Examining the role and functions of self-development in healthcare therapy trainings: A review of the literature with a modest proposal for the use of learning agreements

Many healthcare trainings with a psychodynamic orientation encourage or require students to commit to a process of personal development, such as provided through attending individual psychotherapy and/or an experiential ‘as if therapy’ group. This paper reviews recent literature about training in psychodynamically oriented practices within counselling psychotherapy, psychiatry, the creative arts therapies and clinical psychology. The results indicate that the mandatory personal development dimension of therapy training needs urgent reassessment. Results of studies consistently call for further research about the direct benefits of personal development on students’ development of skills for therapy practice. There is minimal evidence to indicate what self-development through individual psychotherapy can specifically deliver in terms of eventual professional competence. To address some aspects of the current lacuna, this paper summarises the recommendations for training programmes available from the current research, and makes a modest proposal for the use of learning agreements, rather than only mandated hurdle requirements, to ensure that the incremental steps by which the student attains expected requirements is negotiated and agreed within regularised, and widely accepted university course procedures.     

Growth in emotional intelligence. Psychotherapy with a learning disabled girl

This paper describes the once-weekly psychoanalytic psychotherapy of a girl, called Ellie, aged eight at the start of her treatment. Ellie had a learning disability and displayed difficult behaviour at school and at home. In her therapy, Ellie grew in emotional intelligence, more in touch with and able to express her feelings. Her behaviour improved and so did her capacity to learn. In the therapy there were certain limitations to progress and this is discussed in terms of how Ellie's disability affected the basic achievements of emotional development, including a mind with a solid ‘reality ego’, able to contain anxiety, and able to maintain depressive functioning. The importance of parallel parent work, to share observations and understanding of the child's functioning is discussed. Difficulties for both child and parents in dealing with the pain of difference and how this limits emotional intelligence are discussed. The author hopes that this paper will encourage the offering of psychoanalytic psychotherapy to children and young people with learning disabilities, who are significantly more likely to suffer from mental health problems than their peers.     

Structuralism as a philosophy of mathematical practice

This paper compares the statement ‘Mathematics is the study of structure’ with the actual practice of mathematics. We present two examples from contemporary mathematical practice where the notion of structure plays different roles. In the first case a structure is defined over a certain set. It is argued firstly that this set may not be regarded as a structure and secondly that what is important to mathematical practice is the relation that exists between the structure and the set. In the second case, from algebraic topology, one point is that an object can be a place in different structures. Which structure one chooses to place the object in depends on what one wishes to do with it. Overall the paper argues that mathematics certainly deals with structures, but that structures may not be all there is to mathematics. I wish to thank Colin McLarty as well as the anonymous referees for helpful comments on earlier versions of this paper.     

Feedback on reflection: comparing rating-scale and forced-choice formats for measuring and facilitating teacher team reflective practice

This study focused on elements of measurement and feedback for teacher reflective practice. The measurement component examined the use of the Survey of Reflective Practice: A Tool for Assessing Development as a Reflective Practitioner to measure reflective practice and promote reflection, and compared educator responses using rating-scale and forced-choice item formats. The feedback component observed teachers and mentors collaborating to set goals that facilitate growth as a reflective practitioner. Results suggest the instrument can be used to measure and facilitate a teacher team’s level of reflection with one important caveat: our results indicate that there may be a threshold level of reflection necessary before teachers can benefit from the examined collaborative process. In addition, results suggest that the forced-choice item format might help mentors move away from a judging and evaluating mindset to a mindset of thoughtful analysis of the conditions and qualities that most accurately describe the team’s reflective behavior.     

Analysing cycling as a social practice: An empirical grounding for behaviour change

Despite significant national and local efforts over the last decade to stimulate uptake of cycling in the UK, levels of cycling (particularly utility cycling) remain at around 2% of journeys. Understanding of cycling behaviour and subsequent development of interventions has typically been undertaken using an individualist approach, often relying on psychologically based models of behaviour. This paper argues that Social Practice Theory (SPT) may be a valuable addition to practitioner’s toolboxes by providing an alternative means of understanding the complex dynamics between the elements that constitute the practice of utility cycling, allowing it to be considered as a social issue, rather than focusing solely on individual behaviour. This is demonstrated within the paper by the use of SPT to reanalyse quantitative and qualitative datasets that explore views and experiences of both cyclists and non-cyclists. Therein, the practice of utility cycling is described according to its three elements; materials, meaning and competences and the potential benefits of this approach are discussed; particularly its ideological shift away from ‘victim blaming’ and its natural support of interdisciplinary intervention design.     

The learning benefits of teaching: A retrieval practice hypothesis

Teaching educational materials to others enhances the teacher's own learning of those to‐be‐taught materials, although the underlying mechanisms remain largely unknown. Here, we show that the learning‐by‐teaching benefit is possibly a retrieval benefit. Learners (a) solved arithmetic problems (i.e., they neither taught nor retrieved; control group), (b) taught without relying on teaching notes (i.e., they had to retrieve the materials while teaching; teaching group), (c) taught with teaching notes (i.e., they did not retrieve the materials while teaching; teaching without retrieval practice [TnRP] group), or (d) retrieved (i.e., they did not teach but only practised retrieving; retrieval practice group). In a final comprehension test 1 week later, learners in the teaching group, as did those in the retrieval practice group, outperformed learners in the TnRP and control groups. Retrieval practice possibly causes the learning benefits of teaching.     

Effects of interlimb practice on coding and learning of movement sequences

An interlimb practice paradigm was designed to determine the role that visual–spatial (Cartesian) and motor (joint angles, activation patterns) coordinates play in the coding and learning of complex movement sequences. Participants practised a 16-element movement sequence by moving a lever to sequentially presented targets with one limb on Day 1 and the contralateral limb on Day 2. Practice involved the same sequence with either the same visual–spatial or motor coordinates on the two days. A unilateral practice condition (control) was also tested where both coordinate systems were changed but the same limb was used. Retention tests were conducted on Day 3. Regardless of the order in which the limbs were used during practice, results indicated that keeping the visual–spatial coordinates the same during acquisition resulted in superior retention. This provides strong evidence that the visual–spatial code plays a dominant role in complex movement sequences, and this code is represented in an effector-independent manner.     

Counselling and psychotherapy as a form of learning: some implications for practice

This paper explores counselling and psychotherapy as a form of learning. Previous experiences may create distortions in meaning-making perspectives, distortions that create templates for evaluating future experience. These templates act as barriers to being open to experience; thus there is an inability to learn from experience. The process of therapy can provide a learning milieu for the exploration and working through of these barriers, with a potential outcome of a return to learning from experience. It is suggested here that intrinsic to the learning milieu created in therapy there are elements of significant, transformative and emotional learning. Therapy is thus a reparative discourse that facilitates a return to learning from experience. A deconstruction of this concept is provided here as a way of developing the exploration of counselling and psychotherapy as a form of learning.     

Effect of response practice variables on learning spelling and sight vocabulary

Four experiments were conducted to examine variables associated with response practice as an instructional technique for individuals with intellectual disabilities. In Experiment 1, the effect of the cover component in the "cover write" method was evaluated, as were the comparative effects of written versus oral practice of spelling words by rehabilitation clients. The results showed that the cover procedure generally did not enhance performance over and above that produced by practice alone, and written practice generally was not superior to oral practice. Experiment 2 demonstrated that less response practice (i.e., five times) was as effective as more practice (i.e., 10 and 15 times) for teaching spelling to adolescents with developmental disabilities. Experiments 3 and 4 also showed that even less response practice (i.e., one time) was as effective as more practice (five times), and irrelevant practice following errors was as effective as relevant practice for teaching spelling and sight vocabulary to adolescents with behavior disorders and developmental disabilities, respectively. The findings suggest that a parsimonious procedure of limited response practice and positive reinforcement may be effective for the tasks and populations studied.     

A scenario for change: reflective practice for post-ordination professional development

The continuing professional development of ordained ministers is an important concept given the ever-changing nature of ministry and society as a whole. Within such a context, professional development needs to cope with continuous change through reflective practice in order to challenge and renew expertise. The proposed scenario for change seeks to embed reflective practice as the central method for the professional development of ordained ministers, thereby extending reflective practice from training and into the mode of lifelong learning. Components of this approach will include: ? Intentional reflective practice as the central methodology.

? Communities of practice as the central location for reflective practice.

? Facilitation as the central mechanism for reflective practice.

     

A future for community psychology practice

Community psychology has never really looked at its practice as a profession, though many of us as students came to the field with high expectations that we could learn how to make a difference in communities. This article discussed what I think about community psychology practice and how I have tried to approach it. I thank and recognize several people: Paul Florin for his colleagueship, friendship and his contributions to what I have done in the field; Tom Wolff for never letting me give up on the field; Bob Newbrough for his consistent support, encouragement and as my teacher; and Julian Rappaport for his comments on an earlier draft. I thank my colleagues at Rutgers for helping make the dream come true. This article is dedicated to students, past, present, and future.     

ePortfolio as a tool for reflection and self-reflection

The request and promotion of reflection begins with an analysis of one’s own understanding of education and learning as well as the connection of reflection and self-reflection and the competence development of students. A self-reflective attitude should be promoted early on by encouraging students to understand (reflection), to evaluate (evaluation), and, if necessary, to adapt (regulation) their own learning behavior. To encourage reflection, self-reflection, and competence development, the use of an ePortfolio can provide a valuable contribution. However, the implementation process of an ePortfolio for pre-service teachers remains a debated method. This research paper investigates the impact and sustainability of an ePortfolio-implementation regarding students’ competence development and reflection skills in a Master’s Program for Business Education and Development (BED). The survey was conducted between October 2011 and June 2014 (n = 811) and consists of six sequential questionnaires. The students assessed the positive impact on their (self-)reflection. When being asked about their most distinctive competences, students’ responses emphasize their previous ePortfolio-sessions, thus indicating a positive impact of the ePortfolio on students’ self-perceived competences.     

Motor learning without physical practice: The effects of combined action observation and motor imagery practice on cup-stacking speed

In this study we explored training effects for combined action observation and motor imagery (AO + MI) instructions on a complex cup-stacking task, without physical practice. Using a Graeco-Latin Square design, we randomly assigned twenty-six participants into four groups. This counterbalanced the within-participant factor of practice condition (AO + MI, AO, MI, Control) across four cup-stacking tasks, which varied in their complexity. On each of the three consecutive practice days participants experienced twenty trials under each of the three mental practice conditions. On each trial, a first-person perspective video depicted bilateral cup-stacking performed by an experienced model. During AO, participants passively observed this action, responding only to occasional colour cues. For AO + MI, participants imagined performing the observed action and synchronised their concurrent MI with the display. For MI, a sequence of pictures cued imagery of each stage of the task. Analyses revealed a significant main effect of practice condition both at the ’surprise’ post-test (Day 3) and at the one-week retention test. At both time points movement execution times were significantly shorter for AO + MI compared with AO, MI and the Control. Execution times were also shorter overall at the retention compared with the post-test. These results demonstrate that a complex novel motor task can be acquired without physical training. Practitioners can therefore use AO + MI practice to supplement physical practice and optimise skill learning.     

A latent trait theory via a stochastic learning theory for a knowledge space

To capture the cognitive organization of a set of questions or problems pertaining to a body of information, Doignon and Falmagne have proposed, and analyzed in a number of papers, the concept of aknowledge space, that is, a distinguished collection of subsets of questions, representing the possibleknowledge states. This collection of sets is assumed to satisfy a number of conditions. Since this concept is a deterministic one, the problem of empirical testing arises. A stochastic version of a knowledge space is developed in this paper, in which the knowledge states are considered as possible epochs in a subject's learning history. The knowledge space is decomposed as a union of a number of possible learning paths, calledgradations. The model specifies how a subject is channelled through and progresses along a gradation. A probabilistic axiom of the local indepencence type relates the knowledge states to the observable responses. The predictions of this model are worked out in details in the case of parametric assumptions involving gamma distributions. An application of the model to artificial data is described, based on maximum likelihood methods. The statistical analysis is shown to be capable of revealing the combinatoric core of the model.This work was supported by NSF grant IST-8418860 and ARI grant DAAG29-84-G-0083 to New York University. I am grateful to Jean-Paul Doignon, Mathieu Koppen, Geoff Iverson and Michael Landy for their reactions to previous drafts of this paper, to Michael Villano for carrying out the computer simulation and the analysis of the simulated data, and especially to one referee for his very useful comments.     

Commentary on Three Articles on Self‐practice/Self‐reflection in Cognitive‐Behavioural Therapy

The commentary embraces three valuable contributions to the development of professional practice: (a) engagement with self‐practice/self‐reflection as a professional self‐development: the role of therapist beliefs; (b) spontaneous self‐practice of cognitive‐behavioural therapy (CBT) by aboriginal counsellors during and following CBT training: a retrospective analysis of the facilitating conditions and impact; (c) developing metacompetence in low intensity CBT interventions: evaluating a self‐practice/self‐reflection programme for experienced low intensity CBT practitioners. Each article provides different perspectives of the self‐practice and self‐reflection benefits for efficient therapy and their use as powerful resources in therapeutic training skills in general and CBT in particular. Conclusions of their contributions close the commentary.     

Not just for special occasions: supporting the professional learning of teachers through critical reflection with audio-visual information

Despite increased use of professional learning communities in the teacher education field, they do not necessarily guarantee change in teachers’ daily practice. This study is a multiple case study of three school leaders in Vietnam to connect their teachers’ learning and practice by utilising visual records. In the cases studied, we see a progression of models of joint reflection based on visual information, from only occasional reflection to daily critical reflection, the latter of which the authors call ‘vide-flection’ referring to a process for people to consider their actions, thoughts, or experiences by utilising video-recorded images. For joint vide-flection, school leaders visit every classroom for several minutes every day to observe the wellbeing and learning of pupils and video-record struggles or breakthroughs in children’s learning; they share those images with teachers to jointly reflect on the situations. Through this vide-flection, teachers develop more detailed awareness of pupils needs.     

A learning system for adjustment processes based on human sensory perceptions

Creating, designing and adjusting products are essential decision processes underlying creative industries, such as painting, perfume, food and beverage industries. These processes require the participation and continuous supervision of professionals with highly-developed expert sensory abilities. Training of these experts is very complex due to the difficulty of transmitting intuitive knowledge obtained from perception. A new methodology for capturing this sensory expert knowledge that relies on a machine learning tool, previously trained with ‘state-action’ type patterns, jointly with an actions generator module, is proposed in this work. The method is based on a closed loop architecture together with the decomposition of complex sensory knowledge into basic elements capable of being handled by standard machine learning systems. A real case application to color-adjustment in the automotive paint manufacturing industry is presented showing the potential benefits of the method.     

Creating a dialogic space for prospective teacher critical reflection and transformative learning

This research highlights the pedagogical significance of dialogic spaces in supporting critical reflection and transformative learning among prospective teachers in the United States. It finds that, with elucidation of the multiple voices and texts from prospective teachers’ field experience, teacher educators can stimulate deep reflection to springboard transformative learning. It also finds that ePortfolios have strong potential to support a dialogic approach to reflection. However, it is also clear that, absent systematic observation and careful follow-up dialogue, the potential to move from reflection to transformative learning is limited. The findings will help teacher educators rethink the design and practice of supervision with ePortfolios, reinforcing that critical dialogue between the supervisor and the prospective teachers is key to supporting prospective teachers’ critical reflection and transformative learning, and to improving their teaching practice.     

The Good Behavior Game: a best practice candidate as a universal behavioral vaccine

A behavioral vaccine provides an inoculation against morbidity or mortality, impacting physical, mental, or behavior disorders. An historical example of a behavioral vaccine is antiseptic hand washing to reduce childbed fever. In current society, issues with high levels of morbidity, such as substance abuse, delinquency, youth violence, and other behavioral disorders (multiproblems), cry out for a low-cost, widespread strategy as simple as antiseptic hand washing. Congruent research findings from longitudinal studies, twin studies, and other investigations suggest that a possibility might exist for a behavioral vaccine for multiproblem behavior. A simple behavioral strategy called the Good Behavior Game (GBG), which reinforces inhibition in a group context of elementary school, has substantial previous research to consider its use as a behavioral vaccine. The GBG is not a curriculum but rather a simple behavioral procedure from applied behavior analysis. Approximately 20 independent replications of the GBG across different grade levels, different types of students, different settings, and some with long-term follow-up show strong, consistent impact on impulsive, disruptive behaviors of children and teens as well as reductions in substance use or serious antisocial behaviors. The GBG, named as a best practice for the prevention of substance abuse or violent behavior by a number of federal agencies, is unique because it is the only practice implemented by individual teachers that is documented to have long-term effects. Presently, the GBG is only used in a small number of settings. However, near universal use of the GBG, in major political jurisdictions during the elementary years, could substantially reduce the incidence of substance use, antisocial behavior, and other adverse developmental or social consequences at a very modest cost, with very positive cost-effectiveness ratios.