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Senses matter: Senses protect integrity, connection and coherence
Published in Johanna Lynch, A Whole Person Approach to Wellbeing, 2020
Sensing is a key skill of the clinician, the researcher and, of course, the patient, yet it is often still relegated to the art (not the science) of medicine (Malterud 2001). Primary care researcher Trisha Greenhalgh, although still using the slightly dismissive word ‘hunch’ to describe the clinician’s sense of something, seeks to dispel this myth: Intuition is not unscientific. It is a highly creative process fundamental to hypothesis generation in science. The experienced practitioner should generate and follow clinical hunches as well as (not instead of) applying the deductive principles of evidence based medicine.(Greenhalgh 2002, 395)
From Conceptual to Practical Application
Published in Marlysa Sullivan, Laurie C. Hyland Robertson, Understanding Yoga Therapy, 2020
Marlysa Sullivan, Laurie C. Hyland Robertson
An essential part of working with others is curiosity, creativity, and exploration—partnering with our clients on a path of discovery. Each person is an amalgam of experience presenting in a certain way at a certain time, a presentation that will be different in the next moment. The theories, research, and practices provided in this book are meant to support the creative process of clinical thinking.
Free Response
Published in Arabella Kurtz, How to Run Reflective Practice Groups, 2019
I have had a longstanding interest in the power of the unconscious mind and the creativity inherent in good therapeutic work. In this, I have been influenced by psychoanalytic writers such as Donald Winnicott, and more recently Thomas Ogden and Margot Waddell, who in their clinical papers have described the development of a creative, playful space to free up thinking and explore unconscious communication (Ogden, 2001; Winnicott, 1971; Waddell, 2010). What I have taken from these authors is a serious commitment to the value of play in clinical work, by which I mean the importance of having a space where the different or unusual or surprising can be thought about. Play, in other words, is a serious business – particularly when it comes to unearthing unconscious content. As an example, Margot Waddell describes the creative process of a therapy session in detail to demonstrate how misleading preconceived ideas about human situations can be; she shows how high-quality clinical work involves making careful use of associations to move with the patient beyond a surface narrative to discover a deeper and more complicated truth.
New wave – at the cutting edge of health professions education
Published in Medical Teacher, 2023
Health Professions Education does not stand still; it is constantly evolving. This process of change can occur slowly and iteratively in response to dissatisfaction with current approaches to education. An example is the variation in problem-based learning approaches as they adapt to local contexts. Sometimes the process also occurs rapidly and in response to major difficulties in providing education. An example is the design and implementation of a large variety of online approaches during the recent COVID-19 pandemic. All of these changes share the common feature of educators having to face challenges in their current practice. In response to these challenges, a creative process is stimulated, with the development of new ideas, and these ideas direct the innovation process, with the design and implementation of a solution.
Using ICF and ICHI to promote sexual health
Published in Cogent Medicine, 2021
K Areskoug Josefsson, A-H Almborg
Considering sexual health being a topic often described as difficult to communicate about in health care support in how to address this topic in practice is essential (Areskoug-Josefsson & Gard, 2015; Dyer & Das Nair, 2013; Gott, 2004). At an individual level, it is important to be able to describe the patient’s issues, to investigate and measure functioning and the needs for interventions to achieve the goals, and to evaluate the outcome of the interventions. The use of practical examples for relevant cases in practice can support professionals to include sexual health in the care process. A part of the co-creative process with the patient is goal-setting and evaluation, but also interventions should be the result of shared decision-making with the patient. Earlier research has shown that using the ICF in goal-setting increases and supports the collaboration between the patient and health professionals in goal-setting (Constand & MacDermid, 2014). Goal-setting is an important part of person-centered care (Van Dulmen et al., 2015). In the digital structured documentation, the professionals need unified and unambiguous terms and concepts to avoid misunderstanding the information and to ensure patient safety. The classifications are useful in the EHR as information carriers between professionals and for sharing information between different caregivers and for follow-up at the group level (Fortune et al., 2018).
Creativity and positive psychology in psychotherapy
Published in International Review of Psychiatry, 2020
Seen from the perspectives of positive psychology, creativity in itself can be an important (self-)therapeutic module in coping with emotional and cognitive distress, relational problems, and mental disorders. With respect to psychotherapeutic and psychopharmacological treatment, it is important to recognize that a certain degree of ‘creative bipolarity’ is inherent in many creative personalities and creative processes (Andreasen, 2005; Holm-Hadulla, 2019a). This is valid for the interplay between convergent and divergent thinking, focussed work and associative fantasizing, discipline and relaxation, stress and flow, and seemingly contradictory personality traits as well as demanding and supportive environments. The dynamics of stabilization and destabilization takes on different forms in the specific phases of the creative process. The five phases of the creative process – preparation, incubation, illumination, realization, and verification – are also relevant in psychotherapy. In the preparation phase, some people have difficulty summoning up the patience needed to acquire coherent knowledge and stable skills and living with the fact that they have not yet found time, space, and forms for the creative destabilization and transformation of existing coherence.