Gabriele Dominique P.

Domingo

Family Dynamics Reflection Paper

During our rotation in Family Medicine, we had a lecture/role-playing activity for Family CEA and
intentional counselling. In the activity, I found that Family CEA is more structured and focused on
extracting the emotionally charged misconception. On the other hand, intentional counselling is much
more complex because it deals with conflict between two individuals which can be rather difficult to
control and turn into a more constructive discussion resulting to a detailed plan.

Role-playing made me realize that although these two techniques seem simple in theory, it
takes a lot of skill and time to effectively apply them to your patients. There is a disconnect between the
language used in theory/during the lecture with the actual vernacular we use to communicate with our
patients. This presented it self as a barrier during the role-play. We found it difficult to phrase questions
and ended up repeating the same questions over and over again when we didn’t get the answer we
wanted. Transitioning from one part to another also proved to be difficult. For example, during the
intentional counselling activity, parts one and two where polar opposites and one must creative enough
to find a segue to the next part.

Active listening skills also proved an invaluable tool in these two activities. Using it is part of the
Art of Medicine and will make the patient feel heard and understood. Rapport will be strengthened. It
also allows the patient to reflect on their thoughts when you rephrase or summarize what they say and
throw it back at them.

The skills gained from these techniques aren’t just for patients, it can be applied in our daily
lives. A friend or family member might benefit from CEA by lessening the emotional distress brought
about by a misconception. Two bickering loved ones might need a little assistance in resolving their
conflict in the form of intentional counselling. And from looking at my past interactions I have been
unconsciously applying these concepts and it has been a great help in resolving conflicts, in helping me
to understand the other person better, and in a way to gain a deeper understanding of myself.

Overall, I enjoyed this activity and it has definitely made me get a better grasp at how to be a
more patient and family-centered physician.