Using Yoga Interventions to Enhance Clinical Social Work Practices with Young Women with Cancer

It is widely published that physical, psychological, and social stressors adversely affect many individuals who are diagnosed with cancer, influencing their experience of treatment and perhaps, the quality of life after treatment is complete. No one is prepared for this battle, yet most patients are forced to make split-second decisions that are critical to their care. This case study highlights the mindfulness approach taken by one social worker to help a young woman during her journey with cancer. By guiding her through gentle yoga postures, yoga breathing, and meditation this patient learned how to take back some measure of control in her recovery, address her illness-related stress, and possibly enhance the quality of her life during treatment. As more clinicians combine conventional best practices with complementary healing therapies, they may provide tools any patient can use to instill hope and promote wellness during this most challenging time and beyond.     

Everyday Violence in Central America as Seen Through the Life of One Woman

Everyday violence in Central America assumes diverse forms, with the structural violence intrinsic to the poverty and inequality in the region being the most predominant. The life story of Andrea embodies many elements of that violence, as it led to her entering the labor force as a child, to her having her own children early, and to her employment in the service sector. But, Andrea came of age during a revolution in her country—that waged by the Sandinistas in the 1980s—which provided her family with resources of both a material and non-material nature. The changes it wrought, however, were not deep enough to transform the opportunities of the next generation and were undercut in its aftermath. Hence, Andrea’s aspiration for her children to have different lives from her own required her emigration to achieve it. Yet, it was also the revolution, in the form of a network that emerged from it, that made possible her work abroad in Italy. She was able to earn enough there to provide the education for her children that she sought. Drawing on an oral history I collected from Andrea, this article portrays the challenges she confronted, the ways she addressed them, and how her life course has been produced by the interaction between these phenomena. In addition to telling her story and describing the ways in which structural violence colored it, the article highlights the broader social, economic, and political dynamics that make this about more than just one woman.     

An Interview with Joyce Edward: Exemplary Clinician, Advocate, and Scholar

Over the years, noteworthy social workers have been interviewed for the Clinical Social Work Journal. This article features an interview with Joyce Edward who is recognized for her many extraordinary contributions to clinical social work. Joyce has co-written or co-edited three exceptional books for the social work clinician, she has been an esteemed teacher and a vocal activist for quality mental health care. In this interview Joyce reflects on family influences, her work as a social caseworker, the psychoanalytic luminaries with whom she trained, her concerns about the clinical education of today's social work students, and finally, her perspective on managed mental health care.     

Life-threatening disability in adolescence: Adjusting to a limited future

This paper describes a medical social worker's efforts over one and a half years to help a client adjust to a neurological disorder. Prior to social work services, the young woman had never discussed her disability, which began in adolescence, with anyone outside the family, and communication within the family was seriously compromised by their perception of disability as a stigma. Lacking the opportunity to mourn the loss of her physical abilities, she became isolated and depressed, and acted out aggressive thoughts and fantasies within the family system. Social work intervention helped the client to re-work the original trauma of diagnosis, which led to the development of a healthier defensive structure and new coping mechanisms.     

Cancer in the Family: Review of the Psychosocial Perspectives of Patients and Family Members

As advances in cancer care have led to more treatment options and longer survival for cancer patients, a focus on quality of life for patients and their families has gained importance. This review provides a discussion of stress and coping theory, documents the relevance of this topic area for social work practice, and illuminates the results of a literature review by emphasizing the perspective from which research was collected within the family system. Recognizing the impact of cancer on the lives of patients, their partners, children, and the family as a whole is an essential factor in providing appropriate and adequate psychosocial services to families facing cancer.     

Young people’s education biographies: family relationships,social capital and belonging

This paper examines complexities and interdependencies of key family relationships which anchor young people’s educational biographies. It is well recognised that young people’s education pathways in late modernity are strongly dependent on their ability to draw on the range of resources available, and that socio-economic status and family resources play a central role in this process. Less is known about how such relationships anchor young people’s education biographies. Drawing on theories of social capital and belonging in dialogue with qualitative interviews, and situated in studies of rural youth and education, this article considers how young people themselves talk and make decisions about their education in relation to complex family connections. These connections, contestations and negotiations between young people and central family members highlight how the late modern economy impacts on young people’s intimate relationships, and sheds light on the ongoing work of youth to resolve such tensions around their schooling in daily life.     

Family Functioning and Satisfaction of Former Residents of a Non-Therapeutic Residential Care Facility: An Exploratory Study

ABSTRACT

Recently there has been a resurgence in discussions among government policy-makers regarding the use of non-therapeutic residential care as an alternative to kinship and family foster care. If informed decisions are to be made regarding foster care alternatives, evaluation is needed of how children fare in residential care facilities. This study looks at the family relationships and life satisfaction of 76 adults who resided in a residential care facility as children. The overall positive results suggest that the negative reputation of non-therapeutic residential care facilities may not be wholly deserved. The authors hope that this information can assist social workers and policy-makers in making important decisions about the appropriate use of residential care with our country's future population of foster care children.     

Lone mothers and paid work: the ‘family-work project’

When a mother starts work, her daily life changes in various ways: time, money, relationships, quality of life, and well-being are all subject to modification and potentially greater uncertainty. This is also true for her children, who must adapt to changed circumstances and perhaps play a different role within the family as a consequence. Sustaining work and care over time means that the situation of being a working family must become part of the everyday and regular practice of the family, and this actively involves all family members. This article explores this concept of a ‘family-work project’ through a qualitative longitudinal study of British lone mothers and their children, starting as the mothers took up work and following the families for four to five years. The research captured the experiences of the families as they negotiated the demands of sustaining employment while living on a low, but complex, income.     

Giving youth the social and emotional skills to succeed

WINGS for Kids is a nonprofit organization based in Charleston, South Carolina, that aims to supply the social and emotional learning (SEL) component into existing programs for school-aged children and thereby assist them to recognize and manage emotions, care about others, make good decisions, behave ethically and responsibly, build satisfying relationships, and avoid negative behaviors. The author, who is the founder and CEO of WINGS, traces the ethos of the organization to her own life experiences as well as her observations of low-income children and families more generally. She describes the strategies and practices that characterize the WINGS approach to SEL. The chapter focuses on the progress made by one boy, who arrived at WINGS at the age of seven, got into disputes from the very first day, and was eventually ejected from the WINGS program but later earned his way back with a commitment to change. He sustained his involvement for a number of years and became an exemplar of what the author states they are trying to accomplish.     

Challenging cultural constraints: a personal testimony

DISHA is one of the oldest Oxfam project partners in Uttar Pradesh, India. DISHA works with rural women and rope-makers; it encourages village-level women's organizations to fight against obstacles to women's empowerment and to institute income-producing activities; and it provides legal, educational, and health care services. In this article, a Muslim woman tells the story of her involvement with DISHA and how that involvement gave her the courage to reject the restrictions of purdah and of the wearing of the bourkha. This woman was married at age 13. She suffered ill treatment at the house of her in-laws and returned to her father's home with her 3 daughters. Her husband eventually joined her at her father's house. She was approached by a coordinator of DISHA and asked to apply for a job. She was offered the job, which she accepted. When she started going into the villages, she felt that the restrictive dress of the bourkha interfered with her ability to work. With the permission of her father and her husband, she set aside the bourkha. She had to endure criticism and censure for this action, but eventually people have been won over to her position as they have seen the positive results of her work on behalf of society. After having 5 daughters, she finally had a son. Now she is determined that her daughters will never wear the bourkha, even if they must remain single as a result of this resolve. She feels that DISHA has given her the power to overcome oppression in her own life, in the life of her family, and in society.     

Work and family: Understanding men's role evaluations

Analysis of data provided by a random sample (N=92) of married police officers was used to evaluate the effects of time constraints, job stress, family strengths, family structure, and social networks on men's role evaluations. These men had generally positive evaluations of their income provider, husband, father, and home care roles. Multivariate analysis showed complex relationships between work, family, and network conditions and men's evaluations of their roles. Commuting time, job stress, family strengths, number of children, kin available, friends available and contact with friends effected role evaluations. The centrality of family roles for these men and the patterns of personal gain they received did not support stereotypic images of men's family relationships.This is a revised version of a paper presented at the Annual Meeting of the National Council on Family Relations, November, 1985. I wish to thank Kuo-Liang Lin for his able assistance, and Robert A. Lewis and Fred Piercy for their helpful comments.Karen Altergott received her doctorate in Sociology from the University of Minnesota, and is currently Assistant Professor of Family Studies at Purdue University. Areas of research include family relations and social networks across the life course, comparative family studies, and family gerontology. Send correspondence to Dr. Altergott at Family Research Institute, 525 Russell Street, West Lafayette, IN 47907.     

Dementia at the Intersections: A unique case study exploring social location

Research exploring the experiences of persons living with dementia has been criticized for failing to situate individual experience in a broader socio-cultural context. In particular, little attention has been devoted to examining how social location shapes the subjective experiences and responses of persons with dementia. This paper examines how one woman's position as a younger, aboriginal woman of lower socio-economic status living with a same-sex partner, helped construct her experiences with dementia. Data for this unique case study are based on in-depth personal and family interviews and video-taped participant observation. Three themes dominated her story. First, receiving a diagnosis of dementia triggered this woman's desire to connect with her cultural heritage. Through this claiming of her cultural identity as an aboriginal woman, the dementia was reinterpreted as facilitating a closer connection with her ancestors and this released for her a sense of creativity, productivity and peacefulness. Second, the refusal of this woman to adopt a more conventional interpretation of dementia, compounded by her younger age and atypical presentation, resulted in a tendency by others to discount the impact of the dementia in her life. Finally, the lack of recognition afforded to her female partner increased her partner's isolation and created challenges for their relationship. This paper will focus on embedding this woman's lived experience within a broader socio-cultural context in order to demonstrate how aspects of one's identity and social location interact to construct one's subjective experience.     

The Family and Social Networks of Recently Discharged Foster Youth

Many youth leave foster care with disrupted relationships with family and others in their social networks. Previous research has documented the severe adversity that former foster youth face in the transition to young adulthood. Some of these difficulties are at least partially related to a lack of social support that results from frayed relationships. The purpose of this research was to examine the role that social support plays in the transition to adulthood. It was hypothesized that foster youth with higher levels of social support would make more successful adaptations to early adulthood than youth without that support. Ninety-seven former foster youth were followed for 2 years. Youth reported low levels of “feeling close to parents,” but higher levels of “closeness” were expressed for other relatives. Findings were mixed. Organizational involvement and having many “close” friends were associated with better outcomes. On the other hand, family contact and family support was inversely associated with resiliency. The implications of these findings are discussed.     

Ethical Decision-Making in the Helping Profession

Abstract

First, we examine several of the more prominent theoretical approaches in ethics (the utilitarian, absolute rule, principle based, and ethics of care approaches) and find the principle-based, common morality approach, and the ethics of care approach to be the two approaches that are most relevant to the types of ethical decisions practitioners characteristically are confronted with in a social work setting. We then propose combining these two approaches, taking into consideration the advantages and drawbacks of each, such that in application these two approaches can be seen to complement one another. We show in two brief hypothetical cases how the combined approach can be used to guide practitioners' ethical decision-making in real life situations.     

A Process Model of Family Formation and Development

Theoretical models of family formation have assumed sexual coupling as the foundation of family life. This article proposes instead a model of family formation predicated on the processes of taking care of one another, eating together, and sharing life together. The interpersonal dynamics that distinguish a family from other close relationships are attachment, belonging, and entitlement. This process model of family formation does not presume marriage or any other form of sexual coupling to be a requirement for family formation. A case study illustrates, with implications for social work practice.     

Homemaking on the streets and beyond

Homemaking is associated with domiciled family life, community, and secure work. Moving beyond this perspective, we explore the experiences of people dislocated from family, community, and work, and their efforts to make a place for themselves. We consider a homeless man's efforts to make a home on the streets of Auckland in the absence of positive social ties, employment, and a domiciled abode. This case draws upon an auto-biographical interview, three photo-production projects and three photo-elicitation interviews with Daniel. We consider Daniel's profound sense of loneliness and efforts at imagining a domiciled home beyond the streets where he can forge meaningful relationships. Daniel is now re-housed, in part, as a result of insights from this research being used in social work practice.     

Informing family policies: The uses of social research

Like the topic of family policy itself, research informing family policies is difficult to characterize. This article discusses how ideology and values influence research agendas and then describes three types of studies informing family policies: research defining social issues, evaluation research, and research about the policy-making process. Two case studies illustrate how social research informs family policy: in promoting gender equality in Scandinavia and in reforming child support in the United States. Values of individualism and the sanctity of the family have traditionally focused policy makers' and, hence, researchers' attention on individuals, not families, as the units of analysis. But dramatic shifts in family structure and functioning along with renewed public concern about family disintegration are placing families high on the policy agenda. Both “basic” and “applied” family scholars can contribute to a research agenda examining the factors promoting strong, effective families. She conducts research on gender and the life course, as well as on aging, families, and social policy. She received her Ph.D. in Sociology from the University of Minnesota. Her research interests in stratification, social policy, gender, and the life course include sex segregation in occupations, fertility, and work decisions and family policy.     

Irmgard Wessel: The Making of a Clinical Social Worker

Irmgard Wessel is a unique woman whose quiet, hard-working way generates ideals that are inspirational. With little fanfare, Irm's work has had a major impact in the field of clinical social work and clinical social work education. As each of us is inspired and encouraged by the knowledge of such exceptional social work clinicians, the discipline, as a whole, is enhanced. This paper describes not only Irmgard Wessel's career, but also adds a biographical understanding of her development from childhood to clinician, educator, and activist. It is about the making of an extraordinary clinical social worker.