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Yale Psychiatry Grand Rounds: "My Journey as an AHC Psychologist: Leadership Lessons Learned"

February 16, 2024
  • 00:00Honor to see. It's an honor to see
  • 00:03former colleagues and friends as well
  • 00:05as I see the first resident or the
  • 00:07person who was the first resident
  • 00:09that I ever supervised on the call.
  • 00:12So it's really a real honor to be here.
  • 00:16And Doctor Karasu,
  • 00:17I'm so grateful that you're here
  • 00:20today and thank you so very much.
  • 00:22So I'm not going to give the
  • 00:25typical grand rounds today.
  • 00:27What I'm going to do is talk a
  • 00:29little bit about my career as it
  • 00:31influenced who I am as a leader.
  • 00:35And so I'm going to give a much
  • 00:37more sort of personal story today
  • 00:40than the grand rounds with data and
  • 00:42slide data and things like that.
  • 00:45I know that Donna shared,
  • 00:47you know, parts of my CV with you,
  • 00:49and that's usually what we know about people.
  • 00:52But I've come to appreciate as a leader
  • 00:55that we are way more than how many
  • 00:58publications we have or books we've
  • 01:00written or how much grant money we have.
  • 01:02But it's sort of who we are as people.
  • 01:04And so I've really come to think
  • 01:06as a leader that what we want to
  • 01:08know about people is who they are,
  • 01:10both inside of work and outside of work.
  • 01:13What are the things that matter to you?
  • 01:15Who are your mentors?
  • 01:17For me, for example,
  • 01:18Congressman Lewis,
  • 01:19Who are the people that matter?
  • 01:22You know what matters like traveling
  • 01:24and and things like that.
  • 01:25And so here's really the CV that
  • 01:27I want to share with you today,
  • 01:30or part of it as I speak with you today
  • 01:34about my leadership journey or parts of it.
  • 01:37I hope that you take some time
  • 01:39now and over the next few days to
  • 01:41reflect on your own personal and
  • 01:43professional history as leaders,
  • 01:45both the successes you've had
  • 01:47and the challenges you've had,
  • 01:49because a lot of the lessons I've learned
  • 01:51have been through the challenges I've had,
  • 01:53not the successes.
  • 01:56What is your what are your
  • 01:58own values about leadership?
  • 01:59And what's your approach to leadership?
  • 02:02We heard about President Salivate today
  • 02:06and what he shared with all of you.
  • 02:09And I think that says so much
  • 02:11about Peter's values,
  • 02:12about leadership and his approach to
  • 02:15leadership I think is captured in the
  • 02:19communication you will receive today.
  • 02:21So I think that the truth is my story
  • 02:25as a leader begins early in my life.
  • 02:28In the 60s when my mom got her PhD and
  • 02:32that's picture of her PhD graduation,
  • 02:35there were not very many women in psychology.
  • 02:39And so I think that just growing up in
  • 02:42a family with a with a mom who was a
  • 02:46psychologist leader had a big impact on me.
  • 02:49And I learned so much from that.
  • 02:53And here's us at my APA
  • 02:56presidential convention where we
  • 02:58did an interview together.
  • 03:02And there were many advantages of having
  • 03:04a parent in the same field, but they're
  • 03:07also challenges with that as well.
  • 03:09And so really part of what I
  • 03:12learned through that is a lot
  • 03:14about developing my own identity,
  • 03:16ensuring that we each have
  • 03:17our own separate identities,
  • 03:19but can also work together in
  • 03:22meaningful and collaborative ways.
  • 03:25Just moving quickly through the
  • 03:26earlier part of my career at
  • 03:28the University of Pennsylvania,
  • 03:30where I was in undergrad,
  • 03:32I learned a lot there with Marty Seligman
  • 03:35and Lynn Abramson and Lauren Alloy.
  • 03:38I really learned how to think
  • 03:40like a researcher.
  • 03:41I learned about publishing and I
  • 03:45learned that despite the hardships
  • 03:46or the difficulties we may have in
  • 03:48our careers that we can succeed.
  • 03:50I had quite low GRE scores and
  • 03:54mentor support really helped me
  • 03:56be able to move on in in my life.
  • 03:59I learned about offering mentees the
  • 04:01opportunity to study what interests
  • 04:03them and a tremendous amount
  • 04:06about balancing different views.
  • 04:07I was in a cognitive, behavioral,
  • 04:09very research oriented lab.
  • 04:11My mom was a family systems
  • 04:14person and I was in psychotherapy,
  • 04:15psychoanalysis,
  • 04:16and so had multiple different
  • 04:19perspectives that I was trying
  • 04:21to figure out how to balance and
  • 04:25ultimately choose to integrate.
  • 04:27I went to Graduate School to the 1st
  • 04:29at the University of Pittsburgh and
  • 04:31then I transferred to the University
  • 04:33of Houston with my advisor Lynn Ream.
  • 04:35I learned a lot about choosing
  • 04:37an advisor or mentor,
  • 04:38somebody who is really going
  • 04:40to put your career first about
  • 04:42dealing with problematic peers,
  • 04:44which ultimately I think teaches you
  • 04:45a lot as a leader about dealing with
  • 04:48challenging people in the work environment,
  • 04:50handling accusations.
  • 04:51I was accused of cheating
  • 04:54on a statistics exam.
  • 04:56You know, I can look back on it now and say,
  • 04:57well, I didn't do that.
  • 04:58It wasn't a big deal.
  • 04:59But at the time it felt like it
  • 05:01was going to be the end of my
  • 05:03career before it even started.
  • 05:04And we all have stories like that
  • 05:06where things just feel like they're
  • 05:08going to be career ending and
  • 05:10balancing personal and professional
  • 05:13decisions in terms of staying or
  • 05:15moving in relationships and career.
  • 05:17Again, something all of us struggle with.
  • 05:22I was had the good fortune as a grad
  • 05:24student to do a lot of different research,
  • 05:26a lot of different clinical work.
  • 05:30This really set me up well for
  • 05:32being a generalist and also for
  • 05:35doing intervention research.
  • 05:37I learned again a lot about
  • 05:40defining my own identity.
  • 05:42Lynn Ream was a wonderful mentor,
  • 05:43but our world views about
  • 05:45psychology were quite different,
  • 05:47and so I really had a struggle to to find
  • 05:51my own voice and pick my own career path.
  • 05:55The truth was, my faculty wanted me to
  • 05:57get a job in the psychology department.
  • 05:59They were not happy.
  • 06:00I chose to go into the psychiatry department.
  • 06:03I think honestly,
  • 06:04the only thing that saved me was the name
  • 06:06of the psychiatry department was Yale,
  • 06:07and I think if it had been any other name,
  • 06:10it really would have been unacceptable.
  • 06:12But because it was Yale,
  • 06:14it was a good thing.
  • 06:16I also learned about keeping ballet separate
  • 06:18and sort of not bringing parts of me
  • 06:21that weren't professional into the workplace.
  • 06:24That's changed over the years,
  • 06:26and I've learned a lot about
  • 06:29how to be a good mentor.
  • 06:32Fortunate to do my internship and
  • 06:34postdoctoral residency in Madison,
  • 06:36WI had wonderful
  • 06:38interprofessional colleagues,
  • 06:39and it really confirmed my identity
  • 06:42as as a clinical researcher
  • 06:44as well as a clinician.
  • 06:46Also got to do a lot of research there,
  • 06:49a lot of clinical work,
  • 06:52but I learned a lot while I was there.
  • 06:55I learned about dealing with death.
  • 06:57Unfortunately,
  • 06:58I had a peer who was the chief
  • 07:02resident who was murdered by a patient.
  • 07:05I was there.
  • 07:09Excuse me, Heard the gunshots,
  • 07:11heard her scream.
  • 07:12I've been shot.
  • 07:14I called the code.
  • 07:16And so I learned a lot about that.
  • 07:19And I also had a patient I was
  • 07:22extremely attached to during that time,
  • 07:23die by suicide.
  • 07:25And that ultimately shifted my
  • 07:28career trajectory to focus most of
  • 07:30my research on suicide and women.
  • 07:34And so I think I really learned
  • 07:36from all of this the importance
  • 07:38of taking from those experiences,
  • 07:40even some of the most painful ones,
  • 07:43and turning them into things
  • 07:46that can matter going forward.
  • 07:49I think when I do debriefing that I
  • 07:51often do the kind of debriefing that
  • 07:53I wish people had done with us when I
  • 07:56was struggling with issues like that.
  • 08:00My first job, as was mentioned by Donna,
  • 08:03was at Yale, and I worked 1st at the
  • 08:08Connecticut Mental Health Center and
  • 08:10then at the Yale Psychiatric Institute,
  • 08:14did research there.
  • 08:14But the truth is I can.
  • 08:16I struggle to be productive there.
  • 08:19I struggle to get grants.
  • 08:21While I was at Yale, I also taught
  • 08:24and supervised for the first time.
  • 08:27And as was true for so many of us back then,
  • 08:30I had had no classes or seminars
  • 08:32or supervision of supervision.
  • 08:34I was a postdoc on June 30th,
  • 08:37and I had 12 supervisors on July 1st.
  • 08:39And I sort of supervised by
  • 08:43doing what Trying to emulate my
  • 08:45good supervisors and teachers,
  • 08:46and trying to not do the things that the
  • 08:49ones I didn't think were so helpful did.
  • 08:53And it was also my first
  • 08:56administrative experience.
  • 09:00The reality is I made a
  • 09:01lot of mistakes early on,
  • 09:03doing administration and leadership,
  • 09:06mistakes that in retrospect
  • 09:09weren't that big a deal,
  • 09:10but they felt like a big deal.
  • 09:12And part of it was because I didn't
  • 09:14know exactly how to navigate things
  • 09:18when I when I made those
  • 09:21administrative errors.
  • 09:23So a couple of things I failed to negotiate,
  • 09:25never even dawned on me when I
  • 09:27was offered the position that
  • 09:29I could negotiate for anything.
  • 09:31So I failed to negotiate.
  • 09:32And that's actually been a
  • 09:34theme throughout my life,
  • 09:35is not negotiating as well as I could.
  • 09:38I think that's why I teach about negotiation.
  • 09:42I also learned about making
  • 09:44administrative errors and again
  • 09:45realizing the importance of having
  • 09:47a consultant or a coach when
  • 09:49you're starting to be a leader.
  • 09:51And there are many of you on
  • 09:52the call who know David Snow.
  • 09:53He was certainly a person that
  • 09:55I turned to during that time.
  • 09:58I learned about building teams
  • 10:00and quite frankly,
  • 10:02I learned about handling
  • 10:04confrontation and shame.
  • 10:09I also learned about prioritizing,
  • 10:11mentoring, and career development,
  • 10:12even when at the time it felt
  • 10:14like that was not so mentoring and
  • 10:16career development of other people,
  • 10:18even though at the time that didn't
  • 10:19feel like it was really highly valued.
  • 10:21I know that that's changed
  • 10:23a lot over the years,
  • 10:25and I learned that stories about
  • 10:28us change over time.
  • 10:30I learned this when I came back to
  • 10:32to give grand rounds at Yale and I
  • 10:36was introduced and the story that
  • 10:38was told about my time at Yale was so
  • 10:41different than the story I had ever
  • 10:44told myself about my time at Yale.
  • 10:46And I called out my best friend that
  • 10:48night after the grand rounds and I said,
  • 10:50you won't believe what they said
  • 10:51in the grand rounds introduction.
  • 10:52And Stephanie,
  • 10:53I actually think you're the
  • 10:54person who gave the introduction
  • 10:58and she said, well, what did they say?
  • 11:01And I told her and I said,
  • 11:02but it's not true. And she said, well,
  • 11:04maybe you ought to start believing
  • 11:07their story instead of your story.
  • 11:09And I think that it's so often we focus
  • 11:11so much on the things that were harder
  • 11:14that were challenging that we lose sight
  • 11:16of the things that might have gone well.
  • 11:21I've been at Emory since 1990.
  • 11:24I've had a really wonderful
  • 11:27time in many ways.
  • 11:28I could get to to do lots
  • 11:30of different things.
  • 11:31I get to to do clinical work at
  • 11:34both Grady Health System which
  • 11:36is a public safety net hospital
  • 11:39as well as memory healthcare.
  • 11:41So I do very different kinds of work
  • 11:45got get to do a lot of science and
  • 11:48scholarship in in many different
  • 11:52areas and I really love doing that.
  • 11:54Probably the work I'm most passionate
  • 11:56about is the work with the NIA project,
  • 11:59which has been to celebrated
  • 12:01its 30th year last year.
  • 12:06I've really enjoyed moving much more
  • 12:08into patient and family centered
  • 12:10care and doing that collaboratively
  • 12:13with interprofessional colleagues
  • 12:15and I had really wanted to do global
  • 12:17mental health work and had struggled
  • 12:19to figure out how to do that.
  • 12:21Unfortunately, in the past few
  • 12:23years I've been able to increasingly
  • 12:26figure out how to do that work.
  • 12:29The pandemic actually opened up a
  • 12:31lot of doors for me and I'm now,
  • 12:34for example, consulting to our
  • 12:36healthcare colleagues in Wuhan
  • 12:38and Beijing and Shanghai related
  • 12:42to healthcare worker well-being.
  • 12:44Also been able to do a lot of
  • 12:48education and training and I really,
  • 12:51really enjoy that very much and doing
  • 12:55a lot of advocacy and leadership.
  • 12:59We have the Atlanta Behavioral Health
  • 13:01Advocates that we have formed.
  • 13:03It's a social justice advocacy
  • 13:05group and I have multiple sort of
  • 13:08more formal title roles in which
  • 13:11I can do advocacy and leadership.
  • 13:16I've learned a lot over the time.
  • 13:17My professional identity has really evolved.
  • 13:21I started out sort of identifying
  • 13:24as a scientist practitioner,
  • 13:26added educator to that,
  • 13:28added advocate to the my identity,
  • 13:31and then added leader and sort of finding
  • 13:34ways to balance all of those different
  • 13:38parts really have become clear that
  • 13:41I've needed to articulate my values,
  • 13:44knowing what are the values that
  • 13:46for me as a leader are really
  • 13:49central to my core and my identity.
  • 13:52That they really serve as a
  • 13:54foundation and my moral compass.
  • 13:57That these values inform what I do,
  • 13:59they evolve over time.
  • 14:01And that one of the hardest things
  • 14:03for me as a leader has been to
  • 14:05figure out what to do when the
  • 14:08values that I hold near and dear
  • 14:10to my heart come into conflict.
  • 14:12So for example,
  • 14:13I had situations in which values
  • 14:15such as loyalty and integrity
  • 14:17have come into conflict,
  • 14:19both of which are important to me.
  • 14:21Sometimes they can't be equally
  • 14:25important and thinking really about
  • 14:28how to act in accord with my values.
  • 14:31So things like valuing the people
  • 14:33with my work with collaborating and
  • 14:35teach as well as those I care for.
  • 14:38Really incorporating community
  • 14:40advisory boards and the the voices
  • 14:43of our patients and their families.
  • 14:46Building programs through collaboration,
  • 14:48creating service and educational programs
  • 14:50that value and highlight diversity,
  • 14:53equity and inclusion.
  • 14:54And being sure that I prioritize
  • 14:57in all of my work service,
  • 14:59serving the public or the multiple publics.
  • 15:03And here's sort of a different
  • 15:05way to to highlight what some of
  • 15:08those values are associated with
  • 15:10each part of my identity and the
  • 15:13importance of pulling those together.
  • 15:17I've learned about balancing
  • 15:19multiple missions.
  • 15:20Probably most everyone on the call
  • 15:23does 234 or more kind of activities,
  • 15:26and you can't do them all
  • 15:28equally well all of the time.
  • 15:30And how do you prioritize
  • 15:31and which do you do?
  • 15:32When and how do you make sure
  • 15:35that you do a good enough job
  • 15:37with everything that you do?
  • 15:39Through my various leadership roles at Emory,
  • 15:42I've had amazing opportunities.
  • 15:44One of the most special opportunities
  • 15:47was that His Holiness the Dalai Lama
  • 15:49joined the faculty at Emory and I was
  • 15:52chair of the University Senate at the time.
  • 15:56And so I had the opportunity to
  • 15:59to welcome him to our faculty.
  • 16:02And what I would say,
  • 16:03there's a lot I could say
  • 16:04about that experience.
  • 16:05But one of the things that I would
  • 16:07say from a leader perspective is
  • 16:09that even though I believe 12,000
  • 16:12people were watching this ceremony,
  • 16:16when I was talking with him,
  • 16:18he looked at me in the eyes in
  • 16:20the way in which I felt like I
  • 16:22was the only person in the space.
  • 16:24There were lots and lots of
  • 16:25people in the room that he really,
  • 16:27truly made eye contact with me
  • 16:29in a way that made me feel like
  • 16:33we were really connected.
  • 16:35And I think as a leader,
  • 16:36that is just so very, very important.
  • 16:40I've learned lots of things
  • 16:43along my time at at Emory dealing
  • 16:47with problematic employees.
  • 16:49I tend to be somebody who likes to
  • 16:51avoid conflict and can't always do that.
  • 16:54As I mentioned,
  • 16:55I'm not very good at this negotiating thing,
  • 16:57so I've didn't do as well.
  • 16:59I haven't done as well as I could
  • 17:02negotiating for my salary or time off
  • 17:04when I was APA president and trying to,
  • 17:06as I mentioned,
  • 17:07teach about negotiation to be
  • 17:09able to do this,
  • 17:10practicing giving and getting feedback,
  • 17:12asking others for help,
  • 17:14and of course using data to advocate.
  • 17:17I've come to appreciate what my style
  • 17:20is as a leader as it's evolved and
  • 17:23recognizing the pros and cons of my style.
  • 17:27I've applied for jobs.
  • 17:29Excuse me.
  • 17:30Well,
  • 17:31at Emory
  • 17:35and I did not get all of the shops
  • 17:38that I applied for And so sort of
  • 17:40learning how to deal with that,
  • 17:42especially when you don't get a job
  • 17:44in in your own space and just how
  • 17:46that feels and how to deal with that.
  • 17:49And then I being offered new
  • 17:51opportunities when I least expect them.
  • 17:53So my recent role in the Dean's office
  • 17:57was was a job that was created for
  • 18:00me and offered to me and that was
  • 18:03something that came quite unexpectedly.
  • 18:08I've really come to appreciate
  • 18:11the importance of stepping forward
  • 18:14during times of crisis and I'll
  • 18:16give a couple examples of this.
  • 18:18One is that we created this
  • 18:21model called caring Communities
  • 18:22during the COVID-19 pandemic,
  • 18:24developed a behavioral response model.
  • 18:26We published about this and
  • 18:30and gave a lot of support,
  • 18:32interventions, education, outreach
  • 18:37at our institution and our area
  • 18:40nationally and then increasingly globally.
  • 18:44As I mentioned earlier,
  • 18:45I had wanted to figure out how to
  • 18:48get into the global space and the
  • 18:50pandemic and the work we ended up doing
  • 18:53locally opened the doors for that.
  • 18:55And so I got the US Department of State,
  • 19:00offered me a contract to consult
  • 19:04to embassies throughout the world,
  • 19:06really, but particularly a lot in
  • 19:09the Middle East and in Africa.
  • 19:11And so that's really helped me be able
  • 19:14to get involved with more global health work.
  • 19:19It's another example of stepping
  • 19:20forward during times of crisis.
  • 19:22It's also for me related to diversity
  • 19:25initiatives and facilitating.
  • 19:27This relates to what Doctor Crystal
  • 19:29was talking about beginning today,
  • 19:31diversity dialogues and
  • 19:33anti racism conversations.
  • 19:35We created and implemented A diversity
  • 19:38dialogue facilitator training program.
  • 19:40First, we trained faculty throughout
  • 19:43our Med school to support these or
  • 19:46to facilitate these conversations and
  • 19:49then we refine the program to train
  • 19:54learners like chiatry residents,
  • 19:56psychology interns and postdocs
  • 19:58and and the like and we're able to
  • 20:00get some grant funding to do that.
  • 20:02We're continuing to to grow that
  • 20:06program and there have been other times
  • 20:09of crisis in recent years that I've
  • 20:12found stepping forward really matters.
  • 20:14I've been.
  • 20:15Doing work,
  • 20:16psycho education,
  • 20:17support and guidance to the actually
  • 20:20economic teams in the Ukraine.
  • 20:27So what have I learned from all
  • 20:30this Leading through crisis?
  • 20:31We're really prioritizing my
  • 20:33connection with the people on teams,
  • 20:35recognizing just how much leadership
  • 20:38is about relationships and
  • 20:40connections being really present,
  • 20:42visible and available.
  • 20:43And I don't think any time is more
  • 20:45important for that than the pandemic.
  • 20:48Going to the IC US every day from
  • 20:51March through the Friday after
  • 20:53Thanksgiving and just being there
  • 20:55for for people on the front lines.
  • 20:58Being about a lot about being flexible,
  • 21:01compassionate and coaching
  • 21:03others with compassion.
  • 21:04Taking appropriate action steps in
  • 21:07collaboration with people that I leave,
  • 21:10doing my best to work with people to
  • 21:12get critical resources and something
  • 21:14that I continue to to have to work
  • 21:18on is taking good care of myself.
  • 21:21Also learned the importance and
  • 21:23again this is mentioned earlier in
  • 21:27that conversation by Doctor Crystal
  • 21:30of being engaged in the the Atlanta
  • 21:33community in many different ways
  • 21:35and how very important that is being
  • 21:39available to the media as well as
  • 21:42a spokesperson for psychology,
  • 21:44translating psychology and psychological
  • 21:46science to the public and really
  • 21:50helping the public in times of crisis.
  • 21:53And I just here want to sort of
  • 21:56acknowledge the the loss of Missus
  • 21:59Carter an amazing mental health
  • 22:01advocate and leader.
  • 22:07I know that people who lead
  • 22:09and do well get lots of honors,
  • 22:12but I really don't feel like it's
  • 22:14the honors in and of themselves.
  • 22:16That's what matters.
  • 22:17But what we do with those honors
  • 22:20to continue to pay it forward.
  • 22:24One of the ways I've been
  • 22:26involved in doing that,
  • 22:28but also in learning to lead,
  • 22:30is I've participated in a lot of
  • 22:32different leadership development programs.
  • 22:34I came to realize pretty early on in,
  • 22:36in part because of some of the mistakes
  • 22:38that I made while I was in New Haven
  • 22:41that I really didn't know how to lead.
  • 22:42That leadership was a competency,
  • 22:45but a competency that we don't
  • 22:47necessarily learn the same way we learn
  • 22:50how to do interventions or whatever.
  • 22:52And so I participated in many different
  • 22:56leadership development programs and have
  • 22:58been on the faculty of many different
  • 23:01leadership development programs as well.
  • 23:04And I think that that's really helped me
  • 23:07learn as much as I can about leadership.
  • 23:12So in addition to learning that
  • 23:14leadership is a confidence.
  • 23:16I think her participating in these programs,
  • 23:19all of which include various
  • 23:22leadership assessments,
  • 23:23has really helped me learn what
  • 23:25my leadership strengths are
  • 23:27and how to capitalize on them.
  • 23:30Excuse me, I am not your typical leader
  • 23:32when it comes to those assessments.
  • 23:35So whatever assessment tool you do,
  • 23:37and I'm just gave 2 examples here
  • 23:40on the Berkman, the green has to
  • 23:42do with the feeling kind of leader.
  • 23:44Well, I was in a leadership program.
  • 23:47We all took the Berkman.
  • 23:48They had all the Reds over red
  • 23:51kind of leaders in one corner.
  • 23:53The Blues who another.
  • 23:55The yellows and another and
  • 23:56the greens and the 4th.
  • 23:58And I was the only one in the green category,
  • 24:01the only one who led by feeling
  • 24:04the same on the Myers Briggs.
  • 24:05It doesn't matter what it is and
  • 24:10really not feeling for a long time
  • 24:14that I had a lot of models or
  • 24:16support to to lead in those ways.
  • 24:18But that those that what that is who I
  • 24:20am and how to to capitalize on that.
  • 24:23But also these leadership programs
  • 24:26have you do 360° evaluations,
  • 24:28and we all have areas of strengths
  • 24:32and areas we can get better at,
  • 24:35and developing and implementing
  • 24:37action plans for myself related to
  • 24:40the areas that were ways in which
  • 24:43I needed to improve and being very
  • 24:46intentional about addressing those.
  • 24:49So for example,
  • 24:51I mentioned earlier dealing with
  • 24:53problematic employees being one of them.
  • 24:56Not surprisingly,
  • 24:57I am probably not the only person on
  • 25:00this zoom who's a perfectionist and
  • 25:03really learning about striving for
  • 25:06excellence rather than perfection,
  • 25:08which is of course always unattainable.
  • 25:12As Donna mentioned,
  • 25:13I've been very involved nationally
  • 25:15and lots of different ways and
  • 25:18lots of different organizations.
  • 25:20And through that I've learned about
  • 25:23reaching out for help and guides
  • 25:25from other people who I trust
  • 25:27and can and depend on.
  • 25:29Taking responsibility for my own behaviors,
  • 25:32my own actions,
  • 25:33and being willing to reflect on those.
  • 25:36Always trying to be curious,
  • 25:38valuing learning from diverse
  • 25:40people with different views,
  • 25:42knowing that you can't be a leader
  • 25:43by yourself and you really need
  • 25:45to share that leadership burden,
  • 25:47creating and following through
  • 25:48and vision and mission.
  • 25:50I don't know how many of you have
  • 25:52been involved in strategic planning
  • 25:53where you spend tons and tons and
  • 25:55tons of time coming up with the
  • 25:56vision and the mission and goals and
  • 25:58way less time on implementing those
  • 26:01strategic plans and realizing that
  • 26:02really the effort needs to go on.
  • 26:05The implementation part of those plans
  • 26:11have had many different involvements
  • 26:14in the American Psychological
  • 26:16Association since very early in my
  • 26:18career and found those to be extremely
  • 26:21valuable and very special to me.
  • 26:24Of course, the one that what mattered
  • 26:26the most was the year I was President of
  • 26:30the American Psychological Association.
  • 26:32I had several initiatives at
  • 26:33that time that I think reflect
  • 26:35things that really matter for me.
  • 26:37One had to do with translating
  • 26:40psychological science to the public,
  • 26:41the second had to do with
  • 26:44patient and family centered care,
  • 26:47and the third had to do with the pipeline
  • 26:49from Graduate School to first job.
  • 26:52But this is also the first
  • 26:54time that I didn't.
  • 26:55Besides my initiatives,
  • 26:56I I did what I call my passions,
  • 27:00and I really integrated the arts
  • 27:02and psychology For the first
  • 27:04time in the psychology world.
  • 27:05I had always, as I had mentioned earlier,
  • 27:07kept damp, separate and outside of my life.
  • 27:11And so I had started the first choir at APA.
  • 27:14We had slideshows of psychologists
  • 27:19and psychology trainings,
  • 27:21photography and pottery
  • 27:23and artwork and the like.
  • 27:26I gave presidential citations,
  • 27:271/3 of them to early career
  • 27:29psychologist because I feel like
  • 27:31people early in their career often
  • 27:33get overlooked and their work doesn't
  • 27:36really get honored sufficiently.
  • 27:37And I just loved the international
  • 27:41travel that I got to do.
  • 27:44I think I learned about communicating
  • 27:47in a personal and genuine way.
  • 27:50When I was APA president,
  • 27:52I gave Congressman Lewis a presidential
  • 27:56citation and he was a real mentor to me
  • 28:00in terms of policy and advocacy work.
  • 28:03And when I was starting to introduce him,
  • 28:07I got choked up and I sort of stopped myself,
  • 28:12didn't think it was appropriate to get
  • 28:15tearful when I was introducing somebody.
  • 28:17And he stood up and he said,
  • 28:20Nadine,
  • 28:21it's OK to have those feelings
  • 28:23and share them.
  • 28:25It's those feelings that are
  • 28:27the passion and the power behind
  • 28:30courage and good leadership.
  • 28:32And that was really a turning
  • 28:35point for me as a leader,
  • 28:37to have somebody who I respected
  • 28:40so tremendously much for what he
  • 28:43did for our nation and the world,
  • 28:45and to have him say you don't
  • 28:47have to hold back who you are,
  • 28:50that you can be genuine and that
  • 28:52will make you more effective leader.
  • 28:56I really define my approach when I
  • 28:59began the presidency as striving to
  • 29:01be a leader that's collaborative,
  • 29:03transformational,
  • 29:04inclusive and values driven.
  • 29:07But I had to add, over time,
  • 29:10being courageous,
  • 29:11I had never thought of myself
  • 29:13as courageous in any way,
  • 29:15certainly not a courageous leader.
  • 29:18But it became clear to me that
  • 29:20there are times that we have
  • 29:23to step forward as a leader,
  • 29:25regardless of the consequences
  • 29:26and and really have courage in
  • 29:29moving things forward.
  • 29:33I learned as APA president about
  • 29:35winning some and losing some,
  • 29:37and that's true for any leader in any role.
  • 29:40Times of feeling rejected as a leader
  • 29:44and figuring out kind of what I can
  • 29:47learn from that, what I can take.
  • 29:49That really led me to reflect on my
  • 29:51own approach to leadership and to
  • 29:53write about being a multicultural
  • 29:56and feminist leader as as things
  • 29:59that really guide or inform who I am
  • 30:05as APA president.
  • 30:06I learned about dealing with those
  • 30:08interpersonal conflicts which I'd
  • 30:10like to avoid at the highest level,
  • 30:12having to have intense personal
  • 30:15and professional demands.
  • 30:17Managing change.
  • 30:18I always get marked really high on sort of
  • 30:21collaboration and finding a middle ground.
  • 30:24But sometimes compromise just isn't possible,
  • 30:28and sometimes creative
  • 30:29alternatives need to be found.
  • 30:31And really figuring out what to do
  • 30:35when compromised isn't possible.
  • 30:37Continuing to make mistakes but
  • 30:39learn from them and pursuing my
  • 30:41dreams and sharing my passions.
  • 30:46Unfortunately, there were some
  • 30:51accusations about psychologists
  • 30:53potential involvement in torture.
  • 30:55And while I don't want to get
  • 30:57off on on this whole issue,
  • 31:00I want to focus on what I learned
  • 31:02from the Huffman reporter,
  • 31:03the independent review as a leader.
  • 31:05So when I was president,
  • 31:08I was when I president,
  • 31:10the APA board called for an independent
  • 31:13review of these accusations that
  • 31:15had appeared in James Risen's book.
  • 31:17I chaired the special committee
  • 31:20related to this and I Co LED
  • 31:22with Doctor Susan McDaniel the
  • 31:25handling of the decision making.
  • 31:27This was the headlines of the New
  • 31:31York Times at the when the report
  • 31:34was actively leaked to the press.
  • 31:40And so as you can imagine, this was a
  • 31:43very difficult and painful time for the
  • 31:46organization and for me in in my role.
  • 31:49And it was a time where more than ever,
  • 31:52I really came to understand how you
  • 31:54have to lead with, as I mentioned,
  • 31:57courage and integrity to follow
  • 31:59your moral compass, being clear,
  • 32:02to have those values front and center.
  • 32:05Because sometimes as a leader, there's
  • 32:07some really painful realities to face.
  • 32:10And that we need to do that no
  • 32:12matter how difficult that is.
  • 32:14And of course,
  • 32:16making those really tough decisions.
  • 32:19When you're leading through
  • 32:20a crisis like that,
  • 32:21it's very stressful and there's a
  • 32:23lot of emotions that come up and
  • 32:25trying to figure out how you're
  • 32:27going to navigate those both
  • 32:29personally and professionally.
  • 32:31Finding ways to manage that stress.
  • 32:33When there really is no time for self-care.
  • 32:37And yet the critical importance
  • 32:40of making time for self-care.
  • 32:43Speaking up when what you have
  • 32:44to say is a very popular,
  • 32:47especially for me at least when issues
  • 32:50of integrity and ethics are core.
  • 32:52And knowing that when you're a leader,
  • 32:55you may end up having a legacy that
  • 32:58wasn't what you chose your legacy to be,
  • 33:01wasn't what you thought you would
  • 33:02legacy was going to be.
  • 33:04But you ended up having a legacy that that
  • 33:09that really is how people identify
  • 33:11you in many ways, even though
  • 33:14that may be only a small part of
  • 33:16what you've done in your life.
  • 33:20This was at a open town hall meeting
  • 33:23with Susan McDaniel and and really
  • 33:26working together with her DM and
  • 33:28others on the leadership team.
  • 33:30Creating a safe, trusting,
  • 33:32honest, and open culture.
  • 33:35Capitalizing on each other's strengths,
  • 33:38really seeking and getting different
  • 33:40perspectives and integrating those.
  • 33:42Celebrating successes and knowing that
  • 33:45when you're leading through a crisis that
  • 33:48there are always more challenges ahead.
  • 33:53And so this was the next New York
  • 33:56Times headline related to this.
  • 34:01Learned about using principles
  • 34:03of good communication.
  • 34:05When you're feeling,
  • 34:06particularly in a crisis time,
  • 34:08that you're going to get attacked
  • 34:10from all sides and you're
  • 34:11going to have to handle that.
  • 34:12And it's some of those attacks
  • 34:14are based on mistakes I've made
  • 34:16and having to take responsibility
  • 34:18for that or organizational or
  • 34:20institutional responsibility.
  • 34:25This is probably going to be the quote
  • 34:29of mine that I will be best known for.
  • 34:32And again, even though I consider this
  • 34:35only one piece of my my life's work,
  • 34:38but this is the quote in the New York Times.
  • 34:40The actions, policies and lack of
  • 34:43independence from government influence
  • 34:44described in the Huffman report
  • 34:46represented a failure to live up
  • 34:48to our core values, Nadine Kasler,
  • 34:51former president of the organization,
  • 34:53said in a statement.
  • 34:55We profoundly regret and apologize for the
  • 34:58behavior and the consequences that ensued.
  • 35:03I saw Congressman Lewis in the Atlanta
  • 35:07airport about a month or two after
  • 35:10this apology in the New York Times.
  • 35:12And he said to me, Nadine,
  • 35:14do you know how often people apologize?
  • 35:16In the New York Times,
  • 35:18I said I had no idea.
  • 35:19And he said, well, almost never.
  • 35:23It takes courage as a leader to apologize.
  • 35:26And so I think that all of us wish
  • 35:30that our leaders would apologize more.
  • 35:35But when you're leading through
  • 35:36really turbulent times,
  • 35:37you have to find ways to be compassionate,
  • 35:40caring and pathic, as well as
  • 35:42courageous and ethical and decisive.
  • 35:45It helps so much to collaborate
  • 35:48during those times,
  • 35:49to find a way to deal with the trauma
  • 35:51and the turbulence of the difficulty,
  • 35:54as well as to move forward,
  • 35:56to embrace the opportunities
  • 35:58that a crisis provides for.
  • 36:01A department and institution and
  • 36:04organization using those crisis
  • 36:06opportunities has a chance to
  • 36:09become stronger and better and
  • 36:11to thrive in new kinds of ways.
  • 36:14And I think that can only happen
  • 36:17in a culture in which there's a
  • 36:19lot of emphasis on self reflection,
  • 36:22ethicality,
  • 36:22having every voice at the table and
  • 36:25being open to diverse perspectives,
  • 36:28finding humming ground,
  • 36:30creating solutions together
  • 36:32and trying new ways to be
  • 36:40so shifting from that to something
  • 36:43that I'm much more passionate about.
  • 36:46Mentioned I I started dancing
  • 36:47ballet when I was three.
  • 36:49I danced ballet professionally prior to
  • 36:52going to pursue a career in psychology.
  • 36:56But I had always kept that really separate.
  • 37:00And I think as a leader,
  • 37:01so often people keep separate
  • 37:03different parts of their lives.
  • 37:06As Donna mentioned,
  • 37:07I'm a psychologist for the Atlanta Ballet.
  • 37:10I had AI met with the kids last week and
  • 37:13one of the kids said at the end, well,
  • 37:15why do we we call you Doctor Nadine?
  • 37:18I said, well,
  • 37:19what what would you like to call me?
  • 37:20And they call their teachers like Miss This.
  • 37:22And I thought she was going
  • 37:23to say Miss Nadine.
  • 37:25And instead she said, well,
  • 37:26CNN calls you doctor, dancer.
  • 37:29And so this is probably my favorite
  • 37:31thing that's ever been shared about me.
  • 37:33And it's a lovely article interviews
  • 37:35CNN did about dance and psychology and
  • 37:38the integration of the two of them
  • 37:43as a dance psychologist.
  • 37:44Until this past year and a half,
  • 37:47everything I did was in the dance world.
  • 37:49Nothing was in the psychology world.
  • 37:52So I did have done lots of keynote
  • 37:54addresses for the National
  • 37:55Association of Schools of Dance,
  • 37:57consulted to the various dance
  • 38:00companies and schools commented
  • 38:02for these dance magazines.
  • 38:04But just this past year,
  • 38:06I for the first time got a grant with
  • 38:09the dance department at Emory to
  • 38:11create a restorative movement program
  • 38:16and sort of foster trauma healing and
  • 38:19restorative justice in our patients in
  • 38:21the NIA project with histories of trauma.
  • 38:24So I'm really excited to finally,
  • 38:27at this stage of my life, in my career,
  • 38:30to bring dance into into our medical school.
  • 38:36This is a picture of me in a split on
  • 38:39the board table at APA that is probably
  • 38:43truly the integration of my passions.
  • 38:45I don't normally do that in the workplace.
  • 38:47People sort of dared me to do it,
  • 38:51but really the importance of my continuing
  • 38:53to to take ballet, to teach ballet,
  • 38:56to to acknowledge and try to find
  • 38:58ways to integrate those passions,
  • 39:01but to also appreciate work, life, synergy.
  • 39:07So in a few minutes, we have left.
  • 39:11I want to share a little bit
  • 39:13about why I love leadership.
  • 39:16Because I am, I've come to realize,
  • 39:18a leadership junkie.
  • 39:21I really like having missions and
  • 39:24dreams that I want to accomplish
  • 39:26in collaboration with other people.
  • 39:30I like connecting with people with
  • 39:33shared interests and commitments and
  • 39:36engaging with other people in ways that
  • 39:38strengthen the meaning in our lives.
  • 39:40I think having things that matter
  • 39:43that are meaningful to us is is part
  • 39:45of our our well-being and part of
  • 39:49what helps us advance things and
  • 39:52really engage in wonderful ways.
  • 39:54Leadership has really enabled me
  • 39:56to expand my horizons and give
  • 39:59back to the community,
  • 40:00our communities in multiple different ways.
  • 40:05I do like most of the times
  • 40:06the challenges of leadership.
  • 40:08Sometimes those challenges
  • 40:09seem a bit overwhelming,
  • 40:10but in general I enjoy the
  • 40:13challenges of leadership and helping
  • 40:16others be more successful.
  • 40:18At this stage of my life and my career,
  • 40:21I have really become more intentional
  • 40:24and committed to mentoring
  • 40:26future generations of leaders.
  • 40:28Because I think we really need to
  • 40:31build leadership pipelines and be
  • 40:33very committed to building diverse
  • 40:35leadership pipelines and doing this
  • 40:37by inspiring other people and being
  • 40:40bringing out the best of them.
  • 40:43I also think as a leader we can really
  • 40:46make a difference in the world for
  • 40:49me in recent years through COVID-19,
  • 40:51healthcare worker,
  • 40:53well-being and anti racism movements.
  • 40:59So when I reflect upon where I
  • 41:01am and where I'm going, I can,
  • 41:04I'm sort of always questioning and we are
  • 41:06going to keep staying on the path I'm on.
  • 41:09Am I going to pursue more alternative
  • 41:12paths in psychology and medicine,
  • 41:15or am I going to pursue path
  • 41:18outside of psychology and medicine?
  • 41:23And so that means, as always,
  • 41:25sort of taking stock of my life,
  • 41:28like who I am as a leader,
  • 41:31What matters to me,
  • 41:32my strengths, my challenges.
  • 41:34Seeking counsel for people from
  • 41:37people who I trust and who matter
  • 41:40to me and is always trying out new
  • 41:45opportunities because there's so many
  • 41:48exciting and different things to
  • 41:50continue to do and ways to give back.
  • 41:54So I'm going to stop here and thank
  • 41:56you for your attention and I am
  • 41:59happy to take questions or comments.