Professional Documents
Culture Documents
Final Reflection
Collins Nwabunike
University of Calgary
RUNNING HEAD: Final Reflection 2
As I moved forward in my own social work practice, my hopes are to work with the
Before starting this paper, I would like to acknowledge the prevalence of colonial ways in
Western therapy sessions. In recognizing this, I would like to bring forward that the notion of
creating a standard method of evaluating or assessing is a challenging one. While we should have
some mechanisms in place to know if our therapy is supporting our client, we should also be
reminded that these understandings need to be flexible and acceptable to changes as we work with
into our clients’ distress and concerns, as well as working collaboratively to work towards goals.
Having a poor alliance has repeatedly associated with therapeutic dropout (Anderson et al., 2018).
Factors such as body language, openness to participate and commitment to sessions can be
considered in assessing the comfort level between therapist and client. With that being said, the
therapist should always apply a critical lens with these factors. In the therapist mind, there should
be considerations of the impact of factors such as poverty, culture and religion, and past
relationships, that could have an impact on the current therapeutic process and overall outcome.
For example, if a client cannot make it to 3 sessions in a row, checking in to make sure, lack of
accessible transportation or childcare is not an issue that should be considered. Further, Western
understandings of comfort through body language may be different than certain cultures. Always
applying a critical lens to our own perception of reality is important in interpreting the relationship
RUNNING HEAD: Final Reflection 3
with our client. Therefore, engaging in dialogue with our clients about these pieces is of high
importance. If we have this openness in our sessions, it shows honesty and transparency, important
One of the clearest indications that therapeutic approach is working, should be to recognize
if there is a decrease in the client’s distress. This distress may look different for different clients.
The therapist should look towards symptoms which continue to interfere with the client’s daily
life, and these should be defined in conversation, but come from the client them self. In
understanding, if there has been a decrease in the client’s distress, it would be helpful to look
towards the clients own defined goals of what they would like to see change in order to feel better.
Tracking progress of these goals can be a value lens into understanding if the specific approach
How do we know whether the therapy we provide to clients actually works? Self-appraisal
and self-reflection are not enough, sometimes we still need critical feedback either from our clients,
supervision, or measurement tools (video recordings, noted, surveys) to ensure we are providing
competent service. Not being able to receive or seek out critical feedback can be both dangerous
and harmful, especially for our clients and the work we do as clinicians. One of our core value and
principles of social work is our competence in professional practice (CASW, 2005). Our clients
have the rights to seek and access competent therapy services, thus why we need to ensure that the
By receiving critical feedback, we strive to maintain and increase our professional knowledge and
value in my clients completing an anonymous evaluation survey of their time with me as their
therapist. These surveys could be used to evaluate my work as a therapist in terms of relationship
and comfort of client, clients feelings of progress and relief of distress and overall feedback of the
process.
In my own future practice, I would like to have various approaches to evaluation outside
of the standardized measuring mechanisms such as surveys. A different evaluation tool I would
like to someday implement in my practice is a sharing circle. A process in which I could invite
clients to come and share their experiences both with me taking part in the circle, and without me
there and instead a colleague facilitating to allow for anonymity. These sharing circles would
involve my clients and could be open to my colleagues as well. This approach would be an effort
in recognizing the value in the client's voice and the reciprocity that should be part of any
therapeutic relationship.
The very concept of measuring and evaluating a complex and multi-faceted aspect such as
a therapeutic relationship raises a bit of concern with me. How can you truly ‘measure’ human
elements? We should be asking ourselves why we always strive to contain these concepts to linear,
rigid Western thinking. Human beings are complex creatures and relationships may look different
RUNNING HEAD: Final Reflection 5
for some clients. Attempting to categorize specific qualities of a positive therapeutic relationship
and outcomes, could mean that we are excluding or missing other ways of knowing and
References
Anderson, S., Tambling,R., Yorgason, J., & Rackham, E. (2018): The mediating role of the
10.1080/10503307.2018.1506949
Canadian Association of Social Workers. (2005). Code of ethics. Ottawa, ON: Author.