16 connected korrents · 16 moments on record from 28 Oct 2011 to 17 Aug 2026.
At the centre
Institutions fail not because people are wicked, but because evidence, incentives, discretion, and review rights flow in the wrong direction.
Last stated 26 May 2026 · 4 months ago
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Rohit Krishnan
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Similar wording
Trust in institutions has fallen because the institutions have been repeatedly and spectacularly wrong.
Last stated 18 Sept 2025 · a year ago
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John H. Cochrane
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Similar wording
You cannot tell a failing institution from a healthy one by looking: the parts visible from outside are the parts that least reflect its actual health.
Last stated 24 Apr 2018 · 8 years ago
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Samo Burja
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Similar wording
New ideas usually fail outright or require drastic changes before they can succeed.
Last stated 9 Aug 2024 · 2 years ago
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Steve Coast
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Similar wording
If oversight fails to prevent abuse of vulnerable people in institutions like nursing homes, similar oversight is unlikely to prevent mistreatment of farm animals.
Last stated 1 May 2026 · 5 months ago
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Elizabeth Van Nostrand
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Similar wording
When institutions can only offer compromised care they end up calling it best practice, and the patients who do not get better conclude that they themselves are beyond help.
Last stated 27 Jul 2026 · 2 months ago
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Jonathan Shedler
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Similar wording
When institutional transformation keeps failing, leaders should start fresh with new entities rather than keep reforming the old ones.
Last stated 7 Aug 2026 · a month ago
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Jennifer Pahlka
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Similar wording
Failures are more often explained by time pressure than by stupidity or malice.
Last stated 17 Aug 2026 · a month ago
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Fabien Sanglard
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Similar wording
When a system's incentives produce bad behaviour, the blame belongs entirely to whoever created the incentives.
Last stated 25 Jan 2022 · 5 years ago
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Marc Andreessen
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Same subject: management
"Hire great people and get out of their way" is dangerous advice for anyone in a leadership role.
Last stated 17 Dec 2024 · 2 years ago
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Charity Majors
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Same subject: management
A career goes better attached to the part of a business that brings the money in than to a cost centre, whatever the work itself is.
Last stated 28 Oct 2011 · 15 years ago
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Patrick McKenzie
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Same subject: management
A career ladder must not be a checklist that guarantees promotion, because a promotion depends on the organisation’s needs as much as on the employee’s skills.
Last stated 28 May 2025 · a year ago
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Camille Fournier
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Same subject: Psychotherapy
"Evidence-based therapy" is a branding term rather than a scientific one, and in practice it is a code word for "not psychodynamic".
Last stated 2 Oct 2013 · 13 years ago
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Jonathan Shedler
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Same subject: Psychotherapy
A prescriber cannot outsource containment to the therapy hour: the emotional and relational dynamics are part of prescribing, not an intrusion on it.
Last stated 5 Jul 2026 · 3 months ago
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Awais Aftab
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Same subject: Psychotherapy
A therapy is only shown to be more effective if it is compared against another treatment intended to help, not against a control nobody expected to work.
Last stated 11 Sept 2024 · 2 years ago
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Scott D. Miller
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Same subject: CBT
Action comes before motivation: you do first and feel afterwards, not the other way round.
Last stated 30 Sept 2025 · 12 months ago
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Lex Fridman
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Same subject: CBT
No research ever showed manualized CBT to be more effective than psychodynamic therapy; it was only studied more often.
Last stated 2 Oct 2013 · 13 years ago
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Jonathan Shedler