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Encountering Burnout in Clinical Practice

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.”

Andrew S. Bonci

November 04, 2022
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  1. Encountering
    Burnout
    In Clinical Practice
    Andrew S. Bonci
    Life-Long Learner
    Private Practice
    COVID was the gasoline on
    an already smoldering fire.

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    (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

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    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.

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    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.

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    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).

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    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.”

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    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.

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    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.

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    John McDermott. (2005). The Basic Writings of Josiah Royce. Fordham University Press.
    Chiropractic philosophy is
    biomedical science.

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    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

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    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

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    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

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    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.

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    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.”

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    Graeber, D. (2018). Bullshit Jobs: A Theory (1st edition). Simon & Schuster.

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    worldpopulationreview.com
    worldpopulationreview.com
    USA MO

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    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).

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    Hargaden, K. (2018). Theological Ethics in a Neoliberal Age: Confronting the Christian Problem with Wealth. Cascade Books.

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    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.

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    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.

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    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).

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    Bell, D. M. (2012). The Economy of Desire (The Church and Postmodern Culture). Baker Academic.

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    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.

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    Hargaden, K. (2018). Theological Ethics in a Neoliberal Age: Confronting the Christian Problem with Wealth. Cascade Books.

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    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).

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    McCormick, B. (2008). That’s Magic! [Musical; Video]. Whitestone Motion Pictures. https://www.whitestonemp.com/
    That's Magic!
    Part 0

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    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)
    .”

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    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

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    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

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    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

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    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.

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    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.

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    Jaeggi, R. (2014). Alienation. Columbia University Press.

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    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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    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.”

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    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?

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    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.

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    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

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    Fromm, E. (1961). Marx’s Concept of Man (T. Bottomore, Trans.). (Frederick Ungar Publishing Co.
    Identity
    Identity
    and
    and
    Agency
    Agency

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    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).

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    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

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    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).

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    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)

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  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.

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    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).

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    Vervaeke, J., Mastropietro, C., & Miscevic, F. (2017). Zombies in Western Culture: A Twenty-First Century Crisis. Open Book Publishers.

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    “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.

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    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).

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  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.”

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  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

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  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

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  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

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  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?

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  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.”

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  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!

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  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.

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  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

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  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.”

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  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!

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  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.

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  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).

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  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.

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  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.”

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  67. www.wonderbomb.net 67 of 140
    Is someone there?
    Is someone there?

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  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).

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  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

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  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.”

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  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.

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  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.

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  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.

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  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.

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  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.

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  76. www.wonderbomb.net 76 of 140
    Loyalty to a Narrative
    Loyalty to a Narrative
    https://www.netflix.com/title/81265493

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  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.”

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  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.

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  79. www.wonderbomb.net 79 of 140

    View full-size slide

  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

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  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.

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  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.

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  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.

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  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)

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  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.

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  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.”

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  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.

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  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.

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  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

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  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.
    .

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  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.”

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  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.

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  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.

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  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.”

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  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.

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  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.”

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  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!

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  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.

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  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

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  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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  101. www.wonderbomb.net 101 of 140

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  102. www.wonderbomb.net 102 of 140
    The Magician Takes the Medicine
    The Magician Takes the Medicine

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  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.”

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  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.

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  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).

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  106. www.wonderbomb.net 106 of 140
    What do you see?
    What do you see?

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  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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  108. www.wonderbomb.net 108 of 140

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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.”

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    The magic of the second glance.
    The magic of the second glance.
    The
    The beauty
    beauty of the second chance.
    of the second chance.

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    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.'”

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  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.

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    Stephen Harrod Buhner. (2002). The Lost Language of Plants: The Ecological Importance of Plant Medicines to Life on Earth. Chelsea Green Publisher.

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    To give yourself
    To give yourself
    and to
    and to understand
    understand that's magic!
    that's magic!

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    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.”

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    That's Magic!
    That's Magic!

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    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.

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    That's Magic!
    That's Magic!

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    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.”

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    Frank, A. W. (2010). Letting Stories Breathe: A Socio-Narratology. University of Chicago Press.

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    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.”

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    That's magic ...
    That's magic ...
    and you.
    and you.

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    Marino, G. (2018). The Existentialist’s Survival Guide: How to Live Authentically in an Inauthentic Age. HarperOne.

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    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

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    “Political Emotions: Why
    Love Matters for Justice”
    by
    Martha Nussbaum (2013)

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    Call to Elderhood
    Call to Elderhood

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    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’.”

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    Meaning and Magic
    Meaning and Magic

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    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.”

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    Weller, F. (2015). The Wild Edge of Sorrow: Rituals of Renewal and the Sacred Work of Grief. North Atlantic Books.

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    Underwriting Cultural Sanity
    Underwriting Cultural Sanity

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    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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    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.”

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    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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    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.

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    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.

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    www.brownpoetry.com/

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    A deep thank you to
    MCPA District II
    and
    All of You

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