SYNCOHEREClinical reasoning · IndividualPhysical Therapist
Self-Coaching Micro-Tool
Notice your state. Reconnect what is missing. Choose a responsible next move—and let actual performance teach you.
Begin your check
Notice your state.
What is guiding me right now?
See what’s missing.
What haven’t I considered?
Choose your next move.
What one adjustment would help?
What does this moment require?
Check your own reasoning as the physical therapist. Start with the actual function and the outcome that matters to the person.
What can be supported now?
Consider the person, your own capacity, the task, and the environment.
Which contributions are active?
Notice the relative emphasis in each pair. Fit the present demand and stay able to shift as conditions change.
Internal ↔ External
Where is your information coming from?
Not recorded
Together: Internally grounded while externally connected.
Vertical ↔ Horizontal
How are you shaping it?
Not recorded
Together: Define the problem while keeping its relevant context in view.
Cortical ↔ Subcortical
What’s guiding your response?
Not recorded
Together: Organized thinking informed by felt value and significance.
The first two choices refer to the first pole; the last two refer to the second. “Neither” means neither predominates. It does not establish integration. These choices describe your impression, not a measured score.
No configuration inferred.
What have I made this mean?
What should I bring in?
Keep what is useful. Reconnect an underused or missing contribution.
Optional · Look more closely at the six contributions
Record your primary observation. A quieter contribution is not automatically missing, and an unreviewed item is not a deficit.
Feeling stuck? Reopen the question.
Reopen → differentiate → find what is missing → reintegrate → act → learn.
What have I stopped questioning?
Am I addressing the functional problem in its actual context?
What person, movement, task, or environmental factor is missing?
What would make me revise my interpretation?
Make the next move count.
Choose an action that is proportionate to the situation and can produce useful information.
Optional · Separate evidence from assumptions
Am I measuring without losing meaning—and promoting function while preserving agency?
Respond to the person’s actual movement and function under these conditions. Keep your expectations open to revision.
Let performance teach you.
Return after the action. Notice what improved, what remained difficult, what carried over, and what mattered to the person.
Act ↔ Observe ↔ Reflect ↔ Adjust ↔ Act again.
Quick reference · How the pieces work together
BASIS · Capacity
The physical resources, reserve, and conditions that support what can happen now.
XL2 · Processing
Locality, Polarity, and Loops coordinate distinct contributions to experience and learning.
MIND · Experience
What becomes perception, feeling, meaning, judgment, intention, and action.
Bishop Circuits provide contextual oversight and recalibration. Praxis brings the consequences of action back into learning.
Complete enough to act responsibly. Open enough to revise. Appropriate integration does not require equal emphasis or a fixed midpoint.
Eight functional configurations
Explore the names below. These are changing processing coordinates, not personality types or ratings of the person receiving care.
Select a coordinate to see its three contributions.
Take the learning with you.
Your summary updates as you go. Download a text copy, or save a check file to reload and continue later.
Entries remain in this page until you close or refresh it. This tool does not automatically save or transmit your entries. Save a check before leaving if you want to return to it. Do not include patient-identifying information.