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 29, 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 prev...
Source: Clinical Social Work Journal - April 28, 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 26, 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 enhancin...
Source: Clinical Social Work Journal - March 12, 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 informed he...
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 therapy is explored...
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 addition to th...
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: Clinical Social Work Journal)
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
Clinical Social Work Scope of Practice Related to Diagnosis
AbstractThis paper discusses a relatively undocumented movement by clinical social workers to gain mental health diagnostic privileges as part of their scope of practice across the United States. The primary purpose of this paper is to identify which states permit social workers to diagnose. Reviewers located the state regulatory codes on social work scope of practice to determine if diagnosis of mental disorders was permitted and contacted corresponding state boards and NASW chapters to understand diagnostic privileges and grassroots movements in this area. We found that only three states do not authorize social workers t...
Source: Clinical Social Work Journal - November 9, 2018 Category: Psychiatry & Psychology Source Type: research
Empirical Support and Considerations for Social Work Supervision of Students in Alternative Placement Models
AbstractField education is a core component of the Australian entry-level professional social work qualification and has long been recognized globally as offering students significant personal and professional growth and learning. However, in Australia, as in other western countries, social work courses are under pressure to find sufficient placements for increasing numbers of social work students, many of whom bring their own complexities and learning needs. Field education programs have been responding by using a range of alternative supervision models to replace the traditional one-on-one approach but there has been lit...
Source: Clinical Social Work Journal - November 9, 2018 Category: Psychiatry & Psychology Source Type: research
Grading Individual Observations of Practice in Child Welfare Contexts: A New Assessment Approach in Social Work Education
AbstractStudents in the Frontline social work qualifying program undertake seven graded observations of practice in child welfare contexts during their qualifying studies. Before the Frontline program, educators had not attempted to implement graded observations of practice in a qualifying program in the United Kingdom. In this paper, we seek to show how graded practice observations have been undertaken in the Frontline program and provide information about the research base informing its development. A summary of findings from three preliminary research studies are presented. We suggest it is possible to grade practice co...
Source: Clinical Social Work Journal - October 27, 2018 Category: Psychiatry & Psychology Source Type: research
The Availability of Supervision in Routine Mental Health Care
AbstractClinical supervision is an embedded resource for practice quality in community mental health organizations. Supervision has been found to increase provider competence and decrease stress. In addition, supervision has been associated with service user outcomes including decreased depressive symptoms. However, little is known about the availability and nature of supervision in real world settings. The primary aims of this study were to identify available supervision and the extent to which contextual factors are related to that availability. The data source for this study was a multi-state and multi-site (N = 14...
Source: Clinical Social Work Journal - October 15, 2018 Category: Psychiatry & Psychology Source Type: research
