This week’s episode looks at sense-making in PI client work and ways to do that:
– legislative, emotional and dynamic aspects of sense-making
– grief models that can frame the client’s emotional presentation
– how grief is a barrier to rehabilitation
– how our relationship with our clients is a variable in sense-making
– that our boundaries matter
– and that advocating for our clients opens up systemic sense-making
Keywords:
sense-making, disengagement, legal, social care, emotional journey, MDT, trauma, adjustment, grief, Kubler-Ross, five stages of grief, denial, anger, bargaining, depression, acceptance, roadmap, Kessler, finding meaning, mental health, low mood, low motivation, cognitive neurological impairment, social environment, pre-injury personality, attachment history, containment, safety, connection, practice-based evidence, therapeutic alliance, bio-psychosocial, holistic care, consensual approach, complexity, biological, psychological, social dimensions, shared understanding, overarching goals
1:35 Categorizing sense-making
2:40 Conceptualizing the client’s emotional journey
3:30 Models of grief
— 3:46 Growing Around Grief Model
— 3:57 Stages of Grief
— 6:35 Kessler’s additions
8:00 Why use these models
8:24 Making sense of the stages with your clients
10:03 Making sense of what you and the MDT bring to the client
11:27 Maintaining a strong therapeutic alliance
12:00 Applying a biopsychosocial model
18:00 Benefits of this model
Quotes:
7:27 “Meaning-making is massive.”
8:05 “Denial, anger, bargaining and depression are effectively the barriers to rehabilitation, and can significantly impair progress.”
10:25 “What can you do to provide a sense of containment, a sense of safety, connection and belonging?”
11:45 “That consistency and that honesty that you bring to your client relationship is 100% the key foundation to basing your interventions on, but I would also say that advocating for your client from a biopsychosocial-type perspective is equally important.”
Presenter: Dr Shabnam Berry-Khan, Director of PsychWorks Associates
Editor: Emily Crosby Media
