Ethical Dilemmas and Areas of Social Work Intervention in Spain

Abstract

The purpose of this study is to identify the types of ethical dilemmas that Spanish social workers face in their respective areas of intervention. The intervention areas that have been studied are health, children, immigrants, women, family, marginalized persons, ethnic minorities, young people, prisoners, elderly people, refugees and asylum seekers, schools and social and employment-related integration, mental health, disability and drug addictions. A quantitative methodology was chosen using a version of the questionnaire prepared by Eileen J. Ain in a sample of 700 Spanish social workers. The statistical analysis shows the correlation between the different areas of intervention in Social Work and the most significant ethical dilemmas that such professionals have to solve. The most pertinent ethical dilemmas are found in the healthcare sector (confidentiality, disclosure of personal information and patient autonomy). The article is an important contribution for Social Work at the national level that emphasizes the importance of the ethics of Social Work in social interventions. It is proposed to deepen the investigation of each of the areas of intervention for future research, as well as to carry out comparative studies between different countries.     

Promoting Compassionate Concern in Social Work: Reflections on Ethics, Biology and Love

This paper challenges proceduralized, rule-bound approachesto ethics and considers how social workers and teams can developan attitude of compassionate concern and become more effectivein dealing with ethical problems in their day-to-day practice.It introduces the work of Humberto Maturana, a widely respectedtheorist, whose work has received little attention in socialwork. The paper argues that Maturana’s biology of cognitionprovides an approach to ethics that takes into account the spontaneousnature of everyday work in which social workers undertake theirethical actions. It stresses the importance of emotions, particularlylove, and considers the way in which ethical action is shapedby culture. It emphasizes the importance of engaging in reflectionon professional practices and team, professional and organizationalculture in order for social workers to improve their awarenessof ethical dilemmas and promote ethical practice. For thoseteaching ethics, this paper suggests an alternative to the rationalconsideration of moral dilemmas and proposes approaches to trainingthat can help social workers become more attuned and responsiveto ethical conflicts.     

Social Work: Gender, Care and Justice

Correspondence to: Joan Orme, Department of Social Policy and Social Work, Lilybank House, Bute Gardens, University of Glasgow, Glasgow G12 8RT, UK. Summary This article, in examining gender and justice, seeks to examinethe relationship between feminist theory and social work. Specificallyit reviews writings on social work ethics and suggests thatlittle attention has been paid to feminist scholarship thatresonates with social work practice. Focusing primarily on communitycare, it demonstrates how debates within feminism have becomemore complex and have problematized understandings of both careand justice. It argues that for social work it is unhelpfulto dichotomize justice and care; we should aspire to just socialwork practice.     

社会工作伦理教育:现状与反思

社会工作实践中几乎所有的实践工作原则都涉及伦理原则,或者是建立在伦理原则的基础之上,伦理方面的内容融入到了所有阶段的社会工作教育中。目前,在中国的社会工作教育中出现了严重的重知识、重技术,轻伦理现象。伦理知识的缺乏导致社会工作实践中伦理困境的频繁出现,而伦理困境解决的草率性和不一致性,已经严重影响到社会工作的专业化与职业化。加强中国社会工作伦理议题的研究,重视本土的社会工作伦理困境的探讨、将社会工作伦理教育纳入整个社会工作课程体系是社会工作教育及实践发展的重要环节。     

Children's Welfare, Surrogacy and Social Work

Correspondence to Eric Blyth, Senior Lecturer in Social Work, University of Hudders-field, Queensgate, Huddersfield HD1 3DH Summary Although surrogacy appears to have been practised throughouthistory across a diverse range of cultural groups it has onlyrecently emerged as a significant social problem, posing legal,ethical, social and psychological dilemmas. Developments inmedical technology, legislative change and shifts in professionalpractices have combined to make surrogacy potentially a moreacceptable form of family creation for more infertile and involuntarychildless people. Hitherto social work involvement in surrogacy has been marginal.However a more explicit focus on the welfare of the child, togetherwith the likely increase in prevalence in surrogacy, imply amore central role in future for social work. The commitmentof the Government and the newly-created Human Fertilizationand Embryology Authority to keeping surrogacy under review isexpected to result in further policy developments. In the meantimethis paper begins the process of identifying those areas ofsurrogacy practice in which social work intervention could beeffectively and appropriately focused and considers the implicationsof these for both social work agencies and practitioners.     

Professional Ethics in Social Work-- What Future?

Correspondence to: Sarah Banks, Community and Youth Work Studies Unit, Durham University, 45, Old Elvet, Durham DH1 3HN, UK. E-mail: s.j.banks{at}durham.ac.uk Summary This paper examines the ethical implications of recent changesin social work, particularly in relation to the conception ofsocial workers as professionals guided by a code of ethics.These changes include the fragmentation of the occupation, theincreasing proceduralization of the work and the growing focuson consumer rights and user participation. Some people haveargued that codes of ethics are becoming increasingly irrelevantin this climate, in that they assume a unified occupationalgroup and are based upon professionals' definition of valueswithout consultation with service users. On the other hand,it has also been maintained that it is ever more important toretain and strengthen codes of ethics in order to maintain professionalidentity and to defend the work of the profession from outsideattack. This paper explores the relevance of a code of professionalethics for social work, focusing particularly on the BritishAssociation of Social Workers' code, in the context of the changingorganization and practice of the work. It considers two alternativeapproaches: the ‘new consumerism’ which focuseson the worker's technical skills (rather than professional ethics)and consumer rights (as opposed to professional obligations);and a ’new radicalism‘ which stresses the worker'sown personal or political commitment and individual moral responsibility(as opposed to an externally imposed code of professional ethics).It is concluded that the changes in social work do threatenthe notion of a single set of professional ethics articulatedin a code, and that, in some types of work, this model is lessappropriate. However, there is still mileage in retaining anddeveloping a code of ethics, not as an imposed set of rulesdeveloped by the professional association, but as part of adynamic and evolving ethical tradition in social work and asa stimulus for debate and reflection on changing and contradictoryvalues.     

Conflicts, Conciliation and Social Work

Correspondence to Adrian L. James, Lecturer in Applied Social Studies, Department of Social Policy and Professional Studies, University of Hull, Cottingham Road, Hull HU6 7RX. Summary This article seeks to draw together some issues and themes whichare identifiable in recent social work literature and practice,and in the criminal and civil law. It explores the nature ofconciliation as a method for dealing with conflict. It alsoconsiders some aspects of the nature of social work and theprocess by which problems become the object of social work treatment.It is argued that this process can effectively limit the scopefor client involvement in seeking solutions to their problems,and that conciliation might offer some potential for increasingthis, whilst also revitalizing the ethical base of social workpractice.     

Ethnicity and Caring for a Disabled Child: The Case of Children with Sickle Cell or Thalassaemia

Correspondence to Waqar Ahmad or Karl Atkin, Ethnicity and Social Policy Research Unit, University of Bradford, Bradford, BD7 1DP, UK Summary Services for haemoglobinopathies have been a major site of strugglesfor the black communities, yet the social research literatureon haemoglobinopathies remains patchy and fragmented. We providean overview of the literature on sickle cell disorders and thalassaemiamajor in the broader context of debates on childhood disabilityand chronic illness, and on ethnicity, racism and health care.     

A Study of Post-Adoption Contact in Compulsory Adoptions

Correspondence to Murray Ryburn, Department of Social Policy and Social Work, University of Birmingham, Edgbaston, Birmingham B15 2TT Summary This study examines post-adoption contact between adopted childrenand their birth relatives where adoption orders have been madeagainst the wishes of birth parents following contested courthearings. This area of adoption practice has received very littleresearch attention and the results of this study are surprising,indicating unexpectedly high levels of post-adoption contact.     

Exploring the ethics of treatments for depression: The ethics of care perspective

This article explores the ethics of current treatments for depression through the lenses of social work values and ethics. As a vehicle for analysis, the approach associated with ethics of care will be utilized. Particular attention is paid to ethical dilemmas in the treatment of depression under the auspices of managed care companies. A case example is presented to help social workers understand these dilemmas in the context of practice. Adopting an ethics of care perspective would mandate that social workers become more politically active, and work toward integrating direct and indirect practice approaches in treating people who suffer from depression and similar problems.     

Social Work with Homeless Families

Correspondence to John Stewart, Lecturer in Social Policy, Lancaster University, Department of Applied Social Science, Cartmel College, Lancaster LA1 4YL. Summary This article examines the inter-connections between social workand housing issues, agencies, and practice in the area of familyhomelessness. It is based on interviews with specialist practitionersat the beginning and end of the 1980s. Policy contexts are examinedto identify the expectations held of social services departmentswithin a corporate responsibility. Analysis of what social workersdo in working with homeless families highlights practical supportthrough the homelessness process and dilemmas over child protection.The guidance on the new children and community care legislationcontinues the marginalization of this specialism, which is variouslymisunderstood, misrepresented, or ignored from the housing policyand research side, whilst on the social services side, althoughformally ignored, it is in practice expected to discharge statutoryresponsibilities in an area fraught with conflicts.     

Stewardship of research resources

Most accounts of research ethics focus on the importance of a handful of ethical and epistemological norms for the conduct of science, such as honesty, integrity, transparency, accountability, objectivity, collegiality, fairness, social responsibility, but have little to say about another, less well-known norm that also deserves attention: stewardship of research resources. Many of the behaviors and practices that are widely regarded as unethical or ethically questionable involve wasting or misusing money, time, and other resources. While good stewardship of resources may not be as crucial to the ethics of science as other norms, it is an important consideration that scientists should keep in mind when managing their own resources or mentoring students and trainees in the responsible conduct of research. Additional investigation into the ethics of stewardship may help us better understand how this norm interacts with other research norms and guides scientific conduct.     

The Ethical Challenges of Socially Responsible Science

Social responsibility is an essential part of the responsible conduct of research that presents difficult ethical questions for scientists. Recognizing one’s social responsibilities as a scientist is an important first step toward exercising social responsibility, but it is only the beginning, since scientists may confront difficult value questions when deciding how to act responsibly. Ethical dilemmas related to socially responsible science fall into at least three basic categories: 1) dilemmas related to problem selection, 2) dilemmas related to publication and data sharing, and 3) dilemmas related to engaging society. In responding to these dilemmas, scientists must decide how to balance their social responsibilities against other professional commitments and how to avoid compromising their objectivity. In this article, we will examine the philosophical and ethical basis of social responsibility in science, discuss some of the ethical dilemmas related to exercising social responsibility, and make five recommendations to help scientists deal with these issues.     

社会工作视野中的伦理

社会工作与伦理的关系经历了从自发到自觉,危机的产生,再到伦理对于社会工作的重新回归的发展阶段。社会工作中的伦理体系的构建既要借鉴西方发达国家已有的社会工作伦理价值体系,又要立足于中国的本土实际,既要充分挖掘我国传统文化资源,更要顺应中国当今社会主流的伦理文化的发展,适应中国社会主义市场经济的发展。现代社会工作视野中的伦理应该是由多层次的理论与实践体系所构成,包括对社会工作道德哲学层次的思考,社会工作道德原则和规范的构建,社会工作的实践机制以及社会工作伦理与相关学科的相互借鉴的研究。     

Practice Validity, Reflexivity and Knowledge for Social Work

Correspondence to Professor Michael Sheppard, Department of Social Policy and Social Work, University of Plymouth, Drake Circus, Plymouth, Devon PL4 8AA, UK Summary In the last few years there have been significant developmentsin conceptualizing the role and nature of knowledge in socialwork. This has been based on a fundamental review of epistemological,ethical and theoretical facets of social work and its knowledgebase. Amongst some of the most significant developments havebeen the emergence of new concepts (for social work) such asprocess knowledge, reflexivity and a range of ideas relatingto hypotheses. In a recent article, Susan White (1997) soughtto critique some of my ideas on this matter. This article representsa response to her paper; one which uses the opportunity to drawout wider issues for a general theory of social work knowledge.In particular, it focuses on three key dimensions: the centralityof the concept of practice validity, the importance of a conceptof reflexivity which is not simply transferred from the disciplineof sociology but which has a social work-specific meaning, andthe dangers of an unrestrained relativism.     

Parental Contact with Children Fostered and in Residential Care after the Children Act 1989

Correspondence to Andy Bilson, Department of Social Work and Social Policy, University of Northumbria, Newcastle NE7 7XA. E-mail Andy_Bilson{at}Unn.AC.UK Summary Research carried out since the implementation of the ChildrenAct 1989 based on a sample of 848 children looked after by localauthorities indicates that previous estimates of the numberswho have no contact with parents may have underestimated theextent of the problem, and that despite the emphasis placedon contact by the Children Act there is still much work to bedone to improve practice. The research not only confirms earlierfindings about the instability of placements in care but alsoshows differences in face to face contact which depend on thelength of time in care or accommodation and the reason for entry,as well as differences between children placed in residentialand foster care. Finally it was found that where children havespent long periods in care they tend to have little contactwith fieldworkers, and it is suggested that there is a needto redefine the social work agenda for this vulnerable groupof children.     

Social Work and Self-determination

Correspondence to Department of Political Science and Social Policy, University of Dundee, Dundee DD1 4HN. Summary Self-determination is a curious concept, related to, but notquite the same as, freedom and autonomy. As an ethical principle,the principle of self-determination bears little relationshipto the way social workers behave. It is used as if clients werebeing allowed a free, independent choice; but clients are subjectto pressure, and the social work relationship is often conceivedwithin a structure of authority. As a guide to practice, theconcept of self-determination ignores the cases where directionis legitimate or desirable. Self-determination can be seen as a professional ideology—aninter-related set of values and ideas. The concept is derivedfrom a number of ideas and values outside social work, but itappears to have little direct relevance to social work in practice.The paper suggests that the concept of freedom may be more usefuland less remote from the realities than ‘self-detemination’is.     

本土社会工作实务的伦理困境与伦理抉择——基于上海青少年社会工作实践的质性研究

社会工作在实践过程中面临的最大困境是人与文化互动过程所形成的多元可能,这种多元可能往往使实务工作者在提供专业服务过程中遭遇价值抉择的两难。本研究运用质性研究的方法,以上海青少年社会工作者的实践为研究对象,着力探讨当下本土社会工作伦理实践中的困境及抉择。研究发现,本土社会工作常见的伦理困境包括:保密与否、案主自决、利益冲突、专业界限、公平分配、价值冲突、同事关系。而社工在进行伦理抉择时,遵循三大基本原则:案主生命优先原则,法律规定、机构规范优于个人价值,人际关系取向。此外,研究以"人在情境中"的概念为框架基础,提出个体因素(即社工个体对伦理抉择的影响)、问题因素(即伦理困境本身对伦理抉择的影响)、情境因素(即外部环境对伦理抉择的影响)这个三维分析架构来系统分析社会工作伦理抉择中的影响因素及其过程。最后,研究建议要建构本土的社会工作伦理体系,即建构本土导向的社会工作伦理原则、建立操作取向的社会工作伦理机制。     

Cutting Edge Issues in Social Work Research

Correspondence to Ian Shaw, Cardiff University, School of Social Sciences, Glamorgan Building, King Edward VII Avenue, Cardiff, CF10 3WT, Wales. E-mail: shawif{at}cardiff.ac.uk Summary Taking the panel report on social work submissions to the British2001 Research Assessment Exercise as a starting point, I commenton some of the central questions facing social work research.These include social work research methodology; social work'srelationship to science; the relationship between social workpractice and research; governance and research ethics; buildingresearch capacity; and establishing research quality. I outlineaction that is needed by social work academics and researchers,social work agencies and government departments.