Mitchell's Relational Conflict Model: An Analysis of Its Usefulness in Clinical Social Work

This article examines the relational conflict model developed by Stephen A. Mitchell. The main concepts of Mitchell's relational conflict model are discussed, particularly early patterns of connection to parental figures and the interactive treatment approach to understanding and changing those relational patterns. The model is contrasted with classical drive and developmental arrest theories in the psychodynamic treatment of psychopathology. We explain how Mitchell's model, in keeping with a social work perspective, takes into consideration the social, cultural, and environmental factors as well as the intrapsychic. We discuss how patterns of relating are reworked throughout the life course, and we explore the potential for individual agency in constructing new patterns of relating. We also highlight the social constructivist aspects of Mitchell's approach which are congruent with current contemporary trends in social work theory. A case vignette is presented to illustrate the viability of this model for clinical social work practice.     

Family Therapy Practitioners Researching the Reactions of Practitioners to an Outcome Measure

Family therapy is under increasing pressure to use ‘objective’ measures of effectiveness, but there are strong voices in the field objecting to such research. The primary objective of this project was to investigate the acceptability and perceived potential usefulness of a short self‐report questionnaire. A secondary objective was to explore the viability of conducting such research by a group of practitioners who would collaborate primarily through emails. Nine experienced family therapists were interviewed as they worked through the 16 items of a pilot version of the SCORE questionnaire. The recorded interviews were analysed using Template Analysis. The SCORE was found to be generally acceptable for use with clients but the exercise generated information on a variety of concerns about the content of the measure. Beyond its potential as an outcome measure there was considerable interest in how it could be used therapeutically. The operation of the Practitioner Research Network proved functional but indicated some of the difficulties that such networks might encounter.     

The Effects of State Alcohol and Pregnancy Policies on Women’s Health and Healthy Pregnancies

US states have enacted a wide range of laws to address health challenges associated with alcohol use during pregnancy. Some have taken punitive approaches that restrain women’s behavior, and some have taken supportive approaches aimed at improving women’s health and supporting healthy pregnancies. In this article we report on a study of implementation of supportive and punitive policies when both types of policies operate simultaneously in the same jurisdiction. Effects of mixed use laws on multiple stakeholder groups, especially pregnant and postpartum women, are studied. We conclude by identifying how our findings can be extended for future comparative state research.     

The Snowballing Penalty Effect: Multiple Disadvantage and Pay

This paper makes the case that the current single‐axis approach to the diagnosis and remedy of pay discrimination is inadequate in the case of multiple disadvantage. While a good deal is known about pay gaps, particularly those affecting women, less is known about those affecting people in other disadvantaged groups and those in more than one such group. This analysis of multiple years of pay data, n = 513,000, from a large UK‐based company shows that people with more than one disadvantaged identity suffer a significantly greater pay penalty than those with a single disadvantage. The data also suggest that penalties associated with multiple disadvantage exponentially increase. In other words, disadvantages seem to interact to the detriment of people at ‘intersections’. The paper considers the implications for policies aimed at reducing pay inequalities. These currently take a single‐axis approach and may be misdirected.     

Living everyday lies: the experience of self

Lying is a ubiquitous feature of everyday social convention and also permeates the intimate bonds of romantic and family life. This article reviews the research literature on the gender-based motivations for lying and the contexts in which it occurs, along with relevant psychoanalytic perspectives, which help to explain how lying is related to one’s experience of self. Emphasis will be placed on contemporary psychoanalytic formulations, which emphasize the subjective nature of truth and the multiplicity of self-experience. A case illustration is offered to demonstrate the applicability and complementarity of various viewpoints on the topic.This article is based on a keynote address given at the New York State Society for Clinical Social Work 29th Annual Conference held in New York City. The Conference theme was entitled “Secrets and Lies: Intrapsychic and Interpersonal Dimensions.”