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Tables of Contents for Learning from Mistakes in Clinical Practice
Chapter/Section Title
Page #
Page Count
Preface
x
Becoming a Professional
1
13
The Dawning of a New Awareness
1
1
Additional Complications in Clinical Roles
2
1
The Professional Learning Curve
3
2
At One with Clients, Yet Different from Clients
5
1
Crises Around Learning to Be Deliberate
6
1
Tending, Not Just Having, Relationships
7
1
You, Too?
8
1
Noting and Making Use of Parallels
8
1
Reconciling with Strengths and Limitations
8
2
Moving from Smart to Wise
10
1
Will Anything Rule Me Out?
11
1
Conclusion
11
1
Exercises
12
1
Recommended Reading
13
1
Early Successes and Derailments
14
25
Defining and Identifying Mistakes
14
1
How Can We Tell When Clinical Work Is On Track?
15
1
Usefulness of Recordings
15
1
General Characteristics of Effective Work
16
4
Discerning Our Mistakes
20
3
Common Worker Signals of Mistakes in Progress
23
3
Frequent Sources of Derailment
26
11
Conclusion
37
1
Exercises
37
1
Recommended Reading
38
1
Engaging with Clients and Getting Started
39
28
True Engagement Is Hard Work
40
1
Initial Challenges and Pitfalls
41
3
Startup Conversation and Exploration
44
3
Other Orientation Topics
47
1
Hesitating to Discuss Worker-Client Differences
48
1
Overlooking Fundamental Human Resources
48
1
Problems with Technique in Engaging and Starting Up
49
1
Asking Questions Closely Aligned with Where the Client Is
49
1
Avoiding Rapid-Fire Questions
50
1
Using Open-Ended Questions
51
1
Asking Rather Than Assuming
51
1
Leaving Time to Reflect After Each Segment of Discussion
52
1
Purposeful Focusing
52
1
Appropriate Timing and Dosage
53
1
Carefully Working from the Outside In
53
1
Overprotecting Clients
54
1
Prejudice and Ignorance in Action
54
1
Class Differences and Classist Behaviors Can Affect Engagement
55
1
Attitude Taints Engagement
56
1
Shifting Meeting Times Creates Bad Feelings
57
1
Emergency Interruptions Can Derail Bonding and Work
57
1
Emotional Overbooking Is Visible
58
1
Missteps Around Confidentiality and Privacy
58
1
Breaches of Confidentiality
58
1
Inflexibility Regarding Confidentiality
59
5
Conclusion
64
1
Exercises
65
1
Recommended Reading
66
1
Professional Relationships: Steps and Missteps
67
23
Unique Features of the Worker-Client Relationship
68
1
Worker Self-Disclosure as a Form of Relational Tending
69
1
Empathy: Being Where the Client Is
70
1
Conditions Conducive to Accurate Empathy
71
5
Missteps in Trying to Empathize
76
2
Trivializing via Excessive Universalizing
78
3
Restoring Empathic Alignment
81
2
Worker Concerns About Relating with Clients
83
1
Shared Concerns About Relating with Other Agencies and Helpers
84
1
Common Mistakes in Relating with Clients
84
4
Conclusion
88
1
Exercises
88
1
Recommended Reading
89
1
Assessment and Contracting
90
29
Assessment
90
1
Observation Changes the Observer and the Observed
91
1
Elements of Good Assessment
92
4
Frequent Mistakes in Assessment
96
12
Implications for Contracting with Involuntary Clients
108
1
Mistakes in Contracting
109
7
Larger Systems Issues
116
1
Conclusion
117
1
Exercises
117
1
Recommended Reading
118
1
The Middle Phase of Work
119
30
Common Foci for Work
119
9
Techniques for Updating Unhelpful Thoughts
128
10
Integrative Techniques for Working on Feelings and Behaviors
138
5
Connecting the Past, the Present, and Hopes for the Future
143
1
Going Home Again
144
1
Conclusion
145
1
Exercises
145
2
Recommended Reading
147
2
When the Work Doesn't Work
149
22
Not Resolving Important Conflicts over Plan or Methodology
149
1
Not Helping Clients Obtain Needed Resources
150
1
Getting Too Far Ahead of the Client
150
1
Overestimating the Ease of Change
150
1
Skipping the Middle Part
151
1
Steering Around Topics or Feelings
152
1
Not Challenging or Confronting the Client When Process Is Stuck
153
1
Giving Up Too Soon
153
1
Pushing the Client
154
1
Using Inappropriate or Meaningless Strategies
154
1
Showing Favoritism
155
1
Taking Sides
155
1
Defending Our Own Points of View
156
1
Using Strategies That Embarrass the Client
156
1
Skewing the Work
157
1
Providing Inadequate Support and Reinforcement
158
1
Scoutmaster Behavior
158
1
Expressing Upsets with Clients
159
1
Not Dealing in Supervision with Feelings About a Client
160
1
``Should'' and ``Ought'' Statements
160
1
Misspeaking
160
1
Ending Sessions Early Because the Client Is Silent
161
1
The Client Is Testing and the Worker Doesn't See
161
1
Blaming Clients for Failures in the Work
162
1
Serious Mistakes, Serious Consequences
162
1
Boundary Violations
163
1
Funny Money: Improper Financial Dealings
164
1
Working While Impaired
165
1
Untruthful or Devious Behaviors
165
1
Sexual Harassment in the Workplace
166
1
Responding to Egregious Behaviors
167
1
Conclusion
168
1
Exercises
168
1
Recommended Reading
169
2
Common Mistakes in Ending
171
19
Factors Influencing Ending Process
171
7
Steps in Ending
178
4
Other Common Mistakes in Ending
182
5
Conclusion
187
1
Exercises
188
1
Recommended Reading
189
1
Epilogue
190
5
Questions That Haunt Us All from Time to Time
190
1
Developing Important Capacities
191
2
Where to from Here?
193
2
References
195
8
Index
203
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