The Importance of Feedback in Preparing Social Work Students for Field Education
AbstractFeedback is an important mechanism that enhances student learning in supervision and field education. Constructive feedback that is specific, timely, and based on observations; bridges theory and practice, enhances self-awareness, and builds holistic competence in social work students. There is scant social work research examining how this teaching mechanism facilitates student learning. In this qualitative study we examined the role of feedback in student learning using a simulation-based learning activity aimed at developing holistic competence in the classroom to prepare students for field learning. The study ex...
Source: Clinical Social Work Journal - August 4, 2018 Category: Psychiatry & Psychology Source Type: research

Medical Cannabis in Adult Mental Health Settings: Reconstructing One of the Most Maligned Medications in the United States
AbstractAlthough twenty-nine states in the United States of America have legalized medical cannabis, the stigma surrounding cannabis continues and few clinicians have been educated on its use and benefits. This paper presents the history of therapeutic cannabis use as well as the political perspectives and federal laws leading to ongoing stigmatization of this substance and its users. A summary of cannabis ’ therapeutic properties, and its potential use in the treatment of mental health problems is discussed. (Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - August 3, 2018 Category: Psychiatry & Psychology Source Type: research

Field Training Experiences of Child Welfare Workers: Implications for Supervision and Field Education
AbstractGiven social workers ’ essential connection to child welfare work and the importance of field day training to both worker retention and client wellbeing, this study used a theories of transfer framework and qualitative interviews with newly-hired workers to examine their field day training experiences including the va lue workers placed on them and the conditions that facilitated successful learning. From a statewide sample of newly-hired child welfare workers (N = 1501), participants (N = 38) were randomly selected to participate in telephone interviews. Almost 50% had positive, m...
Source: Clinical Social Work Journal - August 1, 2018 Category: Psychiatry & Psychology Source Type: research

Paddling Against the Tide: Contemporary Challenges in Field Education
AbstractIn casual conversations among social work field and teaching faculty, topics seem to consistently default to its many challenges. From unprofessional behavior to lack of readiness to unrealistic expectations for placements to poor fit and lack of availability of quality placements, explanations range from the internet, the economy, an over-taxed voluntary workforce of field supervisors, and overextended programs and agencies. This paper seeks to shed light on some of these “water cooler” conversations and examines the truth (and consequences) of these assumptions via an exploration of data and literatur...
Source: Clinical Social Work Journal - July 11, 2018 Category: Psychiatry & Psychology Source Type: research

Attending to Social Justice in Clinical Social Work: Supervision as a Pedagogical Space
AbstractAlthough social justice is a central professional value of social work articulated in ethics codes, clinical social workers have been long criticized for not clearly incorporating this professed commitment into practice. Supervision is an optimal space within which clinicians can develop knowledge and skills to attend to the issues related to social justice in their practice. A growing body of literature emphasizes social justice in the delivery of clinical services, yet there is a death of literature on how clinical supervision can promote social justice seeking clinical work. In this paper, we draw from existing ...
Source: Clinical Social Work Journal - June 29, 2018 Category: Psychiatry & Psychology Source Type: research

(Re) Capturing the Wisdom of Our Tradition: The Importance of Reynolds and Towle in Contemporary Social Work Education
This article argues that social work education has distanced itself from founding principles articulated by Bertha Reynolds and Charlotte Towle in ways that compromise the professional development of the learner in social work education. The authors trace persistent and historical professional social work education themes and identify key changes that have contributed to threats to educational integrity, with particular attention to field education and supervisory practice. After identifying both positive and negative trends and challenges to the quality of field education, the authors examine implications for field superv...
Source: Clinical Social Work Journal - June 28, 2018 Category: Psychiatry & Psychology Source Type: research

Illuminating Clinical Supervision —Past, Present and Future: An Interview with Dr. Lawrence Shulman
AbstractIn an interview with Dr. Lawrence Shulman, he presents his insights on clinical supervision from a social work and interdisciplinary perspective. Dr. Shulman is a luminary in social work and interdisciplinary supervision, developing the Interactional Model of Supervision. In reflecting on his career in social work research, education, and practice, he shares his thoughts regarding the importance of process-oriented supervision as a needed focus for research and practice. Supportive of integrating art and science in social work practice, he offers his perspectives on the current state of supervision in the evidence-...
Source: Clinical Social Work Journal - June 27, 2018 Category: Psychiatry & Psychology Source Type: research

Social Work Education: Ensuring Its Viability into the Future
AbstractThe most common type of employer for social workers is a private, nonprofit, or charitable organization (34.3% of all social workers); however 41% of social workers work for the government when combining together federal, state, and local governments (The George Washington University Health Workforce Institute, Profile of the social work workforce,http://www.socialserviceworkforce.org/resources/profile-social-work-workforce,2017). Given these organizations focus on individuals who are indigent, have serious behavioral health challenges and are typically covered through Medicaid and/or Medicare, ensuring social work...
Source: Clinical Social Work Journal - June 25, 2018 Category: Psychiatry & Psychology Source Type: research

Trauma Informed Practice and Care: Implications for Field Instruction
This article summarizes the evolution in thinking about trauma and its impact on those who have experienced it. The nature of trauma-informed (TI) practice and care and implications for field instruction are then explained. This discussion is based upon the assumption that skills of social work field instruction that already have an evidence base lay the foundation for TI field instruction. Composite case examples drawn from the author ’s experiences as a field liaison, a practitioner who works with trauma survivors, and an instructor in the generalist practice curriculum illustrate methods and skills of field instru...
Source: Clinical Social Work Journal - June 21, 2018 Category: Psychiatry & Psychology Source Type: research

The Process of Facilitating Case Formulations in Relational Clinical Supervision
AbstractThis paper explores the supervisory process in relation to the ongoing challenge of developing (and re-developing) a case formulation. We adopt a relational approach to clinical practice and correspondingly to the supervisory domain. We argue that a relational approach to clinical practice firmly fits with social work values, including authenticity, mutuality and collaboration. We address typical challenges inherent in attaining and maintaining a relational formulation in the supervisory relationship. (Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - June 21, 2018 Category: Psychiatry & Psychology Source Type: research

Demoralization During Medical Illness: A Case of Common Factors Treatment
AbstractA serious physical illness can become the defining aspect of a person ’s life. If a belief develops that the illness cannot be resolved, either through medical care or one’s own coping efforts, then a person can develop demoralization, which is defined as a pervasive feeling of defeat, hopelessness, and powerlessness. Demoralization involves a depressed mood but d iffers from a major depressive episode in that demoralization does not exhibit the generalized anhedonia found in major depression. Instead, demoralization has a singular precipitating factor causing the patient’s hopelessness, the illne...
Source: Clinical Social Work Journal - June 21, 2018 Category: Psychiatry & Psychology Source Type: research

The Black Perspective in Clinical Social Work
AbstractGiven the persistence of oppression in contemporary society, social workers may expect to encounter social bias in the clinical setting. On the one hand, clients who identify as a member of a disadvantaged social group may report experiences of oppression accompanied by emotional, behavioral, and physical responses (Carter in Couns Psychol 35(1):13 –105,2007; Sue in Microaggressions and marginality: manifestation, dynamics, and impact, Wiley, Hoboken,2010). On the other hand, those who are members of a historically privileged social group may present with negative affective and behavioral responses associated...
Source: Clinical Social Work Journal - June 19, 2018 Category: Psychiatry & Psychology Source Type: research

An Affirmative Mindfulness Approach for Lesbian, Gay, Bisexual, Transgender, and Queer Youth Mental Health
AbstractLesbian, gay, bisexual, transgender, and queer (LGBTQ) youth (ages 14 –18), commonly referred as sexual and gender minority youth (SGMY) in the literature, experience elevated mental health risks and vulnerabilities (Almeida et al., J Youth Adolesc 38(7):1001–1014,2009), including: depression (Martin-Storey and Crosnoe, J Adolesc 35(4):1001 –1011,2012; King et al., BMC Psychiatry 8:70,2008), substance misuse (Mustanski et al., Am J Public Health 104(2):287 –294,2014), and increased suicidality (Marshal et al., J Adolesc Health 49:115 –123,2011; Marshal et al., J Youth Adolesc 42(8):124...
Source: Clinical Social Work Journal - May 3, 2018 Category: Psychiatry & Psychology Source Type: research

Military Caregivers
AbstractMilitary caregivers provide essential services for their veteran or military service members who have serious injuries or illness. Of the estimated 39.8  million Americans who provide care for an adult, 1.1 million care for a post 9/11 veteran or service member. Caregivers may experience greater physical or mental health concerns including stress, depression and/or chronic illness, and have greater financial burden than their non-caregiving counte rparts. Policy shifts such as the Caregivers and Veterans Omnibus Health Services Act of 2010 (2018) have created and expanded programs to support caregivers. P...
Source: Clinical Social Work Journal - May 3, 2018 Category: Psychiatry & Psychology Source Type: research

Contemporary Social Work Practice with Veterans: An Introduction to the Special Issue
AbstractThis special issue is a historical marker for contemporary social work practice with veteran populations. The editors requested papers from private, public, and academic settings that illustrate the special needs of veterans. The articles in this issue address the impact of military culture and the veteran identity, diversity, eras of service, access to care, and different stages psycho-social development on clinical practice. This introduction places the articles submitted in the context of historical and current trends in veterans ’ research concluding with a call to recognize resilience inherent in this po...
Source: Clinical Social Work Journal - May 2, 2018 Category: Psychiatry & Psychology Source Type: research

Is It Conflict or Abuse? A Practice Note for Furthering Differential Assessment and Response
AbstractThis practice note uses over 20  years of experience as domestic violence advocates to argue that the domestic violence field is not adequately distinguishing escalated conflict from abuse. In spite of a long-standing domestic violence paradigm based on an analysis of power and control, there is an overemphasis on violent behavio rs and an underemphasis on power and control dynamics, absent physical violence. The authors contend that abuse and escalated conflict are different, but often conflated. Furthering differential assessments would allow better responses to both the needs of abuse survivors, as well as ...
Source: Clinical Social Work Journal - April 30, 2018 Category: Psychiatry & Psychology Source Type: research

Using Two Intersubjective Perspectives in Combat Deployment: A Military Mental Health Professional ’s Experience
AbstractThe stress and demands of combat deployment create challenges for a military mental health provider (MMHP) to operate in a helper role in an environment adverse to the helping process. A case  is presented featuring the experience of a MMHP while deployed to establish the existence of two types of intersubjective space in a combat environment. Modern attachment theory and interpersonal neurobiology are used as a theoretical framework, and concepts of emotional self-regulation, implicit communication, and attunement are applied to the case. The work of the MMHP is shown within and between the two...
Source: Clinical Social Work Journal - April 25, 2018 Category: Psychiatry & Psychology Source Type: research

‘There’s Just All These Moving Parts:’ Helping Domestic Violence Survivors Obtain Housing
AbstractIntimate partner violence (IPV) is one of the most common and devastating forms of violence occurring worldwide. Being victimized by an intimate partner or ex-partner can lead to numerous negative consequences for survivors and their children, including physical and mental health problems as well as housing instability and financial devastation. IPV is a leading cause of homelessness, and helping IPV survivors obtain affordable housing is a growing focus of staff working within domestic violence victim service programs. Unfortunately, in this time of decreasing resources, funders are expecting programs to serve an ...
Source: Clinical Social Work Journal - March 22, 2018 Category: Psychiatry & Psychology Source Type: research

Research Use and Evidence-Based Practice Among Swedish Medical Social Workers: A Qualitative Study
AbstractThe aim of this study was to explore medical social workers ’ perceptions of evidencebased practice (EBP), including factors relevant for the successful implementation of evidence into medical social work practice. Eight focus group interviews were conducted that included 27 medical social workers. Data were analyzed using qualitative content analysis, whi ch resulted in two categories: “knowledge in practice” and “challenges in relation to the implementation of EBP” and four subcategories: “practice based on research evidence or experience”, “obtaining new evidence o...
Source: Clinical Social Work Journal - January 29, 2018 Category: Psychiatry & Psychology Source Type: research

Military Cultural Competence
This article offers a new definition of military cultural competence based on a review of the literature. As a starting point, the defining characteristics of military culture is discussed and includes the chain of command, military norms, and military identity. Having laid this groundwork, the multidimensionality of military cultural competence —attitudinal, cognitive, behavior—is discussed. Clinical applications of these various competencies are provided. (Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - January 25, 2018 Category: Psychiatry & Psychology Source Type: research

Moving Beyond Housing: Service Implications for Veterans Entering Permanent Supportive Housing
This study uses the Gelberg –Andersen behavioral model for vulnerable populations to determine associations between predisposing, enabling, and need characteristics and recent service use (i.e., services to satisfy basic needs, occupational development, financial, healthcare, mental health) among unaccompanied homeless veter ans (N = 126) entering PSH in Los Angeles. Among the significant findings, as indicated using univariable logistic regression models, were veterans who had incarceration histories were more likely to utilize basic needs services, compared to those without incarceration histories. Ve...
Source: Clinical Social Work Journal - January 22, 2018 Category: Psychiatry & Psychology Source Type: research

Support is a Complicated Concept: A Social Work Practice Reflection on Support and Anxiety
AbstractThis paper is a practice reflection by two medical social workers. It describes insights from interviews with older adults recovering from illness. The clients were 32 survivors of hospitalization for critical illness and 50 home health patients. Our practice discussions explored a counterintuitive concept: patients with more sources of support reported more anxiety during their illness recovery. Patient anxiety was measured using the DSM-5 and HADS-A criteria. A brief literature review describes the difficulties of quantifying and defining support. Case vignettes are presented to describe three categories of patie...
Source: Clinical Social Work Journal - January 20, 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 - January 17, 2018 Category: Psychiatry & Psychology Source Type: research

Not Good at Friends: Bringing a Woman ’s Friendships into the Frame in Psychodynamic Psychotherapy
This article examines some of these patterns and the psychodynamics they may reveal. (Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - January 16, 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 - January 13, 2018 Category: Psychiatry & Psychology Source Type: research

Preoccupied Attachment as Predictor of Enabling Behavior: Clinical Implications and Treatment for Partners of Substance Abusers
AbstractSubstance use can affect partners in innumerable ways. The emotional pain, turmoil, stress, and strain alone leave family members searching for ways to help, or simply to cope. Enabling is one such method. A common coping mechanism in families struggling with substance use, enabling involves actions and behaviors employed by loved ones to incite change, regain control, and increase stability. Enabling is unique however. Rather than minimizing use, enabling has an adverse effect of contributing to, and reinforcing the partner ’s substance use and addictive behaviors. For Clinical Social Workers, Licensed Addic...
Source: Clinical Social Work Journal - January 12, 2018 Category: Psychiatry & Psychology Source Type: research

Diagnosis Talk and Recovery in People with a Mental Illness: A Qualitative Study and Perspectives for Clinical Social Work
This study aimed to investigate a rather neglected aspect of recovery: how people with a mental illness talk about their diagnosis and how concealing or revealing such a diagnosis affects different live domains. People (n  = 16) diagnosed with a mental illness participated in an in-depth qualitative interview study, allowing insight into how they experience and evaluate living with a mental health diagnosis. The results are particularly interesting for clinical social work. Based on the findings of this study, th e concept of ‘diagnosis talk’ has been derived. This concept is understood to themati...
Source: Clinical Social Work Journal - January 12, 2018 Category: Psychiatry & Psychology Source Type: research

In Memoriam: Carolyn Saari
(Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - November 8, 2017 Category: Psychiatry & Psychology Source Type: research

Toward Theoretical Inclusiveness in Clinical Social Work
(Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - November 8, 2017 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 e...
Source: Clinical Social Work Journal - October 24, 2017 Category: Psychiatry & Psychology Source Type: research

Fathers ’ Perspectives on Strengthening Military Families: A Mixed Method Evaluation of a 10-Week Resiliency Building Program
AbstractA recent Institute of Medicine report on “The Assessment or Readjustment Needs of Veterans, Service Members, and Their Families”http://nationalacademies.org/hmd/Reports/2013/Returning-Home-from-Iraq-and-Afghanistan.aspx, (2013) underscored the need for effective support for military families with young children, and that effective engagement into existing services remains a challenge. This mixed-method study involved 14 fathers (previously deployed military) who engaged in the Strong Military Families Program, a resiliency-building group for families with young children. The purpose of this paper was tw...
Source: Clinical Social Work Journal - October 23, 2017 Category: Psychiatry & Psychology Source Type: research

The Hidden Cost of Cancer: Helping Clients Cope with Financial Toxicity
AbstractFinancial toxicity is a term that is increasingly used in the medical literature to describe objective and subjective measures of financial strain that many people with cancer face as a result of costly care and treatment. The author first reviews the literature for evidence of financial toxicity and its impact on quality of life, especially anxiety and depression. Maslow ’s (Motivation and personality, 2nd edn., Harper& Row, New York, 1970) hierarchy of needs is then presented as a theoretical basis for the impact of financial stress on clients ’ ability to cope with their cancer experience. Finall...
Source: Clinical Social Work Journal - October 11, 2017 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 11, 2017 Category: Psychiatry & Psychology Source Type: research

Monitoring Fidelity to an Evidence-Based Treatment: Practitioner Perspectives
AbstractDespite the push to implement evidence-based treatment (EBT) in child and youth mental health service settings, few studies have focused on the optimal processes for adopting and sustaining EBTs in these contexts. There is even less evidence regarding practitioner perspectives on the optimal processes for sustaining fidelity to EBTs in practice, despite unequivocal evidence linking the importance of practitioner fidelity to intervention outcomes. Following the principles of inductive qualitative inquiry, this study examined practitioner perspectives of fidelity monitoring processes within the context of implementin...
Source: Clinical Social Work Journal - September 4, 2017 Category: Psychiatry & Psychology Source Type: research

Project for Return and Opportunity in Veterans Education (PROVE): An Innovative Clinical Social Work Field Education Model
This article will discuss the history, framework and implementation of the PROVE model, use of Veteran-Affirmative Counseling (VAC) and the unique milieu setting. The article will conclude with implications for clinical social work practice field education settings and recommendations for replicability of the PROVE model. (Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - August 1, 2017 Category: Psychiatry & Psychology Source Type: research

Female Veterans: Navigating Two Identities
AbstractFemale veterans differ from their male veteran counterparts in terms of ratio of men to women, minority status, economic status, and age. In 2014, female veterans totaled over 2  million; roughly 10% of the veteran population. In addition to balancing personal and professional responsibilities, many female veterans also have to adjust to and cope with the physical and/or mental health conditions they experience post-deployment. The extent to which female veterans succeed i n transitioning back to civilian life post-deployment may be determined by biological, psychological, and social factors within their home ...
Source: Clinical Social Work Journal - July 14, 2017 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, ...
Source: Clinical Social Work Journal - June 28, 2017 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 - June 21, 2017 Category: Psychiatry & Psychology Source Type: research

This Couch Has Bed Bugs: On the Psychoanalysis of Homelessness and the Homelessness of Psychoanalysis
AbstractIn an era of managed care, how can psychoanalytic principles be woven into a community mental health system? By exploring hateful countertransference reactions —both his own and those of members of the community in which he practices—the author examines professional tensions that arise in working with a homeless client. What do such reactions tell us about the complexities of working psychoanalytically in public practice settings? Through this lens we can begin to understand what a homeless client may represent to her city, as well as to her therapist. The author also considers how psychodynamic thinkin...
Source: Clinical Social Work Journal - June 20, 2017 Category: Psychiatry & Psychology Source Type: research

A Case for the Case Study: How and Why They Matter
AbstractIn this special issue we have asked the contributors to make a case for the case study. The guest editors, Jeffrey Longhofer, Jerry Floersch and Eric Hartmann, intergrate ideas from across the disciplines to explore the complexties of case study methods and theory. In education, Gary Thomas explores the importance of ethnographic case studies in understanding the relationships among schools, teachers, and students. Lance Dodes and Josh Dodes use the case study to articulate a psychoanalytic approach to addiction. In policy and generalist practice, Nancy Cartwright and Jeremy Hardie elaborate a model for a case-by-c...
Source: Clinical Social Work Journal - June 6, 2017 Category: Psychiatry & Psychology Source Type: research

Schizoid Fantasy: Refuge or Transitional Location?
AbstractThe schizoid personality, a type increasingly representative of our times, lives in a detached individual world. But this retreat sometimes can offer a place of transition, serving as a creative bridge to everyday life. An extended case illustration describes a schizoid patient who was able to use a playful form of psychotherapy to move from make-believe to real relationship. (Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - June 2, 2017 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 - June 1, 2017 Category: Psychiatry & Psychology Source Type: research

A Comparative Analysis of VHA, Non-VHA, and Overall Outpatient Treatment Use Intensity Among Older U.S. Veterans Denied or Awarded VA Service-Connected Disability Compensation
AbstractPoorer health is often associated with greater healthcare use among the general population. In contrast, while many veterans denied VA disability compensation ("denied applicants") are as impaired as those awarded VA disability compensation ("awarded applicants"), studies suggest that these veterans may nevertheless utilize less VHA healthcare. Whether they concurrently utilize less non-VHA, and overall healthcare, however, remains a critical, unresolved issue. The 2001 National Survey of Veterans was used to examine VHA, non-VHA, and overall outpatient healthcare treatment use intensity during ...
Source: Clinical Social Work Journal - May 11, 2017 Category: Psychiatry & Psychology Source Type: research

A Personal –Professional Experience of Losing My Home to Wildfire: Linking Personal Experience with the Professional Literature
This article reports on the author ’s personal–professional experience of losing a home to wildfire. The article is presented as a self-conducted narrative case study. The author used for narrative raw data 400,076 words from her blog-text that covered the period from the evening of the fire (June, 28, 2012) through 2 year and 3  months post-fire (September, 2014). Thirteen themes were selected based on frequency (>10  %, n = 7) and salience (n = 6). The results echo the extant literature on disaster recovery. The themes greater than 10 % included: the presence of and ...
Source: Clinical Social Work Journal - May 10, 2017 Category: Psychiatry & Psychology Source Type: research

Psychoanalytic Psychotherapy at the Margins: The Case of Ana Ortega, a Relational Perspective
This article describes the 4-year treatment in a community setting of a woman who experienced significant childhood trauma that she replayed in her adult life. The case is presented through a relational lens with particular attention to enactments, the transference/countertransference matrix, and the inevitable participation of the therapist in the treatment. The case will demonstrate how the roles enacted by the therapist and patient allowed for therapeutic space to be opened to facilitate mutual recognition between therapist and patient. (Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - May 3, 2017 Category: Psychiatry & Psychology Source Type: research

Securing an Adolescent ’s Attachment to Her Adoptive Family: The Use of Multi-dimensional Relational Family Therapy
AbstractThis case study demonstrates the use of the Multi-dimensional Relational Family Therapy approach with an adolescent and her adoptive family for the purpose of securing her attachment to them. The work allowed her to move from a potentially destructive state to a more affirmed sense of herself. This case study supports the power of therapeutic intervention as a way to treat adolescents and their families before behaviors become pathological. Using the Multi-dimensional Relational Family Therapy approach allows the therapist to focus on subtle details of non-verbal interaction and observe movement phrases within the ...
Source: Clinical Social Work Journal - May 3, 2017 Category: Psychiatry & Psychology Source Type: research

Lessons Learned from the Boston Marathon Bombing Victim Services Program
This article shares what we currently know about traumatic stress reactions related to human caused mass violence events and provides program details, lessons learned and recommendations from the Marathon Bombing Victim Assistance program. (Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - April 27, 2017 Category: Psychiatry & Psychology Source Type: research

The Role of Social Work in the Aftermath of Disasters and Traumatic Events
(Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - April 27, 2017 Category: Psychiatry & Psychology Source Type: research

The Case for the Case Study in the Twenty-First Century: A Rupture in the Order of Discourse
AbstractThis commentary discusses the consequences the shift from a paper-based world to a screen-centric world has for writers, teachers, and therapists. Whereas the case study was once composed for and stored on paper and its circulation thus restricted, now digital composing transforms the potential for the case study to circulate widely and freely via the World Wide Web. Moving the case study from paper to screen is not a question of reformatting; rather, it requires becoming literate in a new medium, one that offers the potential for ongoing collaborative revision and the development of participatory forms of knowledg...
Source: Clinical Social Work Journal - April 22, 2017 Category: Psychiatry & Psychology Source Type: research

Losing a Family Member in an Act of Terror: A Review from the Qualitative Grey Literature on the Long-Term Affects of September 11, 2001
AbstractNearly 15 years following the attacks on September 11, 2001, much learning has been acquired regarding the psychological affects of mass violence. Less is known, however, about the long-term impact of 9/11 on those with family members who died in the attacks. A few quantitative studies were conducted specific to grief and terrorism and these findings suggest that symptoms may be more severe and persist over a longer period than for those facing death due to other violent circumstances. While only a few studies examined the long-term experiences of family members aggrieved by 9/11, several qualitative studies were c...
Source: Clinical Social Work Journal - April 12, 2017 Category: Psychiatry & Psychology Source Type: research