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.     

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.     

Third award: A follow‐up study of patients discharged as “improved” 1

In this study, the author researched his clinical practice in a community mental health center with six parental couples whose latency-aged children suffered from prevalent separation anxiety disorder symptoms. Through thematic analysis of the anamnestic process recordings of 53 parent sessions, the author's speculation on the effectiveness of the supportive psychodynamic psychotherapy techniques to psychodynamic clinical social work practice with parents was confirmed. Nine of thirteen supportive psychodynamically grounded therapy techniques were highlighted, whereas the clinical practice produced three more. The techniques permeated and shaped the author's clinical social work intervention, and a follow-up confirmed the reduction in mental health symptoms for the children and also increased parental satisfaction in response to the interventions.     

Contemplative Methods Meet Social Sciences: Back to Human Experience as It Is

The aim of this paper is to trace a pathway connecting contemplative knowledge and practices with the social sciences. Contemplative knowledge and practices offer material for reflection in social science even concerning their very foundation. I'll found an opportunity for meshing our disciplinary tools with this knowledge as I introduced it in a health promotion program. The result will be a transdisciplinary confluence of different lines of inquiry contributing to a new perspective of self and social action. First of all I will give a definition of contemplative knowledge and practices. Then, I will make a bridge between the contemplative approach and the social sciences, showing the contribution that symbolic interactionism can play. I will illustrate the perspective drawing on an action research program called Auriga aimed at smoking cessation and reduction among health professionals. The aim of this paper is focused on the specification of the conceptual background in which such kind of program has been developed. Finally, I outline some implications it could represent for what might be called transformative sociology. I believe that contemplative knowledge could contribute to disentangle some of the unanswered questions and concerns in the social sciences, once they dismiss for a while their scientistic perspective. The secular redefinition of tools mainly belonging to the wisdom traditions represents an innovation that can reshape what we intend by the self and experience, contributing to what is called the “social transformation from within,” a pragmatic and wise approach to change at any level.     

The particular challenges of being adopted

The authors propose that constructivism provides a theoretical framework suitable for the complexities of contemporary social work practice. The specific focus is on the areas of confluence of cognitive‐behavioral and psychodynamic theory and technique. Building on their earlier work on psychotherapy integration, the authors extend their notion of “starting where the client is,” is in fact a constructivist concept, critical to the meaning‐making process. Through the use of case vignettes and a select review of the literature from both the psychodynamic and cognitive‐behavioral traditions, the importance of the active participation of both the client and the therapist are demonstrated. The use of the therapeutic relationship is highlighted in both the psychodynamic and cognitive‐behavioral perspectives, as is the social context of the client.     

Psychodynamic and Neurological Perspectives on ADHD: Exploring Strategies for Defining a Phenomenon

This article is a discourse analysis of two historical inquiries into what clinici-ans today call attention deficit hyperactivity disorder (ADHD). Of primary con-cern in this regard are psychodynamic perspectives towards ADHD symptoms, championed by psychoanalysts and psychologists, and neurological perspectives towards ADHD, which continue to favor a purely physiological approach to understanding the disorder. Those within the psychodynamic camp are inclined to view ADHD as an interactional difficulty between self and social environment - a condition best remedied by psychotherapy. Those within the neurological camp see ADHD as a specific brain process, whose effective treatment depends upon adequate psychopharmacology. This essay argues that both psychodynamic and neurological perspectives towards ADHD have strategized to legitimate one perspective through the expulsion of the other. Within the current era of ADHD nomenclature and treatment it is clear that neurological perspectives dominate the debate. However, neurological perspectives continue to be haunted by a considerable amount of skepticism, both nationally and internationally. Because of this it would be difficult to assert that neurological perspectives, though winning the "legitimation race" in contemporary understandings of ADHD, are entirely monolithic sources of ADHD knowledge.     

'Thoughtful' practice: child care social work and the role of case discussion

Since the publication of Lord Laming’s inquiry into the death of Victoria Climbé there have been a number of insightful and thoughtful papers into the professional context and circumstances that surrounded this tragedy. Those papers highlight the insufficient thought given to the psychosocial dimensions of Victoria’s situation, their impact on professional practice and the support needs of practitioners. This paper explores the tensions between ‘doing’ and ‘thinking’ in contemporary practice and draws on psychodynamic concepts to inform our understanding of why individuals and organizations behave in repetitiously compulsive ways. A case discussion model is outlined and its potential for addressing the psychodynamic demands facing practitioners and front‐line managers is considered.     

The story of Lucy: lessons learned,lessons taught

ABSTRACT

This article provides an extended case example highlighting the value of a supportive approach to practice, in addition to the importance of holding a psychodynamic developmental frame of reference. Concepts of repetition compulsion, the holding environment, and object constancy are applied to the clinical material. The case is underscored for its value as a teaching tool.     

The Interface of Institutional,Sociopolitical, and Relational Trauma in Clinical Encounters: The Case of Adelita and Mrs. Diaz

In this article, the author addresses the importance of considering the interface of institutional, sociopolitical, and relational trauma in clinical social work practice. Assessment and treatment are discussed using a clinical case composite drawn from the author's previous encounters in clinical social work practice. In this composite, the author uses a biopsychosocial-spiritual perspective and concepts such as intergenerational trauma and psychodynamic theories as a framework for gaining a deeper understanding of clients in social work practice.     

叙事心理治疗与社会工作

叙事心理治疗是20世纪90年代开始流行的心理疗法。本文主要从它的缘起、理论背景及其与社会工作的关系进行论述。并尝试对叙事心理治疗与社会工作实务进行结合。     

基督宗教与中国文化的历史互动之探析

基督信仰和中国本土文化的关系的问题 ,是基督宗教进入中国以后所面临的一个重大问题。从传教士对中国文化的态度及传教方式、中国文化对基督宗教的反应、非基督运动与本土化运动等三个层面可以看出 ,基督宗教与中国文化的矛盾冲突 ,源于不同思想理念的混淆 ,没有分清基督宗教的超越信仰的价值维度和现实的社会政治维度     

Studying democratic innovations: toward a problem-driven approach to case study research

ABSTRACT

Hajer and Wagenaar (2003. Deliberative Policy Analysis: Understanding Governance in the Network Society. Cambridge: Cambridge University Press, xiv, 16) advanced a conception of policy analysis – “Deliberative Policy Analysis” – that “rests on three pillars: interpretation, practice and deliberation.” This form of policy analysis, they argued, supports “more direct, participatory forms of democracy” involving “democratic deliberation on concrete issues” (xv, 29). Since their writing, empirical research on such initiatives – “democratic innovations,” for short – has blossomed. However, while deliberative policy analysis is itself post-positivist in orientation, many researchers bring a (quasi-) positivist orientation to their work on democratic innovations. A key challenge for deliberative policy analysts is, then, how to participate in this field of inquiry while maintaining a post-positivist orientation. Pragmatist philosophy, I submit, can help them to meet this challenge. Pragmatism rejects a number of positivist assumptions about the nature of empirical inquiry. Relatedly, it supports the claim that policy analysis should be interpretive, practice-oriented, and deliberative. Indeed, it suggests that policy analysis cannot avoid being so. By way of illustration, I indicate how pragmatism points to an approach to case study research that rests on the three pillars.     

Being the Only One: Finding Connection through the Shared Experience of “Otherness”

ABSTRACT

There is a noticeable paucity of clinical resources that help clinicians of color to name and navigate the multitude of challenges in working through racial, cultural, and power differences in psychotherapy with White clients. African American therapists rarely receive adequate preparation for clinical practice in identifying, addressing, and working through transference and countertransference reactions in racially mixed dyads. The author highlights the challenges she faced early in her career with addressing racial and sociopolitical differences as an African American female clinical social worker providing individual psychotherapy to her older White male client whose traumatic experience focused on racial issues.     

The Understanding and Use of Reflection in Family Support Social Work

ABSTRACT

Previous research emphasizes the need for reflection in complex, dynamic practices, like social work. However, increased governance of the public sector and welfare state has caused a reform, which in turn has affected the layout and conditions of work. Private sector control ideals and ideas from the auditing system have led to a new focus. It is argued that we should subordinate practice approaches – characterized by reflection, proven experience, and tacit knowledge – to manual-based treatment, evaluations, and assessments. This study aims at understanding the role of reflection in social work by investigating its use and valuation by family support social workers. Opportunities and resources for reflection are another focus. Focus group interviews (n = 40) were used to produce data. The need for reflection to conduct highly qualitative social work became evident. The question is not whether to reflect or not, rather how this best can be done, given current time constraints. Reflection was considered a coping mechanism, offering a sense of professional legitimacy. Organizational changes seem to impact on time for reflection. However, when enabling process, learning, and development, it can be argued that reflection is beneficial for several parties. Therefore, reflection requires continued emphasis, highlighting its potential benefits.     

新生代对基督教的信任态度及中介机制——以长三角地区数据为例

本文基于经典的“世代分析”框架和系统信任研究的“文化论”路径,试图回答：与其前辈相比,出生并成长于改革开放之后的新生代在对基督教信任方面有无差异？若有,近代以来影响国人对基督教态度的科学主义和文化民族主义在其间是否仍具中介影响？以此会突显民众对基督教怎样的态度变化？文章通过对长三角地区调查数据的分析发现,与前辈相比,新生代对基督教的信任度更高;科学主义与文化民族主义在世代与基督教信任间发挥着部分中介效应,且影响较弱。由此,我们可以在一定程度上看到新生代在实现包容性国民精神转型方面的向好态势。     

Current practices in intake and service in family welfare organizations 1 : A study of the experience of eight agencies in 1934–35

Autism spectrum disorders include difficulties with social interaction, repetitive behavior, sensory sensitivity, and, often, concomitant language deficits. Psychodynamic theory is a powerful tool in explaining and treating the behavioral symptoms of autism. Specifically, the object relations theories of Melanie Klein and Wilfred Bion explicate the meanings and developmental challenges associated with autism. The epistemology of heuristics, with the use of triangulation, supports psychodynamic theory as one of multiple ways of interpreting phenomena. In this particular situation, the symptoms and presenting issues associated with autism evident in this composite clinical case are drawn from one of the author’s practice. This report illustrates the use of psychodynamic formulations and treatment in the psychotherapeutic work with a 12-year-old boy diagnosed with autism whom we call Austin.     

Activation programmes for women with a partner in Germany: Challenge or replication of traditional gender roles

In 2005, Germany implemented major welfare benefit reforms that encourage an adult worker model of the family. In this study, we hypothesised that, despite these reforms, women's assignments to activation programmes would in practice still tend to replicate the degree of labour market attachment to which they had become accustomed relative to their partner in the past. We compared programme entries between women in former male breadwinner, dual earner, no-earner and female breadwinner households and applied event-history analysis to large-scale administrative data. Our findings showed that in western Germany – but not in eastern Germany – women's assignments to activation programmes indeed replicated their prior labour market attachment relative to their partner. Key Practitioner Message: • Among women receiving Unemployment Benefit II in Germany, women with partners participate in activation programmes less often; • This tendency applies especially to western German women with less employment experience and lower former earnings than their partners; • A framework should be devised to inquire about previously non-employed women's interests in ALMP participation and offer them such opportunities.     

New Zealand’s engagement with the Five Ways to Wellbeing: evidence from a large cross-sectional survey

ABSTRACT

The Five Ways to Wellbeing were developed in 2008 as a set of simple daily practices for individuals to improve their wellbeing. While there is some evidence to support the association between individual practices and wellbeing, it is unknown whether engaging in multiple practices – and in certain combinations – is associated with higher levels of wellbeing. A survey was undertaken with 10,012 adults throughout Aotearoa, New Zealand, to assess individual wellbeing and participation in the Five Ways to Wellbeing (Connect, Give, Take Notice, Keep Learning and Be Active). Wellbeing was assessed with the Flourishing Scale (Md?=?46, IQR 39–49). Three objectives explored the cross-sectional association between the Five ways to Wellbeing and wellbeing: (1) multiple wellbeing practices and wellbeing, (2) clustering of multiple wellbeing practices, and (3) wellbeing practices as predictors of wellbeing. Results show that levels of wellbeing increased with each additional practice (rho?=?.53, p?<?.001), regardless of the combination. However, the most important predictors of wellbeing were Keep Learning (β?=?.23, p?<?.001) and Take Notice (β?=?.22, p?<?.001). Studies investigating ways to increase participation in the Five Ways to Wellbeing are warranted to promote wellbeing in Aotearoa.     

Families on the move in China: challenges,strategies, and implications

We studied 12 migrant families who lived on the outskirts of Beijing, conducting participant observations and in-depth interviews between July 2008 and December 2009. Adopting the family strengths perspective, we identified the strategies employed by the migrant population to manage family life, the reliance on family networks for help and support, and their means of coping with the lack of equal access to state-provided benefits and services. We argue that migrants and their families should not be the target of policy or practice interventions – despite the unequal treatment, they cope with various difficulties, survive the migration process and succeed in adjustment and adaptation to the migrant life – rather, the divisive hukou system and the associated unequal distribution of benefits and services require fundamental reform.