The Psychology of the Psychopharmacology Triangle

Abstract

The psychopharmacological triangle generated by recent changes in mental health practices requires social workers to deepen their understanding of the psychological meanings of such treatment. Many clients receive concurrent psychotherapeutic and psychopharmacological interventions from different providers, creating a triangular treatment relationship. To facilitate a successful outcome, social workers will need to understand how meaning, transference and countertransference are stimulated by this arrangement. The literature on these issues as well as clinical experience will highlight specific issues requiring attention. By attending to these dynamics, the social worker can maximize the chances for a successful treatment outcome.     

Getting Started: Psychodynamics,Racism and Anti-Racism

Abstract

This paper mainly addresses white social workers who want to practise in an anti-racist manner. It aims to clarify common confusions about the relationship between therapeutic and political goals in anti-racist practice, which can lead workers to feel immobilised and unable to get started. Analysis of a case example based on the author's experience is used to unravel the strands of personal distress and experience of racism which a client may bring to a social worker, and the corresponding strands of personal and institutional racism with which the social worker must wrestle. It is proposed that familiar concepts of transference and counter-transference can be helpful in understanding the confusions about racism which white social workers may experience in practice encounters with black clients. The importance of all this is seen to lie in the likelihood of white social workers unwittingly reproducing racism, unless they are clear about the boundaries between the therapeutic and the political domains.     

Navigating the ‘shadow of loss’ in mental health social work

ABSTRACT

The human experience of loss has been at the centre of psychoanalytic understandings of the human condition since Freud’s first writings on ‘melancholia’. This essay draws on psychodynamic theory to show how workers who are attuned to the experience of loss in service users can shape their interventions accordingly. By reflecting on how a diagnosis of ‘depression’ might better be understood as the rippling wave of past grief, professionals can utilise the dynamics of projection, transference and containment to help understand the emotional pain of individuals they support. But this essay also suggests that the use of psychodynamic practice works best when it is bolstered by other frameworks – in this case an understanding of systems theory. When the two traditions are utilised together, they provide an understanding of psychic phenomena which can enable social workers to build a basis for effective interventions with service users experiencing mental distress.     

An exploratory investigation of social workers’ knowledge and attitudes about autism

ABSTRACT

Although researchers continue to generate knowledge concerning autism, few have investigated social workers’ understanding about this condition. In this exploratory study, we surveyed licensed social workers (n = 793) to examine social workers’ understanding and attitudes about autism. Overall, we found social workers have accurate knowledge and hold strengths-based attitudes about autism and persons on the autism spectrum. Factors significantly associated with accurate autism knowledge were having special training in autism, having present clinical involvement with autism, and knowing someone on the autism spectrum. Implications for social work practice, education and training, and future research, are discussed.     

Are Codes of Ethics Promoting Religious Literacy for Social Work Practice?

ABSTRACT

As codes of ethics play at least a symbolic, if not educational, role in highlighting and informing professional priorities, 16 codes of ethics for social work practice were examined for references to religion and belief and analysed against the four domains of Dinham’s religious literacy framework. Although religion and belief are mentioned in all but two of the documents, approximately half the surveyed codes only mention religion and belief in respect of either knowledge or skills. Some recognise the need for social workers to be aware of their own biases, but few recognise the need to explain what is meant by religion and belief, despite these terms being in flux. While codes of ethics can contribute to the development of religious literacy among social workers, this requires social workers who already have some religious literacy to actively participate when codes of ethics are being revised.

IMPLICATIONS

• It is an ethical imperative that social workers are able to engage with religion and belief.

• Social workers require religious literacy, including skills and knowledge of different religions, recognition of the fluidity of the concepts, “religion” and “belief”, and understanding one’s own attitudes towards religion.

• Codes of ethics can contribute to the development of religious literacy among social workers, but this potential is often not realised as fully as it might be.

     

Employment Among Current and Former Welfare Recipients: A Literature Review

ABSTRACT

The primary goal of welfare reform is to move recipients from welfare to work. Several factors influence the employment of welfare recipients. The purpose of this content analysis is to offer a comprehensive understanding of employment characteristics and important personal, family, and employment characteristics that either promote or deter employment among current and former welfare recipients. Social workers need a comprehensive understanding of these factors in order to design policy and social work interventions. This article is a content analysis of the results of empirical research studies. Implications and recommendations are offered based on the review of empirical research on current and former welfare recipients.     

Culturally responsive social work practice with D/deaf clients

ABSTRACT

D/deaf individuals are often marginalized in our society. A lack of cultural understanding among social workers serving this population, coupled with communication barriers, inconsistent access to interpreters, or misperceptions of culture, adds to the potential for further marginalization. D/deaf individuals seeking mental health and social services live in a unique cultural context with which social workers may not be familiar and experience persistent issues surrounding access to mental health and social services. This article reviews some useful best practices, cultural points to be aware of, and suggests some strategies for providing culturally responsive social work when working D/deaf clients.     

The Policy Transfer Model

ABSTRACT

“New” social welfare policies are often actually policies borrowed from other states or nations. This paper reviews the recent theoretical developments in understanding the processes of policy transfer and presents a “policy transfer” model that can be a useful heuristic tool for social workers engaged in policy making. It discusses how the field of social work can benefit from understanding the factors underlying successful and unsuccessful policy transfer, and argues for the inclusion of the study of policy transfer in social welfare policy courses.     

Interdisciplinary Practice in Developmental Disabilities

ABSTRACT

This article explores the development of interdisciplinary team practice within the field of development disabilities. Various interdisciplinary models are described, and the role of the social worker is specifically reviewed. As social workers practice as members of teams in a variety of contexts, a greater understanding of an interdisciplinary approach is warranted.     

Applications of a Capability Approach to Disability and the International Classification of Functioning,Disability and Health (ICF) in Social Work Practice

Abstract

As disability rates increase more social workers will require greater preparation to practice effectively with individuals with disabilities. The Capability approach and the International Classification of Functioning, Disability and Health provide helpful tools for social worker training. The capability approach emphasizes the need to assess what individuals are able to do in their real-life environments (capabilities) rather than capacity or functional status. The ICF provides helpful disability-related terminology and an actual classification to assist social workers to develop appropriate interventions that facilitate capability development among individuals with disabilities. Using the capability framework with the ICF will contribute to improved understanding of disability among social work students and practitioners.     

The Use of Common Humanity Scenarios to Promote Compassion in Healthcare Workers

ABSTRACT

The importance of compassion in healthcare is universally acknowledged. However, the factors that enhance compassion are not well understood. The perception of common humanity has been proposed as a prosocial perspective that leads to unbiased universal compassion. There has been a lack of research into the relationship between common humanity and compassion. This study examined the use of common humanity scenarios to promote compassion in healthcare workers. Seventy-five healthcare workers were randomly assigned to two groups and shown a different common humanity scenario. The healthcare workers were asked what effect viewing the videos had on their perception of common humanity and compassion. Thematic analysis was used to identify themes. Four main themes emerged: (a) common bonds; (b) people have the same needs; (c) no one wants to suffer; (d) seeing strangers helping others is motivating. Healthcare workers reported feelings of care, concern, and compassion after viewing common humanity scenarios.

IMPLICATIONS

• Viewing common humanity scenarios appears to lead to enhanced feelings of connection to others and compassion in healthcare workers.

• Using common humanity scenarios may be a useful compassion training strategy in healthcare.

• Further research is necessary to gain a better understanding of how viewing common humanity material influences compassion.

     

Residential group care workers' recognition of depression: Assessment of mental health literacy using clinical vignettes

BackgroundResidential group-care workers have a critical role to play in recognizing mental health problems amongst children in their care. However, little is known about the extent to which workers recognize and respond to mental health and behavioral concerns.MethodA sample of 124 residential group care workers completed an online survey in which vignettes of children experiencing either internalized or externalized symptoms of depression and ‘typical’ behavior were presented. In order to explore aspects of mental health literacy, workers were asked to rate each vignette for severity of a specific mental health concern (adolescent depression), portrayed as internalized or externalized behavior. Ratings of worker confidence and concern for the young person were also obtained.ResultsWorkers were able to recognize the existence of depression in these fictional vignettes. Depression in the presence of externalized behavior was rated as both more severe and more concerning than depression accompanied by internalized behaviors. Furthermore, workers had greater confidence in endorsing the presence of a mental health issue when accompanied by externalized behavior compared to an internalized presentation.ConclusionsResidential group-care workers are able to recognize the existence of depression amongst children in their care. Externalized presentation of mental health appears to be more easily recognized by workers and they are also more confident in identifying mental health concern when it is accompanied by externalized, compared with internalized behaviors. The implications for training and support of residential group care workers are discussed.     

How do you solve a problem like Maria? Family complexity and institutional complications in UK social work

ABSTRACT

This paper draws on UK data from an international, comparative project involving eight countries. The study examined how social workers’ conceptions and definitions of family impact on the way they engage with complex families, and how social policies that frame social work context impact on the way social workers engage with families. Focus groups were held in which social workers from four service areas (child welfare, addictions, mental health and migration) were asked to discuss a case vignette. Several factors were embedded in the vignette to represent a realistic situation a social worker may come across in their day-to-day work. Social workers clearly identified the complexity of the family’s situation in terms of the range of issues identified and candidate ‘causes’. However, typical first responses were institutional, looking for triggers that would signify certainty about their, or other agencies’ involvement. This resulted in a complicated story, through which the family was disaggregated into individual problem-service categories. This paper argues that understanding these processes and their consequences is critical for exploring the ways in which we might develop alternative, supportive professional responses with families with complex needs. It also demonstrates how organisational systems manifest themselves in everyday reasoning.     

E-technology and Community Participation: Exploring the Ethical Implications for Community-based Social Workers

ABSTRACT

To date, much of the work on social work, ethics and technology has been focused on clinical social work and micromorality—the ethical practices of the worker and their clients in one-on-one or therapeutic group interactions. In contrast, this article foregrounds social workers engaged in community work and the ethical implications at a macromoral level. Central to community-based social work, also known as social development work, is the principle of participation. In observing the ways e-technology is affecting community participation, the focus is upon communicative and social technologies, rather than assistive technologies, or technology enabled assessment. The article explores the intersection of these three themes of community participation, technology, and ethics to examine the implications for social workers located in the complex context of community work.     

Social workers as teacher consultants: Helping teachers in groups to meet special needs in ordinary schools

Abstract

The paper argues in favour of school-based consultation for teachers by psychodynamically informed social workers, in the light of increasing awareness and demands that every teacher should become able to respond appropriately to the many children in ordinary classrooms deemed to be in need of special understanding at some stage during their school career. The paper tries to show that to enable them to help children with special emotional difficulties in school, teachers need access to some of the expertise, principles and practices with which professionals outside the school system manage to meet such children's special needs; and that the skills and understanding of social workers would appear to be well adaptable to the requirements of such inter-professional consultancy, provided some basic conditions are understood. These conditions are highlighted, and illustrated by a case discussion.     

Race and the beauty premium: Mechanical Turk workers’ evaluations of Twitter accounts

ABSTRACT

Race, gender, and physical attractiveness strongly affect perceptions of trustworthiness and subsequent face-to-face interactions. This study examines how social media users’ perceived gender, race, and physical attractiveness can impact their standing online. We test these broad hypotheses by having Amazon Mechanical Turk (MTurk) workers evaluate a sample of 816 Twitter accounts. Our results show a ‘beauty premium,’ where MTurk workers say they are more likely to follow Twitter accounts with attractive pro?le photos, and attractive photos are positively associated with evaluations of trust. However, very attractive Black male and female Twitter accounts are associated with lower evaluations of trust compared to their White counterparts. These findings suggest that social media users’ social characteristics, perceived from their username or profile image, can replicate offline inequality online.     

Race Identity and Race Socialization in African American Families

Abstract

In recent decades, theoretical and empirical efforts have enhanced our understanding of race identity and race socialization in African American families. This review of that literature identifies ways in which this growing knowledge base might assist social workers who work with African Americans. Prominent theories of race identity are outlined with a brief summary of research that has found linkages between race identity and well-being. Race socialization is defined and research investigating age, gender, and social class differences in socialization are discussed. Finally, research that examines the consequences of race socialization for psychological adjustment, academic achievement, and identity development is summarized, along with recommendations for social workers.     

A Case Study of Workers’ Development in a Technologically Changing Work Activity

ABSTRACT

The study addresses the problem of how to characterize individual workers’ development while they are engaged in a work activity that is changing. The site of study was a machine shop. Machining work has undergone rapid technological changes, with many of the changes occurring within the working lives of individuals. The work expands our understanding of cognition and shows it as multifaceted, embodying knowledge and skill, as well as identity formation. The work also contributes to a better understanding of how knowledge and skills generalize from one situation to another.     

Narcissism and the Social Work Response

Abstract

This paper reflects on and discusses the relationship between social work knowledge and practice in the context of work with narcissistically-oriented clients. Two subtypes of narcissism postulated in the literature are discussed in relation to the pattern of narcissistic internal claims about self and associated relational expectations. Key messages for social workers are that greater knowledge of the dynamics of narcissism may lead to: accepting and adapting practice based on the idea that narcissistic dynamics have a certain intentionality; applying empowerment models more carefully with this group; better understanding of how to effectively engage clients without reinforcing strong narcissistic tendencies or “results”; and protection of social workers' wellbeing by being able to identify and understand how narcissistic dynamics impact in practice situations. Social workers are urged to critically reflect on and to develop deeper, social work-specific, understandings of personality psychology in the interests of greater practice effectiveness.     

Evaluating the Political Participation of Licensed Social Workers in the New Millennium

Abstract

The social work literature is replete with studies evaluating direct practice or clinical interventions, but strikingly few have assessed how well social workers are faring in the political arena. The sample in this study consists of 396 randomly selected social workers licensed in 11 states who completed a 25-30 minute telephone survey. Social workers were surveyed to determine: (1) to what degree social workers participate politically; (2) whether they have the psychological engagement, or motivation, necessary to participate; and (3) whether social workers feel adequately prepared by their program to do policy work. Implications for social work education are discussed.