脆弱的客户:在临床心理学学员的监督过程中,对身份构造的定位分析
Samantha Schubert1, Lynn V Monrouxe2, Niels Buus3
1Clinical Psychology Unit, School of Psychology, Faculty of Science, University of Sydney, Camperdown, New South Wales, Australia.
Medical education
|September 14, 2023
概括
临床心理学实习生经常将客户定位为脆弱的,加强了父式关怀. 这项研究揭示了监督语言如何塑造治疗师和客户身份,阻碍以人为中心的护理改革.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 社会心理学 社会心理学
背景情况:
- 西方精神卫生改革强调以人为中心的护理.
- 临床医生,包括临床心理学家,需要与这些改革保持一致的专业身份.
- 职业身份的发展是通过社会化发生的,特别是在监督中.
研究的目的:
- 检查临床心理学实习生和监督员在监督期间如何为自己和客户构建身份.
- 在临床心理学培训中阐明治疗师和客户身份建设的过程.
主要方法:
- 利用定位分析来研究监督互动中的身份构造.
- 分析了12次监督会议的音频录音和成绩单,其中包括4名监督员和12名实习生.
- 专注于日常互动中的语言选择和社会定位.
主要成果:
- 客户经常在语言上被定位为脆弱.
- 这种脆弱的客户身份与临床心理学家共同发生,声称负责管理客户痛苦.
- 监督者积极为这些语言定位做出了贡献,学员很少对这些定位提出质疑.
结论:
- 在语言上将客户定位为脆弱,使父权主义的临床话语延续,与心理健康改革目标相冲突.
- 监督语言和组织力量动态影响了这些身份的构建.
- 在临床心理学教育和实践中需要有意的努力,以培养支持以人为中心的护理和避免父权主义的专业身份.
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