What are they, and why are they so onerous? Most simply, a process recording is a written account of a clinical interaction, typically structured in columns as follows:
- A verbatim account of what was said by whom, recounted from memory (rather than from an audio or video recording), with the understanding that it will not be 100% accurate, but should be as accurate as the student can make it.
- The student's observations about the interaction. Most basically, this includes things like body language, environmental cues, and other non-verbals. The same column may also be used to note the student's impressions, interpretations or assumptions, and reasoning for responding in specific ways.
- The student's thoughts and emotional reactions, along with any associations s/he is making.
- The supervisor's comments and questions
- Unless they're done immediately after the interaction (rarely possible in a busy field placement), it can be very challenging and time consuming to try to bring back the memory of exactly what was said, by whom, in what order. (My first placement was running groups of 8-12 middle school girls - trust me, trying to remember what 12 girls said throughout a 90 minute group is painful!)
- Picking apart one's interpretations, thoughts, assumptions and feelings takes practice, and can be uncomfortable and confusing, especially while also trying to integrate a wide range of theory being learned in classes.
- It can also be anxiety-provoking to expose one's clinical interactions, and reactions, to one's supervisor for feedback.
Those are the reasons schools of social work think process recordings are important for students. I'd like to take it a step further, though - I think process recordings not only teach important clinical skills, but also provide life skills that can be taught to clients. Think about it: across the continuum of care, we're working with clients to help them develop insight (awareness of their thoughts, feelings, associations, reactions, and behaviors), and adaptive ways of interacting with the world (i.e., coping). To do so, we need to help them to distinguish between thoughts and feelings, and between assumptions and observations. We also need to teach them to break down challenging events into a sequence of discrete events to identify triggers, choices made, and places where a more adaptive response might have been possible. To teach these things, we have to know how to do them ourselves. Students improve their self-awareness and self-reflection through process recordings, and process recordings make this learning explicit, thereby allowing students to apply it implicitly and teach it explicitly with clients.
So, how do you feel about process recordings, remembering your own student experience? What do you think about their applicability to ongoing clinical practice, especially as a potential life skill to offer clients?