Art of Learning
One of the best books on learning I have ever read…
Topic of a future book club…
Tension Relaxation Model
- Should be the default (in crappy jobs, it is not)
Relaxation to Type I Tension
The more an activity looks like a game, the more enjoyable it becomes.
Autotelic Activity-intrinsic rather than extrinsic
- 1. Setting goals.
- One must have clear goals to strive for.
- They also learn to define the challenges, and a system of action in a specific direction to reach a larger goal.
- Make as many subgoals as needed
- 2. Becoming immersed in the activity.
- The person grows deeply involved in whatever they are doing, balancing expectations and demands with one’s capacity to act, ensuring neither stagnation, nor gross disappointment.
- 3. Pay attention to what is happening.
- 4. Track Progress
- Concentration leads to involvement, which can only be maintained by constant inputs of attention. Athletes are aware that in a race even a momentary lapse can spell complete defeat.
- The same pitfalls threaten anyone who participates in a complex system: to stay in it, he must keep investing psychic energy.
- Create Mechanisms to track progress
- 5. Develop the skills needed to make progress
- 6. Learning to enjoy immediate experience.
- The outcome of having an autotelic self—of learning to set goals, to develop skills, to be sensitive to feedback, to know how to concentrate and get involved—is that one can enjoy life even when objective circumstances are brutish and nasty. Being in control of the mind means that literally anything that happens can be a source of joy.
- To achieve this control, however, requires determination and discipline. Optimal experience is not the result of a hedonistic, lotus-eating approach to life. A relaxed, laissez-faire attitude is not a sufficient defense against chaos.
- 7. Keep Raising the Stakes
- [from Graham Mann] and [Dan Silvestre]
Flow into Chaos from “Flow”
- Unselfconscious self-assurance. Face the challenges believing you are able to change the outcome. But recognize you might not succeed because of factors outside your control
- To focus your attention on the world. Shift your attention away from yourself so you won’t focus on your internal struggles. And focusing on the external allows you to find a better way to adapt to the problem
- To discover new solutions. Don’t focus your attention on the new obstacles to achieve your goals. Evaluate the problem more broadly. Take the time to explore alternative goals that are more appropriate for the time being [Dan Silvestre]
Relaxation to Type II Tension (Threat)
Almost entirely Mindset related
Meditation is a blocker
Chade-Meng Ten's Joy on Demand
- Find Your Breath
- Find Your Feet
- Find Your Heart
- Find Your Joy
- Lauria's and my BTSF
- Podcast 182 – Kettlebells for the Brain – Meditation from SMACC 2016
- EMCrit Wee – Vipassana Meditation
But also Situational Arousal in excess of the capacity of your training and psychological reserve
Threat to Burnout
The suitcase you carry home – Anticipation/Rumination
Haybron's Model of Happiness (Brief Introduction to Happiness) = Burnout Blockers
from: Happiness, A Very Brief Introduction
See also, Will Schoder's amazing Youtube Video
- Material Security
- Happiness plateaus (not life satisfaction) at ~90,000 in 2020 money
- Project Security
- Time Security
- Material Security
- Events only effect us through our interpretations of them
- Acceptance lives between Stimulus & Action
- Independence, Choice, Individualism, Relatedness
- Your actions are self-endorsed
- Autonomy Supportive environments walk the line between cold & controlling and chaotic & permissive environments
- Relationships (Relatedness)
- Skilled & Meaningful Work (Competence)
- Mastery but also feeling of Growth
- Also needs meaning
Soft Zone vs. Hard Zone
Somebody interrupts or says something dumb
Do you respond with ease & humor
Or do you lose your crap?
Waitkin contrasts these two scenarios with you in the soft zone or the hard zone
Evidence on Threat/Challenge Dichotomy
- biopsychosocial model (BPSM) of challenge and threat by their evaluations of situational demands and personal coping resources
Additional New Information
More on EMCrit
Now on to the Podcast
- EMCrit Wee – A New Form of ED Critical Care for Rural Environments – EMSTAT with Eric Klotz - March 17, 2023
- EMCrit 345 – I Guess We Need to Talk about CLOVERS and Fluids in Sepsis (Hopefully for the Last Time Ever) - March 10, 2023
- EMCrit 344 – Sleep for the Weary II – General Sleep Stuff - February 24, 2023
Thanks for this show, it was well presented & balanced. Anticipation Rumination is my crypto night. Be safe!
I love this! After 20 years practicing EM I too found the power in coaching (both in being coached and becoming a coach). I highly recommend the book Positive Intelligence, by Shirzad Chamine. It’s an excellent guide to affective neuroscience (both conceptually and experientially). I have found so much value in your podcasts – from finger thoracostomies to autotelic flow. Thanks for all of it!
As always So much Good stuff in your Show! For a Deep Dive into flow science and Peak Performance, I Highly recommend „the art of the impossible“ by steven kottler. It‘s a page turner!
Thanks for all the effort and hours you put into this!
Kind regards from hamburg, germany.
There are a few books called flow by Csikszentmihalyi. Is it Flow: Living at the Peak of Your Abilities, Flow: The Psychology of Optimal Experience (Harper Perennial Modern Classics) or Flow: The Classic Work on How to Achieve Happiness?
all 3 of those are the same book
Oh okay, I didn’t realize that. They were all different prices so I just assumed they were different. Thank you!!
MotR is wisdom applicable to all circumstances in life (which clinical content is not), and hence MotR is of tremendous value for even more listeners. Years ago you inspired me to practice meditation, and I hope you will influence even more doctors to improve their most important tool: their mind. Thank you.
I’m EM trained, starting my 2nd year of CCM fellowship at Sunnybrook in Toronto and I can’t begin to tell you how much REAL mindset training (not the Starbucks bullshit giftcard crap) is needed to survive as an acute critical caregiver.
Happy to learn more about the subject. Definetly interested on hearing more about it.