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Barrett Dorko
22-04-2007, 03:39 PM
It’s been a quiet week in Cuyahoga Falls…

The woman hovers above me while I sit at my computer during lunch. She’s been studiously writing down the name of every book on the table I fill before class. She grips the paper firmly in her left hand as if it was a bit of flotsam and she was in the middle of the ocean. I know what’s coming next.

As I speak without any real pause for hours at each workshop, jumping from one clinical issue to the next without any notes and the names of authors and dates firmly fixed in my head along with allusions to a hundred cultural references, I know that many students wonder how I got like this. “When do you sleep?” is a common question. A few, I suppose, wish they had this thing I’ve earned. A few, of course, are put off, and I can appreciate how my verbal gymnastics are at times both threatening and intimidating. I soften it as I’m able with humor, and when I employ a bit of the manual care I’ve come to use and teach I’m sure many are comforted to see that I am one of them; an experienced clinician.

The woman with the paper begins: “Of all these books here, which one would you suggest I read first? Which is the best to begin with?” I can feel my spine stiffen. I know that a simple answer containing the name of any book will end this conversation and that I can then go back to my reading, but I know as well that I’ve never chosen this easy path out because it would contain a lie, and learning is not something I tend to lie about – I save my lying for other issues.

If asked, I think any of us could recount several moments with a book or a patient or a colleague before us that had a profound impact on the direction our careers would take. I wrote once of a look Cliff Fowler, a legendary therapist in Canada, gave me when I asked him a question I should have known the answer to. It was at once withering and transformative. I can also remember countless passages from as many books that helped me see with a little more clarity the road ahead and thus made my next step a little more productive. But I never know when these things will show up and, try as I might, I can’t manipulate them to any significant degree.

In response to this woman’s question I spoke of how my own learning has at times been punctuated and advanced with certain passages from a number of books, but that the sequence in which this happened exactly is unknown to me and the next step is a total mystery. I said, “I simply don’t know that there is a “best” book to read first. Those I’ve provided contain many wonderful ideas, many of which I’m sure I missed. Pick one up, open it in the middle and see what it says. Connect that thought to another book and then go there. I have the feeling that most of us learn in this way, especially at this point in our lives.”

Boy, was she unhappy with that.

Barrett Dorko
23-04-2007, 02:45 PM
I wanted to add something here. Perhaps this thread will become a handout for those students who ask certain questions.

I’m also commonly asked, “How can I impart this information to the patient? How can I make them understand what I’m doing?”

This question comes up after the therapist themselves have been given numerous explanations, analogies and resources for an understanding of the same concept. They seem to understand it but can’t seem to come up with a way of translating this for the patient. They assume I must have some specific and common way of doing this and want to copy that.

Instead of answering the question with that I say, “Isn’t this always the challenge of practice? Aren’t we all supposed to find a way of getting ideas across to others in a manner we feel they can understand? Doesn’t that vary from patient to patient and, more importantly, isn’t the therapist unique in their ability and tendency to do it? I think you should discover and decide how you can practice effectively, and this is something you have to search for and find on your own. You can use models, of course, but ultimately your manner, syntax, pace and method of being therapeutic and educational in your own way is what makes the work yours and yours alone. Find it, shape it, and make it something to be proud of.”

I also think that this is something we all should have begun working on immediately upon leaving school and becoming licensed. I wonder especially about therapists who ask this question when it’s clear they’ve been practicing for years.

christophb
24-04-2007, 12:17 AM
A PT who took your class was complaining about mid back pain. I casually asked if he had tried any ideomotion. He responded, "What's that supposed to for a joint out of place?" I work with this guy and talk about ideomotion non-stop... and he took your class. It's still not enough if you don't care to learn about it I'm afraid.

Chris

nari
24-04-2007, 01:10 AM
Those who cling to old, dearly held beliefs about clinical methods can't translate, as their meme is stuck in the hallowed ground like a pitchfork.
They see themselves as carriers of information to patients; messengers who have been told to deliver packages as prescribed.

They see patients as different from themselves, therefore cannot see how to deliver information which they can't or won't translate into their own method of delivery. That would go against the grain, as it were. Oddly enough, many school teachers develop their own methods of delivering the goods; unique, exciting and inspiring. (Of course some just throw information at students)
But PTs as a whole don't see this as kosher....

Somewhere along the line PTs have become stuck with the idea that they only deliver, COD, what has been drummed into them. If the package's contents are challenged and overturned by thinkers, they may be at a loss because of the loss of a package. It's the scene again of the toolbox full of tools, mostly unconnected. We have to stop being delivery people....somehow.

Perhaps an interesting reply to those questions could be along the lines of:

I am not you; and if I pretend to be you that is not being honest to or desirable for your patients.

Nari

Jon Newman
24-04-2007, 01:46 AM
Where do I begin?

Usually by making mistakes. Ideally, that trend decreases over time but sometimes not nearly at the rate I would prefer.

Diane
24-04-2007, 04:34 AM
You can teach a course to people but you can't make them think.

aburton
24-04-2007, 05:41 AM
As a new participant in Mr. Dorko's class in Louisville, It was exciting to listen to him lecture. I appreciate the new information and the questions it brings up. We all need to have questions or we never learn or expand our horizons. I will make this my own, I have no doubt. It times some extra time with a new technique and information and extra effort to use it and make it second nature.
Alice

Jon Newman
24-04-2007, 05:46 AM
Hi Alice,

Welcome to the forum. Consider posting a short introduction in the Welcome forum (http://www.somasimple.com/forums/forumdisplay.php?f=126)

Barrett Dorko
24-04-2007, 01:56 PM
Alice,

Someone from class actually posted!

More time spent practicing is what your career might become. Consider the time constraints of the class and what I have to convey. Remember, there is no advanced course.

Chancellor Mobley
24-04-2007, 04:07 PM
What I find more surprising is a description of another class Barrett told me about over dinner the night before his last Louisville class. This class not being one of the brighter ones didn't have one participant come to the front of class to review any of his displayed materieals. I found it actually hard to believe and I think my jaw dropped into my dinner plate. I take it from your post Alice, that this wasn't this wasn't the case here in Louisville.

Chance

aburton
25-04-2007, 04:25 AM
It is amazing when people aren't interesting in learning. I started practicing P.T when I was 42 and feel like I have so much more to learn.
Our class in Louisville seemed quite interested in the table of books and material.
Anyway, Mr. Dorko....You have given me the reason to try and read and share or at least get out and see what is here, and make use of some good information.

Alice