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重新/解开/发现启发式方法:在人性丧失的时代应对临床实践中的阻碍

RE/UN/DIScover Heuristic: Working with Clinical Practice Impingements in Dehumanizing Times.

作者信息

Keenan Elizabeth King

机构信息

Department of Social Work, Southern Connecticut State University, 101 Farnham Avenue, New Haven, CT 06515 USA.

出版信息

Clin Soc Work J. 2023 May 4:1-12. doi: 10.1007/s10615-023-00872-4.

Abstract

Although clinical social work seeks to center the transformative potential of human relationships, practitioners are experiencing heightened systemic and organizational impingements from the dehumanizing pressures of neoliberalism. Neoliberalism and racism diminish the vitality and transformative potential of human relationships, disproportionately affecting Black, Indigenous and People of Color (BIPOC) communities. Practitioners are also experiencing increased stress and burnout related to increased caseloads and decreased professional autonomy and organizational practitioner support. Holistic, culturally responsive, and anti-oppressive processes seek to counter these oppressive forces but need further development to synthesize antioppressive structural understandings with embodied relational interactions. Practitioners can potentially contribute to efforts that apply critical theories and antioppressive understandings within their practice and workplace. Through an iterative flow of three sets of practices, the RE/UN/DIScover heuristic supports practitioners' efforts to respond in those challenging everyday moments where oppressive forms of power are imposed and embedded within systemic processes. With themselves and other colleagues, practitioners engage in compassionate REcover practices; use curious, critical reflection to UNcover full understandings of power dynamics, impacts, and meanings; and draw on creative courage to DIScover and enact socially just and humanizing responses. This paper describes how practitioners can use the RE/UN/DIScover heuristic in two common challenging moments of clinical practice: systemic practice impingements and implementing a new training or practice model. The heuristic seeks to support practitioners' efforts to preserve and expand socially just, relational spaces for themselves and those with whom they work within the context of systemic dehumanizing neoliberal forces.

摘要

尽管临床社会工作试图将人际关系的变革潜力置于中心位置,但从业者正面临着新自由主义的非人性化压力带来的系统性和组织性的更大冲击。新自由主义和种族主义削弱了人际关系的活力和变革潜力,对黑人、原住民和有色人种(BIPOC)社区产生了不成比例的影响。从业者还因工作量增加、职业自主性降低以及组织对从业者的支持减少而承受着越来越大的压力和倦怠。整体的、具有文化响应性的和反压迫的过程试图对抗这些压迫力量,但需要进一步发展,以便将反压迫的结构理解与具体的关系互动相结合。从业者有可能在其实践和工作场所中为应用批判理论和反压迫理解的努力做出贡献。通过三组实践的迭代流程,“重新发现/揭示/发现”启发法支持从业者在那些压迫性权力形式被施加并嵌入系统过程的具有挑战性的日常时刻做出回应。从业者与自己及其他同事一起,参与富有同情心的“恢复”实践;运用好奇、批判性反思来“揭示”对权力动态、影响和意义的全面理解;并凭借创造性勇气“发现”并制定社会公正且人性化的回应。本文描述了从业者如何在临床实践的两个常见挑战时刻运用“重新发现/揭示/发现”启发法:系统性实践冲击以及实施新的培训或实践模式。该启发法旨在支持从业者在系统性非人性化新自由主义力量的背景下,为自己和与他们共事的人维护和扩大社会公正的关系空间所做的努力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1a4/10158678/0106e9609927/10615_2023_872_Fig1_HTML.jpg

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