Effective relationship-based practice: A theoretical exploration

This paper looks at the importance of a relationship-based approach within social work. It explores past writings on the social worker-client relationship, why the relationship was seen to be central to effectiveness and good practice, and why this perspective fell out of favour. It revisits the importance of a relationship-based approach, within a psychosocial perspective, in relation to eight areas of practice. These include the assessment task and process; relationship difficulties; people who are vulnerable or reliant on others for their well-being; situations that require practitioners to be able to hold and contain anxiety; the relationship as a foundation for capacity building, empowerment and developing people's potential; and in relation to disadvantaged and marginalised sectors of the population, how social workers can use the 'front-line' knowledge they have gained through the relationships they have created in political ways--to bear witness and report on 'social ills' as they impact on the lives of service users. A final section looks briefly at how the service user-social worker relationship is perceived and described in the Benchmarking Statement, National Occupational Standards and the General Social Care Council's Rules and Requirements and their implications in terms of the new social work degree.     

The utility of the DSM-5 Z-codes for clinical social work diagnosis

ABSTRACT

The Diagnostic and Statistical Manual of Mental Disorders (DSM) is the standard reference text used by social workers for diagnosing mental disorders. The social work profession has always had an uneasy relationship with the DSM, but for 33 years there was an opportunity to note a client’s psychosocial stressors on Axis IV. With the publication of the DSM-5, however, the multiaxial diagnostic system was abandoned, and many social workers are concerned that this change limits their ability to provide comprehensive diagnoses. The purpose of this article is to consider an expanded use of Z-codes as one way to continue including social work’s psychosocial perspective on human functioning in the diagnostic process.     

The State of Our Unions: Exploring Relationship Quality among Dyadic Couple Homeowners

Abstract

Relationship stability represents a major economic interest not only to Florida, but to every state in the nation. The cumulative expenses related to relationship dissolution (including litigation costs, foregone tax revenues, and federal assistance programs such as Medicaid, child welfare SCHIP, TANF, WIC and SNAP) are estimated to cost taxpayers billions annually. Overall detriments are also higher when considering longitudinal impacts of family instability on affected couples and children in terms of lost productivity and psychosocial impact. This study endeavors to better understand threats to family instability, relationship quality and contextual factors via data collected from a sample of Florida homeowners in three types of cohabiting relationships. Analysis shows that roughly 60% of the variability in relationship quality is accounted for by negative interaction and consensus scores. High measures of negative interaction among dyadic couples indicate that cohabiting relationships in Florida are significantly distressed. Implications for how residents of Florida and other states could benefit both economically and psychosocially from implementation of couple and relationship education (CRE) programs are discussed.     

Social work guanxi: a reflexive account of the social work relationship in the Chinese context

ABSTRACT

In a guanxi-driven acquaintanceship, the worker, the client, and the community are tied together more closely than they are in mutually agreed-upon service contracts. This paper re-examines the contemporary boundaries in the social work relationship, especially in Asian nations such as China, where ‘relationships’ are generally translated and perceived as ‘guanxi’. The indigenisation of social work must be managed with care when translating from West to East. Drawing from the experiences of community development projects in rural Hong Kong, this paper discusses how guanxi among social workers, clients and other stakeholders in Chinese communities might challenge the professionalism of social work and breach the boundaries of social work relationships.     

Class,Conflict, and Criminalization

Abstract

Considerable attention has been given by social scientists to the relationship between social inequality and criminality. However, the dominant paradigms over the past several decades have each focussed attention upon one basic aspect of the relationship to the neglect of the other. Anomie theory emphasizes the connection between structural inequalities and deviant behavior, but neglects the definitional processes by which deviance is made a social reality. Labeling theory emphasizes definitional processes, but neglects their structural and behavioral bases and, surprisingly, consequences. Most recently, various “new criminologists” have been attempting to develop a theory that explaines how structured inequalities generate both the behavioral and the definitional realities of deviance. Two major variants are emerging: the Marxian and the Weberian. Points of agreement and disagreement are indicated, and a prognosis regarding the future development of theory is offered. Despite their basic agreement on the paramount explanatory significance of social conflict and power, Marxian and Weberian criminologists disagree on (a) the nature of scientific inquiry, and (b) the nature of social organization, and diverge on the meanings of class, conflict, and criminality. Neither theory as such is likely to become the approved paradigm for conventional research and officially sponsored studies or action programs, although Weberian theory is more likely to be tolerated, because it is more amenable to selective interpretation and modification.     

Power and Role-Taking

Abstract

Power and role-taking theory argues that social structural arrangements influence face-to-face communication processes. Specifically, powerful and powerless interactants tend to differ in their motivation to take the other's role and in the accuracy of their interpersonal understandings. Basic concepts of the theory and its interrelated propositions are identified. A comprehensive literature review gauged its empirical support. With some qualifications, a set of 26 quantitative studies supported propositions regarding the relationship of unequal power to role-taking propensity, accuracy, and empathy. Examination of 8 qualitative studies offered fruitful directions for theoretical refinements. A set of 15 practice effectiveness studies suggest that role-taking processes in asymmetrical relationships can be changed. Practice implications for social workers committed to challenging the power imbalances typical to crossgender, interracial, interclass, and crossposition relationships are suggested.     

User‐oriented mental health reform in Sweden: featuring ‘professional friendship’

In developing new forms for society‐based support for mental health service users, authorities implemented a service in Sweden, called Personligt ombud (PO), with the assignment to support service users exercising their rights. The aim of this article is to describe what service users find to be significant features of their working relationships with their PO. Using a phenomenological approach, 23 users were interviewed sharing their experiences of their PO. The results show that service users describe their relationships with the PO as a ‘professional friendship’. The friendship‐like feature refers to reciprocity in sharing life experiences and forming a trustful relationship in which professional assistance can be offered, promoting well‐being and recovery. Conclusions are that the PO provides a service that calls for re‐interpretation of professional and user roles, where both give and receive.     

Different Storks for Different Folks

SUMMARY

When gay and lesbian couples decide to become parents, they are unique as a group in always requiring the involvement of a facilitating other: a donor, surrogate, or (in the case of adopted or foster children) birth parents. This clinical paper explores common psychological and social challenges gay and lesbian couples face when using alternative reproductive technologies to attain parenthood. Between the wish and the actuality of being at home with their baby, gay and lesbian parents travel a long and winding road of choices and chances taken. The parenting partners often consist of one biological and one non-biological parent. Issues of psychological/emotional parenthood as opposed to merely biological parenthood (including assumptions of potential inequality or differential legitimacy) must be reconciled in the minds, couple relationships, family of origin relationships, and friendship support systems of the partners before and after the child's birth. The family must also navigate others' questions and assumptions as they venture ever further beyond their intimate circle and as their growing child forms relationships with peers. Specific guidelines are offered for helping couples surmount these psychosocial challenges.     

Compensatory Weight Control Behaviors of Women in Emerging Adulthood: Associations Between Childhood Abuse Experiences and Adult Relationship Avoidance

Abstract

Objective: To examine correlates of compensatory weight control behaviors among women in transition between adolescence and adulthood. Participants: The authors recruited a sample of undergraduate women (N = 759) at a large northwestern university during the 2009–2010 academic year. Methods: Logistic regression was used to assess relations among childhood abuse, psychosocial functioning, adult dating relationship factors, and women's endorsement of compensatory weight control behaviors. Results: The final model reliably distinguished between participants who endorsed versus denied use of compensatory behaviors (χ²[5, N = 747] = 36.37, p < .001), with global psychosocial functioning and relationship avoidance accounting for the most variance. Conclusions: These findings illustrate the importance of considering childhood abuse histories and adult relationships while assessing young women's compensatory weight control behaviors.     

Disclosure and Relationship Satisfaction in Families

The present study developed a theoretical framework for understanding the social mechanisms underlying disclosure and its link with relationship satisfaction in a full family design. A study among 262 intact families, consisting of 2 children and 2 adults and involving 1,048 individuals, applied the social relations model. Results showed that disclosure was more important to satisfaction in horizontal relationships than vertical ones. Further, relationship‐specific disclosure was more important to satisfaction than dispositional disclosure. These results have implications for the examination of relationship regulation and maintenance in (non)voluntary relationships and the development of psychosocial problems in parent‐ child relationships.     

Relationship-based social work and electronic communication technologies: anticipation,adaptation and achievement

ABSTRACT

While social workers continue to recognise the centrality of relationship in social work practice they are now trying to build and mediate relationships with service users in a context fundamentally changed by technology. The paper suggests that different modes of electronic communication are not simply add-ons to society but are altering the social texture of society including the ways that people relate and interact with others. The relationship base of social work is not immune or dislocated from the explosion of social media and electronic communication which is occurring in the wider society and, therefore, attention needs to be paid to the impact of these new technologies on the way in which social work is practised. Using qualitative research with early career stage social workers in Ireland this paper aims to contribute to knowledge on this emerging dimension of social work practice.     

Relational Sacrifices about Intimate Behavior and Relationship Quality for Expectant Cohabitors

ABSTRACT

Using interdependence theory, we examined how relational sacrifices specific to intimacy were associated with positive (commitment, satisfaction, love, and maintenance) and negative (ambivalence and conflict) relationship quality among expectant, unmarried cohabitors (n = 69 individuals), because this group may struggle relationally. We examined how often individuals made sacrifices for their partners and their partners’ perceived awareness of their sacrifices (i.e., individuals’ perceptions that their partners are aware that intimate sacrifices had been made for them) for both members of the couple using Actor Partner Independence Models. We controlled for children from previous relationships, unplanned pregnancy, gender, education, and race/ethnicity. Results showed that frequency of intimate sacrifices was not associated with any aspects of relationship quality. Instead, as expected, perceived partner awareness of intimate sacrifice was associated with greater commitment, satisfaction, love, and maintenance for individuals; lower ambivalence for individuals; and lower conflict for both individuals and their partners. These results suggest that for expectant cohabitors, perceived partner awareness of intimate sacrifices is central to achieving more positive, and less negative, relationship quality.     

Self-esteem,Self-focused Attention,and the Mediating Role of Fear of Negative Evaluation in College Students With and Without Asthma

Abstract

Objective: The current study investigated the mediating role of fear of negative evaluation on the relationship between self-focused attention and self-esteem among college students with and without asthma. Participants: Young adults with (n = 148) and without (n = 530) childhood-onset asthma were recruited from a college student population. Methods: Self-focused attention and fear of negative evaluation measures were completed. Participants also answered questions about inclusion in a social activity. Results: Higher levels of self-focused attention and fear of negative evaluation were associated with lower self-esteem in both groups within the context of social activity participation. Fear of negative evaluation mediated the relationship between self-consciousness and self-esteem. No significant differences were found between groups. Conclusions: Findings indicate significant relationships among self-focused attention, fear of negative evaluation, and self-esteem in the context of social activity participation. Further examination of self-esteem regarding participation in social activities among college students appears warranted.     

Understanding stress as an impediment to academic performance

Abstract

Objectives: Stress is the most commonly reported impediment to academic performance among college students. The objectives of this study were to examine the accuracy of these perceptions, identify demographic and psychosocial factors that distinguished among students who differed in perceptions of how stress affected their performance, and assess the relations between these factors and grade point average (GPA). Participants: Undergraduate students (N?=?8,997) from 20 Midwestern schools. Methods: Participants completed online surveys during February–March 2015 that assessed perceived impediments to academic performance, cumulative GPA, demographic information, and psychosocial factors. Results: Students who reported that stress affected their performance had lower GPAs, and reported more stress and lower coping self-efficacy, resilience, and social support. Male, heterosexual, and ethnic-minority students were less likely to report having stress (but did not have higher GPAs). Conclusion: Stress reduction interventions should target psychosocial factors related to perceiving stress as an impediment and to poorer performance.     

Factors related to meeting physical activity guidelines in active college students: A social cognitive perspective

Objective: To examine the relations of sex, exercise self-efficacy, outcome expectations, and social support with meeting physical activity guidelines (PAGs). Participants: Three hundred ninety-six college students participated in this study in the summer 2013. Methods: Students completed online questionnaires that assessed physical activity behaviors and psychosocial factors (ie, self-efficacy, outcome expectancies, and social support). Students' physical activity profile was categorized as meeting no PAGs, meeting aerobic PAGs only, meeting muscle-strengthening PAGs only, or meeting both PAGs. Results: A multinomial logistic regression revealed that students' sex and psychosocial factors significantly affected the odds of meeting any and all PAGs. Sex significantly moderated the relationship between outcome expectancy and meeting aerobic PAGs and between outcome expectancy meeting muscle-strengthening PAGs. Conclusions: Results indicate that interventions designed to increase psychosocial factors may increase the likelihood of students meeting any and all PAGs. Social support may be especially beneficial for increasing muscle-strengthening activity.     

Managing care in the community: Analysis of a training workshop

Summary

Managing mental illness in the community is an anxiety provoking business. Yet the legislative emphasis on business management and rapid re-structuring both creates anxiety in workers and carers and appears to devalue those traditional psychotherapeutic skills which facilitate the containment of anxiety. Anxieties that are put out of mind (not contained) have damaging and dangerous consequences for carers, users and members of the public.

This paper is about a ten-week workshop with the task of providing a safe, constructive setting where the anxieties generated by community care of the adult mentally ill could be identified, addressed and thought about. The developments within the workshop are analysed as the process shifts back and forth between paranoid-schizoid and depressive position modes of functioning gradually progressing towards the latter. Members gradually found the ability to combine therapeutic and business management skills so that they could regain their authority in relation to the work while retaining an openness to mental disturbance in others and in themselves. This emerged through a greater appreciation of the complex relationships that exist within communities. In this way the workshop also offered members a model of containment that could be internalised.     

Evaluating College Student Interest in Pet Therapy

The first year of college can be extremely stressful, especially for students residing on campus. Objective: The authors obtained information from college freshmen about their relationships with pets and investigated interest in a pet therapy program as social support for transient stressful periods. Participants: As part of a university orientation program, 246 college freshman attended 1 of 5 health issues sessions offered during the 2006-2007 academic year. Approximately 50 freshmen attended each session. Method: Participants completed a questionnaire at the beginning of the session, followed by a 20-minute presentation about pet therapy that ended with pet therapy visitation. Results: Students identified that visits with certified pet therapy dogs could be beneficial to college freshman during their first year away from home. Conclusions: These students indicated that a pet therapy program could temporarily fill the absence of previous support systems and be a catalyst for establishing new social relationships.     

Outcomes focused user involvement in social work education: applying knowledge to practice

Abstract

This paper discusses an innovative approach connecting service user and carer involvement (SUCI) in social work education to social work practice. The research team, comprised service users, carers, social work students and module leader, worked collaboratively democratising the research process. At the University of Dundee, a core social work module facilitates students to spend 15 h with a service user and/or carer (host) gaining a unique insight into their everyday lives. During this time, hosts and students discuss two policy practice questions, responses to these questions are generating annual qualitative data, with study findings being disseminated at local and national level. The experiential learning students acquire from spending time with their host becomes the site of knowledge creation through involvement that is applied to practice. This paper reports on the narratives emerging from the longitudinal data (2012–2015, n = 90) on the changing landscape of social care in Scotland and the dissemination of project findings. We explore the intersection where the voices of service users and carers, student learning and social work practice coalesce. A model of outcomes focused SUCI is introduced as a template for meaningful, sustainable and outcomes-focused SUCI in social work education.     

Reflective practice and learning from mistakes in social work student placement

ABSTRACT

Student placement is a fundamental component of social work education and an important space where to build critically self-reflective practitioners. Students learn from their reflection on their experience and their mistakes are a powerful opportunity to go behind the surface of events and understand the essence of the profession. This article will present some results from the analysis carried out on the reflective writing of a group of social work students who describe and reflect on the most significant mistakes they made in their field practice using a reflective framework developed for errors and failures. The main results of this experience are illustrated with special focus on the impact and on the emotions, the relationships with service users and the assessment of the cases. Students are often so concentrated on looking at their responsibility that they become almost blind to the systems and interactions that contribute to the negative outcomes of their actions. Social work education programs should emphasize the importance of structured reflective habits and promote the culture of responsibility instead of the ‘blame culture’, that is probably the strongest obstacle to learning from mistakes and preventing their repetition in the future.     

Educator Sexual Misconduct and Texas Educator Discipline Database Construction

ABSTRACT

The purpose of this research is to describe Texas educator sexual misconduct (ESM) by examining 8 years of sanctions issued to educators (N = 1415) for either sexual misconduct or inappropriate relationships with students or minors. We first examine Texas ESM from the perspective of quality database construction and then describe the demographic characteristics of educators sanctioned for ESM between 2008 and 2016. Differences in the demographic characteristics of educators sanctioned for ESM vary according to the definition of ESM employed by the state education agency. Younger and early career educators are more likely to engage in inappropriate relationships with students or minors, whereas older and later-career teachers are more likely to engage in sexual misconduct as that term is defined by the state education agency. Over one-third of educators sanctioned for ESM were either new to the profession or new to their school district when sanctioned. Recommendations are offered for database construction, policy, and practice.