Winnicott and clinical social work: A facilitating partnership

This article examines the applicability of D. W. Winnicott's theoretical concepts to clinical social work practice with clients whose psychosocial well-being has been compromised by environmental deprivation and related developmental vulnerabilities. This examination is organized around three questions: (1) Why is Winnicott relevant for social work? (2) Which of his concepts are most useful for social workers? (3) How can these concepts be put into practice with social work problems and populations? The translation of theory to practice is illustrated with case material.     

Unlocking Doors: Providing MSW Programs and Students with Educational “Keys” to Social Justice

ABSTRACT

How can social work educators identify what constitutes social justice as a practice, as a social work stance? How can we teach our students to recognize this stance, to work toward it, to practice it, and to live it? Symbolic interactionist Erving Goffman's concepts of keys and keying, as underscored in his work Frame Analysis, provide useful tools for helping students to recognize the value of social justice within social work educational encounters and to apply this value when they enter the field. The concepts of keys and keying can also help programs to assess and amplify their commitments to social justice.     

DURKHEIM'S EPISTEMOLOGY:

Although it is evident in his work from the beginning, Durkheim's epistemological argument did not appear in its completed form until the 1912 publication of The Elementary Forms of the Religious Life . There Durkheim outlined a theory of enacted social practice as the foundation for an epistemology. Yet neither Durkheim's contribution to a theory of social practice nor his epistemological argument have been recognized as such. The early critics played a pivotal role in creating and perpetuating this misunderstanding. The first highly negative wave of criticism in English, which treated Durkheim's arguments as naive, inadequate philosophy, appeared between 1915 and 1924. Inadequate as these initial criticisms were, citations show that they have been heavily relied upon. On these critics' authority, scholars rejected Durkheim's epistemology altogether, focusing instead on his sociology of knowledge and sociology of religion.     

‘It's About People and Their Environment’: Student Social Workers' Definitions of Social Work Research

This article considers constructions of social work research from the perspectives of student social workers in New Zealand. There have been many academic discussions of the unique epistemology that can be called social work research but little is known of students and/or practitioner views. Are they interested in social work research? Do they even care about debates on epistemology? Forty-three student social workers considered two questions while attending a social work research methods course: ‘What is social work research?’ and ‘What kind of social work researcher might I be?’. A subset of 18 distance students explored a third question: ‘Should social work research be part of everyday practice or not?’. To answer these questions students provided comments in a short survey, material from their written student assignments and comments from online discussion board activities. The results suggest that student social workers have a preference for social work research that is compatible with their clearly articulated social work value base, and that social work research primarily should benefit the client group with which a social worker is closely linked. Student social workers also recognise the importance of research for their everyday practice, yet at the same time feel there are organisational constraints to this happening.     

The Social Model of Disability: What does it mean for practice in services for people with learning difficulties?

Does the social model of disability currently inform the delivery of services for people labelled as having profound and complex learning difficulties? What distinguishes practice which draws on the social model from that which is influenced by an individual model or a medical model of disability? This paper draws on the findings of a small scale interpretive research study and some of the current debates within disability studies to illuminate these questions. It concludes that the social model can and does positively impact on some practice and that it should be taught to all providers of services for this group. It further concludes that to include discussion about individual experience of impairment in such training may have negative consequences.     

Social Work's Legacy: Irreconcilable Differences?

Social Work is under attack, not the least of which comes from within its own ranks. Clinical social work appears to the hardest hit as critics question its fit with social work's historic focus on the poor and the oppressed. In addition, there continues to be ongoing controversy regarding the profession as means of social control. Clinical social work has also been attacked for its reliance on the medical model and the growth in private practice. Do these attacks and criticisms signal the end of clinical social work? Or, could this be viewed as part of a process through which social work analyzes its self in its continuing efforts to remain relevant. Is this the evolutionary path of social work? This paper explores some of these controversies and debates. The profession has grown, evolved, and responded to criticism since its inception. A current model for understanding the fit between clinical social work and social justice is presented as an example of how debate continues to lead the profession forward.     

Reflexivity, Ethnography and the Professions (Complementary Medicine). Watching You Watching Me Watching You (and Writing About Both of Us)

That reflexivity is a characteristic of high modernity is now a truism, but its ethical and practical implications for field research have not been explored. The article is based on research conducted among complementary medical practitioners, focusing on issues of professionalisation. This research revealed the problematic and permeable nature of boundaries in ethnographic work. For example, in the course of interviews and observation therapists vouchsafed information to us which seemed controversial, even indiscreet. Was this a matter of their own naivety, their failure to demonstrate the mature ‘professionalism’ to which they aspired? Or was it a conscious strategy, conducted in the expectation that we would make such material public without attributing it to them by name? We were obliged to reflect on the nature of our own ‘professionalism’ as researchers, the ways in which private and public selves interact in the course of research. The confessional nature of some ethnographic writing raises further issues about trust, privacy and the preservation of professional boundaries between researcher and researched. We conclude that social scientists are entitled to critique ‘professionalism’ as a historically situated ‘folk’ concept whose rhetoric often obscures material interests, but they would do well not to abandon it themselves if they are to claim a responsible and ethical form of practice.     

Social workers’ perspectives on the recovery-oriented mental health practice in Tshwane,South Africa

The challenge facing the mental health field today is the lack of knowledge related to interventions and services that will help people recover from severe mental health problems. In addition, the reluctance of social workers to embrace the recovery-oriented mental health practice is attributed to their lack of knowledge. Hence, they regard recovery in mental health as misleading and unrealistic.The article provides the findings on the social workers’ lack of knowledge and understanding of the recovery-oriented mental health practice. The social workers are based in non-governmental organizations in Tshwane, South Africa. Semi-structured interviews were conducted to gather data from social workers. Findings confirmed the lack of knowledge regarding the recovery-oriented approach, which has not yet been implemented in South Africa. Mental health services continue to be informed by the traditional medical model.     

THE RISE OF THE POPULAR INVESTOR: Financial Knowledge and Investing in England and France, 1840–1880

This article examines the knowledge frame in which financial investing became a popular, socially legitimate, and desirable activity in England and France in the nineteenth century. The empirical basis underlying the arguments of the article is provided by investor manuals, newspaper reports, advice brochures, stock price lists, financial charts, and novels from the period. The analysis focuses on the instruments and processes making possible a financial knowledge that could be legitimately acquired and utilized by separate, unrelated, individual actors dispersed over the territory. The core argument is that this knowledge should be understood as an integrative social practice—that is, as a nexus of legitimating discourses, rules, skills, and cognitive instruments that transformed financial investing into a socially desirable activity. At the same time, they generated forms of financial knowledge that were no longer embedded in local conditions, but could be transported across various contexts. The dominant modes of evaluating financial securities include the new instruments of balance sheet analysis, problem solving, and charts. In this integrative nexus of discourses and cognitive instruments, financial activities became first and foremost an object of knowledge. The investor's social and personal responsibilities became dependent upon his financial knowledge. This stance, together with the social desirability of financial investing and with the cognitive instruments provided to individual, dispersed actors, constitutes the ground for the expansion of financial investing. Where does he come from? Shares. Where is he going to? Shares. What are his tastes? Shares. Charles Dickens, Our Mutual Friend     

Medical decision-making: Whose values?

Abstract

Bioethical debates contribute to discussions about the direction of healthcare funding as we enter the twenty - first century. The funding of healthcare is debated by economists, bioethicists and clinicians. Because of their practice experience and knowledge base social workers are also well-placed to contribute to such issues. The debate has taken place at the ‘macro’ rather than the ‘micro’ level. Yet many ethical decisions about healthcare are made at the patient's bedside. Are they procedural or clinical decisions? Are decisions made for a group or class of patient or on an individual basis? Answers for these questions are sought in a study of medical decision-making for head-injured patients admitted to the Intensive Care Unit of a major teaching hospital.

This paper attempts to draw out ethical principles which are part of medical decision-making. The notion of contextual ethics is likened to the ecological approach of Carel Germain which provides a useful framework for ethnomethodological research.     

Letters from the future: an exercise with child welfare predictions

Abstract

The article presents an empirical exercise about predictions in child welfare. In the exercise, social workers imagined letters which they could receive from a child and his/her parents in five years’ time. The children had been in care for one year at the moment of letter-writing. When the social workers wrote the imaginary letters, they used their professional imagination, based on practice knowledge and experience, and were involved in a role-play. The analysis of the letters (34 from ‘children’ and 33 letters from ‘parents’) demonstrates four themes shared by the letters: ordinary life, family contacts and return home, social problems as shadows and assessment of the placement. Two narratives were performed: the narrative of future of ordinary life and that of the troubles. It is suggested that imaginary letters are helpful in highlighting practitioners’ sense of the future, professional imagination as well as the empowering and critical points in practice.     

‘Theories are made only to die in the war of time’: Guy Debord and the Situationist International as strategic thinkers

The Situationist International (SI) has been one of the main reference points during the past 40 or more years within social movement organizing, cultural studies, social theory and philosophy. While the SI has been understood in many ways as inheritors and elaborators of an unorthodox Marxist politics drawing heavily from the history of the avant-garde, relatively little attention has been paid to the specifically strategic dimension of their thought and practice. This is surprising, especially in Debord's case, given how much his work also draws from the history of military strategy. This paper will particularly examine the strategic aspects of Debord and the SI's thought and politics and how they rethink the nature of strategy through collective forms of aesthetic–political practice.     

Social media, societal culture and Israeli public relations practice

The aim of this study is to explore Israel's societal culture as an environment with which public relations practice has to align. It asks whether Israeli public relations practitioners use social media elements, how do they perceive these elements and what do they think about their future? A web-based survey revealed that Israeli practitioners generally are willing to use and gain experience with social media elements although this usage is still in its initial stage.     

Pierre Bourdieu: theorizing the digital

ABSTRACT

Pierre Bourdieu is known for his research in the areas of education and cultural stratification that led to a number of theoretical contributions informing the social sciences. Bourdieu’s interrelated concepts of field, capital, and habitus have become central in many approaches to inequality and stratification across the social sciences. In addition, we argue that Bourdieu’s ideas also feature in what is increasingly known as ‘digital sociology.’ To underscore this claim, we explore the ways in which Bourdieu’s ideas continue to have a major impact on social science research both on and with digital and Internet-based technologies. To do so, we offer a review of both Bourdieusian theorizing of the digital vis-à-vis both research on the social impacts of digital communication technologies and the application of digital technologies to social science research methods. We contend that three interconnected features of Bourdieu’s sociology have allowed his approach to flourish in the digital age: (1) his theories’ inseparability from the practice of empirical research; (2) his ontological stance combining realism and social constructionism; and (3) his familiarity with concepts developed in other disciplines and participation in interdisciplinary collaborative projects. We not only reason that these three factors go some way in accounting for Bourdieu’s influence in many sociological subfields, but we also suggest that they have been especially successful in positioning Bourdieusian sociology to take advantage of opportunities associated with digital communication technologies.     

Professional Distance and Social Work: Stretching the Elastic?

Abstract

Professional distance and the parallel concept of models of practice reliant on professional objectivity have been major platforms in professional education. In social work, these ideas are often seen as contentious, unreasonable and, in some cases, unrealistic. Radical, feminist and rural social work approaches, for example, suggest that the expert role is not only inappropriate, but can be counter-productive and disrespectful of the people with whom we work. Postmodern approaches call for a deconstruction of professionalism in favour of context-specific partnerships between worker and client. How can workers ensure good, professional practice within a more flexible approach to professional distance and expertise? What are the issues and how may they be resolved? Are the boundaries of the professional relationship elastic and, if so, what are the consequences for practice and the individual worker? The present article explores the notion of flexible, elastic boundaries using literature and research from radical, postmodern, feminist and rural social work approaches.     

Learning about child protection

Where do social workers acquire the knowledge they use in child protection work? What opportunities exist for them to access and use research? Should they bother? This paper addresses these questions using information provided by twelve local authority social workers involved in child protection work and findings from relevant research.

In a learning and work climate which appears not to encourage interest in research findings or knowledge from books generally, the paper considers both how knowledge from research might best be brought to the attention of busy workers and what are the necessary conditions for workers to develop and use knowledge in child care and protection practice.     

THE DIFFUSION OF MEDICAL TECHNOLOGY: SOCIAL NETWORK ANALYSIS AND POLICY RESEARCH

The purpose of this article is to demonstrate how social network analysis can be used to provide information for policy decisions pertaining to physicians' adoption and utilization of new medical technology. Interviews and hospital records were used to obtain data on refenals, consultations, discussions, and on-call coverage; utilization of a computer-based hospital information system; and personal and practice characteristics from 24 physicians who belong to a private group practice. The results of a block-model analysis suggest that the physician's relative position in the network is an important determinant of his/her participation in the diffusion process. A number of policy implications related to the introduction of new medical technology into practice settings are discussed.     

Theory as Story: A Postmodern Tale

After locating postmodernism in its historical and epistemological contexts, this article takes the postmodern position that the behavioral theories that have informed clinical social work practice over the last century are stories with texts written by authors whose place in historical time, life experience, and personal proclivities shaped both the plots of the stories and the manner in which they were told. A review of the most influential theory-stories lays the groundwork for addressing two questions: What can postmodernism do for clinical social work? And what can clinical social work do for postmodernism?     

The impact of the economic crisis on the practice of social casework

ABSTRACT

What is the impact of the economic crisis on the practice of social casework? How is the economic crisis reflected in the professional practice, when social services have to cope with depletion as a result of an increasing attendance pressure? This study analyses the way in which social workers in community services face the understanding of the problem situation jointly with their clients. The aim is to uncover the items that professionals prioritize when they formulate and analyse the problem situation together with their clients. Data show that there is a discrepancy between the intervention criteria that have been considered important and their level of accomplishment. This difference points out that the understanding of the problem situation seems superficial, showing a low level of practice of the intervention criteria that assess the meanings which clients give to the incidents, strengths, solutions attempted, and larger systems involved. Data show that the implementation of fundamental analysis instruments is not sufficiently trusted and the use of the professional’s own knowledge is not regarded as important. This situation does not provide a context of intervention that is suitable and consistent with the problem situation and, consequently, the interventions for change will probably not match the clients’ needs.     

Paradoxes of Modernization: The new agrarian question and the peasant movement in Mexico

The clauses of this [social] contract are so determined by the nature of the act that the slightest modification would make them vain and ineffective; so that, although they have perhaps never been formally set forth, they are everywhere the same and everywhere tacitly admitted and recognized, until, on the violation of the social compact, each regains his original rights and resumes his natural liberty, while losing the conventional liberty in favour of which he renounced it.