Encountering Burnout in Clinical Practice

My interest rests in the bio-psycho-social realm.
This lecture is oriented to present a person-centered point of view or phenomenology of burnout.
Emphasis is placed on the deconstruction of burnout in the clinical setting.
We are trying to see the algorithm driving burnout … it’s about the “matrix.”

Transcript

1. Encountering Burnout In Clinical Practice Andrew S. Bonci Life-Long Learner Private Practice COVID was the gasoline on an already smoldering fire.
2. www.wonderbomb.net 2 of 140 (in US copyright © law) the doctrine that brief excerpts of copyright material may, under certain circumstances, be quoted verbatim for purposes such as criticism, news reporting, teaching, and research, without the need for permission from or payment to the copyright holde I am not shilling. I have NO sponsor My interest rests in the bio-psycho-social realm. This lecture is oriented to present a person-centered point of view or phenomenology of burnout. Emphasis is placed on the deconstruction of burnout. Disclosures Disclosures
3. www.wonderbomb.net 3 of 140 Thesis Thesis Burnout occurs when we reach our physiological limits to challenging social structures. ₾ McGilchrist (2019) in “The Master and His Emissary: The Divided Brain and the Making of the Western World” argues that the offending social structures are instantiations of a left hemisphere dominant world view. McGilchrist, I. (2019). The Master and His Emissary: The Divided Brain and the Making of the Western World (2nd, New Expanded edition ed.). Yale University Press. ₾ Efforts made to develop and fortify a right hemispheric approach to living may help us better cope with burnout and counsel patients who are plagued themselves.
4. www.wonderbomb.net 4 of 140 McGilchrist, I. (2019). The Master and His Emissary: The Divided Brain and the Making of the Western World (2nd, New Expanded edition ed.). Yale University Press.
5. www.wonderbomb.net 5 of 140 Burnout Predicted by Burnout Predicted by FutureShock FutureShock® ® In the book “FutureShock®,” Alvin Toffler (1970) predicted how the acceleration of time, transience, novelty, and diversity in American society would carry us to the limits of our adaptability thus challenging our survival as a species, culture, and as individuals. ₾ “Man’s perception of time is closely linked with his internal rhythms. But his responses to time are culturally conditioned” (p. 42).
6. www.wonderbomb.net 6 of 140 Rapid Change as a Threat Multiplier Rapid Change as a Threat Multiplier In “Cultural Amnesia,” Stephen Bertman (2000, p. 73) writes, “When things move too fast, we lose our perspective on our priorities as we frantically strive just to keep up.” Bertman, S. (2000). Cultural Amnesia: America’s Future and the Crisis of Memory. Praeger Publishers. ₾ “By compelling us to constantly readjust, change can destabilize our existence.”
7. www.wonderbomb.net 7 of 140 Society and Gene Expression Society and Gene Expression In “Epigenetics Underlying Susceptibility and Resilience Relating to Daily Life Stress, Work Stress, and Socioeconomic Status,” Gottschalk et. al. (2020) write that various social and occupational stressors have definite epigenetic influences on DNA methylation. Gottschalk, M. G., Domschke, K., & Schiele, M. A. (2020). Epigenetics Underlying Susceptibility and Resilience Relating to Daily Life Stress, Work Stress, and Socioeconomic Status. Frontiers in Psychiatry, 11. ₾ Such epigenetic changes include the methylation and subsequent muting of the serotonin transporter, melatonin receptor 1A, brain-derived neurotrophic factor, and tyrosine hydroxylase.
8. www.wonderbomb.net 8 of 140 On Deconstruction On Deconstruction In “What Would Jesus Deconstruct?” theologian John Caputo (2007, p. 27) writes, “In a deconstruction, our lives, our beliefs, and our practices are not destroyed but forced to reform and reconfigure— which is risky business.” Caputo, J. (2007). What Would Jesus Deconstruct? Baker Academic. ₾ “In the New Testament this is called metanoia, or undergoing a fundamental change of heart.” ₾ Chiropractic is the result of the deconstruction of 19th century medical practice.
9. www.wonderbomb.net 9 of 140 John McDermott. (2005). The Basic Writings of Josiah Royce. Fordham University Press. Chiropractic philosophy is biomedical science.
10. www.wonderbomb.net 10 of 140 ICD-11: QD85 Burnout ICD-11: QD85 Burnout Burnout is a syndrome characterized by three dimensions: ICD-11 for Mortality and Morbidity Statistics. (n.d.). Retrieved April 15, 2022, from https://icd.who.int/browse11/l-m/en#/http://id.who.int/icd/entity/129180281 1) feelings of energy depletion or exhaustion; 2) increased mental distance from one’s job, or feelings of negativity or cynicism related to one's job; and 3) a sense of ineffectiveness and lack of accomplishment. Burnout risk-factors: workload, control, reward, community, fairness, and values. Maslach, C., & Leiter, M. P. (2016). Understanding the burnout experience: Recent research and its implications for psychiatry. World Psychiatry, 15(2), 103–111. https://doi.org/10.1002/wps.20311
11. www.wonderbomb.net 11 of 140 Nobody Wants to Work! … ? Nobody Wants to Work! … ? Pandemic Deaths: 1.07 Million https://covid.cdc.gov/covid-data-tracker/#datatracker-home Pandemic Retirements: 3.2 Million (retired Boomers jumped from 25M to 28.6M) https://www.pewresearch.org/fact-tank/2020/11/09/the-pace-of-boomer-retirements-has-accelerated-in- the-past-year/ Long-Haul COVID: 10 to 21 Million https://health.ucdavis.edu/news/headlines/studies-show-long-haul-covid-19-afflicts-1-in-4-covid-19-patients-regardless-of-severity/2021/03 and https://www.gao.gov/products/gao-22-105666 Long-Haul COVID Labor Loss: 1.6 Million https://www.brookings.edu/research/is-long-covid-worsening-the-labor-shortage/ American TFR: 1.7 down 4% since 2019 https://www.cdc.gov/nchs/data/vsrr/vsrr012-508.pdf (in 2020 there were 3.6M births) https://www.statista.com/statistics/195908/number-of-births-in-the-united-states-since-1990/ Orphans: 214K kids lost their primary caregiver https://imperialcollegelondon.github.io/orphanhood_calculator/#/country/United%20States%20of%20America
12. www.wonderbomb.net 12 of 140 Consider Long-Term COVID Consider Long-Term COVID Eighty percent (80%) of the infected patients with SARS-CoV-2 developed one or more long-term symptoms. Lopez-Leon, S., Wegman-Ostrosky, T., Perelman, C., Sepulveda, R., Rebolledo, P. A., Cuapio, A., & Villapol, S. (2021). More than 50 long-term effects of COVID-19: A systematic review and meta-analysis. Scientific Reports, 11(1), 16144. https://doi.org/10.1038/s41598-021-95565-8 ₾ Ninety-three million US COVID cases (corrected for 1M deaths) leaves 74M Americans with COVID intersectional disorders. ₾ The five most common symptoms were fatigue (58%), headache (44%), attention disorder (27%), hair loss (25%), and dyspnea (24%). ₾ Significant loss of gray matter and myocardial disease are prominent. https://www.ft.com/content/26e0731f-15c4-4f5a-b2dc-fd8591a02aec
13. www.wonderbomb.net 13 of 140 Psychiatry of Long-Term COVID Psychiatry of Long-Term COVID A recent BMJ article (2022) demonstrated the mental health toll of long-term COVID. Xie, Y., Xu, E., & Al-Aly, Z. (2022). Risks of mental health outcomes in people with covid-19: Cohort study. BMJ, 376, e068993. https://doi.org/10.1136/bmj-2021-068993 ₾ There is significant increase in anxiety, depression, sleep disturbances, and stress disorders. ₾ Marked neurocognitive decline and increased reporting of subjective “brain fog” is seen regularly.
14. www.wonderbomb.net 14 of 140 Worker Shortage Worker Shortage In an insightful analysis by Christopher Thornberg (2022) director of the UC Riverside Center for Economic Forecasting and Development we see that the “worker shortage” at the end of the COVID-19 pandemic is underwritten by the sharp decline in the rate of growth of the US population. https://news.ucr.edu/articles/2022/08/03/demographic-dilemma-slowing-population-growth-not-pandemic-root-us-worker ₾ “This is a long-term demographic problem, not a short-term cyclical one,” said Thornberg. “It is not going to disappear as the COVID crisis fades.”
15. www.wonderbomb.net 15 of 140 Graeber, D. (2018). Bullshit Jobs: A Theory (1st edition). Simon & Schuster.
16. www.wonderbomb.net 16 of 140 worldpopulationreview.com worldpopulationreview.com USA MO
17. www.wonderbomb.net 17 of 140
18. www.wonderbomb.net 18 of 140 A Dispiriting Time A Dispiriting Time In “The Birth Dearth: What Happens When People in Free Countries Don’t Have Enough Babies?” Ben Wattenberg (1987) discusses what happens when TFR falls below 1.8. Wattenberg, B. (1987). The Birth Dearth: What Happens When People in Free Countries Don’t Have Enough Babies? Pharos Books. ₾ “We must face the idea that societies that keep getting older will become dispirited” (p.71). ₾ “The future comes out this way: 'old people, living in old houses, ruminating about old ideas—and waging political warfare about who pays the bills for old people’s pensions, and medical care'” (p. 69).
19. www.wonderbomb.net 19 of 140 Hargaden, K. (2018). Theological Ethics in a Neoliberal Age: Confronting the Christian Problem with Wealth. Cascade Books.
20. www.wonderbomb.net 20 of 140 Burnout Reduces Empathy Burnout Reduces Empathy In “Empathy and Burnout Among Physicians of Different Specialities,” Walocha, et. al. (2013) found that burnout resulted in a sense of depersonalization, emotional exhaustion, and lack of empathy among physicians in Krakow, Poland. Walocha, E., Tomaszewski, K. A., Wilczek-Ruzyczka, E., & Walocha, J. (2013). Empathy and burnout among physicians of different specialities. Folia Medica Cracoviensia, 53(2), 35–42.
21. www.wonderbomb.net 21 of 140 Surveying Americans on Empathy Burnout. (n.d.). United Way NCA. Retrieved July 20, 2022, from https://unitedwaynca.org/blog/empathy-burnout-survey/ Boomers (Me Gens) (Idealists): 1943-1960 Thirteens (Gen X) (Reactive): 1961-1981 Millennials (We Gen Y) (Civic): 1982-2004 Homeland (We Gen Z) (Adaptive): 2005-2022 Strauss, W., & Howe, N. (1991). Generations. New York. Harper Perennial.
22. www.wonderbomb.net 22 of 140 Something Shifted Something Shifted In “Okay Boomer,” attorney Jill Filipovic (2020) writes, “as Boomers came to power in city, state, and federal government, something shifted.” Filipovic, J. (2020). OK Boomer, Let’s Talk: How My Generation Got Left Behind. Simon & Schuster. ₾ “They hoarded resources for their own families, any sense of obligation to open doors for the next generation of young people seemed to recede” (p.81). ₾ “Millennials make up close to a quarter of the US population, but hold just 3 percent of the wealth. When Boomers were our age, they held 21 percent” (p. 93).
23. www.wonderbomb.net 23 of 140 Bell, D. M. (2012). The Economy of Desire (The Church and Postmodern Culture). Baker Academic.
24. www.wonderbomb.net 24 of 140 Cheng, M. (n.d.). 8 Characteristics Of Millennials That Support Sustainable Development Goals (SDGs). Forbes. Retrieved July 20, 2022, from https://www.forbes.com/sites/margueritacheng/2019/06/19/8-characteristics-of-millennials-that-support-sustainable-development-goals-sdgs/ The Millennial Cycle The Millennial Cycle The most educated generations ever. The most socially and “hive” minded generations since the G.I. and Silent Generations of the Great Power Cycle. The most vulnerable to burnout. Are rejecting neoliberal market society.
25. www.wonderbomb.net 25 of 140 Hargaden, K. (2018). Theological Ethics in a Neoliberal Age: Confronting the Christian Problem with Wealth. Cascade Books.
26. www.wonderbomb.net 26 of 140 The Precariot The Precariot In “Can’t Even: How Millennials Became the Burnout Generation,” Petersen (2021, p. 4) writes that “burnout is when you hit the wall—but instead of collapsing, or taking a rest, you scale the wall, and just keep going.” Petersen, A. H. (2021). Can’t Even: How Millennials Became the Burnout Generation. Houghton Mifflin Harcourt. ₾ “We’re balancing skyrocketing housing prices and childcare costs and health insurance premiums. And the promised security of adulthood never seems to arrive” (p. 16). ₾ “I am the rat pushing the lever to feed myself poison that tastes like candy” (p. 178).
27. www.wonderbomb.net 27 of 140 McCormick, B. (2008). That’s Magic! [Musical; Video]. Whitestone Motion Pictures. https://www.whitestonemp.com/ That's Magic! Part 0
28. www.wonderbomb.net 28 of 140 Alienation & Loneliness Alienation & Loneliness   Burnout? Burnout? In “The Great Transformation,” Karl Polanyi (1944/2001, p. 171) details how market forces must “annihilate all organic forms of existence and to replace them by a different type of organization, an atomistic and individualistic one.” Polanyi, K. (2001). The Great Transformation. Beacon Press. ₾ “In practice this meant that the noncontractual organizations of kinship, neighborhood, profession, and creed were to be liquidated since they claimed the allegiance (loyalty) of the individual and thus restrained his freedom (freedom from the allegiance to established social structures) .”
29. www.wonderbomb.net 29 of 140 It were astoundin' at least It were astoundin' at least the parts I got to see when the parts I got to see when I weren't cleanin'. I weren't cleanin'. It were unbelievable It were unbelievable
30. www.wonderbomb.net 30 of 140 Remoteness Remoteness In “Neoliberalism Can Reduce Well-Being by Promoting a Sense of Social Disconnection, Competition, and Loneliness,” Becker, et. al. (2021) conclude that current socioeconomic practice alienates us from each other and ourselves by “weakening solidarities that buffer against failure” while “denying people access to group life and its curative potential.” Becker, J. C., Hartwich, L., & Haslam, S. A. (2021). Neoliberalism can reduce well-being by promoting a sense of social disconnection, competition, and loneliness. British Journal of Social Psychology, 60(3), 947–965. https://doi.org/10.1111/bjso.12438
31. www.wonderbomb.net 31 of 140 Becker, J. C., Hartwich, L., & Haslam, S. A. (2021). Neoliberalism can reduce well-being by promoting a sense of social disconnection, competition, and loneliness. British Journal of Social Psychology, 60(3), 947–965. https://doi.org/10.1111/bjso.12438 Division Division
32. www.wonderbomb.net 32 of 140 Tell him there's no Tell him there's no such thing as magic. such thing as magic. Tell him to become a Tell him to become a lawyer. lawyer.
33. www.wonderbomb.net 33 of 140 Cynical Worldview Cynical Worldview In “Loneliness: Human Nature and the Need for Social Connection,” John Cacioppo (2008, p. 160) writes, “The cynical worldview induced by loneliness which consists of alienation and little faith in others has been shown to contribute to actual social rejection.” Cacioppo, J. (2008). Loneliness: Human Nature and the Need for Social Connection. W. W. Norton & Company.
34. www.wonderbomb.net 34 of 140 Jaeggi, R. (2014). Alienation. Columbia University Press.
35. www.wonderbomb.net 35 of 140
36. www.wonderbomb.net 36 of 140 Against our Nature Against our Nature In “When the Body Says No: Understanding the Stress-Disease Connection,” Gabor Maté (2003, p. 189) explains how the neoliberal zeitgeist conspires against our evolutionary wiring. Mate, G. (2003). When the Body Says No: Understanding the Stress-Disease Connection. John Wiley and Sons. ₾ “Human beings as a species did not evolve as solitary creatures but as social animals whose survival was contingent on powerful emotional connections with family and tribe.” ₾ “Social and emotional connections are an integral part of our neurological and chemical makeup.”
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38. www.wonderbomb.net 38 of 140 Loneliness is Pro-Inflammatory Loneliness is Pro-Inflammatory John Cacioppo's (2008, p. 100) lab has documented numerous psychophysiological changes in loneliness. Cacioppo, J. (2008). Loneliness: Human Nature and the Need for Social Connection. W. W. Norton & Company. ₾ “Loneliness predicted changes in DNA transcription of the cell’s sensitivity to circulating cortisol, dampening the ability to shut off the inflammatory response.” ₾ “Loneliness damages the cardiovascular system by promoting passive coping and a repressive coping style in the face of stress.”
39. www.wonderbomb.net 39 of 140 It's my job to lock It's my job to lock up here at night. up here at night. How long do you How long do you think you'd be? think you'd be?
40. www.wonderbomb.net 40 of 140 Alienation Alienation In “Marx’s Concept of Man,” Erich Fromm (1961, p. 63) writes that “man is estranged from his own creative powers and the objects of his own work become alien beings” that “eventually rule over him.” Fromm, E. (1961). Marx’s Concept of Man (T. Bottomore, Trans.). (Frederick Ungar Publishing Co. ₾ The four dimensions of alienation identified by Marx are alienation from: (1) the product of labor, (2) the process of labor, (3) others, and (4) self.
41. www.wonderbomb.net 41 of 140 There's not a lock that can hold me nor a There's not a lock that can hold me nor a door that I cannot lock on my way out. door that I cannot lock on my way out. Neoliberal Bravado Neoliberal Bravado
42. www.wonderbomb.net 42 of 140 Fromm, E. (1961). Marx’s Concept of Man (T. Bottomore, Trans.). (Frederick Ungar Publishing Co. Identity Identity and and Agency Agency
43. www.wonderbomb.net 43 of 140 Right Hemisphere Lost Sense of Identity “Regularized control of the body is a fundamental means whereby a biography of self-identity is maintained.” Anthony Giddens, PhD Modernity and Self-Identity (1991, pp. 57-58).
44. www.wonderbomb.net 44 of 140 Blunting the Right Hemisphere Blunting the Right Hemisphere In “The Face in the Mirror,” Keenan (2003, p. 180) writes “that the right hemisphere is dominant for the self” and “may be a key player in self- awareness and mental state attribution” (p. 233) . Keenan, J., Gallup, G. G., & Falk, D. (2003). The Face in the Mirror: The Search for the Origins of Consciousness (1 edition). Ecco. ₾ “A left-handed, right-hemisphere-dominant person is better at detecting deception than a right-hander” (p.250). ₾ Blunting of the right-hemisphere faculties produces a “humorless, flat, monotone, and easily deceived experience” (Joseph, 1992, pp. 29-56). Joseph, R. (1992). The Right Brain and the Unconscious: Discovering the Stranger Within. Plenum Press
45. www.wonderbomb.net 45 of 140 Impaired Dignity Impaired Dignity: : Worthlessness Worthlessness In “The Reinvention of Work,” the Episcopal priest Matthew Fox (1994, p. 129) writes that “we are dignified by our powers of causality, by our powers of work.” Fox, M. (1994). The Reinvention of Work: A New Vision of Livelihood for Our Time. HarperOne. ₾ “When work moved from farm to city, from land to concrete, from hands to machine - in short, when the industrial revolution redefined the meaning of work for us – much was lost” (p. 101).
46. www.wonderbomb.net 46 of 140 Left Hemisphere Existential Crisis “A man may perform astonishing feats and comprehend a vast amount of knowledge, and yet have no understanding of himself.” Soren Kierkegaard (1813-1855)
47. Existential Angst and Meaning Existential Angst and Meaning In “Humankind’s Existential Crisis Amid COVID-19 Pandemic,” Wangchuk (2021) defines an existential crisis as a psychological episode in which a person questions the meaning of their life and of existence itself.” Wangchuk, P. (2021). Humankind’s Existential Crisis Amid COVID-19 Pandemic: A Theoretical Perspective. Asian Journal of Education and Social Studies, 1–9. https://doi.org/10.9734/ajess/2021/v20i130474 ₾ In “The Remarkable Existentialists,” “The Remarkable Existentialists,” philosopher Michael Allen Fox (2009, Locs 76-77) we read that “existentialism holds that reason, while an important human attribute, has serious limits, especially when it comes to knowing ourselves and our place in the world.” Fox, M. A. (2009). The Remarkable Existentialists. Humanity Books.
48. www.wonderbomb.net 48 of 140 Devouring Humanness Devouring Humanness In “Zombies in Western Culture: A Twenty-First Century Crisis,” Vervaeke, et. al. (2017, p. 20) write that “brain is driving the consumption of brain; culture is devouring culture, mind is devouring mind, humanness is devouring humanness.” Vervaeke, J., Mastropietro, C., & Miscevic, F. (2017). Zombies in Western Culture: A Twenty-First Century Crisis. Open Book Publishers. ₾ “The zombie represents raw consumption” (p. 19). ₾ “It craves with absolute singularity, and its craving becomes its nature” (p. 19).
49. www.wonderbomb.net 49 of 140 Vervaeke, J., Mastropietro, C., & Miscevic, F. (2017). Zombies in Western Culture: A Twenty-First Century Crisis. Open Book Publishers.
50. www.wonderbomb.net 50 of 140 “ “So-called ‘zombie’ states are characterized by So-called ‘zombie’ states are characterized by dissociation, in which the conscious mind appears cut off dissociation, in which the conscious mind appears cut off from the body and from feeling. That in itself suggests a from the body and from feeling. That in itself suggests a relative hypofunction of the right hemisphere.” relative hypofunction of the right hemisphere.” McGilchrist, I. (2019). The Master and His Emissary: The Divided Brain and the Making of the Western World (2nd, New Expanded edition ed.). Yale University Press.
51. www.wonderbomb.net 51 of 140 Mindless Zombie Economy Mindless Zombie Economy In “How to Do Nothing: Resisting the Attention “How to Do Nothing: Resisting the Attention Economy,” Economy,” O’Dell (2019, xii) identifies the villain as “the invasive logic of commercial social media and its financial incentive to keep us in a profitable state of anxiety, envy, and distraction.” O’Dell, J. (2019). How to Do Nothing: Resisting the Attention Economy. First Melville House. ₾ “I see people caught up not just in (media/phone) notifications but in a mythology of productivity and progress, unable not only to rest but simply to see where they are” (p. xiv).
52. www.wonderbomb.net 52 of 140 Free-Basing Achievement Free-Basing Achievement In “On the Physiology of Jouissance,” Bazan & Detandt (2013) write that “clinical experience leads us to unmistakably identify a human tendency to seek, beyond the mere pursuit of pleasure, for that which brings the subject into danger or for that which sabotages his life.” Bazan, A., & Detandt, S. (2013). On the physiology of jouissance: Interpreting the mesolimbic dopaminergic reward functions from a psychoanalytic perspective. Frontiers in Human Neuroscience, 7, 709. https://doi.org/10.3389/fnhum.2013.00709 ₾ “In summary, the central dopaminergic systems embody a physiological counterpart of the psychoanalytic concept of jouissance.”
53. www.wonderbomb.net 53 of 140 Jouisannce is not pleasure, but rather an excess that takes us into a state of being out of control, where the next limit for the organism is felt to be death. Annie Rogers (2006, p. 118) The Unsayable: The Hidden Language of Trauma
54. www.wonderbomb.net 54 of 140 McCormick, B. (2008). That’s Magic! [Musical; Video]. Whitestone Motion Pictures. https://www.whitestonemp.com/ That's Magic! Part 1
55. www.wonderbomb.net 55 of 140 We are the people who, by an over development of consciousness, have lost the flexibility of taking life as it is. Marie-Louise von Franz (1996, p. 64) The Interpretation of Fairy Tales
56. www.wonderbomb.net 56 of 140 Sorry mate. The magician's not himself today. That's all. Maybe next time. But, why is the magician not himself?
57. www.wonderbomb.net 57 of 140 Superficiality Superficiality According to McGilchrist (2019, Locs 5167-5169) , “What produces alienation is not depth, but lack of depth.” McGilchrist, I. (2019). The Master and His Emissary: The Divided Brain and the Making of the Western World (2nd, New Expanded edition ed.). Yale University Press. ₾ “Depth is of great psychological significance, and it is relevant that in schizophrenia, which simulates an overactive left-hemisphere state, there is a perspectival slippage, a loss of grip on the frame of reference.” ₾ “Attention ceases to be paid to the scene pictured on the paper, and is transferred to the plane of the paper itself.”
58. www.wonderbomb.net 58 of 140 The fact that I get paid; that's magic! The fact that I get paid; that's magic!
59. www.wonderbomb.net 59 of 140 Two Hemispheres Two Hemispheres   Two Minds Two Minds In “Tales from Both Sides of the Brain,” Gazzaniga (2015, p.113) conveys the now well reported finding that two minds, each with its own set of controls, exist in one brain. Gazzaniga, M. (2015). Tales from Both Sides of the Brain: A Life in Neuroscience. HarperCollins Publishing. ₾ “Activities isolated to the right hemisphere were unquestionably independent and outside the realm of awareness of the left hemisphere. Clear, clean, and simple.” ₾ It would behoove you to know “with whom” you are speaking.
60. www.wonderbomb.net 60 of 140 McGilchrist, I. (1319553727). The divided brain. https://www.ted.com/talks/iain_mcgilchrist_the_divided_brain The Divided Brain
61. www.wonderbomb.net 61 of 140 Hemispheric Hypothesis Hemispheric Hypothesis McGilchrist (2019, p. 3) writes: McGilchrist, I. (2019). The Master and His Emissary: The Divided Brain and the Making of the Western World (2nd, New Expanded edition ed.). Yale University Press. ₾ “For us as human beings there are two fundamentally opposed realities, two different modes of experience; that each is of ultimate importance in bringing about the recognizably human world; and that their difference is rooted in the bi-hemispheric structure of the brain.” ₾ “It follows that the hemispheres need to co-operate, but I believe they are in fact involved in a sort of power struggle, and that this explains many aspects of contemporary Western culture.”
62. www.wonderbomb.net 62 of 140 Believing my Believing my charade charade; ; that's magic! that's magic! My My empty soul empty soul does crave; does crave; that's magic! that's magic!
63. www.wonderbomb.net 63 of 140 Unrestrained Left Hemisphere Unrestrained Left Hemisphere Again citing McGilchrist (2019) “An increasingly mechanistic, fragmented, decontextualized world, marked by unwarranted optimism mixed with paranoia and a feeling of emptiness, has come about, reflecting the unopposed action of a dysfunctional left hemisphere.” McGilchrist, I. (2019). The Master and His Emissary: The Divided Brain and the Making of the Western World (2nd, New Expanded edition ed.). Yale University Press.
64. www.wonderbomb.net 64 of 140 Left Brain Personhood in Burnout Left Brain Personhood in Burnout In “The God of the Left Hemisphere,” Tweedy (2013, p. 65) describes the characteristics of the left hemisphere which are decidedly narcissistic and separatist thinking. Tweedy, R. (2013). The God of the Left Hemisphere: Blake, Bolte Taylor, and the Myth of Creation. Routledge. ₾ “The left hemisphere exhibits “an extraordinary complex of calculating, domineering, moralistic, law- making, and ego-centric processes and activities” (p. 31). ₾ “The left hemisphere suppresses right hemisphere life and values into subconscious or bodily life” (p. 44).
65. www.wonderbomb.net 65 of 140 This This curse curse inside of me. inside of me. The The skill that I myself perfected skill that I myself perfected To see what no one sees. To see what no one sees.
66. www.wonderbomb.net 66 of 140 Impotent Rage Impotent Rage Relying on McGilchrist (2019, Locations 11331-11333) we cede the source of anger and rage. McGilchrist, I. (2019). The Master and His Emissary: The Divided Brain and the Making of the Western World (2nd, New Expanded edition ed.). Yale University Press. ₾ “Anger and aggressive behavior would become more evident in our social interactions, since of all emotional states these are the most highly characteristic of the left hemisphere, and would no longer be counterbalanced by the empathic skills of the right hemisphere.”
67. www.wonderbomb.net 67 of 140 Is someone there? Is someone there?
68. www.wonderbomb.net 68 of 140 Apprehended Never Comprehended Apprehended Never Comprehended In “The Matter With Things: Our Brains, Our Delusions and the Unmaking of the World,” the psychiatrist and literary scholar Iain McGilchrist (2021, pp. 10-11) offers a comprehensive perspective to our most troubling terrifying problems. McGilchrist, I. (2021). The Matter With Things: Our Brains, Our Delusions and the Unmaking of the World. Perspectiva Press. ₾ “[T]o sum up a vastly complex matter in a phrase, that the brain’s left hemisphere is designed to help us AP- prehend – and thus manipulate – the world; the right hemisphere to COM-prehend it – see it all for what it is” (p. 10).
69. www.wonderbomb.net 69 of 140 My technique is unparalleled. My work is My technique is unparalleled. My work is legendary. Nobody puts on a better show. legendary. Nobody puts on a better show. “ “All the world's a stage, All the world's a stage, And all the men and And all the men and women merely players.” women merely players.” As You Like It, Act II, Scene VII As You Like It, Act II, Scene VII William Shakespeare William Shakespeare
70. www.wonderbomb.net 70 of 140 Hypomanic Nation Hypomanic Nation In “The Hypomanic Edge: The Link Between Craziness and Success in America,” Gartner (2005, p. 2) describes hypomanics as “brimming with infectious energy, irrational confidence, and really big ideas.” Gartner, J. D. (2005). The Hypomanic Edge: The Link Between Craziness and Success in America. Simon & Schuster. ₾ “Hypomanics live on the edge, between normal and abnormal.”
71. www.wonderbomb.net 71 of 140 Empathy Erosion Empathy Erosion Roderick Tweedy (2012, p. 182) writes that a left hemisphere dominant orientation places one on a continuum with psychopaths who “are fascinated by power and have little or no empathy; they enjoy manipulating others in order to boost their ego and self-worth.” Tweedy, R. (2013). The God of the Left Hemisphere: Blake, Bolte Taylor, and the Myth of Creation. Routledge. ₾ Writing of empathy erosion, Baron-Cohen (2011, p.5) says, “in such a state we relate to people as if they were just things. Baron-Cohen, S. (2011). Zero Degrees of Empathy: A New Theory of Human Cruelty. Penguin Books.
72. www.wonderbomb.net 72 of 140 Oh, you mean Oh, you mean your tricks your tricks. . No, I meant that I enjoyed No, I meant that I enjoyed your your performance performance pretending there pretending there isn't such a thing as magic. isn't such a thing as magic.
73. www.wonderbomb.net 73 of 140 Frank, A. W. (2013). The Wounded Storyteller: Body, Illness, and Ethics, Second Edition (Second edition). University of Chicago Press.
74. www.wonderbomb.net 74 of 140 Meaning? Meaning? Magic? Magic? Only the very young and the Only the very young and the very foolish very foolish believe believe in magic. in magic.
75. www.wonderbomb.net 75 of 140 Pistis/Fides Pistis/Fides In “Salvation by Allegiance Alone,” theologian Matthew Bates (2017, p. 88) parses the terms that engender our understanding of the word “believe.” Bates, M. (2017). Salvation by Allegiance Alone: Rethinking Faith, Works, and the Gospel of Jesus the King. Baker Academic. ₾ “As part of this broader cultural climate, the Greek word pistis and its rough Latin equivalent, fides, had sociopolitical overtones of loyalty to the emperor (or other patrons) as well as reciprocity in receiving benefits in exchange for demonstrated loyalty.” ₾ Unfortunately, we show loyalty to an enervating/destructive neoliberal worldview.
76. www.wonderbomb.net 76 of 140 Loyalty to a Narrative Loyalty to a Narrative https://www.netflix.com/title/81265493
77. www.wonderbomb.net 77 of 140 Deconxtextualization Deconxtextualization (a left-brain trick) (a left-brain trick) Working extensively from the work of McGilchrist, Tweedy (2013, p.207) writes Tweedy, R. (2013). The God of the Left Hemisphere: Blake, Bolte Taylor, and the Myth of Creation. Routledge. ₾ “Individuals with Asperger Syndrome tend to be unable to detect or understand intentions and inner worlds in those around them.” ₾ McGilchrist (2019, Loc 10725-10726) writers that Asperger Syndrome is “marked by clinical features strongly suggestive of right-hemisphere hypofunction, and the resulting picture is one of left-hemisphere dominance.”
78. www.wonderbomb.net 78 of 140 You're mistaken. You're mistaken. Only the very young and the very Only the very young and the very wise believe wise believe (are loyal) (are loyal) in such a thing. in such a thing. In “The Philosophy of Loyalty,” by Josiah Royce (1908/2005 p. 266) states, “The cause to which a loyal man is devoted is never something wholly impersonal. It concerns other men. Loyalty is social.” Royce, J. (2005). The Philosophy of Loyalty. In The Basic Writings of Josiah Royce (Vol. 2). Fordham University Press.
79. www.wonderbomb.net 79 of 140
80. www.wonderbomb.net 80 of 140 McCormick, B. (2008). That’s Magic! [Musical; Video]. Whitestone Motion Pictures. https://www.whitestonemp.com/ That's Magic! Part 2
81. www.wonderbomb.net 81 of 140 If you want to be rid of your If you want to be rid of your disbelief disbelief, , your your sight sight must be improved. must be improved.
82. The Dominant Eye The Dominant Eye In “Drawing on the Dominant Eye: Decoding the “Drawing on the Dominant Eye: Decoding the Way We Perceive, Create, and Learn,” Way We Perceive, Create, and Learn,” Betty Edwards (2020, pp. 4-10) writes that we understand the we understand the world world through our dominant eye and subsequently with our dominant hemisphere. Edwards, B. (2020). Drawing on The Dominant Eye: Decoding the Way We Perceive, Create, and Learn. Tarcher Perigee. ₾ The right eye/visual field is most strongly connected to the verbal, left hemisphere. ₾ The left eye/visual field left eye/visual field is most strongly connected with the visual, non-verbal, right hemisphere right hemisphere.
83. www.wonderbomb.net 83 of 140 The magic of a second's The magic of a second's glance glance, the spark , the spark between two lovers' hands, the world it pulls them between two lovers' hands, the world it pulls them close to kiss, that's magic in their finger tips. close to kiss, that's magic in their finger tips.
84. www.wonderbomb.net 84 of 140 Right Brain Identity Right Brain Identity In “Whole Brain Living,” Jill Bolte Taylor (2021, p. 128) describes how our right hemisphere “is our authenticity, as it is the part of ourselves that we share with the One.” Bolte Taylor, J. (2021). Whole Brain Living. Hay House Inc. ₾ “The energy that fuels the movements of the planets and stars is the exact same energy that forms the consciousnesses of both the overall universe and our [right hemisphere personality]” (p. 133). ₾ “Our [right hemisphere personality] does not judge, it simply celebrates with wonder the life that it lives” (p. 134)
85. www.wonderbomb.net 85 of 140 Science and numbers and Science and numbers and chemistry will chemistry will prove your prove your theory theory wrong. wrong.
86. www.wonderbomb.net 86 of 140 Meditation without Practice Meditation without Practice In “Choiceless Awareness,” Krishnamurti (1992, p. 17) teaches how we can see through the cultural programming. Krishnamurti, J. (1992). Choiceless Awareness: Meditation without Practice. Krishnamurti Foundation. ₾ “Being aware of your conditioning, you must watch it choicelessly; you must see the fact and not give an opinion or judgment about the fact.”
87. www.wonderbomb.net 87 of 140 Illusions of wonders and Illusions of wonders and majesty I majesty I conjure conjure all day long. all day long.
88. www.wonderbomb.net 88 of 140 The “Fairy Tale” Cure The “Fairy Tale” Cure In “The Interpretation of Fairy Tales,” Marie-Louise von Franz (1996, p. 15), quoting Jung, writes “it is in fairy tales that one can best study the comparative anatomy of the psyche.” von Franz, M.-L. (1996). . (Revised). Shambala Publications. ₾ “Fairy tales mirror the more simple but also more basic structure—the bare skeleton—of the psyche” (p. 26). ₾ To deeply understand fairy tales is to have deep insight in the human psyche.
89. www.wonderbomb.net 89 of 140 W e h a v e a l l b e e n W e h a v e a l l b e e n Rumpelstiltskinned Rumpelstiltskinned A father lies to a greedy king. A desperate daughter sells her “body and soul and first- born child” to produce an excess of “wealth” for the king. She saves herself by seeing through the ruse and naming the menace. Once Upon a Time
90. www.wonderbomb.net 90 of 140 Watch close the smiling children dance, Watch close the smiling children dance, does it venture with no end in sight? does it venture with no end in sight? That's magic in a That's magic in a child's eye child's eye. .
91. www.wonderbomb.net 91 of 140 Right-Brain Renewal of Work Right-Brain Renewal of Work In “The Reinvention of Work,” the Episcopal priest Matthew Fox (1994, p. 93) sketches a path forward to inner meaningful work where “ars humana reflects and prolongs the divine creation, ars divina.” Fox, M. (1994). The Reinvention of Work: A New Vision of Livelihood for Our Time. HarperOne. ₾ “Work itself needs liberation; it needs sanctification; and it needs celebration.” ₾ “The work of creation was a work of joy whose whole purpose was to bring more joy into existence.”
92. www.wonderbomb.net 92 of 140 The stage has been The stage has been my only company. my only company. A Tragedy. A Tragedy. Alone when everybody leaves. Alone when everybody leaves.
93. www.wonderbomb.net 93 of 140 Burnout Meets Grief Burnout Meets Grief In “Staff Burnout in the Perspective of Grief Theory,” Price & Murphy (1984) argue that “burnout not only entails loss on several levels, but is itself in part a response to it. The loss involved is a loss of an aspect of self; it is a spiritual loss.” Price, D. M., & Murphy, P. A. (1984). Staff burnout in the perspective of grief theory. Death Education, 8(1), 47–58. ₾ “Disillusionment and resignation involves a kind of collapse of the spirit.” ₾ Millennials and Gen Zs feel despair from being cutoff from the full expression of their biological design … relationship to place and family.
94. www.wonderbomb.net 94 of 140 Different, Better, More Different, Better, More In “The Grief Recovery Handbook,” James and Friedman (2009. p. 61) offer a way to understand any kind of loss whether it be real or perceived. James, J., & Friedman, R. (2009). The Grief Recovery Handbook (20th ed.). HarperCollins E-Pub. ₾ “There are three words that help us begin the process of recovery: different, better, or more.” ₾ “Whether the loss is a death, a divorce, or a painful estrangement from another person, the question “What do you wish had been different, better, or more?” will always help you find what is incomplete.”
95. www.wonderbomb.net 95 of 140 Don't you leave the Don't you leave the magic magic on the stage. on the stage. A A curse curse that I myself perfected. that I myself perfected.
96. www.wonderbomb.net 96 of 140 Live Like Its Your Last Year Live Like Its Your Last Year In “A Year to Live,” Levine (1997, pp. 10-11) writes that “in their last year many people feel as if they have a second chance at growth and inner healing.” Levine, S. (1997). A Year to Live. Crown Publishing Group. ₾ “Many people experience a certain remorse about having neglected spiritual growth, while even more express dismay that there has been so little authentic joy in their lives.” ₾ “All but those who have fully opened to life say that they would live differently if they had just one more year.”
97. www.wonderbomb.net 97 of 140 Lend me your hand Lend me your hand Here is my hand … Here is my hand … open your eyes! open your eyes!
98. www.wonderbomb.net 98 of 140 Deconstruct the Left-Brain World Deconstruct the Left-Brain World In “Crossing the Unknown Sea: Work as a Pilgrimage of Identity,” David Whyte (2001, p. 11) stands the neoliberal agenda on its head when he writes that “one of the keys to any possible happiness in work must be the little self- knowledge it takes to know what we desire in life, how we are made, and how we belong to the rest of the world.” Whyte, D. (2001). Crossing the Unknown Sea: Work as a Pilgrimage of Identity. River Head Books. ₾ To the left brain the world belongs to you … to the right brain you belong to the world.
99. www.wonderbomb.net 99 of 140 McCormick, B. (2008). That’s Magic! [Musical; Video]. Whitestone Motion Pictures. https://www.whitestonemp.com/ That's Magic! Part 3
100. www.wonderbomb.net 100 of 140 Be the Shaman Be the Shaman In “Food of the Gods: “Food of the Gods: The Search for the Original The Search for the Original Tree of Knowledge,” Tree of Knowledge,” McKenna (1992) reveals that it is the shaman who takes the medicine shaman who takes the medicine in an effort to heal the patient. McKenna, T. (1992). Food of the Gods: The Search for the Original Tree of Knowledge. Bantam. ₾ “A reverence for and an immersion in the powers of powers of language and communication language and communication are the basis of the shamanic path” (pp. 6-7). ₾ “The shaman is the remote ancestor of the poet and remote ancestor of the poet and artist artist” (pp. 6-7).
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102. www.wonderbomb.net 102 of 140 The Magician Takes the Medicine The Magician Takes the Medicine
103. www.wonderbomb.net 103 of 140 The Antidote The Antidote “The antidote to exhaustion is not necessarily rest,” said Brother Steindl-Rast, pausing as David looked at him surprised. The Surprising Antidote to Exhaustion. (2021, July 13). EQUUS Inspired. https://equusinspired.com/the-surprising-antidote/ ₾ “The antidote to exhaustion is wholeheartedness,” he continued.” ₾ “You’re so exhausted because you can’t be wholehearted at what you’re doing…because your real conversation with life is through poetry.”
104. www.wonderbomb.net 104 of 140 What do you see? What do you see? All that's All that's missing missing from me. from me. A Family. A Life. A Love. A Family. A Life. A Love.
105. www.wonderbomb.net 105 of 140 Reconnection Reconnection In “Lost Connections,” Johan Hari (2018) describes the “real” causes of depression as less a function of disordered brain chemistry and more a function of disordered relationships. His research suggests reconnecting to:. Hari, J. (2018). Lost Connections: Uncovering the Real Causes of Depression – and the Unexpected Solutions. Bloomsbury USA. ₾ Other people, meaningful work, meaningful values, sympathetic joy, overcoming addiction to the self, and addressing childhood trauma. ₾ “If you stay broken up and isolated, you will likely stay depressed and anxious” (p. 255).
106. www.wonderbomb.net 106 of 140 What do you see? What do you see?
107. www.wonderbomb.net 107 of 140 The Other Hand The Other Hand In “The Power of Your Other Hand,” Lucia Capacchione (2019, p.17) employs techniques that use the non-dominant hand in writing and drawing exercises to uncover hidden desires, meaning, and inner conflicts. Capacchione, L. (2019). The Power of Your Other Hand. Conari Press. ₾ “The conscious and unconscious, the rational and intuitive, the thinking and feeling sides of my inner world began to embrace each other.” ₾ “It always brought clarity and insight. It always left me feeling better.”
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109. www.wonderbomb.net 109 of 140 Hemispheric Inhibition Hemispheric Inhibition In “The Master and His Emissary,” McGilchrist (2019, p. 18) helps us to understand how writing with the non-dominant hand can reveal the right hemisphere's desires. McGilchrist, I. (2019). The Master and His Emissary: The Divided Brain and the Making of the Western World (2nd, New Expanded edition ed.). Yale University Press. ₾ “The evidence is that the primary effect of callosal transmission is to produce functional inhibition.” ₾ “Such inhibition can be widespread, and can be seen on imaging.”
110. www.wonderbomb.net 110 of 140 The magic of the second glance. The magic of the second glance. The The beauty beauty of the second chance. of the second chance.
111. www.wonderbomb.net 111 of 140 The Beauty of the Second Chance The Beauty of the Second Chance In “Anne Frank: The Diary of a Young Girl,” Frank reminds us in her Tuesday, March 7, 1944 diary entry to “Kitty” that “beauty remains, even in misfortune.” ₾ “My advice is: 'Go outside, to the country, enjoy the sun and all nature has to offer. Go outside and try to recapture the happiness within yourself; think of all the beauty in yourself and in everything around you and be happy.'”
112. Reversing Nature-Deficit Disorder Reversing Nature-Deficit Disorder In “The Nature Principle,” Richard Louv (2012) posits “that a reconnection to the natural world is fundamental to human health, well-being, spirit, and survival. Louv, R. (2012). The Nature Principle: Reconnecting with Life in a Virtual Age. Algonquin Books. ₾ Gardening has been shown to reduce anxiety through the production of more serotonin. ₾ The bacterium in question is Mycobacterium vaccae, a natural soil bacterium commonly ingested or inhaled.
113. www.wonderbomb.net 113 of 140 Stephen Harrod Buhner. (2002). The Lost Language of Plants: The Ecological Importance of Plant Medicines to Life on Earth. Chelsea Green Publisher.
114. www.wonderbomb.net 114 of 140 To give yourself To give yourself and to and to understand understand that's magic! that's magic!
115. www.wonderbomb.net 115 of 140 Embrace the Poetic Embrace the Poetic In “The Disappearance of Rituals: A Topology of the Present,” Byung-Chul Han (2020, p. 60) points out that we hardly read poems any more because “in poetry, language plays.” Han, B.-C. (2020). The Disappearance of Rituals: A Topology of the Present. Polity. ₾ “Poems are magic ceremonies of language. The poetic principle returns pleasure to language through a radical break with the economy of the production of meaning.”
116. www.wonderbomb.net 116 of 140 That's Magic! That's Magic!
117. www.wonderbomb.net 117 of 140 Poetry Therapy Poetry Therapy The National Association for Poetry Therapy defines poetry therapy as: https://poetrytherapy.org/ ₾ The use of language, symbol, and story in therapeutic, educational, growth, and community- building capacities. ₾ It relies upon the use of poems, stories, song lyrics, imagery, and metaphor to facilitate personal growth, healing, and greater self-awareness. ₾ Narrative, journal writing, metaphor, storytelling, and ritual are all within the realm of poetry therapy.
118. www.wonderbomb.net 118 of 140 That's Magic! That's Magic!
119. www.wonderbomb.net 119 of 140 Meaning in the Poetic Meaning in the Poetic In “Man's Search for Meaning,” Vicktor Frankl (1959/2006, p. 37) discuses how finding meaning in one's life engenders hope and survival. Frankl found that survival in a Nazi concentration camp was fostered by quoting philosophers and poets and telling stories. Frankl, V. (1959). Man’s Search for Meaning. Beacon Press. ₾ “Then I grasped the meaning of the greatest secret that human poetry and human thought and belief have to impart: The salvation of man is through love and in love.”
120. www.wonderbomb.net 120 of 140 Frank, A. W. (2010). Letting Stories Breathe: A Socio-Narratology. University of Chicago Press.
121. www.wonderbomb.net 121 of 140 Poetry & Agency in Healing Poetry & Agency in Healing In “A Look Back and a Path Forward: Poetry's Healing Power during the Pandemic,” Xiang and Yi (2019) tell us that “for patients, poetry provides a space to vent, to reflect, and to come to terms with their respective situation. Xiang, D. H., & Yi, A. M. (2020). A Look Back and a Path Forward: Poetry’s Healing Power during the Pandemic. The Journal of Medical Humanities, 41(4), 603–608. https://doi.org/10.1007/s10912-020-09657-z ₾ “It provides an organizational structure with which to tackle new perceptions and deal with negative thoughts.” ₾ “Poetry restores agency, allowing one’s voice to be heard and represented.”
122. www.wonderbomb.net 122 of 140 That's magic ... That's magic ... and you. and you.
123. www.wonderbomb.net 123 of 140 Marino, G. (2018). The Existentialist’s Survival Guide: How to Live Authentically in an Inauthentic Age. HarperOne.
124. www.wonderbomb.net 124 of 140 The world, now a dark and discouraged, cloistered, sometimes-dangerous walk alone; Short-sighted and ineffectual, separate housing infected by contempt; A change of spirit, itself a partner, associated living, mutual advantage; The change of direction, in partnership, the revival, encouraged neighborhood, to revive, renovating both. Public Emotion Public Emotion A found Poem by asb A found Poem by asb
125. www.wonderbomb.net 125 of 140 “Political Emotions: Why Love Matters for Justice” by Martha Nussbaum (2013)
126. www.wonderbomb.net 126 of 140 Call to Elderhood Call to Elderhood
127. www.wonderbomb.net 127 of 140 Hermeneutics of Elderhood Hermeneutics of Elderhood In “Hermeneutics,” Caputo (2018, p.55) writes that “authentic interpretation moves against the tendency of the public interpretation to trivialize, to cover things over with a veil of thoughtless superficiality; it uncovers what has been covered up.” Caputo, J. (2018). Hermeneutics: Facts and Interpretation in the Age of Information. Penguin Group. ₾ “Hermeneutics is driven by ‘the quiet power of the possible’.”
128. www.wonderbomb.net 128 of 140 Meaning and Magic Meaning and Magic
129. www.wonderbomb.net 129 of 140 The Case for Elderhood The Case for Elderhood In “Come of Age: The Case for Elderhood in a Time of Trouble,” Jenkinson (2018, p. 88) laments the loss of qualified elders and the dearth of guidance for the young/future. Jenkinson, S. (2018). Come of Age: The Case for Elderhood in a Time of Trouble. North Atlantic Books. ₾ “I suspect there’s a correlation—a devilish correlation—between the demonstrable fact that there’s an extraordinary incidence of despair in the culture, and among young people in particular, and the AWOL status of elderhood in the culture.”
130. www.wonderbomb.net 130 of 140 Weller, F. (2015). The Wild Edge of Sorrow: Rituals of Renewal and the Sacred Work of Grief. North Atlantic Books.
131. www.wonderbomb.net 131 of 140 Underwriting Cultural Sanity Underwriting Cultural Sanity
132. www.wonderbomb.net 132 of 140 Risk Beyond Grandparenthood Risk Beyond Grandparenthood Jenkinson (2018, p. 44) emphasizes that “societies are brought to the tempered achievement of 'culture' by seeing and learning the end of what they hold dear, and then by entering into a self-governance of restraint and obedience to limit.” Jenkinson, S. (2018). Come of Age: The Case for Elderhood in a Time of Trouble. North Atlantic Books. ₾ “Without the tutelage of limits and endings, you have no elders to practice and incarnate wisdom, no culture recognizable to cultured peoples, no record of noble restraint that would make of you an ancestor worth claiming
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134. www.wonderbomb.net 134 of 140 Being Mortal/Being Courageous Being Mortal/Being Courageous In “Being Mortal,” surgeon Atul Gawande (2014, p. 232) writes that “two kinds of courage are required in aging and sickness.” Gawande, A. (2014). Being Mortal: Medicine and What Matters in the End. Henry Holt and Co. ₾ “The first is the courage to confront the reality of mortality—the courage to seek out the truth of what is to be feared and what is to be hoped.” ₾ “The second kind of courage is the courage to act on the truth we find.”
135. www.wonderbomb.net 135 of 140 Reaffirm Your Values Reaffirm Your Values In “Ethical Wills: Putting Your Values on Paper,” physician Barry Baines (2006, p. 14) writes, “Legal wills bequeath valuables, while ethical wills bequeath values.” Baines, B. (2006). Ethical Wills: Putting Your Values on Paper. (2nd ed.). Da Capo Press. ₾ “Creating an ethical will is a way to: reflect on my life, affirm myself and what others mean to me, illustrate my values, and tell stories for perpetuity” (p. 20). ₾ “There are two common prompts for writing an ethical will: (1) turning points in your life and (2) when an event is cause for serious reflection” (p.21).
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137. www.wonderbomb.net 137 of 140 Sometimes Sometimes Sometimes if you move carefully through the forest, breathing like the ones in the old stories, who could cross a shimmering bed of leaves without a sound, you come to a place whose only task is to trouble you with tiny but frightening requests, conceived out of nowhere but in this place beginning to lead everywhere. David Whyte (2012, pp. 52-53) Whyte, D. (2012). River Flow: New & Selected Poems. Many Rivers Press.
138. www.wonderbomb.net 138 of 140 In the clinical setting, the solution to burnout has less to do with what you do and more to do with who you are. This is the deconstruction.
139. www.wonderbomb.net 139 of 140 www.brownpoetry.com/
140. www.wonderbomb.net 140 of 140 A deep thank you to MCPA District II and All of You