Aspects of Social Work on a Cancer Research and Treatment Unit in a London Teaching Hospital

Summary With the rapid growth of technology and science in society today,an increasingly large number of people are becoming patientsin specialized research and treatment units. The reorganizationof social work support to the health service is upon us, andgreat care must be taken to ensure that this important groupof clients will receive the social work help it needs. The paper is based on work in a cancer unit in a London teachinghospital and seeks to illustrate ways in which the work is specialized     

Research Note: Education and Training in Genetics in Social Work Programmes Across the United Kingdom

Correspondence to Rachel Iredale, Welsh Institute for Health and Social Care, University of Glamorgan, Pontypridd CF37 1DL. E-mail: riredale{at}glam.ac.uk Summary Genetics is an issue which has only recently come on to theagenda, but it is one that will rapidly assume great significanceas the twenty-first century approaches. This article describesa survey of social work course directors in the UK, undertakento assess their opinions of the likely impact of the new geneticson future social work practice. The results provide baselinedata on education and training on genetics in social work programmesin the UK. Only a small proportion of colleges in the UK currentlyteach genetics, partly because of full curricula, and partlybecause genetics is not perceived to be relevant to contemporarysocial work practice. Other attitudes of social work coursedirectors to the new genetics are also described.     

Parton, Howe and Postmodernity: A Critical Comment on Mistaken Identity

Correspondence to Carole Smith, School of Social Work,, Department of Social Policy and Social Work, Dover Street Building, The University of Manchester, Oxford Road, Manchester M13 9PL Summary In their contributions to the debate about social work, modernityand postmodernity Parton(1994) and Howe (1994) argue that therecent changes in social work practice can best be understoodas features of, or responses to, the postmodern social orderin which it is located. This has led, they argue, to an increasingfragmentation of the profession and an undermining of its formalknowledge base. We will argue here that, not only does suchan argument oversimplify the nuances of the ‘postmodernity’question, but it represents a misreading of the pressures affectingpractice at this time, which are more properly attributableto the operation of the discourses and ideologies of a particularphase of late capitalism and high modernity.     

Social Work As The Privatized Solution of Public Ills

Summary This paper takes the motivation of the social work recruit asthe point of departure for an exploration of some aspects ofthe low-key politics of social work. Attempting to cut paststereotypical and occupationally agreed conceptions of why socialworkers enter their occupation, it suggests that the socialwork recruit's choice is most usefully understood as an attemptedsolution to central cultural problems in advanced capitalistsocieties, and it directs attention to the moral-political rootsof social work. While the choice of social work as a careerrepresents for some a sort of primitive political rebellion,the implications of this 'rebellion' are not grasped, and itbecomes the privatized solution of a privileged minority     

Service users' knowledges and social work theory: conflict or collaboration?

Summary So far, service users have not been systematically involvedin social work theorizing. However, disabled peoples's movements,mental health service users/survivors and other service usershave developed their own knowledges based on direct experienceand they have generated their own conceptual frameworks andbodies of theory. There are fundamental problems in social workseeking to interpret service user knowledges. Their developmentsand interpretation require the direct involvement of serviceusers and their organization in social work theorizing. Thereare strong practical, philosophical and political argumentsfor involving the knowledges and theories of service users andtheir organizations in the process of social work theory-building.This paper considers an inclusive approach to social work theorizing.While highlighting the importance of service users and theirorganizations being effectively included in social work theorizing,it also argues the need for them to have support and opportunitiesto develop their own prior and separate discussions about theory,including social work theory.     

Towards Accountability in Social Work: A Case Review System for Social Workers

Summary After discussing the huge undifferentiated tasks facing socialworkers in the social services departments, it is suggestedthat one of the most urgent research needs is the developmentof systematic record and review systems to provide basic informationabout social worker activities and their effects on differentclient groups. The development of a social worker oriented computerizedCase Review System in close collaboraation with a group of fieldworkersin an area office is described. The system enables social workersto evaluate and plan their work for individual clients; it canassist the process of supervision; as a management tool it cancontribute towards the planning of fieldwork services; as aninformation system it gives an on-going account of the size,nature and scope of social work activities with different clientgroups. So far the impact of the system has been to raise questionsabout practices and to encourage a climate favourable to change.     

Connecting Anti-racist and Anti-oppressive Theory and Practice: Retrenchment or Reappraisal?

Correspondence to Charlotte Williams, Centre for Applied Community Studies, University of Wales, Bangor, Bangor LL57 2UW, UK. Summary In this paper the author offers a review of some of the majorcritiques of anti-racist theory and practice within social workand critically examines the trend towards anti-oppressive theoryand practice as the ‘way forward’. She argues thatthe uncritical acceptance of the move away from specificallyanti-racist perspectives towards the broader approach of anti-oppressivepractice may lead towards the retrenchment of all such criticalperspectives within social work rather than their regeneration.The author concludes that such a rigorous review will more fullyground the moves towards anti-oppressive practice as a paradigmfor social work.     

Managing Human Services in a Market Environment: What Role for Social Workers?

Correspondence to Karen Healy, Department of Social Work, Social Policy and Sociology, Building A26, University of Sydney 2006, New South Wales, Australia. Summary International research suggests that the market reform of humanservices is leading to reduced opportunities for social workersto achieve organizational management positions. This paper exploresthe future of social workers as managers of human service organizations.It examines the tensions between the social justice principlesthat guide social work and the emerging contexts of social welfaremanagement. The exploration draws on in-depth interviews withthirty-four social welfare managers working in the non-profitsector in Australia. These managers were identified by theirpeers as progressive, that is, as championing social justicevalues such as access, equity and social inclusion. This paperwill report on their approaches to social welfare managementand their perceptions of the threats and opportunities for progressivemanagement practices in a climate of public sector reform. Thepaper will consider how social work educators can better prepareservice professionals for social welfare management positions.     

Social Work and the News Media: A Hopeless Case?

Correspondence to Meryl Aldridge, Department of Social Policy, University of Nottingham, Nottingham NG7 2RD. Summary The belief that the profession gets unusually poor news mediatreatment is entrenched among social workers. As a result, thesocial work press regularly prints articles discussing the issueand suggesting solutions. This paper outlines the main sociologicalapproaches to theorizing about the media and locates the majorityof the profession's own accounts of its coverage within an idealist/pluralistmodel. Examples of positive presentation of social work arethen considered, but it is argued that many of these come fromlocal media. Approving items in the national press have beenlinked mainly with disasters and with the work of voluntaryagencies. Given the search for profit in a consumption-led society,it is unlikely that national news media, particularly the press,will fully endorse social work as it delivers state welfare.Attempts by social work agencies and professional institutionsto re-educate the media can have only limited success and shouldbe more carefully targeted.     

Social Work and the 'Missionary Zeal to Whip the Heathen Along the Path of Righteousness'

Correspondence to Amon Bar-On, Department of Social Work, University of Botswana, Private Bag 0022, Gaborone, Botswana. Summary Ever since Western forms of social work were first importedto Africa, a serious debate has been raging on whether theyfit the African context Most of this debate has concentrated,however, on the techniques of Western social work as opposedto the ends to which they are put, which, being underpinnedby Western values, are essentially alien to African culture.Applying Western social work in Africa can be viewed, therefore,as continuing the work of the missionaries who sought to remakeAfricans in their own image. Following a summary of the argumentswhy Africa might require a form of social work of its own, thisarticle explores the chances of such indigenization and concludesthat it might be nigh impossible unless research involving reflectivelearning by African social workers with their clients is placedat the centre of social work practice.     

Work Satisfaction in Probation and Social Work

Correspondence to Professor Martin Davies, University of East Anglia, Norwich, NR4 7TJ. Summary The design and preliminary development of a research instrumentintended to provide comparable measures of work satisfactionwithin different social work settings is described. The resultsof administering it to two separate samples of social workersand probation officers are presented. It appears that probation officers feel themselves more highlyregarded by members of the general public and are less likelyto say they are badly paid; they enjoy more job autonomy; rathermore social workers tend to feel alienated at work, but mostbelieve that they have better chances of career advancementthan is the case in the probation service. There are broad similarities between the two work settings sofar as work with clients and attitudes towards colleagues areconcerned; it is argued that the emergence of these similaritiesis methodologically reassuring because it suggests the stabilityof the data overall, and therefore increases the likelihoodthat the findings regarding agency differences are a valid reflectionof social reality in each setting.     

Dragged to Market: Being a Profession in the Postmodern World

Correspondence to M. Aldridge, School of Social Studies, University of Nottingham, Nottingham NG7 2RD Summary Under a regime of quasi-markets, UK public sector occupationsare having to promote themselves as enterprising and argue theircase for a share of public spending. Much of this takes placethrough the news media. In order to do this effectively, somekind of professional grouping is essential. The paper reviewsthe failure of non-probation social work to achieve a professionalformation thus far. Rejecting explanations rooted in attitudes,values and gender, it argues that the core problem since theearly 1970s has been the shifting nature of social senices workbecause of central government policy changes. Now that the profileof social senices tasks is more settled, it is time for socialworkers to abandon their reluctance to claim distinctive expertiseand set about developing a more confident set of intellectualskills and thus an effective voice. In a postmodern age of scepticalconsumers they need not fear élitism as they will, rather,be judged by their effectiveness.     

Cautionary Tales From Beginning Practitioners: The Fate of Personal Models of Social Work in Beginning Practice

Summary The relationship between professional education and beginningpractice is examined by considering whether the personal modelsof social work developed and reviewed by the individual duringsocial work education survived the transition from student toautonomous practitioner. Fifteen University of Queensland socialwork graduates were engaged in a task of making explicit theirpersonal models of social work, by way of repertory grid technique,in their first eight months of employment. The repertory gridwas used as a conversational tool to monitor the developmentof and changes in their personal models of social work. Thesocial workers were thus engaged in a process consciously reflectingon the meaning of, and the reasons for, these developments andchanges. Whilst the study found that personal models do survivethe transition to social work practice, it also highlightedareas of concern. On the whole graduates did not feel preparedfor work, and the initial period of practice was one of considerabledifficulty. Many experienced considerable difficulty in subsumingthe organizational context within their personal model of socialwork.     

Social Work and General Medical Practice: Personal Accounts of Three-year Attachment

Summary In the area of social worker-general practitioner collaborationmuch has been written about conflict of roles, differing functions,avenues of accountability, and problems of distributing scarceresources. This paper suggests that if the two professions areto work more comfortably with one another, then it is imperativethat both also share the despair, hopelessness, anxiety andanger that are the occupational hazards of each. Ways are suggestedin which doctor and social worker can look at the pain theirpatients are suffering to the benefit of the patient and theiro working relationship.     

Professional Ideology, Middle Range Theories and Knowledge Building for Social Work Practice

Please address requests for reprints to Professor F. M. Loewenberg, School of Social Work, Bar-Ilan University, 52100 Ramat Gan, Israel. Summary More effective social work practice will require increased effortstoward knowledge building and theory development. Until a unifiedsocial work theory is available social workers will choose eclecticallyrelevant theoretical formulations from the large number of middlerange theories available to them from other professional disciplines.New middle range theories and innovative theoretical formulationsappear continually, resulting in a smorgasbord of theories,from which social work practitioners can choose. This articleexamines the effectiveness of an aclectic theory base for apractice profession. In the discussion of the findings noteis taken of the need for explicating social work's professionalideology as a next step in knowledge building.     

Allocating Blame in Social Work

Correspondence to Geraldine Macdonald, Applied Social Studies, Royal Holloway and Bedford New College, Egham Hill, Surrey TW20 OEX. Summary This article takes issue with those who assume that the responsibilityfor bad outcomes in social work, such as child deaths, is appropriatelylaid at the feet of individual workers. It examines the philosophicalorigins of such arguments, some recent applications within socialwork literature and their appropriateness to the realities ofsocial work practice. The author argues that a morality of socialwork must recognize the social and organizational context inwhich it occurs.     

Service Users and Practitioners Reunited: The Key Component for Social Work Reform

Correspondence to Professor Peter Beresford, Centre for Citizen Participation, Brunel University, Osterley Campus, Borough Road, Osterley, Middlesex, TW7 5DU, UK. E-mail: peter.beresford{at}brunel.ac.uk or Suzy Croft, Senior Social Worker, St John's Hospice, 60 Grove End Road, London, NW8 9NH, UK. E-mail: suzy.croft{at}hje.org.uk Summary This article explores the pressures towards both regulatoryand liberatory social work. It identifies a range of factorsoperating to push social work in each direction. It discussesthe key significance for more liberatory social work of theroles and engagement of social work practitioners and serviceusers. Highlighting four key characteristics in the currentpolitical and policy context of social work: ambiguity, uncertainty,complexity and contradiction, it argues that social work isunlikely to develop a more emancipatory role, unless socialwork practitioners gain more support to play a central rolein its construction and develop much closer links and allianceswith service users and their organizations and movements.     

'Anti-oppressive practice': emancipation or appropriation?

Summary This article offers an initial critical discussion of the conceptof anti-oppressive practice - AOP - from the perspectives ofservice users. Whilst acknowledging the emancipatory aspirationsof anti-oppressive practice, it also considers its regressivepotential. AOP has become central in social work theory andpractice and indeed is sometimes presented as a key approachand theory of social work. This discussion highlights the failureso far significantly to involve service users and their organizationsin the development of anti-oppressive theory and practice. Itconsiders how the ideology and structures of anti-oppressivesocial work impact upon service users; the problems raised by'expert' appropriation of users' knowledges and experiencesand the issues raised by the failure so far to address the useof social work and social care services as an area of differenceand category of social division. Finally, the article examinesalternatives to existing notions of anti-oppressive practicebased on the equal involvement of service users.     

Behavioural Social Work with Schizophrenic Patients in the Community

Summary A preliminary project on the application of behaviour modificationprocedures in the home setting is reported together with commentson the social needs of schizophrenic patients and their families.The article includes suggestions about social work with thisclient group based on the project experience.     

Social Work Tomorrow: Towards a Critical Understanding of Technology in Social Work

Correspondence to Bob Sapey, Department of Social Work, University of Central Lancashire, Preston PR1 2HE Summary This paper makes use of theoretical ideas that have been developedto understand the impact of new technology on organizationsand applies them to its use within social work agencies. Thesedeveloping theories employ ideas that are familiar to socialworkers—organization theory, decision making theory, andcommunication theory. The paper therefore argues that socialworkers are in a good position to understand and influence theuse of computers within welfare agencies and do not need tobe inhibited by a lack of technological knowledge. It is furtherargued that, unless social workers do become involved in theways in which new technologies are used within organizations,they will fail to influence its impact upon their clients andmay further fail to control the way in which computers affectthe nature of social work itself in the future.