The E-FORCE: Enhancing Resilience and Performance Dr. Joseph W. - - PowerPoint PPT Presentation

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The E-FORCE: Enhancing Resilience and Performance Dr. Joseph W. - - PowerPoint PPT Presentation

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The E-FORCE: Enhancing Resilience and Performance Dr. Joseph W. Janesz December 2013 1 Alcoholism in Lawyers A significant problem Occupational hazard The E-FORCE: Enhancing Resilience and Performance | 2013 | 2 Substance Abuse

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The E-FORCE: Enhancing Resilience and Performance

  • Dr. Joseph W. Janesz

December 2013

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Alcoholism in Lawyers

  • A significant problem
  • Occupational hazard

The E-FORCE: Enhancing Resilience and Performance | 2013 |

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Substance Abuse Statistics

  • Problem drinking in 18 percent of lawyers who

practiced for 2 to 20 years

  • Problem drinking in 25 percent of lawyers who

practiced for 20 years or more. International Journal of Law and Psychiatry

The E-FORCE: Enhancing Resilience and Performance | 2013 |

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Genetic Vulnerability

The E-FORCE: Enhancing Resilience and Performance | 2013 |

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Addictive Vulnerability

  • Disorder of Relationships
  • Disorder of Self-Esteem
  • Disorder of Mood
  • Disorder of Regulation

– Edward J. Khantzian, MD, Treating Addiction as a Human Process, 2007

The E-FORCE: Enhancing Resilience and Performance | 2013 |

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Personal and Professional Stress

  • Physical Symptoms
  • Feelings of anxiety, irritability and flight of ideas – loss
  • f concentration and ability to focus
  • Decrease in performance
  • Increase in problematic and compulsive tendencies
  • Difficulties in relationships
  • Isolating
  • Changes in Mood

The E-FORCE: Enhancing Resilience and Performance | 2013 |

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Attorney Stress

  • Client – Bosses
  • Operate under strict

timelines

  • Competition
  • Combination of stressors
  • ver a long period of time.
  • Professional survival

depends on competence

The E-FORCE: Enhancing Resilience and Performance | 2013 |

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Alcoholism: Brain Disease

  • 1. Progressive Disease
  • 2. Disease of the Brain
  • 3. Loss of Control
  • 4. Sick Compulsion
  • 5. Devastating Consequences

The E-FORCE: Enhancing Resilience and Performance | 2013 |

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Middle Prefrontal Cortex

  • Regulate the body
  • Emotional balance (chaos or rigidity)
  • Fear extinction – inhibitory abilities
  • Attune communication
  • Empathy – imagine what it would be like
  • Intuition – accessing the wisdom – gut

feeling

  • Response flexibility
  • Insight – mental time travel – active author
  • f your own story
  • Moral compass

The E-FORCE: Enhancing Resilience and Performance | 2013 |

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Alcoholic Lawyer: Presenting Problems

  • Combined Drug Dependence/Abuse
  • Legal Problems – OVI or Drug Possession
  • High Anxiety
  • Depressed Mood
  • Relationship Deterioration and Conflict
  • Poor Impulse Control
  • Professional Performance

The E-FORCE: Enhancing Resilience and Performance | 2013 |

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E-FORCE – Performance Model

  • Enhances performance
  • Bolsters resilience
  • Improves stress management
  • Sustains motivation and focus
  • Promotes execution of goals
  • Drives excellent outcomes and results
  • Formula for success and personal satisfaction

The E-FORCE: Enhancing Resilience and Performance | 2013 |

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E-FORCE: EQUANIMITY

  • Equanimity begins with a commitment to balance and

stability

  • A more intelligent and skillful way of living your life
  • Equanimity promotes and fortifies personal openness,

curiosity, creativity, receptivity, acceptance, empathy, and compassion

The E-FORCE: Enhancing Resilience and Performance | 2013 |

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E-FORCE: EQUANIMITY

The E-FORCE: Enhancing Resilience and Performance | 2013 |

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E-FORCE: EQUANIMITY

  • Mindfulness - involves awareness, attentiveness,

and acceptance of the current moment, without

  • ver-involvement in cognitive or emotional

reactions (Kabat-Zinn, 1982)

  • Engaged Within the Process

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E-FORCE: EQUANIMITY

  • Equanimity creates a sonar system to prevent
  • ver-identification with irrational or imagined self

narratives that are self-limiting and destructive

  • The role of the “Observer”

The E-FORCE: Enhancing Resilience and Performance | 2013 |

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E-FORCE: EQUANIMITY

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E-FORCE: EQUANIMITY

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E-FORCE: EQUANIMITY

Mindfulness and Mental Visualization Exercises

  • Ten Count Breathing Method
  • Breath of Life
  • Body Scan
  • BESTB

The E-FORCE: Enhancing Resilience and Performance | 2013 |

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E-FORCE: EQUANIMITY

Most of the time we are occupied with our own thoughts – thinking about what has happened in the past or imagining what might happen in the future. Many of us live most of our lives on autopilot. Through mindfulness we develop the capacity to become more aware of what is happening in our lives as they are unfolding. And we do this without coloring it with our judgments, fears, hopes, or fantasies. By reducing distractions, mindfulness helps us focus our attention, enabling us to directly experience what is happening right here, right now. After all, nothing ever happens in the past or in the future. “Now” is the only time where our lives unfold. The only moment when we are alive. Research shows that mindfulness can prevent or reduce the severity of stress-related illnesses, including depression. Studies have shown its positive effects on the immune system, pain, chronic depression, sleep, and anxiety. Mindfulness also leads to increased levels of concentration, tranquility, and a general feeling of well-being.

Adapted from Mindfulness App

The E-FORCE: Enhancing Resilience and Performance | 2013 |

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The Mindfulness App

  • http://www.mindapps.se/?lang=en

The E-FORCE: Enhancing Resilience and Performance | 2013 |

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E-FORCE: FOCUS

  • The Five Pillars for Success
  • The Five Hindrances of the Mind
  • Flexibility
  • Feedback

The E-FORCE: Enhancing Resilience and Performance | 2013 |

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The Five Pillars of “The Good Life”

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E-FORCE: FOCUS & FIVE PILLARS

Five Pillars For Success

  • Professional and Community
  • Love and Intimacy
  • Family and Friends
  • Physical and Psychological health
  • Spiritual

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E-FORCE: FOCUS & FIVE PILLARS

Action: Identify your Five Pillars that matter most!

  • Professional and community
  • Love and intimacy
  • Family and Friends
  • Physical and Psychological health
  • Spiritual

The E-FORCE: Enhancing Resilience and Performance | 2013 |

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E-FORCE: FOCUS

The Five Hindrances of the Mind

  • Attachment – sensual craving, greed
  • Aversion – anger, hostility, impatience, ill will
  • Sleepiness - sloth (laziness of doing and knowing)
  • Restlessness – worry, irritability, fear, discontent
  • Doubt - sinking feeling, lack of hope, depressed

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E-FORCE: FOCUS & FLEXIBILITY

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E-FORCE: FOCUS & FLEXIBILITY

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E-FORCE: FOCUS & FEEDBACK

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E-FORCE: ORGANIZING INTELLIGENCE (OI)

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E-FORCE: ORGANIZING INTELLIGENCE (OI)

OI focuses your attention on developing the Five Pillars:

  • Positions you on clarifying what matters most
  • Creates your performance arenas
  • Establishes highly detailed goals and objectives
  • Establishes vision

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E-FORCE: ORGANIZING INTELLIGENCE (OI)

  • Mind Dump
  • Goal Setting
  • 90 day goals
  • Staging
  • Task Pro App

The E-FORCE: Enhancing Resilience and Performance | 2013 |

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E-FORCE: OBSERVER

  • Self-regulate thoughts, feelings and behaviors
  • The power of "pause" and the art of skillful living

through self-narrative (positive self-talk)

  • Over-identification or self-forgetfulness - power of

letting go

Mindfulness and Mentalization Training develop these skills.

The E-FORCE: Enhancing Resilience and Performance | 2013 |

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E-FORCE: OPTIMISTIC OUTLOOK

Realistic and Positive Mental Attitude

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E-FORCE: RESILIENCE

Resilience is the capacity to recover quickly from difficulties

  • Rituals and routines for success promote toughness and tenacity
  • Review - daily and weekly
  • Realign and reposition
  • Reflective – journal
  • Relationships - strong network of friends and advocates
  • Respectful towards self and others
  • Relax (stress/performance scale)
  • Resourceful

The E-FORCE: Enhancing Resilience and Performance | 2013 |

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E-FORCE: COMMITMENT

  • Character
  • Concentration
  • Conviction

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E-FORCE: CHARACTER

  • Ambassador for Character Development
  • Integrity
  • “Golden Mean” adapted from Aristotle

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E-FORCE: CONCENTRATION

  • Focused on the process with intended successful
  • utcomes (ISO)

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E-FORCE: CONVICTION

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E-FORCE: EXTRAORDINARY RESULTS

  • Evolve - never stop learning and enhancing personal

development

  • End in mind
  • Eat that frog
  • Enthusiasm – motivation
  • Extraordinary outcomes

The E-FORCE: Enhancing Resilience and Performance | 2013 |

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E-FORCE: PERFORMANCE ACTION STEPS

  • Equanimity – daily mindfulness practice (ten minutes) and

download app

  • Focus – develop Five Pillars
  • Organize – stage Five Pillars in journal or Task Pro -

https://itunes.apple.com/us/app/taskpro-to-do-projects/id306832174

  • R – review 90 day plan (daily and weekly); utilize relaxation

exercises

  • Commit to one action step in the next 30 days and embrace

with conviction

  • E – evolve and “Eat that Frog”

The E-FORCE: Enhancing Resilience and Performance | 2013 |

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Questions?

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World Class Performance

Joseph W. Janesz, Ph.D. Director of the Executive and Professionals’ Program Alcohol and Drug Recovery Center The Cleveland Clinic / Lutheran Hospital 1730 West 25th Street / 2A Cleveland, Ohio 44113 Office: 216.363.2361 Email: janeszj@ccf.org

The E-FORCE: Enhancing Resilience and Performance | 2013 |