When Social Work and Psychoanalysis Meet

In this paper I share my personal journey from agency social worker to psychoanalyst. I show how I have brought to my psychoanalytic work the teachings of such well known social workers as Mary Richmond, Bertha Reynolds, Gordon Hamilton, and Florence Hollis as well those of such contemporary social workers as the late Gertrude and Rubin Blanck, Nancy Bridges, and Eda Goldstein, among others. In the presentation, I also consider how social work values, social work ethics and social work attitudes have influenced my approach to the practice of psychoanalysis. The attitudes which I refer to, include flexibility, beginning where the client is; an appreciation of the importance of understanding a patient’s cultural background and a recognition of the importance of the relationship in the therapeutic encounter. These were not standard for psychoanalysts at the time I began to practice. Today however psychoanalysis has largely caught up with social work, and this paper affirms how those of us who have had a social work background are well prepared for psychoanalysis in the 21st century.

Clinical Social Work and Psychoanalysis: Introduction to the Special Issue

As clinical social work developed in America it was highly influenced by the concepts and techniques of psychoanalysis and many of its practitioners became interested in seeking psychoanalytic training. More and more psychoanalysts are now coming from a background in clinical social work due to the development of a network of interdisciplinary training institutes and the opening of the Institutes of the American Psychoanalytic Association to non-medical candidates. This special issue considers how psychoanalysis may be affected as more of its practitioners and contributors come from a background in clinical social work. This introduction reviews the history of the development of clinical social work and outlines the issues related to “lay analysis” in this country.

The History and Status of Social Workers in the American Psychoanalytic Association

Historic changes within the American Psychoanalytic Association (APsaA) in the 1980s eventually allowed social workers and other non-medical professionals to train in clinical psychoanalysis as regular “candidates”. The steps to work through organizational resistance to this change are traced. The present level of activity of those analysts who began as social workers is discussed, with numeric data showing expansion of involvement in training and organizational life. Analysts with a background in social work are beginning to make significant positive contributions to APsaA. There is a more rapid pace of inclusion of analysts from social work in the governance side of APsaA than the educational. The ultimate impact on the organization is difficult to anticipate.

Use of Self in Relational Clinical Social Work

Since the inception of social work social workers have noted the importance of relationship in practice. More recently clinicians and other social workers have developed the term “use of self” to indicate important aspects of the professional relationship. How that term is defined rests on how one conceptualizes “self.” The authors suggest that from a relational perspective the concept of self changes from the notion of self as separate and constant to self as process in interaction. They demonstrate on a theoretical level as well as through a case example how defining self as process in interaction might affect clinical social work practice.

Clinical Social Worker as Patient Advocate in a Community Mental Health Center

As a profession, social work has always advocated for clients. Yet clinical social work settings often ignore this important aspect of practice. For mental health services in public agencies, patient advocacy is a particularly vital element because these systems are not always responsive to the individual client. The clinical social worker, trained in advocacy, systemic intervention, and psychotherapy, is the professional most qualified to fill this role. The author summarizes the history of advocacy, provides a conceptual framework for the clinical social work advocate, and provides examples from 20 years of experience as a patient advocate in community mental health.

Attachment-informed Supervision for Social Work Field Education

Supervisory relationships present a new population for the application of attachment theory, and conceptualization of attachment-informed supervision training offers a new direction for study. This paper presents an 8-month model of supervision training for social work field instructors of MSW students. The training’s design incorporates primary attachment concepts with an understanding of the supervisory working alliance and parallel process. An overview of the in-person and on-line pilot training is presented, including perceptions from the participants regarding the training’s usefulness. This training program has implications for effective social work field education, and recommendations are suggested for future attachment research on supervision.

Efficiency and the Fix Revisited: Informal Relations and Mock Routinization in a Nonprofit Nursing Home

Participant observation in a nonprofit nursing home reveals that informal patterns of work routinization depart markedly from official procedures designed to protect the health and safety of workers and residents. Six aspects of the informal organization of work are found to correspond closely to patterns observed by Roy (1954): the mismatch between time and tasks, the development of new (informal) skills, the institutionalization of rule-breaking, negative effects on quality, the collaboration of shop-level supervision, and workers’ experience of managerial irrationality. However, whereas classic manufacturing studies emphasized upper management's periodic attempts to force compliance to official rules and routines, here upper management engages only in symbolic interventions, collaborating with workers and nursing home residents in the “mock routinization” of work. The article concludes by showing how, in the context of contradictory external workplace regulation, all three parties to the labor process of the contemporary nursing home experience mock routinization as compatible with their own interests.

Earnings,Effort, and Work Flexibility of Self-Employed Women and Men: The Case of St. Croix County,Wisconsin

Data collected on self-employed women and men in one county allow examination of work effort, housework effort, housework hours, and preference for flexible work on earnings. Regressions indicate housework effort of self-employed women contributes to their lower earnings. Housework hours do not supporting the view women select self-employment to find flexible work. Housework hours do reduce the earnings of self-employed men, which could reflect their stronger commitment to housework combined with less flexible work. A Oaxaca decomposition suggests less tenure and greater housework effort are important contributors to lower earnings of self-employed women. Ranges that measure earnings may contribute to the insignificance of work effort, normalized work effort, and preference for flexible work hours. (J16, J23)

Altruistic and Vicarious Fear of Crime: Fear for Others and Gendered Social Roles

Fear for others as distinct from personal fear is an understudied phenomenon. Relying on qualitative data, this paper explores gender differences in fear for others and identifies differences linked to social roles. For men, a paternal protector role characterized fears expressed mostly for their wives. For women, a maternal caretaker role characterized fears expressed for their children, elderly parents, and siblings. This paper offers a new way to conceptualize fear for others based on making distinctions between the object of fear and active or nonactive responses: kinship-based altruistic fear, kinship-based vicarious fear, general altruistic fear, and general vicarious fear.

Individual Needs Versus Collective Interests: Network Dynamics in the Freelance Editorial Association

The Freelance Editorial Association, founded in the 1980s, was an organization of editorial professionals working on contract. Through its 15 years of operation, the organization developed a model of collective representation and sought to improve employment practices and work relations for these contingent workers. Expanding through occupational networks, the association established a program of services and a set of principles for advocacy, which it applied on behalf of members seeking resolution of disputes with clients. The organization, however, proved unsustainable. Resource constraints, labor market structures, and the underlying dynamics of occupational networks, which operated in the interests of clients as well as freelancers, undermined its model. Although the association addressed many individual needs, it generated little leverage toward promoting collective interests. Its efforts, however, offer caveats for the development of new models of collective representation.

The Role of Temporary Help Agency Employment on Temp-to-Perm Transitions

This paper evaluates the impact of agency work on temporary workers’ posterior likelihood of being hired on a permanent basis. We use administrative data on two groups of temporary workers for whom we have complete work histories since they are first observed in 1998 until the year 2004. One group consists of workers employed through a temporary help agency (THA) at some point during the 7 year period under examination (treated group). The other group is composed of individuals employed as direct-hire temps at some point between 1998 and the year 2004, but never via a THA (control group). Using propensity score matching methods, we find that agency workers endure a lower likelihood of being hired on a permanent basis following their temporary assignment than their direct-hire counterparts. However, there are relevant differences for some groups of workers.

“A New Sort of ‘Salvation Army’”: Historical Perspectives on the Confluence of Psychoanalysis and Social Work

No profession in the United States has a broader perspective on human needs than social work. Bold but also functional, social work distinctively places the pursuit of social justice on a par with the clinical treatment of individuals, pairs and families. Yet for much of the twentieth Century, proponents of the “macro” and of the “micro” approaches to practice have challenged each other’s commitment to social progressivism and humanist values. Interestingly, this on-going debate has hardly changed the core “person-in-environment” psychoanalytic paradigm at all. It is time to set aside this hidebound dispute, I argue in this article: social work is not two institutions folded into one but one profession that must be understood dialectically. Drawing on the history of the early psychoanalyst’s intense social activism and their commitment to treating the poor and working classes, I show how psychoanalysis shares in the transformation of civil society and helps restore individuals and communities alike to self-regulation and productivity.

The Social Construction of Deviant Behavior in Homeless and Runaway Youth: Implications for Practice

This study examined the social construction of deviance in a sample of homeless and/or runaway youth in metropolitan Phoenix. In depth semi-structured interviews with 14 youth were conducted, and the data were transcribed and analyzed using a qualitative research computer program. The findings from the study point to an emerging theory, which suggests that ambiguous local policies relevant to homeless youth (e.g., trespassing, loitering) resulted in their selective enforcement by local security and police. Respondents described the ways that they adapted their behaviors to the environmental stressors resulting from these policies. Implications for practice are discussed.

Creating Community: Latina Nannies in a West Los Angeles Park

Drawing on 1 year of ethnographic fieldwork in Los Angeles, this article examines how Latina nannies create workplace solidarity in a public park. This article reveals how nannies use public spaces in the neighborhoods in which they work to establish ties similar to co-worker relations in other settings. This paper demonstrates how nannies create a community at the park by incorporating park staff into their activities, reinforcing group values such as sharing and reciprocity, and distinguishing themselves from their employers. Adding to previous research which highlights the atomization and stigmatization that comes with domestic employment, this article shows how nannies create co-worker relationships that are buffers against unfavorable job conditions such as solitary work settings and unappreciative employers.

Vice Careers: The Changing Contours of Sex Work in New York City

In the mid-1990s, changes to law enforcement strategies in New York City pushed many women working in the sex trade off of the streets and into the indoors. Increasing numbers of women began advertising sexual services in bars, over the Internet, and in print media, and conducting their work in their homes, hotels, and brothels. This study uses in-depth interviews and participant observation to examine the impact of this change on the life and work of women working in New York’s indoor sex trade. A critical finding is that as women move their work indoors, they begin to conceive of sex work as a profession and a career, rather than just a short-term means of employment. This “professional and careerist orientation” may have significant implications for the length of women’s tenure in sex work and ultimately, for their ability to exit the trade completely.

Social Capital,Volunteering, and Charitable Giving

This paper explores the impact of social capital—measured by social trust and social networks—on individual charitable giving to religious and secular organizations. Using United States data from the national sample of the 2000 Social Capital Community Benchmark Survey, we find that social trust, bridging social network, and civic engagement increase the amount of giving to both religious and secular causes. In contrast, organizational activism only affects secular giving. Volunteering activity, and human and financial capital indicators positively affect both religious and secular giving. Finally, those who are happy about their lives and those who are religious give more to religious causes, but these factors do not affect secular giving. We find evidence of important differences in the determinants of religious and secular giving, suggesting the need to distinguish these two types of charitable giving in future work.

Pathways to the Clinician’s Experience of Empathy in Engaging Single Mothers at Risk for Physical Abuse of their Children

Based upon an analysis of interviews from a qualitative study with twelve agency-based clinical social workers, this paper recounts three “situational pathways” through which these workers were able to experience empathy in the process of engaging low-income single mothers whose presenting picture involved physical aggression toward their symptomatic children who the workers were also seeing for therapy. The paper describes and utilizes self-psychological and intersubjective concepts to understand the therapeutic contexts that may enhance the worker’s potential for experientially understanding the client’s viewpoint. The relevance of the findings for practice and training is discussed.

Helpless in Finance: The Cost of Helping Effort Among Bank Employees

Theory suggests that individual performance pay increases effort but may reduce the incentive to help co-workers. In an original survey of finance industry employees subject to individual performance pay, we demonstrate that those workers who report they do not help co-workers earn significantly more. This result is particularly strong for those workers with the strongest individual performance pay incentives. Moreover, when those workers report that their coworkers help them, they also earn significantly more. These dual results are consistent with a strong incentive to free-ride on the helping effort of others in the face of individual performance pay.

Toward an Integration of Ideas About the Self for the Practice of Clinical Social Work

This paper presents ideas for understanding the self that is responsive to contemporary trends in professional practice. In addition to psychosocial factors, which have been associated historically with the practice of clinical social work, the paper integrates neurobiological factors into the discussion. The intent of the paper is to offer practitioners a conceptual framework for thinking biopsychosocially about clients. The framework underscores diagnostic understanding as the basis for the choice of specific interventive modes and techniques, and the centrality of a therapeutic relationship as the vehicle through which a new sense of self may emerge for clients.

Working at the End of Life: Providing Clinically Based Psychosocial Care

Social workers who provide end-of-life care do not always see themselves as clinicians. This paper identifies what is clinical in work with the dying. Social workers routinely elicit sources of cultural and psychological ways of coping, tolerate difficult and painful affects, and balance hope with compassion. They work in multidisciplinary teams and on every level (individual, family, and systemically) to avoid splitting or blame. Further, dying is a relational event. Social workers who work with the dying often stand in the most intimate spaces and therefore use themselves intersubjectively. This work requires considerable courage and self-care.