19: The Iceberg of Professional Grief

Anger can feel clarifying, but without context, it rarely leads anywhere new. In this episode, we step back from the outrage cycle to examine what’s sitting underneath it: systemic grief, misaligned training models, and the shame many clinicians carry inside a profession that was never fully built to hold them.We explore:The arsonist parable: Why chasing villains distracts from the work of rebuilding.A profession at its Flexner moment: What medicine’s shift away from the generalist model reveals about where SLP may be headed.The normalization of shame: How outdated training structures offload systemic gaps onto individual clinicians.The paradox of the nine: What becomes visible when we hold multiple professional perspectives at once.Sources:Duffy, T. P. (2011). The Flexner report―100 years later. The Yale journal of biology and medicine, 84(3), 269.Connect:Contact Megan: therapyinsights.com/insideslpPACT Survey: pactsurvey.com