Comment on Björn Sahlberg’s paper

This paper is a comment on Björn Sahlberg’s paper on the function of training analysis in the Swedish psychoanalytic association and discusses some aspects of the candidates’ personal analysis and supervision. The paper further suggests some possible sources for inspiration and perspective on organizational and educational issues, for example taking an interest in the epistemology of professions, in what the concept of ‘reflection-in-action’ could mean in the training situation, or in empirical research about the educational models and the practice of psychoanalysis.     

IS REFLECTIVE SUPERVISION ENOUGH? AN EXPLORATION OF WORKFORCE PERSPECTIVES

Infant mental health practice requires the performance of intense emotional labor. Professionals comprising the infant mental health (IMH) field are largely women at seminal points in adult life‐span development. The purpose of this article is to explore the day‐to‐day challenges faced by clinical infant mental health professionals and their perspectives on the supports available for effective job performance. We review reflective supervision as a long‐cherished professional support in the IMH field designed to hold the practitioner's fears, worries, and ambivalence, so that she may return to the work fortified to remain in therapeutic alliance with families despite unsolvable problems and an unknowable future (Weatherston, D., 2009). Yet, we propose that reflective supervision alone may not be an adequate protective measure for a workforce performing intensive emotional labor for extended periods and therefore at potentially increased risk for burnout and high turnover (Hochschild, A.R. 1983 ; C. Maslach, 1982 , C.M. Brotheridge & A.A. Grandey, 2009; A.S. Wharton, 2009 ). We suggest that structural factors concerning organizational culture, flexibility in scheduling, and professional growth and versatility bear deeper examination for their merits in supporting the IMH workforce. Finally, we contend that the overrepresentation of women in practitioner positions in IMH leaves an empirical gap where little is known about the experience of male IMH practitioners and the ramifications of their performance of emotional labor.     

MEASURING REFLECTIVE SUPERVISION WITHIN HOME VISITING: CHANGES IN SUPERVISORS’ SELF‐PERCEPTION OVER TIME

Despite widespread belief in the early childhood field of the benefits of reflective supervision, there has been limited empirical evidence to support the effectiveness of reflective supervision for home visitors and the children and families they serve. The present study examined the psychometric properties of four adapted self‐report measures assessing supervisors’ reflective supervision capacities; the study also investigated whether these measures captured change in reflective capacity over time as supervisors participated in professional development activities focused on reflective supervision. Results from 33 participants (home visiting supervisors and program managers) suggested that three of the four measures demonstrated acceptable internal consistency, and these three measures were correlated with each other. Two of these measures also captured significant change over time. Finally, there was some evidence that those with less education demonstrated more substantial improvement in their reflective supervision capacities than did those with an advanced degree. Findings provide initial evidence for reliable, efficient, and cost‐effective supervisor self‐report measures that could be used in research and program evaluation to assess change in supervisor reflective capacity over time.     

So many lifetimes locked inside: reflecting on the use of music and songs to enhance learning through emotional and social connection in Trainee Clinical Psychologists

Music is universal; it can provide a common language that speaks from the heart enabling others to connect with the private felt experiences of others regardless of differences within or between people. This ability to empathise with, and understand, the position of others from differing backgrounds is an important competency within the therapeutic work of Clinical Psychologists. There are many facets to diversity just as there are many facets to music. Diversity in music genres can reflect diversity in people. Indeed, there is music to cater for all tastes, cultural/ethnic backgrounds, gender, age and generations with listening often being guided by individual preferences. In the United Kingdom training to become a Clinical Psychologist consists of a university-based 3-year full time professional research doctorate funded through the National Health Service. Trainees work on placements 3 days a week and attend university for academic and research teaching 2 days a week. As part of the academic programme, Trainees undertake experiential learning through workshops and methods such as Problem-Based Learning (PBL). One of the PBL exercises is based on a typical referral within an Adult Mental Health (AMH) service. For the AMH PBL exercise music is used to enhance trainees’ ability to connect emotionally with the personhood of referrals, consider associated complexities, and to reflect on personal and professional boundaries and reflective practice during training and beyond. This paper reflects on the utility of music and songs to enhance the learning experience.     

Learning and growing from ‘communities of practice’: autoethnographic narrative vignettes of an aspiring educational researcher’s experience

This is an autoethnographic study that inquiries into my own journey as an aspiring educational researcher throughout the second course of my Master’s Program at the University of Gothenburg in Sweden. My experiences take place in the context of a group of real educational researchers and their on-going research project at the faculty of education called ‘Beyond Plant Blindness: Seeing the importance of plants for a sustainable world’ (BPB). All of the experiences included in this study are expressed in the form of chronologically ordered narrative vignettes. In order to bring theoretical meaning to these experiences, the vignettes were critically reflected upon and interpreted through the concept Communities of Practice (CoP), which is central to situated learning theory. Through this conceptual lens, my experiences revealed that an aspiring educational researcher may feel emotional and intellectual growth as a newcomer who is granted legitimate peripheral participation in the ‘real’ researcher CoP. Consequently, this study sheds light on ways that real researchers may play a part in shaping the identities of aspiring educational researchers through learning experiences. However, more generally, this study may facilitate fresh conversations about the complexities of learning, identity, and inclusion in the field of educational research.     

Introducing dental students to reflective practice: a dental educator’s reflections

There is growing consensus that being reflective and developing reflective practice is an important part of becoming a healthcare professional, adding to and enhancing our everyday professional values, knowledge and skills. For dentists, reflective practice is an essential part of dental training and professional development with dental undergraduate curricula creating and scaffolding opportunities for students to be reflective and develop reflective writing skills. This article describes the introduction of a reflective portfolio to the undergraduate Bachelor of Dental Science (BDS) programme at the University of Bristol. This will be followed by the author sharing some personal reflections, as the faculty member overseeing the assessment of these reflective portfolios, on the first year of this initiative. Lessons learned from the exercise as well as areas for future work and improvement will also be mentioned.     

Conceptual Metaphors in Internship: Creative Journeys in Counselor Development

The use of metaphors is considered a cognitive and affective process in which individuals can creatively explain and understand unfamiliar experiences. Through the Metaphor Identification Procedure, 453 metaphors were identified within semester-long reflective journals from 49 students enrolled in a clinical mental health internship course. Six overarching categories resulted, highlighting creativity used in processing, understanding, and describing events within internship. Implications for supervision and counselor education are provided.     

Noncognitive factors in high-road/low-road learning: I. Modes of abstraction in adulthood

Since the termscognition andcognitive are broadly used but not clearly defined, it may be helpful to clarify what is meant bynoncognitive factors. In cognitive science, the termscognition andcognitive generally describe mental processes that are informational insofar as they carry information about the organism's own body and the material world. Thus defined, there are three sorts of noncognitive organismic factors important in adult learning:affective processes, self-developmental processes, andhardware factors (i.e., noninformational, purely organismic constraints such as mental capacity/working memory limitations, gestaltist field factors, etc.). In this series of papers, we attempt to show how these noncognitive factors interact with cognitive factors to facilitate adult learning. We outline and give reference to a dialectical constructivist (neoPiagetian) model of the psychological organism that integrates noncognitive with cognitive factors and that can serve to explicate the findings of the literature and to process/task analyze adult learning. An important aim is the integration of the findings of decline and regression from the cognitive literature with the findings regarding the increase in self-directedness reported by adult education theorists. This is explicated through a process-analytic account of the will, particularly as it pertains to noncognitive factors. In Part II, we continue our explication of a dialectical model of the ego and conclude with a discussion of modes of learning/instruction in adulthood.     

Savoring interventions for mothers of young children: Mechanisms linking relational savoring and personal savoring to reflective functioning

Parenting interventions can improve parenting outcomes, with widespread implications for children's developmental trajectories. Relational savoring (RS) is a brief attachment-based intervention with high potential for dissemination. Here we examine data from a recent intervention trial in order to isolate the mechanisms by which savoring predicts reflective functioning (RF) at treatment follow-up through an examination of the content of savoring sessions (specificity, positivity, connectedness, safe haven/secure base, self-focus, child-focus). Mothers (N = 147, M_age = 30.84 years, SD_age = 5.13; Race: 67.3% White/Caucasian, 12.9% other or declined to state; 10.9% biracial/multiracial, 5.4% Asian, 1.4% Native American/Alaska Native, 2.0% Black/African American; Ethnicity: 41.5% Latina) of toddlers (M_age = 20.96 months, SD_age = 2.50; 53.5% female) were randomized to four sessions of RS or personal savoring (PS). Both RS and PS predicted higher RF, but through different means. RS was indirectly associated with higher RF through greater connectedness and specificity of savoring content, while PS was indirectly associated with higher RF through greater self-focus in savoring content. We discuss the implications of these findings for treatment development and for our understanding of the emotional experience of mothers of toddlers.     

Self-report measure of parental reflective functioning: A study of reliability and validity across three samples of varying clinical risk

The Parental Reflective Functioning Questionnaire (PRFQ) provides an efficient way to measure a parent's capacity to recognize their child's mental states and to understand the relationship between underlying mental states and behavior. To date, limited work evaluates its psychometric properties beyond initial validation studies. Here we examined the reliability and validity of the PRFQ in three samples of varying clinical risk (e.g., community sample, previous mental health diagnosis, substance use disorder diagnosis). Across samples, the majority (e.g., 75%–78%) of mothers identified as White; all mothers were from the USA. We compared the PRFQ to task-based measures of mentalization, the Parent Development Interview (PDI), and measures of the parent-child relationship. The PRFQ was a reliable measure across samples, and it was associated in theoretically consistent ways with task-based measures of mentalization. Parental RF across the PDI and PRFQ were not highly correlated in a sample of mothers with substance use disorders. Existing RF measures may be tapping into a different component of the broader construct of parental reflective functioning (PRF). The PRFQ was further validated by demonstrating relationships with parent-report measures of the parent-child relationship. Taken together, these findings provide additional support for the reliability and validity of the PRFQ.