…when a person comes to you, you are not treating depression or addiction or mania, nor are you treating a broken leg, a broken marriage or a ligament injury. You are working with a person – a full, embodied, thinking, feeling, well-stocked-with-resources person who will most likely see things differently – and who knows what that means or what they need to see? – just because they have come to be with you for a while.
The rigidity and the harm that this rigidity does to patients concerns me greatly. Locking them into a diagnosis, branding them as this or that, being certain that if there are these symptoms or those then it must mean that such and such an outcome is the only likely – or even possible – one.
The greatest of my clinical teachers (Daryl Hobbs, Anthony Lett, Peter Thorneycroft, David Wilson) have shown me the wondrous world of grey and multicolour. The world of waiting without assumption and watching with curiosity as to how this experience may play out in their life today. Or tomorrow. Or maybe last Tuesday.
There is a need for concrete – and there is a need to dance in the leaves once the concrete is set.
The same could be said of education. Unfortunately ‘blanket’ systems appear to be the most efficient, but usually don’t attend the whole therefore making the efficiency only an illusion.