Teaching Note—Circle of Insight: A Paradigm and Pedagogy for Liberation Social Justice Social Work Education

The Circle of Insight is a dialectical, open, purposeful, and enlightening process that moves those engaged toward deeper, liberating insight. It is a pedagogical construct I created over the past 15 years that I have used in teaching and developing my social justice social work classes. It integrates a see, reflect, act cyclical process that is at once personal and social. In this article, I present the Circle of Insight as a teaching tool, a creative, transformative pedagogical process for explicitly advancing Competency 3, Advance Human Rights and Social, Economic, and Environmental Justice, of the Council on Social Work Education’s Educational Policy and Accreditation Standards for baccalaureate and master’s social work programs.     

Service Learning and Community Engagement: A Comparison of Three National Contexts

One of the presumptions of a well-functioning, viable democracy is that citizens participate in the life of their communities and nation. The role of higher education in forming actively engaged citizens has long been the focus of scholarly research, but recently an active debate has emerged concerning the role of service as a third core function of institutions of higher learning. Service learning (SL), a teaching approach that extends student learning beyond the classroom, is increasingly seen as a vehicle to realize this third core function. By aligning educational objectives with community partners’ needs, community service is meant to enhance, among other objectives, reciprocal learning. Although the term and its associated activities originated in the United States (US), theoretical debates linking civic engagement and education extend far beyond the US context. Nevertheless, research on SL as a distinctive pedagogical approach remains a nascent field. A significant gap exists in the literature about what this pedagogical approach seeks to achieve (in nature and in outcomes) and how it is construed in non-western contexts. Using a comparative analysis across three widely different contexts, this article explores the extent to which these differences are merely differences in degree or whether the differences are substantive enough to demand qualitatively different models for strengthening the relationship between higher education and civil society.     

Sharing Health Services: Two Universities,a Seminary,and a Community

Abstract

“The Inverse Relation Between Fish Consumption and 20-Year Mortality From Coronary Heart Disease,” DAAN KROMHOUT, et al. The low death rate from coronary heart disease among the Greenland Eskimos has been ascribed to their high fish consumption. We therefore decided to investigate the relation between fish consumption and coronary heart disease in a group of men in the town of Zutphen, the Netherlands. Information about the fish consumption of 852 middle-aged men without coronary heart disease was collected in 1960 by a careful dietary history obtained from the participants and their wives. During 20 years of follow-up 78 men died from coronary heart disease. An inverse dose-response relation was observed between fish consumption in 1960 and death from coronary heart disease during 20 years of follow-up. This relation persisted after multiple logistic-regression analyses. Mortality from coronary heart disease was more than 50 per cent lower among those who consumed at least 30g of fish per day than among those who did not eat fish.

We conclude that the consumption of as little as one or two fish dishes per week may be of preventive value in relation to coronary heart disease. (New England Journal of Medicine 1985;312:1205–9.)

“Teaching Touch at Medical School,” JULES OLDER. The association between touch and healing is ancient and worldwide. Skilled hands are among the physician's most important diagnostic and therapeutic tools. Yet a survey of medical schools in the English-speaking world revealed that most offer no touch training in their curricula. Of 169 medical schools, only 12 give any formal instruction in the uses and meaning of therapeutic touch in medicine. The teaching modes of these 12 schools are discussed, and the program of the most touch-conscious school, the University of Otago, is described. (Journal of the American Medical Association 1984;252:931–3.)

“Tubal Infertility and the Intrauterine Device,” DANIEL W. CRAMER, et al. To study the association between intrauterine devices (IUDs) and pelvic inflammatory disease, we compared contraceptive histories in 4185 white women—283 nulliparous women with primary tubal infertility, 69 women with secondary tubal infertility, and 3833 women admitted for delivery at seven collaborating hospitals from 1981 to 1983. The relative risk of tubal infertility associated with IUD use was calculated by means of multivariate logistic regression to control for confounding factors, including region, year of menarche, religion, education, smoking, and reported number of sexual partners. The adjusted risk of primary tubal infertility associated with any IUD use before a first live birth was 2.0 (95 per cent confidence limits, 1.5 to 2.6) relative to nonuse. Users of the Dalkon Shield had an adjusted risk of 3.3 (1.7 to 6.1), users of the Lippes Loop or Saf-T-Coil had a risk of 2.9 (1.7 to 5.2), and users of copper IUDs had a risk of 1.6 (1.1 to 2.4). Women who reported having only one sexual partner had no increased risk of primary tubal infertility associated with IUD use. The adjusted risk of secondary tubal infertility associated with use of a copper IUD after a first live birth was not statistically significant (1.5; 95 per cent confidence limits, 0.8 to 3.0), whereas the risk from similar use of noncopper devices was significant (2.8; 1.3 to 5.9). We conclude that tubal infertility is associated with IUD use, but less so with copper IUDs. (New England Journal of Medicine 1985;312:941–7.)     

Youth homelessness and the racial knowledge gap

We know relatively little about homeless youth of color. Despite comprising almost three-quarters of the homeless youth population in the United States, youth of color, along with their unique needs, experiences, and wellbeing, have seldom been the subject of sustained and critical empirical inquiry. For example, in the context of education, the ways in which grade point averages, frequency of school change, and graduation rates may differ between homeless youth in general and homeless youth of color remain unknown. Even if we were to take the liberty of extending the existing comparative research regarding general student performance, the best we can surmise is that homeless youth of color fare worse according to all of these traditional success standards, but we haven’t the faintest idea how much worse or why. When it comes to vital questions about the wellbeing of some of the most vulnerable children in America, we are, at worst, asleep at the wheel and, at best, stumbling in the dark. On its surface, the “racial knowledge gap” appears to be a yawning expanse of missing information enveloped by a hazy mist of imprecise data interpretation, the meaning and significance of which I expound upon in this brief.     

Stigmatizing Clients with Mental Health Conditions: An Assessment of Social Work Student Attitudes

Research suggests that stigma plays a major role in discouraging clients from participating in mental health treatment. Because social workers provide a significant amount of such services, this study investigates social work student stigma as a function of their willingness to treat clients with alcohol dependence, nicotine dependence, depression, and Alzheimer's disease. Students' held higher levels of stigma toward nicotine dependent clients and less toward those with depression. Personal histories of depression and student age - but not smoking or alcohol use - were predictive of higher stigma levels towards nicotine dependent clients. Implications for social work are discussed.     

Revisiting multi-tier wage structures: Equity,employment mobility,and tier effects

This study considers the competing conclusions reached by Martin and Peterson (1987) and Cappelli and Sherer (1990) regarding two-tier wage systems and examines how worker perceptions of their own employment mobility affect attitudes about two-tier systems. Findings from a hybrid multi-tier wage system in the retail food industry containing both permanent and merging or temporary tiers indicates that workers on the permanently lower B tier possessed more negative attitudes than their A-tier counterparts, with some evidence that the effects of permanent and temporary plans differ. Employment mobility moderates these attitudes, for low mobility workers report more positive attitudes than do high mobility workers.