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The toll of supervising from an anti-racist framework: reflections from a qualitative study 反种族主义框架下监督的代价:来自定性研究的反思
Q3 HEALTH POLICY & SERVICES Pub Date : 2023-11-09 DOI: 10.1080/07325223.2023.2270970
Sarah Ross Bussey
ABSTRACTPersistent race-based disparities in all domains of the US indicate the insidious nature of anti-Black racism. The helping professions have an opportunity to assist individuals and communities in working toward racial reconciliation and healing. Anti-racist and anti-oppressive practice standards represent one means to do so. Supervisors play a critical role in guiding anti-racist clinical practice and modeling these tenets. Little empirical scholarship exists around the strategies for supervising from this framework. Understanding these experiences help inform how to support anti-racist supervisors interpersonally and organizationally. Findings from a grounded theory qualitative study with social work supervisors shed light on these experiences.KEYWORDS: Anti-racismbiasesclinical supervisiongrounded theoryanti-black racism AcknowledgmentsI am deeply indebted to my dissertation chair, Dr. Vicki Lens, for her encouragement and support of my research process. Great appreciation, also, to my committee chair members, Dr. Alexis Jemal, Dr. Ben Anderson-Nathe, and Dr. Bryan Warde for their insights and contributions. Last, thank you to the participants in this study who shared their vulnerabilities and wisdom toward the goal of strengthening the profession.Disclosure statementNo potential conflict of interest was reported by the author(s).Notes1. Pseudonyms are used throughout.Additional informationNotes on contributorsSarah Ross BusseySarah Ross Bussey, LCSW, works as Director of Care Management with Mount Sinai Health Partners in NYC and is a post-doctoral fellow with the Briar Patch Collaboratory. Her research interests include anti-racism clinical and community-based interventions, social work practice and anti-racism supervision, effective interventions to enhance and tools to measure critical consciousness, restorative justice and community healing, health disparities, and, critical qualitative methods. She received her B.A. in Sociology from Reed College, Master’s in Social Work at Portland State University (where she was awarded the 2008 NASW Community Based Practice Award), and PhD in Social Welfare at the CUNY Graduate Center. Sarah worked in various capacities of youth work—with a focus on complex trauma, gang-involvement, transgenerational poverty, justice-system entrenchment, housing insecurity, and skill development—before joining an innovative program addressing clinical case management needs in a health care setting.
摘要美国各领域持续存在的种族差异表明了反黑人种族主义的阴险本质。帮助职业有机会帮助个人和社区努力实现种族和解和愈合。反种族主义和反压迫做法标准是实现这一目标的一种手段。主管在指导反种族主义临床实践和塑造这些原则方面发挥着关键作用。围绕这一框架下的监管策略的实证研究很少。了解这些经历有助于了解如何在人际关系和组织上支持反种族主义主管。对社会工作主管进行的一项扎根理论定性研究的结果揭示了这些经验。关键词:反种族歧视临床监督扎根理论反黑人种族歧视致谢我非常感谢我的论文主席Vicki Lens博士对我的研究过程的鼓励和支持。我也非常感谢我的委员会主席成员Alexis Jemal博士、Ben Anderson-Nathe博士和Bryan Warde博士的见解和贡献。最后,感谢本研究的参与者,他们分享了自己的弱点和智慧,以实现加强专业的目标。披露声明作者未报告潜在的利益冲突。本书自始至终使用笔名。撰稿人备注sarah Ross Bussey, LCSW,是纽约西奈山医疗合作伙伴的护理管理主任,也是Briar Patch合作实验室的博士后研究员。她的研究兴趣包括反种族主义临床和社区干预,社会工作实践和反种族主义监督,有效的干预措施,以增强和工具来衡量批判意识,恢复性司法和社区愈合,健康差距,和,关键的定性方法。她在里德学院获得社会学学士学位,在波特兰州立大学获得社会工作硕士学位(在那里她被授予2008年NASW社区实践奖),并在纽约市立大学研究生中心获得社会福利博士学位。在加入一个解决医疗保健环境中临床病例管理需求的创新项目之前,Sarah从事过各种各样的青年工作,重点是复杂的创伤、帮派参与、跨代贫困、司法系统巩固、住房不安全以及技能发展。
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引用次数: 0
Efficacy of live-supervision regarding skills, anxiety and self-efficacy: a randomized controlled trial 生活监督对技能、焦虑和自我效能的影响:一项随机对照试验
Q3 HEALTH POLICY & SERVICES Pub Date : 2023-10-16 DOI: 10.1080/07325223.2023.2267528
Ulrike Maaß, Franziska Kühne, Destina Sevde Ay-Bryson, Peter Eric Heinze, Florian Weck
ABSTRACTSixty-nine psychology students (M = 24.93 years, 82.6% female, 81% B.Sc. level) were randomly assigned to live supervision or a control group in an experiment with two simulated therapy sessions. In Session 1, their task was to conduct the beginning of a cognitive-behavioral therapy session with a standardized patient. In Session 2, all students repeated the task, but only one group received live supervision from a licensed psychotherapist. Live supervision improved students’ (observer-based) skills (ds ≥0.91), and students were satisfied with the feedback. In terms of self-efficacy and self-assessed skills, live supervision had no significant advantage over merely practicing.KEYWORDS: Trainingpsychotherapybug-in-the-eyecognitive behavior therapyrole-playlive supervision AcknowledgmentsWe thank Dr. Brian Bloch for editing the English version, our student assistants Judith Tremöhlen and Anna Lorenz, and all other students supporting the study.Disclosure statementNo potential conflict of interest was reported by the author(s).Supplementary materialSupplemental data for this article can be accessed online at https://doi.org/10.1080/07325223.2023.2267528Additional informationNotes on contributorsUlrike MaaßUlrike Maaß, PhD, is a licensed psychotherapist, researcher, lecturer, and CBT supervisor at the Division of Clinical Psychology and Psychotherapy at the University of Potsdam. She treats patients at the Psychologisch-Psychotherapeutische Ambulanz (PPA, University of Potsdam) and works as a teacher for psychotherapy trainees and supervisors at several training institutes in Germany and Switzerland. Her current research interests include psychotherapy training and supervision, psychotherapeutic competencies, and psychotherapy research.Franziska KühneFranziska Kühne is a licensed psychotherapist, researcher, lecturer, and a CBT supervisor at Psychologisch-Psychotherapeutisches Institute (PPI, University of Potsdam). She habilitated on psychotherapy competences and is head of the obsessive-compulsive disorder treatment program at the Psychologisch-Psychotherapeutische Ambulanz (PPA, University of Potsdam). Her current research interests include evidence-based psychotherapy, competency and training research, psychooncology, and obsessive-compulsive disorder.Destina Sevde Ay-BrysonDestina Sevde Ay-Bryson, PhD, is a researcher and lecturer at the Department of Rehabilitation Sciences at Humboldt-Universität zu Berlin. She is currently doing her psychotherapy training at Psychologisch-Psychotherapeutisches Institute (PPI, University of Potsdam).. Her research interests include evidence-based training, psychotherapy competence, and the standardized patient methodology.Peter Eric HeinzePeter Eric Heinze, PhD, is currently completing his psychotherapy training at Psychologisch-Psychotherapeutisches Institute (PPI, University of Potsdam). His research interests include psychotherapy preferences, psychotherapy and training research, and diagnostic proc
摘要将69名心理学系学生(M = 24.93岁,女性82.6%,本科水平81%)随机分为现场监测组和对照组,进行2次模拟治疗。在第一阶段,他们的任务是对一个标准化的病人进行认知行为治疗。在第二阶段,所有学生都重复了这个任务,但只有一组接受了有执照的心理治疗师的现场监督。现场监督提高了学生(基于观察者的)技能(ds≥0.91),学生对反馈感到满意。在自我效能感和自我评估技能方面,现场监督与单纯练习相比没有显著优势。我们感谢Brian Bloch博士编辑的英文版,我们的学生助理Judith Tremöhlen和Anna Lorenz,以及所有支持这项研究的其他学生。披露声明作者未报告潜在的利益冲突。补充材料本文的补充数据可在https://doi.org/10.1080/07325223.2023.2267528Additional information网站上获取。作者简介:ulrike maasß,博士,是波茨坦大学临床心理学和心理治疗部门的一名持证心理治疗师、研究员、讲师和CBT主管。她在波茨坦大学心理治疗中心治疗病人,并在德国和瑞士的几家培训机构担任心理治疗学员和主管的教师。她目前的研究兴趣包括心理治疗培训和监督、心理治疗能力和心理治疗研究。Franziska k hnefranziska k是波茨坦大学心理-心理治疗研究所(PPI)的一名持照心理治疗师、研究员、讲师和CBT主管。她获得了心理治疗能力的培训,目前是波茨坦大学心理治疗中心强迫症治疗项目的负责人。她目前的研究兴趣包括循证心理治疗、能力和培训研究、心理肿瘤学和强迫症。Destina Sevde Ay-Bryson博士是Humboldt-Universität柏林大学康复科学系的研究员和讲师。她目前正在波茨坦大学心理治疗研究所(PPI)接受心理治疗培训。她的研究兴趣包括循证培训、心理治疗能力和标准化患者方法。Peter Eric Heinze博士目前正在波茨坦大学心理治疗研究所(PPI)完成他的心理治疗培训。他的研究兴趣包括心理治疗偏好,心理治疗和培训研究,以及诊断程序。Florian Weck,博士,临床心理学和心理治疗学部教授兼主席,波茨坦大学心理心理治疗门诊主任,波茨坦大学心理-心理治疗研究所(PPI)研究主任,执业CBT心理治疗师和导师。他目前的研究兴趣包括心理治疗培训、心理治疗研究、心理治疗能力、临床监督和病理性健康焦虑。
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引用次数: 0
Online supervision training during the COVID-19 pandemic: a pilot program to foster supervisor engagement and organizational sustainability 2019冠状病毒病大流行期间的在线监管培训:促进监管人员参与和组织可持续性的试点项目
Q3 HEALTH POLICY & SERVICES Pub Date : 2023-10-10 DOI: 10.1080/07325223.2023.2267542
Rosemary Vito, Laura Brunskill, Sarah Lindsay
ABSTRACTThis online pilot supervision training program, with the primary goal of fostering supervisor engagement and organizational sustainability, was collaboratively developed using a combination of didactic and experiential learning to meet the acute needs of a Canadian community-based mental health/addiction organization transitioning through integration during the pandemic. Preliminary qualitative and descriptive results of a post-training survey with 21 supervisors highlighted lessons learned to meet immediate training needs, the benefits and challenges of technology in online learning, and the complexities of embedding sustainable supervision practice within organizational culture. The results support a broader training program for a provincial network of agencies.KEYWORDS: COVID-19 pandemicsupervisiononline trainingsupervisor engagementorganizational sustainability AcknowledgmentsWe would like to thank the directors and supervisors, who shared their experiences with us.Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThis work was supported by King’s University College under an Internal Research Grant [no number].Notes on contributorsRosemary VitoRosemary Vito, PhD, MSW, RSW, is an Associate Professor, School of Social Work, King’s University College, London, Ontario, Canada. Her teaching and research interests include leadership practice/development, clinical supervision, organizational culture/change, mental health practice, and field instruction. She has twenty+ years supervisory and direct practice experience in community mental health organizations, has coled diversity and wellness initiatives, and contributed to community and editorial boards. She has coauthored 20 peer reviewed publications and 30 peer reviewed/invited conference presentations, and has facilitated 17 community workshops. She is coapplicant on two SSHRC grants totalling $95,000 and principal applicant on multiple King’s research grants totalling $18,000.Laura BrunskillLaura Brunskill, MSW, RSW, OCT, is a Research Assistant, School of Social Work, King’s University College, London, Ontario, Canada. Her research interests include leadership development, clinical supervision, organizational culture/change, and perinatal mental health practice. She has coauthored 2 peer reviewed publications and 2 peer reviewed conference presentations, and cofacilitated two leadership resilience and supervision training workshops.Sarah LindsaySarah Lindsay, MSW, RSW, is a Quality & Research Analyst with CMHA Ontario. Her research/practice interests include community mental health, harm reduction, trauma-informed program evaluation, quality improvement, and organizational culture/change. She has several years of experience providing program development, evaluation, and research support in academic and community settings. She has authored and delivered several community based invited conference presentations, coauthored two
摘要该在线监督培训试点项目的主要目标是促进监督人员的参与和组织的可持续性,采用教学和体验式学习相结合的方式合作开发,以满足加拿大社区精神健康/成瘾组织在大流行期间通过整合过渡的迫切需求。对21名主管进行的培训后调查的初步定性和描述性结果强调了满足当前培训需求的经验教训、在线学习技术的好处和挑战,以及在组织文化中嵌入可持续监督实践的复杂性。研究结果支持为省级机构网络开展更广泛的培训计划。关键词:COVID-19大流行监管在线培训主管参与组织可持续性感谢各位董事和监事与我们分享他们的经验。披露声明作者未报告潜在的利益冲突。本研究由国王大学学院在一项内部研究基金的支持下进行。作者简介rosemary vitto,博士,城市生活垃圾,RSW,加拿大安大略省伦敦市国王大学学院社会工作学院副教授。她的教学和研究兴趣包括领导实践/发展、临床监督、组织文化/变革、心理健康实践和实地指导。她在社区精神卫生组织有20多年的监督和直接实践经验,主持了多元化和健康倡议,并为社区和编辑委员会做出了贡献。她与人合著了20份同行评议的出版物和30份同行评议/邀请会议报告,并促进了17个社区讲习班。她是两项SSHRC资助的共同申请人,总金额为95,000美元,也是多项King研究资助的主要申请人,总金额为18,000美元。Laura Brunskill, MSW, RSW, OCT,加拿大安大略省伦敦市国王大学学院社会工作学院研究助理。她的研究兴趣包括领导力发展、临床监督、组织文化/变革和围产期心理健康实践。她与人合著了2篇同行评议的出版物和2篇同行评议的会议报告,并共同主持了两次领导弹性和监督培训讲习班。Sarah Lindsay, MSW, RSW,是安大略省CMHA的质量和研究分析师。她的研究/实践兴趣包括社区心理健康、减少伤害、创伤知情项目评估、质量改进和组织文化/变革。她有几年在学术和社区环境中提供项目开发、评估和研究支持的经验。她撰写并发表了几次基于社区的受邀会议演讲,共同撰写了两份研究报告,并共同推动了一次监督培训研讨会。
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引用次数: 0
Advancing antiracist supervision 推进反种族主义监管
Q3 HEALTH POLICY & SERVICES Pub Date : 2023-10-05 DOI: 10.1080/07325223.2023.2259389
Kamaria E. Wells, Jessica E. Isom
ABSTRACTAdopting a critical events supervision framework to advance antiracist supervision offers valuable experience-near guidance and leverages supervisors’ existing skillset with a particular attention paid to interpersonal sensitivity. By addressing challenges and opportunities as they arise within critical events, supervisors can create a more safe, responsive and antiracist supervisory environment for supervisees when racial dynamics are broached in the discussion. Supervisors must first, however, progress in their own racial identity development and racial consciousness in order to lead, rather than follow or perpetrate harm, within supervisory settings.KEYWORDS: AntiracismEquitySupervision Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationNotes on contributorsKamaria E. WellsKamaria E. Wells earned her MA in art therapy psychology from Dominican University of California. Her research interests include utilizing art therapy experientials to reduce racial trauma symptomatology. She has developed a workshop utilizing altered books that have empowered minoritized communities and enhanced understanding of marginalized perspectives throughout the educational experience. She is the founder and owner of Missing Peaces LLC, consulting and coaching.Jessica E. IsomJessica E. Isom earned her MD and MPH from the University of North Carolina at Chapel Hill and the University of North Carolina Gillings School of Global Public Health. Her research interests include workforce development and organizational transformation to support mental health equity. She has developed and led a variety of educational and consultative efforts with health care professionals, including trainees, faculty, supervisors, and organizational leadership. She is the founder and owner of Vision for Equity LLC, and a Clinical Instructor in the Department of Psychiatry at Yale University.
摘要采用关键事件监管框架来推进反种族主义监管提供了宝贵的经验指导,并利用了监管人员现有的技能,特别关注人际敏感性。通过应对关键事件中出现的挑战和机遇,当讨论中涉及种族动态时,主管可以为其创造一个更安全、反应更灵敏、反种族主义的监管环境。然而,监督者首先必须在自己的种族认同发展和种族意识方面取得进展,以便在监督环境中领导,而不是跟随或造成伤害。关键词:反种族主义公平监督披露声明作者未报告潜在的利益冲突。作者简介:maria E. Wells获得了加州多明尼加大学艺术治疗心理学硕士学位。她的研究兴趣包括利用艺术治疗经验来减少种族创伤症状。她开发了一个讲习班,利用修改过的书籍,在整个教育过程中赋予少数群体权力,加强对边缘化观点的理解。她是失踪和平有限责任公司的创始人和所有者,提供咨询和指导。Jessica E. Isom在北卡罗来纳大学教堂山分校和北卡罗来纳大学吉灵斯全球公共卫生学院获得医学博士和公共卫生硕士学位。她的研究兴趣包括劳动力发展和组织转型,以支持心理健康公平。她开发并领导了各种医疗保健专业人员的教育和咨询工作,包括学员、教师、主管和组织领导。她是Vision for Equity LLC的创始人和所有者,也是耶鲁大学精神病学部门的临床讲师。
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引用次数: 1
Predictors of vicarious traumatization and quality of life among supervisees: testing moderation and mediation 被监管者的间接创伤和生活质量的预测因素:测试、调节和调解
Q3 HEALTH POLICY & SERVICES Pub Date : 2023-09-26 DOI: 10.1080/07325223.2023.2259374
Mackenzie L. McNamara, Michael V. Ellis, Justin M. Kimber
ABSTRACTWe replicated and extended previous research to address the fragmented and simplistic understanding of the risk and protective factors of vicarious traumatization (VT) and quality of life (QoL) among supervisees. Mindfulness did not moderate the relationship between personal distress empathy (PDE) and VT; however, it uniquely predicted VT and the physical and psychological domains of QoL. The supervisory working alliance (SWA) mediated the relationship between PDE and VT, and the SWA and VT mediated the relationship between PDE and all four QoL domains. Strengths, limitations, and implications for theory, practice, and research are discussed.KEYWORDS: vicarious traumatizationsupervisory working alliancemindfulnessquality of life Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationNotes on contributorsMackenzie L. McNamaraMackenzie L. McNamara, PH.D., is a licensed Staff Psychologist and Clinical Supervisor at the University of Rhode Island Counseling Center. Her interests include college student mental health, mindfulness, vicarious traumatization, and clinical supervision and training.Michael V. EllisMichael V. Ellis, PH.D., ABPP, a Vincent O’Leary Professor Emeritus at the University at Albany, is a practitioner, clinical supervisor, and supervisor trainer, with teaching and research interests in multicultural clinical supervision, supervisor training, and research methodology, psychometrics, and statistics, all viewed through the lens of diversity, oppression, and privilege. He is Board Certified in Counseling Psychology, an Approved Clinical Supervisor (ACS), a Fellow of the American Academy of Counseling Psychology and the American Psychological Association, a Fulbright Scholar, and a Distinguished Professional Achievement Award recipient (Supervision and Training Section, Division 17, APA, 2010). He conducts clinical supervision workshops nationally and internationally.Justin M. KimberJustin M. Kimber, PH.D., is currently a postdoctoral fellow in the field of digital mental health. His research and clinical interests include, health psychology, quality of life, behavioral medicine, and medically unexplained symptoms.
摘要我们复制和扩展了先前的研究,以解决被监护人对替代性创伤(VT)和生活质量(QoL)的风险和保护因素的碎片化和简单化的理解。正念没有调节个人痛苦共情(PDE)与VT的关系;然而,它能独特地预测VT和生活质量的生理和心理领域。监督工作联盟(SWA)在PDE和VT之间起中介作用,SWA和VT在PDE和四个生活质量域之间起中介作用。讨论了理论、实践和研究的优势、局限性和影响。关键词:间接创伤;监督工作联盟;意识;生活质量披露声明作者未报告潜在的利益冲突。附加信息撰稿人说明麦肯齐·l·麦克纳马拉博士是罗德岛大学咨询中心的持证心理学家和临床主管。她的兴趣包括大学生心理健康,正念,代理创伤,临床监督和培训。Michael V. Ellis, ABPP博士,奥尔巴尼大学Vincent O 'Leary名誉教授,是一名实践者、临床督导和督导培训师,对多元文化临床督导、督导培训、研究方法、心理测量学和统计学的教学和研究感兴趣,所有这些都是通过多样性、压迫和特权的视角来看待的。他是咨询心理学委员会认证,批准临床督导(ACS),美国咨询心理学学会和美国心理协会会员,富布赖特学者,杰出专业成就奖获得者(监督和培训部,17分部,APA, 2010)。他在国内和国际上举办临床监督研讨会。Justin M. kimberber,博士,目前是数字心理健康领域的博士后研究员。他的研究和临床兴趣包括健康心理学、生活质量、行为医学和医学上无法解释的症状。
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引用次数: 0
Application of a connecting practice model in group telesupervision: A pilot study of supervisee expectations, experiences and attitudes 联系实践模式在团体远程督导中的应用:被督导者期望、经验和态度的初步研究
Q3 HEALTH POLICY & SERVICES Pub Date : 2023-09-20 DOI: 10.1080/07325223.2023.2259383
Kate Bridgman, Shane Erickson, Lisa Furlong, Hannah Stark
ABSTRACTClinical supervision can be resource-intensive and deprioritised over direct care. This study trialed combining group and online modalities to potentially overcome these issues. Data from supervisee focus groups explored their expectations, experiences, and attitudes before and after group telesupervision. A thematic analysis identified: (i) pre-established expectations and processes are critical; (ii) experienced clinicians can benefit from group telesupervision; and (iii) the clinical supervisor plays a diverse role. Organizations could benefit from specialist telesupervision consultants to overcome the cost and loss of productivity associated with clinician travel for supervision, where remote clinicians require specialist supervision, or where COVID-safe supervision is required.KEYWORDS: Clinical supervisionconnecting practicegroup supervisionprofessional educationtelesupervision AcknowledgementThe research team wish to formally acknowledge the support of Melbourne Archdiocese Catholic Schools for this research and the participating SLPs.Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationNotes on contributorsKate BridgmanKate Bridgman is a speech pathology academic at La Trobe University. Her clinical and research areas include telehealth, stuttering, and clinical practice.Shane EricksonShane Erickson is a senior lecturer and researcher from the Discipline of Speech Pathology at La Trobe University. He is a speech pathologist who specialises in the management of stuttering across the lifespan.Lisa FurlongLisa Furlong is a senior lecturer and Research Fellow at Flinders University in speech pathology. She is a paediatric speech pathologist who works with children with literacy difficulties.Hannah StarkHannah Stark is a speech pathologist and Postdoctoral Research Fellow in the Research in Effective Early Childhood Education Centre at the University of Melbourne.
临床监督可能是资源密集型的,并且优先于直接护理。本研究尝试将分组和在线模式结合起来,以潜在地克服这些问题。来自被督导焦点小组的数据探讨了他们在小组远程督导前后的期望、经验和态度。专题分析查明:(i)预先确定的期望和进程至关重要;(ii)有经验的临床医生可以从小组远程监护中受益;(三)临床督导的角色多元化。组织可以从专家远程监督顾问中受益,以克服与临床医生前往监督相关的成本和生产力损失,在远程临床医生需要专家监督或需要covid - 19安全监督的情况下。关键字:临床督导、连接实践、小组督导、专业教育、远程督导致谢:研究团队在此正式感谢墨尔本天主教大主教管区学校对本研究的支持和参与的slp。披露声明作者未报告潜在的利益冲突。凯特·布里奇曼(kate Bridgman)是拉筹伯大学的语言病理学学者。她的临床和研究领域包括远程医疗、口吃和临床实践。Shane Erickson是拉筹伯大学语言病理学专业的高级讲师和研究员。他是一名语言病理学家,专门研究终身口吃的管理。Lisa Furlong是弗林德斯大学语言病理学高级讲师和研究员。她是一名儿科语言病理学家,与有读写困难的儿童一起工作。Hannah Stark是墨尔本大学有效幼儿教育研究中心的语言病理学家和博士后研究员。
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引用次数: 0
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