Treatment of the bipolar client: Clinical social work contributions

The medicalization of bipolar disorder during the past two decades has tended to obscure the fact that it remains a disorder of uncertain etiology. Research has continued to support hypotheses that there are psychological and social, as well as biological, components of the onset and course of the disorder. Comprehensive treatment of the bipolar clinet thus requires intervention at all three of these levels. Social workers, with theiry psychosocial perspective, are well qualified to coordinate an overall treatment plan. The social worker's role includes six general intervention strategies.     

The development of evaluation as a profession: Current status and some predictions

Sociological models of professionalization are applied to recent events in program evaluation in order to understand the development of the field and to predict future events. The focus is on problems that might arise and on the necessity of ameliorating them. The possibility of eliminating such problems is discounted since they appear to be integral elements of the process of professionalization. Major elements of the analysis include discussions of the consequences of the development of a specialized body of evaluation knowledge, the definition of evaluation tasks, exclusivity in the performance of those tasks, the development of professional associations, and problems in the training of evaluators. The reasons for problems in these areas are presented and the importance of being aware of the origin of the problems is discussed.     

Resiliency factors in the relation between childhood sexual abuse and adulthood sexual assault in college-age women

Research has suggested that childhood sexual abuse (CSA) may be a risk factor for adulthood sexual assault. This study examined associations between CSA experiences, cognitive resiliency variables, and revictimization. Participants were 73 college-age females who completed self-report questionnaires assessing CSA, adult assault, self-efficacy, locus of control (LOC), and coping styles. Sexual assault was categorized as forced or coerced assault based on the tactics used by the perpetrator. Results indicated that CSA alone was the strongest independent predictor of forced adult assault; however, LOC and positive coping were associated with resiliency to coercive sexual assault. The current findings have clinical implications in that LOC and coping styles are characteristics that can be enhanced through therapy.     

The Therapeutic Use of Humor With Clients Who Have Schizophrenia

A positive worker/client relationship contributes greatly to a mental health client’s achievement of intervention goals. Practitioners who work with clients who have schizophrenia sometimes face challenges in developing positive relationships with them when the cognitive impairments characteristic of that disorder make verbal communication difficult. The purpose of this article is to review the indications for using humor with clients in general and then consider the potential for practitioners to use humor as one means of developing constructive working relationships with clients who have schizophrenia. This article does not address the use of specific humor techniques, but considers whether practitioners with a natural sense of humor can use it to their advantage in working with members of this population. Seven principles for the use of humor, and seven client examples, are included.     

Looked after children's right to contact with birth parents: An Australian study

In Australia, there are more than 46 000 children in out-of-home care (OOHC). Most of these children have been in OOHC for more than 2 years. Similarly, there are more than 407 000 children in the United States and over 80 800 in England who are ‘looked after’ with approximately one third of these children being in OOHC for more than 2 years. This paper concerns ‘looked after’ children's rights to contact with their birth parents. The United Nations Convention on the Rights of the Child (UNCRC) requires child protection systems to recognize the rights of children to maintain contact with their families except where this is not in the child's ‘best interests’. In this paper, we report on a qualitative study conducted in Australia exploring legal and family support practitioners' perceptions of barriers to contact between children in OOHC and their birth parents. The thematic analysis identified four themes: These were as follows: a focus on systems driven responses; lack of cultural recognition and responsiveness; carers' disconnection from birth parents; and parents' exclusion. We discuss the implications of these findings for understanding and recognizing children's right to contact with birth parents.