I’m often talking about discovery, reflection, and efficacy. In practice this looks like a gentle, upward spiral. I find something that bothers me (eg, back pain) and I wonder about ways to improve that. Then I make a change. Sometimes the change doesn’t lead to an actual improvement, which is why it’s important that DRE is a loop: In the next “discovery” (eg, is my back better?) I have the opportunity to choose another action.

Perhaps that sounds academic. But, are you actually making iterative changes?

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