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Enhancing Patient Engagement: The Power of Complex Reflections in Physiotherapy

Complex reflections are a crucial component of Motivational Interviewing (MI), a counselling approach developed by William R. Miller and Stephen Rollnick. This technique is designed to support and strengthen a person’s own motivation and commitment to change.  A complex...

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Empowering Patient Adherence: The Art of ‘Nudging’ in Healthcare

In the realm of healthcare, the success of treatment often hinges not only on the clinical skills of healthcare professionals but also on the willingness and ability of patients to adhere to prescribed interventions.  “Nudge,” a groundbreaking book by...

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Eliciting Change vs Direct Advice in Patient Care

Embracing Self-Persuasion in Patient Care The quote by Miller and Rollnick from their book “Motivational Interviewing” highlights a pivotal concept in patient care and behavioural change. The central idea is that individuals are more receptive to change and persuasion...

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Empowering Clients to Solve Their Own Problems: The Role of Clinicians in Behaviour Change and Treatment Implementation

In the words of Michael J. Marquardt, “solving others’ problems is exhausting. It is much more effective to provide the opportunity for them to solve their own problems.”  This concept, though simple, can profoundly transform the approach health care...

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Clinical Insight: The Hidden Gorilla in Patient Care

The Gorilla in the Room: A Philosophical Take on Cognitive Blindness The human mind is a fascinating paradox, capable of extraordinary feats of intelligence while also susceptible to glaring oversights. Daniel Kahneman’s quote from “Thinking, Fast and Slow” serves...

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Tailoring Physiotherapy for Clients Battling Anxiety and Depression

Introduction: Physiotherapy plays a crucial role in the overall wellbeing of individuals, including those suffering from mental health challenges such as anxiety and depression. As highlighted in Moshe Bar’s concept of “Mindwandering,” individuals with depression often find it difficult...

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The Art of Negotiation in Client-Centred Care: A Guide for Physiotherapists

Negotiation is a concept often misunderstood as mere bargaining, especially when we think of haggling over prices in a marketplace. However, this interpretation barely scratches the surface of what negotiation truly entails.  In the realm of healthcare, particularly in...

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Taming the Advice Monster: A New Approach to Physiotherapy for Chronic Conditions

Michael Bungay Stanier, a renowned coach and author, emphasises the importance of taming one’s ‘advice monster,’ particularly in fields like healthcare where clear communication and client engagement are vital.  The ‘advice monster’ is the tendency to jump in with...

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Mastering the Art of Concise Inquiry in Clinical Practice

In the world of healthcare, particularly in physiotherapy, the initial consultation plays a pivotal role in understanding a patient’s condition. However, this process often subjects patients to a barrage of questions, leading to what is known as ‘question fatigue’. ...

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