Let’s talk Practically. About missing links. Through taking a step back, thinking above and behind what we clinicians do in our day-to-day work. In other words, the meta systems.

There are missing key premises behind what currently inform our theories, thereby creating a misstep in approach. We need to all look and acknowledge where the ‘cracks’ are; where we know that our ethical constraints place us at odds with what actual best practices. We want our clients to leave us better than they came to us; heading well on their way to healthy and whole. Perhaps, where we as individuals, in our private lives, need to look at where we can be doing ‘better’. How are we contributing to a less than desirable outcome, rather than working towards relational goals that help us all progress and move forward, healthy and whole?

Example: Sarah Crue is a MSW. In her practice, she had a young lady presenting with IED, depression, psychosis s/s, trauma (multiple sources over years; repeated occurrences of all: sexual, physical, abuse in all forms (emotional, physical, sexual)....