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As a man or a woman thinks (Part 2)
Last week, we spent some time focusing on the kinds of thinking we should avoid. Now let’s see what the Lord admonished us to think about. Two scriptures help us describe the types of thinking in which we have to engage. First, consider the imperative presented in the verb let is often interpreted as being synonymous with allow or permit, but the dictionary suggests that let also means “to cause to: make.” So, the statement “Let virtue garnish thy thoughts unceasingly” (The book of Doctrine & Covenant 121:45) is a command directing all to take charge of their thoughts and cause them to be more virtuous.
Second, consider a similar directive given by the Apostle Paul in Philippians 4:8:
Finally, brethren, whatsoever things are true, whatsoever things are honest, whatsoever things are just, whatsoever things are pure, whatsoever things are lovely, whatsoever things are of good report; if there be any virtue, and if there be any praise, think on these things.
The structure and meaning of this long verse are not as complex as it first appears. To simplify the structure and reveal the meaning, let’s temporarily remove the long series of clauses in the middle of the verse and insert ellipses in their place. Simplified in this manner, the verse reads: “Finally, brethren, . . . think on these things.”
We could simplify the sentence even further by removing all but the subject and the verb. So, in its simplest form this lengthy sentence is an imperative statement encouraging every person to think.
The eight clauses that we temporarily removed specify the kinds of things Paul admonished the Philippians to think about. They include:
1. Whatsoever things are true,
2. Whatsoever things are honest,
3. Whatsoever things are just,
4. Whatsoever things are pure,
5. Whatsoever things are lovely,
6. Whatsoever things are of good report,
7. Any virtue,
8. Anything that is praiseworthy.
All Christian scriptures teach us the need for every person to be born again. The Book of Mosiah describes this spiritual rebirth as a “mighty change” of heart (Mosiah 5:2; Alma 5:14). This process not only includes changes in our innermost feelings and desires, it presupposes big changes also in our thinking habits and dispositions. The Apostle Paul’s directive in Romans 12:1–2 emphasies this need to change the way we habitually think and what we think about. He instructed the Romans, “Be not conformed to this world: but be ye transformed by the renewing of your mind” (verse 2).
Various scholars and curriculum reformers have recommended lists of productive thinking habits and dispositions that students in universities and public schools should be taught to develop. We don’t have time to discuss many of them, but I would like to focus on two thinking habits and dispositions that are particularly relevant to students and faculty at a university.
Two Useful Thinking Habits
Seek Understanding
John Biggs and several other scholars have distinguished between two different approaches to learning that they call the “surface approach” and the “deep approach.” The surface approach occurs when a student tries to complete an assigned learning task with minimum effort while giving the appearance of having properly learned what was expected. Learning to rotely recite the verbatim definition of a concept or principle without any understanding of it is one example of the surface approach. Some forms of factual knowledge need to be memorised, but memoriation becomes a surface approach when a student relies on it instead of striving to understand the ideas to be learned.12
One of the mistakes most people often make is to substitute memorisation in place of understanding. I urge all to develop the habit of striving for understanding whenever you study. Seek to understand the basic ideas, procedures, and criteria that you encounter in whatever subject you are studying. In the language of the scriptures, “with all thy getting get understanding” (Proverbs 4:7).
Understanding cannot be developed without thinking. To understand a new topic, you must thoughtfully process the new ideas you encounter and relate them to your prior knowledge. You must integrate isolated bits and pieces of information into some meaningful structure or framework.
Understanding has three important advantages in comparison to rote knowledge. First, understanding is enabling. The person who possesses understanding is able to use his/her knowledge flexibly and adaptively. Understanding provides new concepts, principles, procedures, and criteria to think with. By thinking with these new ideas, the person who has developed understanding is able to (1) explain relationships, (2) make predictions, and (3) solve problems that he or she could not have done without this new conceptual knowledge. To the extent that the person’s understanding is inaccurate or incomplete, his or her thinking will be misleading or limited. Hence, a person’s understanding shapes his or her thinking.
The second advantage is that understanding is generative. By thinking about the concepts, principles, procedures, and criteria that he or she has come to understand, the understanding person is better able to recognizse relationships, construct meaningful analogies, generate new insights, formulate productive questions, and conduct further inquiry. In contrast to the inert nature of factual knowledge, understanding is productive. In other words, understanding provides a basis for acquiring a new and deeper understanding.
A third advantage of understanding is that it tends to have more staying power. Rote memorisation of factual information may get you past a test, but you likely will not retain this information very long afterwards. Understanding is more likely to result in learning that lasts.
Monitor and Manage Your Own Thinking
Another useful habit to develop is to learn how to more effectively monitor and manage your thinking. Mindful people think about their own thinking. They consciously strive to be aware of the thinking strategies and processes that they use when they try to solve a problem or accomplish a cognitively demanding task. In addition, they evaluate the products of their thinking processes. They question their assumptions, check their inferences, and attempt to validate their interpretations and conclusions. They try to distinguish between paths in their thought processes that seem to be leading them toward a successful solution and any that might seem to be leading them in an unsuccessful direction.
Psychologists use the noun metacognition to refer to this kind of thinking about one’s own thinking. Metacognition is typically conceptualied as including two complementary components. The first is to be aware of your own thinking processes. The second is to monitor, evaluate, and regulate those processes. I encourage you to become proficient in performing both of these aspects of metacognition. You will be a better student and a better lifelong learner if you become proficient at doing both of these.
“With All Thy Mind”
I invite you now to compare two interesting passages from the Bible: one from the Old Testament and one from the New Testament. Deuteronomy 6:5 contains a commandment in which the Israelites were directed to “love the Lord . . . with all thine heart, and with all thy soul, and with all thy might.” According to the record in Mark 12:30, Jesus quoted this passage from Deuteronomy in response to a scribe who tried to trick Him by asking Him which was the first or greatest commandment in the law.
If you carefully look at this passage, you will discover that the New Testament account includes the extra phrase “and with all thy mind” that Jesus appears to have inserted. Matthew’s account of this incident includes the same insertion (see Matthew 22:35–37). I do not know why the extra stipulation to love God with all your mind is included in the New Testament, but I believe it is a noteworthy addition that we ought to ponder.
What does it mean to love and serve the Lord with all one’s mind? I don’t claim to have any profound answers to this question, but I will share with you three simple ideas that represent my current thinking.
First, Jesus declared Himself to be “the way, the truth, and the life” (John 14:6). Therefore, to love Him with all your mind is to devote all your intellectual skills and mental capacities to learning and knowing the truth. Second, to love Him with all your mind means to “always remember Him” and to make a habit of thinking about Him and His teachings so that He has an active presence and influence in your mind. Third, to love and serve Him with all your mind is to consciously choose to be His disciple by striving to habitually think the way He would have you think and to do what He would have you do.
In summary, I suggest that you carefully examine the thinking habits and dispositions that function in your life. Become more aware of them. Monitor and evaluate them in terms of the influence they have upon you. Take steps to manage these habits instead of allowing them to manage you.
The driver stopped the vehicle at the gate of the large, fenced property along the Nsawam Highway, and Kakraba stepped out to meet the several workers who had gathered to wait for him.
He greeted them and went straight to the point.
“Gentlemen, I am glad to see that you have almost completed the clearing of the land. I’m happy to report that we have concluded all arrangements with Nana Serebour, and construction of the palace will start in a few days.
“I will need you to go and level the ground, and then come back to start this project. Some workers from a construction company will come and join us.
“My plan is to build twenty houses in four months. Then we will do twenty more until we reach two hundred.
“I am relying on you to help me deliver good-quality work to satisfy our clients and, as I have already indicated to you, I will reward you for your work.”
After an hour’s discussion, he closed the meeting and moved to drive away. Wofa Yaw drew closer.
“Director, can you please spare me five minutes? I would like to discuss a small issue.”
“Why, Wofa Yaw? Your wife has threatened to leave you?”
“No, Director. My wife will never leave me. This concerns a young niece of mine.”
“I hope it’s something I can help with. Please sit in the car and let me hear you.”
“Boss, my niece, Beesiwa, is a polytechnic graduate, very beautiful and with very good character.
“Unfortunately, her parents virtually forced her into a relationship with an idiot based in the US, which affected her badly. She has now recovered from that experience and, Boss, I am respectfully asking if you would find a job for her.
“I promise you that you will never regret it.”
“Well, Wofa Yaw, let me meet her and speak with her. I may be able to help, maybe not in the way you expect, but let me meet her.
“I will not be back here for another week, but I will be at the office throughout next week. You can come with her.”
On Monday morning, Wofa Yaw and Beesiwa were seated at the office by nine o’clock. Three young ladies welcomed them warmly, offered them soft drinks and assured them that Kakraba would be there shortly.
They then returned to their desks and sat behind computers with large screens displaying various building designs.
Kakraba walked in and greeted them warmly. After chatting briefly with the three ladies, he ushered Wofa Yaw and Beesiwa into his office.
“Director, this is my niece, Beesiwa. I mentioned her to you when you came to Nsawam.”
“Yes, indeed. Madam Beesiwa, you are very beautiful, just as your uncle said. Wofa Yaw is my colleague.
“We have just started a building project that will take about three to four years. He mentioned that you have a small problem, so I said I would like to meet you and see how I can help.
“So, Beesiwa, please tell me a little about yourself.”
Beesiwa described her childhood, her school experience, her brief work at the bank and the nasty episode with Sammy Abrokwa, which shattered her peaceful life. She also explained how she had been recovering from the experience.
“I am really sorry to hear this,” Kakraba said. “Now, here is what we are going to do.
“We are a small but very busy company. The three ladies out there spend most of the day on site and come back to report on their work in the morning.
“I have three main projects. The big one is an estate project in Nsawam, where your uncle is one of my main colleagues. I need a personal assistant who can take care of my activities, especially when I am not in town.
“Now, we will have to start with trust. Based on what I know about Wofa Yaw, and based on what you yourself have told me, I think we can start on a sound basis.
“So, Wofa Yaw will take you to my home. You can move into one of the four guest rooms.”
“Sir, I have taken some computer lessons, and I have even done graphics and web design,” Beesiwa said.
“Fantastic! I will give you a good phone and a laptop. I will also arrange computer lessons for you.”
“Now, Wofa Yaw, take her home. My sister, Kuukuwa, will meet you and show you around, and then you can return to Koforidua.
“When would you like to start work?”
“Sir, I would like to start today, but I would need to go and bring my things.”
“No problem. Take a taxi to my house, meet my sister, and let me know what you decide.”
Later that day, Kakraba and the three ladies met with some bank officials to conclude the sale of the three buildings at Adabraka.
They closed at five-thirty and, after rewarding the ladies for their hard work, Kakraba got home just after dark.
He was surprised to find Kuukuwa and Beesiwa sitting at the table enjoying supper.
“What’s happening here?” he asked. “Beesiwa, I thought you would return to Koforidua.”
“She changed her mind,” Kuukuwa said. “We went to the mall and bought a few things for her. Then we came back to cook. She has made some nice changes to your bedroom and cooked a couple of interesting dishes. Sit down; we will serve you.”
“Well, I certainly can’t refuse that. It’s been a busy day.
“So, what’s the plan now? Will Beesiwa go to Koforidua tomorrow, gather her things together and come down?”
“No, I will stay here for a while,” Beesiwa replied. “Kuukuwa bought me the things I need, so I may go back next week. I’m ready to start work. What would you like me to start with?”
“Well, you can come to the office tomorrow morning, meet the three girls and get a feel for what we do.
“Since you are living here, at least for now, we can discuss the plans for the next few weeks.
“Sometimes there are gaps when I travel up north. You can take care of things from now. I think the girls would like having someone like you around.”
By Ekow de Heer
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A frequent question following breast surgery is whether human tissue possesses the regenerative capacity to restore an excised organ.
From a strict physiological standpoint, a completely removed breast cannot regrow. Unlike certain organisms that can regenerate complex limbs or organs, adult human tissues—particularly specialised glandular structures—lack the cellular machinery required to rebuild an entire organ after its total surgical removal.
Instead, the body heals the surgical site through processes such as scar tissue formation and re-epithelialisation rather than complete cellular regeneration.
What a mastectomy actually removes
To understand why natural tissue regeneration does not occur, it is important to examine the surgical scope of a mastectomy.
Depending on the type of procedure and the medical reason for surgery, a mastectomy may involve the removal of:
Glandular architecture: The milk-producing lobules and ducts that form the functional core of the mammary gland.
Adipose tissue: The fatty tissue that contributes to breast volume, projection and contour.
Other breast tissue: The extent of tissue removal varies according to the type of mastectomy and the need to achieve appropriate surgical clearance.
Because specialised breast structures are physically removed, the body does not rebuild a complete mammary gland. Instead, healing occurs through tissue repair and scar formation.
Distinguishing residual tissue from “regrowth”
Patients or observers may notice changes in the chest area after surgery, sometimes leading to misconceptions about tissue regeneration.
Skin- and nipple-sparing procedures
Modern breast surgery may preserve the outer skin envelope or, in selected cases, the nipple-areola complex. Small amounts of breast tissue may remain depending on the surgical technique. Any changes in remaining tissue due to hormonal fluctuations represent residual tissue responding to the body, rather than the regrowth of a completely removed breast.
Adipose accumulation
Weight gain after surgery can increase the amount of subcutaneous fat across the chest wall. However, this is part of general body fat distribution and does not represent the regeneration of a mammary gland.
Modern reconstructive pathways
Because a completely removed breast does not naturally regenerate, modern medicine offers reconstructive options aimed at restoring physical symmetry, contour and body image.
The two main approaches are implant-based reconstruction and autologous, or tissue-based, reconstruction.
Implant-based reconstruction
Implant-based reconstruction uses synthetic medical devices, typically filled with silicone gel or saline, to rebuild the breast mound following a mastectomy.
The two-stage process: This approach may begin with the placement of a temporary tissue expander to gradually create space and stretch the surrounding tissues. A later procedure may then be performed to place a permanent implant.
Recovery profile: Implant-based reconstruction generally involves a shorter initial surgery and recovery period compared with procedures that require tissue to be harvested from another part of the body.
Long-term considerations: Breast implants are not lifetime devices and require ongoing medical monitoring. Some patients may need additional procedures over time because of complications or changes in the implant or surrounding tissue.
Autologous or tissue-based reconstruction
Autologous reconstruction uses the patient’s own living tissue to create a new breast mound. Tissue may be transferred from another part of the body, commonly the lower abdomen, using procedures such as a DIEP flap.
Natural look and feel: Because the reconstruction uses living tissue, it can provide a natural warmth, texture and softness. The tissue may also change with the patient’s body weight over time.
Long-term durability: Once healing is complete, autologous reconstruction can provide a long-lasting result without the need to replace an implant. However, some patients may still require further procedures.
Complex surgery: This option usually involves a longer operation and recovery period. In microsurgical procedures, surgeons may need to reconnect tiny blood vessels to establish blood flow to the transferred tissue.
Direct comparison
When choosing between these two reconstructive pathways, patients and their surgical teams must consider several physical, medical and lifestyle factors.
Surgical burden: Implant surgery is generally less invasive, while flap reconstruction involves surgery at both the chest and the donor site.
Foreign material versus native tissue: Implants involve the use of a medical device, while autologous reconstruction uses the patient’s own tissue.
Recovery: The recovery timelines and rehabilitation requirements differ significantly between the two procedures.
Recovery and physical rehabilitation
Recovering from breast reconstruction requires patience, careful pacing and, in some cases, structured physical rehabilitation.
Because implant-based and autologous tissue-flap procedures involve different surgical techniques, their healing timelines and physical therapy milestones can vary considerably.
Understanding these differences is important for patients considering reconstruction, as the choice involves more than restoring physical appearance. It also requires careful consideration of recovery, long-term monitoring, lifestyle and individual medical needs.
Part 2 will examine recovery timelines, physical therapy milestones and other factors patients should consider when choosing between reconstructive options.
By Robert Ekow Grimmond-Thompson
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