The Book

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Health & Medicine Education

SELF
We cannot understand changes unless we consider the
psyche. it is here, that all our relationships take form. it is
one of the most significant aspects of who we are, and how
we relate to the world. the psyche, as much as we can is a
complex latice, and for the sake of clarity is a web of
reactions to ourself.

We cannot understand changes unless we consider the
psyche. it is here, that all our relationships take form. it is
one of the most significant aspects of who we are, and how
we relate to the world. the psyche, as much as we can is a
complex latice, and for the sake of clarity is a web of
reactions to ourself

CONFIDENCE

LOVE BELIEF

EFFICACY
SELF RESPECT

INTEGRITY WORTH

ACCEPTANCE

We cannot understand changes unless we consider the
psyche. it is here, that all our relationships take form. it is
one of the most significant aspects of who we are, and how
we relate to the world. the psyche, as much as we can is a
complex latice, and for the sake of clarity is a web of
reactions to ourself.

We cannot understand changes unless we consider the
psyche. it is here, that all our relationships take form. it is
one of the most significant aspects of who we are, and how
we relate to the world. the psyche, as much as we can is a
complex latice, and for the sake of clarity is a web of
reactions to ourself

UNHEALTHY HEALTHY
0 100

ACCEPTANCE

We cannot understand changes unless we consider the
psyche. it is here, that all our relationships take form. it is
one of the most significant aspects of who we are, and how
we relate to the world. the psyche, as much as we can is a
complex latice, and for the sake of clarity is a web of
reactions to ourself.

We cannot understand changes unless we consider the
psyche. it is here, that all our relationships take form. it is
one of the most significant aspects of who we are, and how
we relate to the world. the psyche, as much as we can is a
complex latice, and for the sake of clarity is a web of
reactions to ourself

SELF
HEALTH
LEVEL
has nothing to do with real

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JOURNAL OF ORGANIZATIONAL EXCELLENCE / Summer 2006 Published online in Wiley InterScience (www.interscience.wiley.com) DOI: 10.1002/joe.20100 © 2005 Richard Boyatzis & Annie McKee. Reprinted with permission of Harvard Business School. All rights reserved. INTENTIONAL CHANGE PERSONAL GROWTH With the power and responsibilities of leadership come extraordinary challenges, and even the best leaders can get trapped in a cycle of stress, pressure, sacrifice, and dissonance—with potentially disastrous implications for their ca- reers, relationships, health, and happiness. Building on their work with Daniel Goleman in Primal Leadership (Harvard Business School Press, 2002), the authors point the way to renewal through a process of intentional change. The five steps lead to sustainable changes in habits, perceptions, and mood, as well as an enhanced ability to get results through greater understanding of your own and others’ emotions—the heart of resonant leadership. © 2005 Richard Boyatzis & Annie McKee Richard Boyatzis and Annie McKee Richard Boyatzis is professor in the Departments of Organizational Behavior and Psychology at Case Western Reserve and also visiting professor of Human Resources at ESADE in Barcelona. Annie McKee is cochair of the Teleos Leadership Institute and teaches at the University of Pennsylvania Graduate School of Education. Along with Daniel Goleman, they authored Primal Leadership: Realizing the Power of Emotional Intelligence (Harvard Business School Press, 2002). This article is excerpted from the authors’ book, Resonant Leadership. Copyright © 2005 with permission of the publisher. Copyright © 2005 Richard Boyatzis & Annie McKee. * * * 49 Meaningful and important changes do happenby chance. Without a high degree of aware- ness, we may not notice the changes for a long time—or until others comment on them. In this sense, desired changes often appear discontinuous. In complexity theory, these surprises are called “emergence.” For most of us, though, the important changes in our lives feel like epiphanies; they are truly discoveries. With increased mindfulness, the process of change seems smooth or even seamless. Part of the challenge of creating and sustaining ex- cellent leadership is to recognize, manage, and even direct one’s own process of learning and change. People who manage their own development inten- tionally are poised to make good choices about what they need to do to be more effective and more satisfied with their lives. Drawing on decades of research, much of it conducted by Richard Boy- atzis, we can now say with some certainty that the Intentional Change Model can help people to en- gage in personal transformation successfully, and with excitement and enthusiasm.1 Longitudinal research studies in the last few years have shown that sustainable change occurs as we focus on five major discoveries:2 1. The ideal self, or what you want out of life and the person you want to be— ...

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The commonly held belief that life gets easier at the top is partly true. The loftier your role in a large enterprise, the more control you have over your day-to-day activities and more you are compensated for them. But the challenges also get tougher. For one thing, you are more visible. Your mistakes, and your ability to recover from them will be noticed. Also, fewer positions exist at that rarefied level. To advance, you have to either displace someone above you or create an entirely new business. Failure is not an option, unless you can make it seem like success. To manage all this with Integrity- that is a challenge indeed. There are two ways to proceed. You can practice relentless discipline: curbing every impulse, making every moment count , and preparing diligently for each potential challenge. Or you can approach the world with insouciant savoir-faire, trusting that your charm and resourcefulness will get you through while making it all look easy. At the heart of this book is a question about the proper way to live. To what extent must we lead disciplined lives to be powerful people? Is that discipline a matter of duty, compensation for the original sin of being imperfect, or is it a matter of joy, of calling forth the inner golden virtue that lies deep within all of us ? In Goldsmith’s eye, it is both- and it is both- an if you dare to take on the practices he recommends, you may come to agree with him.

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This is a graph that is supposed to be in the instructions but for some reason I couldn’t add it. “Social Change” Program Transcript HOLLY HOEY: So Maurice, as we talk about social change, I know there's a story behind how you got into this field. I can just sense your passion and enthusiasm for what you do. MAURICE WILLIAMS: Well, I've always had an interest in the human condition. My undergrad was in psychology, so we studied a lot about the mind, human behavior. I've always been inquisitive. I want to know; how did we get here, who are we, why are we so different, why are we so alike, what makes us who we are? And so, literally, that's why I got into it. Now, as I started working in the field though, I saw that, wow, it's not about being inquisitive. There's really a lot of needs out here for people. There's a lot of pain out here. It's a lot of trauma, a lot of grief, a lot of loss. And I come from a family that has always been very community focused. And so I got into working with people with disabilities. And then next, I worked with adults who were on assistance, tenants assistance. And then I ended up working with children. And now it's like, "Wow, there it is." Children have such a vulnerability, but such a purity. I can connect with them, because children always remind me that we all were one of them at one time. And I'm fortunate enough to have gotten into a field that keeps me focused on, like Holly asked, What am I going to do good today? Who am I going to help? Not really save, but who am I going to help progress further in their life." HOLLY HOEY: What about you Andrea? ANDREA INGRAM: Well, I grew up in a large family, a lot of kids, and I was in the middle. So middle children, we do a lot of mediating and all this kind of stuff. But, I also grew up with a very keen sense of justice and fairness. When there are seven kids in the family, you learn that life is not fair. And my parents had a strong sense of justice also, and were great examples. So when I went out into the world, I felt an obligation, a responsibility to try to make life better for people that didn't have it as well as I did. Because to me, it's a sense of justice and fairness to include people in the mainstream who are left out, for whatever reason. They're left out because of poverty, they're left out because of mental illness, or there are left out because of their personality. They're just left out because of relationships. So it's just because of, I think, being raised with a keen sense of fairness and justice and wanting to have an impact on that. I found that I really loved crisis work, because when people are in crisis there's such energy there and motivation to make things different. And there's a real opportunity to make things different and to make some really significant changes and reach some really significant resolutions in your life that really might pu ...

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In this lecture on circulatory shock, Dr. Faiza, an Assistant Professor of Physiology, delves into the profound implications of inadequate blood flow throughout the body, leading to tissue damage. The session begins by defining circulatory shock and elucidating its physiological causes, including decreased cardiac output, diminished blood volume, decreased vascular tone, obstruction to blood flow, excess metabolic rate, and abnormal perfusion patterns. Dr. Faiza categorizes shock into various types, such as cardiogenic shock, hypovolemic shock, neurogenic shock, obstructive shock, anaphylactic shock, and septic shock, and explores the pathophysiological basis of each. Furthermore, the lecture examines the stages of shock, from the non-progressive phase where compensatory mechanisms aim for full recovery to the progressive phase where shock worsens steadily without intervention, potentially leading to irreversible damage. Dr. Faiza discusses therapeutic interventions for shock, including replacement therapy, blood and plasma transfusion, sympathomimetic drugs, and other adjunctive treatments like head-down positioning, oxygen therapy, and glucocorticoids.

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Dr. Faiza delivers an insightful lecture on the distinguishing characteristics of skeletal, smooth, and cardiac muscles, offering a comprehensive understanding of their histology, physiological anatomy, electrophysiological properties, and contractile mechanisms. Through meticulous tabulation and comparison, she aims to equip learners with a detailed comprehension of the unique features and functionalities of each muscle type. Beginning with a detailed exploration of histological differences, Dr. Faiza outlines key distinctions such as multinucleation in skeletal muscle, mononucleation in smooth and cardiac muscles, and the presence of striations in skeletal and cardiac muscles. She meticulously elucidates the structural arrangement of each muscle type, highlighting their cellular morphology and organization within tissues. Transitioning to physiological anatomy, Dr. Faiza navigates through various aspects including innervation, level of control, initiation of contraction, and modification by hormones. By delineating the role of the somatic nervous system in skeletal muscle control, and contrasting it with the autonomic nervous system's influence on smooth and cardiac muscles, she offers a nuanced understanding of neural regulation in muscle physiology. Furthermore, Dr. Faiza delves into electrophysiological properties, elucidating the mechanisms underlying action potential generation, duration, and ionic basis in each muscle type. Through insightful analysis, she reveals how differences in action potential characteristics contribute to variations in muscle contraction speed, duration, and resistance to fatigue. Finally, Dr. Faiza meticulously examines the contractile mechanisms of skeletal, smooth, and cardiac muscles, shedding light on the sliding filament theory, mechanisms of calcium action, and speed of contraction. By comprehensively comparing these mechanisms, she provides learners with a deep understanding of the intricate processes governing muscle contraction and function. Through engaging presentation and meticulous analysis, Dr. Faiza's lecture serves as a valuable resource for students seeking a thorough understanding of the fundamental differences between skeletal, smooth, and cardiac muscles.

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