ABSTRACT

This chapter introduces a clinical case and highlights the challenges of building an alliance with the family as a whole, dilemmas faced by the clinicians, the response of clinicians to these, and the impact of responses on perceived alliance with the client and her family. It offers three examples of relational thinking and intervention, which have been conducted within the context of a multi- or interdisciplinary rehabilitation; two illustrations are taken from work done within a holistic neuro-psychological rehabilitation programme, and one within a neurobehavioural residential programme. It discusses the case of Grace and Steve. Grace a 63 year old British woman, married to Steve for 27 years with no children, sustained acquired brain injury as the result of viral encephalitis 6 weeks prior to rehabilitation. Grace and Steve drew out the 'new cycle' that 'felt more natural' and drew out the questions that Steve would ask Grace on the telephone.