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PSYCHOLOGICAL SELF DETERMINATION (watch the video clip!)

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Psychological self-determination is expressed in three different dimensions. In the first dimension people want to live their lifes the way they choose to live it. This is the sense of sanctuary. The second way people express their psychological self-determination is in the widespread desire for voice: we want to be heard and we want our voices to matter. The third way we want our psychological self-determination to be expressed is in our desire to be connected: we want to be part of communities.

News from Shoshana and Jim

Shoshana and Jim

 


Who Killed My Mom?: Reinventing Health Care in the Support Economy

 

Episode II:
After Mom died, the only person who seemed to know anything about her–her health and the likely causes of her death–was a man whom she had never met. He was the State Medical Examiner. How could someone who had never laid eyes on my Mom, who had never spoken with her, know more about her health than the doctors with whom she visited regularly? You’d think the State Medical Examiner would be some distant bureaucrat. Turned out to be just the opposite. He returned my phone call with the hour. He was kind and understanding. He spoke with me patiently and answered all of my questions. Later, I thought of more questions, and days later, still more. He rigorously returned my calls and never showed the slightest bit of boredom with my queries. He said that Mom was a ticking time bomb, just the sort of person who could fall over dead at any moment. And that’s exactly what happened. She fell like a tree. He carefully explained why.
Episode I:
My mom is dead. I still don’t know who killed her. There are various hypotheses. Did my mom kill herself? Did I kill her? Was she killed by her primary care physician, her cardiologist, her orthopedic surgeon? Other docs she saw? Was mom killed by her friends? My brother? Was it any one of the myriad pills organized neatly in their containers on a tray she kept on her kitchen table (that tray now sits in my linen closet: a sentinel, a reminder, a tale waiting to be told), or maybe the interaction among them?

My mom is dead. I have passed through the many stages of grief, charted and uncharted, and now I am looking for answers. Why? Knowing who killed my mom won’t bring her back. But whoever killed my mom may also be lying in wait, ready to kill yours. I don’t want your mom to die the way mine did–an unnecessary death. I am a scholar. Such are my skills. I intend to use them to try and prevent your mom’s death. Or your father’s. Or yours. Or that of any of your beloved ones. There is no real fix for health care in this country, or any other, that does not address the agents of my mom’s death.

In the coming days and weeks and months, I’ll be exploring these hypotheses and more in this space.

TSE community

A Perfect Storm

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Today there is a growing chasm between consumers’ needs and the business organizations they depend upon. Too often people must confront a wall of cluelessness and indifference—a commercial world still fitted out for the old mass order. This chasm can be seen each time someone spends the evening checking her phone bill for bogus charges, finds his routine insurance claim rejected or spends hours on the phone trying to fix a malfunctioning new computer. The chasm is expressed in these brutal facts. Only 4 percent of U.S. adults say they trust their HMO; 7 percent, their health insurer; 11 percent, their life insurer; 12 percent, their telco. And the numbers don’t get much better. Seventy-four percent say corporate America’s reputation is “not good” or “terrible,” and 83 percent say that big companies have too much power, according to recent polls.