Social Advocacy for Equal Marriage: The Politics of "Rights" and the Psychology of "Mental Health"

Using the contemporary issue of equal access to marriage for same-sex couples as a case study, we examine two distinctive frameworks within which social advocacy may be pursued. We argue that when we speak as psychologists, we use a discourse of mental health; when we speak as social activists, we use a discourse of human rights and justice. Although these two frameworks may converge in supporting equal access to marriage, they represent radically different ways of understanding inequality and advocating for social change. A discourse of mental health focuses on psychological damage or deficit (caused, for example, by the social exclusion of particular groups or individuals. A discourse of rights asserts universally-applicable principles of equality, justice, freedom, and dignity. Further, the paradigmatic framework of psychology as an approach to understanding human beings in the world seems fundamentally antithetical to the conceptual framework of human rights, as a basis for social justice.     

I. Patients of the treatment division of the judge baker guidance center 1

Abstract

There is a growing emphasis in the social work literature that social work's overall mission should be that of social justice and that mental health be relegated as outside of social work's realm. This paper draws upon a constructionist and narrative perspective in developing a general formulation of clinical social work to bridge the gap between social justice and mental health.     

Shame and recognition: Social work practice with vulnerable young people

Drawing on the findings from a longitudinal study of vulnerable young people's transitions to adulthood, this paper explores the ideas of shame and recognition. The young people, aged between 12 and 17 years at the first interview, had experienced chronic exposure to adversity from an early age (abuse, violence, mental health issues, addictions, and expulsion from school). They were clients of statutory and non‐governmental services: child welfare, juvenile justice, remedial education, and mental health services. This paper draws on the qualitative phase of the study (n = 107); young people and a trusted other, nominated by the young person, participated in three annual qualitative interviews. Interviews focused on young people's experiences of services, key transitions, their relationships, and the strategies they used to locate support and resources. Experiences of shame, misrecognition, and seeking recognition emerged as dominant themes in the young people's accounts, and these are explored in this paper. The paper concludes with a discussion on responsive social work interventions that generate a deeper understanding of young people's experiences of shame and misrecognition. Central to this practice are critical and relational social work practices that actively support young people to achieve recognition.     

Social Workers' Perceptions of Training Preparedness and Social Justice Norms on Workplace Empowerment

This study examined the relationship between (a) social workers' perceptions of preparedness to perform in their professional roles and perceived social justice behaviors at work and (b) workers' sense of workplace empowerment. A sample of 152 currently licensed social workers responded to web or mailed surveys. Respondents were more likely to perceive having workplace empowerment related to meaning in their work if they reported their social work program training prepared them for their professional roles. Perceived social justice behaviors at work were associated with workers' experiencing empowerment related to the impact they had at work. Social workers' sense of training preparedness and experiencing social justice at work can positively influence workers' perceived empowerment. Enforcing the importance of engaging in social justice with clients in social work education, both in class and in field placements, has the potential for long-lasting effects on empowerment in students' future workplaces. Agency-level management should ensure continuity in social justice activities to enhance feelings of workplace empowerment, which may help social workers connect with clients. Future research should examine elements of social work programs that promote feelings of empowerment in order to understand how the same approach can be used in models of continuing education and organizational management.     

Future Directions: Social Development in the Context of Social Justice

Many societies and cultures have become increasingly diverse and heterogeneous over the past decade. This diversity has a direct bearing on social justice in children's and adolescents' social development. Increased diversity can have positive consequences, such as the possibility for increased empathy, tolerance, perspective taking, and the celebration of various cultural traditions and values, but it can also result in increased prejudice, bias, and discrimination. In this article, we suggest that incorporating a focus on social justice can transform the field of social development. This can be done by considering the larger societal context of diversity or heterogeneity when investigating children's peer interactions, attitudes, group identity, and social experience. In addition, new findings that incorporate social justice concerns have implications for designing interventions to enhance children's healthy social development. We highlight and discuss recent areas of research that bear on this perspective and discuss avenues for future research and investigation.     

Mental Health and Social Justice: Gender, Race and Psychological Consequences of Unfairness

Correspondence to: Professor Michael Sheppard, Department of Social Policy and Social Work, University of Plymouth, Drake Circus, Plymouth PL4 8AA, UK. Summary It is not immediately obvious how social justice might relateto mental health. Mental health or ill health is, by some, thoughtto be inherent within the individual, whereas social justice,as its name indicates, resides within the realm of the social.However, where we understand social justice as, on the one hand,an issue involving equality and fairness, and on the other ashaving both material and symbolic dimensions it becomes clearthat there is an important link. In particular groups whichsuffer disadvantage and discrimination may be expected to sufferhigher rates of mental ill health. However, the key to understandingthis is by identifying the mechanisms by which this can happen.In order to do this it is necessary that we do not look at mentalhealth (or illness) in an undifferentiated way, since thereare different processes involved for different forms of mentalill health. We shall, therefore, look at this by focusing onthe issue of social justice through two significant relationships:gender and depression, and race and schizophrenia. We shallexamine the mechanisms which link these together, and show howthey are significant psychological consequences of social injusticearising in both material and symbolic form.     

II. Patients of the department of psychological medicine,guy's hospital,london 1

Abstract

Harvey Dean (1998) rejects my (Wakefield, 1988a; 1988b) argument that minimal distributive justice is the essential mission of social work and that treatment of mental disorder is not part of the profession's essential mission but rather a derived task. He argues that social work has broader ethical aims that encompass both pursuit of justice and treatment of mental disorder. In this article, 1 review my earlier position and respond to Dean's objections. I argue that Dean's narrativist account of the profession's ethical aims is overly broad and that he confuses non‐disordered psychological problems with mental disorders. I conclude that neither my “minimal distributive justice” view of social work's mission nor my exclusion of treatment of mental disorder from the profession's essential mission are disconfirmed by Dean's arguments.     

The Social Therapeutic Club

In the mental health field, it can be said that a com- munity based social recreation program functions well as a collecti- vity. Structured as a large, open ended entity, it allows for flexibility in all facets of its organization. The client population served ac- counts for a large diversity in developmental and emotional needs. The structure of the programming accomodates this diversity, while clients' interests and specific skills are reflected by their input. In creating a supportive environment for social interaction, the pro- gram enables clients to develop group identity which reduces their isolation. Thus, this collectivity provides clients with the potential to improve their interpersonal skills and develop self-confidence.     

The Social Construction of Reality in the Realm of Children's Mental Health Services

ABSTRACT

Across the United States, systems of care have emerged to provide mental health care to children and their families; fragmentation inhibiting the success of collaboration by stakeholders is common and compromises these systems of care. Survey data were collected from 1,428 respondents in a Midwestern state to examine problems that exist within systems of care from the perspective of the different stakeholder groups. Stakeholder group membership was based upon the respondent's employment or involvement within various child-serving systems and included those in child welfare, juvenile justice, and education, mental health providers, and consumers (i.e., caregivers/parents). Group differences revealed patterns of “finger pointing” by the stakeholder groups on where specific problems exist within systems of care. The findings provide insight into how the social construction of service delivery and practice emerges as stakeholder groups describe, understand, and evaluate problems within the system of care as a function of their own practice location within the system of care. Future research should consider exploring methods that might minimize the competitive nature of disparate child-serving systems and its potentially negative impact upon system performance and treatment outcomes.     

Poverty, Social Work and Social Justice

Correspondence to: Gary Craig, Professor of Social Justice, University of Hull, Hull, HU6 7RX, UK. E-mail: G.Craig{at}hull.ac.uk Summary The concept of social justice has become a common part of thepolitical lexicon in recent years, with New Labour identifyingit as a key goal of its social strategy. In this article, Iset out my understanding of what the elements of a social justiceprogramme should look like and apply it to the performance ofthe New Labour government in the policy area which has traditionallypresented a major challenge to social workers, the issue ofpoverty. Finally, I raise some questions about what this analysismeans for the future role of social work shaped by values ofsocial justice.     

Countertransference Issues in Social Work With the Aged

Despite their growing number, their increased risk of mental disorders and social dysfunction, the elderly continue to be underserved by mental health workers. Two of the major obstacles to appropriate treatment and services for the elderly and their farnilies are countertransference and death anxiety. This article examines these issues through the use of case examples. It suggests that mental and social service agencies need to concern themselves with and provide opportunity for supervisors to review practitioners' work in order to identify countertransference issues and ageist stereotyping.     

Dialogue and Social Change: An Interdisciplinary and Transformative History

Intergroup dialogue is an interdisciplinary field of practice that seeks to improve intergroup relations and effect social change. The use of dialogue as a method is growing within numerous social science professions including social work, and an understanding of the origins of dialogue will allow current practitioners to place their work within a larger context. This article provides a historical overview of the application of dialogue theory and methods, an analysis of the relationship between social constructionism and intergroup dialogue, and provides important directions for social workers who can utilize intergroup dialogue to promote social justice.     

Social Policy in a Cold Climate: Health and Social Welfare in Russia

The Russian Federation faces multiple challenges for its health and welfare systems and for the development of social policy responses. This article provides a review of some of the key challenges for social policy in Russia and assesses the adequacy of the responses to date. The author surveys recent developments in health and social welfare and makes recommendations on priorities for Russia's policy‐makers and international funders. A range of public health challenges including drug and alcohol misuse, health in prisons and mental health is discussed; HIV/AIDS is singled out for particular attention. While Russia is increasingly attracting the attention of social scientists in the West, there is uncertainty about models and concepts suitable for the analysis of this complex society. Although empirical trends are largely discussed in this article, it is argued that theoretical development is required and some suggestions are made about concepts of the ‘middle range’ to assist in future analyses. Intermediate theories, such as those relating to the management of personal welfare, and development of resilience in a formerly collectivized context, are identified as having explanatory potential for this task.     

The Role of the Gerontological Social Worker in Assisted Living

This qualitative study reports on thirteen assisted living (AL) administrators' perspectives of the role and the importance of the AL social worker in addressing the unmet needs of older adults as they move and transition into AL. Participant interviews were analyzed using the constant comparative method. Administrators described 5 AL social work roles: (a) decision-making and adjustment coordinator; (b) resident advocate; (c) mental health assessor and counselor; (d) family social worker; and (e) care planner. Implications include directly examining AL social workers' views, analyzing costs and benefits of employing AL social workers, and developing social work practicum sites within AL.     

The relation between parents' mental state talk and children's social understanding: A meta‐analysis

Though there is empirical support for the relation between parents' mental state talk to children and children's social understanding, including false belief understanding (FBU) and emotion understanding (EU), effect sizes range widely. The current meta‐analysis focused on the relation between parents' mental state talk and children's social understanding and moderators of this relation: parents' mental state talk content (e.g., cognitive vs. emotion talk), quality (e.g., appropriate vs. inappropriate), and context (e.g., book vs. reminiscing). Data from 22 studies examining FBU and 18 examining EU were examined. Participants included 2,298 children (<7 years). Analyses yielded a significant effect size for parents' mental state talk and children's FBU and EU. These relations were stronger under certain circumstances, particularly for children's FBU. For example, in terms of content, cognitive state talk was a stronger predictor of FBU and EU compared to talk about desires and emotions. For FBU, the strongest relations were present when parents' mental state talk was: (a) appropriate and explanatory compared to inappropriate and (b) in a book or self‐report context compared to reminiscing. The results of this study further refine the social constructivist view of social understanding and point to future avenues for research aimed at improving children's social understanding.     

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.     

Embedding Social Justice within Micro Social Work Curricula

Social work struggles with the dichotomy between social and economic justice and micro practice. A large percentage of United States social workers (65%) practice in micro practice settings, yet the profession is challenged to commit to its social justice roots. This article reviews the history of social and economic justice within the social work profession, examines the role of distributive justice, and outlines strategies to integrate social and economic justice into micro social work courses. The article details implications for strengthening a social and economic justice perspective in micro curricula.     

Optimistic but Confused: Perceptions about the Mission and Core Values of Social Work in Vietnam by Vietnamese Policy‐makers,Social Work Faculty and Practitioners

In 2010, the Vietnamese government officially recognized social work as a profession. This study explores whether key stakeholders in the development of social work in Vietnam (i.e. policy‐makers, pioneering educators, and practitioners) had reached a shared understanding about the mission and core values of Vietnamese social work by the end of 2015. An exploratory survey was conducted with 65 participants representing key stakeholders of social work in Vietnam. Participants had a shared but rather generic, at times vague, and overly optimistic view of the mission of Vietnamese social work as a “helping profession” that would be able to solve every social problem and present in all areas. There was a strong, unanimous desire for Vietnamese social work to focus on human dignity, social justice, and individuals’ rights, mixed with the preservation of Vietnam's collective, community‐based culture under the central guiding role of the state.     

社会网络与城乡居民的身心健康

本文根据大型抽样社会调查的数据,集中讨论了个人的社会网络对其精神健康和身体健康的影响,以及这种影响在城乡居民之间的差异。研究结果发现,个人的社会网络规模对身心健康均起着积极作用：紧密度高、异质性低、强关系多的“核心网络”对精神健康有积极影响,而相反特征的松散网络则对身体健康更有利,个人在网络中的相对地位对精神健康起着积极作用。此外,社会网络对健康的作用在农村地区表现得更为明显。作者还进一步讨论了这些研究发现的理论与政策意义。     

The Relationship Between Psychological Understanding and Positive Social Behaviors

This research investigates the relationship between psychological understanding and positive social behavior in preschool children. A sample of 67 children were given measures of mental state understanding and emotion understanding. Positive social behavior was measured by classroom observation, teacher report and peer ratings. Both mental state understanding and emotion understanding were positively related to teacher ratings of social skills, behavioral observers’ global ratings of social skills and peer popularity. When language ability was partialled out of these relationships, many of the significant correlations disappeared; however, for variables related to peers’ perceptions, psychological understanding continued to predict unique variance. The results are discussed in terms of the multiple determinacy of positive social behaviors and the potential role of language in these processes.