Department of Applied Social & Psychological Development, Canterbury Christ Church University, Kent, UK.
Clin Psychol Psychother. 2010 Sep-Oct;17(5):427-37. doi: 10.1002/cpp.660.
Given the importance of reflective practice within clinical psychology and a lack of empirical research, this study aimed to investigate the personal and professional impact of reflective practice groups (RPGs) for former trainees.
This study followed an analytic survey design utilizing a convenience sample of qualified clinical psychologists from a UK training programme.
A RPG questionnaire (RPGQ) was developed for the purposes of the study. Following initial pilot work, 297 qualified psychologists were invited to complete the RPGQ.
One hundred and twenty-four psychologists (42%) completed the RPGQ. Factor analysis yielded two underlying constructs labelled 'value' and 'distress'. The RPGQ demonstrated significant internal and test-retest reliability. The majority rated the RPGs as valuable for personal and professional development and learning about group processes. Just under half however reported distress as a result of the groups. Whilst some trainees, who reported distress, were able to view the challenges positively, one-sixth were not. Potency of facilitation and group size significantly predicted levels of perceived value and distress.
In view of the ethical issues raised by compulsory RPGs, recommendations were made to keep group sizes within an average of 10-13, utilize facilitators with sufficient training in group processes and ensure additional methods of reflective practice development are available. Further suggestions and recommendations for future research in relation to coping and personal learning style were also made.
鉴于反思实践在临床心理学中的重要性，以及缺乏实证研究，本研究旨在调查反思实践小组（RPG）对前培训生的个人和职业影响。
本研究采用分析性调查设计，利用英国培训计划中合格临床心理学家的便利样本。
为研究目的开发了 RPG 问卷（RPGQ）。在初步试点工作之后，邀请 297 名合格心理学家完成 RPGQ。
124 名心理学家（42%）完成了 RPGQ。因素分析得出两个潜在的结构，分别标记为“价值”和“困扰”。RPGQ 表现出显著的内部和重测信度。大多数人认为 RPG 对个人和职业发展以及对团体过程的学习很有价值。然而，近一半的人报告说由于小组而感到困扰。虽然一些报告困扰的学员能够积极看待挑战，但有六分之一的学员则不然。促进的效力和小组规模显著预测了感知价值和困扰的水平。
鉴于强制性 RPG 引发的伦理问题，建议将小组规模保持在平均 10-13 人之间，利用在团体过程方面受过充分培训的促进者，并确保提供其他反思实践发展方法。还就应对和个人学习风格提出了进一步的建议和未来研究的建议。
