Clinical Social Work Practice: An Integrated Approach

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  • Edition: 3rd
  • Format: Paperback
  • Copyright: 2011-01-01
  • Publisher: Prentice Hall
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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.

Table of Contents

Clinical Social Work: An Overview
Definition of clinical social work
Theoretical base: a historical perspective
The therapeutic relationship
Contemporary social work practice: brief treatment
Practice evaluation and research
Some tensions in clinical social work practice
Key Issues in Clinical Practice
Ethics and boundaries
Practice in a managed care environment
Therapist''s Self Care
An Integrated Approach to Clinical Practice
Journaling as an integrative tool
Process recording
Clinical supervision
The clinical agenda
The core practice class as laboratory
The Clinical Interview: The Process of Assessment
The beginning phase
The middle phase
Case example- working with a 16-year-old boy diagnosed with conduct disorder
The Psychosocial Study: The Product of Assessment
Preparing the psychosocial
A psychosocial model outline
How assessment informs diagnosis
How diagnosis suggests theory
How theory guides practice
A sample psychosocial study: the case of Vincent, age 7, a traumatized child
Cross Cultural Practice
Ten important elements of cross cultural practice
Culturally competent practice
Culturally specific practice
Case example: Counseling a Vietnamese adolescent attracted to sub-culture of substance abuse
A Black Identity Development Model
Case example: Counseling an Afro-American woman- worker and client of different racial and cultural backgrounds
Object Relations Theory: A Relational Psychodynamic Model
Early object relations theory: Harry Stack Sullivan and the Interpersonal School
The work of Melanie Klein, Ronald Fairbairn, D.W. Winnicott, and Harry Guntrip
Traumatic bonding
Object relations theory and the brief treatment
Case example: Treatment of a depressed adult survivor of childhood abuse- an object relations brief treatment approach
Self Psychology: A Relational Psychodynamic Model
The work of Heinz Kohut
Application of self psychology to brief treatment
Case example-treatment of an elderly woman whose adult son undergoes a gender change
The concepts of brief group therapy within a self psychological framework
Case example: a short-term group for woman victims of domestic abuse
The Psychology of Women
Historical Perspective
Self-In-Relation theory-writings from the Stone Center
Women''s psychotherapy groups
Case example: learning to connect in a women''s psychotherapy group- a self-in-relation model
Cognitive Theory: A Structural Approach
History and definition
Rational emotive therapy-the work of Albert Ellis
Cognitive theory of Aaron Beck
Challenging and disputing dysfunctional thoughts
Schema focused therapy- the work of Jeffery Young and colleagues
Case example: cognitive treatment for anxiety
Behavior Theory: A Structural Approach
The elements, skills, and techniques
Self management strategies- the work of Donald Meichenbaum and colleagues
Case example: treatment of a young woman with obsessive-compulsive disorder
Narrative Therapy: A Postmodern Approach
Constructivism as a conceptual framework
The Language of narrative
Therapeutic strategies
Therapeutic documents
Case example: a Latina woman constructs a new narrative about her family
Solution Focused Therapy: A Postmodern Approach
Strengths perspective
Client self determination
The editorial reflection
Solution oriented family assessment
Solution focused strategies
Case example: initial meeting with a family
Integrating Research and Practice
Quantitative measures: using a single system design methodology
Case example: Demonstrating the results of treatment with a client suffering from obsessive-compulsive disorder
Qualitative methodology
Case example: A qualitative inquiry into the levels of self-esteem of adults diagnosed with Tourette''s Syndrome
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