Clinical Social Work Practice: An Integrated Approach » (3rd Edition)

This primary text for advanced clinical practice courses at the core of the MSW curriculum teaches students how to integrate theory and practice on multiple levels.

Building on the foundation of generalist courses, this student-friendly text addresses assessment within a theoretical framework that considers the use of DSM-IV and the mental status exam; includes a walkthrough of a clinical interview and the stages of treatment; and examines models of treatment. The chapter on developing the psychosocial study includes a model that walks the student through the process.

Richly diverse case studies, drawn from practice experience, are integrated throughout and show how theory is applied to work with individuals, families, groups, and children and adolescents. Each chapter also includes learning activities, role-plays, and assignments that will help students master the content.

Preface

Acknowledgments

Chapter 1

An Integrated Approach to Clinical Practice

Theoretical Base for Clinical Social Work Practice

The Integrative Model

The Practice Class as Laboratory

The Integrative Journal

Clinical Supervision: The Learning Alliance

Faculty Field Advisement

Evidence-Based Practice

Summary

Learning Assignment

References

Chapter 2

Key Issues in Clinical Practice

Brief Treatment

Research Perspectives

Models of Brief Treatment

The First Meeting

The Working Relationship

Selection Criteria

Ethics and Boundaries

Sexual Relationships with Clients

Other Dual Relationships

The Suicidal Client

Guidelines for Assessing Suicide

Providing Safety

Child and Adolescent Suicide

Managed Care

Ethical Dilemmas under Managed Care

Opportunities under Managed Care

Confidentiality and Technology: HIPAA

Fee for Service

The Client in a System of Care

Spirituality and Religion

International Social Work

Therapist Self-Care

Summary Learning Assignments

References

Chapter 3

The Clinical Interview:The Process of Assessment

Beginning, Middle, and End Stages of Treatment

The First Meeting

Introductions

Why Is the Client Here?

Confidentiality

Answering Personal Questions

The Therapeutic Relationship

Transference and Countertransference

The Real Relationship and the Working Alliance

Resistance

Using These Concepts in Practice

The Case of Dan–The Beginning

The Middle Stage of Treatment

Middle Phase Treatment Issues

The Ending Phase of Treatment

Ending with Dan

Summary

Learning Assignments

References

Chapter 4

The Psychosocial Study:The Product of Assessment

Preparing the Psychosocial Study

A Psychosocial Model Outline

A Sample Psychosocial Study: The Case of Vincent, Age 7, a Traumatized Child

Summary

Learning Assignments

References

Chapter 5

Multi-cultural Practice

Cultural Competence

Multicultural Clinical Practice

Cultural Trauma

Roles for Cross Cultural Therapists

Theoretical Models of Treatment

Example of Culturally Competent Practice: The Case of Pan

Example of Culturally Specific Practice: Research across cultures

Skilled Dialogue

The Research

Summary

Learning Assignments

References

Chpater 6

Object Relations Theory:A Relational Psychodynamic Model

The Work of Melanie Klein

The Internal Object: The Subjective Experience

Splitting and Projective Identification

The Internal Object and Child Abuse

The Internal Object and Internalized Oppression

The Work of Ronald Fairbairn

The Internalized Bad Object: The Environmental Influence

Introjection and Self-Blame

Trauma Bonding

The Work of Harry Guntrip

The Internalized Good Object

Object Loss and Ego Weakness

The Work of Donald Winnicott

The Internal Object(s) and Interpersonal Relationships

The Transitional Object

The Interpersonal School

Eight Stages in Object Relations Theory and Practice

The Significance of the Therapeutic Relationship Object Relations Theory and Brief Treatment

Case Example: Object Relational Therapy

Research Perspectives

Summary

Learning Assignments

References

Chapter 7

Self Psychology:A Relational Psychodynamic Model

Self Psychology as a Theoretical Framework

Empathy

The Role of the Therapist in Self Psychology

Self Psychology and the Treatment of Children and Adolescents

Self psychology and Learning Disorders in Children and Adolescents

Self Psychology and the Elderly

Self Psychology and Brief Treatment

Case Example: Brief Treatment of an Individual from a Self Psychological Perspective

Summary

Learning Assignment

Chapter 8

Relational Theory

Introduction

The Therapeutic Relationship

Transference and Countertransference

Techniques of Relational Therapy

Cultural Relational Theory

Mutual Empathy

Relationship Authenticity

Relationship Differentiation

Self empathy

Cultural Relational Theory and Women's Groups

Group Example: Women’s Support Group–New Connections

Relational Theory and Diversity

Clinical Example of Cultural Relational Practice: The Case of Carol

A Black Identity Development Model

The Case

Summary

Learning Assignments

References

Chapter 9

Cognitive Theory:A Structural Approach

History and Definition

The Therapeutic Relationship

Client Characteristics

A Structured Approach

Rational Emotive Therapy

The ABCs of RET

Frequent Disturbances in Thinking

Beck’s Model of Cognitive Therapy

Testing of Automatic Thoughts

Techniques in Practice

Case Example:Cognitive Treatment for Anxiety

Summary

Learning Assignments

References

Chapter 10

Behavior Therapy:A Structural Approach

Definition

Behavioral Assessment

The Therapeutic Relationship

Cognitive Behavior Therapy

Case Example: A Behavioral Approach to Obsessive-Compulsive Disorder

Summary

Learning Assignments References

Chapter 11

Narrative Therapy:A Postmodern Approach Constructivism as a Conceptual Framework for Narrative Therapy

The Language of Narrative

The Structure of Narrative: Narrative as Metaphor

The Deconstruction of Narrative

Externalizing Conversations

Therapeutic Strategies

Re-authoring

Positions

Definitional Ceremony

Therapeutic Documents

Cross-Cultural Counseling

Case Example: The G. Family

Relational Narrative Therapy

Narrative Theatre

Research Perspectives

Summary

Learning Assignments

References

Chapter 12

Solution-Focused Therapy: A Postmodern Approach

The Editorial Reflection

Post-Assessment Session and Self-Reflection

Solution-Oriented Family Assessment

Interdisciplinary Collaboration

Solution-Focused Strategies

Case Example: Initial Meeting with the Drew Family

Crisis Intervention

Research Perspectives

Summary

Learning Assignments

References

Chapter 13

Clinical Practice with Children and Adolescents

Developmental Assessment

Child Psychopathology

The Clinical Interview

With the Parent(s)

With the Child or Adolescent

Learning Disturbances

Play Therapy

Case Example

Behavioral Therapy

Case Examples

Summary

Learning Assignments

References

Chapter 14

Integrating Research and Practice

Evidence-Based Practice

Research Methods for Clinical Practitioners

Single-System Design Methodology

Qualitative Research

How Knowledge Is Constructed The Researcher as Instrument

Data Collection and Data Analysis

Case Example

Summary

Learning Assignments

References

Index