Would love to hear your thoughts...
This episode is a deliberate pause: a chance to gather the threads of Ari’s journey and see the STEPS model as a whole. We begin with the heart of any assessment—the room between two people. We explore relational safety as a felt sense created by presence, tone, pacing, and transparency, and we name the real tension clinicians hold: the story that needs to unfold and the structure we need to make good decisions.
From there, we model a balanced stance—curious, compassionate, and clear—drawing on the posture of motivational interviewing. We show how narrative first honours meaning, and how validity techniques (used gently and transparently) help complete the jigsaw: normalisation, shame attenuation, behavioural incident, gentle assumption, denial of the specific, and symptom amplification.
We introduce B4Now, a simple time-window scaffold (Day 1, Two Weeks, Three Months, Before, Now) that weaves story into structure—especially when time is short or memory is scattered. We name common pitfalls (all heart/no map; all map/no heart; cannon questions; hidden agendas; premature reassurance) and how to repair them.
Then we revisit each phase—FABRIC, THREAD, NEEDLE, TIP, MEND, FLOW—before hearing Ari’s reflection in her own words: continuation is not neat, but it is possible.
We close by previewing what comes next: three practice shifts that deepen STEPS in real-world care—from prediction to prevention, from past to future, and from deficits to assets—alongside four guiding tasks that help us see not just the tear, but the tapestry in motion.
Connect with Assoc Prof Manaan Kar Ray on Linkedin
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