Depression, Trust, and Therapy

When you have depression, it’s hard to talk about. It’s hard to open up to people and explain to them what depression is, what it’s like to live with, and what the causes of your depression are. So, when you find someone that you can trust and feel like you can open up to, it’s a revelation. You feel like there’s someone in the world that you can truly be yourself around. Often this is a friend. Of course, you have to be careful not to over due the depressive talk, because you could bring them down and eventually push them away.

It’s understandable, when shits bad and all you talk about is your problems, it can eventually come across as whiney, especially if the other person is in a similar situation. If they have depression, they will get it, if they don’t have depression, they will be as support as they can for as long as they can, but eventually, they’ll say something like “get over it.”

So, if you’re lucky enough to have a good health plan (in the US) and a good salary, you might be one of the lucky people that can afford therapy from a licensed professional that will never say “get over it” to you. They will help you work through your problems and do so in a safe place. You can tell the right professional anything and they will help you deal with that. In the cases that they cannot help you, something’s outside their expertise (like gender dysphoria) they might refer you to a specialist in that field.

The important thing about all this, which helps to build trust with the therapist, is that everything about these visits is safe and secure. No one need know that you are visiting your therapist, but the people that you tell. However, if you cannot afford that sort of help, then there are apps that are supposed to help you. One such app is Better Help. However, if I was using it, I’d immediately stop. They share “anonymous” data with third parties, according to a Jezebel report.

One of the companies they share this data with is Facebook. Which is a huge red flag for me. Facebook, if you have an account (and to some extent even if you don’t) has a huge amount of data about you. It uses super cookies to continually track you even when you aren’t on the website, it buys data about people to build profiles, and it uses sophisticated tools to build shadow profiles for people that are not on their service.

I had Facebook for years, basically from the day it came to The University of Pittsburgh, up through 2016 election, so basically around 10-12 years worth of ever decreasing data. Even deleted, they probably kept something about my profile. Since they know that I don’t have a Facebook account, they are able to build a profile about me from data they acquire from other sources. It’s likely they scrape websites, like Good Reads (where I review most of my books) and loyalty rewards (I don’t have any at stores like Target) to build a profile of things that I’d want to buy. They sell ads, so they use this information to understand what someone my age might want to buy and to sell better targeted ads.

They have developed a profile about me, from anonymous data. This means, they have sophisticated tools to de-anonymize data. Given that, according to the article, they know when people are depressed and upset, they already have a set of users that they’ve flagged as candidates for mental health support. They have the tools to associate data from Better Help with an actual person. I don’t know about you, but I do not want Facebook to know anything about my mental healthcare.

This, to me, represents a vital break in trust between patient and mental health provider. I trust that the only people that know about my care are those I tell, my doctor, and my health insurer. I trust this, because it is the law. The law helps me feel safe and allows me to have better trust in both my insurer and my doctor. The law, HIPPA, requires YOU to consent to any data transfer and asks for it before it can even occur, every time. So, you might consent to share the minimum amount of data, but that data is more than sufficient to do harm, in the long term.

People seeking help are vulnerable. They can be preyed upon. Even a good therapist who doesn’t like dealing with a specific health insurer can make you feel preyed upon. A company as unscrupulous as Facebook will target you and take advantage of you. It’s dangerous and must stop. If you use Better Help, look for an alternative. If you use Facebook and you can stop, you should stop.

On Leadership

I love to read about innovation, but there aren’t a lot of books specifically about innovation, so I also read about management theories and best practices. Any book on management and most books on innovation will inevitably talk about leadership. As good management doesn’t really mean leadership. However, bad management always mean bad leadership or a lack of leadership.

A few things stick out in my mind when I think about leadership. The first is a clear vision. Where a vision directs the team on where the organization is going and what it is trying to be. This vision is something that the members of that organization can look to whenever there are questions of right/wrong or priorities. It allows people to move beyond the typical office politics, because those never help with achieving the vision.

The second is clear transparent communication. In some cases this is communicating the vision, but in more important cases this is communicating how and why things are going side ways. For example, when I was working at AMD, there was clear communication about our current financial positioning requiring lay-offs to “right size” the business. Now, the execution of those lay-offs and the fact that there were more than one, wasn’t exactly the best leadership. However, the executive team took ownership of the bad situation and ensured the entire team knew what was happening. Furthermore, the executive team was able to point to a vision of what AMD was and use that to rally the team around. In fact, later that year I used the organization’s vision to lead a number of strategic planning meetings to shift where people were focusing work.

The third item that great leaders drive is a culture and taking ownership of their organizations culture. In Ben Horowitz’s book, Who are What You Do he discusses how a manager’s promotion decisions can impact the culture of the organization. In the book, he specifically talks about a sales executive that, apparently, had a habit of telling lies. Some of them small, but some of them were told to his managers and customers. This resulted in unhappy customers. Unfortunately, this sales exec was promoted, which then lead to an understanding to that lying is acceptable for people to get ahead.

In organizations that have poor leadership, typically the three above items are all missing. The members of the organization will fill the lack of communication with their imaginations and spend a great deal of time discussing what could or is going to happen.This leads to disgruntlement within the organization and loss of productivity. It will lead to your best people leaving.

One of the people in the agile community I’m apart of on Linked In would say that this is a dysfunctional organization. In those cases you have two options, either figure out a way to fix the organization from the inside or leave. In the case of AMD and me, I ultimately left, but partially was for personal reasons and partially because the organization wasn’t in the best of shape after the lay-offs. I’m really happy that AMD has righted its ship and is doing much better now.

I think that every person of an organization should reflect on how their management team is behaving. Do they have a vision? Are they following that vision and actively trying to meet it? Are they forthright with their communication? Do they obfuscate when they communicate and allow employees to fester and stew about things? Do they promote a culture that you believe is a healthy culture that you are proud to work in? Do you have a good group of people you work with in spite of the culture the management has put in place? Finally, do you think that you have the ability to address the dysfunction in the organization if you think that you do, in fact, have bad leaders?

Do you work in an organization with bad leaders? What are you planning on doing?

Book Review: Why So Many Incompetent Men Become Leaders

Why Do So Many Incompetent Men Become Leaders?: (And How to Fix It)Why Do So Many Incompetent Men Become Leaders?: by Tomas Chamorro-Premuzic
My rating: 5 of 5 stars

This book does a fantastic job outlining all the ways men fail as leaders. Let me back up. This book isn’t a man hating book. Its goal is to ensure better leadership at any company. The way to do this, isn’t to just promote women, any woman. The way to do this, is to scrutinize everyone the way that women are scrutinized. Because, the data, and this book brings receipts, shows that women are better leaders.

So why are women better leaders? Well, in general women are less narcissistic in fact men are 30% more likely to be a narcissist than women. Second, men are more likely to be psychopaths, about 50% more likely, in fact. Furthermore, while in the general population about 1% of people are psychopaths, 1 in 5! Senior leaders are psychopaths and 1 in 3! Are narcissists.

Most of this book goes on to outline the failings of male leadership, because of the ways that narcissists are horrible leaders. Similarly for psychopaths. The more interesting part, though, is where the author talks about the benefits of women leadership and how that is associated with higher EQ (emotional intelligence). Both narcissists and psychopaths have very low EQ which results in poorer performance. What the author argues for, are leaders with high IQ and EQ. Women are more likely to have higher EQ than men (by about 20%). There are no significant differences between the genders for IQ, which means on the whole women are better for leadership roles because of their higher EQ.

There are a lot of reasons why we don’t pick for high EQ and one of those reasons is “confidence” really perceived confidence. Another is charisma, where male charisma is desirable and often female charisma is ignored or misunderstood.

The book, sadly, doesn’t offer as much in the way of how to fix it as it claims in the title. There are a few sections. First ask questions that can identify if someone is a narcissist. Ask questions to figure out if someone is a psychopath. Then don’t hire them. The other major innovation the book offers is using structured scored interview questions. This will create a mechanism to compare apples to apples rather than wildly different interview questions.

So, I’m disappointed on the “how to fix it” portion. Hopefully the author will include a section at the end with specific links to questions. I know there are reference and end notes, but putting together a rubric that can more easily be applied would be a great way to improve this and allow people to really see what Manpower uses to fix this problem.

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Algorithms are Intentionally Designed

During an NPR segment on my morning flash briefing, I heard an alarming, unchallenged, comment, “No one intended this to happen.” This is utter bull. The context doesn’t even matter, but in this case it’s about, what amounts to, interest rates based on what university you attended. Specifically, how alumni of Historically Black Colleges and Universities (along with Hispanic leaning institutions) receive higher interest rates than people that went to other universities.

Let’s start at the most basic point, what is an algorithm? A quick Google search returns this:

It calls out specifically that an algorithm can be as basic as for division. So, I think it’s fair that many people use the word algorithm over “computer program” because it sounds magical and difficult to understand. Now, there are plenty of algorithms that are very complicated, like the original algorithm for page rank.

However, the most common algorithm used is the basic regression model. This looks something like ax + c = y. You should recognize this as the most basic equation for a line. Each ‘x’ is a conscious decision of what to include. For example, let’s say you want to calculate fuel economy for the vehicle. In this case, x could be your speed at steady state, such as driving down the highway. If you want to make it more accurate, you need to include other factors, like temperature, your acceleration habits, the time between accelerations, how much weight you have in the vehicle, time between oil changes, you get the idea. This would look like a*speed + b*temp + c*acc+d*freqAcc + e*weight + f*oil + g = y.

Each factor that you include is a choice of the person making the algorithm. In fact, there are tools, like sum of least squares which helps you identify factors that are actually significant (important) to properly estimating y. Furthermore, how you gather the data in your underlying set is also a choice. This is called sampling. There are statistical tools to allow a person to get closer to matching the actual population, but given how large the population is, it’s unreasonable to collect data on the entire population. So you’ll necessarily be estimating for a large portion of the people in your data set.

So, if your goal is to calculate interest on a loan using a regression model (algorithm) you have to pick which factors to include in your regression model. You have to pick how you sample the population. You have to pick the values you’re trying to get. You have to pick if you think something could be a proxy for race. You have to decide if you are going to do something about that.

Any bank will know all the factors that represent race. Zip code, high school, university, names, etc… In this case, they made the choice to ignore how these factors could be skewing the credit score and therefore the interest rate.

Anyone telling you that they had no way of knowing an algorithm is racist, is lying to you, thinks you’re stupid, or shouldn’t be trusted with your money. Probably all three. Reporters need to be more critical about accepting “iT wAs ThE AlGoRiThM” from any company.