Finding Wise Mind Balance with DBT

In DBT Dialectical Behaviour Therapy, the word dialectical can relate to the idea of holding 2 opposing ideas (often opposites) and integrating them.  This is often refer to as the “wise mind”. 

But in reality, in Family Medicine, I think we often have to hold multiple opposing ideas (not just 2) and trying to integrate them all don’t we?

For example, with every consult, we have to integrate what is evidenced based, what is workable, what fulfils the patient’s agendas and makes them happy, what fulfils our agendas and makes us happy, what fulfils the community’s agendas and makes society happy, which decision is best for the here and now, which is best for the future based on past and present patterns, what’s best for the individual, what’s best for their families, and what’s good for one body system may come at the costs of other body systems.

There is tension among all of the above so trying to find a Venn Diagram for that is not easy especially given our inherent blindspots.

I wonder how much we all struggle with the above and whether some “DBT types of upskilling” can help.