Leandro Herrero: “An enlightened top leadership is sometimes a fantastic alibi for a non-enlightened management to do whatever they want”

Auto reblogging is perhaps a little narcissistic but this is something that has relevance far beyond healthcare…. Dr Herrero’s blog is highly highly recommended.

A Medical Education

From Leandro Herrero’s  website, a “Daily Thought” which I am going to take the liberty of quoting in full:

Nothing is more rewarding than having a CEO who says world-changing things in the news, and who produces bold, enlightened and progressive quotes for all admirers to be. That organization is lucky to have one of these. The logic says that all those enlightened statements about trust, empowerment, humanity and purpose, will be percolated down the system, and will inform and shape behaviours in the milfeulle of management layers below.

I take a view, observed many times, that this is wishful thinking. In fact, quite the opposite, I have seen more than once how management below devolves all greatness to the top, happily, whilst ignoring it and playing games in very opposite directions. Having the very good and clever and enlightened people at the top is a relief for…

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First Known When Lost on Spring and mortality, with Herrick, Wallace Stevens, and Epictetus

Original here

Spring beautifully — and gently — counsels us to be mindful of our mortality. This is sound advice. In fact, we are well-advised to consider our mortality on a daily basis, through all the seasons. I am not suggesting that we should brood over “the strumble/Of the hungry river of death” from morn to eventide. But an awareness of the shortness of our stay here provides a sense of perspective, and reminds us that we ought to be continually grateful for what the World bestows upon us, without our asking, each day.

Spring (like all the other seasons) teaches us gratitude, though the gratitude may at times have a wistful and bittersweet cast.

To Blossoms

Fair pledges of a fruitful tree,
Why do ye fall so fast?
Your date is not so past;
But you may stay yet here a while,
To blush and gently smile;
And go at last.

What, were ye born to be
An hour or half’s delight;
And so to bid goodnight?
‘Twas pity Nature brought ye forth
Merely to show your worth,
And lose you quite.

But you are lovely leaves, where we
May read how soon things have
Their end, though ne’r so brave:
And after they have shown their pride,
Like you a while: They glide
Into the grave.

Robert Herrick, Poem 467, Hesperides (1648).

“Death is the mother of beauty.” (Wallace Stevens, “Sunday Morning.”) What do blossoms do? They “stay yet here a while,/To blush and gently smile;/And go at last.” What do “lovely leaves” do? “They glide/Into the grave.” This is how the World works, and there is no reason to brood or to grieve. Our response should be gratitude. Gratitude and acceptance.

“Do not seek to have everything that happens happen as you wish, but wish for everything to happen as it actually does happen, and your life will be serene.”

Epictetus, The Enchiridion, Section VIII (translated by W. A. Oldfather, 1928).

Hannah LeGrand (and Dante) on sloth, thoughtlessness, intellect and reason 

At Comment Magazine, an essay by Hannah LeGrand on “thoughtlessness, sloth, and the call to think.”

It is well worth reading and reflecting on. LeGrand begins with Hannah Arendt’s famous account of the trial of Adolf Eichmann. This is best remembered for Arendt’s observation on the “banality of evil”, and LeGrand takes this for a starting point:

The story that the world anticipated hearing from the trial, and indeed, the story Arendt herself expected to find, was the story of a villain, the final act in a grand and horrifying life of evil. However, presented with Eichmann in the flesh, Arendt found no trace of such a narrative. Eichmann was not Iago. His testimony had none of the drama or torment of Macbeth. He had no grand evil motives. Indeed, he seemed to have no real motives at all. He insisted that he had just followed orders. He was striking exactly because of his thoughtlessness.

Arendt’s “Eichmann in Jerusalem” is the most famous text to emerge from this trial, but LeGrand’s essay then follows another of her works: 1971’s The Life of the Mind:

There is something in the act of thinking itself, she argues, regardless of content and conclusions, that constrains evildoing and plays a key role in our ability to make moral judgments. And she ponders a worrisome possibility: What if, in an age of so much stunning advancement, we have somehow forgotten what thinking really means? In seeking to recover the meaning of thinking, Arendt sounds less like a German philosopher and more like a desert father. Her insight into the habit of thinking and why it must be incorporated into a society so prone to thoughtlessness is as contemporary as ever.

This leads to the core of the essay:

For Kant, reason and intellect are two distinct aspects of our mental life. The intellect, on the one hand, is driven by our need to know and, accordingly, is properly concerned with those things that can be known—sturdy and graspable truth. It is our intellect that drives our science and makes our technology possible.

Arendt worries that in the modern age, while we have been wildly successful in the use of our intellects and our knowledge about the world has grown more rapidly than ever before, the work of reason has been dangerously neglected. For reason, on the other hand, is never fully satisfied in the realm of what can be grasped. While our intellect drives our need to know, reason equips us with an “urgent desire to think,” an inclination to cast our minds far beyond the capacity of our intellect, to push farther and deeper.

While it is tempting to think that such a grand gesture should produce even grander results, we shouldn’t mistake this activity of thinking for an elevated science. Nothing can be built on what cannot be grasped, and when I have finished thinking I have nothing tangible to show for all my mind’s wanderings. For Arendt, the activity of thinking is more like a conversation with a friend than mapping the human genome. If our intellect is building a house, then thinking is cleaning the kitchen. It is daily work. As Arendt writes, “The need to think can never be stilled by allegedly definite insights of ‘wise men’; it can be satisfied only through thinking and the thoughts I had yesterday will satisfy this need today only to the extent that I want and am able to think them anew.”

Once we begin to understand this distinction between the intellect’s knowing and reason’s thinking, then we can also begin to see that the thoughtlessness which concerns Arendt is not mere ignorance. For Arendt, it was not that Eichmann did not know what he was doing. It was that he did not think about what he was doing. The thoughtlessness that allows evil to flourish cannot be dispelled with new facts or better information, and the society that has forgotten how to think needs to do more than inform its citizens. Instead, like stretching unused muscles, it must relearn the daily habits of thinking. Like rekindling old friendships, it must nurture thoughtfulness as a disposition toward the world.

This distinction between the knowing that is acquiring new facts and new information,  and the use of reason, is worth reflecting on. One can sometimes marvel that any first year physics undergraduate “knows more” than Newton (and is unlikely to be into alchemy) or indeed a Psychology 101 student “knows more” than Freud (and is unlikely to be into the dodgier bits of Freudianism). Of course, they have more information, and this information is verified more extensively.

This discussion of Arendt leads into one of Aquinas, via a consideration of sloth, which is far more than mere laziness:

 

 

However, as Rebecca Konyndyk DeYoung points out in her book Glittering Vices, the vice of sloth is really more than mere resistance to work or exertion. First articulated in the monastic tradition, sloth originally refers to the weariness solitary desert monks would feel with their commitment to the spiritual life. Sloth, as fourth-century monk Evagrius of Pontus writes, the spiritual life. Sloth, as fourth-century monk Evagrius of Pontus writes, is the “noonday demon,” which seizes the monks, making them despair in their calling and long for their old lives in the city. One aspect of this despair was often an apathy toward monastic duties, and so it is not hard to see the fruits of this vice reflected in our modern understanding of sloth as rather harmless opposition to a strong work ethic. However, the roots of this noonday demon were much more serious.

Aquinas opposes sloth not to work but to charity, which, as Aquinas writes in his Summa theologiae, is “a kind of friendship of man for God,” which aims for “the fellowship of everlasting happiness.” Sloth, for Aquinas, is not primarily a sorrowing in our work, but a sorrowing over our friendship with God.

The vice of sloth when understood in this way is at once something serious and baffling, for it picks out a human aversion to the spiritual good in us. It names, as DeYoung writes in her essay “Acedia’s Resistance to the Demands of Love,” “the overwhelming urge to stay with the comfortable and the known rather than risk change, even if it promises improvement.” Sloth is not simply becoming weary of doing good works. Rather, sloth is remaining complacent in the present and the status quo. It is preferring to accept a lackluster life rather than responding to the demands of a relationship with God.

It is interesting, as a sort of accompaniment to this essay, to consider Dante’s treatment of Sloth in Canto 18 of the Purgatorio. The Columbia University “Digital Dante” commentary linked to above focuses on the poetics of this canto which discussion of Love, and particularly distinctions between Dante’s previous stance that Love is a force that cannot be opposed – and can become attached to unworthy or actively harmful objects of affection – to a more mature one with a subtle role for Free Will. 


The slothful purge their sin by the opposite of what they indulged in in life – unrelenting speed. The commentary suggests that the compressed treatment of Sloth – the whole terrace within Purgatory being disposed of in half a canto – is a structural reflection of the purgation of sloth. In the commentary, one gets the sense that the depiction of slothful is very much secondary to the opening discussion of Love. However, reading LeGrand, especially her sections on Aquinas, I wonder if the slothful are more central to the discussion of Love than the commentary might suggest.

The Labyrinth of Mr Price

The prospect of having a labyrinth in ones garden seems alluring, albeit, done properly, highly expensive. I have found an appropriately cheap and easy way of labyrinth building – using small €1.49 sections of fencing from Mr Price
These are flexible (ish), easy to insert into the soil, and allow for much experimentation. The results are not quite this from Castletownroche:

Or this from Glencomeragh

Or this from The Rock of Cashel

Well, actually, it looks a little better than the Rock of Cashel one.

It can’t hold a candle to the many many fine or fascinating or historic or mysterious or all of the above labyrinths easily found via a quick google, at sites such as Blog My Maze

But it is cheap, effective and mine.
All thanks to Mr Price.

George Steiner on music (from “Real Presences”)

George Steiner on music (from “Real Presences”)

The meanings of the meaning of music transcend. It has long been, and continues to be, the unwritten theology of those who lack or reject any formal creed. Or to put it reciprocally: for many human beings, religion has been the music which they believe in. In the ecstasies of Pop and Rock, the overlap is strident.

  • George Steiner, “Real Presences”, p. 218

 

real-presences

“Whether our work leads to victory becomes irrelevant to us” Jeffrey Bilbro on the happy loser

I am not (yet) familiar with the work of Wendell Berry, though I think I am going to make it my business to be. Berry is the inspiration of this wonderful essay by Jeffery Bilbro . As Bilbro tweets:

This is one of those pieces that “read the whole thing” applies to, in spades. While Berry is obviously the inspiration for this piece, and quotes from him serve as the connective tissue of the argument, it is not really a piece “about” Berry:

Both sides claim that we cannot be happy or hopeful unless “we” are winning. And both sides tend to paint grim pictures of “American carnage” to show how much we are suffering and how badly we need to do something so that we can start winning.

But what if we turned our attention away from the latest indications of whether we’re winning or losing and instead focused on practicing good work where we are? It is in this vein that Wendell Berry speaks about the need to resist both optimism and pessimism. While these may seem like opposite postures, both stem from a fixation on metrics and quantities: I’m optimistic if I expect to win and pessimistic if I expect to lose. As Berry puts it, “Optimism and pessimism are based on the idea of how things are [going to] turn out.”

In one of those odd synchronous coincidences, I read Jean Giono’s “The Man Who Planted Trees” just last Friday, and here he pops up in this piece, in a quote from Berry.

Happiness is a great mental faculty. It happens. One of the best things I know about happiness is that some days I’m happy… I don’t have anything in particular to be happy about or happier than I was yesterday, but I’m happy. I read that the French novelist Jean Giono … said in 1954, 1954, “I’ve been happy for the last 30 or 40 years.” Well, you know what happened in the 30 or 40 years before 1954. I just love him for that… . That just turned me upside-down when I read that. Well, what a great thing that is. Suppose you’re supremely happy for just five minutes, that just destroys everybody who’s trying to sell you something to make you happy. How subversive. Let me tell you young people, it’s possible sometimes to go for a whole day and be happy and not buy a thing.

This article is not a call to quietist arms, so to speak:

Subversive happiness is not quietist or passive. Berry has himself participated in sit-ins and protests and has penned his share of manifestos, but he doesn’t rest his hopes on these tactics. Indeed, happiness provides a very different motivation for our work than does optimism or pessimism. Happiness leads us to do good work because it is good; because it brings joy; because it deserves our attention and energy.

Whether our work leads to victory becomes irrelevant to us.

This reminds me of the famous accounts of medieval craftsmen labouring over statuary which would stand hundreds of feet above them, and devoting as much attention to the backs of these statues as the faces. What Bilbro conveys to me – and which, I presume, is a main theme of Berry (though I better read him to be able to pontificate more!) is the sheer subversion – in the true, proper sense – of this stance on life. Reminds me too of a passage from “The Monks of Tibhirine: Faith, Love and Terror in Algeria”  by John W Kiser:

I also began to better understand why my exposure to the Trappist culture had a certain resonance for me. Simplicity is one reason. Doing less, not more, and doing those fewer things more intensely, are values in perpetual struggle in a world that is always offering more – more activities, more choices, more means of communication, things that distract and require decisions. Trappists have stripped their lives down to a simple triad of prayer, study and manual labour. They have made only one decision: to love and praise God in the  Trappist way

This monastic mission is a deeply subversive one. And it also reminded me of another recent read, Geoffrey Moorhouse’s , “Sun Dancing” about life on Skellig Michael, especially the story of the Culdee Aedh, whose extremism in the name of asceticism – which has disastrous results – is surely a manifestation of “winning” as a summum bonum  There are many many other examples – and perhaps this is an eternal human temptation rather than a specific feature of modernity – but it is one which the world of Likes and Retweets and Going Viral intensifies greatly.

Marilyn McEntyre on sleeplessness and the night vigil

I drift off happily at bedtime, but now wake between three and four in the morning. I like to wake early, but not quite that early. At that hour, I’m faced with a decision: Do I get up and begin a day that will likely end in untimely fatigue, or lie there and try to find my way back to rest, if not sleep?

Nighttime is a time-honored metaphor for seasons of darkness, loss, uncertainty, mourning. It’s not only a metaphor: nighttime is in fact when our demons tend to assail us, and unhappy memories or unnerving anxieties move to the foreground of consciousness, just before or after periods of restless sleep. It can be hard, in the dark, to maintain perspective and resilience. It can be hard, if we’re tired, to appropriate those wakeful times for fruitful prayer or meditation. A fatigued mind isn’t necessarily a relaxed one.

Wakeful nights, like periods of spiritual darkness, may be times to practice the kind of watching described in the story of Passover in Exodus 12: “It was a night of watching by the Lord.” It was doubtless also a night of anxiety, restlessness, and hope mixed with apprehension and unknowing. But the Israelites knew the Lord was abroad and something was afoot, and so they watched and waited, not only that night, but in ritual remembrance “kept . . . by all the people of Israel throughout their generations.”

Since then, the night watch has become a part of Christian ritual, remembered liturgically in the Christmas and Easter vigils, and by the custom of watching with the dead the night before burial.

Sometimes it’s good to remember how much germinates in the dark of our lives—like seeds in the darkness of the soil, or like trees fattening their leaf buds in winter. During those times we never know what’s being prepared within us, because it hasn’t yet broken into the light of consciousness. The Spirit works within us in ways we barely imagine, and can only—and only sometimes—recognize after the fact.

When we think we’re simply thrashing about, wandering aimlessly in the fog, there may be, as Hamlet reminds us, a divinity shaping our ends.

Knowing that, we may submit to that process of being shaped and tried and prepared with a little more patience in the waiting and awareness of the subtle signs that come even in the very midst of darkness. They remind us of how the slow sun rises, as Emily Dickinson so beautifully and accurately put it, “a ribbon at a time.” Those ribbons of light may be pale and thin, but each of them is a promise and a harbinger of far more to come.