation wasn’t about insurance, referrals, recruitment and all the old repetitive topics. Instead, the conversation was about an upcoming training we are doing out of state, demonstrating for him a game we newly licensed to use in our training, possible opportunities with a local manufacturing enterprise, and discussions about developing our own new software games for training. All factors of my practice not being defined by the typical “private practice” label.

Sustained changes

This week, under this broader umbrella of Human Systems Consulting, we will be billing an engineering firm for coaching. Signing a training contract with a government agency to use games to train leaders on teamwork skills. Continuing our monthly trainings of other professionals on becoming consultants. Talking to a non-profit about the status of a 13 year old contract to determine if it will continue as is, change, or be terminated. Continue discussions about developing a communications/teamwork game with a software developer. None of this directly related to my full time private practice as a mental health professional.

If it sounds like work, it is. Is it But its work, I find, that invigorates. It’s not boring. It’s new. It’s mine. No one else, outside my team is doing what we are doing. It continually challenges me to grow and expand my learning, my skills, and, assumably, my value to systems who need some help. It also protects from some of the inherent risks in healthcare. All factors that makes the private practice less anxious, more sustainable, flexible, and versatile.

Normative vs. transformative

Now, if you tend toward the stable, comfortable, personality that enjoys routing, likes tweaking and improving know systems, and are perfectly happy with continued discussions listed in the first scenario—then good for you! You likely are not looking for something different or more. However, those who crave learning new things, challenging themselves to do more, want new vistas or horizons to explore . . . even if you are good at putting up with the first scenario . . . then this latter scenario is much more invigorating. In my experience, it is an antidote to burnout and makes you more enthused about both.

What would you like your practice to look like if you could choose to do whatever you wanted?

What services or products would you be excited to provide?

What’s stopping you?

Comment

Comment

I'm a fanatic . . . about culture . . . but it better be real!

Yep, I could be  that guy!  I’m that far gone . . . . Photo by  Martin Reisch  on  Unsplash

Yep, I could be that guy! I’m that far gone . . . . Photo by Martin Reisch on Unsplash

I admit it. I’m a fanatic. No not a ranting, in your face, zealot. I’m from the midwest after all. Our zeal is a little more tempered. Stoic. Nice. That reminds me, our state once thought the best tourism tag line for our state was to promote this . . . “Nebraska, nice.” Ugh. Doubt it helped much. Anyway, back to me, the fanatic. I bear all the hallmarks of being a “true believer,” I have the gear, I study carefully everything about my passion, I’m drawn to others who share a similar love for the object of my obsession, I’ve done it all . . . except the tattoo. But then again, I’m from a different generation and, again, midwestern.

So, what is it that I am fanatical about? Well . . ., before I tell you and some of you sign off—concluding that your passion is not mine, and thus irrelevant—let me say, this post is not about the object of my fan-dom (fan-dumb?) but about the power of culture You see, the entity upon which my interest is focus is, right now, not worthy of such devotion. Ouch. It hurts to even admit that, I’m such a homer when it comes to college football.

The truth is the truth however and it is undeniable that my beloved team—the Nebraska Cornhusker football team, or “the Huskers” for short—has been awful. Last year? 4-8. The year before? 4-8. Dismal. Yet, this team has a top 15 recruiting class this year. They have been projected to finish in the top 20 by a number of prognosticians. Enthusiasm is high among the fans. Hope is abundant. What gives? Well a change in leadership but perhaps even more importantly the establishment of a new culture.

You can feel it. In the way the players talk, in the way they play, in their belief in the team and coaches and their willingness to voluntarily commit their discretionary effort to the team’s goals. Just watch their body language. A few years ago, under a different coaching regime . . . we won’t name names, I saw players on the side lines with their heads down, looking away or even pushing past . . . and thus avoiding . . . coaches who were trying to talk to them. It was not surprising when, over time, they began to look like they weren’t united in trying to win and the results began to mirror that disconnect. My observations were confirmed when a friend, and former division I quarterback, made the same observation, “You can tell they don’t want to play for this coach,” he said, “Just look at how they act when they come off the field.” Finally, someone close to the program also stated it. “They lost faith in the coach.”

So what has given this new culture its legs? Not success . . . not yet. Unless it’s the reputation of past success which these leaders have or the progress being made. But, success in the present? No. The team started out 0-6. The first time in the history of the program. Amazingly, the team continued to fight. They appeared to improve over the course of the season. They fought no matter what the circumstances and even looked better when they lost. It was clear that they “had each other’s back” and the team was, in fact, a Team. Having played both for teams that were not united or had a successful culture as well as teams that were very high functioning (including a national coach of the year) here are a few observations (from an outsider’s view) of what has made this work.

  1. The leaders have a deep understanding of—and deep connection with —the broader context of the program and how to utilize the context to promote success. The Coach grew up in Nebraska. Population 1,325. The “Walk On Program” here at Nebraska—the recruiting of local kids—is at least as important as the getting the “blue-chippers”—highly ranked recruits— in the context of Nebraska football. He gets this. He praises the fans and the culture as being “like no other” and highlights its strengths—joking about how “blue-chippers” think they’ll see a football stadium in the “middle of a corn field.” Early cohorts talked about valuing the walk on program but in practice . . . they didn’t get it.

  2. The leaders demonstrate a commitment to one thing—success. I hear statements like, “We are going to be good.” or “ We’ll see if he can contribute.” Even doubts, “Some may not be with the program” It’s clear that the goal is the focus and they believe reaching for that goal will help everyone who buys in. You could call it the “while no one is an ‘expendable crewman’ . . . some are more expendable than others.” But the message is clear. This is about being successful as a team. You can “get on board” or not but it is the single clear focus of the program.

  3. Hard work is the route to success. How do you go from 4-8 two years in a row to the 13th ranked recruiting class? Hard work. Weight training. Husker Power. Strength Coach Zach Duvall. The coaches have not shied away from saying that players were not where they needed to be. In fact after the final game to our Iowa neighbors, the coach said it hurt to see that they were bigger and stronger than we were. How’s that for honest clarity? Yes, the coaches are careful to allow that there are many paths to success (that other coaches may have tried) and that previous coaches may have had a different focus and emphasis, but it’s clear that the team did not meet their criteria for strength, speed, and commitment. It’s also clear that anyone wanting to be a part will dedicate themselves to these attributes.

  4. Finally, over everything else, the emphasis is on people. The clear message—and one that resonates as not just being "coach-speak”—is that this is about the players. Helping them become better men. Developing their potential. Becoming a close-knit group and having fun together. Yes, fun. In fused in everything is this belief that hard work, dedication, team chemistry, and success is fun and worth the effort. The mission is not just winning on the field it’s being successful as a person.

In Coach Frost’s own words . . .

As I was writing this blog, an Omaha World Herald article by Sam McKewon came out where Coach Frost talked about the importance of culture. Here’s part of what Frost was quoted as saying . . . “Culture eats scheme for breakfast . . . I can put the guys in the best scheme, the best offensive plays, the best defensive plays we can come up with. But at the end of the day, if we don’t have . . . people holding each other accountable, and we don’t have our team making smart decisions and grinding and working hard, [i.e.; the right culture] I’m not sure the best scheme in the world matters.”

Frost boils it down to two factors, 1. players making decisions in the best interests of their teammates, and 2. a desire to excel and no fear of failure.

Will this, ultimately, lead to the success the coaches want? If we’re talking wins . . . it’s unknown. In fact, due to the variables at play in such an endeavor it could be argued that their is no way to determine what causal factors lead to success on the field. Fair enough. But if you just look at the players behavior, other on and off the field, you can already see a clear and vital difference. It’s clear that this focus on culture has brought a new energy, a willingness to commit voluntary effort to succeeding, and cleared aways a number of hurdles that were detrimental to success. A strong culture, at the very least, increases the likelihood that success is possible—in athletics and in business.

P.S. I was told by someone who worked with transportation for recent Husker teams would leave the bus “trashed” when they got done with a trip. Not anymore. The Coaches, from the first, made players clean up after themselves and appreciate the service they were being given. Coaches talk about representing the state, university, and each other. The message is clear—even in this minor detail, “We will treat people, including ourselves, with respect.” Sometimes it starts that small to build a great culture.

Comment

Comment

The Slippery Slope of Facts . . . as we are Conditioned to Know Them . . .

Beware of the facts! Photo by  rawpixel  on  Unsplash

Beware of the facts! Photo by rawpixel on Unsplash

The Slippery Slope

Circa 1975. I was starting high school (Yes, I’m that old!), and with a particular interest in all things science, I looked forward to delving further into physical science, chemistry, and biology. I was intrigued by the things I had already learned about the world and how science could help us understand the world. Little did I know that the facts I learned then . . . would change! To wit:

  • The electron “is the smallest particle in the universe.”

  • We are facing a new ice age.

  • We only have 50 years left of fossil fuel.

  • We will be unable to feed the world population by the year 2000.

Today, science tells us . . .

  • Quarks are smaller than electrons.

  • We need to be worried about global warming . . . no, . . . wait, . . . climate change.

  • We still are going to run out of fossil fuel . . . and besides it is destroying the Ozone.

  • Water is going to become a major crisis for the world.

I’m not here to dispute or challenge the scientific dogma, old or new, or the merits of each of these theories, I just note it to say, “the facts have changed!” Some would argue, correctly I believe, that this change is exactly what science is supposed to do! Change as new knowledge and better models are discovered. I agree. But others would see a more sinister pushing of agendas that might have other motives. Perhaps this too is true.

In either case, it illustrates that far too often theories are confounded with proven facts. My teachers, in 1975, made this error. Presumably they had been taught that scientific theories and data are only consistent with projections and are not, in and of themselves, facts . . . but that is not how it was presented. It was presented as a scientific certainty. It proved not to be true and it is still happening today.

Blame it on lazy thinking, poor educational systems, a lack of higher education . . . what ever you will, but again I am not hear to debate those theories but to talk about the slippery slope of facts as it relates to business.

Businesses, Organizations and Facts

One of the greatest challenges to helping businesses and organizations change is what “they already know.” Einstein encased the problem of “knowing” succinctly in his oft quoted adage, “We cannot solve our problems with the same level of thinking that created them.” When working with leaders one of the tell-tale signs of whether an “outside consultant” can help is if they are willing to have what is known challenged and if they are actively looking for new ways to approach the problems. If not, they are doomed to repeat the cycle that produced and sustain the problem.

Sounds easy enough, doesn’t it? The problem is, most leaders think they are open to questioning the facts as they know them—and I think they honestly believe they are. However, too often, years of conditioned responses makes them resistant to change.

The Power of Conditioning

To illustrate the power of the conditioning, I will at times, after meeting with them for some period of time, raise my hand and extend it toward the leader. Instinctively, they will raise their hand to meet mine. Then I ask them why they did that . . . “well, you wanted to shake hands,” they reply. “Did I? Did you?” I set this up after we have talked a while specifically because a handshake is not expected at that time. We didn’t just meet and it’s not time for the social practice of shaking hands, but the leader didn’t consider if some other response would be better—other than a passing thought of confusion— or if the gesture could be something other than an expectation of a hand shake; they are just responding to years and years of conditioning.

Leader’s lead in ways they have been conditioned to lead. Do the facts lead them to exert control? To lead by being inclusive? To work for warm relations and a collegial approach to team building. Why? Too often, they really can’t explain their approach because, like the handshake, it is an unconscious and conditioned response.

But it works! Until it doesn’t.

I’m not really being critical of leaders. We all operate on conditioned responses. it’s what makes the world operate smoothly. My mind is not cluttered up with analyzing each and every “handshake” to determine what to do. I don’t have to think when the brake lights come on ahead of me, my foot automatically moves to the brake pedal.

Leaders are elevated to their positions because their conditioned responses are affective. An impulse to shake hands when one is extended to you is a social “grace” that eases the awkward meeting of two people. But, ever know someone who keeps wanting to shake hands? I did.

One school I attended had a student I’ll call Gary. Gary had a habit of shaking your hand, then repeatedly reaching out again, through the conversation, to shake your hand again. Alternately, he would simply continue to grasp your hand and not let go. Talk about awkward. What do you do? Many people, myself included, tried passive ways to try and extricate our hand, or avoid the multiple handshakes. Some, I have no doubt, avoided Gary. I’ll admit, I at times, wanted to as well. Those additional handshakes when unwarranted, creates an awkward barrier to further relationship building.

I personally was stuck by the “facts” as I knew them. One, people interacting with Gary had certainly “indicated” — with their behavior and words — that this handshaking behavior was unusual and an unwanted behavior. I had personally witnessed another student respond with “Let go of my hand! What’s wrong with you?” Two, Gary probably did not need anyone else making him feel like he was a “problem” and “unliked” and that “knowledge” had not stopped the behavior. Three, I wanted to be a good person and treat people, even if their behavior made me feel uncomfortable, in a respectful way. Accommodating Gary’s strange behavior did no harm and actually was helpful. Right? The facts, as I viewed them, led me to be passively engaged with Gary and ignore what was really happening . . . that Gary’s behavior made me, and many other’s uncomfortable, and to “be kind” — pretending I was not uncomfortable and not talking directly to Gary about these facts with kindness and the real respect he was due.

The solution came in the form of an older, and wiser, man — a school professor. A man whose interaction with Gary I got to witness. After shaking the professor’s hand, Gary, predictably, extended his hand, again, to the professor. “Why do you want to shake my hand again?” the professor asked. His voice was quiet. His tone warm and sympathetic. I had no doubt that if Gary had suddenly come up with an honest and insightful answer—”I’ve never felt like people like me and shaking hands make me feel accepted” or “I’m sorry I have a compulsion and it sometimes gets the best of me” — the professor would have been willing to shake his hand a second time. Unfortunately, Gary looked uncomfortable. He stammered out an answer or excuse, and shuffled away.

Afterward, I notice that Gary’s handwringing exercise diminished. Had he considered what the professor had asked? Had he learned something about himself and the conditioned responses he had learned? I don’t know. I do know the problem was largely resolved.

The professor, in my view, was the one person I witnessed who had the courage to be both kind and honest. He was not thinking about how Gary would view him or how it might affect how others would view him as a professor. He did what was in Gary’s best interest, period.

Download our leadership eBook for free. Or . . . check out . . .

Other stuff from us . . . on Gumroad.

P.S. Ironically — isn’t life funny? — the day before I finished this post, I had another “handshaking” incident. a young man I know and admire, but who suffers from a significantly anxious temperament, was bidding me goodbye. In that process, over 5-10 minutes, he extended his hand at least three times. Caught off guard, I shook it each time. Now, the challenge is, “Do I talk to him about it?” Chances are the answer will be, “Yes!”

Comment

Comment

A little . . . overt . . . nepotism! Announcing Scraps and Patches

Screen Shot 2018-11-11 at 4.38.04 PM.png


Time for a brief celebration! Our, not-natural-but-still-we-can-do-it, entrepreneurial spirit seems to be passing down into the next generation.

Two of my children, sons, Andrew and Timothy (our second and fourth of six) --a Graphic Designer and IT combo--are releasing a new game on Steam! It’s called Scraps and Patches. Finally the years of drawing on walls and couches, tearing apart electronics, and regularly finding new "projects" in my shop is going public! Available in four days on Steam (November 16, 2018)

A “can do” spirit, new ideas, and hard work; many have contributed to help these two young men know the value, and joy, of leading the way.

Comment