ABSTRACT
This chapter explores how adopting an approach, which instead of seeking to view everyday reality through one single dominant 'frame', seeks to hold open the multiplicity, and approach decision-making in practice through adopting such a worldview. Thomas Kuhn defined a 'paradigm' as a constellation of values, beliefs and methodological assumptions, tacit or explicit, which together make up a broader worldview. Engaging with ideas from postmodernism provides an opportunity to challenge previously held rules and even to confront for the first time some of one's deeply held personal beliefs. The postmodernist approach brings with it a need for a different kind of leadership – a postmodern leadership. Leaders with the ability and confidence to work collectively and collaboratively; leaders, who are transparent, open and engaging; who can bring about and communicate clearly a shared vision and goal with the patient and what matters to them at its heart.
