![]() 2 report on a systematic review of the effectiveness of motivational interviewing (MI) on medication adherence. To be effective, each must help patients imagine a future that is different and generally better than what they are currently experiencing or they will not be inspired to change. ![]() So what are the lessons for the work we do in general internal medicine? In this issue of JGIM, several papers describe different approaches to working with patients around behavior change. Our products are user friendly, beautifully designed, and easy to use. He puts it this way in an imaginary ad from Apple: “With everything we do, we aim to challenge the status quo. He argues that Apple starts with the premise that to use their products is to challenge the status quo. What distinguishes Apple, in Sinek’s view, is their attention to the ‘why’. Apple products fundamentally perform the same functions as their competitors (the ‘what’), and while Apple may pay particular attention to the design (the ‘how’), these features do not distinguish Apple products from those of Microsoft, Samsung or others. Sinek points to Apple as a company that built its success by starting with the ‘why’. ![]() King’s articulation of the ‘why’ that made him one of the great leaders of the twentieth century as illustrated by his “dream” that some day his four children would be judged not by the color of their skin, but “by the content of their character.” ![]() ![]() His ‘how’ was through non-violent protests, a tactic he borrowed from Gandhi and others. King’s ‘what’ was to eliminate race-based disparities and discrimination others shared the same goal. Sinek gives the example of Martin Luther King, Jr., who has inspired millions with his words. In fact, great leaders and organizations start with the ‘why’ and then move to the how and the what-while more conventional organizations move the other way they start with the ‘what’ and then move to the ‘how’ and may never get around to the ‘why’. In his book Start with Why: How Great Leaders Inspire Everyone to Take Action 1 and in his well known TED talk, Simon Sinek, leadership author and consultant, argues that what distinguishes great leaders and organizations is their focus on the ‘why’ of the work and not just on the ‘what’ and the ‘how’. ![]()
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