De Salvo (1999) for a summary of Pennebaker’s work.
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CHAPTER 4 Engaging the Reflective Spiral: The Second Dialogical Movement
Christopher Johns
Having written a description of the experience, the practitioner moves into the second dialogical movement to reflect on the experience guided by the model for structured reflection (MSR) with the aim of learning through gaining insight.
The Model for Structured Reflection
The MSR is used worldwide, especially in healthcare professions, for example, NovelestskyRosenthal and Solomon (2001). It is designed to enable practitioners to access the depth and breadth of experience necessary to gain insight. It moves through a reflective spiral from significance to insight. Significance lies on the surface of experience, whereas insights lay deep within. Insights are learning that change the practitioner in some way towards realising their vision of practice as a reality. Insights may be expressed as ‘what I learn from reflecting on this experience?’
The first version of the MSR was constructed in 1991 through analysing the pattern of dialogue in guided reflection, framed within Strauss and Corbin’s grounded theory paradigm model (Johns 1998). Since then, it has evolved through reflection on its efficacy. Table 4.1 sets out the 18th edition. It is structured through six distinct phases that mirror the six dialogical movements: preparatory and descriptive [1], reflection and drawing insight [2], deepening insights through dialogue with literature and guides [3 and 4], presentation [5], and communication [6]. For users acquainted with the previous edition note that the ‘influences grid’ has been replaced by four key questions for the practitioner to consider whether they could respond differently in future experiences. In deleting the ‘influences grid’ I reinstated specific cues for ethics, feelings, and past experiences.
The MSR cues and their sequencing are not prescriptive. However, the novice reflective practitioner will benefit from systematically applying them until they become second nature. With experience of using them, the practitioner naturally internalises them so that they become embodied and used more intuitively. The descriptive and reflection phases (first and second dialogical movements) will inevitably merge. The cues will naturally shape the practitioner’s gaze in clinical practice, nurturing the development of reflection within practice, not just after the event.
TABLE 4.1 Model for Structured Reflection (18th Edition)
Source: Christopher Johns/18 edition – December 2019.
| Preparatory phase – Bring the mind home |
| Descriptive phase – Write a description of an experience (Dialogical movement 1) |
| Reflective phase cues (Dialogical movement 2) |
| What is significant to reflect on? |
