Table Of ContentSocial Work Live
Social Work Live
Theory and Practice in Social Work
Using Videos
By Carol Dorr, Ph.D.
1
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Library of Congress Cataloging-in-Publication Data
Dorr, Carol.
Social work live : theory and practice in social work using videos / by Carol Dorr Ph.D.
pages cm
ISBN 978–0–19–936893–8
1. Social service. 2. Social case work. I. Title.
HV40.D677 2014
361.3—dc23
2014022086
9 8 7 6 5 4 3 2 1
Printed in the United States of America
on acid-free paper
Contents
Preface xv
Acknowledgments xvii
Introduction xix
1. Overview of Practice in Social Work 1
What Is Direct Practice? 1
Direct Practice, Generalist Practice, and Clinical Practice 2
Qualities of Worker–Client Relationship 3
Clinical Wisdom 4
Paying Attention to Content and Process in the Interview 5
Intersubjectivity 6
Process Recordings 6
Communication Skills 9
Strengths Perspective 14
Empowerment 15
Diversity 16
Values and Ethics 17
Use of Self, Self-Reflection, and Self-Awareness 19
Evidence-Based Practice 20
Assessment 22
Ecological Model 23
Diagnosis versus Assessment 23
Problem-Solving Method 24
Psychosocial Assessment and Intervention Strategy 25
Bio/Psycho/Social/Spiritual Assessment 26
What Is Spirituality? 28
How I Use Spirituality in My Practice 29
References 32
vi | Contents
2. Overview of Theories 34
Use of Videotaped Recordings, Transcripts, and Process Recordings to
Identify Theories 34
Use of Multiple Theories and Advantages of Combining Theories 36
Warning About Techniques and Eclecticism 37
Approach to Using Theories in Case Studies 38
Psychodynamic Theories 38
Ego Psychology 40
Object Relations 42
Narrative Theory 44
Cognitive Theory 47
Positive Psychology 50
Behavioral Theory 50
Systems Theory 54
Family Systems Theory 54
Family Emotional Systems Theory or Multigenerational Family Theory 55
Structural Family Theory 59
References 62
3. Practice with Serious and Life-Threatening Illness 64
Allen: “I’m not a heart on my sleeve kind of guy.” 64
Description of Practice Area 64
Loss and Meaning-Making 64
Listening to Patients’ Stories 65
Meditative and Mind–Body Practices 66
Individual and Family Life Cycle Assessment 67
Setting: Social Work in a Hospital Setting 69
How Context Shapes Practice 69
Diagnosis and Intervention: Diagnosis of Panic Attack 71
Panic Attack and Panic Disorder 71
DSM-V Criteria for Panic Disorder 71
Evidence-Based Intervention for Panic Disorder 72
Medical Terminology 72
Case Description 73
History 73
Precipitating Event for Social Work Crisis Intervention 73
First Excerpt from Transcript and Process Recording 74
Reflection of First Process Recording and Discussion of Practice
Skills and Theories Used in Intervention 80
Communication Skills 80
Other Practice Skills Used 83
Theories Used in Intervention 83
Narrative Theory 84
Contents | vii
Cognitive and Behavioral Theories 85
Psychodynamic Theories 86
Family Systems Theory 86
Second Excerpt from Transcript and Process Recording 87
Reflection of Second Process Recording and Discussion of Practice Skills and
Theories Used in Intervention 88
Communication Skills 88
Other Practice Skills Used 89
Theories Used in Intervention 89
Family Systems Theory 89
Cognitive Theory 90
Psychodynamic Theory 90
Narrative Theory 90
Behavioral Theory 91
Third Excerpt from Transcript and Process Recording 91
Reflection of Third Process Recording and Discussion of Practice
Skills and Theories Used in Interventions 95
Communication Skills 95
Other Practice Skills Used 97
Theories Used in Intervention 98
Psychodynamic Theory 98
Behavioral Theory Using Mindfulness 99
Cognitive-Behavioral Theories 99
Summary of Third Excerpt and Conclusion: Significance of Social
Work Interventions 99
Summary of the Remainder of the Interview with Allen 100
Preparing for Surgery 100
Endings 100
Assessment 101
Problem-Solving Method 101
Bio/Psycho/Social/Spiritual Assessment 104
Psychosocial Assessment and Intervention Strategy 105
End of Chapter Resources 107
Questions for Students 107
Interviewing Skills Used in the Case of Allen 113
Medical Terms and Definitions for Cardiac Patients 116
References 120
4. Practice with At-Risk Populations: The Elderly and Public Assistance 122
Betty: “If i don’t get money here, I’ll be out on the street.” 122
Description of Practice Area 122
The Role of Individualism in American Society 123
Poverty and Social Welfare Policies 124
viii | Contents
History of Public Assistance Programs 125
Criminalization of Poverty 126
Poverty and Healthcare Policy 127
Age Discrimination in the Workplace 129
Setting: Public Assistance Office 130
Case Description 130
Situation 130
Precipitating Event for Social Work Intervention 131
First Excerpt from Transcript and Process Recording 131
Reflection of First Process Recording and Discussion of Practice
Skills and Theories Used in Intervention 134
Communication Skills 134
Other Practice Skills Used 135
Theories Used in Intervention 136
Psychodynamic Theory 136
Narrative Theory 137
Second Excerpt from Transcript and Process Recording 137
Reflection of Second Process Recording and Discussion of Practice
Skills and Theories Used in Intervention 141
Communication Skills 141
Other Practice Skills Used 143
Theories Used in Intervention 144
Psychodynamic Theory 144
Cognitive Theory 144
Narrative Theory 145
Third Excerpt from Transcript and Process Recording 145
Reflection of Third Process Recording and Discussion of Practice
Skills and Theories Used in Intervention 148
Communication Skills 148
Other Practice Skills Used 149
Theories Used in Intervention 150
Psychodynamic Theory 150
Narrative Theory 151
Cognitive Theory 151
Fourth Excerpt from Transcript and Process Recording 151
Reflection of Fourth Process Recording and Discussion of Practice
Skills and Theories Used in Intervention 157
Communication Skills 157
Other Practice Skills Used 158
Theories Used in Intervention 159
Psychodynamic Theory 159
Narrative Theory 160
Cognitive Theory 161
Contents | ix
Fifth Excerpt from Transcript and Process Recording 162
Reflection of Fifth Process Recording and Discussion of Practice
Skills and Theories Used in Intervention 165
Communication Skills 165
Other Practice Skills Used 167
Theories Used in Intervention 169
Cognitive Theory Using Coaching and Cognitive Restructuring 169
Psychodynamic Theory 169
Narrative Theory 170
Summary of Excerpt 5 and Conclusion: Significance of Social Work
Interventions in Public Assistance 170
Assessment 170
Problem-Solving Method 170
Psychosocial Assessment and Intervention Strategy 172
Bio/Psycho/Social/Spiritual Assessment 175
End of Chapter Resources 176
Questions for Students 176
Interviewing Skills Used in the Case of Betty 182
Terms and Definitions for a Public Assistance Client 184
References 187
5. Practice with Children: Issues of Childhood Leukemia and Divorce 190
Emily: “Will they be scared of me, thinking they might catch it?” 190
Description of Practice Area 190
Practice with Children 190
Developmental Theory 191
Resiliency 193
Play and Expressive Therapies with Children 194
Divorce and Children 196
Practice with Leukemia and Childhood Cancer 197
Setting: Social Work in an Outpatient Hospital Clinic 198
Diagnosis and Intervention: Diagnosis of Childhood Leukemia 200
Case Description 202
Medical History 202
First Excerpt from Transcript and Process Recording 203
Reflection of First Process Recording and Discussion of Practice
Skills and Theories Used in Intervention 205
Communication Skills 206
Other Practice Skills Used 208
Theories Used in Intervention 208
Narrative Theory 208
Psychodynamic Theory 209
Cognitive Theory 209
