title: Ongoing self-reflection.
abstract: OBJECTIVE
  To suggest that ongoing self-reflection sharpens clinical performance.
  
  
  METHODS
  This is an amplifying, affirming response to "An Existential Framework for Understanding the Counseling Needs of Clients" (C. S. Spillers, 2007).
  
  
  RESULTS
  Attending skills improve as we increase self-awareness.
  
  
  CONCLUSIONS
  By becoming increasingly aware of our beliefs about ourselves, others, and the world around us that fashion our actions and feelings, we become increasingly able to distinguish clients' and caregivers' cares, concerns, and lives from projections of our own.
authors.forename: Ellen-Marie
authors.initials: EM
authors.lastname: Silverman
mesh_terms: D017281:Cost of Illness; D006379:Helping Behavior; D006801:Humans; D011361:Professional Competence; D012649:Self Concept; D013066:Speech-Language Pathology