All aboard: advancing the social work research agenda in end-of-life and palliative care

Social workers in all practice areas have the potential to contribute to the National Agenda for Social Work Research in Palliative and End-of-Life Care. The purpose of this article is to invite social work practitioners and researchers to identify research needs and work with others to address them. We offer a conceptualization of the broad scope of social work's involvement in end-of-life issues, and articulate the difference between end-of-life care and end-of-life issues in social work. Suggestions are offered to advance the national research agenda.     

The post-1994 transformation of social work in South Africa

This article examines the transformation of social work in South Africa in response to the transition to a developmental welfare approach. Always moulding and shaping itself in response to its social context, social work in South Africa, as elsewhere, is a reflection of the broader political landscape. In South Africa the social work profession has struggled to assert its independence and become self-regulating. It is unique in the Western world in that since 1978 it has been regulated by a legislatively constituted statutory council. While the profession has tried to transform itself in the new democracy, outside pressures have found it wanting and deeply divided. Thus, despite progress in other areas social workers have not yet been successful in forming a strong, united professional association and this severely limits its ability to lobby politicians and advocate on behalf of clients. It seems, however, that the tide is turning and social workers are gaining recognition but, once again, the challenge remains deciding on the extent to which the profession cooperates with the government's agenda for change. Social work educators took the lead in setting education standards in response to higher education policy and are also playing a part in devising practice standards through their involvement in the social work board which falls under the umbrella of the Council for Social Service Professions. However, education and practice are somewhat out of step and professional unity remains a pressing issue on social work's transformation agenda.     

Outcome evaluation in host organizations: a research agenda

The organizational context in which social work is practiced is viewed as an important factor in evaluating the outcomes of social work interventions. In host organizations, the context includes forces outside the department. The author offers a framework for developing a research agenda aimed at assessing the effectiveness of social work interventions in those organizations. The author demonstrates such an agenda with reference to hospital social work. Different types of outcomes and the relationships between them are considered at both the correlational and causal levels of knowledge. Examples of research assessing these outcomes are presented, and the implications of various types of findings are considered.     

Underpinning knowledge for child care practice: reconsidering child development theory

Child development theory has come to be regarded as essential underpinning knowledge for social work practice, a view reinforced by the current research‐minded agenda. Practitioners are enjoined to acquire a more in‐depth knowledge of child development but in this paper it is argued that this agenda requires more scrutiny if social workers are going to engage more meaningfully with the child development literature and use it in a critical and reflexive way in their practice. To this end some key messages drawn from critical approaches to developmental psychology, a literature to date largely unrecognized by social work, are examined for their relevance to practice.     

Social work as art revisited

In this article we revisit 'social work as art', noting that it is just over 20 years since England's book on the subject provided a direction for the profession's early defence against empiricism. Those who picked up the ball handed to them by England tended to focus discussions of social work's 'art' on its soft side, embedding it in notions of 'creativity', 'meaning', 'self-expression', 'intuition' and 'quality', all of which were said to characterise the 'aesthetic dimensions' of social work practice as a counterpoint to the rising tide of hard empiricism, proceduralism and managerialism. Within these 'aesthetic dimensions', proponents of social work as art sought to resolve tensions through advocating a value-based 'artistic' approach to care. Against this we argue that art is struggle and resolution, soft and hard, joy and grief. Further, we posit that social work's art lies not in the social worker as artist but rather in social work as the 'work' of art, which is implicitly a 'non-productivist' endeavour. In a fundamental sense we argue that it is the art of social work and not the social worker that assembles what is practice, that provides bounds and lets everything stand in relation to everything else. This enables us to construct a speculative 'radical agonistics' for social work that draws attention to the relation between art, truth and event. In so doing, we substitute a subjectivist reading of social work as art with an ontological analysis drawing on Heidegger's phenomenology, supplemented by the work of Alain Badiou, to cast social work as art first, as artistic attunement, and second, as an art in the service of a politics of liberation.     

Practitioner Research: Evidence or Critique?

In this paper, I revisit some of the origins and more recentdirections in practitioner research in social work, seeing itas a phenomenon that—rather than being special or narrowlyassociated with social work—manifests a pervasive clusterof concerns about good professional practice in contemporarysociety. Drawing on some general conclusions of a recent studyof practitioner inquiry, I indicate ways in which the widersystems of which it is a part frequently hamstring the potentialof such research to operate as more than a fringe operation—a‘street market’ version of mainstream research.I outline four ways in which social workers, service users,agency managers, academics, government departments and universitiesshould work to a transformative agenda for practitioner research—transformativefor both practice and research. This will involve refashioningthe interface between the methodology and methods of practiceand research; generating practitioner research capacity; recognizingthe subtlety and critical potential of a genuinely ‘practical’agenda in practitioner research; and rescuing practitioner researchfrom a simply technical information-providing function, thatby-passes the challenge to promoting critical practice.     

赋权：企业女性员工协助方案的核心

富士康自杀事件使人们更加关注企业员工的生存状态,增强了人们对陷于困境的企业员工给予援助的必要性的理解。陷入困境的企业女性员工是企业员工中的弱势群体,需要援助,需要针对女性员工实施特别的协助方案。为更好地实施女性员工协助方案,需要以赋权为视角。因为个人赋权有利于女性员工提升自身潜能,社会赋权则有利于女性员工充分利用社会资源实现目标。实施员工协助方案对女性员工赋权,可以从女性员工促进自我认识与提高解决问题的意愿、构建社会支持网络及其它社会资源、提高女性员工的能力等方面着手。     

Dilemmas of international social work: paradoxical processes in indigenisation, universalism and imperialism

This article explores current paradoxical processes in inter-national social work concerning the global diffusion of the social work profession's principles, values and practice methods or approaches. Some criticise these activities on the grounds that they are imperialistic. Others advocate strongly for the indigenisation of social work. Still others believe in social work's universality. This article attempts to stimulate debate on, and promote greater understanding of, and mutual respect for, divergent views on these critical questions. It puts forward the notion that culture is an important consideration that enables indigenisation, retains universals yet avoids imperialism.     

Beyond Social Constructionism: Critical Realism and Social Work

Summary Theories within the social and psychological sciences continueto shape social work practice. However, recent debates withinthese sciences on the shortcomings of ‘social constructionism’,and the attempt to overcome them through a critical realistposition, have so far failed to capture social work's attention.This paper provides a critical overview of these theoreticaldebates, highlighting the shortcomings of social constructionismfor social work. The critical realist challenge to social constructionism,as articulated by the British philosopher Roy Bhaskar, is consideredand its relevance to social work formulated in terms of a returnto ‘depth’ in practice.     

All Aboard

Abstract

Social workers in all practice areas have the potential to contribute to the National Agenda for Social Work Research in Palliative and End-of-Life Care. The purpose of this article is to invite social work practitioners and researchers to identify research needs and work with others to address them. We offer a conceptualization of the broad scope of social work's involvement in end-of-life issues, and articulate the difference between end-of-life care and end-of-life issues in social work. Suggestions are offered to advance the national research agenda.     

Strange Meeting: Marxism, Psychoanalysis and Social Work

Summary It is suggested that the polarity between Marxism and psychoanalysisis one factor hindering the development of social work's professionalidentity. The first section of the article suggests ways inwhich a dialogue between the two perspectives might be established.In the second section such a dialogue is applied to a numberof central concepts in social work theory and practice.     

An Inclusive Approach to Knowledge for Mental Health Social Work Practice and Policy

As the integration of health and social care services progressesin the mental health sector, there is concern that mental healthsocial workers are disadvantaged, relative to health professionals,because they cannot identify the knowledge base for their practice.This paper argues that this concern is partly the product ofassuming that the knowledge base has to be premised upon randomizedcontrolled trials. Instead, it proposes a non-hierarchical frameworkbased on that developed in health research in Canada by Upshurand colleagues that generates a typology of knowledge whichis congruent with the main forms of inquiry that are relevantto mental health social work practice. The framework recognizesthe contribution of randomized controlled trials to the knowledgebase but also validates knowledge drawn from qualitative, epidemiological,practitioner and user knowledge. It is argued that the frameworkprofiles a wider knowledge base than that promoted by conventionalevidence-based practice, and also could be a basis for futuredevelopment of the research agenda in mental health social work.     

Social Work, the State and the University

Summary Some aspects of the triangular relationship between the state,the university and social work are explored. Is it appropriatefor social work to be taught in a university? What are the implicationsof the fact that well over 90% of social workers are employedby the state? And what above all, is the nature of the relationshipbetween critical analysis as the corner-stone of scholarshipand the need to prepare the social work student to functioneffectively in the real world? It is argued that the respectiveattitudes of higher education and government towards socialwork are influenced by the nature of social work's relationshipwith sociology, but that this in turn has not been fruitfulfor practice development.     

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.     

The Cultural Mediator: Bridging the Gap Between a Non-Western Community and Professional Social Work Practice

Summary This paper analyses a demonstration project that enabled socialworkers to practise effectively in their home community (a Bedouin-Arabcity in the Negev, Israel) where gender relations are patriarchaland the interface of social work and cultural practices hadpreviously impeded professional functioning. Collaborative workwith cultural mediators, individuals with high social statusand knowledge of community traditions, rendered interventionsmore culturally appropriate, bridged gaps between the culturaland professional canons, and promoted social work's role ina society that had a limited understanding of, and experiencewith, the profession. Future social work practice and researchcould focus on further enhancing women's choice making opportunitiesin this patriarchal culture.     

Re‐conceptualising the link between research and practice in social work: A literature review on knowledge utilisation

Despite the recent movement towards greater research use in many areas of social work, criticisms persist that decision making in practice is seldom informed by sound research evidence. Discourse about the research‐to‐practice gap in social work has tended to focus on the feasibility of evidence‐based practice for the profession, but has rarely drawn from the broader knowledge utilisation literature. There are important understandings to be gained from the knowledge utilisation field, which spans more than six decades of interdisciplinary research.This article introduces the wider knowledge utilisation literature to a social work audience. It considers the potential of this body of literature to facilitate research use in social work, as well as conceptual issues that may be hindering it from informing improvements to research utilisation in practice.     

Raising awareness of transformative ecosocial work: Participatory action research with Australian practitioners

This article reports on Participatory Action Research with social work practitioners who collaboratively explored the effects on professional practice when practitioners raise their awareness of an ecosocial work approach. Although contemporary research in the profession has contributed to the ongoing development of ecosocial work, there is a notable lack of collaboration with social work practitioners. Using a transformative ecosocial work model of practice, researchers together with social workers from a range of practice contexts met as co‐inquirers to plan, implement and evaluate ecosocial work interventions. As part of a larger international study, this article reports on research outcomes within the Australian context. Overall, results indicate that practitioners incorporated interventions across personal, individual, group and organisational levels of practice, but were constrained by structural elements at broader levels. Continuing the development of ecosocial work requires further collaborative exploration with practitioners, which takes into consideration communities and broader social and political systems. Key Practitioner Messages: ? This research endeavours to contribute to the evidence‐base for progressing transformative ecosocial work in professional practice; ? Using Participatory Action Research (PAR), this research was done in collaboration with social work practitioners as co‐inquirers to develop ecosocial work interventions; ? A range of ecosocial work interventions were implemented at the personal, individual, group and organisational levels.     

Non-Statutory Mental Health Social Work in Primary Care: A Chance for Renewal?

Correspondence to Malcolm T. Firth, Honorary Research Fellow & Senior Psychiatric Social Worker, 'DEAL', Department of Psychiatric Social Work, 12th Floor, Mathematics Building, University of Manchester, Oxford Road, Manchester M13 9PL, UK. E-mail: malcolm.firth{at}mhsc.manchester.nhs.uk Summary The current status of evidence-based practice in the field ofmental health has led some to question the potential for innovationif social work practice is organizationally proscribed or reducedto a dogged adherence to methodological orthodoxy. Conversely,social work's value base is esteemed disproportionately to itsevidence base. Changing service contexts in the UK, particularlythe emergence of Primary Care Trusts as gatekeepers and commissionersof health and social care services, are providing opportunitiesfor social work to develop a new presence and purpose. The authorsdescribe their work in a small-scale service based in primarycare that anticipated these opportunities, by a retrospectivestudy of 120 cases. A new evidence base that derives directlyfrom practice is suggested as a way forward for social workeducation and training, as well as for service and professionaldevelopment.     

Social work research and its dependence on practice

The state of the art in social work research indicates major difficulties concerning the knowledge basis of the discipline. This article aims to contribute to the discourse on the nature of social work research as a scientific activity. The starting-point is the philosophy of science developed within the realist approach. It is argued that knowledge is primarily gained through activity in attempting to change social reality and through communication with other people. Knowledge is also recognized as knowing how to do something. The character of the social work knowledge may particularly be understood within the frame of reference presented by the realist approach. The history of the ideas of social work demonstrates the importance of understanding the interplay between theory and practice in social work. The article attempts to delimit the provisional borders of social work research. A model of social work research fields is presented.     

Developing an interactive approach in social work research: the example of a research study on head injury

Summary The paper examines the processes of a research project aboutthe continuing care needs of head-injured people in order toillustrate an interactive approach in social work research.Influenced by the social work values of empowerment and workingin partnership, the key function of the interactive approachinclude a multidisciplinary research team analysing the researchtopic through different disciplinary perspectives, and selectingresearch methods and dissemination strategies that promote interactiverelationships amongst researchers, respondents and sponsors.Social work practice supplies transferable knowledge, valuesand skills for the interactive approach. The skill of negotiationis used to mitigate unequal distributions of power between researchersand respondents. The paper concludes that the interactive approachis a distinctive characteristic of social work research thatdeserves wider recognition.