[[020.300 Solution Focused MOC]] [[supervision]] #solution-focus #bereavement [[death]] [[10-02-2022]] Question from YP - 1. What's going well for you at this point? - 2. what has been slightly better than expected for you? # Grief LORY share about caregiver pss, end of life. #grief for her, and about the pss What is the relationship to death.. No #ToxicPositivity [[How to deal with Grief and Loss]] [[Solution Focus on Grief]] Staying focus on the present. Wabi Sabi. #Wabi-sabi In traditional Japanese aesthetics, wabi-sabi is a world view centered on the acceptance of transience and imperfection. The aesthetic is sometimes described as one of appreciating beauty that is "imperfect, impermanent, and incomplete" in nature. It is prevalent throughout all forms of Japanese art [[Ray Dalio book on Principles]] "What is your best hope?" -what is his explanatory model? what is happening to his life? -What is consider a "problem" for him? -Make the consequences of his relapse, relationally, as a problem? ?Have to accept the reality that he is going to have repeat readmission ?Do we see symptoms/illness in the person? or reflection of relational/dynamic ?do we consider the perpetuating factors? --- What are you impressed about with LORN and her way of managing? --- This is about what we want vs what he want. --- # Step 1. - Rapport is 40% of what works. Empathise and validate client's hope, worries, and fear. - Going deeper, reframing the wish behind the wish, and explore why client want their goals. - Reframe to see that patient is not "stubborn", "being hard" # Step 2. - Problem Definition and Solution Generations: Suppose we ask him about his ideal future, and how to get there, and then asking him what has been barrier now, what might have caused that... can solutions be generated? Will conversations topics be open up? Using "Tap on the shoulder"? - After-Action-Review? - Building Insight process : Ask him to think of the last two years until now, is he getting closer to his dream/goal? - Three time point, what is better, what is worse? what lesson learnt.. what works, what doesn't work. - [[How to build insight]] Other ideas. 1. Experiment, 3 months to be on medication. Try out what works. ==Talking about the obvious is to elicit the unspoken and assumed, so we give shape, to solidify and giving concreteness an abstract idea.==