Professional Dissonance

Abstract

Social workers in mental health face a complex climate where they encounter value-laden intervention choices daily. Examples of these choices may include deciding to initiate treatment in spite of a client's wishes to the contrary, making a decision to break confidentiality, feeling pressured to diagnose a client with a reimbursable condition despite a treatment philosophy that may be to the contrary, or feeling the need to “pick and choose” therapy topics in light of severe shortages in benefit coverage. These and other scenarios put social work clinicians at risk for professional dissonance or what has been called a feeling of discomfort arising from the conflict between professional values and expected or required job tasks. The current article explores professional dissonance as a pertinent concept for social work in general, and mental health social work in particular. The theory base of the concept is explored as well as its utility for understanding burn-out in a deeper way.     

The Impact of Political Conflict on Social Work: Experiences from Northern Ireland, Israel and Palestine

This paper investigates the impact of violent political conflicton social workers and service users in three countries: NorthernIreland, Israel and Palestine. Despite its significance forsocial work (and other helping professions), there is a dearthof research on the subject. The authors construct a researchframework which encapsulates the complexity and ambiguity ofthe issues at stake and three parallel empirical studies, whichfollow this framework, are presented. The findings highlightthe burden of working and living in a violent political conflict,not just for service users but also for social workers. Emotionalstress, fear, competing national and religious identities, yetsome indication of resilience, are key findings from these studies.A number of moral and professional dilemmas emerged across allthree studies, often testing loyalty to universal social workvalues. Thus, some respondents at times found it difficult todeal with colleagues and service users who were perceived tobe ‘the enemy’. These studies highlight the needto raise the consciousness of social workers, agencies and policiesabout such issues in a world which is increasingly afflictedby violent political conflict. Support, education and trainingfor social workers which transcend national contexts and furtherinternational research in this important area are recommended.     

Social Workers and Policy- Practice: The Role of Social and Professional Values

ABSTRACT

Although policy practice is regarded as an essential component of social work, the actual involvement of social workers in policy practice is apparently very limited. This article presents the findings of a study that seeks to explore the role of social and professional values in support by social workers in Israel for engagement in policy practice and their actual involvement in this type of practice. The findings indicate that socioeconomic orientations and professional values have an impact on social worker's perception of policy practice and the degree to which they are actually involved in the social welfare policy process. In particular, it was found that attitudes toward social justice played a major role in the social worker's perceptions of, and involvement in, policy practice.     

Professional and Functional Alternative Social Workers: A Case Study of Malaysia

The objective of this study was to compare “professional” (PW) and “functional alternative” (FA) social workers. The findings suggested that there were no significant differences between PWs and FAs in intervention, evaluation methods, work ethics, and values. The PWs, in clients' eyes, were better at delivering services, while FAs' services were more satisfactory to the clients. While PWs were supposed to be “professional,” FAs were more “professional” than PWs in their performance despite their lack of recognition as “professional social workers”. These critical findings should encourage academics and practitioners for further discussion on conceptual implications of both practices and expand future research.     

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.     

The relative amenability of dull and bright children to child guidance 1

Supervision is an activity filled with ethical dilemmas related to the power held by the supervisor, a power that should be exercised with care. This article explores some of these dilemmas through the analysis of supervision vignettes viewed from the perspective of social constructionism, in particular, from the insights of French philosopher Michel Foucault. It concludes with suggestions to exercise supervisory power ethically.     

Intention to Leave the Profession: Welfare Social Workers Compared to Health Care and Community Social Workers in Israel

ABSTRACT

This study aimed to compare specific work related-factors (personal factor: length of work experience; structural factors: personal subjection to violence and fear of being subjected to violence; and psychological factors: professional quality of life—compassion satisfaction, burnout, and compassion fatigue) between welfare social workers (SWs) (n = 200) and health care and community SWs (n = 173). Furthermore, since the issue of turnover among SWs has important implications for the provision and programming of social services, the study also aimed to assess the relationship between these factors and SW intention to leave the profession. For the purpose of this study, online questionnaires were distributed to SWs working at social agencies and services. The findings suggest that the two categories of SWs showed a similarity with regard to the association between the personal and structural factors and intention to leave the profession. However, with regard to the psychological factors, the components of professional quality of life were found to operate differently in each category of SWs. It is suggested that future research examine other work-related factors and explore the intention to leave the profession among other social work specializations and employment sectors.     

Work satisfaction, burnout, and turnover among social workers in Israel: a causal diagram

This study developed a causal diagram addressing the predictors of work satisfaction, burnout and turnover among professional social workers in Israel. A random sample of 218 social workers completed self-administered surveys. Multiple regression and canonical correlation analyses were conducted to estimate a causal model that best predicts work satisfaction, burnout, and turnover among social workers. The results indicated that higher satisfaction, lower burnout, and lower turnover were a function of higher collegial relationship, greater supervision, adequate working conditions, greater opportunities for promotion, and Jewish ethnicity. In addition, higher satisfaction and lower burnout were a function of higher education and greater autonomy, whereas higher turnover was related to a lower salary and the social worker's relative youth. Limitations of the study and recommendations are discussed.     

Busted and Branded

No abstract available for this article.     

Child protection systems between professional cooperation and trustful relationships: A comparison of professional practical and ethical dilemmas in England/Wales,Germany, Portugal,and Slovenia

This paper explores practical and ethical dilemmas for professionals when securing the protection of children in the complex non‐clinical setting of individual families. It is based on a cross‐country study on cultural encounters in interventions against child physical abuse and neglect in four countries (England/Wales, Germany, Portugal, and Slovenia). Drawing on national reports of legal‐organizational frameworks and socio‐cultural backgrounds of European child protection systems, it also presents the results of a series of focus groups with professionals. Data were analysed to identify implicit and explicit discursive constructions as well as normative representations and from this deriving the key ethical issues and dilemmas. Despite a shared normative framework across Europe, intervention cultures vary across the four countries and between the different stakeholder groups. Although each child protection system faced widespread mistrust, policy approaches differ, some relying on strong and detailed guidance whereas others stress professional skill and judgement. We conclude that despite a shared commitment to the protection of children, deliberations and perceived ethical dilemmas suggest interdependency between differences in system cultures and policy approaches that inform the character of professional interventions in the four countries.     

Personal values and support of welfare policy among undergraduate students in Israel

Sociological and socio‐psychological theories maintain that values play an essential role in predicting attitudes. Most research portraying the effect of a single value on various attitudes claims that the effect of values on attitudes increases if the attitudes and the specific values are related or if the attitudes involve objects or situations that reflect specific values. This exploratory study examined the relationship between personal values, considered as components of an individual's mindset or psychological structure, and attitudes supporting social welfare policy. The participants in the study were Israeli Bachelor of Arts students from four institutions of higher learning. The students' personal values were measured, and the effect of their values (beyond the students' socio‐demographic characteristics such as gender, religiosity etc.) on social support for welfare policy was tested.     

Young Male Street Workers: Life Histories and Current Experiences

The current study aims to reveal the experiences of young malestreet prostitutes in Israel, providing a stage for the voiceof this marginal group to be heard, as we believe youth workersneed to know more about these young people’s lives beforewe can offer meaningful responses. The study was guided by twomain questions: (1) What accounts do young men who work as prostitutesprovide for their involvement in the sex industry? and (2) Whatare their experiences as young males engaged in prostitution?Using the life story interview and thematic analysis, four mainthemes were revealed: (a) a life-long path to prostitution;(b) entering prostitution; (c) interpersonal encounters whileengaging in prostitution; and (d) the consequences of workingin prostitution. The results highlight the lack of meaningfulinterpersonal relationships in the lives of these young men.Practical recommendations are made to better inform youth workersassisting this high-risk population.     

The Influence of Professional Identity and the Private Practice Environment: Attitudes of Clinical Social Workers Toward Addressing the Social Support Needs of Clients

This study uses focus groups and follow-up interviews to explore how clinical social workers in private practice settings address the social support needs of their clients. Findings indicate that the social workers understand the importance of addressing these needs; however, because of concerns about status, identity and reimbursement, they tend to avoid case-management-like tasks despite their intrinsic understanding of the social support value of these services. Recommendations for practice follow the discussion of these findings.     

Ambivalences and Dilemmas in Handling Family Violence Cases among Youth Workers in Hong Kong

This qualitative study investigates practice problems experienced by youth workers as they handled family violence cases. The findings show that practice problems experienced by youth workers in handling family violence cases might include: (at the individual level) role confusion, lack of sufficient knowledge and skills, and ethical tensions; (at the messo level) problems of multi-agency coordination; and (at the structural level) high risks associated with the impoverished community where they worked. It is recommended that the competence of youth workers in dealing with family violence cases could be enhanced through better training and multi-agency collaboration.     

The privatization of social services in Israel and its effects on Israeli society

The privatization of social services is gaining popularity worldwide, and it is occurring in places as diverse as the United States and central and eastern Europe. It is also a concept that is now being widely adopted in Israel, where it is having a dramatic effect on the structure and function of Israeli social services. This article critically examines the issues involved in privatizing social welfare service in Israel. First, we explore the relationship between Israel's mixed welfare economy and privatization and examine the driving forces behind it. Second, this article investigates the moral and social dimensions of privatizing social in Israel and the implications of injecting the United States model of privatization directly into the Israeli welfare state. Finally, we explore whether privatization will lead to a better and more efficient method of funding and delivering social services in Israel.     

惩罚机制对阻断腐败循环的演化博弈分析

腐败循环是一种典型的社会困境问题,其根源在于反腐败组织无法打破腐败利益交易双方在长期博弈中形成的稳定均衡态势。通过演化博弈分析发现,惩罚机制可以起到促进反腐败组织协调高效运作的作用,有助于打破腐败交易双方的长期合作关系,从而为最终阻断腐败循环提供可能性。     

Accounting for Ethical Difficulties in Social Welfare Work: Issues, Problems and Dilemmas

This paper is a preliminary exploration of social welfare practitioners’accounts of ‘ethically difficult situations’. Itdescribes variations in the ethical vocabulary and form of theseaccounts. Analysis of practitioners’ own accounts (asopposed to ‘textbook’ cases) draws attention tothe ways they construct events, actions and qualities of characteras ethically significant and highlights the qualitative distinctivenessof ethical dilemmas, where seemingly irresolvable choices leavea residue of moral loss, regret or guilt.     

Socratic Dialogue and Self-Directed Group Work: Strengthening Ethical Practice in Social Work

Socratic dialogue is a practical method of philosophical inquiry used to develop ethical and critical thinking among participants. On the other hand, self-directed group work is a practical intervention model based on social justice principles aimed at empowering service users and clients in social work and community work contexts. This conceptual article aims to reflect on a combination of the two models, arguing that group work interventions inspired by Socratic dialogue and self-directed group work may represent a way for social workers to develop a better ethical stance in their practice.     

Addressing procedural challenges of ethical review system: Towards a better ethical quality of clinical trials review in Malaysia

The review of clinical trials with human participants in Malaysia is governed by a decentralized control system. The clinical trial protocols are reviewed by 13 registered research ethics committees (RECs) in Malaysia. A governmental body, the National Pharmaceutical Control Bureau, is responsible for the inspection and oversight of these registered RECs to ensure that they comply with the regulatory requirements. However, this study highlights that each REC in Malaysia has a different standard operating procedure and ethical review process. Other procedural challenges identified include inadequate membership, poor mechanism for research monitoring after ethical approval, and insufficient resources. Establishments of a national standard of REC and a central ethics committee are suggested to ensure procedural compliance in the oversight of clinical trials in Malaysia. While there is a growing concern that procedural compliance may not have a direct impact on the protection of human subjects, our key point is that an ethical review system compliant with the national standards could serve as a strong framework to support and enhance the ethical quality of decision-making and judgement. We believe that being aware of how influential procedural compliance can be would help committees improve the ethical quality of their research review.     

The perception and utilisation of social support in times of cultural change: the case of Arabs in Israel

Arabs in Israel are currently undergoing a modernisation process characterised by a gradual shift from a collectivistic to an individualistic cultural orientation. During such a transition, perceptions and utilisation of social support assume great significance. This article examines perceptions and utilisation patterns of social support networks among Arabs in Israel. The research population consisted of 507 respondents, representative of the Arab population, randomly selected by means of a telephone survey. Findings are discussed within the context of modernisation processes, collectivistic and individualistic cultural orientations, and their association with the perception and utilisation of social support.