McDermott Dennis
a Office of Indigenous Strategy and Education , La Trobe University , Melbourne , Australia.
Int J Speech Lang Pathol. 2019 Jun;21(3):252-262. doi: 10.1080/17549507.2019.1617896. Epub 2019 Jun 10.
Speech Pathology Australia, through its landmark project for the profession, "Speech Pathology 2030 - making futures happen" (SP 2030), calls for speech-language pathologists to "respond (to presenting clients) in ways that respect each person's culture, language, life experiences, and preferences" (Speech Pathology Australia, 2016, p. viii). Such engagement, it holds, is central to successful practice. Meeting the needs of Aboriginal and/or Torres Strait Islander (Indigenous) clients and communities, however, requires a skilled response to client wholeness, to their indissoluble, and unique, immersion in their: indigeneity; lived cultural experience; and the social, geographical, economic and political realities that surround them. Equally, the achievement of a truly-effective engagement, one able to engender desired outcomes, is also dependent on the challenging achievement of culturally-safe practice. Given that the relevant literature is, historically, based on a privileging of western purviews, this article asserts the validity of incorporating (pan-)Indigenous epistemologies and perspectives. As well as the Indigenous health and cultural safety literature, then, this article draws on particular Indigenous professional experience as a locus of good-practice evidence, one capable of contributing additional insights to best address the question: "How might Non-Indigenous speech-language pathologists really engage, effectively, with Indigenous Australia?". It introduces a guiding rubric, "Meet People in their Own Reality", as a tool with which to examine how engagement, in the service of more-effective practice, can be optimised in four exemplar domains of SP 2030.
澳大利亚言语病理学协会通过其具有里程碑意义的行业项目“言语病理学2030——创造未来”（SP 2030），呼吁言语病理学家“以尊重每个人的文化、语言、生活经历和偏好的方式（对前来就诊的客户）做出回应”（澳大利亚言语病理学协会，2016年，第viii页）。该协会认为，这种参与是成功实践的核心。然而，要满足原住民和/或托雷斯海峡岛民（土著）客户及社区的需求，需要对客户的整体性、他们与自身不可分割且独特的、融入其本土性、生活文化经历以及周围社会、地理、经济和政治现实的情况做出熟练回应。同样，实现真正有效的参与，即能够产生预期结果的参与，也取决于在文化安全实践方面的具有挑战性的成就。鉴于相关文献在历史上基于西方观点的特权地位，本文主张纳入（泛）本土认识论和观点的有效性。因此，除了本土健康和文化安全文献外，本文还借鉴了特定的本土专业经验，将其作为良好实践证据的来源，这种经验能够提供额外的见解，以最好地回答以下问题：“非土著言语病理学家如何才能真正有效地与澳大利亚原住民接触？”。本文引入了一个指导准则“在他们自己的现实中与人们相遇”，作为一种工具，用于审视如何在SP 2030的四个示例领域中优化参与，以实现更有效的实践。
