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Diane
02-01-2009, 08:52 PM
I found a very juicy page in Jon's link to Atherton's site of learning.
It is Two Dimensions of Practice (http://www.doceo.co.uk/tools/willwit_1.htm).
Topics include Wiling and Unwilling Practice (http://www.doceo.co.uk/tools/willwit_1.htm#Willing%20and%20Unwilling%20Practice), Witting and Unwitting Practice (http://www.doceo.co.uk/tools/willwit_1.htm#Witting%20and%20Unwitting%20Practice), Four Kinds of Practice (http://www.doceo.co.uk/tools/willwit_1.htm#Four%20kinds%20of%20Practice), which include intentional (witting and willing), survival ((witting and unwilling), shallow (willing and unwitting), and driven (unwilling and unwitting). Very informative.

Intentional = "practitioner is doing what she set out to do (willing), and in full knowledge both of the reasons for doing so, and what is likely to follow from the action. She can therefore be held fully accountable for that practice."

Survival = "a practitioner who knows what he ought to be doing, but finds that he can’t do it (lack of time, right equipment)."

Shallow = "two forms of such practice; where staff are simply unaware of its potentially deleterious (or even beneficial) effects, and where they have just been trained to operate a set of procedures without knowing the reasons, and are thus unequipped to deal with any variations from the norm. Naturally, these forms overlap."

Driven = "there is a sense of compulsion about it, or at least of not being aware of any alternative. It may well be an expression of a personality trait with which someone is not comfortable, but says, “It’s just me, I’m afraid ...” (If made) aware of it... they may try to change, but fail because it is so much a part of themselves. Very often they have some slight idea of its impact, so it is not totally unwitting, and they may well admit that they “wish I could listen/be so tolerant/let go/be as organised as you,” but never really having had the experience of being other than they are, they remain substantially unaware of what their practice would be like if they were different."

In manual therapy, should we not all be moving as best we can toward "intentional"? :)

redreader
04-02-2009, 04:55 AM
I most commonly think of this quadrant design with Covey's 7 Habits...Important vs. Urgent. Yes we should be moving as best we can towards "intentional". This is especially true when considering where and how we expect the changes to occur.

How could we categorize our patient traits