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Reflecting teams with children: the bear necessities
Glenda Fredman1, Deborah Christie, Ndibeer Bear
1Department of Clinical Psychology, Camden and Islington Mental Health and Social Care Trust, London, UK. glenda.fredman@blueyonder.co.uk
Insights
This study explores ethical challenges in child therapy, offering practical strategies for therapists and parents. A playful approach using a toy bear in reflecting teams helps children and families express diverse perspectives safely.
Area of Science:
- Child Psychology
- Family Therapy
- Clinical Ethics
Background:
- Addressing ethical dilemmas in child-inclusive therapy is crucial.
- Therapeutic settings must foster children's feelings of being heard and validated.
- Facilitating expression for children who struggle with verbalization presents unique challenges.
Purpose of the Study:
- To identify and address five key ethical dilemmas in child and family therapy.
- To provide practical methods for incorporating children's perspectives respectfully.
- To enhance communication and coordination between children and adults in therapeutic contexts.
Main Methods:
- Weaving research findings with clinical practice to explore ethical issues.
- Presenting a case example with session transcripts to illustrate methods.
- Utilizing a toy bear within a reflecting team as a therapeutic tool.
Main Results:
- A toy bear in a reflecting team facilitated a 10-year-old girl and her parents voicing and understanding differing perspectives.
- The method created a safe space for expressing diverse views.
- Parents found the playful approach beneficial for inter-familial communication.
Conclusions:
- The playful reflecting team approach, using a toy bear, effectively addresses ethical dilemmas in child therapy.
- This method promotes respectful dialogue and mutual understanding between children and adults.
- The article offers valuable insights for therapists, staff, and parents engaging in child-focused therapeutic practices.
Abstract:
This article weaves research findings and clinical practice to address five ethical dilemmas: How to include children in sessions so that they feel listened to, appreciated and not judged; how to attend to children's feelings without making the focus solely their troubles; how to create a context in which children can express themselves when they cannot find the words; how to ensure a suitable time, place and relationship for talking; and how to create a safe context for respectful co-ordination between the different views of children and adults. A practical example including transcripts from sessions is presented. The authors show how a toy bear joining two therapists in a reflecting team can create opportunities for a 10-year-old girl and her parents to voice their different views and hear the different perspectives of each other. The parents, who generously agreed to share details of their family sessions, offered useful feedback on this write-up, suggesting that this article may be useful for staff and parents who join therapists in a playful approach to reflecting teams with children.
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