Flashcards in Practice Deck (27):
THREE PURPOSE OF SOCIAL WORK
DON'T BE QUICK TO DIAGNOSE
Don't be quick to diagnose a client with a disorder unless ALL the required clinical criteria are present. Don't make the clients feelings or behaviors clinical issues to be addressed a part of an intervention or treatment.
Rule out medical and physical complaints. Refer to physician.
Do Not treat or engage with clients who are intoxicated, delusional, or hallucinating.
Save lives. Call 911 if client has a clear plan of who, what, when and where ideation and/or homicidal ideation.
Ask BEFORE action.
Assess or ask.
Empower mentally stable clients and respect their right to self-determination and encourage clients to help themselves.
Assess before action
Start where the client is
Rule out medical condition
Intoxicated: do NOT treat
Rule out medical/refer to doctor
Under the influence: do not treat: refer to psychiatrist or do not treat intoxicated clients.
Save a life if problem is about safety: duty to warn: report child abuse, call 911, and send to ER
Assess before action: Assess, ask, or DICE
Feelings: acknowledge. Concerns: AID the client: assist, inform and discuss concerns with client.
Empower client: if client is mentally stable: empower them.
FARM GRITS ROAD
F: Do not focus on unresolved issues: no psychoanalysis
A: Do not give advice or judge
R: Do not recommend support group
M: Do not make appointments
G: Do not give client literature/flyer
R: Do not recommend a session
I: if client is a minor: do not inform parents
T: Do not terminate clients in this exam: you or the client is moving, if clients reaches their goal or if client is not paying for sessions or in crisis/ harm you have right to terminate.
S: Do not speak to the supervisor on this exam: Exceptions: if problem involves transference or countertransference.
R: Do not pick answer which says respect client self-determination if client is unstable
O: Do not offer contract to the client as a reminder or remind client of consequences.
A: Do not allow client to lead the session
D: Do nothing or say nothing: Example: take no action on this matter.
Genograms help uncover intergenerational patterns of behavior, marriage choices, family alliances and conflicts, the existence of family secrets and other information that will shed light on a family's present situation.
Encourage family members to "pretend" and encourage voluntary control of behavior.
Superficial behavior changes within a system that do not change the structure of the system.
Changes to the systematic interaction pattern so that system is recognized and functions more effectively.
Families tend to preserve familiar organization and communication patterns; resistant to change.
Changing the label attached to a person or problem from negative to positive so the situation can be perceived differently; it is hoped that new responses will evolve.
PARADOXICAL DIRECTIVE OR INSTRUCTION
Prescribe the symptomatic behavior so a client realizes her or she can control it; uses the strength of the resistance to change in order to move a client toward goals.
Restructuring is based on observing and manipulating interactions with therapy sessions,
BOWENIAN FAMILY THERAPY
Bowenian-trained social worker is interested in improving the intergenerational transmission process.
Unlike other models of family therapy, the goal of this approach is not symptom reduction. The focus is consistent whether a social worker is working with an individual, a couple , or the entire family.
Differentiation is the core concept of the Bowenian Family Therapy. The more differentiated, the more a client can be an individual while in emotional contact with the family. The allows a client to think through a situation without being drawn to act by either internal or external emotional pressures.
Emotional fusion is the counterpart of differentiation and differentiation and refers to the tendency for family members to share an emotional response. This is the result of poor interpersonal boundaries between family members. In a fused family, there is little room for emotional autonomy. If a member makes a move toward autonomy, it is experienced as abandonment by other members of the family.
Multigenerational transmission stresses the connection of current generations to past generations as a natural process. Multigenerational transmission gives the present a context history. This context can focus a social worker on the differentiation in the system and on the transmission process.
BOWEN'S APPROACH: EMOTIONAL TRIANGLE
An emotional triangle is the network of relationships among three people. Bowen's theory states that a relationship can remain stable until anxiety is introduced. However, when anxiety is introduced into the dyad, a third party is recruited into a triangle to reduce the overall anxiety. It is almost impossible for two people to interact without triangulation.
BOWEN'S APPROACH: NUCLEAR FAMILY
The nuclear family is the most basic unit in society and there is a concern over the degree to which emotional fusion can occur in a family system. Clients forming relationships outside of the nuclear family tend to pick mates with the same level of differentiation. Sibling position is a factor in determining personality. where a client is in birth order has an influence on how he or she is relates to parents and siblings. Birth order determines the triangles that clients grown up in.
BOWEN'S APPROACH: SOCIETAL REGRESSION
Societal regression, in contrast to progression, is manifested by problems such as th depletion of natural resources. Bowen's theory can be used to explain societal anxieties and social problems, because Bowen viewed society as a family- an emotional triangles, cutoffs, projection processes, and fusion/ differentiation struggles.
A social worker focuses on helping each member changes his or her environment or behavior through interpersonal experience.