Professional Dissonance

Abstract

Social workers in mental health face a complex climate where they encounter value-laden intervention choices daily. Examples of these choices may include deciding to initiate treatment in spite of a client's wishes to the contrary, making a decision to break confidentiality, feeling pressured to diagnose a client with a reimbursable condition despite a treatment philosophy that may be to the contrary, or feeling the need to “pick and choose” therapy topics in light of severe shortages in benefit coverage. These and other scenarios put social work clinicians at risk for professional dissonance or what has been called a feeling of discomfort arising from the conflict between professional values and expected or required job tasks. The current article explores professional dissonance as a pertinent concept for social work in general, and mental health social work in particular. The theory base of the concept is explored as well as its utility for understanding burn-out in a deeper way.     

What are Nice Feminists Like You Doing on the O. J. Defense Team? Personal Ruminations on the "Trial of the Century"

This paper is the subjective, anecdotal, and introspective account of the experience of two feminist psychologists who served as defense consultants in the O. J. Simpson murder trial. The authors explore the personal and professional implications of involvement in a high-profile case. They detail special problems forensic psychologists may encounter in high-profile cases and make recommendations for meeting the challenges such cases present.     

Preregistering qualitative research

The threat to reproducibility and awareness of current rates of research misbehavior sparked initiatives to better academic science. One initiative is preregistration of quantitative research. We investigate whether the preregistration format could also be used to boost the credibility of qualitative research. A crucial distinction underlying preregistration is that between prediction and postdiction. In qualitative research, data are used to decide which way interpretation should move forward, using data to generate hypotheses and new research questions. Qualitative research is thus a real-life example of postdiction research. Some may object to the idea of preregistering qualitative studies because qualitative research generally does not test hypotheses, and because qualitative research design is typically flexible and subjective. We rebut these objections, arguing that making hypotheses explicit is just one feature of preregistration, that flexibility can be tracked using preregistration, and that preregistration would provide a check on subjectivity. We then contextualize preregistrations alongside another initiative to enhance credibility in qualitative research: the confirmability audit. Besides, preregistering qualitative studies is practically useful to combating dissemination bias and could incentivize qualitative researchers to report constantly on their study's development. We conclude with suggested modifications to the Open Science Framework preregistration form to tailor it for qualitative studies.     

A not so strange silence: Why qualitative researchers should respond critically to the qualitative data archive

A driving force behind the establishment of a qualitative data archive in the United Kingdom has been the oral historian, Paul Thompson. He has complained that there is a ‘strange silence’ among qualitative sociologists on re‐analysis, and that many have been reluctant to deposit data. The first part of the paper suggests that the common ethical and practical objections can be overcome in establishing an archive in Australia. However, there is a more serious underlying ideological objection: that archiving promotes and institutionalises a narrow empiricist version of qualitative research. The rest of the paper makes this case by examining teaching materials on a British website, by reviewing Thompson's arguments, and by considering some examples of re‐analysis by sociologists. It is argued that qualitative researchers should respond critically, but that it is possible to address and overcome these problems when developing an Australian archive.     

On matrix probabilities in nonarchimedean decision theory

In an earlier paper, we axiomatized a lexicographic expected utility model for preference in decision under uncertainty that is patterned on the models of Ramsey and Savage but omits their Archimedean axioms. Our model has the unusual feature that subjective probabilities are matrices that premultiply utility vectors in the lexicographic representation of preference between acts. Our purpose here is to analyze the model in relation to the Ramsey-Savage theory along with other models that have a lexicographic feature. A point of departure is Savage's postulate P4, whose purpose is to weakly order hisis more probable than relation on events. This postulate does not hold in our model and we therefore encounter incomparability between events. The paper explores the nature of incomparability, which can be widespread in high-dimensional situations. We include special cases of our model that retain a lexicographic component but also satisfy P4.     

To disclose or not to disclose: Political conflicts in the countertransference

Self‐disclosure is a frequent topic in the relational psychotherapy literature. However, there are few psychoanalytic writings or empirical studies that concern self‐disclosure in the context of cross‐cultural treatment; specifically treatment between Israeli therapists and Palestinian clients. This particular subject broadens the investigation of cross‐cultural treatment beyond race and color into the domain of religious and political differences between client and clinician. An Israeli‐American therapist's counter‐transference reflections around self‐disclosure and its impact on her Palestinian client will be the subject of investigation in the following paper.

Self‐disclosure has been increasingly examined in the relational literature over the past ten years in the context of the therapist's subjectivity within the therapeutic encounter (Aron, 1991; Renik, 1995). Few psychoanalytic writings, however, have focused on self‐disclosure as embedded within race and culture, and fewer still address the impact of religious and political differences between client and therapist, differences that, in the case of a Palestinian client and an Israeli therapist, reflect larger social and political conflicts. The transference‐countertransference dynamics around self‐disclosure and the way these shape the therapeutic encounter between a Palestinian client and an Israeli therapist will be the subject of investigation in this paper.     

The management of professional roles during boundary work in child welfare

Hall C, Slembrouck S, Haigh E, Lee A. The management of professional roles during boundary work in child welfare Int J Soc Welfare 2010: 19: 348–357 © 2010 The Author(s), Journal compilation © 2010 Blackwell Publishing Ltd and International Journal of Social Welfare. This article examines the ways in which child welfare professionals negotiate their roles and those of other professionals in home visits with clients, in this case the parents of young children. The concept of boundary work is developed within the context of the professional–client encounter. Drawing on Goffman's concept of ‘footing’, the analysis examines how professionals attend to ways of constructing family problems in terms of appropriate professional interventions – both from themselves and others. It is argued that the careful consideration of how problems merit interventions displays an adherence to the development of the supportive relations which move beyond strict professional remits. The article adds to the research evidence, which sees inter‐professional coordination as a complex matter, located in everyday practice rather than as advocating more tightly monitored procedure.     

Professional Identity,Job Satisfaction,and Retention of Licensed Social Workers in Korea

This paper reports the results from a survey of 735 social workers in South Korea on their professional identity as a social worker, job satisfaction, and intention to leave the profession. The overall result shows that there was a high level of job satisfaction. Social workers' intention to leave the profession was significantly related to their integrated feelings of professional identity. This relationship was partially mediated by job satisfaction. Social workers' sense of professional identity can be tapped to help social workers feel adequate to carry out their professional responsibility. Boundaries of their practice should be well defined.     

Parallel Processes in a Training and Supervision Group for Counsellors Working with Adolescent Sex Offenders

This paper discusses four parallel processes in a sex offenders' counsellors training and supervision group. Two of them, feelings of isolation and proclamations of boredom, were similar responses to similar stimuli: the first, to the stigma that adheres both to the sexual offense and to the professional work with the offenders, the second to anxieties that derived from a similar technique used in both groups. The other two involve the counsellors' displacement of feelings they had in and about the offenders' groups to their own training and supervisory groups. Both of these involved issues-responsibility and self-control that are particularly salient in work with sex offenders. The discussion suggests that parallel processes emerge with great frequency in work with sex offenders because of the stresses of the work and the issues that are highlighted in it.     

An Overview of Men's Groups

Men's groups have existed for a variety of purposes, including consciousness-raising, support, education, counseling, and psychotherapy, for several years, but they have been described infrequently in the literature. This overview of men's groups presents a rationale for such groups in terms of changing perspectives on the masculine gender role. It also describes several applications for two specific types of men's groups, consciousness-raising and psychotherapy groups. The author discusses some of his own experiences as a leader in men's groups as well. The author states that the future of men's groups depends on an increased use of these groups and on more extensive reporting about them in the professional literature.     

Domestic responsibilities and the employment of young Māori women

Abstract

While the employment rate of women has risen steadily in New Zealand over the last two decades, employment is still highly variable by ethnicity and age. One of the groups least engaged in paid employment is young Māori women (15–24 years). Their employment rates are much lower than their Pākehā counterparts (42 and 64%, respectively) and this is not offset by their greater involvement in education.

Although there is a general awareness of these differences, there has been no systematic enquiry into the possible reasons for the relatively low engagement of young Māori women in the formal economy. Using a full set of 178,776 unit records pertaining to all young Māori and Pākehā women from the 2001 Census of Population and Dwellings, we develop a number of novel measures of household composition as indicators of domestic responsibilities. These become arguments in a multivariate statistical model in which young women are modelled as choosing to participate in the formal paid workforce and/ or in education.

Our results show that young Māori women's choice of paid work is no more sensitive to her domestic responsibilities than those of young Pākehā women, but they do encounter these responsibilities far more often. The results have a number of important implications for Māori development.     

Personal probabilities of probabilities

By definition, the subjective probability distribution of a random event is revealed by the (‘rational’) subject's choice between bets — a view expressed by F. Ramsey, B. De Finetti, L. J. Savage and traceable to E. Borel and, it can be argued, to T. Bayes. Since hypotheses are not observable events, no bet can be made, and paid off, on a hypothesis. The subjective probability distribution of hypotheses (or of a parameter, as in the current ‘Bayesian’ statistical literature) is therefore a figure of speech, an ‘as if’, justifiable in the limit. Given a long sequence of previous observations, the subjective posterior probabilities of events still to be observed are derived by using a mathematical expression that would approximate the subjective probability distribution of hypotheses, if these could be bet on. This position was taken by most, but not all, respondents to a ‘Round Robin’ initiated by J. Marschak after M. H. De-Groot's talk on Stopping Rules presented at the UCLA Interdisciplinary Colloquium on Mathematics in Behavioral Sciences. Other participants: K. Borch, H. Chernoif, R. Dorfman, W. Edwards, T. S. Ferguson, G. Graves, K. Miyasawa, P. Randolph, L. J. Savage, R. Schlaifer, R. L. Winkler. Attention is also drawn to K. Borch's article in this issue.     

Applicability of Kozan's Harmony Model of Conflict Management for Social Workers in Hong Kong (China)

A qualitative study was carried out to test if Kozan's Harmony Model is applicable to professional social workers having both cultural and professional values, in Hong Kong, a collectivist society. The main causes of conflicts are identified and themes such as concern for relationship, face, observation of hierarchy, emotion expression, and third-party intervention are analyzed and discussed. Kozan's model seems not fully applicable to these professionals. Implications for professional practice and training are also suggested.     

Medical Students' Attitudes and Opinions About Human Sexual Behaviour

In their professional capacities doctors are often confronted with clients who present with psycho-sexual problems. At the present time Australian medical students are provided with very little instruction in the areas of human sexual behaviour. This paper examines the attitudes and amount of information possessed by a cohort of second year medical students compared with groups of first and fifth year students; these attitudes and levels of information are then related to students' sex, religious affiliation, strength of religious conviction, where this is seen to be relevant. It is shown that some areas of ignorance exist. The paper concludes by outlining some aspects relevant to courses in human sexual behaviour.     

The Experiences of Frontline Staff Working with Children Seeking Asylum

The focus of this paper is welfare professionals’ accounts of their work with children who are seeking asylum. The empirical basis is a commissioned study of children seeking asylum in Wales. As well as qualitative research with children (which is not discussed in this paper), 62 professionals took part in interviews and focus groups. This sample included staff from social services, health, housing, education, police and the voluntary sector. Research findings are presented in relation to the experience of these frontline staff. We attempt to identify some of the sites of tension and the nature of the professional dilemmas, as well as discussing the potential for the exercise of discretion to be exercised. We conclude that there is very little room for manoeuvre within the asylum system for welfare professionals, but that there is evidence of questioning and even minor challenge of current policy from frontline staff. We discuss the extent to which the professional dilemmas raised by the asylum system are of a different order from those experienced throughout social welfare work.     

Street‐level Perceptions of Procedural Rights for Young Unemployed People – A Comparative Study between Sweden and Australia

Two types of welfare states are compared in this article. Differences in procedural rights for young unemployed at the level of service delivery are analyzed. In Australia, rights are regulated through a rigid procedural justice system. The young unemployed within the social assistance system in Sweden encounter staff with high discretionary powers, which makes the legal status weak for the unemployed but, on the other hand, the system is more flexible. Despite the differences, there is striking convergence in how the young unemployed describe how discretionary power among street‐level staff affects their procedural rights. This result can be understood as a result of similar professional norms, work customs and occupational cultures of street‐level staff, and that there is a basic logic of conditionality in all developed welfare states where procedural rights are tightly coupled with responsibilities.     

Foster care in France: children's perception of their own well‐being

Working to improve the welfare of children in care is a priority shared by all French child protection services. However, the means to measure and improve well‐being are limited (Fergeus et al., 2019). Although the trend today is towards a more comprehensive understanding of the point of view of adults involved in the socioeducational process, too little is done to include the children's own perception of their situation and conditions of care. The purposes of this study are to document and analyse the point of view of children in foster families on their subjective well‐being and also to identify contextual factors that influence it. Ninety‐one children living in foster care, aged 13.5 years on average, completed the French version of the Multidimensional Students' Life Satisfaction Scale developped by Huebner, Zullig Runa in 2012. The multidimensional evaluation of well‐being (family, school, self, friends, and living conditions) reveals a moderate life satisfaction within the foster family and a weak one at school. Total life satisfaction levels are directly linked to the number of care orders the child has experienced, their duration, and the type of education received. The implications of these results for professional practices related to children in care will be discussed.     

Ethical Sharing and Reuse of Qualitative Data

The objective of this paper is to attempt to move beyond the impasse of ethical objections to reusing qualitative data. In doing so, there is no intention of dismissing the importance of ethical debates, in fact, quite the opposite. The debate about ethical reuse needs to be deepened and broadened. First, the current terrain of research ethics will be summarised and situated in the context of broader philosophical ethical frameworks. In contrast, the debates around ethics of archiving have often been narrowly focused on participants' rights. The framework of debate should be broadened first by recognising other entities traditionally deemed within the scope of research ethics, namely the scholarly community and the public. The second useful broadening of the framework is provided by a deontological ethical stance with its focus on duties. In the final section, this expanded framework will be used to rebut several common ethical arguments against archiving qualitative data: archiving violates confidentiality; informed consent for reusing data is impossible; reusing data violates trust between researcher and participant; and, archiving creates an unacceptably high risk of data misrepresentation. If a more general philosophical debate on ethics has something to contribute, the central message must be that no single ethical claim is incontestable. The conclusion will position these debates in a wider context by asking what is at stake when the boundaries of ethical discourse about sharing data are drawn too narrowly.     

Issues facing brothers of sexually abused children: implications for professional practice

This paper draws on the author's experience of undertaking play therapy with the brothers of sexually abused children. It illustrates the range of difficulties that such boys may face and identifies implications for professional practice. Difficulties are understood as arising from the struggle to develop a coherent narrative about the abuse, often in the face of incomplete or contested information. The outcome is influenced by the nature of the child's attachment relationships with his non‐abusing parents or carers, his abused sibling and with the abuser himself. This struggle for a coherent narrative about the sexual abuse can have a significant impact on the development of a sense of masculine identity, particularly when the abuser is the boy's own father and/or the abused child is male. In the context of increasing professional awareness of the need to support siblings of sexually abused children it is argued that there should be a specific focus on gender and identity issues for boys.     

Possibilities for Intervention in Domestic Violence: Frame Analysis of Health Care Professionals’ Attitudes

ABSTRACT. Violence is a serious problem, and social and health care providers are in a key position for implementing successful interventions. This qualitative study of 6 focus groups with professionals (n = 30) examines the health care professionals’ ways of framing a domestic violence intervention. Of special interest here is how professionals see their own roles in the process of recognizing and helping victims of domestic violence. By using Erving Goffman's frame analysis, this study identifies several frames that either: a) emphasize the obstacles to intervention and justify nonintervention, or on the contrary, b) question these obstacles and find justifications for intervention. The possibilities for intervention are further explored by analyzing the ways in which the dynamics between the different frames allow redefinition of domestic violence interventions. Despite the challenges involved in a domestic violence intervention, there seems to be potential for change in personal attitudes and reform of professional practices. The research findings underline the role of social and health care professionals as members of a larger chain of service providers working collaboratively against domestic violence. Implications for practice and directions in policy and future research are suggested.