Instead, let’s focus on what makes us thrive. In an Appreciative Rheumatology mindset, let’s think about what makes us the best people in the hospital to work with. When we are at our best, what inspires us to get up in the morning and have that elusive pep in our step? How can we build on our collective strengths and crowd out all the negativity that seems to inundate us? Instead of emotional exhaustion, let’s talk about emotional elation; instead of depersonalization, let’s talk about dignification; instead of reduced personal accomplishment, let’s talk about raising personal accomplishment.
This may sound utopian to you, but this is a step we can take right now. If we articulate a shared vision—a dream—we can create a destination in our mind and manifest it into reality. We can ask questions and interface with one another to collect and pool our strengths. We can advocate as many people with many dreams but with one goal: a work environment in which we can thrive. Doesn’t this sound like a more fulfilling and sustainable approach to our work?
Research Driver
Moreover, Appreciative Rheumatology can also serve as a driver of research by encouraging us to focus on positive outcomes and strengths-based interventions. This approach can help us move beyond reductionist approaches and focus on promoting overall well-being.
How many times have we seen the next blockbuster drug suddenly fizzle out because it may have met the benchmarks for symptom reduction but did not do its job in improving the quality of life? Arguably, even for relatively simple interventions—masks and vaccines, for example, and our emphasis on preventing death and morbidity instead of focusing on how they empower individuals to regain agency in their lives in the midst of a pandemic—has been counterproductive.
An entire compendium of literature showing the power of placebo exists. It’s been conceptualized as a nebulous concept associated with easy suggestibility. But let’s flip this around, Appreciative Rheumatology style. Consider the placebo effect as an affirmation of the power of human aspiration. It can potentially make a sugar pill as effective as a tumor necrosis factor inhibitor. Perhaps we should study those who possess this alchemical superpower and figure out how we can inculcate it within ourselves.
Advancing Diversity, Equity & Inclusion
I must continue to meditate on one aspect of our practice to see how Appreciative Rheumatology fits with respect to diversity, equity, inclusion and belonging.
