Chapter 4 · Language and the Clinical Encounter

The repair

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You're going to say the wrong thing at some point, not often and not badly, and probably not in a way you'll notice at the time, which is exactly what makes it worth preparing for.

Adoption slips are usually small: a phrasing that carried an assumption, a warm sentence that skipped past what the client actually said. And adoptee clients very often don't tell you. Many have spent their entire lives learning not to correct people about this. So instead of feedback you get a session that felt slightly off, or a cancellation, or a client who's a little further away for the next month and you can't say why.

Which means the repair is almost always yours to start. I asked an adoptee about a moment like this with someone who was trying to help. Listen for whether she said anything at the time.

The repair itself is short. "I've been thinking about something I said last week. I asked about your mother and I'm not sure I framed it well. I want to check how that landed." That's the whole thing. Notice what it does: it names the moment, it doesn't tell her what she felt, and it doesn't ask her to manage your feelings about it.

Two things about doing it well. Don't over-apologize. A large apology makes the moment about you and hands her something new to take care of, which is a job adoptees get handed a lot. And if she says it was nothing, take that at face value and move on. You've still shown her that you notice and you're willing to come back, which for someone who has been absorbing this her whole life is real information about you. If she says it did land wrong, you have actual work available, so take it rather than explaining what you meant.

Review

When a client surfaces adoption material, what you do next decides whether it stays available. When your language lands wrong, the repair is nearly always yours to initiate.

Following up on tentative material

  • A passing mention is often a test of whether the topic belongs here. Your follow-up answers it.
  • Keep it light and hand back the choice: "You mentioned your birth mother a moment ago. Is that something you want to come back to, or something you wanted me to know?"
  • Hold the opening across sessions without forcing it: "Last time you mentioned a DNA test. I haven't forgotten. We can come back to it whenever you want, or not at all."

Recognizing a slip you didn't see

  • You often won't catch the moment. You'll catch the consequence: a session that felt off, a cancellation, a slight pulling back over several sessions.
  • Adoptee clients usually won't name it. Many spent years learning not to correct people about this.

The repair

  • Short, specific, no verdict: "I've been thinking about something I said last week. I asked about your mother and I'm not sure I framed it well. I want to check how that landed."
  • Don't over-apologize. A big apology makes it about you and gives the client something to manage.
  • If they say it was nothing, you've still shown you noticed and will come back. That itself is information about you.
  • If they say it landed wrong, acknowledge it directly and continue. Don't explain what you meant.

Continued considerations

  • Think of a client who got a little further away and you never knew why. What might have happened the session before?
  • What makes repair hard for you: the not knowing, the exposure, or the worry you'll make it worse?
  • Sit with this: if a client never tells you when you get it wrong, how would you ever find out?