Using Simulations to Promote Social Justice in Clinical Practice

Transcription

1 Using Simulations to Promote Social Justice in Clinical Practice

2 Background History of the ISE and Simulation New simulation development Teaching systems and structures

3 Individual/Internal Systemic/Structural/External Medical Model Biopsychosocial model

4 1. People have poor health because they ve made unhealthy choices. It s a question of individual responsibility. 2.Problems lie in personal inadequacies and remedies lie beyond personal power. (Roy, 2007). 3. Health disparities (to the extent they are acknowledged) may be unfortunate but not necessarily unfair. 4. There s little that can be done. (Unnatural Causes tool kit)

5 Internal External * * Individual Systemic Choice Biology Environment Policy

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7 Psychoanalytic Adlerian Existential Person-Centered Gestalt Behavior Postmodern Family Systems Reality Feminists Cognitive Behavioral

8 Agency Examining the relationship between conditions outside the body and health Group therapy and empowerment (Roy, 2007) Problem solving groups Community support, skill learning unlearning powerlessness-learning power sharing

9 (Comas-Diaz, 2007)

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11 Common findings (systemic and personal) Public housing (overcrowded, unhealthy living conditions) Substandard schools Limited health care Victim of sexual abuse (rape, molestation) Sex workers Addicted to multiple substances (alcohol and cocaine) Familial loss (gang violence, poor health) Health problems(asthma, hypertension, hepatitis) General history of multiple traumas Separated from children and partners

12 List 5 important issues that may hinder Linda s successful treatment and reintegration back into society. What issues will most impact your plan of treatment? What other important information might you ask for?

13 STRUCTURAL CONCERNS INDIVIDUAL CONCERNS (MENTAL AND PHYSICAL) No health insurance Transportation Food Housing issues Lived near factory Multiple residents in small living quarters Poor structural features Access to (mental) health care Waiting time for Psychiatrists Employment FELONY CHARGE LIMITED EDUCATION Previous drug use Experience of trauma Death of loved one Familial issues Development issues Anxiety Asthma

14 Majority of her needs

15 Cognitive Emotional Intelligence Experiential How it applies to the simulation How it has informed my work with the ladies from Grace House

16 My experience at Grace House

17 PAI trends Negative Self Images, Warm, Depression, Stress, Anxiety TAT trends Personally identifies with several cards. Mentions systems and institutions (poor housing, jails, hospitals) Early Memories Also mentions poor and overcrowded housing Intelligence Tests Higher scores on novel tasks, lower scores on verbal tasks

18 Warm and engaging Resilient Adaptive Strong social skills

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20 Video Clips

21 Angus, L., & Kagan, F. (2007). Empathic relational bonds and personal agency in psychotherapy: Implications for psychotherapy supervision, practice, and research. Psychotherapy: Theory, Research, Practice, Training 44(4), Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge, MA: Harvard University Press. California News Real. (2007). Unnatural causes: Action tool kit. Retrieved October 22, 2008 from Unnatural Causes Web site: Comas-Diaz, L. (2007). Ethnopolitical psychology: Healing and transformation. In Aldarondo, E. (Ed.), Advancing social justice through clinical practice (pp ). Mahwah, NJ: Lawrence Erlbaum Associates, Publishers

22 Adelman, L. (Executive Director) (2003). Race: The power of Illusion. Hollywood, CA; California Newsreel. Albee, G. W. (1986). Toward a just society: Lessons from observations on the primary prevention of psychopathology. American Psychologist, 41(8), Aldarondo, E. (2007). Rekindling the reformist spirit in the mental health professions. In Aldarondo, E. (Ed.), Advancing social justice through clinical practice (pp. 3-18).Mahwah, NJ: Lawrence Erlbaum Associates, Publishers. Christens, B., & Perkins, D.D. (2008). Transdisciplinary, multilevel action research to enhance ecological and psycho-political validity. Journal of Community Psychology,36(2), Dreikurs, R. R. (1971). Social equality: The challenge of today. Chicago, IL: The Adler School of Professional Psychology. Fairfax, D. (2000). From data raider to democratic researcher: Learning to become an academic-activist with the Merrimack Valley Project. In Sherman, F. T., & Torbert, W. R. (Eds.), Transforming social inquiry transforming social action (pp ). Norwell, MA: Kluwer. Feagin, J. (2001). Social justice and sociology: Agendas for the twenty-first century. American Sociological Review, 66, Fondacara, M. R., & Weinberg, D. (2002). Concepts of social justice in community psychology: Toward a social ecological epistemology. American Journal of Community Psychology, 30(4), Freire, P. (2000). Pedagogy of the oppressed. New York, NY: Continuum International Publishing Group. Gantt, E. E., & Williams, R. N. (2002). Seeking social grounds for social psychology. Theory & Science, Goodman, L.A., Liang, B., Helms, J. E. Latta, R.E., Sparks, E., & Weintraub, S.R. (2004). Training counseling psychologists as social justice agents: Feminist and multicultural principles in action. The Counseling Psychologist, 32, Helms, J. E. (2003). A pragmatic view of social justice. The Counseling Psychologist, 31(3), Jackson, J. (2000). What ought psychology to do? American Psychologist, 55(3), King, M. L., Jr. (1968). The role of the behavioral scientist in the Civil Rights Movement. Journal of Social Issues, 24(1), Lerner, R. M. (2000). Transforming universities to sustain outreach scholarship: A communiqué from the front. In Sherman, F. T., & Torbert, W. R. (Eds.), Transforming social inquiry, transforming social action (pp ), Norwell, MA: Kluwer. McWhirter, B. T., & McWhirter, E. H. (2007). Toward an emancipatory communitarian approach to the practice of psychology training. In Aldarondo, E. (Ed.), Advancing social justice through clinical practice (pp ). Mahwah, NJ: Lawrence Erlbaum Associates, Publishers. Meyers, S. A. (2007). Putting social justice into practice in psychology courses. Observer, 20(9).

23 Miller, G. A. (1969). Psychology as a means of promoting human welfare. American Psychologist, 24, National Coalition on Health Care (2008). Facts about health insurance coverage. Retrieved October 7, 2008 from National Coalition on Health Care Website: Patterson, C. H. (1969). The social responsibility of Psychology. Paper presented at 77 th annual convention, American Psychological Association: Washington, D.C. Prilleltensky, I. (1989). Psychology and the status quo. American Psychologist, 44(5), Prilleltensky, I. (1994). The morals and politics of psychology: Psychological discourse and the status quo. Albany, NY: State University of New York Press. Prilleltensky, I. (2001). Value based praxis in community psychology: Moving toward social justice and social action. American Journal of Community Psychology, 29(5), Prilleltensky, I., Dokecki, P, Frieden, G, & Ota Wang, V. (2007). Counseling for wellness and justice: Foundations and ethical dilemmas. In Aldarondo, E. (Ed.), Advancing social justice through clinical practice (pp ). Mahwah, NJ: Lawrence Erlbaum Associates, Publishers. Rawls, J. (1971). A theory of justice. Cambridge, MA: Belknap press of Harvard University Press. Reeser, L. C. (2007). Educating for social change in the human service professions. In Aldarondo, E. (Ed.), Advancing social justice through clinical practice (pp ). Mahwah, NJ: Lawrence Erlbaum Associates, Publishers. Rogers, A., & Pilgrim, D. (2003). Mental health and inequality. New York, NY: Palgrave Macmillan. Roy, E. (2007). Radical psychiatry. In Aldarondo, E. (Ed.), Advancing social justice through clinical practice (pp ). Mahwah, NJ: Lawrence Erlbaum Associates, Publishers. Sapp, D. A. (2003). Challenges in promoting social justice in the undergraduate composition classroom. NY, NY: ERIC. Retrieved October 15, 2008 from: ED Smedly, B., Jeffries, M., Adelman, L., & Cheng, J. (2007). Race, racial inequality and health inequalities: Separating myth from fact. United States Department of Health and Human Services. (2007). Public health promotion and protection, disease prevention, and emergency preparedness. Retrieved October 17, 2008 from: Vera, E. M., & Speight, S. L. (2003). Multicultural competence, social justice, and counseling psychology: Expanding our roles. The Counseling Psychologist, 31(3),