the role of critically reflective practice in working with child sexual abuse siobhan maclean writer...

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THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

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Page 1: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING

WITH CHILD SEXUAL ABUSE

Siobhan Maclean

Writer and independent social worker

Page 2: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

Reflective practice / critical reflection : what is it?

• Process of review to inform learning (eg: Schon, Reid etc)

• Active, persistent and careful consideration of any belief or supposed form of knowledge (Dewey 1933)

• Mental process of trying torestructure existing knowledge and insights(Korthagen 2001)

Page 3: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

Critically reflective practice: key components

Rethinking / deconstructing power Awareness of values and implications for practice Exploring emotions / emotional

intelligence Drawing on knowledge / developing

knowledge and practice wisdom

Self awareness Creating uncertainty through dynamic

questioning – willingness to live with that uncertainty 3

Page 4: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

Child Sexual Abuse: key issues

Power and powerlessness Changing societal values Emotional impact / distress Developing / emerging knowledge Impact of personal experiences / values (self awareness) More questions than answers (uncertainty)

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Page 5: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

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Page 6: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

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POWERVALUESEMOTIONSKNOWLEDGESELF AWARENESSUNCERTAINTY

Page 7: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

Reflective Practice: Power

• Fook – critically reflective practice• Deconstruction of ‘realities’ with a

focus on power dynamics

Is sexual abuse about sex or

about power?

What are the power dynamics

in each situation – individual,

organisational, cultural,

societal?

Who is making decisions?

Page 8: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

Reflective Practice: Self Awareness

How did you find out about

sex?

How do you feel about sex?

How do you use your “self” in

your work?

Personal process relies on personal awareness

Page 9: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

Distress and emotions

Reflection and self awareness are key aspects of emotional intelligence – “keeping distress from swamping the ability to think, to empathise and to hope” (Goleman 1996)

How does a practitioner

manage emotional distress

and avoid the potential for

helplessness?

Is supervision sufficiently

emotionally supportive?

Page 10: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

Drawing on Knowledge

Knowledge is fixed and creates limitations to the way that we see things……Knowledge is time, context and societally and culturally specific..

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When was child sexual

abuse first raised as an

issue?

Page 11: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

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Freud’s Seminar ‘The Ateology of Hysteria’ (1896)

“Almost all of my women patients told me that they had been seduced by their father. I was driven to recognize in the end that these reports were untrue and so came to understand that the hysterical symptoms are derived from phantasies and not from real occurrences…… It was only later that I was able to recognizein this phantasy of being seduced bythe father the expression of the typical Oedipus complex in women.”

(Sigmund Freud 1933)

Page 12: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

Reflective processes can potentially unearth any assumptions about anything…. Some crucial but hitherto deeply hidden assumptions may be uncovered. (Fook 2004: 59)

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Do reflective processes

bury as much as they

unearth ?

Page 13: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

The earth was flat……….

Page 14: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

Child sexual abuse didn’t happen….

Sula Wolff (1973)Seminal text

No mention of child sexual abuse

Page 15: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

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10 years on…..Judith Herman

“This distributing fact…. Has been repeatedly unearthed in the past hundred years, and just as repeatedly buried….. The information was simply too threatening to be maintained in public consciousness.” (1982:7)

Page 16: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

• Women don’t abuse…• Where they do they have been coerced

or controlled by men….

Critically reflective practice recognises that there is no truth and that we need to be open to all possibilities…..An ability to “imagine” or thinkbeyond knowledge

We talk about the realities of

childhood sexual abuse – but how do

we “know” what they are?

Page 17: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

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Page 18: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

Difficulties / barriers

Time constraints Striving for certainty Evidence based practice Reflective practice can be painful and

create a crisis of confidence Organisational constraints Lack of reflective supervision Lack of clarity about reflective

practice

Page 19: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

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Dangers in Reflection• Reflecting into a void and seeing

only what we want, can take or believe....

Page 20: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

Reflexive spaghettiBurnham (1993)

Reflecting on reflections about reflections….

Ties us up and prevents action

Page 21: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

Characteristics of a reflective practitioner (Brookfield 1998)

• Assumption analysis : challenging our own beliefs and values

• Contextual awareness : recognition of social construction of beliefs and practice

• Imaginative speculation: ability to imagine a different way

• Reflective Scepticism: Challenging or suspending existing knowledge and beliefs

Page 22: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

So what can be done? (Individual level)

Find a model of reflective practice which you are comfortable with – this will vary for each practitioner

Seek out “critical friends” Develop awareness of what is

impacting on reflections Don’t avoid the questions – but

likewise don’t delay actions

Page 23: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

So what can be done? (Organisational / societal

level)

Critically reflective organisations (Munro)

Challenging powerEducate children and young

people to critically reflect

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Page 24: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker
Page 25: THE ROLE OF CRITICALLY REFLECTIVE PRACTICE IN WORKING WITH CHILD SEXUAL ABUSE Siobhan Maclean Writer and independent social worker

Siobhan MacleanKirwin Maclean Associates

[email protected]