Therapeutic Intimacy

Abstract

This essay describes therapeutic intimacy as a deeply personal and evolving definition of what each therapist finds uniquely curative. The author arrived at her definition following the events of September 11, 2001, and notes that constructs such as vicarious traumatization do not adequately convey the profound impact that such a catastrophic event can have on the clinician's personal and professional life. She introduces the term “shared trauma” to describe the lasting, transformative changes in one's self-concept taking place when the clinician and client are exposed to a collective trauma. The arbitrariness of professional boundaries is captured through discussion of client narratives.     

Transformation and the Woman in Stiletto Pumps

Abstract

This essay uses memoir to discuss transformative experience in the context of ongoing development. The relationship with an idealized teacher laid a foundation to observe and understand the world in a reflective stance influenced by Freud's theories. This beginning personal worldview evolved, through decades of intentional study and clinical training, into a consolidated psychoanalytically informed theory of practice.     

Caregiving and Our Inner Elder

Abstract

Dutch Priest Henri Nouwen, who died in 1996, has a large following of devoted readers. Though not formally a gerontologist, he wrote one small book, Aging: The Fulfillment of Life, full of remarkable insights into the meaning of growing old. Two approaches to caring for older people have special resonance. First, a person must appropriate his or her own aging, coming to grips with one's aging self. Secondly, one must allow the old person to enter into one's own life. Incorporating these two principles into service of elders gives it a spiritual value that goes beyond merely routine contact.     

‘Making It’ Versus Satisfaction: How Women Raising Young Children in Poverty Assess How Well They Are Doing

ABSTRACT

Using in-depth interviews with 17 women raising young children in urban poverty, two separate standards were examined—“making it” and satisfaction. “Making it” referred to one's perceived ability to meet the basic physical needs of her children. In contrast, satisfaction referred to how closely one's current life circumstances align with her personal notions of success. Results indicated that self-expectations greatly influenced which standard individuals prioritized, such that those with higher expectations valued satisfaction while those with lower expectations prioritized “making it.” Self-expectations aligned largely with one's poverty status, and women with the fewest economic resources typically expected the least for their lives. Findings from this study suggest that efforts to support women raising young children in poverty must address both standards if they are to be relevant, effective, and sustainable. Similarly, if individuals are to succeed in such interventions, they must be supported in developing higher expectations for their lives, given the role that expectations play in catalyzing one's sense of a life beyond survival. Future research and implications for theory and practice are outlined.     

Social Change and Citizen Action

This paper explores the import of two selected philosophical/ theological perspectives, feminist theory and liberation theology, for social group work practice with citizen groups. Its purposes are to focus on the power of social beliefs and theoretical perspectives to shape the meaning of life circumstances and situations for populations, and either to provide support for group action, or engender resignation or cynical indifference. Social group work's philosophy of democratic participation and religious commitment to social justice produced a unity of purpose for practitioners. The identification and incorporation of facets of liberation theology and feminist theory offer more current and perhaps sophisticated frames for integrated practice. Both perspectives highlight the centrality of the participant's thinking, knowing and doing both for personal becoming and community renewal.     

John Coltrane and Me

Abstract

In this essay, I consider the role that cultural objects play in one's personal development by taking a closer look at the relationship between people and the creative products of their fellows. As a launching point to this study, I examine my own relationship with the music of two jazz icons, Ornette Coleman and John Coltrane, viewing the differences in my reactions to, and uses of, their musical offerings over times as a reflection of my own personal growth. My contention is that under the right conditions people can use cultural objects to reconnect with disavowed aspects of their experiences.     

Understanding My Culture Means Understanding Myself: The Function of Cultural Identity Clarity for Personal Identity Clarity and Personal Psychological Well‐Being

Culture is acknowledged to be a critical element in the construction of an individual's identity; however, in today's increasingly multicultural environments, the influence of culture is no longer straightforward. It is now important to explore cultural identity clarity—the extent to which beliefs about identity that arise from one's cultural group membership(s) are clearly and confidently understood. We describe a novel theoretical model to explain why having a clear and confident understanding of one's cultural identity is important for psychological well‐being, as it clarifies one's understanding of personal identity. We propose that a clear cultural identity clarifies one's personal existence, by providing a clear normative template, reducing personal uncertainty, providing an individual with a sense of continuity, and buffering an individual against the fear of death. We discuss the implications of this model within our complex cultural worlds.     

Making Sense through Touch

ABSTRACT

This article explores the role of touch in the creation of meaning for ethnographic museum collections. It presents a collaborative study conducted at the McCord Museum in which groups of Inuit elders were invited to share their knowledge and memories about objects of everyday life collected in the Canadian Arctic during the first half of the twentieth century. The aim of this research was to gather the elders' interpretations of ancient hunting equipment, sewing paraphernalia, household utensils, and personal ornaments in order to inform archaeological analyses of analogous artifacts from Nunavut. The article focuses on the methodology of the group discussions, in which participants were invited to handle the objects without constraint. These interactions generated various meanings for the objects: their fabrication and uses in the past, their contemporary value for the preservation and promotion of Inuit traditions, and their role in supporting the well-being of Inuit visitors at the museum.     

Three stories about mother: narratives by women who have lived in care

Families and social work interventions in their lives are at the core of child welfare. Child welfare practices can shape children's and parents' family memories and narratives of different family relations. However, there is little social work research so far based on the personal narratives of people who have lived in care. The study data consist of the written life stories and biographical interviews of three women who have lived part of their childhood in children's homes. In their narratives, the most central family relation was their relationship to the mother. They used different narrative strategies in their stories while trying to manage both living their childhood in care and presenting their mother morally in the same story. The central moral and emotional stance in the narratives of the mother–daughter relationship was love. Through the analysis, three moral characters of the mother were constructed. The first told about an absent mother, the second a loved and loving mother and in the third, the mother's moral character was continuously negotiated and contested. Constructing a personal story and moral character of oneself and of one's mother can be truly risky in the context of a childhood in care.     

Education for the Group Worker's Reality: The Special Qualities and World View of Those Drawn to Work with Groups

SUMMARY

Within the social work profession, one's world view, one's beliefs and values based on one's experiences, strongly influences one's practice and comfort with groups. This paper will examine some of the different ways of viewing the world held by practitioners and students in relation to the likelihood that they will be able to work effectively with groups. Such examination, and the identification of the differences among social workers that results from it has implications for both teaching and supervision in social work. These implications will be discussed and specific principles and techniques for teaching social workers, in education and in supervision, based on their world views will be described. This paper aims to enrich education for group work so that the community of social group work practitioners can grow and continue to thrive.     

Integration and differentiation of self through reminiscing and narrative

Humans construct coherence and meaning in their lives through reminiscing with and about others. The four articles in this Social Development Quartet focus on how reminiscing about emotionally and morally challenging personal experiences is a critical mechanism for integration and differentiation across development, both within the individual and within sociocultural interactions. Examining linguistic forms, emotional disclosure, expressions of perspective, and personal growth, these studies demonstrate that the ways in which we reminisce about our personal past with others matter for developmental outcome. Both the ways in which individuals differentiate between self and other, and between different types of events, and the ways in which individuals integrate perspectives across different types of events is related to emotional well‐being.     

Life Review Therapy

Reminiscence in the aged is frequently viewed as pathological-a wish to escape from the present, a loss of recent memory, or useless and repetitive rambling. However, talking about the events of one's life may be indicative of just the opposite--a healthy activity with adaptive value for coping with the final stages of life. According to Erik Erikson, the nearness of death precipitates a crisis during which a person evaluates his/her accomplishments and failures in order to find meaning in life. If he/she does this successfully, "integrity" rather than "despair" can be achieved. It is to this end that the technique of life review therapy was developed. To illustrate this therapy, this paper includes a case presentation of a 73-year-old man.     

Land of Forgetfulness

Abstract

The personal circumstances of dementia caregiving are sometimes experienced as so severely demanding as to be overwhelming. While sustenance within, and recovery from these experiences are increasingly addressed in helpful ways from psychological, emotional, and practical life planning frames of reference, we are still learning how to speak with one another about the spiritual dimensions of this peculiar journey. From a spiritual perspective, the caregiver initially, and frequently perpetually, finds her/himself in a state of spiritual exhaustion. Oddly enough, there are ample resources at hand to address this existential state with wisdom and grace, allowing for the possibility that the caregiver might move from spiritual weariness to enhanced spiritual formation.     

In Search of an Effective Coercive Strategy to Deter the Use of Weapons of Mass Destruction

The study of suicidal behavior (actual suicides, attempts, or simulated attempts on one's life) touches upon the profound question of the purpose and meaning of human existence. In the words of Vladimir Solov'ev, "There are serious people among those who deny any meaning to life: there are those who consummate their denial with action, suicide, and there are people who are not serious, who deny the meaning of life only through arguments and whole spurious philosophical systems" (quoted in [1]). The problem of suicide has regularly attracted the attention of philosophers, theologians, writers, and scholars since the times of Plato and Aristotle.     

The Effects of Parenting Stress,Perceived Mastery,and Maternal Depression on Parent–Child Interaction

ABSTRACT

The purpose of this study was to test a model that delineated the interrelationships among parenting stress, perceived mastery (defined as the belief that one's life chances are under one's own control), maternal depression, and parent–child interaction. A secondary data analysis of the Fragile Family and Child Well-Being Study was conducted, using a sample of 2,650 mothers. Results suggest that parenting stress undermines one's sense of perceived mastery which, in turn, resulted in depression. Moreover, the results also indicated that parenting stress directly affected maternal depression and parent–child interaction. There was no support for the hypothesis that parenting stress undermines one's sense of perceived mastery which, in turn, resulted in depression, which affected one's parent–child interaction. Implications of these findings for professionals working with mothers of young children are discussed. Future research should test this model using other forms of parenting behavior.     

Reflections on 9/11: Vulnerability and strength in the “new world order”

One year after the tragedy and horror of the events of September 11, 2001, many still struggle to understand their meaning and long‐term impact. This article provides a brief overview of critical stress debriefings and describes the author's work offering disaster mental health services to survivors of the World Trade Center attacks in the immediate aftermath of the 9/11 disaster. The essay considers gaps in mental health services and the toll that such relief work can take on mental health responders. Implications for healing are considered in the context of the government's crackdown on civil liberties and its plans for war with Iraq.     

Judaism

Abstract

Judaism can be understood as a “hidden diversity.” This article introduces practitioners to the numerous ways through which Jews relate to, express, and find meaning in their Jewish identity. It informs therapists about the many differences that lie beneath Jewish clients' white or not-so-white skins, and provides guidelines for therapists interested in engaging those differences in treatment. It also discuses some of the ways in which Jews connect to their Judaism: through spiritual and religious practice; through traditions, holidays, and the observance of Jewish law; and through connections to their families, local communities, and to Jews throughout the world.     

Living with Elder Wisdom

Abstract

This study is based on interview research with over a hundred creative elders. Their spirituality is explored through their life experiences as re-interpreted in later years. Spirituality is often expressed in “non-religious” language. They speak of inner empowerments: cultivating self-esteem, harvesting memories, transformative turning points, life-long learning, themes of humor and gratitude, and encountering mortality. They also explore outward empowerments: developing new purposes, welcoming possibilities, fostering more freedom, cultivating family and friends, forming intentional communities, and taking on larger social causes re peace, justice and ecology. This elder spirituality manifests important changes in their earlier views of religion.     

The grief process in physical illness 1

Abstract

Constructivism, a view that we cannot know reality apart from our constructions of it, along with social constructionism, a belief that knowledge is socially, historically, and culturally situated, form the basis of a new approach to clinical practice. In the explication of this perspective, assessment is defined as a collaborative inquiry. Multiple theoretical perspectives are used as viable alternative explanations, with no single perspective privileged. In treatment, clients’ narratives are emphasized and meaning is co‐constructed. The therapeutic relationship is construed as reciprocal, with more attention given to the client's perceptions. Values have a central role in treatment.     

Medical and Psychosocial Treatment Issues in Breast Cancer in Older Women

ABSTRACT

The medical, psychological and social aspects of breast cancer in older women are discussed. Information is presented on relative risk, diagnostic procedures and treatment options available to breast cancer patients. The unique psychosocial issues confronted by older breast cancer patients are explored. Clinicians are encouraged to assess developmental stage, concurrent life stressors and the woman's personal interpretation of the meaning of the cancer diagnosis. Medical caregivers are urged to avoid age bias, including ageist attitudes held by the patient, in assessment and treatment planning.