Ongoing <strong>Clinical</strong> <strong>Supervision</strong> FIGURE 1: THE WHEEL OF INTERSECTING AXES OF PRIVILEGE, DOMINATION AND OPPRESSION Source: From A., Diller, B. Houston, B., Morgan, K.P. and Ayim, M. (1996).The Gender Question in Education: Theory, Pedagogy, and Politics. Boulder, CO: Westview Press. Reprinted with permission. 43
<strong>Clinical</strong> <strong>Supervision</strong> <strong>Handbook</strong> Questions for reflection In addition to using the diagram, clinicians are asked to consider the following “Questions for Reflection” to further explore what influences their perceptions of the client in addition to experiences of privilege and oppression. Through this exercise, the clinical supervisor helps the clinician to break through stereotypes; acknowledge his or her beliefs and values; and understand how stereotypes, beliefs and values can be barriers to understanding the client’s experience. The exercise may raise new issues for discussion with the client (e.g., asking about experiences of discrimination, and what it is like for them having a therapist who is from a different culture, race). These questions were developed by Donna Akman, PhD, CPsych, and Cheryl Rolin-Gilman, rn, mn, cpmhn(c), Women’s Program, Centre for Addiction and Mental Health. A Thoughts/feelings about client/session: • What am I puzzled by with this client/situation? • What occurred in the interaction with this client? • What were my thoughts and feelings? B Personal/social location: • What is my personal/social location with respect to this client,—i.e., along continuum of privilege to oppression—(race, gender, language, sexuality, race, ability, education, age, fertility, European in origin vs. non-European, Aboriginal, attractiveness, colour, etc.)? C Observations/reflections about session: • What did I learn from observing/reflecting on my experience? What are the essential aspects that I am aware of? • What are alternative methods of action that I can take with my understanding? D From the questions below, choose one that you would like to discuss: • What factors influenced my response in this situation? • What was I trying to achieve? • How were others feeling? How did I know this? 44
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