Intended for healthcare professionals

Student Education

Creative consulting: germinating recovery. What is a healing response?

BMJ 2001; 323 doi: https://doi.org/10.1136/sbmj.0112450 (Published 01 December 2001) Cite this as: BMJ 2001;323:0112450
  1. David Reilly, consultant physician1
  1. 1Homeopathic Hospital, Glasgow, and senior lecturer in medicine, Glasgow University

Continuing his series on improving your consulting skills, David Reilly explores “reverse engineering”

This series aims to enable your therapeutic effectiveness. Combine that with your technical training and you will be doubly effective in helping your patients. So far, we have considered some reasons for doing this,1 and looked at creating the right conditions for the work to begin.2 Now we will take a first look at what is possible. Here we explore how patients with severe neuropathic pain and chronic distress, which were unresponsive to technical treatments and drugs, go on to be triggered into a rapid resolution of their distress by effective caring. Such self healing responses, however triggered, show some common characteristics--they are a final common pathway in all successful care--and recognising this is an essential foundation for our inquiry.

So let us meet Graham and learn from his experience of recovery, trying to figure out what helped him and so what might help others. We will begin with his referral letter, then we will jump to the outcome of his care. Each has different things to teach. To get the most from this exercise you will need to take some notes.

Your professional analysis

Begin by applying your current ways of thinking to the referral letter in box 1. Please take some notes to refer back to later in the exercise. If you are advanced in your studies apply your usual approach--perhaps an expert eye, or a PBL (problem based learning) exercise. If you are near the beginning of your professional study do not feel that you have no skills here--remember that your natural human senses and life experience will be the foundation of your future work and just try to figure out and imagine what you can. The more you get wrong in the first …

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