Professionals all need sophisticated interactional skills. "Conversations Inviting Change" (CIC) is a narrative-based approach to encounters in health and social care that can enrich all professional work.
CIC is based on the simple idea that everyone - whether as a patient, client, learner or colleague - can benefit from telling stories about their experiences, and being skilfully questioned about these.
CIC can be applied in:
CIC is effective in helping people to move on when they feel stuck, and ideal for difficult or challenging encounters. It is especially effective when professionals need to balance attentiveness to the client's story with considerations of safety, quality of care, best evidence, or statutory roles.
CIC is based on narrative studies, communication theory and systems thinking. It was first developed at the Tavistock Clinic in London by John Launer and Caroline Lindsey as an approach to healthcare consultations and peer supervision. Since then, it has been introduced to over two thousand people in the United Kingdom and abroad through one-day workshops and three-day courses, as well as longer courses for becoming a CIC trainer. It has been taught at Health Education England (formerly the London Deanery) for over ten years for training health professionals in supervision skills.
John Launer is a doctor, educator and award-winning writer. With a dual professional background in general practice and family therapy, as well a degree in English literature, John's interests range across the borders of health care, systems thinking, and the humanities. They include clinical supervision for the health professions, team development in the health service, and narrative medicine.
John's current roles include lead for educational innovation in primary care for Health Education England in London. His other posts include honorary senior lecturer in primary care at University College London, honorary lifetime consultant at the Tavistock Clinic, faculty member at ISTUD business school in Milan and honorary president of the Association of Narrative Practice in Healthcare He is a founder member of the International Association for Spielrein Studies and on its steering group.
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