Useful Advices - Business

Are you ignoring the backstabbing and drama in your office? Do you walk away from conflict instead of facing it? Are you afraid to look at your sales report for the last quarter? Perhaps your staff is on the Drama Triangle. What’s worse,

According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product

you are also on it but you just don’t know it.

The Drama Triangle is a model developed by Dr. Stephen Karpman that can be used to quickly assess behaviors that are creating dysfunction at work. The model looks like an upside down triang

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

le and the positons on the points of the triangle are victim, rescuer and persecutor, with victim taking the bottom point.

The three positions, or roles indicate behavioral and emotional responses to interpersonal and intrapersonal confl

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

ict. The patterns show up at home or at work.

If you manage or supervise people, you have already seen it all: The Victim complains and makes excuses, the Rescuer tries to fix it, and the Persecutor comes running to the office to tattle.

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

It's paridoxical that sometimes the managers can identify everyone else on the triangle but doesn’t see their own role.

Here's a clue that you are on the triangle: If you are experiencing upsets, stress or otherwise painful interaction

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

s, if you don’t know how to deal with your staff and their problems, then you too are on the triangle!

"But I know I am not a victim or a rescuer" I can hear you saying. Perhaps that is true.

You may not be ON the trigngle but you are I

ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc

N the triangle. You are smack dab in the center of the triangle, the fourth position that we call denial.

Denial is what happens when you don’t acknowledge what is going on around you. An easy illustration of denial is to take a personal

easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi

example: Your spouse says, "We’ve got problems and we need to talk," and your response is, "I don’t have any problem. The problem is yours. Everything is fine, as far as I'm concerned."

However,if you are a part of the relationship (assu

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

ming you want to continue the relationship) and the other person thinks the two of you have problems, then either someone is delusional or someone else isn’t paying attention. Either way, you’ve still got problems. Denying that the prob

and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ

lem exists creates a sense of safety, by believing that if you stick your head in the sand the problem will go away.

So what does this have to do with business? Lots.

Here’s how it shows up in the business world. An employee finally g

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

ets the courage to approach a supervisor to tell the supervisor that she doesn’t like his yelling and ranting. The supervisor says, "I’m not yelling. It’s only your perception." Or, the accountant notices discrepancies in the bookkeeping

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

but knows that adjusting it means that no one gets the bonus. Or as a manager you know that one employee has been harassing the other employees, yet the one you have to discipline is the one who brings in all the sales, so you make exce

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

ptions. Avoiding the issue is a way to avoid taking responsibility to change the problem.

What you don’t know or acknowledge about yourself or your business will hurt you, yet coming out of denial is also very painful. Just think back to

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

a time when someone told you something about yourself (or your business) that you didn’t know or didn’t like, for example, you interrupt, you are not a good listener, or your customer service stinks.

There are many theories about the dy

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

amics of denial regarding relationships and personal growth. David Hawkins, Ph.D. in his book Power Versus Force, says that denial comes from pride. Hawkins says that most people are more attached to being right about their situation, th

t?

As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel

an they are committed to facing the truth of their situation. (You’ve probably heard the Proverb "Pride goeth before a fall and a haughty spirit before destruction.")

My theory is that coming out of denial is painful because it is like

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

awakening after a surgery. As long as you are under the anesthetic, the surgeon can cut through your skin and sew you back up and you don’t feel a thing. But, you can’t stay asleep forever. Eventually you have to come out of the anestheti

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

c (denial) and face the pain.

Recently I had the privilege of interviewing Dr. Karpman to get his insights to my theory. Dr. Karpman added that when a person comes out of surgery and off of the anesthesia and experiences pain, it takes

.

As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de

lots of support to help that person while he heals. The same is true when someone is ready to step out of denial and face the facts. Staying under the anesthetic of denial is a way to avoid the inevitable pain.

Although coming out of den

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

ial is painful, there’s a price to pay for ignoring the facts, or from not being willing to investigate. Whether in your business or in your personal life, denial serves as a way to hide from the facts so that you can avoid responsibility

tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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