There are times when the simplest, most obvious truth lies dormant in my mind while I unsuccessfully try to make sense out of a situation or condition. That happened just this morning. I was attempting to make sense out of the behavior of a client I have seen for some time. This very bright, compassionate, high functioning professional person will suddenly say or do something which is totally out of character for them. This person responds to some situations in an intense, irrational, angry, blaming manner. Any attempt to reason with them only seems to add fuel to the fire. This person is dealing with the chronic illness of a family member - an illness which acutely affects the brain and which, thus, may result in unkind, even abusive behavior. Chronic illness is exhausting for the patient and the family members just because it is chronic. Yet, the intense irrational response of the client still does not make sense.
As I am racking my brain to try to figure out what is going on with the client, suddenly the internal clone of Grandma Fannie shouts at me. (Apparently, she has been attempting to get my attention for some time and is a tad bit frustrated with me.) Finally, I am listening for her sage wisdom. She says, “If it does not seem to make sense it probably does not make sense.” I reply, “Oh, of course.”
Now I know that I need to reexamine the presenting symptoms and attempt to see what I have overlooked. As soon as I decide to do that I start with the most obvious possible diagnosis which will give me a framework for understanding and treating this person. I can also now ask for a consultation with a psychiatrist and a neurologist if needed.
It is not unusual for me to spend a lot of time attempting to fit a square peg in a around hole. At times I feel compelled to attempt to make it fit. If the square peg is large enough it is possible that I can make a rod out of it. Often, of course, this is not the solution. The simple solution is to go get a rod which fits the round hole.
The proble,. of course, is I can get attached to attempting to prove my original assumptions, diagnosis or hypothesis. I can become determined to make sense out of some situation, behavior or condition which simply does not make sense in the context of my original assumptions, diagnosis and or hypothesis.
Grandma Fannie often reminded me and my siblings that it is frequently helpful to take a step back and look at the situation or problem with new eyes. Sadly, by the time she realized that we were attempting to impose a solution on a problem or situation we had often caused some permanent damage. Bess her heart. She did not get all bent out of shape or angry at us when this happened. Usually she would remind us that when a proposed solution was not working there was probably a reason for it. It was time to take a step back and reevaluate the situation or condition.
Sometimes, such as with the client I described, I try to make my original educated guess about a diagnosis fit the client rather than allowing for the possibility that the diagnosis was not accurate. If lucky, Grandma Fannie is able to get my attention.
She may also get my attention when I get stuck attempting to use a standard treatment approach on a client who does not, for whatever reason respond to my “perfect” treatment/healing plan. If a treatment plan is not the “right one” for a particular client it does not matter how well it works for other clients.
The same lesson works for one’s parenting role. Solution or approach B might work very well for a particular child but it will not necessarily work for another child.
For a long time, many teachers were determined that one size fits all in terms to teaching approaches. We now know that not all children learn at the same speed or with the same approach. Children. as well as adults, may be auditory or visual learners. Some may learn best through movement. We also know that the brains of children become ready to learn certain material at different times. If a particular part of the brain is not yet developed, then the child will not be able to learn certain material until that part of the brain is developed.
Once I am able to allow myself to back off and back up I can then do whatever I have to do to examine the problem, situation or condition with an open mind. In the case of the client I was thinking about this morning I now have a plan to talk to the client about other possible diagnoses which might then might lead to a more effective treatment plan.
Whether I am assembling something, diagnosing and treating a client or attempting to problem solve some other condition or situation I would do well to listen to that internal Grandma Fannie clone who will remind me of many essential truths including, “If it does not seem to make sense, it probably does not make sense.”
Written June 8, 2017