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Therapeutic risk-taking or positive risk management
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The clinician here is absolutely clear and direct in communication, expressing the exact nature of her concerns, why she has them and what she is doing as a consequence. She recognises and acknowledges both the area of disagreement and the impact it has on the patient, empathises but does not allow his distress to cloud her clinical judgement. When William asks if she is calling him a liar, rather than ‘defend’ herself or get into a ‘yes/no’ discussion, she simply reminds him of things he has already said that have led her to her conclusion.