Inside SLP

19: The Iceberg of Professional Grief


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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  • The normalization of shame: How outdated training structures offload systemic gaps onto individual clinicians.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.
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Inside SLPBy Megan Berg