A Case Study Using Shame Resilience Theory: Walking Each Other Home
AbstractHomelessness is an epidemic that affects thousands of people in the United States, the majority being single adults. Stigma and shame are emotions that can saturate the homeless experience. People who are experiencing homelessness can be subjected to shame from society, their community, and themselves, but also by the very organizations and social workers who are meant to help end their period of homelessness. When a person feels shamed and stigmatized by a social worker or organization, they are less likely to seek out or return and receive the services that can help them change their circumstances. Incorporating ...
Source: Clinical Social Work Journal - January 8, 2020 Category: Psychiatry & Psychology Source Type: research

Social Work and Psychedelic-Assisted Therapies: Practice Considerations for Breakthrough Treatments
AbstractThe re-emergence of  therapeutic uses for mind-altering, psychedelic drugs has brought the field of mental health to a new frontier in research, practice, and policymaking. In the past two decades dozens of clinical trials investigating therapeutic applications of psychedelics—including MDMA, psilocybin, and ketamin e—have shown promising results in the treatment of trauma-related disorders, some forms of anxiety, and depression. These substances have also garnered preliminary support from the Food and Drug Administration, which has fast-tracked their development. As the field of psychedelic scienc...
Source: Clinical Social Work Journal - January 7, 2020 Category: Psychiatry & Psychology Source Type: research

Social Isolation ’s Influence on Loneliness Among Older Adults
This study fills this gap by examining social isolation ’s overall influence on loneliness and how specific social isolation indicators influence loneliness. Data comes from 2014 Wave of the Health and Retirement Study, a nationally representative study of adults aged 50 and older. Social isolation was operationalized using seven indicators as social i solation from: (1) adult–children, (2) other family members, (3) friends, (4) living alone, (5) being unmarried, and (6) not participating in social groups or (7) religious activities. Loneliness was operationalized by the Hughes 3-item loneliness scale. Loneline...
Source: Clinical Social Work Journal - December 23, 2019 Category: Psychiatry & Psychology Source Type: research

Social Isolation Loneliness Among LGBT Older Adults: Lessons Learned from a Pilot Friendly Caller Program
This article shares lessons learned from 35 participants across a 12-month pilot program that matched LGBTQ + older adults to mostly LGBTQ + volunteer callers of various ages. Over one-third of participan ts identified as people of color and over 20% as transgender or gender nonbinary. This project employed community-based participatory action research to identify, implement, and evaluate the program. Data includes information from questionnaires and telephone interviews prior to and during the progr am. Nearly all participants identified the importance of LGBTQ + community in addr...
Source: Clinical Social Work Journal - December 12, 2019 Category: Psychiatry & Psychology Source Type: research

The “Wrong Kind” of Immigrants: Pre-migration Trauma and Acculturative Stress Among the Undocumented Latinx Community
AbstractThere has been an increase in Latinx immigration to the United States as citizens of Mexico and Central America move to escape perilous situations in their countries of origin. These immigrants ’ traumatic experiences may include gang violence, political oppression, war, and physical or sexual abuse, among other experiences, many related to increased drug trafficking activity. While Latinx immigrants often experience acute acculturative stress, particularly if they are undocumented, it i s frequently overlooked that the experience of acculturation will be worse if they suffered traumas in their countries of o...
Source: Clinical Social Work Journal - December 5, 2019 Category: Psychiatry & Psychology Source Type: research

“That’s Why I Stay to Myself”: Marginalized Youth’s Meaning Making Processes of Social Disconnectedness
AbstractNearly 15% of youth in New Orleans have been labeled “socially disconnected” from formal educational and economic systems (Babineau et al. in No longer invisible: Opportunity youth in New Orleans,http://www.thecoweninstitute.com.php56-17.dfw3-1.websitetestlink.com/uploads/OY-Data-Guide-2016-Revised-FINAL-1506966101.pdf, 2016). Socially disconnected youth face barriers to social, psychological, and economic well-being (Mendelson et al. in Public Health Rep 133:54S –64S, 2018). While there has been attention to the detrimental impacts associated with isolation in adolescence, there is a limited exam...
Source: Clinical Social Work Journal - December 5, 2019 Category: Psychiatry & Psychology Source Type: research

“They Kept Away”: Social Isolation of Cisgender Women Living with HIV in Hyderabad, India
AbstractSocial isolation of cisgender women living with HIV has been recognized as a barrier to early detection of the virus, disclosure of HIV status to partners, and access to healthcare and social work services. The goal of this study is to explore how social isolation and depression affect cisgender women living with HIV in Hyderabad, India. Sixteen cisgender women living with HIV were asked to complete in-depth interviews regarding their experiences with HIV stigma and depression. All interviews were digitally audio-recorded in Hindi or Telugu, then translated, transcribed, and analyzed using thematic content analysis...
Source: Clinical Social Work Journal - December 4, 2019 Category: Psychiatry & Psychology Source Type: research

Trauma-Informed Groups: Recommendations for Group Work Practice
AbstractThe need for helping professionals to provide services from a trauma-informed perspective has been receiving increasing attention. The primary goal of adopting a trauma-informed approach is to prevent inadvertent re-traumatization during service provision, and to ensure people receive appropriate services in a non-pathologizing manner. However, despite the growing recognition of trauma-informed approaches, there is lack of clarity in the literature about their application to group settings. This paper examines this area of service provision by: outlining the key concepts of trauma-informed practice; describing the ...
Source: Clinical Social Work Journal - December 3, 2019 Category: Psychiatry & Psychology Source Type: research

Job Training and so Much More for Low-Income Older Adults: The Senior Community Service Employment Program
We describe the complexity of the program and the people it serves and argue that using select measures that do not encompass the breadth of SCSEP’s benefits creates an inaccurate appear ance of ineffectiveness. We conclude with recommendations for SCSEP administrators and grantees, social workers, and others to enhance the promise of this important program. (Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - November 26, 2019 Category: Psychiatry & Psychology Source Type: research

The Role of Social Isolation in the Relationships Between Psychosis and Suicidal Ideation
This study examined the relationships between hallucinations, delusions, depression, social isolation, and suicidal ideation. Participants were involved in the cross-sectional Collaborative Psychiatric Epidemiology Surveys (CPES) including a large general population-based sample of households in the United States between 2001 and 2003. Participants (n  = 12,195) included adults over the age of 18 in the United States, all of whom completed a psychosis assessment. Hopelessness was measured using The Calgary Depression Scale for Schizophrenia (CDSS), hallucinations and delusions by the Positive and Negative Syn...
Source: Clinical Social Work Journal - November 25, 2019 Category: Psychiatry & Psychology Source Type: research

Eating Disorders in ‘Millennials’: Risk Factors and Treatment Strategies in the Digital Age
AbstractSocial media applications, known colloquially as “apps,” have quickly impacted the lives of young adults. There is evidence to support that suicide risk and social media use are correlated, which is of particular concern for individuals who struggle with body image, body dysmorphia, and eating disorders. These populations are already at a high er-risk for self-injurious behaviors and thoughts of suicide. In the treatment of eating disorders among emerging adults, known as Millennials, clinicians can feel disconnected to their clients when discussing and intervening in these new socialization structures ...
Source: Clinical Social Work Journal - November 20, 2019 Category: Psychiatry & Psychology Source Type: research

Counseling Women Who Have Terminated a Pregnancy Due to Fetal Anomaly (TOPFA): The ACCEPT Model
This article attempts to provide a practice model through a composite case study utilizing the proposed ACCEPT model. The ACCEPT model incorporates elements of modern grief theory and consists ofacknowledging disenfranchised grief,connecting emotions to the loss,continuing bonds,exploring distortions,practicing new skills, andtelling the story. Implications and recommendations for social work engagement, awareness, and therapeutic support of this population are also provided. (Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - November 4, 2019 Category: Psychiatry & Psychology Source Type: research

Coping with Transitions: The Case of Combat Reserve Forces
AbstractReserve duty is described as cyclical, ambivalent, and complex and as involving traumatic elements in all militaries. However, to our knowledge, little has been written about how the soldiers themselves phenomenologically define the experience within specific social contexts. Israel has mandatory military service for all citizens, many of whom continue to serve in the reserves. Given the ongoing conflicts in the region, combat reservists are often called upon to serve. Our aim in this paper is to investigate these soldiers ’ transitions from their call up to their engagement in battle, and finally, to their r...
Source: Clinical Social Work Journal - October 31, 2019 Category: Psychiatry & Psychology Source Type: research

#socialwork: Informal Use of Information and Communication Technology in Social Work
AbstractInformation and communication technologies (ICTs) have transformed social realms and professional fields of practice including social work. Research is lacking on informal ICT use and its impact on clinical social work. The purpose of the current study was to examine social workers ’ informal ICT use with clients between sessions as an adjunct to face-to-face practice, and thus contribute to the paucity of literature on this phenomenon. An online survey, #socialwork, was distributed among social workers with direct client contact, across Canada (n = 2609) and the U.S. (n  = 1225), ...
Source: Clinical Social Work Journal - October 28, 2019 Category: Psychiatry & Psychology Source Type: research

The Association Between Social Isolation and Health: An Analysis of Parent –Adolescent Dyads from the Family Life, Activity, Sun, Health, and Eating Study
We examined the relationship between social isolation and health among parents and their adolescent children. Data came from the 2014 Family Life, Activity, Sun, Health, and Eating Study (FLASHE), a cross-sectional internet study from the National Cancer Institute. Parents and their adolescent children (ages 12 –17) completed surveys about demographics, physical activity, and diet; analyses include all dyads in which at least one member provided information for any of the analyzed variables (N = 1851). Actor Partner Interdependence Models in Mplus with demographic covariates tested whether parent and ad...
Source: Clinical Social Work Journal - October 28, 2019 Category: Psychiatry & Psychology Source Type: research

Objective and Subjective Social Isolation and Psychiatric Disorders Among African Americans
This study addresses this gap by investigating the impact of objective (absence of contact with others) and subjective (lacking feelings of closeness to others) social isolation on psychiatric disorders among African Americans. The sample includes 3570 African Americans from the National Survey of American Life. Regression models were used to test the impact of objective and subjective isolation on 12-month MDD, any 12-month DSM disorder and number of 12-month DSM disorders. Analyses indicated that subjective isolation from family only, friends only, and both groups were associated with greater odds of meeting criteria for...
Source: Clinical Social Work Journal - October 24, 2019 Category: Psychiatry & Psychology Source Type: research

Theoretical Orientations to Intergenerational Home Sharing: Implications for Direct Social Work Practice on Addressing Student Debt and Aging-in-Community
AbstractPopulation aging presents many challenges that will require innovative solutions. Emerging challenges include low levels of affordable housing that jeopardize the sustainability of aging-in-community and health among older adults. Concurrently, the affordability of higher education is a pressing concern for graduate students. Intergenerational home sharing appears to be a promising solution to help improve the affordability of education and housing, bolster opportunities to age-in-place and age-within-communities, and consequently improve various aspects of health for individuals, families, and society. Although th...
Source: Clinical Social Work Journal - October 17, 2019 Category: Psychiatry & Psychology Source Type: research

The Relationships Between Loneliness, Social Support, and Resilience Among Latinx Immigrants in the United States
This study sought to examine how social support and loneliness shape Latinx immigrants ’ abilities to address the challenges related to migration. Multivariate linear regression analyses were conducted with survey data collected from Latinx immigrants in New York City (n = 306). Results revealed that Latinx immigrants with greater social support and less feelings of loneliness w ere more resilient. Specifically, findings suggest that social support may partially protect against the negative impact of isolation on Latinx immigrants’ capacity to thrive. Clinical social workers who work with immigran...
Source: Clinical Social Work Journal - October 16, 2019 Category: Psychiatry & Psychology Source Type: research

A Systematic Review of Loneliness Interventions Among Non-elderly Adults
AbstractLoneliness —the subjective experience of social isolation—is an important indicator of quality of life for adults and a major determinant of health. While much research has focused on interventions to alleviate loneliness in elderly populations, there has been no systematic investigation of loneliness inte rventions targeting the non-elderly adult population. The aim of this systematic review is to summarize current understanding on the effectiveness of interventions for alleviating loneliness among non-elderly adults. Littell et al.’s (Systematic reviews and meta-analysis, Oxford University Press...
Source: Clinical Social Work Journal - October 16, 2019 Category: Psychiatry & Psychology Source Type: research

Caregiver-Initiated Mentoring: Developing a Working Model to Mitigate Social Isolation
In this study, we explored the potential for developing an approach that fosters parents ’ capacity to be gatekeepers to their children’s adult support networks. We used a daylong collaborative workshop to partner with six parents from a low-income housing service and five youth-serving professionals from the community. Participants generated potential strategies by which parents ca n cultivate informal mentoring relationships and identified specific ideas for helping parents (a) see the value of actively seeking informal mentors, (b) recognize and manage potential risks, and (c) identify and make requests of p...
Source: Clinical Social Work Journal - October 15, 2019 Category: Psychiatry & Psychology Source Type: research

“My Scars Remain Forever”: A Qualitative Study on Biographical Developments in Adult Children of Parents with Mental Illness
This study aimed to investigate the lasting impact of parental mental illness on adult children's  biographies, personalities, and social relationships. According to this, the research was guided by a life course perspective, examining participants’ experiences in childhood, adolescence, and adulthood. Adult children (n = 18) who experienced childhood parental mental illness participated in an in-depth interview study. They reported a wide range of personal problems that they perceived as a result of their stressful childhood experiences. Adult children often felt negatively influenced and impaired...
Source: Clinical Social Work Journal - October 15, 2019 Category: Psychiatry & Psychology Source Type: research

Reducing Social Isolation Through Formal Youth Mentoring: Opportunities and Potential Pitfalls
AbstractMany young people experience social isolation and loneliness, which can have adverse effects on physical and psychological well-being. We propose that intergenerational relationships created through formal youth mentoring programs have the potential to reduce the social isolation of young people. Mentoring programs also enable adult volunteers to form new interpersonal connections. In addition, mentoring offers the possibility of strengthening the fabric of communities through engagement and interaction among participants from different social, racial, and economic backgrounds. Mentoring program goals, often influe...
Source: Clinical Social Work Journal - October 14, 2019 Category: Psychiatry & Psychology Source Type: research

Conceptions, Norms, and Values in the Work of Child Protective Services with Families at Risk: An Analysis of Social Workers ’ Diaries
This study is based on diaries maintained by three social workers in relation to 15 families that were the subject of interventions by the child protective services in Sweden. All of the mothers in the 15 families had been diagnosed with mental health problems. The diaries include both significant events within the families and the social workers ’ own feelings and perceptions about their work. This article discusses four themes:the Janus face of child protective services,clienthood and its conditions,child protective services and good or bad parenting, andthe fathers. The results show that the families were subjecte...
Source: Clinical Social Work Journal - September 11, 2019 Category: Psychiatry & Psychology Source Type: research

Introduction to “Best Practices in Psychosocial Healthcare: Complexity, Compromise, and Innovation”
(Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - August 13, 2019 Category: Psychiatry & Psychology Source Type: research

Voices from the Field: Ecological Factors that Promote Employment and Health Among Low-Income Older Adults with Implications for Direct Social Work Practice
AbstractWe employed cumulative dis/advantage and ecological theories to identify risk and protective factors at the individual, family, institutional, and societal levels that promote employment and health among low-income older adults. The authors conducted semi-structured interviews with 26 older adults who participated in a federally funded training and employment program for low-income individuals 55+  years of age. Qualitative data were analyzed using thematic analysis. Approximately 60% of participants had experienced a lifetime of disadvantages (e.g. low levels of formal education, poor physical and mental he...
Source: Clinical Social Work Journal - August 8, 2019 Category: Psychiatry & Psychology Source Type: research

The Process of Integrating Animal-Assisted Therapy into Clinical Social Work Practice
AbstractAnimal-assisted therapy (AAT) is considered an effective treatment model to use with a variety of populations and conditions, from autism to substance abuse, due to its flexible nature. As an integrative model, it often incorporates core modalities such as psychodynamic psychotherapy, cognitive behavioral therapy, psychodynamic psychotherapy and Gestalt therapy. Although there is a growing body of research addressing the efficacy of AAT, there is limited information on the actual process of utilizing AAT in clinical social work practice. Research shows that many clinicians support the use of AAT with clients but fa...
Source: Clinical Social Work Journal - August 7, 2019 Category: Psychiatry & Psychology Source Type: research

Correction to: A Call for Hope-Centered Work: A Preliminary Study of Oncology Social Workers ’ Perceptions of the Role and Value of Hope at End-of-Life
The original version of the article unfortunately contained an error in a couple of sentences. In ‘Personal Views and Experiences’ section, percentage value ‘98’ is missing in the sentence ‘Nearly all of participants ((* %) said that they thought of solutions to reach their hoped-for goals, agreeing or strongly agreeing with the statement: “When I have faced difficulties that couldn’ t be solved right then, I thought of solution for the future.” and it should read as below. (Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - July 8, 2019 Category: Psychiatry & Psychology Source Type: research

After the Flood: Reflections of a Wounded Healer ’s Countertransference in Adolescent Treatment
AbstractThe aim of this paper is to analyze countertransference experienced by a therapist while treating a ‘difficult to treat’ adolescent client. In doing so, the therapist discusses how his childhood experiences and the subsequent assumption of Carl Jung’s wounded healer archetype fueled the countertransference in ways that were concurrently beneficial and detrimental to treatment. The client’s symptoms, behavior, and family system are also examined to illustrate how they uniquely contributed to the intense feelings evoked in the therapist. Topics of omnipotence, curative fantasies, biblical myth...
Source: Clinical Social Work Journal - June 28, 2019 Category: Psychiatry & Psychology Source Type: research

A Call for Hope-Centered Work: A Preliminary Study of Oncology Social Workers ’ Perceptions of the Role and Value of Hope at End-of-Life
AbstractThis paper examines the role and value of hope in the experiences of people with cancer at end-of-life according to the social workers who counsel them. Despite discussion of hope ’s value in social work literature, it continues to be de-emphasized in end-of-life (EOL) social work training and discourse in favor of theories of grief, loss and bereavement. In an online survey, social workers affiliated with a national oncology social work organization (n = 67) responded to closed-ended items. They assessed personal views on and experiences of hope, views on hope within the context of EOL and work...
Source: Clinical Social Work Journal - June 11, 2019 Category: Psychiatry & Psychology Source Type: research

Racial Microaggressions and Psychological Distress Among Undergraduate College Students of Color: Implications for Social Work Practice
This study examines the relationship between racial microaggressions and psychological distress among undergraduate students of color and seeks to inform social work practice with that population. Participants in this study (n  = 216) were from a medium-sized research university which is a predominantly White institution (PWI) in the Northeast region of the United States. Multiple regression analyses were conducted to examine the relationship between racial microaggressions and psychological distress. The findings ind icated a positive relationship, particularly for those students that lived off campus. Among...
Source: Clinical Social Work Journal - June 3, 2019 Category: Psychiatry & Psychology Source Type: research

Clinical Practice with Children and Adolescents Involved in Bullying and Cyberbullying: Gleaning Guidelines from the Literature
AbstractBullying and cyberbullying have received unprecedented international scholarly attention over the last three decades, including increasingly sophisticated descriptive models, measures of associated harm, and studies of whole-school intervention programs. Despite an abundance of articles related to bullying and cyberbullying, there has been relatively little attention to clinical practice with children and adolescents involved in bullying and cyberbullying. The purpose of this article is to provide a comprehensive review of peer-reviewed academic journal articles published between January 1990 and June 2018 pertaini...
Source: Clinical Social Work Journal - May 29, 2019 Category: Psychiatry & Psychology Source Type: research

Self-Compassion as a Predictor of Self-Care: A Study of Social Work Clinicians
AbstractDespite the promise of self-care in dealing with employee challenges, there is nominal research related to this topic, in general, and among the clinical social work workforce, specifically. This exploratory study examines self-compassion, self-care, and the predictive relationship between the two among a sample (N  = 831) of clinical social workers practicing in one southeastern state. In so doing, this paper uniquely addresses several limitations in the current literature. Findings suggest that social work clinicians in this sample engaged in moderate amounts of self-compassion and self-care, respec...
Source: Clinical Social Work Journal - May 29, 2019 Category: Psychiatry & Psychology Source Type: research

Beyond the “Ick Factor”: Counseling Non-offending Persons with Pedophilia
This article will first describe what is known about pedophilia and minor-attraction. Next, the legal and ethical questions that therapists may ask in relation to this work will be explored. This paper will review obstacles to help-seeking identified by MAPs and discuss their treatment needs. Finally, recommendations will be offered for engaging MAPs in an emotionally safe and non-shaming therapeutic encounter. In this way, clinical social workers can contribute to advancing child sexual abuse prevention efforts. (Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - May 29, 2019 Category: Psychiatry & Psychology Source Type: research

Advance Care Planning: Opportunities for Clinical Social Work Leadership
AbstractAs our population ages, providing person-centered, family-focused, culturally congruent, quality care becomes ever more important. Advance care planning (ACP) conversations seek to elicit a person ’s values, beliefs and preferences and to identify who might be a surrogate decision-maker for a person if they are unable or unwilling to speak for themselves. These nuanced conversations provide the foundation for the delivery of personalized goal-concordant care. Yet, despite the many benefits associated with ACP, it remains underutilized. Clinical social workers are well positioned to take a leadership role in A...
Source: Clinical Social Work Journal - May 28, 2019 Category: Psychiatry & Psychology Source Type: research

Navigating Student Self-Disclosure Through a Relational Lens: Examples of Increased Self-Awareness from a Social Work Classroom
AbstractSelf-disclosure is a nuanced practice issue that often generates complex questions for even the most seasoned clinicians. While the social work literature has grappled with this intricate topic as it pertains to clinicians, field supervisors and social work instructors, there is little discussion about student self-disclosure within the classroom. Despite the focus on self-awareness within social work education, there is a gap in the literature regarding how to best prepare students for appropriate engagement in self-disclosure. This paper offers a relational perspective for navigating student self-disclosure in th...
Source: Clinical Social Work Journal - May 28, 2019 Category: Psychiatry & Psychology Source Type: research

Navigating Psychosocial Challenges in Primary Care with an Integrated Behavioral Health Model
AbstractResearch has demonstrated that physical health outcomes are often related to behavioral health outcomes. Integrated behavioral health models, particularly in primary care settings, help bridge gaps in care by linking the treatment of physical and emotional problems together. Social workers are a key part of the primary care treatment team because they are trained to assess patients within the full context of their biopsychosocial and spiritual needs. The following article explores the ways in which social workers can engage in integrated behavioral health models as an adaptive healthcare practice, the common health...
Source: Clinical Social Work Journal - May 20, 2019 Category: Psychiatry & Psychology Source Type: research

A Commentary on Compromise
AbstractThis commentary invites reflection on the origin stories of health and palliative social work, considers the essential congruity of social work values with the principles of palliative care and explores the impact of minority status within health care systems. Rather than compromise, the suggested vision is one of health social work asserting voice and values as leaders toward the goal of patient-centered, family-focused care across diagnoses and settings of practice. (Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - May 8, 2019 Category: Psychiatry & Psychology Source Type: research

Prioritizing the Dual Needs of Asylum-Seekers While Cultivating Psychotherapeutic Alliances
AbstractThe primary motivation that drives refugees to seek psychotherapy is the asylum-seeking process that requires that they prove a level of persecution in their home countries or risk deportation. Refugees are uninsured and lack access to mental healthcare; they often seek psychotherapeutic services in response to recommendations from their immigration attorneys during the asylum-seeking process. If a clinician can help secure asylum status with the biography of trauma while simultaneously prioritizing treatment of trauma-related mental healthcare needs, then the opportunity to begin the cultivation of an ongoing psyc...
Source: Clinical Social Work Journal - May 6, 2019 Category: Psychiatry & Psychology Source Type: research

Children ’s Perspectives on the Experiences of Their Siblings with Chronic Disorders
In conclusion, siblings show psychologically complex insi ghts into the experiences and mindsets of CCD and should be considered as informants in research and in informing practice interventions for CCD, alongside their parents. (Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - May 4, 2019 Category: Psychiatry & Psychology Source Type: research

Understanding Gendered Realities: Mothers and Father Roles in Family Based Therapy for Adolescent Eating Disorders
AbstractEating disorders are serious and life threatening illnesses that typically present during adolescence. The current recommended treatment for adolescents diagnosed with anorexia nervosa and bulimia nervosa is Family-Based Therapy. Family-Based Therapy is a manualized treatment that empowers parents to temporarily take control of the eating disorder symptoms. However, literature often discusses the role of parents in treatment, yet the reality is that mothers are often tasked with the difficult role of interrupting symptoms for their adolescent, while fathers remain absent or, at best, a support to the mother. By rem...
Source: Clinical Social Work Journal - April 30, 2019 Category: Psychiatry & Psychology Source Type: research

Prevalence of Adverse Childhood Experiences Among Veterans
AbstractThe adverse childhood experiences  (ACE) study showed that childhood trauma is common in the general population and has enduring effects on adult emotional and physical health. Levels of childhood adversity among individuals with a history of military service have been found to match or exceed those among individuals with no histor y of military service. Most studies to date have found that ACEs are associated with poorer mental health outcomes among service members and veterans, although the ways in which childhood adversity may contribute to vulnerability or resilience are not fully understood. Further, the ...
Source: Clinical Social Work Journal - April 29, 2019 Category: Psychiatry & Psychology Source Type: research

Bowen Family Systems Therapy with Transgender Minors: A Case Study
AbstractClinicians have seen a continually increasing rise in the number of children and adolescents presenting with gender dysphoria. Many are requesting gender-affirming medical interventions before they possess the legal authority to give consent. Since only legal caregivers can provide informed permission for transgender-specific medical treatment for minors, therapists who see these youths need an approach mindful of the distress inherent to the lived experience of transgender minors and respectful of the fear and hesitation most guardians of trans youth experience. Due to the partial or fully irreversible nature of m...
Source: Clinical Social Work Journal - April 27, 2019 Category: Psychiatry & Psychology Source Type: research

An Attachment-Informed Approach to Trauma-Focused Cognitive Behavioral Therapy
AbstractTrauma-focused cognitive behavioral therapy (TF-CBT) is a widely utilized evidence-based practice for treating children exhibiting symptoms of trauma. The model is theoretically grounded in principles of cognitive behavioral therapy (CBT) and incorporates a safe caregiver throughout treatment. TF-CBT ’s use of a safe parental figure is supported by attachment theory, but the model does not fully address the complex needs of the families frequently served by social service organizations. Through the lens of attachment, the TF-CBT model holds more potential by directly supporting the parent/chil d bond and enha...
Source: Clinical Social Work Journal - March 13, 2019 Category: Psychiatry & Psychology Source Type: research

A Ghost in Contemporary Theory: Selma Fraiberg ’s Social Work Identity and Her Contributions to Modern Psychoanalysis
AbstractRe-examining the work of Selma Fraiberg, an early psychoanalytic social worker, reveals the prediction of two dominant strains in contemporary psychoanalysis: attachment theory and the study of trauma. On the hundredth anniversary of her birth, reading her papers is a reminder of clinical social work ’s natural partnering with psychoanalysis. As American psychoanalysis has moved away from its primary focus on intrapsychic conflict toward relational models, it has incorporated the sine qua non of clinical social work: the person-in-environment. Fraiberg’s original identity as a social worker strongly inf...
Source: Clinical Social Work Journal - February 6, 2019 Category: Psychiatry & Psychology Source Type: research

Discourses of Migration and Belonging: How Language Shapes the Return-Thinking Processes of Ethiopians in Canada
This study examined how 15 Ethiopian-Canadian immigrants define and express their post-migration intentions. Specifically, this paper explores how the linguistic and cultural features embedded in language inform their return-thinking process. This paper contributes to emerging scholarship that expands the dominant conceptualization of language and migration to include a focus on how language becomes integral to the experience of migration through beliefs and value systems. Particularly, this paper argues that it is essential to recognize the multifaceted nature of migration, language, identity, and transnationalism and to ...
Source: Clinical Social Work Journal - January 25, 2019 Category: Psychiatry & Psychology Source Type: research

Breaking with Norms of Masculinity: Men Making Sense of Their Experience of Sexual Assault
AbstractIn recent years, the sexual assault of males has received growing attention both in the research literature and among the public. Much of the research has focused on documenting prevalence rates or the psychological consequences of male sexual assault. However, this article aims to understand how men, as gendered, embodied and affective subjects, make sense of their experiences of sexual assault. In-depth interviews with ten adult males who have experienced sexual assault have been analyzed using a phenomenological approach in order to learn more about their lived and gendered experience. Four themes emerged from t...
Source: Clinical Social Work Journal - January 7, 2019 Category: Psychiatry & Psychology Source Type: research

The Orthodox Jewish Couple in Therapy: Addressing Religious Conflict and Confronting the Divine Elephant in the Room
AbstractThis case study illustrates how religious conflict can define a couple ’s therapy. The couple therapist’s understanding of religious background can enable deeper discussion. For example, the therapist’s knowledge of observance creates a therapeutic space to explore broader themes of grief, longing, anger, religious commitment, God, and ultimately, commitment to m arriage. Religious themes emblematic in Orthodox Judaism are highlighted in this case study. Changes in one’s religious practice can generate a shift in the marital relationship; how to address religious changes and conflicts in the...
Source: Clinical Social Work Journal - December 18, 2018 Category: Psychiatry & Psychology Source Type: research

Introduction to the Special Issue on Field Education of Students
AbstractTwo Special Issues of the Clinical Social Work Journal have been dedicated to building on the social work discipline ’s tradition and commitment to the supervision of staff and field education of students. The first issue included papers on the supervision of professional social work staff. The focus of this issue is field education of students, the signature pedagogy of social work (CSWE in Educational policy a nd accreditation standards, CWSE, Alexandria,2008,2015a). Attention is given to macro structural issues impinging on the profession ’s capacity to provide quality learning experiences, in additi...
Source: Clinical Social Work Journal - December 6, 2018 Category: Psychiatry & Psychology Source Type: research

How Well-Prepared are Graduating MSW Students in Clinical Competencies?
This study explored field supervisors ’ and students’ perceptions of how well-prepared graduates are in general and specific clinical competencies. The study was a mixed method design that included a quantitative survey and follow-up focus groups. Results suggested a significant consensus around perceptions of competencies for which graduates are prepared as well as those with which they struggle. This article presents both qualitative and quantitative findings of the study and their implications for increased coordination between faculty of graduate social work programs and field representatives. (Source: Clin...
Source: Clinical Social Work Journal - December 3, 2018 Category: Psychiatry & Psychology Source Type: research

10 Years Later …Are Rotational Field Placements Working?
AbstractA rise in social work programs has led to increased needs for quality field placements. Social workers are expected to occupy educator roles in addition to increasing clinical demands and responsibilities within their work settings. In response to this demand, rotational models of field placements have been introduced. This qualitative study Examined recent trends and perspectives of acute-care hospital social workers engaged in rotational models of supervision. Using focus group data and qualitative data analysis, results indicated that the model has grown in popularity over the past decade, with increasing use fo...
Source: Clinical Social Work Journal - November 16, 2018 Category: Psychiatry & Psychology Source Type: research