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Whatever happened to 'reflective practice'?
Donald Schön’s (1983, p. 1987) seminal work exploring the practice of professionals introduced the notion of reflective practice to describe and discuss professional artistry. Since then, literature and practices in the area have grown such that reflective practice has now become “relied” on (Clegg et al., 2002, p. 131) as a “promised land”(Papastephanou & Angeli, 2007). Code (1993, p. 27) compares rhetoric, in this case the claims made about reflective practice, to statements on a ‘display screen’ that become familiar and taken-for-granted. In this chapter, I will be identifying and questioning the assumptions contained in this familiar and taken-for-granted rhetoric, setting it alongside the complexities of professional practice, leading to the suggestion we haven’t seen ‘reflective practice’ around for some time, whatever happened to reflective practice…? The chapter will conclude with suggestions for ways forward taken from a larger piece of work, my current doctoral research
Journal of Research Institute: 2016 vol.53: Current Issues and New Thoughts on Reflective Practice
Part 1 Current issues and new thoughts
What is reflective practice?
Jo TRELFA
Use of epistemological lenses on the ambiguity of reflective practice:
What is it to reflect on experience?
Ken TAMAI
Reflection, emotion and knowledge of the self
Mark MONAHAN
Whatever happened to ‘reflective practice’?
Jo TRELFA
A reflective continuum: Development of reflection
Atsuko WATANABE
Part 2 Teachers and reflective practice
Exploring, reflecting, and taking action through forms of
‘practitioner research’ and why professional development through
research is essential for teachers and teaching
Ian NAKAMURA
How the intersubjectivity of teacher and learner reflections
contributes to transformative learning experiences
Joan M. KUROD
One hut full: woolly yarns in a contemporary context
OneHutFull highlights the heritage of the Dartmoor Whiteface Sheep breed through a unique immersive sound and visual experience that examines the use of wool by artisan makers, the life and culture of this farming community and the celebration of localism in a global industry.
This project seeks to subvert the traditional orthodoxies of the bucolic shepherd’s hut through creation of a highly contemporary digital artistic space, which aims to educate and inform visitors about the story of wool production and use in a specific Dartmoor community.
The artist, commissioned by OneHutFull, through Heritage Lottery Funding, has gathered the stories of Whiteface Sheep breeders as well as artisan makers using the wool, and appropriated these unique experiences through the innovative use of film and sound. Three eight-minute visual narratives are back-projected on to bespoke screens in the hut surrounded by a multi-speaker aural soundscape.
A primary aim of OneHutFull is to fully engage and educate the visitor about every stage in the wool production process from the birth of the Whiteface lamb in the spring, through sheep shearing in summer and to market in autumn. As counterbalance to the lifecycle of the sheep the artist also collaborates with a series of artisan makers including a felter creating shrouds and ornaments, furniture designers manufacturing sustainable chairs and a contemporary twine and wool producer.
Further, this project uses the considerable expertise of a Dorset-based shepherd’s hut maker enabling this audio-visual space to be created. The bespoke nature of the design by the commissioned artist has potential to be applied to other areas of industry and production.
Following its launch at Exeter Cathedral in February, OneHutFull is now touring locally and nationally with the aim of raising the profile of makers and sheep breeders in both rural and urban spaces. A series of educational workshops will complete the research project
Pioneers: Bandura and Bronfenbrenner explained
Albert Bandura and Urie Bronfenbrenner are two celebrated and influential theorists whose ideas can help us to understand children's social learning and why some children succeed where others do not
Explaining unexplained pain to fibromyalgia patients: finding a narrative that is acceptable to patients and provides a rationale for evidence based interventions
As the cause of fibromyalgia is controversial, communicating with patients can be challenging, particularly if the patient adopts the narrative ‘I am damaged and so I need a more powerful pain killer’. Research shows that providing patients with alternative narratives can be helpful, but it remains unclear what particular narratives are most acceptable to patients and at the same time provide a rationale for evidence based psychological and exercise interventions. This article described the development of a new narrative and the written comments made about the narrative by fibromyalgia patients. The narrative derives from a complexity theory model and provides an alternative to biogenic and psychogenic models. The model was presented to 15 patients whose comments about comprehensibility led to the final format of the narrative. In the final form, the body is presented as ‘a very, very clever computer’ where fibromyalgia is caused by a software rather than a hardware problem. The software problem is caused by the body adapting when people have to ‘keep going’ despite ‘stop signals’, such as pain and fatigue. The narrative provides a rationale for engaging in psychological and exercise interventions as a way of correcting the body’s software. This way of explaining fibromyalgia was evaluated by a further 25 patients attending a 7-week ‘body reprogramming’ intervention, where the therapy was presented as correcting the body’s software, and included both exercise and psychological components. Attendance at the course was 85%. Thematic analysis of written patient feedback collected after each session showed that patients found the model believable and informative, it provided hope and was empowering. Patients also indicated that they had started to implement lifestyle change with perceived benefit. Fibromyalgia patients appear to respond positively to a technology-derived narrative based on the analogy of the body as a computer
Multi-component assessment of chronic obstructive pulmonary disease: an evaluation of the ADO and DOSE indices and the global obstructive lung disease categories in international primary care data sets
Suitable tools for assessing the severity of chronic obstructive pulmonary disease (COPD) include multi-component indices and the global initiative for chronic obstructive lung disease (GOLD) categories. The aim of this study was to evaluate the dyspnoea, obstruction, smoking, exacerbation (DOSE) and the age, dyspnoea, obstruction (ADO) indices and GOLD categories as measures of current health status and future outcomes in COPD patients. This was an observational cohort study comprising 5,114 primary care COPD patients across three databases from UK, Sweden and Holland. The associations of DOSE and ADO indices with (i) health status using the Clinical COPD Questionnaire (CCQ) and St George’s Respiratory Questionnaire (SGRQ) and COPD Assessment test (CAT) and with (ii) current and future exacerbations, admissions and mortality were assessed in GOLD categories and DOSE and ADO indices. DOSE and ADO indices were significant predictors of future exacerbations: incident rate ratio was 1.52 (95% confidence intervals 1.46–1.57) for DOSE, 1.16 (1.12–1.20) for ADO index and 1.50 (1.33–1.68) and 1.23 (1.10–1.39), respectively, for hospitalisations. Negative binomial regression showed that the DOSE index was a better predictor of future admissions than were its component items. The hazard ratios for mortality were generally higher for ADO index groups than for DOSE index groups. The GOLD categories produced widely differing assessments for future exacerbation risk or for hospitalisation depending on the methods used to calculate them. None of the assessment systems were excellent at predicting future risk in COPD; the DOSE index appears better than the ADO index for predicting many outcomes, but not mortality. The GOLD categories predict future risk inconsistently. The DOSE index and the GOLD categories using exacerbation frequency may be used to identify those at high risk for exacerbations and admissions
Is elite sport a driver for medical advance?
In an era where the discovery and development of new medicine have hit its peak, areas of study that generate new thinking and related opportunity for medicine development are of great value. Society requires new medicine as an expanding ageing population in the developed world and the emergence of Western world diseases in the developing world place pressure on our global healthcare capability. Here we explore the possible meaning of elite sport to global, cutting edge medical advance. Why the elite sports industry might drive such advance?
We believe that there are two broad areas to do this:
1. Discovery of bioactive molecules with medicine development potential based upon the exploration of the molecular basis of responses to exercise and physical activity and area of research endeavor known as mechanotransduction. This area of study has revealed the incredible potential for a range of naturally occurring molecules to maintain musculoskeletal health and has identified some of the key cell types responsible for orchestrating the beneficial responses. In particular, the bone resident osteocyte has been transformed from a little studies quiescent cell type into the foreman in charge of bone shape, size, and strength and also distant kidney function.
2. The clinical need generated by sport injuries in the elite competing population. Injury in this professional group has greater meaning then in the amateur sports person in terms of both earnings and career progression. The generation of novel medicine and therapies is of great value and includes the emerging clinical specialty of regenerative medicine. This specialty includes the use of cell-based therapies and is emerging fast. At its best, a cellbased therapy will not just treat a clinical condition; rather, it will cure it. Instead of requiring multiple doses over extended periods to control a clinical condition, one dose will cure the condition through the establishment of live cells in the tissues of need.
The future holds medical promise and a little acknowledged role that elite sport plays important role in the realization of that promise might well represent a legitimate area for clinical therapy discovery