In the day-to-day work of narrative therapy, we: 1  Start by seeking to join people in their particular experiential worlds (not by educating them about ours). 2  Listen to what they say as stories: not âfactsâ or clues to deep meaning or symptoms to diagnose, etc.
Melodic motion in which the interval between any two consecutive pitches is no more than a step, or, less strictly, where skips are rare, is called stepwise or conjunct melodic motion, as opposed to skipwise or disjunct melodic motion, characterized by frequent skips.
When percussing boney areas such as the clavicle the pleximeter can be omitted and the bone is tapped directly such as when percussing an apical cavitary lung lesion typical of TB. There are two types of percussion: direct, which uses only one or two fingers, and indirect, which uses the middle/flexor finger.There are four types of percussion sounds: resonant, hyper-resonant, stony dull or dull. A dull sound indicates the presence of a solid mass under the surface.t is one of the five methods of clinical examination, together with inspection, palpation, auscultation, and inquiry. It is done with the middle finger of one hand tapping on the middle finger of the other hand using a wrist action.