Key leaders within the social work field have repeatedly challenged social work educators to address issues of race and racism, in addition to other forms of identity and oppression, in social work education and practice. Little is known, however, about if and how these issues are being addressed by social work faculty teaching advanced clinical practice courses. This qualitative study examines the manner and extent to which 15 social work faculty, all of whom teach advanced clinical practice courses in one of four graduate social work programs on the East Coast of the United States, conceptualize and address issues of race and racism in their teaching of clinical social work. Analysis of the 15 interviews suggests that most participants view race primarily as an individual ethnic or cultural identity and racism as a largely micro level phenomenon that is the result of racial prejudice. Few participants appeared to understand race as a social identity situated within structures of power and privilege or how racism operates at a structural or institutional level. For example, in discussing a case vignette provided by the researcher, they focused on symptomatology, diagnosis, and assessment rather than the possible implications and effects of race and racism on a client of color. Overall, participants in this study appeared to lack conceptual, historical, and sociological knowledge about race and racism. While participants in this study view themselves as committed to addressing issues of diversity and social justice, they also acknowledge their struggle to enact this commitment in the classroom. The findings from this study suggest that additional faculty development opportunities and institutional support will be needed before clinical social work educators are likely to meet the challenge to effectively address issues of race and racism as well as other issues of identity and oppression in the classroom.

Syftet med den här studien är att undersöka kuratorers erfarenheter av transkulturella möten och kuratorers uppfattningar om hur kulturkompetens inverkar på vården inom svensk psykiatri. Ambitionen med studien är också att få förståelse för om det kan vara av vikt att kuratorer inom psykiatri innehar kulturkompetens. Studien utgår från att Sverige är ett mångkulturellt land där många kulturer möts, vilket ger anledningar att studera hur kuratorer samspelar med patienter vid transkulturella möten. Studiens syfte har uppnåtts med hjälp av en kvalitativ metod där semistrukturerade intervjuer med tio kuratorer har genomförts. Empirin har analyserats genom tematisk analys och studiens frågeställningar har studerats utifrån teorierna symbolisk interaktionism och andrefiering. Resultaten av studien visar bland annat vilka erfarenheter kuratorer har av transkulturella möten samt vilka utmaningar kuratorerna upplever i dessa möten. Det kan vara till exempel patientens bristande språk och kulturella skillnader bland annat i form av hur psykisk ohälsa uttrycks. I studien framkommer också kuratorers uppfattningar av kulturkompetens och att de ser att det finns ett behov av sådan kompetens. Denna kompetens menar kuratorerna kan uppnås genom en kombination av utbildning och erfarenhet. Studiens slutsats är att kuratorer menar att kulturkompetens kan vara av betydelse för att uppnå jämlik vård samt nå förståelse i möten med patienter som har en annan kulturell bakgrund. Implikationer för socialt arbete som tas upp i studien är till exempel att kulturkompetens inom psykiatri kan skapa förståelse för patienter med en annan kulturell bakgrund och vara till gagn för dem då det handlar om jämlik vård. Vidare lyfts i studien ett behov av att erfarenheter av transkulturella möten och kulturkompetens studeras även ur andra synvinklar.

The lack of a scope of practice for social workers in South Africa, and with that their right to do mental health diagnoses or even work with mental health clients, has led to conflict. There is not yet a clear agreement between the role players within South Africa, such as the South African Council for Social Service Professions (SACSSP) and South African Association of Social Workers in Private Practice (SAASWIPP). From the initial investigation, it became clear however that social workers in South Africa are often using the DSM system without training. One of the main concepts, namely ‘clinical social work’, is well defined in international literature. However, very little literature could be found within the South African context pertaining to who is qualified to be a clinical social worker or a social worker with the right to diagnose. This has caused some conflict on a practical level among social workers and ‘clinical’ social workers when operating in the field of mental health since the perception exists that some social workers overstep their boundaries or scope of practice. The research problem was formulated, based on social workers admitting that they are using the DSM system, regardless of their training or lack of training in the DSM system. Social workers do not receive sufficient training in mental health diagnostic systems in undergraduate training. The purpose of this study was to develop, implement and pilot test a programme to train social workers in the utilization of an accredited diagnostic system, namely the DSM system, when dealing with individuals who present with a specific disorder. The hypothesis that directed this research indicated that social workers, who receive formal training in the utilization of the DSM system, would be equipped with knowledge and insight with regard to the mental health of their clients. This could enhance the profession, since social workers would be able to participate in the multi-professional team with insight with regard to mental health terminology and pathology. A combined quantitative/qualitative research approach was followed, more specifically applied intervention research since the aim of the study was to contribute towards addressing a practical issue. The research objectives were to complete a literature study regarding social workers’ assessment in the context of the DSM system; to explore social workers’ knowledge, attitude, and utilization of the DSM system; to develop a training programme and train social workers in the utilization of the DSM; to implement the developed training programme for social workers in the utilization of the DSM; to pilot test the effectiveness and content of the training programme; and to draw conclusions and make recommendations with regard to the benefit for the social work profession as well as to multi-professional teamwork, should social workers receive training programme in the DSM system. The researcher collected data while the respondents attended a two-day training programme in the DSM system. Respondents completed a pre-test questionnaire as well as a post-test questionnaire on completion of the training programme. This data analysis was based on a quasi-experimental design, namely the ‘one-group pre-test-post-test design’. Conclusions and recommendations were made relating to social work training, social work in mental health and the DSM utilization in social work practice. The limitations of this study were the lack of literature, the need for training over a longer period, and especially the uncertainties regarding a nationally accepted scope of practice for social workers. The need for in-depth evaluation and advanced development of the programme is identified as both a limitation and a recommendation for future research. / Thesis (DPhil)--University of Pretoria, 2013. / Social Work and Criminology / unrestricted

For several decades, a national shortage of licensed clinical social workers has been growing in the United States. Licensed social workers provide counsel and advocacy for those affected by mental illness, addiction, abuse, and discrimination, among other economic difficulties, and are the largest group of providers of mental and behavioral health services. The research questions for this project addressed what challenges unlicensed social workers in central Florida identify as barriers to pursuing clinical licensure. This study also explored strategies that unlicensed social workers in central Florida reported to address these barriers and encourage the pursuit of clinical licensure. The purpose of this research was to identify both the barriers that social worker's report in seeking their licensure and effective strategies to address the barriers. The theoretical framework to inform the project was systems theory. An action research design was used including a focus group of 5 unlicensed social workers, selected through purposive sampling. Thematic analysis was used to analyze the data. Study outcomes showed that social workers in central Florida chose not to pursue licensure because of the cost and time associated with the process. Changes recommended as part of this research may bring about social change through an increase in the number of licensed social workers to assist Floridians who seek such services.

Submitted by SBI Biblioteca Digital (sbi.bibliotecadigital@puc-campinas.edu.br) on 2018-04-09T14:34:54Z No. of bitstreams: 1 RAFAEL AIELLO-FERNANDES.pdf: 952623 bytes, checksum: 37c7c5b145f5ff65666d5f5d6d467ed0 (MD5) / Made available in DSpace on 2018-04-09T14:34:55Z (GMT). No. of bitstreams: 1 RAFAEL AIELLO-FERNANDES.pdf: 952623 bytes, checksum: 37c7c5b145f5ff65666d5f5d6d467ed0 (MD5) Previous issue date: 2018-02-20 / Conselho Nacional de Pesquisa ? CNPq / Based on the foundations and presuppositions of concrete psychology, the present work aims to critically examine four theses and one dissertation, produced in postgraduate programs between 1945 and 2015, that investigated racism from psychoanalytic perspectives. It is justified to the extent that such works can be considered as manifestations that define the constitution of a new field of research, whose development may prove decisive in the production of subsidies for the social clinic and for contemporary debates within the social movements. It is organized methodologically through readings that combine theoretical-methodological appraisals of these productions with their historical contextualization in terms of the black movement and the debates of the social sciences. It is observed that the studied authors converge in recognizing racism as an objective phenomenon that causes important emotional suffering, and it should be emphasized that conceptions about the social are not identical, including both Marxist visions and perspectives that emphasize symbolic-discursive dimensions. On the other hand, there are disagreements in that three authors use psychoanalytic knowledge only to demonstrate and understand emotional losses determined by racism, whereas only one author proposes psychoanalytically oriented care of black women in a public health device. The general picture probably indicates a conservative view that thinks the psychological clinic of psychoanalytical frame within the narrow limits of the standard frame, forged for the individual attention, but it does not know the fecundity of the differentiated frames of the clinical social psychology. / A partir de los fundamentos y de los presupuestos de la psicolog?a concreta, el presente trabajo objetiva examinar cr?ticamente cuatro tesis y una disertaci?n, producidas en programas de postgrado entre 1945 y 2015, que investigaron el racismo a partir de perspectivas psicoanal?ticas. Se justifica en la medida en que tales obras pueden ser consideradas como manifestaciones que delimitan la constituci?n de un nuevo campo de investigaci?n, cuyo desarrollo podr? revelarse decisivo en la producci?n de subsidios para la cl?nica social y para debates contempor?neos en el ?mbito de los movimientos sociales. Se organiza metodol?gicamente a trav?s de lecturas que conjugan apreciaciones te?rico-metodol?gicas de esas producciones con su contextualizaci?n hist?rica en t?rminos del movimiento negro y de los debates de las ciencias sociales. Se constata que los autores estudiados convergen al reconocer el racismo como fen?meno objetivo que provoca sufrimiento emocional importante, valiendo resaltar que las concepciones sobre lo social no son id?nticas, incluyendo tanto visiones marxistas como perspectivas que enfatizan dimensiones simb?lico-discursivas. Por otro lado, se perciben discordancias en la medida en que tres autoras estudiadas usan el saber psicoanal?tico s?lo para demostrar y comprender perjuicios emocionales determinados por el racismo, mientras que s?lo un autor propone atendimientos psicoanal?ticamente orientados de mujeres negras en dispositivo de salud p?blica. El cuadro general indica, probablemente, una visi?n conservadora, que piensa la cl?nica psicol?gica de referencial psicoanal?tico dentro de los estrechos l?mites del encuadre est?ndar, forjado para la atenci?n individual, pero desconoce la fecundidad de los encuadres diferenciados de la psicolog?a cl?nica social. / A presente tese aborda a tem?tica do racismo enquanto sofrimento socialmente determinado, visando produzir conhecimentos que contribuam para o enfrentamento desse grave problema brasileiro. Partindo dos fundamentos e dos pressupostos da psican?lise concreta, objetiva examinar criticamente quatro teses e uma disserta??es, produzidas em programas de p?s-gradua??o brasileiros, entre 1945 e 2015, que investigaram o racismo a partir de perspectivas psicanal?ticas. Organiza-se metodologicamente por meio de leituras que conjugam aprecia??es te?rico-metodol?gicas dessas obras com sua contextualiza??o hist?rica em termos do movimento negro e dos debates sobre racismo no ?mbito das ci?ncias sociais. O quadro geral revela converg?ncia dos autores quanto ao fato do racismo corresponder a fen?meno social que provoca sofrimento emocional importante. Por outro lado, indica discord?ncias quanto ao modo mediante o qual o saber psicanal?tico poderia contribuir com um processo de supera??o do racismo, na medida em que ? concebido como fecundo na demonstra??o de efeitos subjetivos, mas n?o clinicamente relevante. Provavelmente, essa vis?o se firma sobre um conservadorismo, que pensa o uso da psican?lise na cl?nica dentro dos estreitos limites do enquadre padr?o, forjado para o atendimento individual de neur?ticos, mas desconhece a fecundidade da psicologia cl?nica social.

This research investigated an issue that has implications for early breastfeeding cessation and impaired mother-child bonding. It focused on child abuse survivors' perceptions and reactions surrounding breastfeeding and bonding, the necessity of trust before disclosing abuse, and the transition to self-efficacy. It also provided recommendations for health professionals' practice.

The thesis is based on three months of participant observation in a long-term care facility in 2010 and interviews conducted during next three years. It draws from a perspectives of medical anthropology and anthropology of institutions. The focus is on an ethnography of institution for clients with chronic mental disease, dementia and substance abuse. The thesis is mapping institution's components and actors, their social life and relationships in the institution. The analyses is based upon the concept of total institution by Erving Goffman, and draws from thoughts of Josef Pieper, Martin Buber, Emanuel Lévinas and Michel Foucault. A long-term facility is an institution, which shares clients and some of problems with classical examples of total institutions, but recent reforms aimed to minimalize features of total institutions. Still it does not seem to be a vital institution and new aspects of social situation of staff and clients are recognized. Among new problems is non-existence of therapy for the inhabitants, their marginalization through poor financial situation in an institution, where lot of services are paid and little continuity to other forms of care of more community and ambulant character. Key words: total institution, long-term facility, psychiatric care, medical anthropology,...

Stroke recovery is complex and poorly understood. As a legacy of pervasive pessimism in the face of limited treatment, it is conceptualised and researched from biomedical and psychosocial perspectives that address impairment, problems of performance, quality of life, burden and disruption. Little stroke research is conducted once professional input has ceased, and yet considerable change occurs after this period with evidence that post-stroke wellbeing is independent of impairment and function -- many people do well in the face of poor prognoses, while others remain miserable despite 'good recovery'. Current advances in acute stroke management are generating increasing optimism, but lack of understanding about individuals' post-stroke experiences and long-term outcomes continues. While it is recognised that the impact of stroke on the lives of survivors and families is profound, rehabilitation focuses on recovery as task achievement and measured functional outcomes. For many survivors and their families 'recovery' is contested, ambiguous and extended. For some, it becomes a lifetime marathon because stroke represents an assault, not only to the body, but to the self and the lifeworld -- it is a 'life' event. This narrative inquiry into life after stroke explores recovery as a process taking place over time and conceptualised as a life transition. The work is grounded in narrative theory with the concept of transition providing the lens and focus for the research, its processes and analyses. Individuals' stories remain intact enabling evocation of diverse stroke meanings and the mapping of individual experience. Bringing these whole stories into conversation with each other elucidates post-stroke transition which is interpreted in light of theories of response to traumatic loss and informed by narrative theory. The thesis presents stories of trauma, loss and grief, situated in past lives and selves where assumptions about selves and future lives are shattered. The future makes no sense in terms of participants' past and present lives; life plots are lost and stroke therefore represents 'lost futures'. Stories of moving on to new lives are focused on being and doing in the present and have an expectant view of life. Although mindful of past lives and enduring losses, survivors actively engage in processes to reconfigure their lives with hope for a meaningful future. Transition is interpreted as 'reconfiguring the future'. The life tasks of reconfiguration are embedded in dynamic models of traumatic loss where grief is conceptualised as recursive movement between loss and meaning reconstruction evident in narratives that slowly move towards wellbeing. Despite broad recognition that loss and grief are part of the stroke experience, they are rarely addressed; where attention is paid it is likely embedded in explanatory models of staged response that oversimplify human experience. This thesis offers a new framework. It represents a fresh interpretation that highlights the ongoing traumatic impact of stroke. The post-stroke journeys of survivors and families are affected by individual circumstances and meanings. Although their stories are permeated with loss, many people move forward towards lives worth living. This interpretation suggests ways of reconfiguring lives in the face of devastation and ongoing traumatic loss. The work identifies a complex interaction of individual, emotional and social factors contributing to transitions to wellbeing following stroke and thus adds to a prospective vision of post-stroke life that can inform rehabilitation, discharge and stroke support strategies. Post-stroke transition will be enhanced when we use narrative framing and understanding to guide rehabilitative practice that uses meaning-centred models to prepare survivors and their families for a return to the lifeworld. / Thesis (PhD)--University of South Australia, 2009

Stroke recovery is complex and poorly understood. As a legacy of pervasive pessimism in the face of limited treatment, it is conceptualised and researched from biomedical and psychosocial perspectives that address impairment, problems of performance, quality of life, burden and disruption. Little stroke research is conducted once professional input has ceased, and yet considerable change occurs after this period with evidence that post-stroke wellbeing is independent of impairment and function -- many people do well in the face of poor prognoses, while others remain miserable despite 'good recovery'. Current advances in acute stroke management are generating increasing optimism, but lack of understanding about individuals' post-stroke experiences and long-term outcomes continues. While it is recognised that the impact of stroke on the lives of survivors and families is profound, rehabilitation focuses on recovery as task achievement and measured functional outcomes. For many survivors and their families 'recovery' is contested, ambiguous and extended. For some, it becomes a lifetime marathon because stroke represents an assault, not only to the body, but to the self and the lifeworld -- it is a 'life' event. This narrative inquiry into life after stroke explores recovery as a process taking place over time and conceptualised as a life transition. The work is grounded in narrative theory with the concept of transition providing the lens and focus for the research, its processes and analyses. Individuals' stories remain intact enabling evocation of diverse stroke meanings and the mapping of individual experience. Bringing these whole stories into conversation with each other elucidates post-stroke transition which is interpreted in light of theories of response to traumatic loss and informed by narrative theory. The thesis presents stories of trauma, loss and grief, situated in past lives and selves where assumptions about selves and future lives are shattered. The future makes no sense in terms of participants' past and present lives; life plots are lost and stroke therefore represents 'lost futures'. Stories of moving on to new lives are focused on being and doing in the present and have an expectant view of life. Although mindful of past lives and enduring losses, survivors actively engage in processes to reconfigure their lives with hope for a meaningful future. Transition is interpreted as 'reconfiguring the future'. The life tasks of reconfiguration are embedded in dynamic models of traumatic loss where grief is conceptualised as recursive movement between loss and meaning reconstruction evident in narratives that slowly move towards wellbeing. Despite broad recognition that loss and grief are part of the stroke experience, they are rarely addressed; where attention is paid it is likely embedded in explanatory models of staged response that oversimplify human experience. This thesis offers a new framework. It represents a fresh interpretation that highlights the ongoing traumatic impact of stroke. The post-stroke journeys of survivors and families are affected by individual circumstances and meanings. Although their stories are permeated with loss, many people move forward towards lives worth living. This interpretation suggests ways of reconfiguring lives in the face of devastation and ongoing traumatic loss. The work identifies a complex interaction of individual, emotional and social factors contributing to transitions to wellbeing following stroke and thus adds to a prospective vision of post-stroke life that can inform rehabilitation, discharge and stroke support strategies. Post-stroke transition will be enhanced when we use narrative framing and understanding to guide rehabilitative practice that uses meaning-centred models to prepare survivors and their families for a return to the lifeworld. / Thesis (PhD)--University of South Australia, 2009

Stroke recovery is complex and poorly understood. As a legacy of pervasive pessimism in the face of limited treatment, it is conceptualised and researched from biomedical and psychosocial perspectives that address impairment, problems of performance, quality of life, burden and disruption. Little stroke research is conducted once professional input has ceased, and yet considerable change occurs after this period with evidence that post-stroke wellbeing is independent of impairment and function -- many people do well in the face of poor prognoses, while others remain miserable despite 'good recovery'. Current advances in acute stroke management are generating increasing optimism, but lack of understanding about individuals' post-stroke experiences and long-term outcomes continues. While it is recognised that the impact of stroke on the lives of survivors and families is profound, rehabilitation focuses on recovery as task achievement and measured functional outcomes. For many survivors and their families 'recovery' is contested, ambiguous and extended. For some, it becomes a lifetime marathon because stroke represents an assault, not only to the body, but to the self and the lifeworld -- it is a 'life' event. This narrative inquiry into life after stroke explores recovery as a process taking place over time and conceptualised as a life transition. The work is grounded in narrative theory with the concept of transition providing the lens and focus for the research, its processes and analyses. Individuals' stories remain intact enabling evocation of diverse stroke meanings and the mapping of individual experience. Bringing these whole stories into conversation with each other elucidates post-stroke transition which is interpreted in light of theories of response to traumatic loss and informed by narrative theory. The thesis presents stories of trauma, loss and grief, situated in past lives and selves where assumptions about selves and future lives are shattered. The future makes no sense in terms of participants' past and present lives; life plots are lost and stroke therefore represents 'lost futures'. Stories of moving on to new lives are focused on being and doing in the present and have an expectant view of life. Although mindful of past lives and enduring losses, survivors actively engage in processes to reconfigure their lives with hope for a meaningful future. Transition is interpreted as 'reconfiguring the future'. The life tasks of reconfiguration are embedded in dynamic models of traumatic loss where grief is conceptualised as recursive movement between loss and meaning reconstruction evident in narratives that slowly move towards wellbeing. Despite broad recognition that loss and grief are part of the stroke experience, they are rarely addressed; where attention is paid it is likely embedded in explanatory models of staged response that oversimplify human experience. This thesis offers a new framework. It represents a fresh interpretation that highlights the ongoing traumatic impact of stroke. The post-stroke journeys of survivors and families are affected by individual circumstances and meanings. Although their stories are permeated with loss, many people move forward towards lives worth living. This interpretation suggests ways of reconfiguring lives in the face of devastation and ongoing traumatic loss. The work identifies a complex interaction of individual, emotional and social factors contributing to transitions to wellbeing following stroke and thus adds to a prospective vision of post-stroke life that can inform rehabilitation, discharge and stroke support strategies. Post-stroke transition will be enhanced when we use narrative framing and understanding to guide rehabilitative practice that uses meaning-centred models to prepare survivors and their families for a return to the lifeworld. / Thesis (PhD)--University of South Australia, 2009