Integrative Leadership Forum

Developing Leaders As People

Alfred Legner John O’Brien

My send-off!

StructureProposed leadership objective:

Sustainable governance -> The “P⁴” (in “perfect” harmony) bottom line.

1. Proposed leadership cycle to continuously:•Elevate the leadership level.•Strive for perfection.

2. I am an African.

3. I am a medical doctor.

4. Proposed reference -> “Reverence for Life”.

5. Reflection… harmony->joy.

Positive Focus / Negative Focus

SERVICE

MAKING A DIFFERENCE

INTERNAL COHESION

TRANSFORMATION

SELF-ESTEEM

RELATIONSHIP

SURVIVAL

SERVICE TO HUMANITYEthics. Social responsibility. Future generations.

DEVELOPMENT OF A STRONG COHESIVE CULTURECommitment. Enthusiasm. Shared values.

CONTINUOUS RENEWAL AND LEARNINGAdaptability. Innovation. Teamwork.

HIGH PERFORMANCE SYSTEMS AND PROCESSESProductivity. Efficiency. Quality. Professional growth.

Bureaucracy. Complacency.

RELATIONSHIPS THAT SUPPORT THE ORGANIZATIONGood communication between employees, customers and suppliers.

Manipulation. Blame.

PURSUIT OF PROFIT AND SHAREHOLDER VALUEFinancial soundness. Employee health and safety.

Exploitation. Over-control.

7

6

3

2

1

5

4

STRATEGIC ALLIANCES AND PARTNERSHIPSEmployee fulfillment. Community involvement.

Positive Focus / Negative Focus

SERVICE

MAKING A DIFFERENCE

INTERNAL COHESION

TRANSFORMATION

SELF-ESTEEM

RELATIONSHIP

SURVIVAL

SERVICE TO HUMANITYEthics. Social responsibility. Future generations.

DEVELOPMENT OF A STRONG COHESIVE CULTURECommitment. Enthusiasm. Shared values.

CONTINUOUS RENEWAL AND LEARNINGAdaptability. Innovation. Teamwork.

HIGH PERFORMANCE SYSTEMS AND PROCESSESProductivity. Efficiency. Quality. Professional growth.

Bureaucracy. Complacency.

RELATIONSHIPS THAT SUPPORT THE ORGANIZATIONGood communication between employees, customers and suppliers.

Manipulation. Blame.

PURSUIT OF PROFIT AND SHAREHOLDER VALUEFinancial soundness. Employee health and safety.

Exploitation. Over-control.

7

6

3

2

1

5

4

7

6

3

2

1

5

4

STRATEGIC ALLIANCES AND PARTNERSHIPSEmployee fulfillment. Community involvement.

7 levels of leadership

Leadership climate assessment tool; “The Values Centre”

Journey

Objective: PObjective: P⁴ ⁴ ((person, people, person, people, place, profit) inplace, profit) inperfect harmony (in- perfect harmony (in- and over time).and over time).

et al

Points of reference?

Johan Rossouw

Proposed cycle

Objective:

P⁴ (in perfect harmony)

bottom line

et al

I am….

“Cradle of Mankind”1652 Dutch settlement at the Cape.

1886 Gold at Witwatersrand.

1910 Union of South Africa.

1913 “Native Land Act” restricts blacks to reservations. Start of “the Struggle”

1948 National party comes to power on platform of “apartheid”. Republic of South Africa in 1960.

1990 FW de Klerk unbans ANC and revokes various Acts.

1994 Democratic election and inauguration of Nelson Mandela.

1999 Inauguration of Thabo Mbeki.

2009 Inauguration of Jacob Zuma.

Land

1.2 million square km.

12% arable land.

Economy

South Africa is a middle-income, emerging market with an abundant supply of natural resources; well-developed financial, legal, communications,

energy, and transport sectors; a stock exchange that is 17th largest in the world; and modern infrastructure supporting an efficient distribution of

goods to major urban centres throughout the region.

People (49 million)

Nelson Mandela“There is no short cut to the country of

our dreams”

Rainbow Nation (1994 +)1. Consumer confidence at 25 year high in 2007.

2. JSE up by 250% over previous three years (2007).

3. House prices up by 125% in previous 4 years (2007).

4. New car sales soars year after year by 16%.

5. “RDP” and “T & R” and amnesty (Archbishop Tutu).

Thabo Mbeki

“I am a policy intellectual”

I owe my being to the hills and the valleys, the mountains and the glades, the rivers, the deserts, the trees, the flowers, the seas and the ever-changing seasons that define the face of our native land.

I am an African

The dismal shame of poverty, suffering and human degradation of my continent is a blight that we share.

This is a savage road to which nobody should be condemned.

I am an African

I am an African

Whoever we may be, whatever our immediate interest, however much we carry baggage from our past, however much we have been caught by the fashion of cynicism and loss of faith in the capacity of the people, let us say today that nothing can stop us now!

Thabo Mbeki

“Mbeki’s judgment on SA leadership”

“I hope that one day I will find the time to address the issues of the calamitous retreat from the habit

of thinking in our country, the atrophy of meaningful critical intellectual engagement and communication, and the occupation of the realm

of ideas largely by dearth of originality, superstition, opinionated prejudice, stereotypes

and a herd mentality.”

2009 “The new Struggle”

1. Conflicts of interest abound (corruption?).

2. New “Randlords” & affluence from “BBBEE”.

3. Unemployment around 30%.

4. 19000 violent murders and 50000 rapes.

5. “Lethu Mshini Wami”.

Objective:

P⁴ (in perfect

harmony) bottom line

Objective unattained

Arrested and yet?

et al

Point(s) of reference?

King 111 (2009)

Institute of Directors 2009

I will remember that I do not treat a fever chart, a cancerous growth, but a sick human being, whose illness may affect the person's family and economic stability.

I am also…

Hippocrates (modern version)

People (49 million)

SA healthcare system(s)

Alex, Heather, Di & et al

DALYs

Rank Condition Percentage

1 HIV / AIDS 30.9

2 Interpersonal violence 6.5

3 Tuberculosis 3.7

4 Road injury 3.0

5 Gastro-enteritis 2.9

6 Lung infections 2.8

7 Low birth weight 2.6

8 to 11 Asthma/hypertension/depression/IHD 2.2 SAMRC

HIV / AIDS

HIV / AIDS

18%? (27% from antenatal survey - 2007).

6 million plus people living with AIDS?

Lower life expectancy, higher infant mortality, higher death rate, lower population growth (0.3%).

et alet al

Multifactorial dilemma

Paul Mango and Nicolaus Henke & et al

Universal care

Funding

WHO, Heather and Di (& et al).

The elephant in the room

“Appreciative Inquiry”recommendations

Inclusive modes of communication.

Collective leadership (small core groupings).

Greater clinical input into corporate governance.

Sustainability and continuity of clinical governance.

Investment in clinical leadership development.

Edmondstone, Kirk , Prat et al 2006 /7

Objective:

P⁴ (in perfect

harmony) bottom line

Objective unattained?

Arrested?

et al

Point(s) of reference?

Any hope?

et al

Point(s) of reference?

Any hope for evolving Any hope for evolving sustainable governance sustainable governance = P⁴ bottom line, at any = P⁴ bottom line, at any

level of leadership?level of leadership?

Absolutely!

I am life which wills to live….. in the midst of life which wills to live

1. Horizons:

1.1 The absolute value is the preservation and promotion of life.

1.2 Dismiss uncurbed creeds and doctrines without applied thought.

1.3 Dismiss uncurbed forms of establishment and traditions without applied thought.

2. “Leadership” cycle:

2.1 Disciplined analysis, applied thought and maturation is essential for enlightened judgment. (“Rational -> spiritual”).

2.2 Enlightened judgment allows for sustainable governance = harmony and joy = “life well lived”.

Point of reference

Life well lived

Reverence Reverence for lifefor life

“True civilization”

Yehudi Menuhin

Joy

JOY

Schiller

"As Beethoven grew more isolated, his music tended to expressive extremes. Sublime contemplation join with

simple folk melodies, impassioned recitatives and abstract archaisms."

Beethoven’s words

Oh friends. No more of these tones!

Let us sing more cheerful songs. More joyful,

Joy! Joy!

“The Parallax View”?Text Music

Belief in a loving father results in “Joy”? Was often used to celebrate radical nationalism!

Do you buy into this concept of “Joy”, which is:1.The spark of divinity?2.The daughter of Elysium?3.Embraces and kisses?4.Binds all men as brothers?

“Weird imbalance”1.At bar 331 it takes on a Turkish march style and the mode becomes carnivalesque. 2.The solemn dignity of the preceding music is never regained.3.Maybe the whole thing is an insipid fake? Slavoy Zizek

Text was used inter alia by:1.German extreme nationalists!2.During Chinese cultural revolution!3.In Rhodesia by white supremacists! Slavoy Zizek

Von Karajan

Ultimate success

Objective: PObjective: P⁴ ⁴ ((person, people, person, people, place, profit) inplace, profit) inperfect harmony (in- perfect harmony (in- and over time).and over time).

et al

P⁴ in perfect harmony