Reflective Practice: An Exercise in Exploring Inner Dialogue and Vertical Polyphony

The dialogical notion of vertical polyphony, referring to multiple internal voices, is explored in relation to clinicians’ professional and personal selves. We describe an experiential training exercise developed to enhance clinicians’ awareness and understanding of their inner dialogue, and create space to practice what Schön terms ‘reflecting‐in‐action’ and ‘knowing‐in‐action.’ The exercise involves stages of personal reflection, discussion in groups of two or three, and shared learning by the group. A number of variations of the exercise are described. The invited commentaries following the article provide a sense of participants’ reactions to the exercises. Readers are invited to adapt the exercise to suit their own setting and to enhance reflective practice.     

Is There a Place for Biopsychosocial Formulation in a Systemic Practice?

There is a long history of literature concerning integrative practice and how a systemic practice can fit with other models of therapy Much of this literature has focused on establishing a space for systemic therapy within the dominant medical paradigm, and exploring how the medical model can be enhanced by systemic ideas. The outcome has been better practice, especially in child and adolescent mental health. Interestingly, however, there has been less discussion of the converse: the family therapy literature has rarely considered whether or not systemic practice itself can be enhanced by ideas from the dominant medical model. This article proposes that a biopsychosocial formulation can enhance systemic practice by: (I) holding clinicians accountable for their thinking; (2) facilitating a rigour and attention to detail that may prove useful when therapy falters; (3) opening up other possibilities for intervention; and (4) providing a way to engage with the dominant medical paradigm and support clients in negotiating their way through this system. Potential problems nevertheless arise when integrating a biopsychosocial formulation into a systemic framework. This article identifies these problems and presents ideas for how they can be managed in practice.     

Academic mothers,professional identity and COVID-19: Feminist reflections on career cycles,progression and practice

Based on a collection of auto-ethnographic narratives that reflect our experiences as academic mothers at an Australian university, this paper seeks to illustrate the impact of COVID-19 on our career cycles in order to explore alternative feminist models of progression and practice in Higher Education. Collectively, we span multiple disciplines, parenting profiles, and racial/ethnic backgrounds. Our narratives (initiated in 2019) explicate four focal points in our careers as a foundation for analyzing self-definitions of professional identity: pre- and post-maternity career break; and pre- and post-COVID-19 career. We have modeled this research on a collective feminist research practice that is generative and empowering in terms of self-reflective models of collaborative research. Considering this practice and these narratives, we argue for a de-centering of masculinized career cycle patterns and progression pathways both now and beyond COVID-19. This represents both a challenge to neo-liberal norms of academic productivity, as well as a call to radically enhance institutional gender equality policies and practice.     

Integrating Barriers to Caucasian Lesbians' Career Development and Super's Life‐Span,Life‐Space Approach

Researchers and practitioners do not fully understand the nature and extent of actual and perceived barriers in lesbians' career development (S. L. Morrow, P. A. Gore, & B. W. Campbell, 1996). In this study, 10 lesbian women, ages 42 to 64 years, were interviewed and asked to identify barriers to career development due to sexual identity. Integration of sexual orientation in D. E. Super's (1990) Life‐Span, Life‐Space approach is proposed.     

“Coloniality of power” and racial dynamics: Notes toward a reinterpretation of Latino Caribbeans in New York City 1

The category of “Latino” collapses the differences among populations with diverse historical experiences of oppression. We establish in this article a distinction within the Latino Caribbean diaspora among “immigrants/’ “colonial immigrants,” and “colonial/racial subjects” of the U.S. empire. Using the notion of “coloniality of power” developed by Peruvian sociologist Aníbal Quijano, we argue that the social position and racialization of several different populations in the U.S. today has its roots in the racial hierarchies produced by centuries of European colonial expansion and that this essentially colonial set of relationships continues. We use this notion of coloniality to reconceptualize three social processes: (1) the construction of Puerto Ricans as colonial racialized subjects in the Euro‐American imaginary; (2) the transformation of Dominicans into colonial immigrants in the New York Metropolitan Area, that is, the way Dominicans became “Puerto Ricanized” and (3) the disassociation of pre‐1980s Cuban migrants from the “Puerto Ricanization” experienced by the Dominicans.     

An Examination of Correlates for Adolescent Engagement in Nonsuicidal Self‐Injury,Suicidal Self‐Injury,and Substance Use

Little research has examined potential risk factors for direct versus indirect self‐injury among adolescents. To address this limitation, 541 clinically referred adolescents were assessed using the interRAI Child and Youth Mental Health Assessment. Logistic regression analyses revealed that older females who experienced heightened depressive symptoms and neighborhood violence were at increased risk for direct self‐injury, specifically nonsuicidal and suicidal self‐injury. Additionally, adolescents who experienced higher levels of caregiver distress were at greater risk of suicidal self‐injury. In contrast, older adolescents who experienced heightened aggressive behavior were at increased risk for one form of indirect self‐injury, substance use. Findings suggest that nonsuicidal self‐injury, suicidal self‐injury, and substance use are associated with differential risk factors. Implications for targeted prevention strategies are discussed.     

Experiences of child welfare social workers in addressing substance use among maltreated young mothers to prevent child maltreatment

Substance use during the perinatal period and while parenting can pose a significant risk to children's safety and well-being. Mothers who have experienced child maltreatment are more likely to use substances than mothers without a history of maltreatment. This study explores how child welfare social workers experience supporting young, maltreated mothers struggling with substance use to prevent the intergenerational transmission of child maltreatment. Semi-structured in-depth interviews were conducted with four social workers working with young mothers with a history of maltreatment and substance use. Interpretative Phenomenological Analysis revealed two themes: (1) grappling with system challenges and (2) supporting strategies for disrupting intergenerational transmission of child maltreatment. The results highlight the need for systemic changes around support for social workers who work with young mothers who use substances and have a history of maltreatment, and substance use treatment and mental health programs themselves. Mothers need access to prenatal programs that are trauma-informed, non-judgemental and that support participants' basic needs and parenting skills.