Section Seven
Module 27: Adult Learners, Coaching, and Lifelong Professional Education
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How will I keep learning?
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After working with the material in this module, readers will be able to
describe and compare several research-based characteristics of effective adult learning, effective professional continuing education, and effective coaching
select and act on at least one method for having continued access to new information or to individualized suggestions, as support for their own continued professional learning in the area of culturally and individually appropriate speech-language pathology
explain the benefit to clients, professionals, the public, and the profession of required professional continuing education, including for the areas of cultural competency, cultural humility, and culturally responsive practice (cf. ASHA Certification Standard VIII)
We end by recognizing that we are only beginning! Your on-going journeys through our your life will present you with endless opportunities for continued learning, and our profession will continue to change with us. Let’s use some of what is known about adult learning, coaching, and effective continuing professional education to think about the next parts of your journey with client-centered, culturally and individually appropriate speech-language pathology.
Effective Adult Learning
All effective teaching and learning experiences share some characteristics, but many elements of the pedagogical styles known to be effective for adults do differ from those of the pedagogical styles known to be effective for young children. Box 27.1 summarizes the features of effective adult learning, as these features are understood for adult professional learners and with an emphasis on the context of continuing education for medical and allied-health professionals (see Caffarella & Daffron, 2013; Cervero & Gaines, 2015; Institute of Medicine, 2010).
As you read Box 27.1 and the longer explanations that follow, try to think about yourself as an adult learner. We spend a lot of our professional energy thinking about ourselves as the therapist, teacher, or other leader, but we are all continuing to learn, too! What successful and unsuccessful experiences have you had as an adult learner, either in professional continuing education or for any personal or other topic? And, in particular, what are we going to need, as adult learners, as we anticipate our future experiences continuing to learn about culture, identity, languages, dialects, people, and communities for speech-language pathology?
Box 27.1 Features of Effective Adult Learning, with an Emphasis on Continuing Professional Education
Responds to a Self-Identified Need
Adults make the effort to learn something new when they realize they need to or want to
Goal-Oriented
Adults tend to be learning for a specific reason
Practical
Adults tend to be seeking immediately applicable information or skills
Job-Embedded
Adults learn best when teaching and learning occur in the setting for which the new skill is intended
Interactive
Adults learn from the opportunity to try new skills and then receive feedback from an expert about their attempts
Individualized
Adults learn best when new material is designed to match and extend their current individual knowledge and skills
Constructionist
Adults learn best when they are given the opportunity to create new complete understandings for themselves or to incorporate new material into their previous knowledge or skills
Self-Directed or Self-Managed, But Not Unsupported
Adults learn best when they feel some ownership and autonomy within the learning process, but adults who do not know some information or skill cannot teach themselves that information or skill without resources or external support
Transformational
Adults learn best when their learning experiences allow them to change their view of themselves from that of a person who does not know something or cannot do something to that of a person who knows and can do something
Social
Adults learn from other people and learn by having multiple learning partners to observe or to solve shared problems with
Safe, Supportive, Positive
Adults maintain the emotional balance necessary to accept new information or to develop new skills when they feel safe and supported in a positively framed environment
Focused on Stepwise and Instrumental Successes
Adults benefit from teaching systems or materials designed such that initial and then intermediate successes can serve as the basis for continued learning and eventual mastery of a complex whole
Informal and Incidental
Adults can learn from serendipitous exposure to information or skills in all settings, including those not formally designated as teaching or learning settings
Dynamic
Adult learning must be designed to allow and respond to the many changes that will occur in the learner and in the learner’s needs as the learner’s knowledge and skills increase
Open-Ended
Adult learning should be designed in full awareness of the fact that adult learning never ends
All descriptions of adult learning seem to start where Box 27.1 started, with the notion of learning in response to a self-identified need. Children are also motivated to learn when they recognize that they need or want to learn, but self-identified desires or a self-identified need to learn is especially important as the prompt that encourages adult learners to start another learning process. Adults make the effort to learn when they want new knowledge, skills, or abilities, and the most successful adult learning occurs in response to a self-recognized need or desire to learn.
In part because it occurs in response to a specific self-identified need, effective professional adult learning is goal-oriented and practical. For continued professional learning in particular, adults tend to want to learn for a reason and tend to be focused on new and meaningful applications of their new knowledge. Adults can also enjoy learning for learning’s sake, and can appreciate gathering new knowledge as a worthwhile pursuit in its own right, but most successful professional learning activities provide adults with both information about a topic and also immediate, practical skills and abilities for applying that information in their work.
Successful adult learning should be interactive. Adults learn to think or to act differently when they receive information that is directly relevant to their current knowledge and skills, when they are given many opportunities to try their developing skills, and if they receive continuing feedback about the accuracy or quality of their attempts as they learn.
Adult professional learning needs to be job-embedded. Adult professionals learn new professional skills most effectively and most efficiently when their learning occurs on the job. As enjoyable as our professional conferences might be, and as useful as they might be in social-professional ways, research about continuing education in a wide range of fields has demonstrated clearly and repeatedly that receiving job-embedded coaching leads to much greater change in our professional behaviors than attending a lecture at a convention (Cervero & Gaines, 2015; Institute of Medicine, 2010).
The most successful adult learning is individualized and constructivist. Adults learn best when the new material meets them where they are and helps them create their own next steps. Adult learners find success when they can draw on what they already know, combine what they already know with some new knowledge in their own ways to create their own next levels of understanding, and create their own new ways of applying their new knowledge for themselves.
Given the importance of individualized and constructivist learning, successful adult learning should also be self-directed or self-managed, but not unsupported. Adults who are allowed to identify timelines, resources, tasks, mentors, and systems for themselves are more likely to pursue the learning to a meaningful end, as compared with adults who perceive the entire learning task to be someone else’s responsibility or who feel no ownership of the process. At the same time, however, learners do not know what they are trying to learn; they need support and guidance from external materials, structures, systems, or human interactions, not pure independence.
(Are you thinking about your own learning, as you read? Has anything about your experience with the modules on this website been in response to a self-identified need, goal-oriented, practical, interactive, job-embedded, individualized, constructivist, or self-directed?)
Successful adult learning should be designed to be transformational. Adult learning is most successful when it seeks not only to provide learners with new knowledge or skills but also to help learners create new ways of viewing themselves. After a successful learning experience, adults have changed their views of themselves. They perceive themselves now as persons who have successfully developed new knowledge, incorporated that knowledge into their senses of themselves, and can view themselves as embodying a next level of expertise. Successful adult and professional learners are transformed, or changed, in that their new knowledge and skills have been incorporated into what they believe about themselves and into how they view and approach their roles in their lives.
Successful adult learning should be social, safe, supportive, positive, and focused on stepwise successes. These features are the known emotional elements of adult learning. Adults learn from each other, learn with each other, and also learn from helping each other. Adults accept more when the new information is framed positively than when they feel they are being criticized and learn more when their successful attempts at each step are recognized. Adults learn more, retain more, and act on their new knowledge more successfully when the learning experience generates positive emotions and addresses the adult’s attempts at new behaviors in an emotionally supportive way.
Adult learning can often be informal and incidental. Adults learn from structured, pre-planned experiences, but adults also learn from the small moments that pop up in everyday life. Effective job-based incidental learning occurs when many of the other elements of success are already present in the professional workplace, including especially that the informal or incidental event includes specific, goal-oriented, individualized, and emotionally supportive information or feedback at work.
Finally, successful adult learning should be dynamic and open ended, explicitly designed to incorporate an as-yet-unknown future. Successful adult learning and continuing professional development not only accept but also actively prepare for the fact that any profession’s supporting sciences are continually developing new knowledge. One focus of successful professional development, therefore, must be that the profession itself, and each individual practitioner, will continue to grow and change — because, of course, as always: the only constant is change.
Your Turn
If you have experienced any of the following learning situations, try thinking about them using the information summarized in this segment (use Box 27.1 and the explanations in the text). Did your own most successful situations as an adult learner share some of the research-based features of successful adult learning?
when you learned to drive a car
when you learned a new home-repair or home-decoration skill
as you improved your existing abilities in any physical activity (maybe tennis, dance, knitting, or cooking?)
a situation in which you were teaching a family member or friend to do something new
a situation in which you and a family member or friend decided to learn something new together
an experience you enjoyed during your graduate-school clinical practicum
an experience from your graduate-school clinical practicum that you are aware you learned from, whether you enjoyed it or not
a recent professional experience that you enjoyed and that you are also aware you learned from
You probably recognized that successful clinical treatment programs, for children and for adults, share many of the features listed above as characteristics of successful adult learning. Think about the last several times you designed a successful treatment program for a client of any age, and evaluate the features of that program against the list of features provided in Box 27.1. How will most treatment programs share the features on this list? Where must or might clinical treatment programs differ from this list?
Think about your continuing future education specifically for the topics this website has addressed: culture, identity, languages, dialects, the social determinants of health, and methods for multi-cultural, cross-cultural, multi-linguistic, and cross-linguistic service delivery and professional practice. How might the features of effective adult professional learning interact with your own needs as learner in these areas?
Best Practices in Coaching
How many meanings can you think of for the word “coach”?
You might have thought of an historic vehicle that was pulled by horses, or you might have thought of an imaginary vehicle pulled by magical mice or helpful dragons.
“Coach” also refers to a basic, no-frills, level of service in train or airline travel.
In a related usage, in British English, “coach” refers to the large vehicle that speakers of American English tend to call a bus. And as a next step, therefore, because British English is in fact perceived as fancier than American English (see Module 7), fancier buses intended for longer trips in the U.S. are often referred to as coaches, or as motor coaches, at least by the bus companies trying to convince us that their buses are fancier than their competitors’ buses.
In another sense, a coach can also be the high-profile leader in charge of planning and publicity for a large athletic team, or the person who teaches and then provides play-by-play instructions to the members of an athletic team, or the person who provides specific individual suggestions and feedback to a single athlete. Because of those usages, “Coach” also serves as a title with the person’s first name or family name (Coach Chris or Coach Wilson) or as a respectful form of address on its own. (Thank you, Coach).
And of course, athletics need not be involved in “coaching” at all! The etymological attributions in the Oxford English Dictionary actually link old-fashioned coaches as horse-drawn physical conveyances to the first use of “coach” to refer to a person, and the meaning had nothing to do with sports. Instead, originally, a coach meant an academic assistant who was hired to metaphorically “carry” a student through an examination, long before the word expanded from the frame of academics to its currently presumptive frame of athletic coaching. In current usage, the athletic connotation has become so pervasive that we add another word to specify any activity other than sports; thus, a reading coach can be a person focused on helping a child learning to read, an instructional coach can be an experienced teacher-administrator whose role is to help all the teachers in a given school or in an entire school district with their curriculum or pedagogies, and an executive coach can be a person whose role is to help a high-level business person navigate the complexities of their position. In all of these examples, by extension from academic support and by extension from athletic instruction, a person focused on giving another person or persons helpful feedback as they learn, practice, or execute almost anything might be referred to as a coach, if that person provides individualized instruction and feedback while the learners are engaged in doing the activity.
So what makes someone an effective coach, or how do we create effective coaching situations?
Interestingly, the results of research about effective team-based and individual coaching overlaps with what is known about adult learning and also departs from the adult learning research in ways that add some other useful ideas. Côté and Gilbert’s (2009) influential attempt to distill a definition of effectiveness for sport coaching, for example, described the relevant issues in terms of three multi-layered categories, as summarized in Box 27.2.
Which of the ideas in Box 27.2 seem similar to the ideas in Box 27.1? Which are different?
Box 27.2 Three Interwoven Issues that Shape the Effectiveness of Sport Coaching (based on Côté and Gilbert, 2009)
Coach’s Expertise
The coach’s knowledge about the sport, about interpersonal communication, and about themselves will all influence the quality and the effectiveness of the coaching they can provide
Athlete’s Abilities
The nature of the coaching and the outcome of the coaching are both affected by the athlete’s “competence, confidence, connection, and character” (Côté & Gilbert, 2009, p. 314), known in coaching as “the four Cs”
Coaching Context
The nature of the coaching and the outcome of the coaching are both affected by distinctions between Participation Contexts (for children, beginners, or recreational players) and Performance Contexts (for competitive or professional athletes)
As Côté and Gilbert (2009) described, the coach’s expertise serves as the first necessary element of effective coaching. Effective coaches bring expertise about the sport itself (professional expertise); expertise about communicating with other people, including but not limited to the coach’s abilities in teaching the sport (interpersonal expertise); and also expertise about themselves as experts, as teachers, and as reflective learners who are also seeking continual improvement in their abilities as coaches (intrapersonal expertise).
The effectiveness of any sport coaching also depends, of course, on the athlete, in ways that serve as both causes and effects of the coach’s actions. Athletes vary in their “competence, confidence, connection, and character” (Côté & Gilbert, 2009, p. 314), widely known in coaching as “the four Cs.” Effective sport coaching identifies the athlete’s current abilities, and seeks to improve the athlete’s abilities, in all four of these interwoven goals and outcomes.
(The public statements made by well-known, high-level sporting coaches often reflect these four elements almost to the letter. They will comment on the work that the athletes are doing to improve their skills, the need for the athletes to believe in themselves, their team-building efforts or accomplishments, and how hard-working, supportive, and/or competitive the athletes are. Good coaches for children’s teams have the same four emphases: we are learning the skills, we are learning to believe in ourselves, we are learning to be a team, and we are trying to be honest, hard-working, and kind.)
Finally, in sport coaching, the research identifies the important differences between two broadly defined coaching contexts. In sport coaching, the importance of context includes especially the distinction between participation contexts (for children, beginners, or recreational players) and performance contexts (for competitive or professional athletes). An effective coach for beginners is teaching the same sport as an effective coach for elite professionals, but to be effective in either realm the effective coach will organize the practice differently, explain differently, and provide different levels of modeling or explanation. In speech-language pathology, similarly, we introduce new ideas to new clients in certain ways, we explain in different ways to advanced learners, and we distinguish between what we as professionals need to understand and how we will explain different versions of that information to colleagues, clients, or family members. Effective coaches recognize which context they and their athletes represent and provide the supportive, developmental assistance or the challenging, high-level assistance that fits the situation.
Coaching occurs well beyond athletics (or speech-language pathology!), also, as we recognized. In their systematic review of research about effective executive coaching for business, for example, Cidral et al. (2021) identified many of the same predictors of success or of coaching effectiveness that Côté and Gilbert and others have described for sport coaching.
Cidral et al. (2021) summarized the predictors of executive coaching success using only two categories:
the formality of the process, and
the emotional connection between the coach and the learner.
Did that short list maybe surprise you? Is it as simple as that?
It is, but notice also that “formality of the process” and “emotional connection” are both very efficient terms that include and require a lot of work.
With respect to process, Cidral et al. described coaching as effective when it involves the pieces that you might recognize as necessary to a good speech-language therapy program. A formal program requires explicit shared development and use of specific goals, organizational strategies, and teaching tactics. It also requires the identification and measurement of performance indicators, as well as iterative change to the process based on those indicators. As we also know from our work as clinical service providers, coaching effectiveness is also influenced by what Cidral et al. called the “emotional connection” and we might call parts of the therapeutic relationship: the coach’s affection and empathy for the learner; the learner’s affection and empathy for the coach; and the coach’s emotional abilities including creativity, communication skills, and self-reflection abilities as a coach.
What can we gain from these multiple views of coaches and coaching, as we think about our efforts to continue to improve as culturally and individually appropriate speech-language pathologists?
We are familiar with focusing on ourselves as instructors, clinicians, teachers, or coaches for our clients or students, as my examples in this segment have mentioned. Much of what we do as clinicians can be thought of as “coaching,” in many ways.
More important for us at the moment, though, is actually asking the question the other way around, or focusing on ourselves as the adult learners. We are working on continuing to learn about how culture, language, and identity will affect our practice or should affect our practice.
How can we use what is known about effective coaching to help ourselves as learners, or to help ourselves when we are the people being coached, or to help ourselves be better learners in the realms of client-centered, culturally and individually appropriate speech-language pathology?
The Your Turn questions below will allow you to think through some imaginary and more realistic options for yourself, but the short answer is relatively straightforward.
When we phrase it from the direction of the learner, all the information we have, from all the many ways that coaching has been implemented and studied, suggests that adult learners benefit from coaching when they are prepared to accept knowledgeable and individualized suggestions from someone they trust.
Try thinking about what that might mean, for you, as you continue to learn about client-centered, culturally and individually appropriate speech-language pathology.
Your Turn
Go back to our imaginary flying coach pulled by friendly dragons. What might you see, if you could travel through your past and your future in a sparkling magical coach with supportive magical companions? Would that larger and happier perspective help you see anything or give you any good ideas about how you could approach culture and identities as the professional you are or as the professional you would like to become?
Think about the notion of a coach as a vehicle or as a means of transportation through the enormous land of culture, identity, languages, and related issues. We have used the metaphor of a journey throughout this website. What metaphorical assistance do you need, now and throughout your career, that might help carry you from place to place during your journey? If you could imagine a metaphorical bus to carry you through the culture- and identity-related elements of your career, and a metaphorical tour guide on the bus to explain things along the way, what might that look like for you?
Finally, of course, think about the notion of having a human coach for yourself, as an adult learner and as a professional. We all have coaches in our graduate school clinical practicum; our clinical faculty members and externship supervisors guide our steps, suggest specific strategies or possibilities based on our current abilities, correct us when we need to be corrected, and help us learn to recognize when we have done something well during a clinical session. As we move into our careers in speech-language pathology, however, we tend not to receive much, if any, continued one-on-one professional coaching, in part because our profession tends to value independence and privacy, rather than valuing continued coaching for accomplished practitioners. Other fields, including athletics, make different assumptions; the very best and most elite athletes, for example, continue to work very closely with their coaches. Executive coaching, similarly, exists to help people who are already in leadership positions in their fields, and many high-level executives work closely with their firms’ advisory boards. Are you noticing the culturally based assumptions and actions? We discussed the culture of speech-language pathology in Section Four, and here we are recognizing another important aspect of our culture: We value privacy to such an extent that we often prevent ourselves from benefiting from the ongoing professional coaching that many other disciplines take for granted. Think about any changes you might want to make to your assumptions about how and when you should ask for help with your ongoing efforts to continue learning about culturally and individually appropriate speech-language pathology, from a frame outside our profession’s typical emphasis on privacy; remember, even the most elite athletes continue to depend on high-level coaching throughout their careers.
Designing Your Own Best Possible Continuing Professional Education
Lifelong continued professional learning is required for our licenses and certifications in speech-language pathology for many reasons, including that our field’s knowledge continues to change and including that our individual needs as practitioners continue to change. How can the known features of successful adult learning and effective coaching help us make the most of our efforts in continuing professional education? And, specifically, how might you use this information to design and implement the systems you need, given who you are and where you are, to support your own best possible lifelong learning about client-centered, culturally and individually appropriate speech-language pathology?
As the material from adult learning and effective coaching suggests and has demonstrated, the answer will not be to go to a convention every year or to sit alone and watch several hours of professional learning videos in December when you realize you “need the hours.” Some workplaces recognize this fact about professional learning and require employees to engage in a combination of ongoing individual professional goal-setting and group-based continuing professional education experiences, maybe monthly or quarterly.
Regardless of what is “required” of you, though, your continuing successful learning about cultural and identity-related issues will depend, in large part, on your ability to access resources, information, coaches, coaching, and possibilities that you trust, that match your current skills, and that match your current questions in the context of your actual workplace and when you recognize that you need assistance. The keys will be self-directed but supported learning and job-embedded coaching.
One reasonable initial step toward your future successful learning about cultures, identities, and speech-language pathology, therefore, might be for you to create learning systems for yourself and also cultivate ongoing access for yourself to materials and to people that can expose you to useful new information routinely and as you need it.
Think about some of the options in Box 27.3. Do any of them appeal to you? Or do you have any related ideas that are an even better fit for you and your circumstances?
Box 27.3 Creating Our Own Effective Adult-Learning and Coaching Experiences for Client-Centered, Culturally and Individually Appropriate Speech-Language Pathology
Subscribe to email alerts from sources such as ASHA’s Perspectives journal and skim for culturally and linguistically relevant titles when the email arrives. (Or, of course, subscribe to this website’s Blog!) The Information Mastery model, a clinician-centered variation on evidence-based practice, emphasizes the importance of this type of “push” information, or clinically relevant information that someone else pushes to you in small bits (as opposed to “pull” information, which we need to go hunting to find; see Bothe, 2010, and Slawson & Shaughnessy, 2005).
Keep a library of old-fashioned physical paper books or printouts about culture, identities, groups, individuals, languages, dialects, and other relevant topics. Re-read familiar chapters about general principles and about specific applications routinely; you’ll see something new every time. Physical books of your own also have the advantage that you can write notes in the margins, paperclip other pieces of paper in where you need them, and know that their URL will not change!
Keep an electronic list of websites, podcasts, articles, commenters, etc., that you think might meet your needs. (Of course I hope you have bookmarked this website already!) Schedule yourself to re-read something from your list, or to re-listen to an old podcast, and to add something new to your list, twice a year (or more often if you like, but not so often that you won’t be able to keep up with your initial overly optimistic plan).
Every October, select any one module from this website. Invite one colleague you know well, and one colleague you do not know as well, to read it with you and discuss any changes you might want to make in your workplace.
Create a system for your work group that foregrounds the group’s continued cultural learning in any smaller or larger way. A standing item on the department meeting agenda that allows one person to ask one culturally related question or share one culturally related success each month, or twice a year, might not sound like much, but over time such a routine will lead to more complex conversations and opportunities within and beyond your scheduled meetings. If your group is more ambitious, try a semi-annual book club meeting; you could start by reading chapters from Cross et al.’s 1989 monograph about agencies or organizations, as we discussed in Module 25. (Or re-read and discuss a module from this website every few months!)
Volunteer every year to lead an in-service for your colleagues, or volunteer every year to present at your state association’s annual convention, in the area of culturally and individually appropriate practice, whether you think of yourself as an expert in culture and identities or not. If you have developed some new expertise, you can share it with your colleagues. Perhaps even more importantly, if you do not feel that you have developed any new expertise in the entire past year, then you can either share the difficulties of your journey with other people (because you will all benefit from the conversation) or you can use the preparation of your session as a chance to learn something new.
Cultivate good working relationships with a wide range of people, so you can ask for feedback when you need it. Given that supportive, positive, job-embedded coaching is known to lead to the greatest change in professionals’ behavior, then your own success in continued professional learning in the areas of culture, language, and identity might depend on whether you can trust, believe, accept, and act on the information provided to you by the people you talk to about your work.
Regardless of which of the suggestions in Box 27.3 might fit your needs or your styles as a learner, the larger goal is primarily to be surrounding yourself with routines and systems that will help your continued learning. Learning to practice even more culturally and individually appropriate speech-language pathology remains not only a lifelong journey but also an active journey.
We also know, both physically and metaphorically, that we hit what we are looking at in life. If we are looking down or looking at where we are, that’s pretty much where we are going to end up. If, on the other hand, we stand up, look around, and seek actively to become more knowledgeable or even more skillful about any cultural, linguistic, or identity-based aspect of our profession, even in small ways, then any step we take, especially if it can be based somehow in the science of adult learning, effective coaching, or continuing professional education, will help us move closer to our goals.
What About Finding Specific Information About Certain Groups of People?
Let’s also acknowledge here, at least briefly, that sometimes the “continuing education” we need does relate to our desire to understand a specific group of people. This website has emphasized the importance of systems, models, dimensions, continua, and other background information, and Module 5, in particular, explained in some detail why I tend to avoid questions of the form “What do they believe?” or “How should I interact with Group X?” But sometimes we do need specific details.
If you find yourself with questions about a specific group of people, my first answer will continue to be to ask the specific person or family in front of you. Don’t try to memorize that people from a certain country or a certain religion eat certain things; ask your client what they like to eat. Don’t try to memorize the complexities of age, gender, and respect for a group you have stereotyped in your mind; ask the family who will be coming back to the therapy room with you where they would be most comfortable sitting. The keys, again, are our awareness of the dimensions, our respect for all places along all the dimensions, and whatever combination fits you best of some humility, some curiosity, some humor, some kindness, and a genuine effort to make other people feel comfortable with you.
Other options, if you do find yourself needing specific information, include searching for materials that exist almost purely within a given community of people or that exist to support members of that community, not materials written about that community from the outside. Read any mosque’s, church’s, or synagogue’s website, for example, or find and explore a certain food store, rather than reading about a community’s general religious beliefs or reading about their foods in materials written by or for outsiders. Be ready to see the similarities between what you find and what is familiar to you (e.g., most religious organizations have routine services, classes for children and adults, occasional celebrations and other social activities, and systems for committee meetings, just as yours does), and also be equally ready to respect and accept the differences.
You could also seek out materials intended as support for parents or for older people in that community, or seek out performances or visual arts installations in that community.
And if you have access to teenagers, from any background, you can ask them where they are finding culturally relevant information this month, given the tendency for young people to be at the forefront of change. Remember, again, your goal is not to find and memorize stereotypes, or to observe other people as if their lives existed for your benefit – but we can all continue our efforts to understand how other people experience their daily lives and to incorporate that information respectfully into our clinical and professional practice.
Your Turn
Which of the possibilities in Box 27.3 appealed to you? Why? Try thinking about one of the options that did not appeal to you, or that you were ready to reject as not useful, not feasible, or otherwise simply not right for you. Can you identify exactly why that option did not feel good to you? Do you think you might benefit from it in any way, if you were to try it, or is it so far from your current journeys and abilities that it would honestly never work for you?
Talk with other people about their impressions of the possibilities listed in Box 27.3, using the information from earlier in this module about adult learning and about coaching to structure your conversations. Did someone perceive an option as safe, supportive, and positive (Box 27.1)? Are parts of anyone’s reactions related to their “competence, confidence, connection, and character” (Box 27.2) as a clinician or as a professional?
Search for more multicultural or cross-cultural practice information that might be available from your state’s professional organization (your state-level equivalent of ASHA), your state’s licensure board, your state’s Department of Education, your community’s school district(s), the school districts in major cities near you, your community’s large healthcare system(s), or the healthcare systems in major cities near you. Do any of them include information you perceive as useful for your continuing education, given where you are in your journeys?
ASHA provides several brief documents referred to as “Cultural Competence Check-Ins” that are related to the information in this segment and that you might find useful — but I strongly suggest that you ignore their suggested 1-3 or 1-5 self-rating systems! Instead, use the items on ASHA’s lists as opportunities to reflect on your current practices and your next goals, using the frameworks we have discussed throughout this website. For an item such as “I am aware of and acknowledge the influence of others’ cultural backgrounds,” for example, don’t just mark “Agree” and move on. Try thinking about which aspects of your behavior in that realm currently reflect each level of Cross et al.’s (1989) six-stage continuum. Try thinking about how you have dealt with any previous mistakes you might have made or conflicts you might have found yourself in about that topic. Try thinking about how to cultivate relationships with people you trust as you consider which changes you might want to try next in that area — or, in any other way, challenge yourself to do much more complex thinking than a 1-3 rating would allow you to do.
Culturally and Individually Appropriate Speech-Language Pathology: Your Turn!
Thank you for taking this journey!
Whether you have read every single one of these 27 modules from start to finish, read a few modules and thought about a few Your Turn questions, or skimmed a few segments from within one module and then clicked here to the end, your interaction with this website represented a part of your journey in, through, and with client-centered, culturally and individually appropriate speech-language pathology.
If you have spent some time with this website, you have thought about groups, individuals, cultures, identities, abilities, backgrounds, languages, dialects, accents, and the many intersection continua that define people’s complex lives. You have thought about the range of beliefs people can hold and the range of decisions people can make, and you have thought about how to think about beliefs and decisions. You have thought about the decisions you would like to make as a clinician and as a professional, and you are now more aware of the large-scale societal implications that can emerge from a series of individual or group decisions. You have thought about how you, as the unique clinician you are, can work within such constraints as federal civil rights law and professional codes of ethics to help people in ways that are genuinely providing them with good help and good care. You have thought about the complexities of our profession’s history, culture, and past and present emphases. You might have learned some specific details about applying these constructs in specific clinical or professional situations, or you might have thought more deeply about how or why we structure our clinical and professional activities the way we structure them. You have accepted the absolute fact that you are going to make cultural and linguistic mistakes, and you are trying not to repeat the same mistakes more times than absolutely necessary or to linger too long in the culturally influenced conflicts that will inevitably occur. And you have committed to a lifelong journey of continual improvement toward expanding opportunities, for yourself and for our profession and for everyone we can help.
Congratulations!
I had the honor and the pleasure of being allowed to read the names of graduates who were earning master’s degrees, in the University of Georgia’s commencement ceremonies, for almost 20 years. During the ceremonies, our university president always conferred the graduates’ degrees using a classic phrase that I never tired of hearing: “with all the rights, privileges, and responsibilities thereto appertaining.”
The phrase reminded the graduates that they had worked hard and were now appropriately being granted some rights and some privileges. A person with a college degree is allowed to do many things that a person without a college degree is not allowed to do.
The phrase also reminded the graduates, critically, that every right and every privilege comes with an associated responsibility.
You have worked hard, and you as a speech-language pathologist have many rights and many privileges. Some of those privileges are questionable or inappropriate, as we have addressed. But many of them are privileges in a good way, in the way that means that we have the honor and the privilege of being allowed to use our expertise to introduce some good into the world.
The bottom line, as we finish our conversations about culturally and individually appropriate speech-language pathology, is that we also all have many responsibilities.
As I leave you, therefore, as this last module ends and our journeys diverge, I am going to remind you of our shared responsibilities.
You will continue on, from here, to create the rest of your journey through your life and your career. Please do so in your own way, in a manner that reflects your own unique abilities and that maximizes the contributions that only you can make.
Please, also, if I may: Please continue on a path that holds paramount the needs of the people we serve and the needs of the other people we should be serving. Please let’s keep our responsibilities, not our rights or our privileges, uppermost in our minds. Please help me try to recognize, respect, and respond to our clients’ needs and also to the larger and evolving needs of our colleagues, our profession, and our entire society. Please look up, and look around, and aim for what Cross et al. (1989) would call true proficiency. We are an important profession, and we have important responsibilities, and the only way we can do it is together.
I am glad you are here, and I thank you for your efforts, and my very best wishes for the rest of your journey.