deletions | additions       diff --git a/begin_section_Preliminary_efforts_and__.tex b/begin_section_Preliminary_efforts_and__.tex  index 62c325d..5283e06 100644  --- a/begin_section_Preliminary_efforts_and__.tex  +++ b/begin_section_Preliminary_efforts_and__.tex 
...
\begin{section} \begin{section}{Introduction}  Preliminary efforts and reading led to the creation of Narrative Descriptions. The user was asked to describe an event, and associated emotions. Then a discussion was added with three points of view, personal, interpersonal-communicative, and organizational. Originally these were for discussion within our group but later we suggested a narrative focus be added with consideration of uses: editing and re-reading, a reader, a teaching file, or categorization or an ontology.  Work with Narrative Discussions revealed complexity that required additions for a complete examination of events. We discovered Flanagan’s early work on the Critical Incident Technique (CIT)\cite{Flanagan1953},\cite{Fivars198012}. His goal was finding scientific basis for assessment of pilots. Early attempts to cope with medical error tended to focus on a model of Blame and Train. Considering safety studies from other fields suggested there was much greater complexity. To a psychiatrist it appeared there was little attempt to search for problems out of awareness, due to unconscious, denied or unobserved detail. We combined the approach of examining specific events (CIT) with pushing the user to consider emotional reactions and states. The user also needed to apply multiple points of view other than their own and attempt to describe the nature of communication, or lack thereof, and systemic and organizational factors. We also asked them to include any possible relevant associations, what comes to mind, even if it was a tune, a book, a movie, a distant memory of an event.\cite{Devlin2014}  Keywords should be added for future categorization or teaching. Work Points could indicate ideas to be explored, related concepts, or plans of action or solution. The rather complicated template embraces and clarifies complex situations and the final tool was called a Complex Context Critical Incident ReportCCCIR). The CCCIR template and examples are in an Appendix.