Personal transformation is a prerequisite for sustainable transformation of our health care system. Integrating research from the language sciences, phenomenology, psychology and neurobiology, this article reviews the science of leading oneself. Because this “inward” journey can be alien and disorienting, the Language Leadership Performance Model is helpful in illustrating the relationship between the circumstances the leader is dealing with (the leadership challenge), the context (point of view) the leader brings to that challenge, and the leader’s way of being and acting (the definitive source of the leader’s performance). Using language, effective leaders reframe their leadership challenges such that their naturally correlated ways of being and acting provide them with new opportunity sets for exercising exemplary leadership. Using a house metaphor ( The House of Leadership ), a foundation for being a leader and a framework for exercising leadership are constructed. Laying the foundation of the model involves mastering the four pillars of being a leader. Erecting the framework entails building a contextual schema, which, when mastered, becomes a construct that in any leadership situation gives one the power to lead effectively as one’s natural self-expression. Both of these activities—laying the foundation and erecting the framework—involve a deconstruction of one’s existing leadership paradigm. Finally, A Heuristic for Leading Oneself is offered as a useful guide or owner’s manual as one embarks on this inward journey. Leading oneself is a uniquely human activity—studying it and how it works is a vital piece in solving the health care transformation puzzle.
KeywordsLeadershipLanguageHealth Care ReformOntologyPhenomenologyAcademic Medicine
Anton, C. (1999). Beyond the constitutive-representational dichotomy: The phenomenological notion of intentionality. Communication Theory, 9, 26-57. doi:10.1111/j.1468-2885.1999.tb00161.x
Atkinson, B., Atkinson, L., Kutz, P., Lata, J., Lata, K., Szekely, J., & Weiss, P. (2005). Rewiring neural states in couples therapy: Advances from affective neuroscience. Journal of Systemic Therapies, 24, 3-13. doi:10.1521/jsyt.2005.24.3.3
Barker, R. (1997). How can we train leaders if we do not know what leadership is? Human Relations, 50, 343-362. doi:10.1177/001872679705000402
Bennis, W. (1994). On becoming a leader. New York: Addison-Wesley Publishing Co.
Bickerton, D. (1996). Language and human behavior. Seattle, Wash: University of Washington Press.
Block, P. (1996). Stewardship. San Francisco: Berrett-Koehler Publishers.
Bluck, S., & Habermas, T. (2001). Extending the study of autobiographical memory: Thinking back about life across the life span. Review of General Psychology, 5, 135-147. doi:10.1037/1089-2680.5.2.135
Boje, D., Oswick, C. and Ford, J. (2004). Language and organization: The doing of discourse. Academy of Management Review, 29, 571-577.
Brownlee, S. (1996). The biology of soul murder: Fear can harm a child’s brain. Is it reversible? US News and World Report.
Buonomano, D., & Merzenich, M. (1998). Cortical plasticity: From synapses to maps. Annual Reviews of Neuroscience, 21, 149-186. doi:10.1146/annurev.neuro.21.1.149
Burrell, G., & Morgan, G. (1979). Sociological paradigms and organizational analysis: Elements of the sociology of corporate life. London: Heinemann.
Christensen, K. (2009). Integrity: Without it nothing works. Interview with Michael Jensen. Rotman: The Magazine of the Rotman School of Management, 99, 16-20.
Crevani, L. (2011). Clearing for action: Leadership as a relational phenomenon. Doctoral Thesis, KTH Royal Institute of Technology. http://www.diva-portal.org/smash/record.jsf?pid=diva2:414603
Denning, S. (2008). The secret language of leadership. Leader to Leader, 48, 14-19. doi:10.1002/ltl.275
Dreyfus, H. (1991). Being-in-the-world: Commentary on Heidegger’s being and time. Cambridge, MA: MIT Press.
Edgeworth, M. (2003). The clearing: Heidegger and excavation. Posted on archeolog. http://traumwerk.stanford.edu/archaeolog/2006/09/the_clearing_heidegger_and_exc_1.html
Erhard, W., Jensen, M., & Granger, K. (2011). Creating leaders: An ontological/phenomenological model. In S. Snook, N. Nohria, & R. Khurana (Eds.), The handbook for teaching leadership. Thousand Oaks, CA: Sage Publications.
Erhard, W., Jensen, M., Zaffron, S., & Granger, K. (2011). Course materials for being a leader and the effective exercise of leadership: An ontological/phenomenological model (May 10, 2011). Harvard Business School NOM Working Paper No. 09-038. http://ssrn.com/abstract=1263835
Erhard, W., Jensen, M., Granger, K., & Dimaggio, J. (2010). Mastering the principles and effective delivery of “the ontological leadership course. http://ssrn.com/abstract=1638429
Eriksen, M. (2008). Leading adaptive organizational change: Self-reflexivity and self-transformation. Journal of Organizational Change Management, 21, 622-640. doi:10.1108/09534810810903252
Galbraith, J. (1971). Economics, peace and laughter. New York: New American Library.
Harris, S. (2012). Free will. New York: Free Press.
Gallagher, S., & Zahavi, D. (in press). Primal impression and enactive perception. In D. Lloyd, & V. Arstila (Eds.), Subjective time: The philosophy, psychology, and neuroscience of temporality. Cambridge, MA: MIT Press.
Gilbert, D., & Wilson, T. (2007). Prospection: Experiencing the future. Science, 317, 1351-1354. doi:10.1126/science.1144161
Goss, T. (1995). The last word on power. New York: Crown Publishing.
Green, J. (2006). An abundance of katherines. New York: Dutton Juvenile.
Heidegger, M. (1962). Being and time. New York: Harper & Row.
Heidegger, M. (1966). Discourse on thinking. New York: Harper and Row.
Heidegger, M. (1971a). Poetry, language and thought. New York: Harper & Row.
Heidegger, M. (1971b). On the way to language. New York: Harper and Row.
Heidegger, M. (1979). Holderlin and the essence of poetry. Existence and being. Regnery/Gateway: South Bend, Ind.
Hyde, R. (1994). Listening authentically: A heideggerian perspective on interpersonal communication. In K. Carter, & M. Presnell (Eds.), Interpretive approaches to interpersonal communication. Albany, NY: SUNY Press.
Kolb, B., Gibb, R., & Robinson, T. (1995). Brain plasticity and behavior. Eat Sussex: Psychology Press.
Korzybski, A. (2008). Manhood of humanity: The science and art of human engineering. Gloucester: Dodo Press.
Korzybski, A. (1995). Science and sanity: An introduction to non-Aristotelian systems and general semantics. Englewood, NJ: The Institute of General Semantics.
Korzybski, A. (1990). Collected writings 1920-1950. Englewood, NJ: The Institute of General Semantics.
LeDoux, J. (2003). Synaptic self: How our brains become who we are. New York: Penguin Books.
Malpas, J. (2002) The weave of meaning: Holism and contextuality. Language & Communication, 22, 403-419. doi:10.1016/S0271-5309(02)00017-4
McGilchrist, I. (2012). The master and his emissary: The divided brain and the making of the western world. New Haven, CT: Yale University Press.
Mey, J. (2003). Context and (dis)ambiguity: A pragmatic view. Journal of Pragmatics, 35, 331-347. doi:10.1016/S0378-2166(02)00139-X
Miller, A. (2008). The drama of the gifted child: The search for the true self. New York: Basic Books.
Noe, A. (2009). Out of our heads. New York: Hill and Wang.
Palmer, P. (1999). Let your life speak. San Francisco, CA: Jossey-Bass.
Parikh, J. (2012). The zen of management maintenance: Leadership starts with self-discovery. http://hbswk.hbs.edu/archive/4790.html
Pascual-Leone, A., Amedi, A., Fregni, F., & Merabet, L. (2005). The plastic human brain cortex. Annual Review of Neuroscience, 28, 377-401. doi:10.1146/annurev.neuro.27.070203.144216
Plato, A. (1988). Plato’s portrait of sokrates. Guilford, CT: J Norton.
Seung, S. (2012). Connectome. New York: Houghton Mifflin Harcourt.
Shaw, G. (2011). Famous-quotes.com. http://www.1-famous-quotes.com/quote/5826
Shelly, B. (2013). Passive resistance to Obamacare. http://www.jsonline.com/news/opinion/shelly01-mv9p1oe-205475711.html
Soccio, T. (2007). Archetypes of wisdom: An introduction to philosophy. Belmont, CA: Thomson Wadsworth.
Souba, C. (2009). Leading again for the first time. Journal of Surgical Research, 157, 139-153. doi:10.1016/j.jss.2009.09.018
Souba, W. (2010). The language of leadership. Academic Medicine, 85, 1609-1618. doi:10.1097/ACM.0b013e3181ee0045
Souba, W. (2011a). The being of leadership. Philosophy, Ethics, and Humanities in Medicine, 6, 5. doi:10.1186/1747-5341-6-5
Souba, W. (2011b). A new model of leadership performance in health care. Academic Medicine, 86, 1241-1252. doi:10.1097/ACM.0b013e31822c0385
Souba, W. (2006). The inward journey of leadership. Journal of Surgical Research, 131, 159-167. doi:10.1016/j.jss.2006.01.022
Souba, W., & McFadden, D. (2008). The double whammy of change. Journal of Surgical Research, 151, 1-5. doi:10.1016/j.jss.2008.11.808
Souba, W. (2007) The leadership dilemma. Journal of Surgical Research, 138, 1-9. doi:10.1016/j.jss.2007.01.003
Staudinger, U. (1999). Social cognition and a psychological approach to an art of life. In F. Blanchard-Fields, & T. Hess (Eds.), Social cognition, adult development and aging. New York: Academic Press. doi:10.1016/B978-012345260-3/50016-1
Steiner, C. (2002). The technicity paradigm and scientism in qualitative research. The Qualitative Report. http://www.nova.edu/ssss/QR/QR7-2/steiner.html
Stephens, G., Silbert, L., & Hasson, U. (2010). Speaker-listener neural coupling underlies successful communication. Proceedings of the National Academy of Sciences of the United States of America, 107, 14425-14430. doi:10.1073/pnas.1008662107
Sull, D. (2003). Managing by commitments. Harvard Business Review, 81, 82-91.
Bellows, S. (2013). Nobel laureate lecture. http://www.nobelprize.org/nobel_prizes/literature/laureates/1976/bellow-lecture.html
Ratcliffe, M. (2013). The structure of interpersonal experience. In D. Moran, & R. Jensen (Eds.), Phenomenology of Embodied Subjectivity. Dordrecht: Springer (forthcoming 2013).
Teicher, M. (2002). Scars that won’t heal: The neurobiology of child abuse. Scientific American, 286, 68-75. doi:10.1038/scientificamerican0302-68
Tse, P. (2013). The neural basis of free will: Criterial causation. Cambridge, MA: MIT Press.
Watts, R. (2011). Fables of fortune. Austin, TX: Emerald Book Co.
Wind, Y., & Crook, C. (2006) The power of impossible thinking. Upper Saddle River, NJ: Wharton Publishing.
Zaccaro, S., Kemp, C., & Bader, P. (2004) Leader traits and attributes. In J, Antonakis, A, Cianciolo, & R Sternberg (Eds.), The Nature of Leadership. Thousand Oaks, CA: Sage Publications.