Trust and confidence: possibilities for social work in 'high modernity'

Summary Those who argue that social work has become 'postmodern' alsosuggest that the demise of foundational knowledge must introduceuncertainty and ambiguity into social worker-service user interactions.Furthermore, if the basis for probability calculations is fatallyflawed, then a dependence on risk assessment and risk managementcan no longer be tenable. Under these conditions Parton (1998)suggests that social work must re-discover trust between Government,managers and social workers and between social workers and serviceusers. In this paper I argue that Parton's analysis of trustis radically incomplete and that a more detailed understandingof the relationship between trust and confidence indicates thevery limited possibilities for trust to re-emerge or to surviveunder current conditions. While I attempt to persuade the readerthat trust is necessary for social work, it is evident thatGovernment prefers confidence to trust. This means that trustcan only be practised at the margins of social work, where itis relatively invisible and does not pose a threat to the pre-eminentconcern with confidence.     

Comparative Hypothesis Assessment and Quasi Triangulation as Process Knowledge Assessment Strategies in Social Work Practice

Summary Despite a debate lasting some decades, there has been littleor no clear resolution about the way knowledge may be relatedto practice. To a considerable degree this is because of anassumption that knowledge is ‘knowledge as product’:given knowledge, researched and applied to practice. In recentyears, the concept of ‘knowledge as process’ hasemerged, focusing on knowledge of rigorous ways to think aboutpractice situations. This has generated a focus on hypothesisgeneration, testing and falsification, as well as lessons tobe learned from rigorous methods of qualitative analysis insocial research. Rigorous social workers, it has been suggested,would behave like ‘practical qualitative researchers ofthe individual instant’. However, there is little empiricalresearch on the matter. This paper evaluates process knowledgeforms used by social workers. It presents findings that socialworkers vary considerably in the extent to which they develophypotheses about the whole case, or aspects of it, in the depthwith which they analyse cases, and the systematic way they pursuean information gathering strategy. The paper concludes thatthere is clear evidence of social workers behaving as practicalqualitative researchers, but the rigour with which they do sovaries, with fundamental implications for the training process,and the extent to which rigorous strategies, along the linesof research methodology, should be taught.     

Social Work at the Crossroads

Summary The contribution of social work to society has always been contested.Social workers work with some of the most psychologically damagedand socially disadvantaged people, and are susceptible to publicdevaluing of the services they provide. Indeed, social workhas been subjected to an ever-increasing volume of public debateand criticism, and its claims to professional status are underthreat. Recent years have seen a constant attack on its valuesand principles, which has taken place at political, organizationaland professional levels. Social work practice has been subjectedto increased managerial control and social workers' levels ofautonomy have been reduced. This has created a sense of crisis,which has been experienced particularly within social servicesdepartments (SSDs), the main source of employment for socialworkers. The paper will argue that its survival as a recognizableprofessional activity is dependent on the extent to which itcan redefine its role within society, and re-establish clarityabout its overall purpose and function.     

The Beckford Report: A Critical Appraisal

Correspondence to Nigel Parton, Department of Behavioural Sciences, The Polytechnic, Queensgate Huddersfield HDI 3DH. Summary This paper provides a critical analysis of the Beckford Reportand its implications for social work and the personal socialservices. Four interrelated themes are explored: the relationshipbetween social work practice, statutory responsibilities andthe law; the attitudes of social workers towards children andfamilies; the social work skills required; and the assumptionsthat are made about child abuse and the role of social workers.This is then related to recent research findings in the areaof policies and decision making in child care. It concludesby arguing that the report is in great danger of misdirectingour attentions from the major issues concerned with social workwith children at risk.     

Inflated States and Empty Theories in Social Work

Summary The recommended knowledge base of social work is seen to bewide-ranging on the one hand, and subject to divides and tensionson the other. This state of affairs is reviewed briefly. Anargument is then developed which maintains that only certaintypes of activity within the considerable range often identifiedas social work, offer a clear suggestion that the job whichis being described is that of social work. These various activitiesand practices appeal to different kinds of theory and knowledge.As the knowledge base and practical possibilities of the jobhave become increasingly elaborate and extensive, an argumentwhich recommends that social workers recover a simplier notionof what they are about also entails the idea that social workis a job which is seen to have necessary and definite limitsto its practice and theory.     

Tackling Inequalities in Physical Health: A New Objective for Social Work

Correspondence to Eileen McLeod, Department of Social Policy and Social Work, University of Warwick, Coventry, CV4 7AL, UK. Summary We argue that tackling the impact of social inequality on physicalhealth should become a central objective of social work andintrinsic to the development of anti-oppressive practice. Thisis on three grounds. First, the suffering embodied in inequalityin physical health should be a cause of concern to social workers,as a pervasive social problem. Secondly, awareness of socialwork's complicity in contributing to such a problem, throughits historical role in implementing state policies, needs toinform assessment of social work outcomes. Nevertheless, thirdly,social work—not confined to health care settings—whichredresses social disadvantage and tackles its consequences forphysical well-being can contribute to greater equity in health.Indicative examples of such practice are provided in relationto health maintenance, living with ill health and terminal illness.Finally, consideration is given to the current wider politicalcontext in which social work addressing health inequalitiesis embedded and to the need for complementary organizational,professional and political initiatives to buttress its development.     

Social Work, Liberty and Law

Correspondence to Professor John Williams, Department of Law, University of Wales, Aberystwyth, SY23 3DY, UK. E-mail: jow{at}aber.ac.uk Summary The relationship between law and social work is complex. Doeslaw assist practitioners to promote rights, or is it confinedto ensuring accountability and regulating practice? This articleexplores law's role, and its limitations, in promoting liberty,or more accurately ‘constitutional liberty’. Doeslaw provide practitioners with liberty-based values capable,if necessary, of legal enforcement? The paper argues that thereis no simple answer; law impacts on social work in differentways and there is little consistency across and within clientgroups. However, it concludes that law is one of the tools thatsocial workers can use to promote liberty.     

Social Workers who Move into Private Practice: The Impact of the Socio-economic Context

Summary This paper is based on a doctoral research project, conductedin New Zealand between 1993 and 1999, that considered factorsin the movement of social workers into private practice (vanHeugten, 1999). The study employed a qualitative methodologyin which 33 private practitioners were interviewed using semi-structuredquestionnaires. All respondents had at least a first professionalqualification in social work. The research grew from a realizationthat there had been an upsurge in private practice since themid-1980s, during a time of increasingly right wing governmentpolicies, and free market philosophies. These policies and philosophiesled to a radical restructuring of government and not-for-profitorganizations that employed social workers. Some workers respondedto the changes by seeking alternatives to organizational employment.Concurrently opportunities for private practice were createdby the availability of third party payments for counsellingof survivors of sexual abuse and parties to marital disputes.A similar pattern of confluence of expanding social work privatepractice and free market ideology has been noted in countriessuch as Great Britain and Australia. The implications of thismovement into private practice are considered in relation toprofessional social work associations.     

Avoidable and Unavoidable Mistakes in Child Protection Work

Summary This article argues that social workers and the general publicneed a clear understanding of the distinction between avoidableand unavoidable mistakes in child protection work. The publicis understandably distressed when a child dies and is rightto demand an inquiry to check the quality of help provided.But a child's death is not proof that any professional was incompetent.Our limited knowledge and the complexity of assessing risk meanthat professionals can only make the best judgement on the availableevidence. Analysis of forty-five inquiry reports shows thatinquiries appreciate this; in 42 per cent of them social workerswere not criticized. The analysis however also reveals one persistenterror: social workers are slow to revise their judgements. Psychologyresearch indicates that this error is widespread and by no meanspeculiar to social workers but it means that misjudgements aboutclients that may have been unavoidable on the limited knowledgeavailable when they were made continue to be accepted despitea growing body of evidence against them. Social workers needa greater acceptance of their fallibility and a willingnessto consider that their judgements and decisions are wrong. Tochange your mind in the light of new information is a sign ofgood practice, a sign of strength not weakness.     

Social Work, Social Science and Practice Wisdom

Correspondence to Michael Sheppard, Department of Applied Social Science, University of Plymouth, Drake Circus, Plymouth PL4 8AA. Summary Social work has for some time had an ambiguous and ambivalentrelationship with its social science knowledge base. However,this has arisen, at least in part, because of the emphasis onthe outcome or product of social science rather than the processby which research is conducted. This paper, focusing on assessment,argues that an emphasis on process goes some way to closingthe gap between social science and social work, that the methodsused by social researchers are, in many respects, simply refinementsof the methodology of everyday life, and that social workers,when conducting assessments operate rather like practical qualitativeresearchers. Using Analytical Induction as an heuristic device,it proceeds to explore critical characteristics of good practicein social work assessments. It concludes that practice shouldbe characterized by critical awareness, involving imaginativedevelopment of alternative hypotheses, a sceptical attitudetowards case assessments and a principle of adopting hypothesesleast likely to be in error.     

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.     

Voices From the Front Line: State Social Workers and New Labour

Summary The article explores the condition of state social work in Englandtoday. It is based on interviews with experienced social workersemployed by local authority social services departments acrossthe north of England. These front line state social workersprovide a penetrating insight into the diverse ways in whichtheir work has been transformed and degraded and the mannerin which the needs of clients have been largely ignored. Fromtheir perspective, the election of a Labour government in 1997proved to be a massive disappointment and many social workersreported that it has further undermined state social work practice,workers and clients. The paper seeks to offer an explanationby noting the neo-liberalism of Labour's social policy and thedire consequences which flow from New Labour's fixation withwaged work as the principal solution to social exclusion andpoverty. Above all, it seeks to provide an opportunity for theviews of front-line state social workers to be heard.     

Contract or Con Trick? A Reply to Rojek and Collins

Correspondence should be sent to Leeds Family Service Unit, 15 Lavender Walk, Leeds 9, Yorkshire. Summary In this paper we identify some major misconceptions in a paperwhich appeared earlier in this journal. We argue that contractwork has been misunderstood and that contracts can be used effectivelyand without dishonesty. In particular, the point is made thatcontracts are a practical working concept which offers a meansof discussing and resolving clashes in perspective and of modifyingthe unequal power balance between clients and social workers.     

Toward Generic Social Work Practice--a Review and Some Innovations

Summary This essay reviews the development of the generic concept andoffers three models and several concepts that are seen as relevantto the progress of generic theory for social work practice.A major gap in professional social work has been identified.The generic approach is seen as having exciting potential foreducating and training multi-skilled social workers, but a greatdeal of head and heart work is necessary before the idea ofgeneric social work can become a practical and viable reality     

Practitioners as Rule Using Analysts: A Further Development of Process Knowledge in Social Work

Correspondence to Professor Michael Sheppard, Department of Social Policy and Social Work, University of Plymouth, Drake Circus, Plymouth PL4 8AA, UK. E-mail M.Sheppard{at}plymouth.ac.uk Summary A new paradigm of ‘process knowledge’ has emergedin recent years, distinct from the dominant ‘product knowledge’paradigm in social work. While the latter refers to existentknowledge, which may be applied, the former refers to the developmentof knowledge about the ‘methodology of practice decisionmaking’, focusing on the processes by which judgementsare made. At its heart is the emerging idea of a reflexivityfor practice, but studies have been, until recently, theoretical.A very small number of empirical studies have begun to identifysome key elements of process knowledge. These have developeda range of concepts relating to critical appraisal, hypothesisdevelopment and hypothesis testing which characterize socialwork process knowledge. These include, for example, focusedattention, querying information, causal inferences, partialcase, procedural, and speculative hypotheses. A process of quasitriangulation is characteristic of social work practice methodology,together with a combination of inductive and deductive thinking.This paper seeks to develop our understanding by focusing onhow social workers develop and appraise hypotheses, and in particularhow the substantive content of hypotheses emerges (these enablesocial workers to make sense of, define, and respond to, situations).To understand this, the notion of rules is used, and socialworkers emerge as analysts employing three types of rules: substantive,application, and practice rules. A significant link betweenprocess knowledge and the content of product knowledge is identifiedin the form of technical language. The concept of ‘probabilisticcausation’ is identified as a key epistemological dimensionin the conduct of rigorous practice.     

The Private and the Public in Personal Models of Social Work: A Response to O'Connor and Dalgleish

Correspondence to Dr. R. Hugman, Department of Social Administration, University of Lancaster, Fylde College, Lancaster LA1 4YF. Summary O'Connor and Dalgleish have proposed an understanding of thedisjuncture between education and beginning practice. They discussthis in relation to individuals' models of practice. It is suggestedin this response that the individual basis of this analysisrestricts the extent of possible conclusions. A comparison withdifferent research findings is made, and it is suggested thatthere are implications for social work education and the collectiveresponsibility the profession has for beginning social workers.     

Narrating Love and Abuse in Intimate Relationships

via email: heather.fraser{at}rmit.edu.au Summary In this article, I use discourse analysis to explore the relationshipbetween love and abuse. I argue that Anglo-American social workhas been reticent to theorize love; and that when it does, theborders separating love from abuse are usually assumed to berelatively stable and readily apparent. After nominating someof the reasons for and repercussions of dichotomizing love andabuse, I suggest that knowledge about intimate abuse will expandif more attention is given to the study of love. I promote theuse of feminist discourses because they provide valuable insightsabout the operations of power in love relationships. Drawingideas from both structural feminism and post-structural feminism,I encourage social workers to move their analytical attentionback and forth between the micro-politics of intimate relationshipsto the wider cultural contexts within which they are staged.I conclude with the assertion that social workers will be betterplaced to understand the dilemmas that many ‘ordinary’women confront in their everyday lives, if they critically analysethe intersections of love and abuse.     

Ambiguities in Decision Making: Social Work's Response to 'Glue-Sniffing' in Scotland

Correspondence to Dr Elizabeth Jagger, Social Science Department, Park Campus, 1, Park Drive, Caledonian University, Glasgow G3 6LP Summary This paper examines how social workers make decisions aboutwhich cases of ‘glue-sniffing’ require intervention,in the context of a government policy which construes the problemprimarily within the arena of parental responsibility. Usingdata from interviews with social workers and research on ‘glue-sniffing’,it shows that social workers were frequently reluctant to dealwith cases. It explains that this has to do with factors suchas organizational priorities, lack of resources and, in particular,the ambiguous status of ‘glue-sniffing’ within theirown professional discourse. It concludes that the complex interplayof these factors means that government policy is not translatedinto practice in any simplistic manner.     

Case Finding and Screening for Social Work in Acute General Hospitals

Paul Bywaters, Senior Lecturer, Department of Social Science and Policy Studies, Coventry Polytechnic, Priory St., Coventry, CVI 5FB. Summary Since the first appointment of a ‘Lady Almoner’social workers in hospitals have complained about the problemof obtaining referrals appropriate to their skills and knowledge,and sufficiently early in the patient's stay to allow for effectiveintervention. Often, due to shortage of staff, workers haveto rely on referrals from other staff, patients and carers.But where social workers find their own cases, a wider rangeof problems and patients are selected. In the United Statesduring the past twenty years there has been a rapid spread ofscreening at the point of admission or pre-admission, to identifyhigh risk patients for social work assessment. The evidencefor the effectiveness of this approach to case finding is examined.