Mindful Counseling
At the end of any interview with a potential new provider, I ask whether they have any questions for me. Many have none, some ask about hours and other working conditions, some ask about clinical protocols. The other day I got a question I had never received before. It made me think. “What do you…
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Listen Deeply to Your Patient. How Do I Do That?
One of the most useful ideas surrounding the concept of the “Continuum of Denial” is how it requires the provider to listen deeply. In a two-day seminar I took on Motivational Interviewing several years ago, the facilitator was ever exhorting participants to “listen deeply”. My question was, “OK, that sounds great. So how do I…
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Facilitate a New Conversation
Many hearing professionals are uncomfortable about taking their counseling into the realm of anything approaching “therapy” or interpersonal counseling. They feel ill-equipped to delve into these more intimate areas. While I agree that “psychological” counseling is certainly beyond our scope of practice, “communication” counseling is clearly not. In fact, when it comes to this kind…
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Words Matter: Does Vapid Chatter About Hearing Aids Cause Patient Harm?
by Brian Taylor “Signal & Noise” is a bimonthly column by Brian Taylor, AuD. Last fall, JAMA published a thought-provoking commentary on the unnecessary harm caused by the words used by physicians. Known as iatrogenesis, the inadvertent occurrence of a disease or illness caused by a physician or by medical treatment or diagnostic procedure…
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The Continuum of Denial: Cultivating Change
Last week, Paul Teie was a featured guest blogger at Innovations in Hearing Heathcare. This week, Paul joins his colleague, Cecelia Wickert, to share their thoughts on the subject of patient denial and how this common behavior affects treatment decisions. This patient is “in denial”! We all know what that implies. The patient is…
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Practical Application of Motivational Interviewing Techniques in the Hearing Clinic
The concept of Motivational Interviewing (MI) was developed by clinical psychologists William R. Miller and Stephen Rollnick to address treatment of problem drinkers (Miller & Rollnick 1991). Over the last several years there have been a number of articles in the audiology literature about how the principles of MI might be applied to the counseling…
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