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I get to be open to a different possibility. I’ve regained the hope that I lost a long time ago. I’ve now got the tools to remain present and help actualise something new.All the years of therapy, all the courses I’ve done, none of them got me to where this course has got me to. I feel free to go and do the things I need to do.
[....the facilitator] uses his effective process to focus on [the process] rather than on the individuals. I didn’t feel it happening but before long I just understood.
You are trying to work out what is going on [...] and at some point the experience becomes transformative.
I learned about the wider personal impact [of my actions upon other people], about the role and benefits of professional boundaries and I got clarity on my own life and identification of changes and need to move.I have a much greater understanding, knowledge and appreciation of professional boundaries and the roles of practitioner and patient. I feel I made more progress in personal development than in my previous years combined.
I would once again like to thank you for what was the most useful, necessary and enlightening course I have ever been on. Upon reflection of the course it was so beneficial to me and relevant that I can’t thank you enough.
I learned that saying no is okay, that we all make mistakes and are human, and how to use calm peaceful energy to say “no” to maintain boundaries.For me [the course] is life and practice changing. I have increased my self-awareness as to why I am here. It brought to light personality traits and feelings that need to be altered to better engage in life and in practice in a peaceful and productive manner.[The facilitator] was kind, caring and diligent. He recognised that I did not understand at first but the exercise on cognitive distortion was a “light bulb moment”. I will go from this course with the knowledge and skills in place to practice once again. I started this course as something I had to do to get back to work. I leave here realising why I am here and how to move forward and will be eternally grateful.
I discovered that I had been allowing my history to shape my behaviour and interactions, making me ineffective. I learnt that letting go of the guilt and shame and its history could enable me to be who I am now and rediscover my personal power.It has given me a framework to deal with seemingly insurmountable issues in my life and I know this will over time change my life for the better.[The facilitator is] An excellent listener as well as being appropriately incisive and yet restrained at the right moments. He allows space for everyone to discover the answers for themselves.
Being able to use personal power to perform reliably and responsibly. Deal with life as it is and find happiness out of this.The impact has been significant, now able to identify something and work on that to improve myself in life and in work environment.Facilitator is very analytical, gets to the point quickly. Able to understand point and come up with practical solutions/help.
I learnt more about myself and how I shackled myself to my perception of high standards. I can with practice unload this baggage and be true to my values.A good gateway to deeper understanding and helped me make sense of what is happening to me. Helpful, thoughtful, challenging, coaching. Both my practice and my personal life (which is not what I expected) will benefit from this course, which should be in the medical school curriculum.
I am more present, more attentive, more listening [in my consultations].
Through this course I’ve come to realise that I’ve constructed an identity about myself, those I’ve worked with and people in my personal life that has been disempowering. For the first time in my life, I’ve reached an understanding that the recurring experiences that have imprisoned me in emotional pain does not have to be my story anymore. I get to be open to a different possibility. I’ve regained the hope that I lost a long time ago. I’ve now got the tools to remain present and help actualise something new.All the years of therapy, all the courses I’ve done, none of them got me to where this course has got me to. I feel free to go and do the things I need to do.[The facilitator] was calm, direct, wise, great insight. He has helped me to come to a realisation about my situation that I wouldn’t have arrived at on my own.
The course opened my mind to what the real causes of my problems were and how to see them for what they are. I was able to recognise what the bare facts were of a situation and how I have built that into many meanings which led to the behaviours which I previously embodied.[....the facilitator] uses his effective process to focus on [the process] rather than on the individuals. I didn’t feel it happening but before long I just understood.
The course is an emotional roller-coaster; it allows you to recover your self from the sterile world of clinical practice. The journey is the experience and thankfully in the dangerous waters of articulating personal needs and vulnerability, there is a clear felt sense of safety with that challenge. I feel lighter in the way connected with myself and the issues that have driven me. I have felt empowered to say and do things that I would never have imagined when I started the course.[...] a highly skilled facilitator. There is clear boundaries, thank God, yes [...].You are trying to work out what is going on [...] and at some point the experience becomes transformative.
My main learning points were about being more authentic in my personal and professional relationships. Learning about power differentials and dynamics between patients and doctors and the potential harmful impact on patients and clinicians when boundary violations occur.Helped me to take ownership of my situation. Helped me recognise my personal power through increased responsibility and ownership of the situation. Increased my understanding of personal power and agency. [The facilitator was] insightful, intelligent and compassionate.
Very powerful course that deepened my understanding of myself as a practitioner and as a person. Provided clarity and real purpose to carry forward interactions with patients and colleagues.[The facilitator is] an outstanding communicator. Learned a lot, over and above the course, by watching him work!
Major influence on how I will think about situations so I can change my behaviour to lessen the impact/damage on another.
Made me happy I can achieve values without violating boundaries, in my teaching of students.[The course enabled me to] improve the way I feel about comments made to me in general life and to accept them and move on, and not linger about them.I have learned more the past three days than by trying to read about it myself and from teachings attended in other places. I got a true evaluation of me and what I do, plus a true focus for the future.
Very useful, especially for allowing me to reflect on and appreciate the impact of my behaviour on other people; not just the victim but everyone associated with them.Explored aspects of medical practice that isn’t covered in medical school or by any other post graduate study seminar.
My main learning was that I can be the G.P. I want to be without crossing boundaries. I had wanted to be a friend before being a doctor, now I realise I can be doctor first. I saw that what I had thought of as being my patients neediness was actually my own attachment to them. Letting go of this is liberating.The course was painful but worthwhile. The facilitator was excellent; I felt safe, my confidentiality was respected, time was given, non-judgemental and honest. I would recommend this course to all colleagues.
In 23 years since medical school (and indeed during medical school) this has been the most effective, interesting and challenging course that I have done. The impact has been immense.The space created by the course approach and structure led to an open dialogue that was hugely useful to me. I found the personal realisations unmasked during the course to be transformative. The facilitators calm and authoritative approach allowed him to go into very personal territory in a group setting without feeling exposed. The connections made and case examples given were very informative and there was sufficient evidence base to keep it credible.
This course does what it says: it allows the participant a space to own responsibility for their own behaviour.
I intend to change my practice in the biggest way I have done since I was trained as a G.P. This course is intensive and very relevant. It can be somewhat distressing but the overall gain, I feel, is worth the distress. The course is tiring as much psychological energy is needed when trying to address and the issues which bring yourself and your colleagues to the course. The course has been enlightening and Jonathan has a unique and clever way of finding out the real issues which can help individuals understand their situation better. He is very knowledgeable and insightful in this area. An excellent course. Tiring. Emotional. Relevant. Takes great energy but REALLY worth it!! Glad I did it. Slightly painful. My main learning is to use transparency as a form of protection against risk, to use self-disclosure in a targeted, brief manner, to minimise the use of non-clinical touch and to keep within role.
Very educative course. Never been on a course where more lights were shined into professional boundaries like in this course. I realised there are factors which impact on our actions and create risks of boundary violations which only this course will throw into limelight for you. Facilitator is very knowledgeable, articulate, with in-depth understanding of this topic. G.P.This is an excellent course, thoroughly researched and well presented in an interactive style. Everyone can take something away from the course, be it addressing specific issues that come to light in your practice, or a ‘consulting MOT’ to crystallise the facts of the consultation in respect of boundary issues. The discussions were bespoke and therefore highly relevant to addressing the issues presented by course members. Extremely positive and empowering. Facilitator was professional, enabling, specific, good facilitation of discussion. A really worthwhile course. G.P.I am very happy to have attended this course as I have learned a lot about personal interaction, the need to be aware of self-disclosure and dual relationships was a fascinating topic which is very pertinent to our jobs and how to use it appropriately was something I take from here. Power differentials, impact of my actions on my colleagues, patients and staff are very important, and I would be very mindful about these until I retire. I have been able to formulate a concrete, measurable development plan. I would like to thank Jonathan for his patience, knowledge, analysis, and explanation of various issues we had in the group. I am going to take away from here clear plan of how to be aware of my situation and always be aware of power differential and impact. It has made me aware of interactions and how I can communicate differently, without bringing physical touch into the equation. A very learned and excellent facilitator. Great course! G.P.
Helped to work through defensiveness to accepting underlying issues and way forward.The main impact has been a deep understanding of why we need boundaries and ability to change practice in order to ensure they are maintained. Giving patients space for their issues and not mindreading etc. The role-play had a profound impact on being able to see effects of my behaviourThe impact of the course has been monumental – as if scales have fallen from my eyes and I am able to have insight not only into my consultation skills but also with the relationships and connections with my family and friendsI have particularly learned loads on consultation skills.Best course I have ever attended by a long mile. Lovely choice of venue, calming, atmospheric and very conducive to being open and honest and on-judgemental.
Initially after receiving my allegation against me I felt angry, upset and as if the other person was to blame. I then felt I had no-one to turn to and couldn’t move on to resolve issues. The course allowed me to do this and move forward in a very positive way. Very well run, very insightful and challenging. Best course I have attended in some time! My main learning was the effects on the ‘victim’ and overall wider effects on others, and power differentials in professional and personal relationships. The course has had a MASSIVE impact, I have learned so much regarding myself both inside and outside work. Jonathan was exceptionally skilled and knowledgeable. Made me feel at ease. Non-discriminatory. I wish this was part of undergraduate training. I have NEVER left a course feeling so empowered in my ten year career! Dentist.An eye opener. Although I felt I knew what professional boundaries are it was salutary to have their extent and breadth more fully examined. Recognition of vulnerabilities, both as a weakness but also as a strength when appropriately managed. Given definite tools to prevent boundary violations. A&E Doctor/GP.In day to day consultations I will utilise the tools presented, especially when dealing with situations that I am uncomfortable with.[the facilitator] knew his subject inside out and was able to present new ways of thinking and looking at issues that I may have had. He was able to tailor the course to individual circumstances.I learned more about communications in three days than I did in the whole of medical school. The course has been interesting but also quite draining. I have found it hard being here for three whole days but see that this has been a brilliant learning opportunity for me. I have known for a long time that I have done things that I shouldn’t really have been doing and have never before seen this as harmful. The course has really brought to focus many of these xxxxx and enabled me to see a wider picture – looking beyond myself and the clients immediate needs. I feel a mixture of enlightenment and trepidation. I enjoyed meeting other people that face similar issues – this may appear selfish but it makes me feel less alone and somehow less tearful. I have made so many mistakes I’m hoping to make this okay through the knowledge I have gained on the course. My main learning point was seeing the impact of my unregulated and unboundaried way of practicing; an appreciation that my [value] drivers are okay but it is how they are delivered that really matters. I have moved from a place of feeling that I have only ever done my best to understanding that this ‘best’ has not always been in the best interests of the clients and that not always playing by the rules can have negative impacts. I found [the facilitator]really good – empathic, felt he was really hearing what was being said. This is unusual in that the world often seems like a place where only half an ear is open. Thank you so much. Social Worker
I at last recognised who I was and what I had done ‘wrong’ and the impact on the patient. The impact of the course was profound – it has given me the tools for a change of direction. My life has changed. I can be happy. My wife will be relieved at the new me. I am not an officer in HM forces and have not been for more than half of my life. I came on the course with a very negative attitude – all of my own making. It has been a brilliant/eye opening event. My 3 colleagues were absolutely committed, and we discussed openly and honestly. Jonathan was a font of information and wisdom. I wish I had attended the course prior to my FTP hearing – I would have handled the whole process more comfortably. GPOverall an excellent course. Increased my awareness of boundaries and how to reinforce these. Small group size enabled excellent interaction with the individuals involved. Was conducted in a non-judgemental ethos of no blame… Jonathan knew his subject inside out and was able to present new ways of thinking and looking at issues that I may have had. He was able to tailor the course to individual circumstances. The insight of the other participants was invaluable, again fresh eyes and ears for problems and issues faced. My main learning was regarding the effect of my boundary violation on the patients. Also to be “present” for all patients in a respectful manner to impress the doctor/patient relationship. In day to day consultations I will utilise the tools presented, especially when dealing with situations that I am uncomfortable with. Should I suspect a boundary transgression I will discuss with my supervisor/colleagues and develop methods to prevent progression down a possibly dangerous path. Excellent course, venue, food, co-ordinator, group. I learned more about communications in three days than I did in the whole of medical school. GPVery intense; but perfectly sized group which enabled open discussion and development of ideas and understanding around key boundary issues. Relaxed but structured; supportive. Jonathan is an excellent communicator, from initial emails to facilitating course. Kept us in touch but allowed exploration of deeper underlying issues. Helped me to be working with others with similar issues. Non-judgemental. Helped to work through defensiveness to accepting underlying issues and way forward. Fantastic venue really contributed to course. A brilliant course in communication skills. My main learning was in the understanding of the impact of boundary violations on patients. Understanding of need for boundaries, pt/doc power relationship. Where my needs impact on consultation and how to manage this, eg being “present”. The main impact has been a deep understanding of why we need boundaries and ability to change practice in order to ensure they are maintained. Giving patients space for their issues and not mindreading etc. The role-play had a profound impact on being able to see effects of my behaviour and enable me to see that changing this was not only ok but better for me and the patient. GP ST3My main learning was about the issue of control, and my own in particular – that control is the antithesis of freedom and is about a rejection of the present. Understanding the potential impact of my actions on those connected to the individual concerned. That cognitive distortions are adaptive survival mechanisms. The impact of the course has been monumental – as if scales have fallen from my eyes and I am able to have insight not only into my consultation skills but also with the relationships and connections with my family and friends. Jonathan is an excellent facilitator. He is extremely knowledgeable, good at importing knowledge and facilitating learning and discussion. His style is entirely conducive to the best possible outcomes with this course. Best course I have ever attended by a long mile. Lovely choice of venue, calming, atmospheric and very conducive to being open and honest and on-judgemental. Enable sense of camaraderie and friendship. I no longer feel isolated. Now a real sense of hope and progression. I have particularly learned loads on consultation skills. I feels like I have had group therapy. GP.
Initially I was sceptical about the value of the course, but I found it intellectually highly charged. It cemented my understanding of maintaining boundaries and helped me to understand my situation and define clear objectives to rectify my problems.
I didn’t think I needed this course. I did. The pace and topics covered were excellent and the painful experiences shared by other members of the group, the empathy demonstrated was humbling and healing. The venue was excellent (and the food).
This has been a very valuable course both in terms of increasing knowledge and understanding, but also in formulating a plan for the future. The facilitators knowledge both of the subject and of the expectations of regulatory bodies provides and ideal balance for structuring the course.
The empathy session was very important for me – how the person was affected is the most important – how they felt. It brought the victim in. Educational. I would come to a follow up.
Helped to develop insight into ways of thinking that were more about having a victim mentality rather than taking responsibility for my actions. The course re-orientated ones thinking and helped me to take responsibility. Opened up ways of thinking differently. It provided an opportunity to reflect on circumstances that brought me here, as well as on myself in terms of values and thinking. Helped me to re-align my values and develop coping mechanisms for the future. It made me look at things in a way I wouldn’t have ordinarily done. It helped me to identify and verbalise risk factors and ways of avoiding risk. One realises that one has been walking blind before now. An excellent course, well constructed and well conducted. Adequate time for reflection. Provision of tools for boundary maintenance – move away from victim thinking and taking responsibility for my actions.
I found the [...] structure [...] very helpful, I gained a huge amount of insight and practice tips for my boundary issues and how to help avoid future transgressions.
I [found the course to be] liberating, like a volcano.
The course was more useful than I thought it would be – it was fantastic. The role-play was very good. You could offer a whole day just on role-plays.
This is a unique course, whereby participants ultimately come out realising that there could be a possible solution to their issues and there are clear cut suggestions from the facilitator and the fellow participants as to how to achieve this.
Very useful, particularly in having your story fed back to you and allowing/creating the opportunity to connect with what was actually behind your story. The course was professionally run, and felt invigorating rather than punitive, and the blend of taught and reflection was something that felt right.
Thank you so much for your help in preparing and facilitating this course, which I greatly valued and learned so much from. I am deeply indebted to you for your insights and advice. I am now much better prepared to deal with issues past, present and future. It has made me think about my family life as well as my professional life and most importantly, for me, what the “victim” was feeling. The facilitators were very professional and patient, listening, advising and understanding.
The cognitive distortion section was the most important part of the course – I related to many of the headings, they all range bells, to varying degrees of loudness.
Being made aware of my issues and processes, in particular my anger and hostility towards my client. How all this anger and emotion was present and got in the way of my clinical work. Before now I would totally blame the client. Underneath my inexperience and lack of knowledge is all my personal stuff. Fear and anxiety stopped me from doing what I should have done. It has been really helpful, quite a revelation to me really. I’ve been really surprised at some of the things that have come out of my mouth. I liked that the facilitator didn’t allow us to get away with things; we explored the underlying stuff, which no-one has done before. Now I look with more objective eyes, and see clearly; I have really learned how these things happened – I trivialized it all, I blamed her and her problems. Some parts of the course were painful - particularly when I was faced with my own narcissism. It’s really useful to see that clearly and not be crushed by a burden of guilt. I am now aware of my own processes which I unknowingly was trying to resolve or satisfy [with my clients]. I did not feel judged but there was a depth of analysis of what was really going on for me, and why the problems occurred in the first place.
It gave me insight into the effect on patients – that it is down to our own actions. The course helped me to understand myself and my patients; it opened me up to other areas and clarified my vision. The Open session was important to me, along with support from other participants.