The problem with setting goals

Jo had a bit of a lie-in but in the course of the morning had to get up for a bowel movement. She very nearly raised herself into a sitting position and we have made that the first of her goals for the next two weeks. These goals, and progress toward them, are necessary for CICC to continue collaborative care, more pressure just when we don't need it. As well as forcing Jo to try to do things she may not be ready for, thus reinforcing failure, goals are relatively arbitrary things which focus attention on themselves and often away from real progress, which is invariably happening elsewhere.