Embed Size (px)
Citation preview
Dave Anders, MS, CCC-SLP, CBISTSeptember, 2020
Conscious Professionalism: Principles and Practices for Brain Injury Rehabilitation
CONFIDENTIAL
Credit is Due
CONFIDENTIAL
Sponsoring Organizations
CONFIDENTIAL
Conscious Professionalism Goals:• Support the personal and professional
development of individuals who provide care to people affected by acquired brain injury
• Enhance the philosophy of team functioning and inter-professional interaction
• Develop self-awareness and mindfulness at a personal level in order to augment engagement-based professional skills.
CONFIDENTIAL
The Big Questions1. How did I get to where I am?2. What is working well?3. What is not serving me well in my
professional and other life roles?
• This is not about changing others…this is about changing you.
CONFIDENTIAL
How do we define expertise in ABI rehabilitation?
What you know+
Emotional self-regulation__________=__________
Effective Professional Skills
• Your ability to know yourself allows your knowledge to result in effectiveness or ineffectiveness as a provider of care.
CONFIDENTIAL
Content and Context• Content = The “What”
– Any of the recurring themes within your role as a professional (or your other roles):
• PS and family interaction issues• Staff interaction issues• Team / Interdepartmental Functioning• Compliance challenges
– How the “what” is heard depends on how we say it and under what conditions (the context)
CONFIDENTIAL
Content and Context• Context = The “How”
– Not just how we say something or the physical environment (the outer game)
– The interpersonal context– How we “show up” in the world (the inner
game):• Emotional Intelligence• To Me vs. By Me• Above vs. Below the line
CONFIDENTIAL
Contexts: EQ• The ability to be aware, identify and monitor one’s own
emotions in order to make decisions and act accordingly in social situations (Daniel Goleman)
CONFIDENTIAL
EQ’s Professional Impact• Center for Creative Leadership
– EQ accounts for 58% of performance in all types of jobs. It is the single biggest predictor of performance.
– EQ is a better predictor of success than IQ.• 90% of high performers are high in EQ vs.• 20% of low performers are high in EQ
– People with high EQ earn an average of $29k more than low EQs.
CONFIDENTIAL
Contexts: “To Me” vs. “By Me”
CONFIDENTIAL
Drama Triangle• Shifts come through re-defining responsibility
CONFIDENTIAL
The Tool
• What story and meaning have you created from the facts?
• Where are you right now?
CONFIDENTIAL
Above and Below the Line
CONFIDENTIAL
Your Brain on Threat• Have you met your amygdalae?
– Two almond-shaped structures– Identifies threats to well-being– Scan your experience and decide
which “track” to send that experience to
• Track 1 = Cortex• Track 2 = Limbic System
CONFIDENTIAL
Track 1 – the cortex• The cortex is referred to as the
“thinking brain.”
CONFIDENTIAL
Track 2 – The limbic system• In the presence of threat, the amygdala
overrides the cortex…and activates the limbic system instead.
• Catecholamines are released– Burst of energy lasting up to several minutes. – Angry desire to take immediate protective
action. – Heart rate accelerates, blood pressure rises,
breathing increases– Face may flush (blood goes to the extremities)– Attention narrows and focuses on target of
anger– Adrenaline and noradrenaline released which
trigger a lasting state of arousal.
CONFIDENTIAL
Below the LineBeliefs Behaviors Statements
Being right is the most important thing
Cling to an opinion “Shoulds”
There’s not “enough” Gossip “It’s not my fault”
I need to be in control. Rationalize / Justify “always / never”
There are only two options (polarity
focused)
Enroll others to affirm beliefs
“I’m sorry, but…”
There is a right / wrongway
Attack or Avoid “the problem is…”
CONFIDENTIAL
Above the LineBeliefs Behaviors Statements
Everything is a learning opportunity
Get Curious “What I hear you saying is…”
Questioning my beliefs helps me grow
Appreciate “My preference is…”
From a distance it is not as serious as it seems
Take Responsibility “always / never”
There are multiple possibilities / solutions
Welcome Feedback “What can I / we learn from this?”
Growth and learning is more important than
being right
Wonder “Is there a gift in this?”
CONFIDENTIAL
Drifting Below vs. Shifting AboveDrifting:• Sarcasm• Blaming• Yielding to distractions• Concealing• Ignoring• Organizing• Justifying• Procrastinating• Worrying• Etc…etc…
Shifting:• Hmmm…I
wonder…?• Changing posture• Appreciating• Taking responsibility• Conscious
breathing• Conscious self-
awareness
CONFIDENTIAL
The Commitments: ResponsibilityI commit to taking full responsibility for the circumstances of my life and my physical,
emotional, mental and spiritual wellbeing. I commit to support others to take full
responsibility for their lives._____________________________________
I commit to blaming others and myself for what is wrong in the world. I commit to being a
victim, villain or a hero and either over-or under-attributing responsibility.
CONFIDENTIAL
The Commitments: CuriosityI commit to growing in self-awareness. I
commit to seeing every interaction as an opportunity to learn.
_____________________________________
I commit to being right and seeing this situation as something that is happening to me. I commit to being defensive especially
when I am certain that I am RIGHT
CONFIDENTIAL
The Commitments: AlliesI commit to seeing all people and
circumstances as allies that are perfectly suited to help me learn the most important
things in life._____________________________________
I commit to seeing people and circumstances as obstacles and
impediments to what I most want.
CONFIDENTIAL
The Commitments: CandorI commit to saying what is true for me. I commit
to be a person to whom others can express themselves with candor.
_____________________________________
I commit to withholding my truth (facts, feelings, things I imagine) and speaking in a way that
allows me to try to manipulate an outcome. I commit to formulating my responses rather than
truly listening to others
CONFIDENTIAL
The Commitments: IntegrityI commit to consistency in word and
deed, expressing the unarguable truth and keeping my agreements.
_____________________________________
I commit to inconsistency in word and deed. I will take responsibility and speak
the truth only when it benefits me.
CONFIDENTIAL
The Commitments: GossipI commit to end gossip, to talk directly to people
with whom I have an issue or concern and to encourage others to talk directly with people
with whom they have an issue or concern._____________________________________
I commit to saying things about people that I have not or will not say to them. I commit to
talking about people in ways that I wouldn’t if they were there. I commit to listening to others
when they gossip.
CONFIDENTIAL
Two Requirements:
CONFIDENTIAL
Final Thought
