Reflecting on a journey of resilience in children’s blood and cancer nursing

Reflective practice is recognised as an integral part of being a highly skilled and successful health care professional. Many benefits have been identified from being a reflective practitioner including the opportunity for critical thinking, growing self-awareness and supporting individual resilience. There is a growing body of literature recognising the negative emotional impact that caring for children with cancer and blood disorders can have on health professionals. Currently there is an emerging interest in a more strengths-based approach focused on maintaining staff wellbeing. Resilience has been suggested as a framework for coping and maintaining wellbeing in areas, like children’s oncology and has been used as a term to describe the ‘surviving’ health professional. This paper explores the first author’s (GA) experiences of being a children’s oncology nurse and paediatric palliative care nurse specialist in the context of existing empirical and theoretical literature, with a particular focus on how GA developed resilience. Reflective examples of practice are used within the context of themes identified from a recent literature review exploring how resilience is defined within empirical literature.     

Control of impulsive emotional behaviour through implementation intentions

Past research has established that people can strategically enhance or override impulsive emotional behaviour with implementation intentions (Eder, Rothermund, & Proctor, 2010). However, it is unclear whether emotional action tendencies change by intentional processes or by habit formation processes due to repeated enactment of the intention (or both). The present study shows that forming implementation intentions is sufficient to modulate emotional action tendencies. Participants received instructions about how to respond to positive and negative stimuli on evaluation trials but no such trials were actually presented. Results showed that merely intending to approach and avoid affective stimuli influenced emotional action tendencies in a modified affective Simon task in which affective valence was irrelevant. An affective Simon effect (i.e., faster reactions when the valence of the stimulus corresponded with the valence of the movement) was observed when participants intended evaluations with affectively congruent responses (i.e., positive–approach, negative–avoid); in contrast, the effect was reversed in direction when participants planned evaluations with incongruent responses (i.e., positive–avoid, negative–approach). Thus, implementation intentions can regulate implicit emotional responses even in the absence of possible habit formation processes. Implications for dual-system accounts of emotion regulation are discussed.     

Self-reported reflective functioning and father–child interactions in a sample of fathers who have used intimate partner violence

Reflective functioning (RF) has been found to be associated with mother–child interactions, but less is known about the association of fathers’ self and child-focused RF and father–child relationships.  Fathers who have histories of intimate partner violence (IPV) are known to have poor RF, which may impact their father–child interactions.  The current study was designed to examine how types of RF are associated with father–child relationships.  Pretreatment assessments and recorded, coded father–child play interactions were used to examine associations among fathers’ history of adverse childhood experiences (ACES), RF and coded father-child play interactions in a sample of 47 fathers with a history of IPV use in the last 6 months with their coparent.  Fathers’ ACES and their child's mental states (CM) were associated with father-child dyadic play interactions.  Fathers with greater ACES and higher scores on CM had the most dyadic tension and constriction during play interactions.  Those with high ACES but low CM had scores similar to those with low ACES and low CM.  These results indicate that fathers who have used IPV and have a history of significant adversity may benefit from interventions to increase their child-focused RF and further improve their interactions with their children.     

The influence of the media on practice in mental health: a bricolage of a single case study

This paper has its genesis in the convergence of two individuals’ interests – one with a long-standing interest in representations of mental health and one with an interest in the use of bricolage as a research approach. These interests converged around the ways in which mental health care practitioners might react to and subsequently reflect on images of mental health they came across in the media. A bricolage was developed relating to newspaper coverage of a homicide carried out by someone with a mental health problem. The bricolage draws on the assumption that practitioners will have immediate reactions to material they come across, take a more considered overview of this material, and subsequently attempt to contextualize this reflection in terms of academic literature. The bricolage as presented mirrors this process for an experienced practitioner. Suggestions are made concerning the use of newspaper reports on mental health, to enable both novice and experienced practitioners to gain vicarious experience through reflection on these reports.     

Gaining insight into a novice teacher’s initial journey through reflective practice

This small-scale case study conducted in Trabzon, Turkey, aimed at uncovering the attitude of a tertiary-level novice teacher towards reflective practice in English as a foreign-language setting. The data were derived from the pre- and post-study interviews with the novice teacher, her reflective papers on her audio-recorded lessons, her classroom observation notes about the experienced teacher and the informal researcher observations. The researchers’ role was to design the process, familiarise the teacher with the focus of reflection, conduct the interviews, analyse and interpret the reflective papers of the teacher. The results show that reflective practice may be challenging in terms of emotions for a novice teacher as it may be hard to confront an outsider’s view. The results point to beneficial impact of the self-initiated reflection on the way to teachers’ continuous professional development.     

Is reflective practice an essential component of becoming a professional teacher?

This paper explores the concept of reflective practice and its role in the professionalisation of student teachers. There is an examination of the requirements to become a qualified teacher and how these requirements have determined practice. After looking at the recent evolution of state requirements for initial teacher education, in England, it investigates the place of reflective practice within that process and to what extent reflective practice is still needed to become a teacher. It presents the different interpretations of reflective practice and the role of professionalism in the journey to qualified teaching status (QTS).     

Knowledge as aptness

I raise several objections to Sosa’s account of knowledge as aptness. I argue that aptness is neither necessary nor sufficient for knowledge. I also raise some objection to Sosa’s treatment of dreaming skepticism.

Knowing full well: the normativity of beliefs as performances

Belief is considered a kind of performance, which attains one level of success if it is true (or accurate), a second level if competent (or adroit), and a third if true because competent (or apt). Knowledge on one level (the animal level) is apt belief. The epistemic normativity constitutive of such knowledge is thus a kind of performance normativity. A problem is posed for this account by the fact that suspension of belief seems to fall under the same sort of epistemic normativity as does belief itself, yet to suspend is of course precisely not to perform, certainly not with the aim of truth. The paper takes up this problem, and proposes a solution that distinguishes levels of performance norrmativity, including a first order where execution competence is in play, and a second order where the performer must assess the risks attendant on issuing a first-order performance. This imports a level of reflective knowledge that ascends above the animal level.

The hedgehog and the Borg: Common morality in bioethics

In this commentary, I critically discuss the respective views of Gert and Beauchamp–Childress on the nature of so-called common morality and its promise for enriching ethical reflection within the field of bioethics. Although I endorse Beauchamp and Childress’ shift from an emphasis on ethical theory as the source of moral norms to an emphasis on common morality, I question whether rouging up common morality to make it look like some sort of ultimate and universal foundation for morality, untouched by the dialectics of time and reflective equilibrium, was an equally good move. As for Gert’s magisterial conception of common morality, I conclude that certain elements of his system are controversial at best and woefully inadequate at worst. He has a tendency to find in common morality what he himself put there, and his highly restricted conception of duties of assistance strikes this reader as ad hoc, inadequately defended, and unworthy of a project whose goal is to lessen the amount of misery in the world.

Using Visual Journaling in Individual Counseling: A Case Example

The purpose of this article is to describe and illustrate through a hypothetical case example how visual journaling, a form of expressive arts counseling, can be adapted for use in individual counseling. Counselors may consider using visual journaling as a counseling intervention when working with clients who may not have words for what they are feeling or experiencing, and for clients who tend to be very analytical. Visual journaling can be a way to bypass the intellect and give clients another way to access their experience.