The Inner Consultation: How to Develop an Effective and Intuitive Consulting Style, Second Edition

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ISBN: 9781857756791 | 1857756797
Cover: Nonspecific Binding
Copyright: 10/1/2004

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Discusses how consulting skills and the methods for teaching them have evolved over the years. Presents a practical consultation model with five checkpoints for developing effective communication skills. Offers practical suggestions for patient-centered consulting. Previous edition: c1987. Softcover.

Forewords to the first edition

About the author

xii

Acknowledgements

xiii

Guarantee

xiv

Introduction to the second edition

(12)

Overview

(8)

Goal-setting

Skill-building

Getting it together

How to use this book

Section A: Goal-setting

(76)

Problem? What problem?

(10)

Tutorial

Consulting skills: five case illustrations

How have you been taught previously?

(12)

The Educational Paradigm

Models of skills training: simple, participatory and systematic

Assumptions in traditional methods of skills training

Models of the consultation

(18)

Models in medicine: Cartesian dualism and the medical model

Models of illness

The role model

Task-oriented models of the consultation

Behaviour-oriented models

Models as transitional objects

On having two heads

(12)

Internal dialogue

The Organiser and the Responder

Keeping it simple: the consultation as a journey

(6)

Five checkpoints: connecting, summarising, handing over, safety-netting, housekeeping

A left hand mnemonic

Five `en route' checkpoints

(16)

Case examples

Reaching and recognising the five checkpoints

Section B: Skill-building

(132)

How people learn

(14)

Conscious and unconscious learning

The three stages of learning: instruction, imagination and expression

Checkpoint 1 (Connecting): rapport-building skills

113

(30)

What is rapport?

Gambits and curtain-raisers

Minimal cues: the physical signs of mental states

Representational Systems: Visual, Auditory and Kinaesthetic

The patient's language of self-expression

Speech censoring, internal search and the acceptance set

Matching

Checkpoint 2 (Summarising): listening and eliciting skills

143

(26)

Vernacular and medical language

Eliciting: what, when and how to elicit, and when to stop

Individual contexts

Maslow's Hierarchy of Needs

Incongruities, non-sequiturs, deletions, distortions and generalisations

Strategies for eliciting

Interlude: the clinical process in general practice

169

(6)

The Ballad of Doctor Busy

Diagnostic strategies

Hypothesis-testing

``Always make a management plan'

Checkpoint 3 (Handover): communication skills

175

(28)

The handover process

The patient's framework

Strategies for handling over a management plan: negotiating, influencing and gift-wrapping

Checkpoint 4 (Safety-netting): predicting skills

203

(8)

Three important questions to ask yourself Soap

Checkpoint 5 (Housekeeping): taking care of yourself

211

(18)

Doctors have needs too

``Time-stress'

The `red light' quarter

Job stress, and what to do about it

Ebbing and flowing

Section C: Getting it together

229

(32)

On having only one head

231

(8)

Improving by `trying', and improving by `allowing'

Here-and-now awareness

The Inner Consultation

239

(14)

Integrating conscious and unconscious learning

Timothy Gallwey

Listening, speaking and thinking

Distracting the second head

Minimal cues

Controlling your attention

Zen and the art of the consultation

253

(8)

Intellect and intuition: two routes, one goal

Appendix 1: An `Inner Consultation' training programme

261

(4)

Appendix 2: Annotated bibliography

265

(6)

Index

271

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The Inner Consultation: How to Develop an Effective and Intuitive Consulting Style, Second Edition

Summary

Table of Contents

Supplemental Materials