Non-death Loss: Grieving for the Loss of Familiar Place and for Precious Time and Associated Opportunities
AbstractGrieving for the non-death losses of one ’s place and all that is familiar and the loss of precious time and the associated opportunities go largely unnoticed in society as well as in the profession’s literature and practice. Too often, people are left on their own to grieve and suffer from these types of non-death losses. In this arti cle, the authors attempt to broaden the conception of grief by discussing and illustrating two types of more ambiguous non-death losses (Boss, J Fam Theory Rev, 8:269–286,2016). Each of these types of non-death losses is examined from a theoretical, empirical and clinical persp...
Source: Clinical Social Work Journal - September 17, 2018 Category: Psychiatry & Psychology Source Type: research

Social Work Supervision of Staff: A Primer and Scoping Review (2013 –2017)
AbstractSupervision of staff has a rich history within the social work profession, and is widely valued internationally for the support, knowledge, and skill it is perceived to provide. Moreover, quality supervision is championed for ensuring good client care. However, supervisors practicing within the social work profession have not typically had access to best practice information, nor accessed the parallel research related to the supervision of staff. A supervision primer provides an orientation to the supervision literature, including definitions and disciplinary perspectives. This sets the stage for a scoping review o...
Source: Clinical Social Work Journal - September 17, 2018 Category: Psychiatry & Psychology Source Type: research

Addressing the Indirect Trauma of Social Work Students in Intimate Partner Violence (IPV) Field Placements: A Framework for Supervision
AbstractIntimate partner violence (IPV), which encompasses physical, sexual, financial, and/or emotional abuse in a dating or partner relationship, is a serious and prevalent issue that social workers respond to. IPV can create varying degrees of trauma among survivors, such as posttraumatic stress, hypervigilance, flashbacks, anxiety, and depression. Social workers play a key role in helping survivors of IPV recover from this trauma, which in turn puts them at risk of experiencing indirect trauma such as vicarious trauma, secondary traumatic stress, and compassion fatigue. Unfortunately, social work students are at an eve...
Source: Clinical Social Work Journal - September 6, 2018 Category: Psychiatry & Psychology Source Type: research

Remission from Depression in the DSM: Moving from Rhetoric to Restoration
AbstractThe Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders, uses the term “remission” to describe the reduction of depressive symptoms. This paper argues that by categorizing someone who no longer has depressive symptoms as “in remission,” that person may feel indefinitely tied to his or her diagnosis. Considering the unfortunate stigma associated with mental illn ess, permanent linkage to diagnosis through records and professional memory may cause individuals to internalize pathology. In fact, the language of ...
Source: Clinical Social Work Journal - September 1, 2018 Category: Psychiatry & Psychology Source Type: research

A Critical Examination of CBT in Clinical Social Work Practice
AbstractThe dominance of cognitive behavioral treatment in social work practice is acknowledged and challenged, not from the usual quarters of pointing out its limitations as a theoretical and conceptual model, but from a fundamental critique of its evidentiary basis and the methodology from which such claims of superiority are pronounced. Significant concerns are raised about the restrictive inclusion criteria, the lack of ethnic and racial diversity, inadequate control groups, and researcher bias in random controlled trials studies. Further concerns are raised from social/cultural/political/professional dynamics that are...
Source: Clinical Social Work Journal - September 1, 2018 Category: Psychiatry & Psychology Source Type: research

“Bridging Several Worlds”: The Process of Identity Development of Second-Generation Ethiopian and Eritrean Young Women in Canada
AbstractThis paper explores the social and cultural experiences of second-generation Ethiopian and Eritrean young women in relationship to expectations surrounding identity continuity by way of maintenance of traditional culture. From the analysis of ten in-depth interviews, complexities in family relationships emerged as a major category with interrelated concepts that particularize the social and cultural experiences of second-generation Ethiopian and Eritrean women with their process of identity formation. These included gendered intergenerational relationships whereby Ethiopian and Eritrean parents maintained a strong ...
Source: Clinical Social Work Journal - September 1, 2018 Category: Psychiatry & Psychology Source Type: research

Practice What You Preach: An Exploration of DBT Therapists Personal Skill Utilization in Burnout Prevention
AbstractThe purpose of this study was to examine the relationship between DBT therapists personal skill use on burnout and stress levels. The study was exploratory in nature and used a mixed methods convenience sample that surveyed DBT practitioners through an international list serve. Burnout and stress were measured, along with skill use and demographic information in a sample of 135 participants. The main findings suggest that DBT practitioners use DBT skills on their own and report benefits of doing so in their personal lives; perceived stress in the workplace is a predictor of burnout; and DBT skill use was a signific...
Source: Clinical Social Work Journal - September 1, 2018 Category: Psychiatry & Psychology Source Type: research

Autism Spectrum Disorder: The Impact of Stressful and Traumatic Life Events and Implications for Clinical Practice
AbstractResearch findings suggest that behavioral interventions are effective in improving educational outcomes and fostering skill development in people with autism spectrum disorder (ASD). However, high rates of comorbidity between ASD and other psychological disorders, including depression and anxiety, indicate that standard behavioral approaches are not adequately addressing issues related to mental health in this population. Research emerging since the publication of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) is advancing our understanding of the nature of childhood stress a...
Source: Clinical Social Work Journal - September 1, 2018 Category: Psychiatry & Psychology Source Type: research

A Review of the Effectiveness and Mechanisms of Change for Three Psychological Interventions for Borderline Personality Disorder
This article will review three major evidence-based treatments for BPD: dialectical behavior therapy, schema-focused therapy and mentalization-based treatment. While not a panacea, these treatments have provided, to differing degrees, a reasonable level of evidence indicating therapeutic effectiveness. The evidence base for each of these models is discussed as well as possible mechanisms of change. The article highlights similarities between the differing modalities as well as the features that distinguish the models. The article contends that increasing mentalization skills may be a common underlying factor in all treatme...
Source: Clinical Social Work Journal - September 1, 2018 Category: Psychiatry & Psychology Source Type: research

Exposure to Client Trauma, Secondary Traumatic Stress, and the Health of Clinical Social Workers: A Mediation Analysis
AbstractWhile it is widely acknowledged that providing services to traumatized populations may negatively impact the mental health of clinicians, little is known about the impact of exposure to traumatized clients and secondary traumatic stress on the physical health status of clinicians. As such, the twofold purpose of this study was to: (1) document the prevalence of STS in a national (US) sample of clinical social workers, and (2) to examine the relationships between exposure to client trauma, STS, and perceived health of clinical social workers. Specifically, we sought to determine if STS mediates the relationship betw...
Source: Clinical Social Work Journal - September 1, 2018 Category: Psychiatry & Psychology Source Type: research

Trauma Focused Cognitive Behavioral Therapy with Children of Incarcerated Parents
AbstractThis paper explores children ’s trauma symptoms related to parental incarceration and lays the groundwork for the implementation of Trauma Focused Cognitive Behavioral Therapy (TF-CBT) within a clinical community-based setting treating children and adolescents affected by parental incarceration. Children and adolescents who e xperience parental incarceration are more likely to develop symptoms of post-traumatic stress disorder (PTSD): depression, anger, aggression, and isolating and self-harming behaviors. Although parental incarceration is a known source of trauma, there are no documented studies examining effec...
Source: Clinical Social Work Journal - September 1, 2018 Category: Psychiatry & Psychology Source Type: research

Reflective Supervision for Social Work Field Instructors: Lessons Learned from Infant Mental Health
AbstractReflective supervision is a specialized approach to supervision essential to infant mental health (IMH) practice, a relationship-based approach to working with infant and toddlers and their families. This unique approach to supervision is rooted in reflective practice, which has been cited as an important component of social work field and practice education (CSWE in Educational policy and accreditation standards,https://www.cswe.org/getattachment/Accreditation/Standards-and-Policies/2015-EPAS/2015EPASandGlossary.pdf.aspx, 2015; Bogo in Clin Soc Work J 43:317 –324, 2015; Franklin in Clin Superv 30(2):204–214, 2...
Source: Clinical Social Work Journal - August 31, 2018 Category: Psychiatry & Psychology Source Type: research

MDMA-Assisted Psychotherapy for Posttraumatic Stress Disorder: Implications for Social Work Practice and Research
AbstractThe pervasive impact of trauma across populations and stages of life has made it imperative that the field of social work remain at the forefront of trauma-informed theory, research, and practice. The limited, adjunctive use of 3,4-methylenedioxymethamphetamine (MDMA) in the psychotherapeutic treatment of posttraumatic stress disorder (PTSD) is a promising new treatment model that has shown impressive efficacy in phase I and II clinical trials. Preliminary meta-analysis suggests that MDMA-assisted psychotherapy (MDMA-PT) may be superior to prolonged exposure, a first-line treatment for PTSD, and the U.S. Food and D...
Source: Clinical Social Work Journal - August 31, 2018 Category: Psychiatry & Psychology Source Type: research