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Reflections from Our Founder

Reflections: Compassionate Leadership for Uncertain Times

September 28, 2026

I got hopelessly lost the other day. I was heading out on a mission to track down an essential piece of equipment for my boat’s navigation system (funnily enough!), but my mind was all abuzz with Nova’s Campfire last week on conscious leadership. At a four-way crossroads with no signs and only fields and creeks as far as I could see, I pulled myself back into the present. Then I had one of those roll-down-the-window moments of connection. A friendly-looking man was walking his dog and, after a long chat that ranged from his dog, to the Indigenous name of the creek, to who had settled the area, what crops were grown to sustain the community, where had boats put in to carry the crops to other corners of the world, to who now lived in the old house at the end of the long driveway, he gave me my bearings and helped me on my way. 

How, in these days of GPS and Google Maps, I now wondered to myself, had I managed to get myself in this situation? But all aglow with the connection I had just made to this man and his dog, as well as to the land I was driving through, I also realized how intent I had been on my mission and how mindless in my execution of getting there. Add to that, I thought, technology would in many ways have only been a further disservice to me and to my awareness of the people and place around me.

Last week, the speakers on our Campfire discussed how good leadership involves having a clear vision of where we want to get to. But also, beyond articulating something larger than what we are against, good leaders remind us what we are for. They bring us together around a deeper question: What kind of people do we want to be, and what kind of country and world do we want to live in? Ultimately, what will call us to care for one another—and what will we allow to shape our hearts? 

Former Maryland governor Larry Hogan, who helped establish a leadership institute at Washington College in my hometown of Chestertown, reminded us that it is our values of compassion, contribution, community and care that make good leaders of us all. Importantly, the Campfire speakers also talked of valuing qualities of humility and respectfulness in relationships that can lead to collaborative action.

To this, I would add courage. It is not always easy, and in times of strong head winds that stir up stormy seas, it takes great courage to stay a well-aligned course. Back in the early days of my academic medicine career, I was part of a small group who felt medicine was off course with its overly strong emphasis on technology and drugs. We wanted to see transformation to a more holistic, whole-person approach to care, but there was great distrust amongst our colleagues of what was then dismissed in a large bucket as “alternative” or “unconventional” medicine. 

Our group came together and formed the Academic Consortium for Integrative Medicine and Health. We wanted to share experiences and support and learn from each other. Believing we should walk our talk, we focused on “being”—taking time for our own inner contemplation and listening deeply to each other even when we might differ in our opinions. 

We also invited the deans and presidents of our respective institutions to lend their support. We were inspired by leaders like Ralph Snyderman, chancellor of Duke University’s Health System, who embraced the intent and the heart of what we were trying to do. In this way, with trusting relationships, we became a supportive community of leaders with a common mission of improving the health and well-being of our patients. Today, more than 80 academic medical centers belong to the Consortium. 

When we hold space for connection with others, the unexpected path can often be the most rewarding one. As we face turbulent times across the globe, we can lead with courage and heart, inspiring others to do the same and creating a ripple effect that helps us shape the kind of world we want to live in. I came across a saying recently that beautifully captures what I believe we are all striving toward:

“Courage may open the door, but love changes how we walk through it.”

Wishing you good health, the courage to lead, and the heart to guide you,

Professor Brian Berman, MD
President and Founder, Nova Institute for Health
Professor Emeritus, Family and Community Medicine, University of Maryland School of Medicine

Healing is facilitated through safety, persistence, and trust.

  • Persistence: “People did not simply progress through this sequence and experience healing. The healing journey was a recursive, back and forth process. They found helpers, used the skills/resources that those helpers provided, found other helpers that provided more resources and used those skills and resources. As this process continued, people experienced a gradual amelioration of their suffering. Although many despaired at times, all demonstrated the quality of persistence—they refused to give up.”
  • Safety & Trust: “To connect to helpers, it was essential for people to feel safe in those relationships and able to trust that the person would be a helper and not a barrier to healing. Persons whose wounds included a violation of trust were especially careful about testing the safety of new relationships.”

Resources support us as we heal. They include reframing, responsibility, and positivity. “Making connections enabled participants to acquire and refine resources and skills that were essential in their healing journey. People also brought their own personal strengths to the journey.”

  • Reframing: “A particularly important skill was the ability to reframe—that is to look at suffering through a different lens.” This does NOT mean minimizing trauma or pain, but rather it often means the opposite: understanding what happened was wrong, unfair, or uncontrollable and that we are not to blame for it.
  • Responsibility: While we don’t have control over what happened to us, we are the only ones who can help ourselves heal. “A third essential resource that people acquired or refined was the ability to take an appropriate amount of responsibility for their healing journeys. They participated actively in the process of healing. Once again, some participants already had developed this skill, and some acquired or refined it from their helpers.”
  • Positivity: “Another resource that people acquired or refined during their healing journey was choose to be positive—that is to have some optimism about their situation.” People have varying predispositions to positivity. In the study, positivity was important in helping people heal. This doesn’t mean a toxic positivity, but rather simply finding some good in life and feeling hopeful about our situations.

“Connection to others was an essential part of all the healing journeys.” Humans are social creatures, and even the most introverted of us need close relationships. Friends and family add meaning and value to life and help support us, in good times and bad. 

When we experience relational trauma, relationships can feel scary, but reestablishing safety and trust in relationships is where the healing happens. (To be clear, we do not mean reestablishing safety and trust with abusers, but rather finding other healing relationships.) 

“When safety and trust had been established, people were able to connect with helpers. The nature of the behaviours of helpers that fostered healing ranged from small acts of kindness to unconditional love.”

  • “Moving from being wounded, through suffering to healing, is possible. It is facilitated by developing safe, trusting relationships and by positive reframing that moves through the weight of responsibility to the ability to respond.”
  • “Relationships with health professionals were among these but were not necessarily any more important to the healing journey than other kinds of helpers, which included family members, friends, spirituality and their God, pets, support groups, administrators, case workers and supervisors.”

Healing probably means different things to different people, but one definition that emerged from the study is: “The re-establishment of a sense of integrity and wholeness.” 

Healing was an emergent property that resulted from each individuals’ complex healing journey, a result of bridged connections between resources and relationships. “…they gradually found relief from suffering and began to exhibit emergent characteristics: a sense of hope, self-acceptance, and a desire to help others—the immediate precursors to healing.”

 In varying degrees, “they were able to transcend their suffering and in some sense to flourish.” 

  • Helping Others: We find meaning in helping others. “Understanding that suffering gives the strength and experience to help others in similar situations.”
  • Hope: We begin to have hope that we will not always feel this bad. A Crohn’s patient said, “I think gradually I realized that I was going to feel better. I did have days when I actually didn’t vomit, when I did feel better. And I think gradually I came to believe that maybe I could have a normal life again.”
  • Self-Acceptance: We see our inherent value and understand that we are not to blame for our suffering. A participant living with HIV said, “I’m really proud of myself. I think that now I still want to live. I don’t want to die, and I really love myself a lot. I have a lot of comfort in myself.”

Suffering is the ongoing pain from wounding. 

There is some debate about whether people always experience suffering on the path to healing.

Wounding happens when we experience physical or emotional harm. It can stem from chronic illness or by physical or psychological trauma for which we do not have the tools to cope, or a combination of those factors. 

“The degree and quality of suffering experienced by each individual is framed by contextual factors that include personal characteristics, timing of their initial or ongoing wounding in the developmental life cycle and prior and current relationships.”

Characteristics: How predisposed someone may be to wounding/how many tools and resources someone may have to deal with trauma/illness.

Lifestages: Developmental timing plays an important role in the impact of trauma — young children often do not have the same resources as older adults.

Relationships: Relationships can provide solace and support for those suffering, while lack of healthy relationships can prolong suffering.