Working with Traditional Structures to Support a Collaborative Clinical Practice— William Madsen


This paper explores how to meet requirements for formal clinical paperwork in a way that is based on an ethic of collaboration and accountability. Using this approach, traditional clinical paperwork at the stages of ‘assessment’, ‘treatment planning’, and the ‘termination process’, – documents which previously could have been objectifying and further pathologising of people – can instead become collaboratively-produced therapeutic documents. This paper also explores some of the real effects of the current requirements for documentation and measurement, and suggests that practitioners should ‘take care to measure what is valuable rather than simply valuing what is measurable’.