All moms want to give their babies the best start in life, and for many, that means nourishing their babies with breastmilk. However, breast pumping is often inconvenient and uncomfortable. Tethered to the wall, undressed, and surrounded by cords and dangling bottles, most mothers who pump are interacting with technology that hasn’t fundamentally changed in more than 25 years.

Passionate about solving this challenge, the startup Willow set out to completely re-imagine the breast pumping experience. The team at Willow envisioned a “dream pump” that would deliver what moms want most: mobility and discretion.

The Willow team approached IDEO to be a close partner in bringing their product to life. As a cross-disciplinary team of researchers, industrial designers, and mechanical engineers, IDEO, Willow, and Function Engineering worked together seamlessly to identify mothers’ unmet needs and resolve engineering complexities with a simple and elegant design.

The resulting product, Willow, is the first all-in-one, wearable breast pump that cuts the cords, ditches the mess of bottles, and fits easily inside a bra. Mobile, discreet, and hands-free, Willow allows women to achieve their breastfeeding goals without pressing pause on their own lives.

The final design of Willow was informed by research and in-person interviews with dozens of mothers, ranging from first-time to experienced pumpers. Insights about their personal routines, challenges, and workarounds guided the design team as they built more than 60 physical prototypes to understand how Willow could best fit into mothers’ lives. Learnings from those prototypes helped the team to define the size, shape, color, and materials of Willow, as well as each step in the pumping process.

One key design element that emerged from this iterative process was the simplicity of Willow’s architecture, which makes the pump easy to use, assemble, and clean. The pump contains just a few basic parts that snap together, and only two parts that need to be cleaned (both are dishwasher-safe).

Considering how personal the breast pumping experience is, the team aimed to help the pump feel less like a stark, mechanical device and more like a considered, modern, and personal accessory—a goal ultimately achieved through the pump’s colors, texture, and finish.

Because of Willow, mothers no longer need to plan their lives around pumping—it can happen anywhere, at anytime. Willow gives moms back their time and freedom and gives them choice; now moms can play with an older child, work, or enjoy precious relaxation time at home. With Willow, pumping breastmilk finally fits seamlessly into women’s active everyday lives.

More than 50 million people worldwide suffer from schizophrenia, yet only half receive psychiatric treatment. When they do, it usually involves medication and one-on-one therapy to treat the most visible symptoms, including hallucinations and paranoia. But the disease can also cause debilitating symptoms that medication can’t easily treat, such as social anxiety and isolation, lack of motivation, and memory deficits.

For people living with these symptoms, what might seem like simple activities—socializing, spending time outdoors, exercising—can sometimes feel overwhelming. And if patients aren’t given effective care, they can become even more isolated, and their physical health and quality of life suffer. They’re far more likely to let the rest of their treatment regimen slip, skipping medication or therapy sessions.

To help address these challenges, a digital health research group at the University of California, San Francisco (UCSF) approached IDEO with an idea to supplement the longstanding medication-and-therapy model with a tool to alleviate hard-to-treat symptoms, and more importantly, improve patients’ quality of life. It would require identifying unmet needs among patients and determining which kinds of interactions could have the greatest impact on young people with mental illness.

The outcome of that collaboration is PRIME, or Personalized Real-time Intervention for Motivational Enhancement, a digital platform that empowers young people with schizophrenia with the tools, motivation, and community of support they need to achieve their goals.

The simplicity of PRIME belies its deep functionality. The easy-to-use mobile app helps patients stay motivated to stick with behaviors that boost their health, social skills, and productivity, and it provides motivational coaching from trusted professionals and social connections with other patients.

How It Works

The PRIME app lets users set daily goals based on their particular needs. There are more than 500 small challenges to try—from inviting a friend to play basketball to spending time with a family member—and users can see their progress tracked through incremental successes over time.

Whenever users need help, trained motivational coaches are on hand to provide cognitive behavioral therapy coaching, encourage patients to achieve their goals (and to push beyond their comfort zones), and support their interactions with other users.

Tapping into its vibrant social network to help patients feel less isolated, PRIME prompts users to snap photos of happy moments, highlight important events in their lives, and share challenges they’re proud to have accomplished. Unlike Facebook, which can be overwhelming for some patients with schizophrenia, PRIME is a closed community where users can talk freely about their challenges with others who are just like them.

Click above to hear our audio story, or listen on SoundCloud.

To measure the efficacy of PRIME, UCSF and IDEO combined traditional metrics, such as Patient Health Questionnaire scores and time spent in the app, with new metrics evaluating patients’ quality of life. For example, they studied the pictures of things that made users happy before and while using the app, and measured the frequency, depth, and quality of patients’ social interactions in the app based on word choice and punctuation.

Learnings from these human-centered metrics helped the team iterate further on PRIME’s design, so that the platform would generate even higher levels of engagement and stronger improvements in patients’ motivation and social functioning. In this 2016 peer-reviewed, clinical study, 80 percent of patients with schizophrenia achieved their daily goals, and users logged into the app an average of 4.5 times a week, far more than the expected rate of once a week.

PRIME has also made an impact on patients and their families on a personal level. The mother of one research participant was thrilled with the results. She told IDEO, “I wish you could have witnessed my daughter’s first response to seeing the faces and profiles on her phone. She looked at me, smiled, and said, ‘Everyone looks normal. Everyone looks like people you see every day.’ It was as if she looked into a mirror that reflected possibility and hope.”

Human-Centered Design

The PRIME platform is an example of how the human-centered design process can lead to first-of-its-kind innovations in the field of mental health care. PRIME designers conducted comprehensive interviews that led to a deep understanding of patients as whole people, not just conditions or sets of symptoms.

For Dr. Danielle Schlosser, lead researcher on the PRIME project at UCSF, collaborating with IDEO and applying design thinking to her research on mental health was illuminating. "[It] showed us that in order to engage our users, we needed to provide a safe and supportive community that directly catered to their needs. The insights we gained enabled us to create an experience that inspires patients to improve their quality of life by emphasizing their strengths. Working with IDEO helped us make powerful, creative leaps in our process, and build a digital health platform that’s already deeply impacting patients’ lives.”

The success of PRIME in treating schizophrenia has led to additional federal research funding, and the platform is now being expanded to treat a wider range of mental health conditions.

For example, in this recent, peer-reviewed study, PRIME helped patients with moderately severe depression experience a 50 percent reduction in symptoms, with a noticeable difference in just two weeks—far faster than the average of four to six weeks it takes for traditional medication and therapy to yield improvements. By the end of the depression study, 90 percent of participants said they had achieved their treatment goals, such as to “become happier” or to “feel less lonely.”

Numerous patients with schizophrenia and depression have already benefitted from PRIME’s unique offering, and the team is exploring ways to commercialize and scale PRIME to reach more people with mental health conditions.

New Yorkers are a tough lot, but damaging coastal storms will continue to test their resilience. More than 400,000 people live within the city’s floodplain and are at physical and economic risk. In the face of both natural and manmade challenges—from superstorms to confusing insurance regulations—many New Yorkers are not aware of their flood risk, or even that they should be thinking about it at all.

The Center for NYC Neighborhoods‚ a nonprofit that champions affordable homeownership for middle- and working-class families and communities, engaged IDEO to create a resource that could help New Yorkers keep their homes and finances safe. Launched in September 2016 with funding from New York State's Governor's Office of Storm Recovery, FloodHelpNY is an expansive platform that dismantles the complexity surrounding flood insurance and gives homeowners clear and simple guidance for assessing their flood risk and taking action toward resiliency.

Facing the complexities of insurance policy, shifting flood regulations, climate change, and citizen engagement, the design team began by engaging two vastly different groups of New Yorkers—those who had been battered by past storms and those not yet affected. Homeowners in the first camp were angry and frustrated by a system that had let them down after Superstorm Sandy. Homeowners in the second camp were simply unaware of their risk and had little idea of what might happen. The right design solution needed to encourage both groups to take action and learn about flood risk and insurance regulations, while also addressing divergent levels of need and preparedness.

To co-design solutions with homeowners, IDEO set up pop-up stations at neighborhood meetings in Canarsie, Red Hook, and Gerritsen Beach, and had flood-affected residents create paper prototypes of the resources they wanted in place the next time a storm hit. The team learned how residents contextualized their individual risk, which information they prioritized, and how their frustration could inform a better outcome. In Lower Manhattan, where residents are less aware of flood risk, the team set up a pop-up station with virtual reality viewers that simulated water rushing into the surrounding streets, a visceral wake up call that got them talking about flood recovery.

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Less than a month after launch, FEMA began promoting FloodHelpNY as a key resource for building flood resilience. The platform helps all New Yorkers learn what flood zone they’re in, or will be in, how that affects their insurance rates, and what steps they can take to mitigate their risk. It features a first-of-its-kind flood insurance rate calculator that can help homeowners get a rough idea of the costs they could face as insurance prices go up. It is also the main conduit to apply for the Home Resiliency Audit, a New York State-funded program that equips at-risk homeowners with vital documentation valued at over $800 that confirms their actual elevation and insurance costs—all with the personalized assistance of an engineer and housing counselor team. In the coming months, FloodHelpNY will expand further to offer homeowners free backflow valves that reduce the chance of sewers backing up during flooding, as well as access to more existing benefits for resiliency.

The New York City floodplain, which is expected to grow as tides continue to rise, threatens neighborhoods that are among New York’s oldest and most historic. The people who live there make the city work: teachers, police officers, subway operators. Many of these homeowners will watch their flood insurance premiums surge, year over year. It’s a troubling future, but one that FloodHelpNY is designed to help New Yorkers face, by guiding them toward greater resilience and assuring them that they aren’t alone.

Athletes looking to score big on game day could hit the gym, but they’d probably be better off hitting the sheets instead, according to Rise Science, a sleep analytics startup. Harnessing the latest sleep science, Rise helps players significantly improve reaction time and decrease false starts, lapses, and injuries, among other benefits.

While attending Northwestern University, the co-founders of Rise Science created a simple sleep app and light-touch coaching service, which they prototyped on the school’s Big Ten football team with positive results. They came to IDEO to optimize their customer experience and scale the business, and joined IDEO’s Startup in Residence program.

While observing coaches and players using Rise, IDEO saw the opportunity to better integrate the digital and hardware experiences and design a more robust, intuitive, and service-heavy on-boarding experience during the first few weeks using the system, when breaking old habits and incorporating new ones are most challenging.

At the end of the residence program, Rise left IDEO with a rebranded and optimized sleep training system. Here’s how it works: Players and coaches receive a short, in-person introduction to sleep coaching by a Rise employee. Players who opt in to the service receive a sleep-training kit that includes the Rise Coaching App; adaptive sleep plans tailored to their chronotype, age, game schedule, and training load; a part-human, part-machine sleep coach that continuously supports each player, monitors progress, and gives timely feedback; in-context education that provides daily and weekly sleep insights; and products like UV glasses, sleep mask, and bed sensor. In just a week of using Rise’s full sleep program, 97 percent of players report getting 54 more restorative minutes of sleep per night.

Recently, Rise Science added the Chicago Bulls, Miami Dolphins, and the University of West Virginia to their sleep-training roster, enhancing their performance, one good night’s sleep at a time.

“Coming into IDEO, we knew our service was letting customers down. When we left, we had the blueprint for the next version of Rise. We were able to solve and optimize sleep at a much larger scale,” said Jeff Kahn, co-founder and CEO of Rise Science.

When we get an auto-responder, the feeling is generally one of mild disappointment, indifference, or doom, depending on how urgent your request was.

If I took the time to compose something better, I wondered, would anyone take the time to read it? Was there a way—an opportunity, even—to shift the entire auto-responder interaction from one of scarcity (nobody’s home) to abundance (well that just made my day)?

The question became:

"How might we take one of the most automated voices we still offer to the world and make it more human?"

I started to experiment:

"I will be in a workshop this week rendering response time erratic and unpredictable. I apologize for any inconvenience this may cause and invite you to celebrate this moment by testing the varied edges and new limits of patience this may evoke. Who knows where it may lead? I will be back to you as soon as possible. I promise. Thank you!"

Then got a little bolder:

"I will be impossibly slow to respond today as I am currently seated deep within the bowels of our criminal justice system doing my bit as potential juror #xxxxx for Kings County. I urge patience and self management, and that's just for myself.... I apologize for any inconvenience this may cause."

Today you will most likely receive:

"I am abroad with the most inconsistent wifi I have ever experienced. It's the substantiation of mindfulness, the invitation to a million moments paused in the belligerent now. I will pick up with you again on July 10th when I am back in New York where the data flows like a subterranean stream and the hours are neither here nor there. Thank you for your patience in the meantime."

People responded. They read them. They liked them! And the fact that they got a momentary zing out of these absurdist missives did much to relieve my guilt over dodging people's requests. I also learned a few things along the way.

3 design principles for how to write a better OOO:

1. Insert an element of surprise
   Moments of surprise in the mundane matter exponentially. I have received many many bemused responses. From close colleagues to clients to absolute strangers. It instantaneously bonds us and shifts the exchange from “I have a request or need” to “I see and hear you.” When I eventually return and execute on that request, there are new connections, filamenty kinship has grown between us through humor and surprise. From that foundation we accomplish more, usually with speed, which is ironic when you think that the communication started with a stunting. Not particularly auspicious. This creates space for possibility.
2. Do not concede to the bot!
   Bots are helpful, available, and dare I say it, adorable at times. But to compete with them we must use our all too human, weird, silly, grammatically inconsistent voices. Besides, if they are learning from us anyway we may as well give them some good material to work with.
3. Upend expectations by being yourself
   I work in leading talent for IDEO. I'm proud of that craft. But I’m also an MFA, a poet, and you may be able to tell, a bit of a weirdo. The moment I gave myself permission to be myself in all of my communications with people—even the dryest most official ones—people started responding in kind. Free yourself and the rest will follow.

We all operate in a world where we bump up against other’s expectations or assumptions of who we are on a daily basis. Those assumptions don't change on their own—that's your job! And it's as easy as writing a good OOO email! I am not HR, I’m HCH. Hello.

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The dreaded OOO. You've probably already gotten one today. The tone is usually perfunctory, most likely generated by a bot, or a bot-like impulse on behalf of the sender, who is hastily trying to sign off before that vacation, workshop, excuse to get away for five minutes of uninterrupted peace.

I found this outside of a grocery shop in Tokyo. Someone used the plastic bottle to replace the broken rain gutter. You can tell from the scratches on the plastic that the water bottle has been there a while, outlasting countless rainstorms. Who knew a water bottle could be so strong!

Human-centered design requires us to observe human behavior with beginner's eyes, so that we can spot the innate ways people interact with the world around them. We call these intuitive and unconscious reactions Thoughtless Acts, and IDEO designers collect photos of them to inspire their work.

In 2016, with only a college internship in archaeology under my belt, I stumbled on a social media post calling for volunteers to dig in Jerusalem. Before I knew it, I was winging my way to Israel with knee pads, sweat bands, and plenty of SPF 50. I spent two to three weeks of each of the following summers in Jerusalem with Dig Mount Zion, helping excavate priestly homes from the time of Jesus, Roman mosaics and frescos, and hints of bloody Crusader battles.

I returned from my latest session in a dusty Jerusalem pit in July to start my new gig as an editor at IDEO. Believe it or not, being a part-time Dirt Hound has really helped my work. How?

1. Archaeology sparks curiosity

I knew nothing about design when I started at IDEO. Likewise, before college I knew zilch about archaeology beyond what I’d seen on TV. The aggressive learning curve kicked me out of my comfort zone and forced me to ask questions of everyone, all the time. What’s a sherd, or for that matter a fill, a balk, or a locus? How did people live in the time of King David or King Herod, and how do we know?

Constantly asking questions can make you feel a bit naive, but I’ve found this sort of curiosity is a great way to learn fast, shake up stagnant systems, and radically expand my view of what’s possible.

Designers know this well. They start with questions: How might we incorporate VR into online experiences? Why are schools bound by four walls? Could play help prisoners? This inquisitive, unbiased approach is what allows them to identify fundamental needs and find creative solutions.

In the same way, I try to broach new concepts I come across, such as designing for social change, with no preconceived ideas, and keep poking and prodding until I unearth the story.

2. Hard labor can be good for you

In pop culture, archaeologists find perfectly preserved, fully excavated structures (I’m looking at you, Indy). But in reality, someone has to remove tons of dirt and rock; sweep the area with a metal detector; sketch and photograph the features of the site; wash, sort, and catalogue finds—and then begin again the next day, on the next layer of earth. Slowly, a complete picture is revealed. It’s meticulous, backbreaking work.

At the Jerusalem dig site, the physical challenges and my lack of formal training helped me understand my limits and accept guidance from the seasoned archaeologists in charge. At the same time, the digs showed me that I’m capable of withstanding heat, stress, language barriers, and lots of pickaxing. These experiences have given me confidence that I can master a new language—design—and tackle stories about IDEO’s most complex, cross-cultural projects.

3. Digs build trust & teamwork

In a given year, Dig Mount Zion includes about 15 staff, 20 students, and 60 wide-eyed volunteers. Participants range from 18 to 86 and hail from Germany, Russia, the Philippines, Canada, New Zealand, and beyond. Being tossed into a pit in 95-degree heat and told to move a mountain of dirt has bonded complete strangers into fast friends.

Working in a place so steeped in history, alongside people from all walks of life—from an Ohio school bus driver to a Messianic Jewish missionary to a particle physicist—helped me build trust and tolerance and let me glean wisdom from people with radically different points of view.

Likewise, diversity of experience and perspective on a single project is IDEO's secret sauce. Our designers have created everything from apps to amps to appliances and I'm charged with capturing those inventions in a way that's easy to understand. Archaeology has prepared me well to incorporate new modes of thinking and work with colleagues from Silicon Valley to Shanghai.

Hopefully, they won’t mind all the dirt under my fingernails.

Photos courtesy of Rachel Ward. For more, please contact rwardphotoclt@gmail.com.

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When I was eight, I defected from a high-stakes game of summer camp capture-the-flag to hunt for fossils in a nearby creekbed. Twenty years later, I still obsess about all things ancient—the first civilizations, the evolution of religious thought, and the latest dinosaur find. If this is a phase, I never grew out of it. In fact, I’ve become something of an amateur archaeologist, with surprising benefits for my work life.

Here are the top 5 things I tell my students about nourishing creativity and thinking like a designer:

Be curious

Without curiosity we do not learn and we won't grow. The same holds true for organizations. An organization that is not curious and not willing to learn will not be able to grow in today's business environment.

Challenge assumptions

In 2015, a group of students at Lund university challenged the IKEA purpose “design for many” and added a new perspective to it. What if IKEA was not the provider of solutions (the assumption) but the provider of a framework to foster people's creativity (the challenge)? The IKEA Hacka modular kitchen design is a beautiful example of how new ideas can spring from challenging assumptions.

Get lost in dreams

I don't want to accept that we have lost a whole generation to screens and devices. Creativity happens when we stop and let go. When we don’t know where to go, when we daydream and let our thoughts flow.

And research limited to what you can find online won't cut it. Insight comes from observing real people in real life. Students should have that luxury, and we should provide permission and space for that in organizations.

Get into a question-framing mindset

Design students often start their creative process by translating insights into problem statements. But you can't identify a problem without asking a bigger question first. So how do we get there? When we find the right opportunity space for a team to tackle, creativity flows.

Collaborate

I believe that all of us are better together. We've reached a time when collaboration is not just about individual work patterns, but also about what happens across systems, organizations, and governments.

Unfortunately, too many leaders seem to fall back on trying to solve things themselves, then ask those around them to do their bidding—often with rather unfortunate results.

But today's students—the next generation of leaders—have grown up in a sharing economy where not just goods, but also values are exchanged. And that keeps me optimistic about the future.

Taking this approach, my students and I have produced hundreds of design concepts, many of which have been published and exhibited. Spectrum, a project I co-led with designer Stefan Diez, was recently shown at the Salone di Mobili in Milan. And a workshop at the University of Lund produced the IKEA concept kitchen. As the school year approaches, I look forward to watching young designers come up with more bright ideas.

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For more than 10 years, I've taught design in places like the University of Lund in Sweden, the HfG Offenbach in Germany, and Parsons School of Design. Teaching inspires me, challenges me, helps me question my point of view on design, and keeps me connected to the next generation. My students often start out with a problem-solver mindset and want to rely on technology. I encourage them, instead, to start with a question, large or small, that puts humans at the center.

I help organizations cut through complexity by shaping how they show up, through brand strategy, identity, and storytelling.

Working at the intersection of brand and business, I bring an editorial eye and a bias toward making—turning ideas into tangible experiences that people can understand, trust, and believe in.

My work spans government, healthcare, financial services, media, and consumer goods, from launching Gen Z-focused ventures to building innovation labs and reimagining legacy brands. I relish moments of ambiguity and enjoy translating across teams, perspectives, and priorities to move ideas forward.

I started my career in editorial and digital design, shaping cross-platform experiences and identity systems in publishing and agency environments. That foundation still shapes how I work today: I’m detail-oriented, collaborative, and overreliant on the Oxford comma. I hold a BFA in Visual Communication from the School of the Art Institute of Chicago.

For 25 years, I've asked the same question: Who does this design exclude—and what are we going to do about it?

My work spans human-centered strategy, inclusive design, and qualitative research, with clients ranging from Microsoft, Google, and Verizon to the National Science Foundation, and San Francisco Unified School District.

Before IDEO, I taught elementary school in East Palo Alto and spent a decade doing design work with social service organizations—where I learned firsthand what it costs people when systems are built without them in mind.

I am currently writing User Error, a nonfiction book about digital access and the design decisions behind it. I live in Oakland, California.

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My expertise spans brand, communication, and product design across tech, education, the arts, and social impact.

I believe great work demands both high-level vision and obsessive attention to detail, and only happens through collaboration.

I bring an inclusive, hands-on approach and a deep understanding of business, which enables me to consistently deliver excellence while always asking why.

Before joining IDEO, I worked at the brand firms Pentagram and VSA Partners. I began my career as a designer, leading teams at the School of the Art Institute of Chicago and the Milwaukee Art Museum. I hold an MFA in graphic design from Maryland Institute College of Art and a BFA in communication design from the Milwaukee Institute of Art & Design, and have taught at some of the best design schools in the US.

I am responsible for IDEO’s long-term success in China and working with clients to use design as a tool to enable growth. Specifically, I have helped Chinese companies design holistic brand solutions through the development of their products, communication, services, and innovation teams, and I have helped multinationals expand their presence and influence in China.

I advise global leaders on developing China-led innovation and capabilities.

In over 15 years in IDEO Shanghai, I have worked on projects that use design to elevate the quality of the experience of healthcare products and services, streamline processes that increase productivity, create spaces and programs that promote and enable inclusive communities, and build next generation mobility solutions that are planet-positive.

Before joining IDEO, I worked at Philips Electronics and the Electrolux Group in Italy, the Netherlands, and Singapore on a number of breakthrough commercial products. I am a member of the Young President Organization in Shanghai.

Most AI products today are built for work—a space with clear problems and established systems. One founder noticed a gap: personal life is messier, harder to systematize, and mostly left behind by the AI boom. So she built Cue, a personal AI that lives inside iMessage and group chats, to go where the other tools haven't.

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In this episode, Becca Carroll, IDEO's Chief Strategy Officer, talks with Sida Li, co-founder and CEO of Shared Context Lab, about staying anchored to a human need while the technology around her keeps changing shape, why she treats her business model with the same rigor she'd bring to a product, and what it feels like to build a company at this particular, disorienting moment in AI.

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The conversation also gets into how Sida makes design decisions: the language Cue uses to describe itself, the tradeoffs behind building inside iMessage instead of a new app, and a real story about a business idea that didn’t pan out.

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This is the second in a two-part series profiling founders from IDEO's Startups-in-Residence program. The first conversation is with Johannes Seemann, founder of Sooner, on designing GenAI for the emotional side of money.

Most personal financial tools are built to run the numbers and optimize towards a budget. While that works for some, most people experience money as a lived relationship that does not neatly fit into a spreadsheet. Johannes Seemann and Becca Carroll discuss why money is emotional before it is mathematical, and what a human-centered approach to building a generative AI financial product looks like in practice.

Mina Seetharaman talks with Scott Shigeoka, author of Seek and Head of Curiosity Cultivation at the Eames Institute, about what distinguishes genuinely curious leadership from performative curiosity, how power dynamics shape curiosity, and why practicing curiosity can restore energy rather than drain it.

Mina Seetharaman talks with David Epstein, author of Inside the Box and Range, about why total freedom often produces average work, how leaders can design useful limits on purpose, and what organizations such as General Magic and Pixar reveal about the relationship between boundaries and creativity.