Practitioners of the Low Arousal approach must be conscious of the impact they have on the people they care for. This means constantly reflecting on clinical practices, and evaluating their effectiveness.
Reflective practice is a key component of any Low Arousal approach as it allows practitioners to evaluate their own contribution to stressful situations and challenging behaviour. Asking vital questions and examining practices means not only gaining a deeper insight into how crisis situations can arise, as well as be managed, but also ensures that practices which are harmful to carers or the people they care for are identified and eradicated.
Shame and guilt
Some people who now practice Low Arousal approaches have been partly motivated by the emotions of shame and guilt. When we reflect on our own behaviours, it sometimes becomes clear that practices we thought were acceptable in the past may not be acceptable to us in the present.
Exercise: Think of a practice in your day to day work that makes you feel uncomfortable right now. Was it acceptable in the past? How could it be changed or adapted?