Community-Centered Clinical Practice

Abstract

There has been a longstanding tension between the domains of micro and macro practice in social work practice and academic programs. A set of structural and interpersonal tensions can be identified as interfering with accurate perceptions of the underlying continuity of social work practice that is reflected in the mission of the profession. This analysis addresses this tension by defining the elements needed for the integration of micro and macro practice in the form of community-centered clinical practice. A set of cross-over skills are identified along with recommendations for improved agency operations and professional education related to the integration of micro and macro social work practice.     

Networks and Complexity: Directions for Interactionist Research?

In this article I consider the potential importance of social networks for symbolic interactionism. Specifically, I argue that symbolic interactionism operates with an underdeveloped and often tacit conception of networks; that network analysis offers us various tools for further developing and operationalizing this conception, empirically; and that doing so would be to our considerable advantage. In addition, I argue that a stronger focus on networks would give interactionism an inroad into important contemporary debates on “complexity,” building on an obvious but again underdeveloped affinity between these two academic domains. Moreover, tackling complexity raises important and central sociological concerns of structure/agency and micro/macro, with the additional payoff that interactionism can develop and demonstrate its strengths, as an approach, in addressing the problems often associated with these concerns.     

Neofunctionalism and Neoinstitutionalism: Human Agency and Interest in Institutional Change

Neofunctionalism and neoinstitutionalism suffer from a macro bias that impairs recognition of human agency and interest in institutional change. A preliminary micro corrective organized around the concepts of institutional entrepreneurs and institutional projects is proposed. These concepts are elaborated to address three related problems: the content of institutional change; power, coalitions, and conflict in institutional change; and entrepreneurs use of accounts to legitimate their projects.     

Protection studies: Challenging oppression and discrimination

Social work students on qualifying programmes should have abundant opportunities to challenge racism, sexism, disablism and other oppressions in society, that is in the macro environment. Equally they are required to confront oppression in the micro environments of the family home or small institution. One way of achieving this is through integration of the issues into the whole curriculum but also through a specific module devoted to protection studies.

Child and ‘elder’ abuse and the mistreatment of dependent younger adults is at one end of a continuum of oppression with societal discrimination at the other. Oppression, whatever its form, has four essential components: the misuse of power, processes of objectification, the silence of witnesses and the entrapment or accommodation of victims. Social work students who do not fully appreciate the dynamics of the abuse of power, and the perspectives of victims are ill equipped to challenge oppression.

A rationale for a protection studies module is given. The objectives and content of the proposed studies are also suggested. Protection studies, it is argued, are essential because social workers are faced with complex issues of power and control. Those who overlook the need to protect all of society's weakest members can be seen as facilitating abusers in the same way that those who do not embrace anti-discriminatory and anti-oppressive practices are perpetuating bigotry and injustice.     

The Role of Human Agency in the Creation of Normative Influences Within Individuals and Groups

Abstract

This article suggests that human agency affects the formation of social norms far more significantly than previously recognized. The article traces the history of normative influence and provides an historical overview of the theoretical foundations and research literature on the study of norms. Traditionally, social scientists viewed norms in linear and deterministic ways. Current researchers generally believe that norms are derived from micro and macro sources and that norms emerge on localized levels through culturally determined, informal hierarchical status relations between and among individuals within groups. This article contends that current theories of normative influence do not adequately account for the role of human agency in the creation of norms. Social scientists have long recognized the effects that norms have on individual and group behavior. Nonetheless, with a new or revised theoretical structure, they might also better understand the role of human agency in the development of norms. Then, social workers, theorists, managers, and group leaders will have the means to support and facilitate the creation of new, more effective, productive, and democratic norms.     

Migration in Namibia: Combining Macro and Micro Approaches to Research Design and Analysis1

In adopting a framework that applies both macro and micro variables to the study of migration in Namibia, the analysis of the findings of the Namibia Migration Project emphasizes the utility of combining different scales and methods of data collection in terms of explaining migration dynamics and extending trends and patterns to future scenarios. It is argued that the contextual and explanatory macro factors such as political history, poverty, population, environment, epidemics and culture are crucial to the understanding and interpretation of the micro data collected through the standardized questionnaire survey and the case study material. Equally important is the iterative relationship that the macro/micro approach fosters in the research design and in the analysis of the data between the macro and micro scales of investigation.     

Barriers and facilitators to evaluation of health policies and programs: Policymaker and researcher perspectives

Our research sought to identify the barriers and facilitators experienced by policymakers and evaluation researchers in the critical early stages of establishing an evaluation of a policy or program. We sought to determine the immediate barriers experienced at the point of initiating or commissioning evaluations and how these relate to broader system factors previously identified in the literature.We undertook 17 semi-structured interviews with a purposive sample of senior policymakers (n = 9) and senior evaluation researchers (n = 8) in Australia.Six themes were consistently raised by participants: political influence, funding, timeframes, a ‘culture of evaluation’, caution over anticipated results, and skills of policy agency staff. Participants also reflected on the dynamics of policy-researcher relationships including different motivations, physical and conceptual separation of the policy and researcher worlds, intellectual property concerns, and trust.We found that political and system factors act as macro level barriers to good evaluation practice that are manifested as time and funding constraints and contribute to organisational cultures that can come to fear evaluation. These factors then fed into meso and micro level factors. The dynamics of policy-researcher relationship provide a further challenge to evaluating government policies and programs.     

Towards the strategies of modern societies: systems and social processes

While several sociological theories have traditionally dealt with rational action by human actors, little attention has been devoted to the possibilities for rational steering of the entire subsystems of functionally differentiated modern societies in the context of their increasing complexity. Although rational intentional action is clearly limited at the macro-level by the complexity emphasized by Luhmann's social systems theory, strategies are required to approach the normative ideal of active society as defined by Etzioni. Understanding the strategic processes requires micro–macro and agency–structure connections. A possible solution to understanding strategy as a social process in this respect is found in the adaptation of the three-level – individuality, reality and totality – approach of Sztompka's theory of social becoming.     

Sports Sociology’s Still Untapped Potential

Following up on Zirin’s (2008) challenge that sports sociologists “get off the bench,” and Karen and Washington’s (2001) plea to make sports sociology more central to analyses of social power, this article empirically reviews and assesses the sociology of sports from 1977–2008. Using a sample of 441 articles selected from the three major sports sociology journals during that period, we conclude that sports sociology exhibits a strong and increasing bias toward micro‐level analyses of (for example) how the content of sports frames and constructs the social world. A smaller and shrinking body of work examines more macro‐oriented issues such as the economics and politics of sports, and there seem to be few attempts to meaningfully synthesize these micro and macro orientations. We think this partiality toward micro‐oriented frameworks is rooted in factors unique to sports sociology while also reflecting larger trends within sociology as a whole. As advocates of popularly accessible public sociology, we respectfully suggest that sports sociologists try harder to weave macro analyses into their work, not necessarily replacing micro‐level approaches, but complementing them. We believe that sports sociology is well‐positioned to become a standard bearer for public sociology, but only if it pays more attention to the way organized sports intertwines with the organizational, political, and economic forces that perpetuate and exacerbate social inequality.     

Changing men,changing times – fathers and sons from an experimental gender equality study

The aim of this paper is to develop a conceptual framework for addressing intergenerational transmission, historical change and agency. The framework will be employed to analyse the findings from a longitudinal follow‐up study over two generations of men, where couples from Norway participated in an experimental research study, the Work‐Sharing Couples Project, which aimed to promote egalitarian work–family adaptations in the early 1970s. The original study was based on both spouses working part‐time and shift parenting. The follow‐up study concluded that the untraditional work–family arrangement had not been passed on to the sons. The article develops a multidimensional analysis of the work–family adaptations of men in two generations: the untraditional adaptation of fathers in the 1970s; and the neo‐traditional adaptations of sons in the 2000s. In developing a four‐dimensional approach to intergenerational transmission and social change, the article contributes to the study of intergenerational transmission through the comparison of situated agency in different generations and time/spaces. Taking into account different aspects of time and space, personal biography, discursive and material structures of opportunity, and intergenerational dynamics at the family level as well as at social level, the article contributes to theorizing longitudinal qualitative research by linking the micro‐level to the macro‐level.     

The problem of order: Understanding how culture predicts social action

How is social order possible? Scholars in a variety of sociological subfields have sought to address this question, known as the problem of order, building theories and evidence that have tended to center either structural forces or human agency. I explain how this dichotomy has shaped the direction and extent of our scholarly progress, focusing on debates and developments in sociological social psychology and cultural sociology, and consider how theoretical and empirical developments in these fields enable us to revisit the problem of order in pursuit of new questions and answers. The great promise of this work is in its ability to identify the micro–macro linkages that enable personal agency and social change, while also explaining why the social order is so durable and how we arrive at and enact a shared definition of the situation as often as we do given individual differences and self‐complexity.     

Anti-Oppressive Practice and Social Work Students' Portfolios in Scotland

Anti-oppressive practice is seen by social work educators as a key approach to social work in the UK. However, controversies exist about its use in practice. Recent literature has criticised the complexities and problematics of anti-oppressive practice. An examination is made of the content of portfolios completed by social work students undertaking a final practice learning opportunity on a post-graduate programme in Scotland. The findings indicate that students gave considerable attention to power, empowerment and partnership but there was also an apparent general acceptance of agency policies, procedures and wider structural oppression. Also some aspects of social divisions and forms of oppression such as gender, age, disability and language received considerable attention while others such as ‘race’, class, sexuality and religion received less attention. Limitations of the research are noted. Suggestions for improvement in considering anti-oppressive material include a focus on both micro and macro issues, ranging from the structure for the portfolio and the content of supervision discussions through to agency policies and procedures and the national guidelines provided to social work programmes.     

The international field placement: a reconciliation of identity

The international field placement is a site of both identity confusion and identity development for the social work student. Aiming to develop their professional identity they are faced with a challenge: the presence of two dominant identities, the tourist identity and the student identity. Whilst the embodiment of the tourist identity has often facilitated the student’s motivation to undertake the placement experience, the student identity is what both university staff and agency field educators perceive as integral to student engagement in this remote educational setting. Social work educators perceive this identity challenge as an impediment to learning. In contrast, students report feeling that their tourist traits strengthened their personal and professional capacity, natural curiosity and ability to engage with the local community. By analysing the roles of university staff as liaison support, and field educators as agency supervisors, it is possible to explore a teaching and learning relationship that is student-centred, grounded in the immersive international experience. Through privileging the student’s voice social work educators involved with organising, supporting and supervising international field placements are able to understand the placement as a continuum of learning. On this continuum identity reconciliation is viewed as a crucial element in the development of a professional identity.     

DRUG ABUSE AND IDENTITY:

The quest to link micro and macro phenomena in symbolic interactionism has gained considerable attention over the years. The present study builds on this endeavor by linking micro and macro phenomena in the transformation of identities accompanying the movement into drug addiction. A qualitative approach is employed, featuring in depth interviewing with a purposive sample ( N = 30) of currently abstinent drug addicts from the 12-Step programs of Alcoholics Anonymous (A.A.) and Narcotics Anonymous (N.A.) in the Washington, D.C. Metropolitan Area. Findings indicate that identity change is a product of both micro ("ego identity discomfort,""status passages,""and a loss of control in defining one's identity") and macro phenomena ("social appraisal sources" and a "social climate conducive to drug use") and, thus, offers empirical support to symbolic interactionsm's ability to deal with the macro as well as the micro. Findings also uncover insights into the etiology of drug addiction and pinpoint new directions for combatting substance abuse.     

Fields,networks and frames: advertising social organization in Japan

Abstract In this article I focus on three kinds of overlapping social coordinates — fields, networks and frames — as they are worked out in the day‐to‐day activities of a large Tokyo advertising agency. My aims are threefold. First, to show how the three social forms of fields, networks and frames interlock in a dialectical manner that permits both macro‐ and micro‐levels of sociological analysis. I thus present methodological approaches hitherto perceived to be different in emphases or interests as complementary rather than at odds with one another. Second, I take up and reexamine the notions of network and frame as developed within the specific context of Japanese social organization. Third, I make a statement in favour of anthropological studies of business as a means of understanding how industries and organizations function in a global economy.     

Inter and Intra Professional Social Work Differences: Social Works Challenge

Social work historically has had two overarching domains. One domain is concerned with communities and policy development, the other with direct practice involving individuals, groups and families. Both the macro and micro domains are infused with concerns of social justice and advocacy. Conflict in the profession between social justice and casework began over a century ago, with early social work leaders Mary Richmond and Jane Addams. Controversy within the profession continues today. This paper will present many of the differing viewpoints within the ever-changing kaleidoscope of the profession. The paper will objectively present the issues of debate regarding micro and macro foci and recent debates related to professionalization, licensure, and the education of social workers. It will challenge readers to critically think about their own practices and view points. The synergy of the profession is much more than either people changing or society changing. As a profession we must move beyond the discord to the embodiment of harmony. The problem of AIDS will be discussed in order to demonstrate the challenges of working at both the micro and macro levels. Dorothea Marie Epple, PhD, LCSW, BCD is an Assistant Professor in the MSW program at the University of St. Francis. She received her PhD in 2002 at the Institute of Clinical Social Work Chicago and an MSW from Loyola in 1982. Dorothea has 25 years experience in Clinical Social Work in mental health, hospital and hospice settings.     

Children's subjective well-being: International comparative perspectives

We are enjoined by the United Nations Convention on the Rights of the Child to take account of the views of children. One way this can be done is by asking children about their lives in sample surveys. This paper is a comparison of the results obtained to sample survey questions on subjective well-being of children at two contrasting levels of analysis—international macro (European Union 29) and national level micro (England). At both levels, children's well-being is accessed in terms of three subjective domains: (1) personal well-being, (2) relational well-being, and (3) well-being at school. At the micro level we also explore neighbourhood well-being.The results show that at the macro level personal well-being is associated with the material and housing circumstances but not family relationships or family structure. Well-being at school is not associated with any variable. Subjective health is only associated with family structure. At the micro level, although many of the demographic and socio-economic characteristics of children are found to be associated with their well-being in the four domains, these factors explain only a small amount of the variation in these well-being domains.     

Debunking macro myths: findings from recent graduates about jobs,salaries, and skills

Research suggests that interest in macro social work practice is declining, a trend that has been well documented in the United States. Studies find that social work educators and practitioners may foster beliefs among MSW students that discredit macro practice and associated skills while asserting macro graduates are likely to face poorer employment prospects and lower salaries than micro counterparts as they start their careers. This study builds on and extends this literature by examining 27 skills in their current job using a five-point Likert-type scale among the early career trajectory of MSW alumni (N = 182) who graduated between 2008 and 2012 from a public social work institution in the southeastern United States. The skills included in the survey, as well as decisions about how to group them into scales, were made based on theoretical links between the skills by macro faculty members. Findings highlight the use of macro practice skills regardless of concentration focus, no differences in salary, or the time it takes to find employment between micro and macro alumni. Implications for social work education are discussed.     

Getting funded. Multi-level network of physicists in Italy

Much of the work in the sociology of science observes scientific communities from a micro perspective, focusing on interactions in laboratories in order to uncover the impact of social and cultural norms in the everyday production of scientific results. Other studies approach the topic from a macro perspective, analysing scientific organizations and the reciprocal influence they have with wider society, or uncovering the invisible colleges that become apparent through the analysis of co-authorship and citations’ patterns. Less attention has been paid to the meso level of interaction within and between scientists and the institutions they work in. This paper extends the structural approach of Lazega et al. (2008. Catching up with big fish in the big pond? Multi-level network analysis through linked design. Social Networks 30, 157–176) and analyses the local system of public funding to physics in Italy using bipartite networks. Data cover 10 years of funding of Projects of National Interest (Prin) from the Italian Ministry of University and Research. The micro level (collaborations between scientists), macro level (collaborations between institutions) and meso level (the combination of network measures at a micro and macro level) of interactions are independently analysed, and results are used to model the total amount of money physicists have received over the 10 years against the variables that meaningfully describe the network structure of collaborations. Results show that in order to be successfully funded what counts more than being a big fish (a scientist with a lot of connections) working in a big pond (a large University), is being in a brokerage position interacting over the years with different research groups.