Felt there were important discussions we had at clinical skills seminar today that is worth reflecting here, which I hope will be a reminder for my future clinical practice too:
1. Very often we tend to jump straight to thinking what therapeutic techniques to apply at what point of a therapy session or with which client, eg. use scaling question, circular question, sculpting, etc. What’s often missing, which is really important, is the conceptualizing stage, what theoretical ideas and cues we gather from clients that inform us what to say or do? a colleague summarized this really well with this saying “putting the thinking behind the doing”.
2. Many a times, the process described in above may come rather intuitively or too fast for us to be aware immediately. In fact, the thinking often happens in retrospect. This post realization is important too, most clinical models are created from what clinicians did in practice to begin with anyway.
Our tutor has more than once use the terms Perceptual, Conceptual and Executional to describe the process described in point 1 above (and recently I realized there is actually a journal article written by Tomm and Wright about it!). I have never been able to register these three terms in my mind! Think partly because they are really long words that are hard to flash them quickly over my mind. So, I’ve come out with the chart below to help myself remember it using more simplified words:
simple and yet complex process to put into action. i like.
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