The value of personal psychotherapy to clinical practice

Practice wisdom as well as anecdotal evidence support the value of personal psychotherapy for clinical practitioners. Despite the apparent acceptance of that notion, little, if any, research has been done in clinical social work. Therefore, this study explored the significance of personal psychotherapy to the clinical work of advanced students and experienced practitioners. The paper focuses on the similarities and differences between these two groups.     

The future of clinical practice: A study

This paper presents the results of a study conducted to determine how BSW and MSW social work students differentially assess the relative prestige and effectiveness of casework, psychotherapy, and private practice in relation to thirteen other social work methods, and to ascertain what methods they would ideally like to practice upon graduation from their respective programs. The results indicate that undergraduate and graduate students view the average prestige and effectiveness of the three clinical methods quite differently. Also, the results reveal a very low correlation between what methods the students would like to practice and how they assess their prestige and effectiveness.     

The mystical hue in clinical practice

The notion of the mystical hue in clinical practice, viewed essentially as therapist tendency to formulate understandings and interventions from a known frame of reference, is considered from the dimensions of theoretical commitment, technical style, and similarity to psychic processes. Consideration is given to reification, the projective fallacy, and the developmental tilt, for their potential reverberations in practice. Emphasis is placed on the need to formulate experience-near interventions related to the patient's subjective state consistent with the reality that existing well reasoned theory is continually subject to revision. A case is presented in which the patient's subjective experience, imbued with a mystical flavor, was best approached from a mystical perspective familiar to both patient and therapist.     

The relationship of theory to clinical practice

This paper, based on the results of a national study of experienced clinical social workers, focuses on the nature of theoretical perspectives, practice models, and modes of clinical intervention. The majority of respondents identified ego psychology as being most instrumental to their approach with socio-cultural, cognitive/behavioral and family systems theories having an important secondary influence. Most identified with the psychosocial model of practice with problem-solving and family therapy being instrumental secondary models. Specific modes of clinical work were examined in relation to these theories and models.     

Psychiatric emergencies: Overview of clinical principles and clinical practice

Psychiatric emergency work as a unique form of crisis intervention is examined. Basic practice principles are identified including common intervention pitfalls that can occur especially with the novice helper. Five of the most prevalent categories of psychiatric emergencies are discussed with illustrations provided via case examples culled from the author's clinical practice.     

The ritual abuse of children: Implications for clinical practice and research

The development of a 14‐year‐old female from defending herself from sexual crimes to committing such a crime is presented in case‐report form. Her individual history, family dynamics, and transgenerational patterns are explored. A review of the current literature is utilized to understand why some abused persons become abusers.     

The clinical practice of juvenile forensic psychiatric nurses

The differences in working with an adolescent population within the nonmedical structure of the juvenile justice system provides a basis for claiming forensic psychiatric nursing has a specialized knowledge and skill base for meeting the needs of this juvenile population. Future development of forensic psychiatric nursing depends on continued articulation of the role of forensic nurses in these highly specialized settings and development of empirically based forensic psychiatric nursing interventions. Juvenile forensic psychiatric nursing requires specific personal attributes and new competencies that extend beyond traditional psychiatric nursing skills. These nurses must be confident in their clinical skills, demonstrate strong leadership capabilities, and be tolerant of the uncertainties associated with these unique environments.     

The influence of the organization on clinical practice

Almost all, if not all clinical decisions represent agency policy and organizational imperatives in action. The organization influences and shapes services, problem definition, assessment and intervention, and careers of clients. This paper explores ideas about the organizational context of practice, organizational problems and related issues, and offers suggestions for increasing the clinician's influence and effectiveness.     

Hemisphericity: Implications of research on clinical practice

A brief history of the research, findings, and conclusions on how our two cortical hemispheres function is given as are some current speculations regarding an anatomical locus for some psychological phenomena. The paper suggests that much of therapy favors the left hemispheric or sequential mode of thinking. Many therapists may not recognize in some of their clients' responses a right hemispheric or simultaneous thinking preference. Respect for such thinking as on the same intellectual and maturational level as the sequential mode is indicated. Furthermore, techniques to help such clients through the utilization of their preferred hemisphere and through fostering hemispheric cross-talk can be devised. Three cases of such clients and the techniques used in working with them are described.     

From personal troubles to public compassion: charity shop volunteering as a practice of care

This article analyses charity shop volunteering in the UK as an instance of individual commitment towards organizations devoted to combating suffering. Drawing on semi‐structured interviews focused on motives, the paper argues that some respondents found in volunteer work a way of regaining meaning, structure and belonging after experiences of social dislocation such as retirement and bereavement. The transition from social dislocation to ontological security via volunteering illustrates the way in which ‘the social’ – as expressed in fellowship, laughter, work, organizations and institutions – moderates charitable practice. From this perspective, volunteering appears as a relational, processual and affective practice of care; and as a sympathy catalyst – an institution that facilitates interpersonal sympathy exchanges and support for compassionate goals. The paper endorses a view of human subjectivity which takes seriously both human vulnerability and resilience – victimhood and agency – as well as the relevance of suffering and flourishing for social action. In so doing, the paper sheds light on the link between individual biographies and the institutionalized efforts to alleviate strangers' suffering that Natan Sznaider has termed ‘public compassion’.     

Attachment theory: Application to clinical practice with adults

An application of attachment theory to clinical practice with adults is based on psychoanalytic-object relations theory, expanding and emphasizing the influence of affectional bonds with others. The role of the therapist is to provide the conditions in which to explore current and past experiences, especially those related to attachment, separation and loss, helping patients reappraise and reconstruct their inner representations of attachment relationships with others.     

The theories of Heinz Kohut and clinical social work practice

Indicated in this paper is the consonance of Heinz Kohut's psychoanalytic psychology of the self with the principles of clinical social work. The traditional values, precepts, and practices of social work were derived from a research of the literature written since 1889. The consistency of these two sets of ideas is further demonstrated in a case example. Unique contributions of social work are pointed up, and ways in which Kohut's theories add to the understanding of human personality and enrich clinical practice are elucidated.     

Gender differences in moral judgment: Implications for clinical practice

While the potential for gender bias in psychotherapy is commonly recognized, most of the literature addressing this problem has concentrated on the assessment process. Therapists are left with few guidelines regarding the avoidance of bias in ongoing therapeutic relationships. This article reviews alternative explanations of gender difference in moral judgment with particular attention to their clinical relevance. The writer suggests that therapists' conceptions of these differences, as well as their own moral judgment, may be a potent source of gender bias. Understanding these differences is conceivably a powerful means of averting their contaminating effects on clinical theory and practice.     

Children's dreams: Their meaning and use in clinical practice

Children begin dreaming sometime in the first year of life. Young children have a limited ability to distinguish dreams from reality or fantasy until they approach school age. Through childhood and adolescence, children's dreams tend to reflect representations of typical developmental issues, wish fulfillment themes, and environmental stimuli.In addition to the manifest content, the latent meaning and associations of children's dreams also reflect the ego functioning of the child and are of extreme clinical value. Understanding these meanings can assist in our usual process of assessing emotional disturbances, locating the unconscious nature of the conflicts, and assessing the therapeutic relationship.     

The contributions of john money: A personal view

John Money has been a dominant voice in sexology in the last part of the 20th century, breaking new ground in a wide variety of areas. In the process, he has been cantankerous, outspoken, and ever willing to do battle, but also original and thought provoking. This paper begins with an examination of science in general, moves on to psychology and sexology, and then examines Money's contributions to sexology in some detail. The latter are many and varied, including the development of the concept of gender, his theory of gender identity based on his work with intersex individuals, the John‐Joan case, and his importance in establishing transsexualism as a diagnostic category and an academic discipline. Also important are his contributions to the development of the nomenclature of sexology, his importance to the sexology movement as a teacher, his significant research on a large variety of sexual topics, his ability to convince government agencies that sex was deserving of funding, and his association with the Erickson Educational Foundation. He also was a significant figure in the development of the Society for the Scientific Study of Sexuality (SSSS) and in raising the standard of its journal (The Journal of Sex Research), and therefore it is only fitting that an award be named after him. Though Money remains controversial, he has contributed significantly to the development of sexology as a discipline.     

The contributions of John Money: a personal view

John Money has been a dominant voice in sexology in the last part of the 20th century, breaking new ground in a wide variety of areas. In the process, he has been cantankerous, outspoken, and ever willing to do battle, but also original and thought provoking. This paper begins with an examination of science in general, moves on to psychology and sexology, and then examines Money s contributions to sexology in some detail. The latter are many and varied, including the development of the concept of gender, his theory of gender identity based on his work with intersex individuals, the John-Joan case, and his importance in establishing transsexualism as a diagnostic category and an academic discipline. Also important are his contributions to the development of the nomenclature of sexology, his importance to the sexology movement as a teacher, his significant research on a large variety of sexual topics, his ability to convince government agencies that sex was deserving of funding, and his association with the Erickson Educational Foundation. He also was a significant figure in the development of the Society for the Scientific Study of Sexuality (SSSS) and in raising the standard of its journal (The Journal of Sex Research), and therefore it is only fitting that an award be named after him. Though Money remains controversial, he has contributed significantly to the development of sexology as a discipline.     

Ways of knowing in clinical practice

Concepts developed by Polanyi regarding personal knowledge and the tacit dimension have particular relevance for social work clinicians. The concept of personal knowledge changes our understanding of the use of theories and points to the imprecision in our use of language. It leads to a relativistic view of knowledge through which the client's story is seen as a constructed narrative rather than a set of facts to be objectively recorded, therapeutic neutrality is considered a myth and difficult ethical questions about value differences and the clinician's influence over clients are brought to the fore.