The Clinician as Neuroarchitect: The Importance of Mindfulness and Presence in Clinical Practice
Abstract Interpersonal neurobiology provides a framework from which to examine the incorporation of mindsight and mindfulness into clinical practice, employing the brain’s capacity for neuroplasticity to move oneself and one’s clients toward greater well-being. Through the lens of interpersonal neurobiology, this article will examine the benefits of mindfulness for clinicians, clients, and the therapeutic relationship. Lasting changes associated with mindfulness practices, including the hypothesized potential to alter one’s previously insecure attachment patterns, will also be discussed. An ...
Source: Clinical Social Work Journal - September 1, 2014 Category: Psychiatry & Psychology Source Type: research

Using Yoga Interventions to Enhance Clinical Social Work Practices with Young Women with Cancer
Abstract It is widely published that physical, psychological, and social stressors adversely affect many individuals who are diagnosed with cancer, influencing their experience of treatment and perhaps, the quality of life after treatment is complete. No one is prepared for this battle, yet most patients are forced to make split-second decisions that are critical to their care. This case study highlights the mindfulness approach taken by one social worker to help a young woman during her journey with cancer. By guiding her through gentle yoga postures, yoga breathing, and meditation this patient learned how to ta...
Source: Clinical Social Work Journal - September 1, 2014 Category: Psychiatry & Psychology Source Type: research

Agility in Adversity: Integrating Mindfulness and Principles of Adaptive Leadership in the Administration of a Community Mental Health Center
Abstract The combination of mindfulness and adaptive leadership principles is a means by which a community mental health center has achieved program innovation and financial stability in an environment of decreased public funding. Mindfulness is present-oriented and reflective, is willing to cultivate uncertainty, and approaches operational and client care practices from a non-judgmental frame of mind. In addition, adaptive leadership, an approach developed by Ronald Heifetz and associates, considers crises to be opportunities and offers a set of guiding principles that help to direct the organization’s res...
Source: Clinical Social Work Journal - September 1, 2014 Category: Psychiatry & Psychology Source Type: research

A Place for Every Tool and Every Tool in Its Place: Cognitive Integrative Perspective for Coherence on the New Frontier of Mind and Body Practice
Abstract There is currently a growing research and clinical knowledge base regarding the application of Eastern traditions, especially mindfulness and other forms of meditation, to direct practice. As we incorporate new tools for intervention into our toolkit, it is important to expand our theoretical framework so that we can know when to utilize these tools, how their mechanism fits with the tools we already have, and what kinds of change or outcomes we should expect from utilizing them. These new tools are powerful across many experiences of distress, but clear guidelines are necessary to maximize their benefit...
Source: Clinical Social Work Journal - September 1, 2014 Category: Psychiatry & Psychology Source Type: research

The Mindful Couple
Abstract Couples who request conjoint treatment often demonstrate relationship problems that are exacerbated by emotional reactivity. Neurobiology research has clarified the process of emotional dysregulation, and the benefit of mindful interventions in managing and preventing hyperarousal. This paper examines the mechanics of emotional dysregulation and presents a case example that demonstrates how breathing and staying in the moment were used to help de-escalate an agitated couple. Mindful interventions can be used to help couples tolerate, understand, and manage emotional states that can otherwise become d...
Source: Clinical Social Work Journal - September 1, 2014 Category: Psychiatry & Psychology Source Type: research

The Science and Art of Integrating the Mind and Body in Clinical Social Work
(Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - September 1, 2014 Category: Psychiatry & Psychology Source Type: research

Attachment, A Matter of Substance: The Potential of Attachment Theory in the Treatment of Addictions
Abstract In North America, substance abuse is a public health crisis with annual costs in the billions. Individuals suffer from substance use disorders for multiple years throughout their lifespan. This suggests that neither historical, community-based interventions, nor current, evidence-based behavioral modalities are successful in healing the causes of addiction. A growing corpus of research has established that traumatic early-childhood experiences and insecure attachments are both independent and interrelated risk factors for developing substance abuse disorders. An impressive literature is emerging exploring...
Source: Clinical Social Work Journal - August 29, 2014 Category: Psychiatry & Psychology Source Type: research

Social Media and Adolescent Development: Hazards, Pitfalls and Opportunities for Growth
Abstract While most clinicians—even those in their late twenties—did not grow up with contemporary technology, including social networks and cyber media, our adolescent clients have never known a world without it. We therefore often struggle not only to understand the impact of these technological forums on these younger generations, but also whether or not they can be useful tools or destructive agents in the therapeutic process. In this article we will consider research on the impact of Facebook, texting and other cyber technology on psychological health in adolescents. The data is often somewhat con...
Source: Clinical Social Work Journal - August 23, 2014 Category: Psychiatry & Psychology Source Type: research

An Application of Family Stress Theory to Clinical Work with Military Families and Other Vulnerable Populations
Abstract Growing empirical evidence has suggested an association between deployment experiences and adverse consequences among military families in terms of individual and family functioning. Military families are increasingly seeking the support of clinical social workers for both preventing and managing these adverse outcomes. The contextual model of family stress and coping, a family stress theory consistent with social work values, provides a clinically useful framework for designing effective interventions for this population. In this article, I apply this model to a case study to illustrate how this perspect...
Source: Clinical Social Work Journal - August 3, 2014 Category: Psychiatry & Psychology Source Type: research

“Common-Fate”: Therapists’ Benefits and Perils in Conducting Child Therapy Following the Shared Traumatic Reality of War
In this study we examine the experiences of 70 therapists who treated children identified as suffering from posttraumatic distress following the shared traumatic reality of war (the Second Lebanon War between Israel and Hezbollah). The data are based mainly on qualitative research methods: focus groups, therapy narratives, and “member-checking” interviews, supplemented by quantitative data from questionnaires. Nearly all the therapists reported being affected by the war and half of them reported additional vicarious traumatization resulting from exposure to the children’s experiences. Therapy work with ch...
Source: Clinical Social Work Journal - July 2, 2014 Category: Psychiatry & Psychology Source Type: research

Helping Newtown: Reopening a School in the Aftermath of Tragedy
Abstract Four days after the Sandy Hook tragedy, the schools of Newtown, Connecticut reopened. The author discusses his work as a leader of a mental health team which supported the students, teachers, and parents in one elementary school. The goal was not just to restore the school system in its educational role, but also sustain it as a source of psychological and emotional support. The author illustrates the step by step process by which clinical and supportive services were developed and provided. Specific issues related to managing affect in an institution are demonstrated, and the special psychological demand...
Source: Clinical Social Work Journal - June 26, 2014 Category: Psychiatry & Psychology Source Type: research

Beyond the Manual: Using Research and Evidence in Social Work Practice
Abstract There is a growing divide in social work between those that believe social work interventions should be based on either art or science. We argue that these positions create a false dichotomy within the profession, possibly due to the language associated with clinical work and research. In this introduction article of the Special Issue: Beyond the Manual, we outline the debate within social work around the art and science split and then offer a new approach to framing the issue. We argue that social workers are regularly approaching their work with clients using art and science simultaneously and desc...
Source: Clinical Social Work Journal - June 1, 2014 Category: Psychiatry & Psychology Source Type: research