1. Ewan Kelly
&
Ken Donaldson

3. In order to enable transactional interactions to become transformative or therapeutic……
human and practice/
professional culture
self
Values
Beliefs
Enabling our attitudes and behaviours – move from our unconscious to our conscious
Reflexive Self

5. VBRP Tool 1 – Three levels of seeing
Observation without interpretation
Questioning and curiosity
Penny drops, making connections
What do you see or notice?
What causes you to wonder, or arouses your curiosity?
What do you realise or perceive?

6. Three Ways of Seeing
1st Level of seeing What do you see or notice: in the other, within yourself and in the interaction Observing without interpretation. Not judging or seeking to fix.

7. Three Levels of Seeing 2nd Level of Seeing
What does it cause you to wonder about or arouses your curiosity?
Questioning, turning things over in your mind

8. Three Ways of Seeing
3rd level of seeing What do you realise or perceive? The moment when the penny drops make connections. An AH-HAH moment! A TOOL TO ENABLE THE UNCONSCIOUS TO BECOME MORE CONSCIOUS

9. VBRP TOOL 2 in our practice? Five Dimensions of Practice
N whose needs are being met or overlooked by our
practice?
A what abilities/capabilities are at work in our practice?
V whose voices are being heard/silenced ,
included/excluded from our practice?
V what and who is being valued/undervalued/overvalued
in our practice?
Y what does this situation reveal about you, me and us
as practitioners

10. Dr Ken Donaldson Deputy Medical Director NHS Dumfries and Galloway

11. Case History William (Bill) 89 years old Lives with his wife
Carers 2x day
‘Mild’ dementia
Diabetes
High Blood Pressure
Heart Disease

12. Over the course of 2 weeks
Ultrasound Scan
2 Ct scans
Gastroscopy
Colonoscopy
Blood tests every day
Regular physio

13. Betty

16. “Our decision making in medicine has failed so spectacularly that we have reached the point of actively inflicting harm on patients rather than confronting the subject of mortality.”
Atul Gawande

18. How do we learn?

20. NAVVY N – whose Needs are being met?
A – what Abilities are at work in our practice?
V – whose Voices are being heard/silenced?
V – what and who is being Valued?
Y – what does this reveal about You?