Staying with it: A case study

Abstract

This is a case study which illustrates some of the conflicts and dilemmas facing local authority social workers in child protection. The worker had to learn to understand and deal with his feelings about a client, who was at different times unable to communicate verbally, sexually procative and seductive, hostile and aggressive. For the client there was a gradual shift from acting out her fears and fantasies about men, to being able to verbalise and trust the worker.

The worker moves towards an understanding of the client's problems and also of his own difficulties in dealing with the case. He believes that his personal involvement was of value to the client.     

Beyond “Dry Drunkenness”: Facilitating Second Stage Recovery Using Wilber's “Spectrum of Consciousness” Developmental Model

ABSTRACT

The usefulness of Wilber's “Spectrum of Consciousness” developmental model in the treatment of substance abuse is demonstrated by a case study that illustrates how underlying emotional pain and intimacy issues can be worked through in the counselling process with a client during the second stage of recovery from addiction. Wilber's model allows for narcissistic, critical self, social, identity, intimacy, existential, and psycho-spiritual issues to be integrated into the counselling process for long-term recovery. This model provides social workers and addictions counselors with a useful map in embracing client recovery.     

Examining the Psychometric Properties of the Identify as a Professional Social Worker Subscale

ABSTRACT

The purpose of this study was to examine the psychometric properties of the Identify as a Professional Social Worker Subscale, which assessed the Council on Social Work Education–prescribed competency identify as a professional social worker and conduct oneself accordingly. The results of confirmatory factory analysis indicated that the items on the measure assessed the underlying latent construct of identification as a professional social worker. The item response theory analysis indicated that the measure could be shortened to a four-item measure, and the item “demonstrate professional demeanor in behavior, appearance, and communication” was the highest discriminating item, whereas “advocate for client access to the services of social work” was the lowest discriminating item. Implications for research, measurement development, and the 2015 Educational Policy and Accreditation Standards are discussed.     

Prevalence of Elder Mistreatment as Reported by Social Workers in a Probability Sample of Adult Day Health Care Clients

ABSTRACT

There are growing numbers of Adult Day Health Care (ADHC) programs providing needed health services to community-dwelling elderly. Therefore, ADHC staff are in an opportune position to identify and to intervene in suspected elder mistreatment (EM) cases. In this paper, prevalence estimates of EM are reported for a probability sample of ADHC clients in New York State, using data provided during a social worker informant interview. The abuse “signs and symptoms” items in the social worker informant interview schedule were divided into two categories: (1) physical indicators and (2) client's behavioral indicators. Physical indicators included unexplained bruises and welts, unexplained burns, unexplained lacerations or abrasions, human bite marks, and frequent injuries that are “accidental” or “unexplained.” Client's behavioral indicators included apprehension, being frightened, and afraid to go home. EM prevalence for all 8 items was 12.3 percent. When “apprehensive” was excluded, the EM prevalence was 3.6 percent in this sample. These findings suggest that ADHC provides a point of contact for the assessment and intervention of EM that might otherwise be overlooked among elders who are often isolated or homebound.     

The Dramaturgical Model of Behavior: Its Strengths and Weaknesses*

By means of the dramaturgical model we freshly illuminate social behavior as role-like “performances” in which persons manage the impressions that others get of them. This impression management involves the concealment of data in a “dramatic” struggle with those others who wish to penetrate one's “mask.” But the chief limitations of the dramaturgical model are that it excites the invalid inferences that offstage “roles” are more like stage actors' roles than they really are, and that the person is nothing but these “roles.” The differences between onstage and offstage behavior are kept in view when the metaphorical concept of “role playing” is re-connected to its source in role playing onstage. Through an analysis of theatre and the concepts of appearance and time we conclude that while we must appear to others in a “role-like” way offstage in order to be ourselves, we are nevertheless involved in world-time offstage in a way that fundamentally distinguishes our “role-playing” from an actor's role playing. We are our “roles”, but not just our “roles.”     

Introduction

Abstract

“What impact has city life on the individual–our behavior, personality, values, relationships?” George Simmel's 1905 publication of “The metropolis and mental life” remains a seminal essay on this central yet neglected question which we now term “urban psychology.” The centenary of Simmel's essay in 2005 is an apt time to take stock of the history and current status of urban psychology, with a special issue of this journal gathering data-based articles on diverse aspects of urban psychology. This four-part article (a) summarizes Simmel's 1905 essay, (b) comments on the dramatic population trends since 1905, (c) elaborates on 10 remarkable points about urban psychology, past and present, and (d) previews the five urban pychology reports in this special issue.     

Racism awareness who helps the client?

Abstract

“Part of living in Britain and being Black entails, at the one end, the denial of difference, and at the other, prejudice and hostility on the grounds of difference” (Ann Kutek, 1987). Local authorities have set up training in Racism Awareness, and more recently, Anti-Racism Training (RAT and ART). These moves have led to the assumption that black clients are now receiving a better service. However, research undertaken at Bradford and Warwick Universities suggests that practice, in terms of social work delivery to the client, still remains unhelpful (Jervis, 1986).

My contention is that the initiatives of RAT or ART may certainly have led to a greater political recognition of the needs of black families, but they have not necessarily led to better service. I find it particularly helpful to look at the Four Life Positions formulated in T. A. Harris' book on Transactional Analysis (1970), “I'm O.K. You're O.K.”. There he says that all human interactions fall into one of the following four categories:

Current training in aspects of Racism emphasises that the white races have perceived black races as being inferior and second class. It then attempts to reverse the situation. From a position where the white races feel “I'm O.K.”, and put down the black races into the “You're not O.K.” position, training reverses the roles. The interaction still remains a struggle for power and control, and moves between positions 1 and 3, often via position 2. The training does not seem to facilitate a move on to the fourth T.A. position above, which involves understanding, valuation and respect for each other's differences, and an ability to move on to a shared equal partnership in the immediate here-and-now situation.

I give below a cast-study of an Asian family, in which I hope to demonstrate clearly how they failed to get appropriate help from both a white social worker and an Asian community worker. In looking at these workers' responses, I will attempt to demonstrate how the various interactions during the history of the case stayed locked in Harris' positions 1 and 3, with occasional forays into position 2. In the meantime, the family was pushed further and further down the spiral of total breakdown because the workers remained unable to move on to position 4. Only in this position could they have respected and trusted each other enough to pool the resources of their two agencies in order to move on to concrete constructive steps forward for an extremely stressed and vulnerable family.     

Between Money,Morality and Masculinity

Abstract

This paper focuses on the supply-side of Chiang Mai's gay bars, that is, the male sex workers called dek bar or “bar boys”¹ in Thai. I formulate some explanations why these young men -more than half of whom do not consider themselves to be “homosexual” -take on a job as a male sex worker. In this analysis I focus on certain notions in traditional Thai society, trends in contemporary urban Thai society, the economics of work in a gay bar, as well as the sexual behaviour of male sex workers and the concepts they use to describe their work.     

A Land of Milk and Honey? Breastfeeding and Identity in Lesbian Families

ABSTRACT

This article explores the relationship between breastfeeding and identity in lesbian-identified families based on a pilot study of qualitative interviews and a short survey of six lesbian families in Canada and the United States. Although breastfeeding is assumed to be “natural” and a biological function, we problematize the practice as both gendered and heteronormative. In our research we found that breastfeeding has a complex role to play within the construction of one's identity as a mother, of one's gender, and of one's sexual orientation. These women's experiences offer interesting insights into the nebulous boundaries of biology and the ways in which assumptions about what is “natural” are actually social and cultural constructions.     

Why They Don't Come Back: A Clinical Perspective on the No-Show Client

Clinical writers love to publish their success stories. Treatment failures get shuffled to the bottom drawer. Perhaps this is why there is so little in the clinical literature about a problem so frequently encountered by the clinical social worker: the patient or client who never shows up or doesn't return. Why don't they keep their appointments? What are the most common dynamics? How much of the problem rests with the client and how much with the clinician or agency? What should be done when your client “no-shows”? When should you do it? This paper will explore these questions in an attempt to deepen the practitioner's understanding and management of this common clinical challenge.     

Diversity-The Competitive Advantage

ABSTRACT

There is increasing pressure on social service agencies to produce “results,” and often agency computer information systems are associated with efforts to do so. The current study explores worker characteristics that may interact with organizational factors in influencing data system utilization. A survey of 245 community social workers serving as field instructors was conducted. Worker skill and experience with computers accounted for a large part of the variance on the utilization of information systems followed by the user-friendliness of the system and the workers' beliefs that data are useful in their work. The findings suggest that organizations seeking to increase worker utilization of information systems will need to focus on enhancing worker's computer skills as well as assuring that the information is easy to use and is perceived as useful by workers.     

Who Gets What? Gender Differences in “Spendable” Income

SUMMARY

Feminist policy makers need accurate measures of inequality in the economic well-being of men and women. In this paper, we explain why the wage gap by gender gives a misleading measure of women's relative economic well-being in the United States, emphasizing the effects of income pooling within households. We construct a household-level index of women's “spendable” income relative to men's that builds on Randy Albelda's (1988) “PAR index.” We improve on the PAR index in three ways. First, we account for economies of scale associated with additional household members. Second, we utilize the Current Population Survey to capture the impact of government taxes and transfers, providing an indicator of “spendable,” rather than “money,” income. Finally, as a step toward redefining the concept of “spendable” income, we deduct a lower-bound estimate of child care costs.     

The Role of Social Workers in the Treatment of Addictions

Abstract

This article describes the history of social workers' involvement in the treatment of addictions in the United States. Beginning with Mary Richmond, the “mother of social casework,” social workers have played an increasingly important role in the treatment of individuals with alcohol and other drug problems and of their family members. Today, social workers are important players not only in program development, administration, and treatment of chemical addictions, but also in “process” addictions, such as eating disorders and gambling. Moreover, social workers are increasingly involved in addictions research and policy arenas.     

Faith and Religious Delusions in First-Episode Schizophrenia

ABSTRACT

Empirical research has not adequately examined whether social workers and clients discuss sociocultural issues when addressing mental health problems, nor the quality of the interaction when such discussion occurs. This exploratory mixed-method study examined the interactional process associated with discussion of sociocultural issues in the first three counseling sessions with four white social worker/client of color dyads. Findings showed that productive cross-cultural interactions were associated neither with specific sociocultural content nor client-worker composition, but rather with the social worker's perception and skill. Analysis differentiated one worker/client dialogue from the others, highlighting the importance of training practitioners to apply social work knowledge and skills in a synthesized manner.     

Reflections on Closeted Helping Professionals

Abstract

Reflections noted in the provocative paper by Roui-lard elsewhere in this volume are reconsidered from a variety of professional and client perspectives. Among these viewpoints is a discussion regarding the boundaries of disclosure of sexual orientation. Public or professional responsibilities concerning disclosure are considered in light of the right to privacy of lesbian and gay helping professionals. The impact of disclosure upon lesbian or gay clients as it relates to the age of the client and of the service being provided is considered. Some political implications of “coming out” versus remaining “closeted” are also discussed.     

Elder self neglect: A geriatric syndrome or a life course story?

AimsTo explore the unique aspects of the elder self-neglect phenomenon and to achieve phenomenological understanding of self-neglect through the eyes of self-neglecting elders.MethodA qualitative study based on a sample of 16 self-neglecting elders. Data collection was performed through in-depth semi-structured interviews, followed by content analysis.FindingsFour major themes emerged from the older participants: “I was unlucky:” a life course of suffering; “That's the way it is:” self-neglect as a routine of life; “They tell me that I'm disabled:” old age as exposing situations of self-neglect; “My empire:” how do I perceive my old age.ConclusionsSelf-neglect is not necessarily an issue of old age, but is related to the person's life history. Self-neglect as a way of life accompanied the participants into old age, but it was not originated or created there. The overall message of the self-neglecting elders was to see them as human beings and not as old neglected people; not to label them as an “age syndrome” but to perceive them in a holistic and humanistic manner.     

Reading social work

Abstract

This paper offers a brief preliminary report on our attempts to apply “close reading” a technique drawn from contemporary literary criticism to social work writing. Reading turns out to be very difficult -something we have had to re-learn but reveals ideological formations deeply embedded in social work texts. Hugh England's “Social Work as Art” is taken as a working example and a case is made saying that it is deeply androcentric. However, it is important to distinguish between text and author and to note that the book shares its androcentricism with many other social work texts and arguably with social work culture in general. (England 1986).     

Countertransference Bias in Child Custody Evaluations Is Just a Horse of a Different Color: A Rejoinder to Martindale and Gould

ABSTRACT

The authors' reply to Martindale and Gould's critique of Pickar's article (2007a, this issue), “Countertransference Bias in the Child Custody Evaluator.” Martindale and Gould's objections to considering an evaluator's countertransference reactions as a potential source of bias are addressed by focusing on these four areas: (1) Whether it is useful to introduce the term “countertransference bias” to identify a potential source of distortion in custody evaluations; (2) How the empirical literature on countertransference in the context of psychotherapy might apply to the child custody evaluation process; (3) Clarification of areas of agreement and disagreement with Martindale and Gould, and (4) The importance of evaluator attempts at “debiasing.” We conclude that gaining awareness of countertransference reactions can only enhance the evaluator's ability to provide the most objective custody evaluation possible.     

Systemic Barriers to the Employment of Social Workers in Alcohol and Other Drug Treatment Agencies

Abstract

Literature suggests a low number of social workers employed in the field of alcohol and other drug (AOD) treatment. This study shows that social workers with undergraduate degrees (BSWs) have higher rates of employment in AOD than bachelor's degree holders from other disciplines. Master's level social workers (MSWs), however, have a much lower involvement than their counterparts with counseling degrees. Six factors are inferred to partially explain MSWs' low involvement in the field: (1) low education requirements; (2) low pay; (3) absence of “social worker” positions; (4) competition among different disciplines; (5) lack of MSW interns; and (6) state certification requirement. Suggestions to increase the employment of social workers in the AOD field are offered.