Handle with Care: Transformative Learning as Pedagogy in an Under-Resourced Health Care Context

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Table 1. The ten phases of transformation as detailed by Mezirow9.

A disorienting dilemma Self-examination with feelings of fear, anger, guilt or shame A critical assessment of assumptions Recognition that one’s discontent and the process of transformation are shared Exploration of options for new roles, relationships and actions Planning a course of action Acquiring knowledge and skills for implementing one’s plans Provisional trying new roles Building competence and self-confidence in new roles and relationships A reintegration into one’s life on the basis of conditions dictated by one’s new perspectives

Mezirow J. Learning to think like an adult: core concepts of transformation theory. In: Mezino J, ed. Learning as Transformation. Critical Perspectives on a Theory in Progress. 1st ed. Jossey-Bass Publishers; 2000. p. 3–33.

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