Reflecting on Reflection in Clinical Social Work: Unsettling a Key Social Work Strategy

• Published in: The British journal of social work Vol. 54; no. 6; pp. 2642 - 2660
• Main Authors: Occhiuto, Katherine, Tarshis, Sarah, Todd, Sarah, Gheorghe, Ruxandra
• Format: Journal Article
• Language: English
• Published: Oxford University Press 01.09.2024
• Subjects: clinical social work; simulation-based research; reflection; critical reflection; uncertainty; simulation
• ISSN: 0045-3102; 1468-263X
• DOI: 10.1093/bjsw/bcae052

Abstract This study calls into question some of assumptions within social work education and practice regarding the transformational potential of reflection-on-practice. Participants (n = 34) in this simulation-based study each engaged in two clinically focused simulations, each followed by an interview which included observing segments of their video-recorded simulations. The objectives of this study are to make some sense of the misalignments between participants’ post-simulation reflections of their practice behaviours, and the practice behaviours observed by the research team, and later by participants themselves. Findings illustrate that: (i) how clients and the session are understood in the moment can be different than how they are understood post-client engagement; (ii) reflections of practice behaviours can be tied to how individuals want to be, which are not necessarily aligned with how they are in the moment; and (iii) reflections are intertwined with awareness of oneself. These results identify some of the limitations of individualised reflective activities, and demonstrate the powerful potential of collective reflection on recordings of simulations to challenge memory distortions, retrospective biases and to promote greater accountability to ourselves as social workers, and to those we work with.