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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Dealing with power struggles in clinical and educational settings
Mary L Kozub1, Francis M Kozub
1Department of Applied Health Sciences, Indiana University, Bloomington, Indiana, USA.
Abstract:
When power struggles occur, the implications for early intervention are numerous. Trying to intervene with a person who has already reached the anger phase of crisis can often be like trying to stop a train by standing on the railroad tracks and holding up one's hands. As a direct result of early and purposeful intervention using simple and accessible techniques (i.e., self-awareness, awareness of others' messages, prioritization, decisiveness, consistency, communication), professionals can create an environment of safety and trust in which all individuals feel heard. In this manner, all needs can be addressed without allowing potentially negative interactions to escalate to levels at which restraints, ultimatums, and consequences are needed. In addition, the likelihood of success increases with early intervention. By recognizing that, in many cases, winning and losing power struggles is accomplished at the expense of treatment and educational goals, enlightened professionals can not only avoid future confrontations but also effect desired client or student outcomes.
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