The E-FORCE: Enhancing Resilience and Performance. Dr. Joseph W. Janesz December 2013
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1 The E-FORCE: Enhancing Resilience and Performance Dr. Joseph W. Janesz December
2 Alcoholism in Lawyers A significant problem Occupational hazard The E-FORCE: Enhancing Resilience and Performance
3 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
4 Genetic Vulnerability The E-FORCE: Enhancing Resilience and Performance
5 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
6 Personal and Professional Stress Physical Symptoms Feelings of anxiety, irritability and flight of ideas loss of 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
7 Attorney Stress Client Bosses Operate under strict timelines Competition Combination of stressors over a long period of time. Professional survival depends on competence The E-FORCE: Enhancing Resilience and Performance
8 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
9 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 of your own story Moral compass The E-FORCE: Enhancing Resilience and Performance
10 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
11 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
12 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
13 E-FORCE: EQUANIMITY The E-FORCE: Enhancing Resilience and Performance
14 E-FORCE: EQUANIMITY Mindfulness - involves awareness, attentiveness, and acceptance of the current moment, without over-involvement in cognitive or emotional reactions (Kabat-Zinn, 1982) Engaged Within the Process The E-FORCE: Enhancing Resilience and Performance
15 E-FORCE: EQUANIMITY Equanimity creates a sonar system to prevent over-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
16 E-FORCE: EQUANIMITY The E-FORCE: Enhancing Resilience and Performance
17 E-FORCE: EQUANIMITY The E-FORCE: Enhancing Resilience and Performance
18 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
19 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
20 The Mindfulness App The E-FORCE: Enhancing Resilience and Performance
21 E-FORCE: FOCUS The Five Pillars for Success The Five Hindrances of the Mind Flexibility Feedback The E-FORCE: Enhancing Resilience and Performance
22 The Five Pillars of The Good Life The E-FORCE: Enhancing Resilience and Performance
23 E-FORCE: FOCUS & FIVE PILLARS Five Pillars For Success Professional and Community Love and Intimacy Family and Friends Physical and Psychological health Spiritual The E-FORCE: Enhancing Resilience and Performance
24 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
25 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 The E-FORCE: Enhancing Resilience and Performance
26 E-FORCE: FOCUS & FLEXIBILITY The E-FORCE: Enhancing Resilience and Performance
27 E-FORCE: FOCUS & FLEXIBILITY The E-FORCE: Enhancing Resilience and Performance
28 E-FORCE: FOCUS & FEEDBACK The E-FORCE: Enhancing Resilience and Performance
29 E-FORCE: ORGANIZING INTELLIGENCE (OI) The E-FORCE: Enhancing Resilience and Performance
30 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 The E-FORCE: Enhancing Resilience and Performance
31 E-FORCE: ORGANIZING INTELLIGENCE (OI) Mind Dump Goal Setting 90 day goals Staging Task Pro App The E-FORCE: Enhancing Resilience and Performance
32 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
33 E-FORCE: OPTIMISTIC OUTLOOK Realistic and Positive Mental Attitude The E-FORCE: Enhancing Resilience and Performance
34 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
35 E-FORCE: COMMITMENT Character Concentration Conviction The E-FORCE: Enhancing Resilience and Performance
36 E-FORCE: CHARACTER Ambassador for Character Development Integrity Golden Mean adapted from Aristotle The E-FORCE: Enhancing Resilience and Performance
37 E-FORCE: CONCENTRATION Focused on the process with intended successful outcomes (ISO) The E-FORCE: Enhancing Resilience and Performance
38 E-FORCE: CONVICTION The E-FORCE: Enhancing Resilience and Performance
39 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
40 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 - 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
41 Questions? The E-FORCE: Enhancing Resilience and Performance
42 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 25 th Street / 2A Cleveland, Ohio Office: janeszj@ccf.org The E-FORCE: Enhancing Resilience and Performance
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