Friday, May 20, 2005

pressured

learnt a valuable lesson today. Dont assume that you are dealing with one person (even if it is technically jus 'A' client). Attended a case management meeting for this client that 9 ppl attended. yes, 9 ppl handling a client. This shows how much dedication the everyone has for this person.

The down side is, i dont quite agree with the diagnosis. Nor did i quite agree with the behavioral plan. So i have a few choices. 1) question the diagnosis until they hv no choice but see your point 2) just say why u dont agree 3) pretend you agree and move on.

I took the first route and before i know it, i had quite a few ppl protesting my line of questioning (and all did was to clarify and questioning in a curious manner). I decided at that pt that i hv pushed enough and since i do want the rapport (coz i hv to work with these ppl), i let it go. Their point was that the client was on medication when i saw the behaviors.

Anyway, my dear supervisor has informed me that in the next case management meeting, i would hv to push my pt forward. By doing the same thing. More questioning. Possibly drawing up with the group on why the program didnt work (yes, we were that convinced).

Yes, i hv done it before with a client. Yes, it worked before. But somehow, the pressure just seems greater. Is it dealing with 8 other ppl that has intimidated me? or is it because how much will a group of professionals would want to 'brainstorm' with me when all they want is to report and get out of the rm? How do one get a point across to a group of ppl without sounding like an 'expert' or a 'novice'? How do one do it without offending others and maintaining rapport as u r prob working with them for long term?

It makes me feel uncomfortable. Thinking abt it, it is not a task that i cannot do. I have done it before with a client... and changed her model from a biological one to a more behavioral one in one session. I know it can work. Yet i feel really pressured this time. The weird thing is, supervisor told me that i handled the situation well this morning. It was right not to push it since i have made my pt and it was only the first meeting afterall...

and i am still feeling unsettled. OK, so maybe having the whole solely dealing with the same group of clients isnt a good idea. I am perfectly ok if i hv to attend lecture in the morning, supervision later, or if required, client after supervision (or in btw somewhere).

when will i not feel unsettled? Not feel pressured? Is this uneasy feeling...or maybe is it just tiredness?

Dont get me wrong, i am enjoying this course. Funny enough, i am not behind in my work. So why this uneasy feeling?

3 comments:

Benji said...

u expect too much of yourself..

Ruthie said...

it's the GroupThink syndrome...

I think ur supervisor's comment is a great encouragement...by asking u to push forth, he sees ur potential...

as for urself, I know it's kinda difficult to push forth...afterall, it's prob 8 against 1...do what u think is best for ur client...and hey! no harm questioning...u're still a student, and u're learning!

*muackz*

Thoughts said...

deps on the group. but most pple r in positions they don't deserve to be in and they are being difficulty because they need to desperately claw on to something they have now and justify their existence.

i would just shut up... unless of course, they r doing harm instead of gd to the client.:)

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