An evaluation of a state hospital child guidance clinic 1

Abstract

The power of expressive writing needs to be recognized, valued, and promoted within the therapeutic community. As clinicians have grown to appreciate the importance of clients ‘ storying, we need to open up new forms for these stories to emerge. When clients write for themselves, they express their innermost thoughts and feelings, often in disguised, metaphoric form. If they choose to share these writings with a clinician, therapy can move more spontaneously and rapidly around core conflicts and empathic attunement is heightened. This article includes writings from people of varying ages and literary abilities, demonstrating the curative benefit of creative writing.     

IX. Children referred by the schools to the Worcester child guidance clinic 1

Abstract

The level of job rewards for social workers has been correlated with the quality of service to clients. A purposive quota sample of 127 Licensed Independent Clinical Social Workers in Massachusetts employed in three settings completed the Job Role Quality Scale. Respondents found Decision Authority, Flexibility, and Impact (sense of helping others) most rewarding. Private practitioners reported a significantly higher level of reward than respondents in public and private agencies. Administrative interventions directed toward increasing job rewards and decreasing job concerns, may reduce social work staff turnover and enhance the quality of service to clients.     

The only child 1 : A study of one hundred only children living at home with both parents,referred, to a child guidance clinic

This study examined differences in attachment typology, early histories of unresolved trauma and loss, and intergenerational patterns of substance abuse in a high-risk sample of African American, White, Mexican American, and Native American mothers involved with the child welfare system. The Adult Attachment Interview and Chemical Dependency Assessment Profile were used to collect data from 24 mothers who were in-patients at a substance abuse treatment center. Consistent with attachment theory mothers classified as secure/autonomous (46%) had positive early attachment relationships, although several mothers in this group had histories of unresolved trauma and loss. The insecure classification included 21% dismissing and 33% preoccupied. The unresolved classification included mothers from all racial/ethnic groups who had histories of trauma and loss. Results indicated prevalence of substance abuse in all racial/ethnic groups as well as patterns of intergenerational substance abuse in the aforementioned attachment classifications.     

The effect of newspaper feature articles on referrals to a child guidance clinic 1

This study investigates the key factors influencing turnover intentions of social workers, adopting a comparative approach within the two patterns. Based on planned behaviors theory, the personal attitudes, subjective norms, and perceived competences of social workers were measured to predict organizational and occupational turnover intention, with controlling variables being demographic factors, work-related factors, and professional perception. It was found that social workers from Guangzhou (as “autonomous-embedded” patterns) expressed stronger intention to leave their current organizations than did their counterparts in Beijing (as “dependent-embedded” patterns), and their attitudes played a salient role in the prediction of organizational or occupational turnover intention. However, personal attitude was not a determinant of either organizational or occupational turnover intention in Beijing. This research sheds light on the importance of subjective norms in dependent-embedded patterns, points out the dominant role of personal belief in autonomous-embedded patterns, and highlights the key role of job satisfaction in the turnover process.     

The relative amenability of dull and bright children to child guidance 1

Supervision is an activity filled with ethical dilemmas related to the power held by the supervisor, a power that should be exercised with care. This article explores some of these dilemmas through the analysis of supervision vignettes viewed from the perspective of social constructionism, in particular, from the insights of French philosopher Michel Foucault. It concludes with suggestions to exercise supervisory power ethically.     

XI. Neurotic children: Mandel clinic Michael Reese Hospital 1

Social workers who treat children of deployed servicemembers may feel poorly prepared to work competently with military families and will benefit from understanding the immediate and long-term effects of parental deployment upon children. This review consolidates a substantial, shifting knowledge base and establishes a coherent theoretical framework for social workers to learn about the effects of war-specific deployment cycles for servicemembers, and the relationship among family members' and children's experiences with deployment separation. The author considers important lessons learned during the Vietnam War and the unique experiences specific to current wars. This article compares the Vietnam War and the more recent wars' characteristics of military deployment, demographic characteristics of service members, servicemembers' family characteristics, and research findings about the psychosocial effects of deployment on children. A case vignette is presented to clarify how an understanding of deployment and reintegration is necessary for the treatment of servicemembers, families, and children by social workers.     

Paternal domination: Its influence on child guidance results 1

Acknowledging the limitations of adhering to one particular theoretical orientation in helping clients with multiple issues, psychotherapy integration in treatment becomes a prominent trend in clinical practice. However, we have few guidelines for an integrated case formulation. Also, there have been some concerns that available treatment options limit and even pre-determine how clinicians understand and formulate cases. In order to address these concerns, this article first critically reviews the psychotherapy integration movement and highlights social work contributions to this movement. Next, using a clinical case example, we illustrate an integrated case formulation in clinical social work practice, which comprehensively assesses a client-in-context from psychodynamic, behavioral, and cognitive approaches. We also delineate how social workers can directly link this integrated assessment to selecting the integrated treatment options to custom-fit with the idiosyncratic needs of the client. This formulation is then truly client-centered. Thus, formulating a case is developing a theory of a client.     

The value of fees in child guidance work 1

Abstract

Diagnoses are labels that have a powerful effect. Linguistic anthropology provides the tools necessary to study how diagnosis projects meaning based on underlying linguistic assumptions and culture of usage. I will employ anthropologically-based linguistic theories to analyze the diagnostic system utilized in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV), and to examine the impact of the diagnosis of schizophrenia on the minds of the diagnostician and the labeled client.     

Outgrowing childhood problems: A study of the value of child guidance treatment 1

This article is a tribute to Jean Sanville, a distinctive leader in our field whose voice and vision continue to shape the practice of psychoanalysis through the lens of clinical social work. The article highlights Dr. Sanville’s professional contributions while showing her personal impact within a supervisory relationship that becomes a deep and enduring friendship.     

Resistance and anxiety as factors in the discontinuance of child guidance treatment 1

In this article, the authors provide background on evidence-based practice and then summarize the evidence base for short-term and long-term psychodynamic psychotherapies. The research included conforms to the hierarchy of evidence promoted by the evidence-based practice movement. Experimental research on psychodynamic psychotherapy reveals these therapies have generally moderate to large effect sizes for depressive disorders, anxiety disorders, personality disorders, eating disorders, somatic disorders, some substance abuse disorders, and some mixed disorders. There is a clear evidence base supporting psychodynamic psychotherapy as effective in treating several mental health disorders. Additional outcome research on psychodynamic psychotherapies, using varied outcome measures, should be funded and completed.     

The protection of children in time: child protection and the lives and deaths of children in child abuse cases in socio-historical perspective

For some 20 years now in the UK, assessments of the effectiveness of child protection have been carried out under the shadow of child abuse inquiries. Yet, relatively little is known about social work and matters of child life and death that preceded the first major inquiry into the death of Maria Colwell in 1973. This paper offers a socio-historical perspective on child protection and the lives and deaths of children in child abuse cases, and excavates the foundations upon which the major developments of the past two decades have proceeded. The emergence and development of a'modern' ideology of child protection, which held that it is possible and desirable for social intervention to work to protect children in time, is traced to processes that unfolded from the late nineteenth century. Statistical evidence on the numbers of children who have died in cases across the twentieth century is examined and analysed in the context of social theories of modernity and perspectives on the changing ways in which child death has (literally) been handled by professionals and knowlege about the problem managed over time.