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	<title>Mark Goulston</title>
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		<title>Wouldn&#8217;t You Agree? #5</title>
		<link>http://markgoulston.com/wouldnt-you-agree-5/</link>
		<comments>http://markgoulston.com/wouldnt-you-agree-5/#comments</comments>
		<pubDate>Mon, 14 May 2012 04:26:10 +0000</pubDate>
		<dc:creator>Mark</dc:creator>
				<category><![CDATA[Spiritual]]></category>
		<category><![CDATA[advice]]></category>
		<category><![CDATA[question]]></category>
		<category><![CDATA[self-help]]></category>
		<category><![CDATA[tips]]></category>

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		<description><![CDATA[Q: What would be left in your personality if you could remove the parts of it that are trying to prove, show, hide or please? A: You Wouldn&#8217;t you agree? Please share your comments below Spread the Word]]></description>
			<content:encoded><![CDATA[<p><strong>Q: What would be left in your personality if you could remove the parts of it that are trying to prove, show, hide or please?</strong></p>
<p><strong>A: You</strong></p>
<p><strong>Wouldn&#8217;t you agree?</strong></p>
<p><strong>Please share your comments below</strong></p>



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		<title>Usable Insight &#8211; Happy Mother&#8217;s Day</title>
		<link>http://markgoulston.com/usable-insight-happy-mothers-day/</link>
		<comments>http://markgoulston.com/usable-insight-happy-mothers-day/#comments</comments>
		<pubDate>Sun, 13 May 2012 04:24:01 +0000</pubDate>
		<dc:creator>Mark</dc:creator>
				<category><![CDATA[Family]]></category>
		<category><![CDATA[Usable Insights]]></category>
		<category><![CDATA[mother]]></category>
		<category><![CDATA[Mother's Day]]></category>

		<guid isPermaLink="false">http://markgoulston.com/?p=6090</guid>
		<description><![CDATA[Well-known Mother Sayings I&#8217;m going to give you until the count of three&#8230; 1&#8230; 2&#8230; 2 and a half&#8230; 2 and three quarters. I don&#8217;t care who started it, I said stop! I don&#8217;t have to explain myself. I said no. I can&#8217;t believe you can sleep in this filth! Am I talking to a [...]]]></description>
			<content:encoded><![CDATA[<p><strong>Well-known Mother Sayings</strong></p>
<ul>
<li>I&#8217;m going to give you until the count of three&#8230; 1&#8230; 2&#8230; 2 and a half&#8230; 2 and three quarters.</li>
<li>I don&#8217;t care who started it, I said stop!</li>
<li>I don&#8217;t have to explain myself. I said no.</li>
<li>I can&#8217;t believe you can sleep in this filth!<span id="more-6090"></span></li>
<li>Am I talking to a brick wall?</li>
<li>Are you deaf or something?</li>
<li>As long as you live under my roof, you&#8217;ll do as I say.</li>
<li>Call me when you get there, just so I know you&#8217;re okay.</li>
<li>Did you brush your teeth?</li>
<li>Do you think your socks are going to pick themselves up?</li>
<li>Don&#8217;t go out with a wet head, you&#8217;ll catch cold.</li>
<li>Don&#8217;t sit too close to the television; it&#8217;ll ruin your eyes.</li>
<li>Eat your vegetables; they&#8217;re good for you.</li>
<li>Going to a party? Who&#8217;s going to be there?</li>
<li>I didn&#8217;t ask who put it there; I said &#8220;Pick it up!&#8221;</li>
<li>I hope someday you have children just like you.</li>
<li>I&#8217;m doing this for your own good.</li>
<li>I&#8217;m not your cleaning lady!</li>
<li>Look at me when I&#8217;m talking to you.</li>
<li>Money does NOT grow on trees.</li>
<li>Put that down! You don&#8217;t know where it&#8217;s been!</li>
<li>Watch your mouth!</li>
<li>What did I say the FIRST time?</li>
<li>What part of NO don&#8217;t you understand?</li>
<li>When I was a little girl&#8230;</li>
<li>When I was young we had respect for our elders!</li>
<li>Who died and left you boss?</li>
<li>Who taught you THAT? You didn&#8217;t learn that in this house!</li>
<li>You can&#8217;t find it? Well, if you&#8217;d put things where they belonged, you wouldn&#8217;t have this problem.</li>
<li>You won&#8217;t be happy until you break that, will you?</li>
<li>Your father is going to hear about this when HE gets home!</li>
<li>Some day you will thank me for this. SMACK!!!</li>
<li>If you can&#8217;t say something nice, don&#8217;t say anything at all</li>
<li>How can you have nothing to wear? Your closet is full of clothes!</li>
<li>Don&#8217;t use that tone with me!</li>
</ul>
<p><strong>God could not be everywhere and therefore he made mothers. &#8211; Jewish Proverb</strong></p>
<p><strong>Home is where your Mom is. &#8211; Unknown</strong></p>
<p><strong>Sweater, n.:  garment worn by child when its mother is feeling chilly.  ~Ambrose Bierce</strong></p>
<p><strong>A mother takes twenty years to make a man of her boy, and another woman makes a fool of him in twenty minutes. – Robert Frost</strong></p>
<h3><strong> The first time you truly appreciate Mother&#8217;s Day will be the first time you spend it without one. -  Linda Poindexter</strong></h3>



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		<title>Usable Insight &#8211; &#8220;Just Listen&#8221; #1 in Business Office Skills</title>
		<link>http://markgoulston.com/usable-insight-just-listen-1-in-business-office-skills/</link>
		<comments>http://markgoulston.com/usable-insight-just-listen-1-in-business-office-skills/#comments</comments>
		<pubDate>Sat, 12 May 2012 08:01:35 +0000</pubDate>
		<dc:creator>Mark</dc:creator>
				<category><![CDATA[Career]]></category>
		<category><![CDATA[Usable Insights]]></category>
		<category><![CDATA[business]]></category>
		<category><![CDATA[communication]]></category>

		<guid isPermaLink="false">http://markgoulston.com/?p=6079</guid>
		<description><![CDATA[&#8220;Just Listen&#8221; #1 in Business Office Skills Spread the Word]]></description>
			<content:encoded><![CDATA[<p style="text-align: center;"><strong><span style="color: #000080;">&#8220;Just Listen&#8221; #1 in Business Office Skills</span></strong></p>
<p style="text-align: center;"><a href="http://markgoulston.com/wp-content/uploads/2012/05/businessofficeskillstjpg.jpg"><img class="aligncenter  wp-image-6080" title="businessofficeskillstjpg" src="http://markgoulston.com/wp-content/uploads/2012/05/businessofficeskillstjpg-1024x464.jpg" alt="" width="775" height="351" /></a></p>



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		<title>Usable Insight &#8211; Why gay marriage frightens men and women</title>
		<link>http://markgoulston.com/usable-insight-why-gay-marriage-frightens-men-and-women/</link>
		<comments>http://markgoulston.com/usable-insight-why-gay-marriage-frightens-men-and-women/#comments</comments>
		<pubDate>Thu, 10 May 2012 05:14:49 +0000</pubDate>
		<dc:creator>Mark</dc:creator>
				<category><![CDATA[Usable Insights]]></category>
		<category><![CDATA[gay]]></category>
		<category><![CDATA[gay marriage]]></category>
		<category><![CDATA[obama]]></category>

		<guid isPermaLink="false">http://markgoulston.com/?p=6065</guid>
		<description><![CDATA[Me thinks the anti gay marriage ladies and men doth protest too much Check out this video of Bill Donohue of the Catholic League on Piers Morgan. I don&#8217;t buy the religious reason for so many men and women vehemently protesting gay marriage. Underneath most anger and protest is fear. What is it that men [...]]]></description>
			<content:encoded><![CDATA[<p><strong>Me thinks the anti gay marriage ladies and men doth protest too much</strong></p>
<p>Check out this video of Bill Donohue of the Catholic League on Piers Morgan.<br />
<span id="more-6065"></span></p>
<p><center><iframe src="http://www.youtube.com/embed/iQQj-nStoJU" frameborder="0" width="560" height="315"></iframe></center>I don&#8217;t buy the religious reason for so many men and women vehemently protesting gay marriage. Underneath most anger and protest is fear. What is it that men and women who oppose gay marriage could be afraid of?</p>
<p><strong>For men:</strong></p>
<p>If you watch the video of Bill Donohue on Piers Morgan above, imagine his wife daring to tell him, &#8220;You&#8217;re wrong, you&#8217;re foolish, you&#8217;re an embarrassment,&#8221; which if she has a brain in her head, she&#8217;s gotta think (unless she&#8217;s been so brainwashed to &#8220;stand by her man&#8221;).</p>
<p>Most women want to feel cherished by men and want to admire, trust and respect men. And yet many men fail to cherish the woman in their life and fail to act in a way that is worthy of admiration, trust and respect. In the past, women who neither felt cherished nor able to admire, trust and respect men sucked it in and put a smile on their face, often living lives of quiet and lonely desperation.</p>
<p>For many years men could act this way and still get devotion from their women. However with women now saying, &#8220;No thanks, I deserve to have someone who cherishes me and who I can admire, trust and respect and if you&#8217;re not going to be that person, I&#8217;m going to look for someone who can and will,&#8221; men are on notice that they can no longer get their cake (devotion from women) and eat it too (still treat women poorly).</p>
<p>Sadly, men&#8217;s identity is often tied to feeling in power and in control and when they now feel neither, it frightens them and is likely to bring out behavior that is more often entitled and not particularly loving. Men protest gay marriage between women because it implies that women are no longer willing to be submissive to people who don&#8217;t treat them well. And the men who protest gay marriage between men are often acting out on their own &#8220;homophobia,&#8221; namely that it makes them feel so uncomfortable that they have to see such unions as wrong.</p>
<p><strong>For women:</strong></p>
<p>Bitchy women who believe they are entitled to be catered to may resent men who similar to the women described above, feel they deserve to be treated better than these entitled women treat them and instead turn to men who do. On the other hand, submissive women who have drunk the kool aid of being in loveless and cherishless marriages and deny their misery, may want to resent women who have chosen not to put up with that, because these other women trigger enormous conflict and anxiety in the unloved women regarding why they are putting up with lives of &#8220;lonely desperation.&#8221;</p>
<p><strong>The solution: The Golden Rule on Steriods</strong></p>
<p>Any couple should be able to marry where each loves, cherishes, respects and is dedicated to the well being and fulfillment of the other person as they would have their partner do onto them.</p>
<p><strong>The solution for anti gay marriage men and women: Love and let love.</strong></p>
<p><strong>The solution for Bill Donohue</strong></p>
<p>Stop using the name of God and Catholicism to serve your own personal agenda. Also before you throw stones at other people, take care of what you are no doubt hiding (nearly all vehemently hostile people turn out to be hiding something which at the very least is that they care more about being right and winning than they do about serving a higher noble purpose).</p>
<p><em>Addendum:</em> <em>After this blog was posted, I received this email: &#8220;I am a big supporter of Gay Marriage but this article seems a little too biased. It doesn&#8217;t seem to have much evidence to support it&#8217;s claims. I think it has more to do than jealousy&#8230;&#8221;   I think his or her comment was spot on and that there are many pushy, argumentative, opinionated people who know how to be right, but don&#8217;t know how to be happy and are jealous of people who are happy.  Seeing that and realizing that all the &#8220;being right&#8221; and winning is not going to make them happy, causes them to be aware of something that will never be theirs and that can often cause them be sarcastic, be cynical, condescending and attack anyone who is happy.</em></p>
<p><strong> Follow Mark Goulston, M.D. on Twitter: <a href="http://www.twitter.com/markgoulston"> www.twitter.com/markgoulston </a> </strong></p>



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		<title>Usable Insight &#8211; &#8220;Avenger&#8221; Fever Blockbuster Formula Goes Viral</title>
		<link>http://markgoulston.com/usable-insight-avenger-fever-the-formula-of-a-blockbuster/</link>
		<comments>http://markgoulston.com/usable-insight-avenger-fever-the-formula-of-a-blockbuster/#comments</comments>
		<pubDate>Sat, 05 May 2012 02:19:49 +0000</pubDate>
		<dc:creator>Mark</dc:creator>
				<category><![CDATA[Usable Insights]]></category>
		<category><![CDATA[avatar]]></category>
		<category><![CDATA[avengers]]></category>
		<category><![CDATA[blockbiuster]]></category>

		<guid isPermaLink="false">http://markgoulston.com/?p=6051</guid>
		<description><![CDATA[The Avengers may not overtake Avatar as the highest grossing movie, but it seems poised to give it a run for the money. What&#8217;s the formula of a blockbuster? In the case of both The Avengers and Avatar, you may enter the movie theater identifying with the powerless, weak, fearful, overwhelmed by external forces characters [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://marvel.com/avengers_movie/"><em>The Avengers</em></a> may not overtake <a href="http://www.imdb.com/title/tt0499549/"><em>Avatar</em></a> as the highest grossing movie, but it seems poised to give it a run for the money.</p>
<p>What&#8217;s the formula of a blockbuster?</p>
<p><span id="more-6051"></span>In the case of both <em>The Avengers</em> and <em>Avatar</em>, you may enter the movie theater identifying with the powerless, weak, fearful, overwhelmed by external forces characters as portrayed by the “normal identity” humans or in the case of Avatar, handicapped identity of the protagonist.  Such identities are flawed and if not powerless at least fairly vulnerable and are traits that make it easy to identify and begin to vicariously live through if you are feeling less than superhuman these days.  Then as the movie progresses (and it is also important to have a decent and not too cheesy story), such imperfect characters as those on the screen and in the audience become transformed into superheroes that can take on and defeat any adversity or even evil in their path.  And by the end of the movie you get to personally experience being heroic, in command, in charge and control of all your domain.</p>
<p>It&#8217;s also no wonder that many people go out for food or a snack after the movie, because as the vicarious adventure drops you back in a life that you are anything but powerful in, it may make you hungry for something to keep the high going.</p>
<p>Years ago, I did a workshop at a <a href="http://promaxbda.org/">PromaxBDA</a> convention that was high tech except for my standing room only no-tech presentation to more than 250 attendees on “Creating Gotta See It!” PromaxBDA in the international association for entertainment professionals who are responsible for the trailers, ads, opening tv and movie sequence all designed to compel you to want to see more or what I referred to as “Gotta’ See It!” This is the same experience behind, “Gotta Have It!” “Gotta Buy It!” “Gotta Tell Others About It.” Contrast that with the opposite reactions such as “Never mind,” “Nah, don’t think so,” “Pass” or “Yuck!”</p>
<p>The single hand out from that presentation is below. In essence what it means is that every customer who has the internal experience on the left wants a product or service to transport them to the experience on the right. In the example of a promo or trailer or title sequence, all of these should offer a viewer the promise of being transported from an experience on the left to the one on the right if they see the tv show or movie.</p>
<p><center><a href="http://markgoulston.com/wp-content/uploads/2012/01/creatinggottaseeitjpg.jpg"><img class="aligncenter size-full wp-image-5317" title="creatinggottaseeitjpg" src="http://markgoulston.com/wp-content/uploads/2012/01/creatinggottaseeitjpg.jpg" alt="" width="329" height="496" /></a></center><strong>Not only did this blog do well on this site, it has apparently gone viral:</strong></p>
<ul>
<li><a href="http://www.wopular.com/mark-goulston-md-avenger-fever-blockbuster-formula">Wopular</a></li>
<li><a href="http://usmag.net/">Us Mag</a></li>
<li><a href="http://www.huffingtonpost.com/mark-goulston-md/avenger-fever-_b_1480853.html">Huffington Pos</a>t</li>
<li><a href="http://world.topnewstoday.org/uk/article/2176224/">Top News Today</a></li>
<li><a href="http://feeddoo.com/noticia/881695">Feeddoo</a></li>
<li><a href="http://www.allvoices.com/news/12093740-mark-goulston-md-avenger-fever-blockbuster-formula">All Voices</a></li>
<li><a href="http://famefit.com/2012/05/05/mark-goulston-m-d-avenger-fever-blockbuster-formula/">Fame Fit</a></li>
<li><a href="http://politicalparades.com/political-views/mark-goulston-m-d-avenger-fever-blockbuster-formula">Political Parades</a></li>
<li><a href="http://regator.com/p/255931738/mark_goulston_md_avenger_fever_-_blockbuster_formula/">Regator</a></li>
<li><a href="http://www.wrhel.com/mark-goulston-m-d-avenger-fever-blockbuster-formula/">Wrhel</a></li>
<li><a href="http://kearth101.radio.com/2012/05/03/poll-who-is-your-favorite-avenger/">KEARTH101</a></li>
<li><a href="http://www.huffingtonpost.com/mark-goulston-md/avenger-fever-_b_1480853.html?ref=entertainment">Huffington Post Entertainment</a></li>
<li><a href="http://huffington-post.alltop.com/">Alltop &#8211; Huffington Post</a></li>
</ul>



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		<title>Usable Insight &#8211; Calling All Women Executives: Part 5 &#8211; Why Women Don&#8217;t Ask for What They Deserve</title>
		<link>http://markgoulston.com/usable-insight-calling-all-women-executives-part-5-why-women-dont-ask-for-what-they-deserve/</link>
		<comments>http://markgoulston.com/usable-insight-calling-all-women-executives-part-5-why-women-dont-ask-for-what-they-deserve/#comments</comments>
		<pubDate>Thu, 03 May 2012 23:36:01 +0000</pubDate>
		<dc:creator>Mark</dc:creator>
				<category><![CDATA[Career]]></category>
		<category><![CDATA[Usable Insights]]></category>
		<category><![CDATA[business]]></category>
		<category><![CDATA[executives]]></category>
		<category><![CDATA[women]]></category>
		<category><![CDATA[workplace]]></category>

		<guid isPermaLink="false">http://markgoulston.com/?p=6042</guid>
		<description><![CDATA[In the workplace: Women &#8211; too often don&#8217;t feel entitled to what they do deserve Men &#8211; too often men feel entitled to what they don&#8217;t deserve What&#8217;s behind this and why are so many women afraid to ask for what they want, need and deserve in the work place? Neurochemistry A big part of [...]]]></description>
			<content:encoded><![CDATA[<p><strong>In the workplace:</strong></p>
<p style="padding-left: 30px;"><strong>Women &#8211; too often don&#8217;t feel entitled to what they do deserve</strong></p>
<p style="padding-left: 30px;"><strong>Men &#8211; too often men feel entitled to what they don&#8217;t deserve</strong></p>
<p>What&#8217;s behind this and why are so many women afraid to ask for what they want, need and deserve in the work place?</p>
<p><strong><span id="more-6042"></span>Neurochemistry</strong></p>
<p>A big part of a women&#8217;s identity is tied to both her estrogen and oxytocin.  Her estrogen is what causes her to feel more feminine and her oxytocin is about what causes her to feel that connecting, nurturing and bonding are so important.</p>
<p>A big part of men&#8217;s identity is tied to both his testosterone and adrenaline.  His testosterone is what causes him to feel aggressive and his adrenaline is what causes him to feel powerful.</p>
<p>Both women and men are also frequently dopamine junkies where dopamine is what cause both of them to feel pleasure and even intense pleasure.</p>
<p>When women are coming from their estrogen/femininity and it succeeds in attracting men to bond with and cherish them, that releases a dopamine rush. When men are coming from their testosterone/male aggressiveness and it directs their adrenaline to fight (instead of flight) and they win something, that also releases a dopamine rush.</p>
<p>Pushing, asking and demanding are more in line with testosterone and adrenaline.</p>
<p>Giving and being given, caring and being cared about , loving and being loved are more in line with estrogen and oxcytocin.</p>
<p><strong>Psychology</strong></p>
<p>When a women asks or demands something at work (all bets are off at home) she is often perceived as a &#8220;b*tch&#8221; and at the very least as unfeminine, because those appears to be testosterone/adrenaline type behaviors.</p>
<p>Perhaps the greatest deterrent to asking for what they want, need and deserve is the fear that if they are perceived as the &#8220;b&#8221; word, they will be rejected by a man and then as the office buzz grows, by all the men in her office (as in, &#8220;She&#8217;s such a b*tch!&#8221;).  Rejection is the opposite of bonding and it is an affront to the oxytocin driven part of a woman&#8217;s identity.  That may explain why so many women don&#8217;t know how to behave in the office.  If they wait for the kindness and generosity of men, it usually doesn&#8217;t happen, because men tend to hoard power and feel that giving away anything diminishes it (that may explain why it is so difficult for men to say, &#8220;Thank you&#8221; or &#8220;Congratulations&#8221; and even more hard to say sincerely, &#8220;I&#8217;m sorry&#8221;).  On the other hand if women push for what they want they risk both: a) not receiving it which can make an already awkward situation worse and b) men pulling back and away from them which causes their oxytocin driven identity to take more of a hit.</p>
<p><strong>What&#8217;s a Woman to Do &#8211; Focus on the Future<br />
</strong></p>
<p>One of my favorite people is executive coach extraordinaire, <a href="http://www.marshallgoldsmithlibrary.com/">Marshall Goldsmith</a>.  He is the creator of &#8220;feed forward coaching&#8221; because he knows that it is much less likely to cause trouble to focus on a future that people have not yet messed up, than to get into a &#8220;pissing match&#8221; rife with &#8216;he said/she said&#8217; escalation about something that has already happened.</p>
<p>Example 1: Regarding asking for help on a project.</p>
<p>If you can, at the beginning of any project where you might need help (doesn&#8217;t that mean all projects?) down the road, say to your boss or peer, &#8220;Going forward, in the event I need your assistance in either providing me with direct help or supporting me in accessing it from somewhere else, what is the best way to get that from you?&#8221;  Don&#8217;t feel guilty. Just be quiet. Remember, you&#8217;re not asking for it now.</p>
<p>Then listen to whatever they say and respond, &#8220;This is really important for me to get clear, because you know how awkward asking for help can be, so I just want to be certain I heard what you said.  You said the best way to approach you in the future is (then say exactly what they said).  Is that correct?&#8221; Wait for them to give a confirmatory, &#8220;Yes,&#8221; which according to influence guru, <a href="http://www.influenceatwork.com/IAW-Home.aspx">Robert Cialdini</a>, will deepen their commitment to doing it in the future.</p>
<p>Example 2: Regarding asking for more pay and/or a promotion</p>
<p>You can certainly discuss it when your review comes up, but if that is likely to cause real awkwardness and end poorly here is an alternative. Say to your boss, &#8220;Are any of those (raise, bonus or promotion) negotiable?&#8221;</p>
<p>If they say, &#8220;No,&#8221; retain your composure (even if you&#8217;re boiling inside and whatever you do, don&#8217;t cry, because it makes men nuts), pause and reply, &#8220;Just so I&#8217;ll know for future reference and future reviews for more pay, bonuses and promotions, help me to understand what you evaluate in order to arrive at those assessments.&#8221;  Then again, be quiet. If he becomes uptight say, &#8220;I&#8217;m not trying to be difficult I&#8217;m just trying to understand your criteria for giving a raise, bonus and/or promotion so that I can be sure to meet them so that next time, if raises, bonuses and promotions are being given, that I will be in the best position to receive one.&#8221;</p>
<p><strong> Also:</strong></p>
<ul>
<li><strong><a href="http://markgoulston.com/usable-insight-calling-all-women-executives-part-1-how-to-win-male-friends-and-influence-everyone/">Calling All Women Executives: Part 1 &#8211; How to Win (Male) Friends and Influence Everyone</a></strong></li>
<li><strong><a href="http://markgoulston.com/usable-insight-calling-all-women-executives-part-2-be-a-little-more-paranoid/">Calling All Women Executives: Part 2 &#8211; Be a Little More Paranoid</a></strong></li>
<li><strong><a href="http://markgoulston.com/usable-insight-calling-all-women-executives-part-3-turn-off-your-b-s-detectors/">Calling All Women Executives: Part 3 &#8211; Turn Off Your B.S. Detectors</a></strong></li>
<li><strong><a href="http://markgoulston.com/usable-insight-calling-all-women-executives-part-4-how-to-de-fang-a-bully/">Calling All Women Executives: Part 4 &#8211; How to De-Fang a Bully</a></strong></li>
</ul>



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		<title>Patrick Soon-Shiong, A Very Good Knight</title>
		<link>http://markgoulston.com/patrick-soon-shiong-a-very-good-knight/</link>
		<comments>http://markgoulston.com/patrick-soon-shiong-a-very-good-knight/#comments</comments>
		<pubDate>Wed, 02 May 2012 19:49:58 +0000</pubDate>
		<dc:creator>Mark</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[healthcare]]></category>
		<category><![CDATA[hospitals]]></category>
		<category><![CDATA[insurance]]></category>
		<category><![CDATA[wellness]]></category>

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		<description><![CDATA[RAND Compare Third Rail of Healthcarefrom Patrick Soon-Shiong, MD on Vimeo. &#8220;You can define healthcare into basically three buckets. There’s those that receive; there’s those that give and there’s those that take. And if you look at those three buckets and you just put yourself in those that receive at the end of the day, [...]]]></description>
			<content:encoded><![CDATA[<p><center><iframe src="http://player.vimeo.com/video/36383684?title=0&amp;byline=0&amp;portrait=0" frameborder="0" width="400" height="225"></iframe></center><center></center><center><a href="http://vimeo.com/36383684">RAND Compare Third Rail of Healthcare</a>from <a href="http://vimeo.com/drsoonshiong">Patrick Soon-Shiong, MD</a> on <a href="http://vimeo.com">Vimeo</a>.</p>
<p></center>&#8220;You can define healthcare into basically three buckets. There’s those that receive; there’s those that give and there’s those that take. And if you look at those three buckets and you just put yourself in those that receive at the end of the day, that’s the patient.  And those that give are actually the providers and in fact the people that pay.  And everything in between is those that take, i.e. the perverse incentives of fraud and abuse, the inefficiency of healthcare&#8230; If you go to the essence of the question, what is it that you are trying to achieve and we in the healthcare industry should be trying to achieve to keep the patient away from the hospital not into the hospital. But there in no incentive to do that&#8230; The whole issue is value driven care, both for the patient as for the payer. So there&#8217;s a combination of what we have to achieve. We need to achieve patient responsibility, patient knowledge and patient centric. The question at the end of the day is what value are we providing, why are we providing the value and who is it for?&#8230; With this 2.3 trillion dollars (being spent on healthcare), we don&#8217;t need more than what we are spending, it&#8217;s not what we&#8217;re spending that&#8217;s creating the problem, it&#8217;s how we are spending what we are spending.&#8221;<br />
- Patrick Soon-Shiong, M.D. speaking at RAND</p>
<p style="text-align: left;">Patrick Soon-Shiong is a knight on a crusade to heed an ailing and hurting humanity that beckons to him, but that is challenged and thwarted at every step by too many not-so-ailing or hurting humans and special interests furthering their own personal agendas.</p>
<p>He makes a case that there is currently no incentive to keep patients healthy. Even at UCLA where he focuses many of his efforts the wonderful mission is &#8220;healing humankind one patient at a time.&#8221; Shouldn&#8217;t we be promoting wellness one patient and one family at a time?</p>
<p>In his interview Dr. Soon-Shiong raises the need for more integrated health care with the patient at the center and focus on the cost of not doing so vs. the current focus on what things cost. He is also a realist about the need to incentivize all parties toward promoting health. That includes the receivers, givers <em>and</em> takers. It has been my experience that people don&#8217;t do what is important to them, they do what they <em>care</em> about (for example, healthy eating is important to me, but I don&#8217;t care enough about it to do it that well).</p>
<p>If you read between the lines of Dr. Soon-Shiong&#8217;s interview you get a sense that he is coming to the conclusion that most global change agents come to which is: &#8220;You can&#8217;t solve a transformational imperative from a transactional paradigm.&#8221; The challenge and others face with transactional people (are you listening Washington?), is that most of them are not able to give up control sufficiently to embrace an as yet to be created paradigm that will be necessary to be the rising tide that lifts all boats.  Until that happens, we are all sunk?</p>
<p style="text-align: left;">I have heard it said that the measure of a civilization is how it treats those who have hurt it, Soon-Shiong furthers the definition to &#8220;how it treats those who are hurting in it.&#8221; Thank you Dr. Soon-Shiong and Godspeed.</p>
<p>FOR READERS: In your comments, please suggest ways that might cause the receiver/patients, giver/provider-payers, taker/opportunists-inefficient healthcare providers and institutions to care enough to actually take action on the health and well-being that most of us already agree are important. I would also be interested in your suggestions that would cause siloed specialized interests to care enough to want to work together towards a shared future more than further their own agendas. I would appreciate your focusing on solutions as opposed to finger pointing.</p>



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		<title>Wouldn&#8217;t You Agree? #4</title>
		<link>http://markgoulston.com/wouldnt-you-agree-4/</link>
		<comments>http://markgoulston.com/wouldnt-you-agree-4/#comments</comments>
		<pubDate>Sun, 29 Apr 2012 23:08:10 +0000</pubDate>
		<dc:creator>Mark</dc:creator>
				<category><![CDATA[Spiritual]]></category>

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		<description><![CDATA[Q: How can you tell if you have really listened to another person? A: They exhale Wouldn&#8217;t you agree? Please share you comments below. Spread the Word]]></description>
			<content:encoded><![CDATA[<p><strong>Q: How can you tell if you have really listened to another person?</strong></p>
<p><strong>A: They exhale</strong><br />
<strong> </strong></p>
<p><strong>Wouldn&#8217;t you agree?</strong><br />
<strong> </strong></p>
<p><strong>Please share you comments below.</strong></p>



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		<title>Usable Insight &#8211; NBA Playoffs &#8211; Clutch Players &#8211; What makes them tick?</title>
		<link>http://markgoulston.com/usable-insight-clutch-players-what-makes-them-tick/</link>
		<comments>http://markgoulston.com/usable-insight-clutch-players-what-makes-them-tick/#comments</comments>
		<pubDate>Sun, 29 Apr 2012 20:58:06 +0000</pubDate>
		<dc:creator>Mark</dc:creator>
				<category><![CDATA[Career]]></category>
		<category><![CDATA[Usable Insights]]></category>
		<category><![CDATA[carmelo anthony]]></category>
		<category><![CDATA[chris paul]]></category>
		<category><![CDATA[kobe bryant]]></category>
		<category><![CDATA[nba]]></category>
		<category><![CDATA[nba playoffs]]></category>

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		<description><![CDATA[Ben Bolch of the L.A. Times recently wrote in his April 27 article: “Win or lose, they want the ball at game’s end,” the top NBA closers – including Kobe Bryant, Chris Paul, Dirk Nowitzki and Carmelo Anthony – have no fear of failure in the final seconds. What’s up with that? In a sentence, [...]]]></description>
			<content:encoded><![CDATA[<p>Ben Bolch of the <a href="http://latimes.com"><em>L.A. Times</em></a> recently wrote in his April 27 article: <a href="http://articles.latimes.com/print/2012/apr/27/sports/la-sp-bolch-nba-20120428">“Win or lose, they want the ball at game’s end,”</a> the top NBA closers – including Kobe Bryant, Chris Paul, Dirk Nowitzki and Carmelo Anthony – have no fear of failure in the final seconds.</p>
<p>What’s up with that?</p>
<p><span id="more-6010"></span>In a sentence, the final moments are the place where neurochemistry, phylogeny and hyperfocus meet.</p>
<p><strong>Neurochemistry</strong></p>
<p><a href="http://en.wikipedia.org/wiki/Epinephrine">Adrenaline</a> (= Power), <a href="http://en.wikipedia.org/wiki/Testosterone#Aggression">Testosterone</a> (= Aggression), <a href="http://en.wikipedia.org/wiki/Dopamine">Dopamine</a> (= Pleasure)</p>
<p>Most extreme athletes are adrenaline junkies.  Why? Because an adrenaline rush when focused makes you feel not just powerful, but superhuman.  Two things trigger adrenaline, either “fight or flight.” What causes Bryant, Paul, Nowitzki and Anthony to be great is that their inherent testosterone/highly competitive/aggressive nature always causes them to choose “fight” and then focuses that adrenaline rush to be able to execute at an amazing level.   And after they have, the dopamine surge of pleasure that follows is close to ecstacy.</p>
<p>Adrenaline + testosterone (causing them to focus and fight vs. run and flee) together are the body&#8217;s natural Adderral which is what enables people with <a href="http://www.nimh.nih.gov/health/publications/attention-deficit-hyperactivity-disorder/complete-index.shtml">A.D.D. </a>to become calm, centered and focused.  As you may know many of the best athletes have A.D.D. which is not truly about an attention deficit, but is really about not paying attention to things they don&#8217;t want to such as understanding and <a href="http://www.huffingtonpost.com/mark-goulston-md/athletes-bankruptcy_b_1141887.html">being prudent about finances</a> and listening with undivided attention to their spouses and children.</p>
<p><a href="http://en.wikipedia.org/wiki/Phylogeny"><strong>Phylogeny </strong></a></p>
<p>Think of your brain as being composed of three brains (referred to as <a href="http://en.wikipedia.org/wiki/Triune_brain">Triune Brain</a>). The oldest is your lower/reptilian/fight or flight brain which is 245 million years old; the next oldest is your middle/mammalian/emotional brain which is 65 million years old; and the relative newcomer is your upper/human/thinking brain which is about 200,000 years old.</p>
<p>The more impulsive, unfocused and scattered (a.k.a. scatterbrain) a person is, the more loosely configured are each of these three brains to each other and the more poorly they work together in unison.  In fact under stress they almost seem to function separately in such people which may explain how chaotic these people seem to act.  Think of such people as a rickety old pick up truck that feels like it will fall apart at any moment.</p>
<p><strong>Hyperfocus</strong></p>
<p>On the other hand, the more tightly these three brains are configured and aligned to each other aimed towards a singular purpose, the more focused, centered, determined and formidable these people are.  Think of such people as a Turbo Porsche that grabs and almost controls the road no matter how it bends and curves.</p>
<p>An analogy to better understand this is to think of how young military recruits enter basic training.  They may be filled with “piss and vinegar,” but their focus and minds are often all over the place.  However, then they are broken down and built back up into a force that can defeat and kill a fearsome enemy.  To do that, their thinking upper brains, feeling middle brains, and acting lower brains become almost arc welded to each other and the result is a warrior.</p>
<p>The problem for soldiers and many extreme athletes (are YOU listening O.J.?) is that without a life or death or high stakes situation, all that adrenaline/testosterone/dopamine has nowhere to go and nowhere to blow.  Without a war or a game with everything on the line, there isn’t sufficient at stake to trigger that adrenaline rush which them enrolls the testosterone to generate dopamine pleasure.</p>
<p>This may explain why so many extreme athletes and power players (“are you listening <a href="http://sports.yahoo.com/blogs/golf-devil-ball-golf/tiger-woods-plans-questions-fans-instead-media-185139737.html">Tiger</a>, Bill Clinton, John Edwards?”) do outrageous things outside of their sport or job.  Why? Because the thrill of an adrenaline rush is often exceeded by the agony of an adrenaline crash.  And when you do things that are dangerous, forbidden, risky and even foolish, that triggers an outpouring of adrenaline and another rush, which offsets the listless, irritable feelings these people have when coming off an adrenaline induced dopamine high.</p>
<p>But put them in overtime and it is a sight to behold (that triggers a dopamine surge in viewers which may explain why we keep watching replays of those moments).</p>
<p>Greg Gumbel once asked hockey&#8217;s greatest player, <a href="http://www.gretzky.com/">Wayne Gretzky</a>, &#8220;What is it like to be in overtime of the deciding game of the Stanley Cup Playoffs, knowing that there are 10 seconds left and that the puck will be passed to you?&#8221;</p>
<p>Wayne flashed that huge, delighted (and no doubt dopamine filled) grin and responded: &#8220;I live the whole season for that moment.&#8221;</p>



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		<title>Usable Insight &#8211; Set Yourself Apart</title>
		<link>http://markgoulston.com/usable-insight-set-yourself-apart/</link>
		<comments>http://markgoulston.com/usable-insight-set-yourself-apart/#comments</comments>
		<pubDate>Fri, 27 Apr 2012 20:14:30 +0000</pubDate>
		<dc:creator>Mark</dc:creator>
				<category><![CDATA[Career]]></category>
		<category><![CDATA[Usable Insights]]></category>
		<category><![CDATA[business]]></category>
		<category><![CDATA[hiring]]></category>
		<category><![CDATA[job hunting]]></category>

		<guid isPermaLink="false">http://markgoulston.com/?p=5988</guid>
		<description><![CDATA[Initiative + Resourcefulness = Set Yourself Apart (Click twice s-l-o-w-l-y on image below to expand) Spread the Word]]></description>
			<content:encoded><![CDATA[<p style="text-align: center;"><strong>Initiative + Resourcefulness = Set Yourself Apart</strong></p>
<p style="text-align: left;"><span id="more-5988"></span></p>
<p style="text-align: center;"><strong>(Click twice s-l-o-w-l-y on image below to expand)</strong></p>
<p style="text-align: center;"><a href="http://markgoulston.com/wp-content/uploads/2012/04/20120429setyourselfapartcropjpg.jpg"><img class="aligncenter  wp-image-5998" title="20120429setyourselfapartcropjpg" src="http://markgoulston.com/wp-content/uploads/2012/04/20120429setyourselfapartcropjpg.jpg" alt="" width="709" height="1333" /></a></p>



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