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(p. 170) Working with your team 

(p. 170) Working with your team
Chapter:
(p. 170) Working with your team
Author(s):

Dickon Bevington

, Peter Fuggle

, Liz Cracknell

, and Peter Fonagy

DOI:
10.1093/med-psych/9780198718673.003.0005
Page of

date: 19 November 2019

Describing the second quadrant of its “wheel,” AMBIT advocates purposeful effort to create relational contexts within the team to support colleagues’ mentalizing, even under pressure. Strong, individual, “keyworking” relationships with clients (facilitating epistemic trust) are the primary delivery mechanism facilitating change. However, such work is stressful, which inevitably threatens workers’ ability to mentalize clients, other professionals, and themselves. The balancing of autonomy (creating authentic relationships) against healthy dependence (maintaining mentalizing) is related to research evidence on team/organizational climate and culture, and to ideas about learning in organizations, especially from aircraft “near misses.” Activities and techniques for sustaining this focus are described, including a disciplined technique for help-seeking peer-to-peer conversations called “Thinking Together,” and techniques of graded assertiveness in challenging a team member whose behavior is hard to make sense of. The chapter concludes with discussion of more formal supervision, and some of the challenges involved in working in this way.

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