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Emphasis on Diversity
Paradigms of
Clinical Social Work
Volume 3
Emphasis on Diversity
All rights reserved. No part of this book may be reprinted or reproduced or utilized in any form or by any
electronic, mechanical, or other means, now known or hereafter invented, including photocopying and
recording, or in any information storage or retrieval system, without permission in writing from the pub-
lishers.
10 9 8 7 6 5 4 3 2 1
Bibliography: p.
Includes index.
1. Social case work. 2. Social case work - United States.
I. Dorfman, Rachelle A. II. Title: Clinical social work.
1. The Case 3
Rachelle Dorfman, PhD
vii
viii Contents
T
his book offers a fascinating and informative presentation of 11 differ-
ent models of clinical social work practice. The philosophy, rationale,
and special emphasis of each model come alive in the manner in which
each approach undertakes clinical work with the same family case. In this book,
we see different viewpoints about assessment and about the focus and the
process of treatment. Because there are multiple ways to understand and work
with any case, practitioners trained in one specific model may guide the case
according to their training and concepts about the appropriate nature of thera-
peutic work.
The use of the Shore family case as a major recurring theme in each chap-
ter demonstrates to the reader that there are many different ways to Rome.
Some approaches emphasize work with the marital dyad, others with the par-
ent–child relationship, and still others with the family as a unit, with all taking
their rationale from the principles of their models. One wonders which ap-
proach the family would have preferred, and to what extent these seemingly
substantive differences matter. All the models emphasize respect for the cli-
ents and an understanding of the reciprocal influence of persons and their
environments. After all, a systems perspective maintains that a change in any
one person will affect others in the family group, and the literature has con-
firmed that the practitioner’s own belief in the efficacy of his or her approach
is the essential factor that contributes to therapeutic change in clients.
Appropriate as a text in advanced clinical practice courses, this book com-
bines a three-pronged focus: (a) the 11 models of practice, (b) the in-depth case
discussions, and (c) an emphasis on diversity. The contributors follow a similar
chapter outline that includes a section about issues on diversity, as these are
ix
x Foreword
reflected in their helping perspective and with respect to specific aspects of the
case. Although the case involves a Caucasian family, the Shores, many authors
chose to hypothetically alter the ethnicity of the family in order to discuss the
situation had the family been Russian, African American, Japanese American,
Mexican American, or Chinese. This device allows, for example, a discussion
of the pressures of immigrant families that must simultaneously deal with ad-
aptation to a new sociocultural environment at the same time they are strug-
gling with personal and family problems. One author chose to discuss diversity
in terms of gender and role expectations in this Caucasian family.
Regardless of the model of practice, it is imperative that the therapist
thoughtfully examine his or her own cultural biases and beliefs about gender
role expectations, child rearing, and appropriate help-seeking behavior. These
culturally grounded beliefs inevitably pervade the therapeutic process and ap-
ply to the therapist, as well as to the client. It is ironic that many people from
non-European cultures consider it shameful to require assistance from a men-
tal health professional, and the practitioner who does not recognize or share
these beliefs may misread the client’s hesitation as “resistance.”
The social work profession is committed to helping people from increas-
ingly diverse backgrounds, and the growing literature provides guidance about
culturally competent practice (Fong, in press; Lum, 1999; Webb, 2001). This
book makes an important contribution to our understanding of applying con-
cepts about diversity in clinical work with families.
REFERENCES
Fong, R. (Ed.). (in press). Culturally competent practice with immigrant and refugee children and
families. New York: Guilford Press.
Lum, D. (1999). Culturally competent practice. A framework for growth and action. Pacific Grove,
CA: Sage.
Webb, N. B. (Ed.). (2001). Culturally diverse parent–child and family relationships. A guide for
social workers and other practitioners. New York: Columbia University Press.
ACKNOWLEDGMENTS
Many thanks to our students who, when we are humble enough to ask them,
tell us exactly what they need to succeed in the work we all do. Thanks to
Rocky for, once again, nudging me into the unknown and making sure I have
provisions for the journey—and to Melinda for holding hands along the way. I
am especially grateful to members of my family who put up with the smell of
midnight oil and the oft-times haggard sight of a sleep-deprived parent.
P. M.
xi
ABOUT THE EDITORS
xiii
xiv About the Editors
Nancy Boyd Webb, DSW, is a distinguished professor of social work and the
James R. Dumpson Chair in Child Welfare Studies at Fordham University Gradu-
ate School of Social Service, where she has been a faculty member since 1979.
Her works include Play Therapy With Children in Crisis: Individual, Family and
Group Treatment; Helping Bereaved Children: A Handbook for Practitioners; Social
Work Practice With Children; and Culturally Diverse Parent–Child and Family Re-
lationships. In addition, she has published widely in professional journals and
produced a video, Techniques of Play Therapy. She is the editor of a book series
for Guilford Press on the topic of social work practice with children. In 1985
she founded the post-master’s certificate program in child and adolescent
therapy at Fordham to meet the need for specialized training with children
and families. She consults with agencies and schools around issues of trauma
and bereavement and is a frequent keynote speaker at professional confer-
ences and meetings in the United States and abroad. Dr. Webb is a board-
certified diplomat in clinical social work and a registered play therapy supervisor
with the International Association for Play Therapy.
xv
xvi About the Contrubutors
Joseph A. Himle, PhD, is a clinical assistant professor and the director of edu-
cation, Ambulatory Psychiatry, at the University of Michigan, Department of
Psychiatry. He is also the associate director of the University of Michigan Anxi-
ety Disorders Program and an adjunct assistant professor at the University of
Michigan School of Social Work. He completed his doctorate in social work
and psychology at the University of Michigan in August of 1995. Dr. Himle is
an active clinician, a teacher, and a researcher in the area of anxiety disorders
and cognitive-behavioral therapies.
Carolyn Jacobs, PhD, is the dean and an Elizabeth Marting Treuhaft Professor
at Smith College School for Social Work. She has taught primarily within the
research and practice sequences of the Smith College School for Social Work.
Her areas of professional interest include religion and spirituality in social work
practice, social work research, and statistics. She has written and presented
extensively on the topic of spirituality in social work. She is the co-editor of
Ethnicity and Race: Critical Concepts in Social Work. She is a spiritual director
trained at the Shalem Institute for Spiritual Formation. Dr. Jacobs was also
elected as a distinguished practitioner in the National Academies of Practice in
Social Work in 2001.
Tammie Ronen, PhD, is a professor at the Bob Shapell School of Social Work,
Tel-Aviv University, Israel. She serves as the director of the Child Clinical Pro-
gram in Graduate Studies and the director of the Research Clinic for Aggres-
sive Children. Dr. Ronen is the author of many papers and books in the area of
child therapy and self-control training.
“To this it may be replied, that the same way it may be proved
just to damn a man without any sin at all, either personal or
imputed. We need only to resolve it into a sovereign
constitution of God.”
The Andover and New Haven theologians regard both the Catholic
and the Princeton modes as utterly unsatisfactory, and offer instead
the mode of constitutional transmission as relieving the difficulties.
But Dr. Woods thus argues the case against them, and appeals
powerfully to “intelligent and candid men:”
Dr. Woods in behalf of the Catholic Mode against the
Constitutional Transmission Mode.
Thus it appears that whenever any person claims that each of these
attempts to make the Augustine theory, as held by the great
Christian sects, consistent with the moral sense of humanity is an
utter failure, [pg 034] he is sustained by a majority of the most
learned and acute theologians of our age and nation.
Chapter VIII. The Augustinian Theory
Contrary to the Moral Sense of Mankind.
There are remains of the writings of those who were the opposers of
this theory in the time of Augustine, which show the strong
emotions called forth at that remote period by the introduction of
this doctrine.
“The children, you say, do not bear the blame of their own, but
of another's sins. What sort of sin can that be? What an
unfeeling wretch, cruel, forgetful of God and of righteousness,
an inhuman barbarian, is he who would make such innocent
creatures as little children bear the consequences of
transgressions which they never committed, and never could
commit? God, you answer. What god? For there are gods many
and lords many; but we worship but one God and one Lord
Jesus Christ. What God dost thou make the malefactor? Here,
most holy [pg 035]priest and most learned orator, thou
fabricatest something more mournful and frightful than the
brimstone in the valley of Amsanctus. God himself, say you,
who commendeth his love towards us, who even spared not
his own Son, but hath given him up for us all, he so
determines—he is himself the persecutor of those that are
born. He himself consigns to eternal fire for an evil will, the
children who, as he knows, can have neither a good nor an evil
will.”
The following is from the celebrated Dr. Watts, whose sacred lyrics
endear his name to the Christian world:
Dr. Watts.
“If it could be well made out that the whole race of mankind
are partakers of sinful inclinations, and evil passions, and
biases to vice, and also are exposed to many sharp actual
sufferings and to death, merely and only by the original divine
law of propagation from their parents who had sinned; and, if
the justice and goodness of God could be vindicated in making
and maintaining such a dreadful law or order of propagation
through six thousand years, we have no need of further
inquiries, but might here be at rest. But, if the scheme be so
injurious to the goodness and equity of God as it seems to be,
then we are constrained to seek a little further for a
satisfactory account of this universal degeneracy and misery of
mankind.”
[pg 036]
The following was written by an American divine at the time of the
commencement of the conflict in this country between the Old and
New School Calvinists. At that time this theory of a depraved nature
was accompanied, even in pulpit teachings, by the assumption of
man's total inability to do any thing to gain salvation, and that Christ
died, not for all men, but only for “the elect.”
Dr. Whelpley.
“If one man, or being, out of pure generosity, and without any
expectation of return, is about to confer any favor or
emolument [pg 037]upon another, he has a right and is at
liberty to choose in what manner and by what means to confer
it. He may confer the favor by his own hand or by the hand of
a servant; and the obligation to gratitude is equally strong
upon the benefited being. The mode of bestowing does not
diminish the kindness, provided the commodity or good is
brought to us equally perfect and without our expense. But, on
the other hand, if one being is the original cause of pain,
sorrow, or suffering to another, voluntarily and without
provocation, it is injurious to that other, whatever means he
might employ, and whatever circumstances the conveyance of
the injury might be attended with. Thus we are equally obliged
to the Supreme Being for the information he has given us of
our duty, whether by the constitution of our minds or bodies,
or by a supernatural revelation. For an instance of the latter, let
us take original sin. Some say that Adam's sin was enough to
damn the whole human race, without any actual crimes
committed by any of them. Now this guilt is brought upon
them, not by their own rashness and indiscretion, not by their
own wickedness and vice, but by the Supreme Being. This guilt
brought upon us is a real injury and misfortune, because it
renders us worse than not to be; and therefore making us
guilty on account of Adam's delegation, or representing all of
us, is not in the least diminishing the injury and injustice, but
only changing the mode of conveyance.”
The celebrated Dr. Channing was educated a Calvinist. The following
exhibits his views on this subject, after embracing Unitarianism:
Dr. Channing.
[pg 039]
“It amazes me to imagine how thoughtful and benevolent men,
believing that doctrine, can endure the sight of the present
world and the history of the past. To behold successive,
innumerable crowds carried on in the mighty impulse of a
depraved nature, which they are impotent to reverse, and to
which it is not the will of God, in his sovereignty, to apply the
only adequate power, the withholding of which consigns them
inevitably to their doom; to see them passing through a short
term of moral existence (absurdly sometimes denominated a
probation) under all the world's pernicious influences, with the
addition of the malign and deadly one of the great tempter and
destroyer, to confirm and augment the inherent depravity, on
their speedy passage to everlasting woe;—I repeat, I am,
without pretending to any extraordinary depth of feeling,
amazed to conceive what they contrive to do with their
sensibility, and in what manner they maintain a firm assurance
of the divine goodness and justice.”
“If any one would know the full worth of the privilege of living
under, worshiping, loving and adoring a God of honor,
righteousness and love, let him, after years of joyful Christian
experience and soul-satisfying communion with God, at last
come to a point where his lovely character, for a time, vanishes
from his eyes, and nothing can be rationally seen but a God
selfish, dishonorable, unfeeling. No such person can ever
believe that God issuch; but he may be so situated as to be
unable rationally to see him in any other light. All the common
modes of defending the doctrine of native depravity may have
been examined and pronounced insufficient, and the question
may urgently press itself upon the mind, Is not the present
system a malevolent one? and of it no defense may appear.
The following is from the Rev. Albert Barnes, a leading New School
Calvinistic divine, and the author of a very popular Commentary on
the Bible:
The next attempt will be to show that the people are endowed with
principles of common sense, by the aid of which they can educe
from the works of the Creator, independently of any revealed Word,
a system of religion far superior to the one based on the Augustinian
theory.
It is claimed, then, that there are certain truths, the belief of which
exists in every rational human mind. This belief, in some cases, as all
must allow, results from the constitution of mind given by the
Creator, and not from any instruction or knowledge gained by other
modes. Of this class is the belief of every mind in its own existence,
and also the belief in the existence of other things beside ourselves.
[pg 043]
This, therefore, is the test by which we are to distinguish these
principles of common sense from all other knowledge. They are
truths which are believed by all rational persons, so that the disbelief
of any one of them, evinced in words and actions, is universally
regarded as proof of a deranged mind. In such cases, a man, in
common parlance, would be said to have “lost his mind,” or to have
“lost his reason;” inasmuch as he is lacking in some of those peculiar
features which constitute man a rational being.
All that the writer claims is that there are certain truths, the belief of
which is common to all minds, either as the result of constitutional
organization or of acquired knowledge; and that these can be
classified by this test, viz., that men universally talk and act as if
they believed them, and when they cease to do so, are regarded as
more or less insane.
In all systems of religion the first article relates to the existence and
character of the Deity to be worshiped and obeyed. The first
principle of common sense to guide us in this inquiry is this:
Every change has a producing cause.
Then there are two classes of causes; the first are necessary or
producing causes, and the second occasional causes.
[pg 045]
Thus, fire applied to powder is the producing cause of an explosion,
while the placing of the two together is the occasional cause of it.
Now every man, however unlearned, can judge for himself whether
these principles of common sense exist in his own mind, as here set
forth. For example, let any person take a magnet and discover, day
after day, that when it is placed near a piece of iron it draws it to
itself; let him find also, by testimony from others, that this is
invariable and fails in not a single instance, and the inevitable result
is a belief that the magnet is the cause of the moving of the iron,
just as the mind is the cause of the movement of our bodies. So also
there is a belief that the magnet, in given circumstances, [pg 047]
has power to move the iron, as our will has power to move our body.
So also there is a belief that the piece of iron, in the given
circumstances, has no power to refrain from being thus attracted.
Our minds being endowed with this principle, we find the world
around us to be a succession of changes which we trace back to
preceding causes, until we come to the grand question, “Who, or
what first started this vast system of successive changes?” Only two
replies are conceivable. The first is that of the Atheist, who,
contradicting his own common sense, maintains that, in some past
period, all this vast system of organization and changes began to
exist without any cause. The other reply is, that there is a great,
eternal, self-existent First Cause, who himself never began to be,
and who is the author of all finite existences. This being, the Creator
of the heavens and the earth, we call God.
The mind, as has been shown, is so formed that it can not believe
that any existence can commence without some antecedent cause.
The existence of unorganized matter, however, would be no proof
that the cause was an intelligent mind.
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