bluuebunny/crossref_metadata_2025 huggingface dataset:
Effect of high-frequency repetitive transcranial magnetic stimulation (rTMS) in patients with comorbid panic disorder and major depression
Authors: Kumar Saurabh , Singh Swarndeep , Parmar Arpit , Verma Rohit , Kumar Nand
Published: May 2018

Objective:

To explore the role of dorsolateral prefrontal cortex (DLPFC) stimulation in the treatment of panic disorder with comorbid depression.

Methods:

The present study reports findings from retrospective analysis of 13 treatment-resistant patients diagnosed with comorbid panic disorder and depression, given 20 sessions of high-frequency transcranial magnetic stimulation (rTMS) over left-DLPFC over a period of 1 month.

Results:

There was a significant reduction in both the panic and depressive symptom severity, assessed by applying Panic Disorder Severity Scale (PDSS) and Hamilton Depression Rating Scale (HDRS) at baseline and after 20 sessions of rTMS. There was a 38% and 40% reduction of PDSS and HDRS scores, respectively, in the sample. The changes in PDSS and HDRS scores were not significantly correlated (ρ = –0.103, p = 0.737).

Conclusions:

High-frequency rTMS delivered at left-DLPFC may have a potential role in treatment of comorbid panic disorder and depression. Future studies done on a larger sample in a controlled environment are required to establish its role.
Inflammatory bowel disease-related fatigue is correlated with depression and gender
Authors: Keightley Philip , Reay Rebecca E , Pavli Paul , Looi Jeffrey CL
Published: May 2018

Objectives:

Fatigue is a common and disabling problem in inflammatory bowel disease. We sought to explore the possible determinants of inflammatory bowel disease-associated fatigue including demographic, psychological and disease variables.

Methods:

Surveys were distributed to 100 patients undergoing infliximab infusion for inflammatory bowel disease in an infusion lounge, assessing attachment style (Experiences in Close Relationships Revised scale), fatigue (Functional Assessment of Chronic Illness Therapy Fatigue – Fatigue Subscore), and depression and anxiety (Hospital Anxiety and Depression Scale). Disease severity was assessed via file review through an independent gastroenterologist rating (Harvey–Bradshaw Index).

Results:

There were 67 responses. Depression, as measured by the Hospital Anxiety and Depression Scale, was found to be highly correlated with fatigue (Functional Assessment of Chronic Illness Therapy Fatigue – Fatigue Subscore). Anxiety, insecure attachment, disease severity and female gender were moderately correlated with fatigue. In a hierarchical regression model, depression and female gender emerged as significant predictors of variance in fatigue scores.

Conclusions:

Depression was the strongest predictor of variance in fatigue scores. Gender as a cause of fatigue in inflammatory bowel disease requires further exploration. Attachment style, however, may still help clinicians to conceptualise help-seeking behaviour and clinician-patient relationships in medically unexplained symptoms.
Assessing workplace discrimination among medical practitioners in Western Sydney
Authors: Agrawal Ravindra , Foresti Katia , Rajadurai Jeremy , Zubaran Carlos
Published: May 2018

Objectives:

To investigate the presence of different forms of experiences of discrimination in the medical workplace.

Methods:

A total of 526 questionnaires were sent out, including a demographic survey form and the Everyday Discrimination Scale.

Results:

Experiences of being “treated with less courtesy than other people are” and feeling as “others acted if they’re better than [me]” were reported as having occurred with almost daily frequency by 4.1 % of respondents. Those whose main language was not English and classified as “non-whites” had significantly more experiences (“ever”) of discrimination in the medical workplace. The most commonly reported reasons for discrimination were ancestry (31.3%), “race” (28.1%), and gender (21.1%).

Conclusions:

The results of this survey indicate that a proportion of doctors experience discrimination in the workplace in Australia. This phenomenon was more commonly reported by doctors of minority status.
Comparative familial aggregation of bipolar disorder in patients with bipolar I and bipolar II disorders
Authors: Parker Gordon B , Romano Mia , Graham Rebecca K , Ricciardi Tahlia
Published: May 2018

Objective:

We sought to quantify the prevalence and differential prevalence of a bipolar disorder among family members of patients with a bipolar I or II disorder.

Methods:

The sample comprised 1165 bipolar and 1041 unipolar patients, with the former then sub-typed as having either a bipolar I or II condition. Family history data was obtained via an online self-report tool.

Results:

Prevalence of a family member having a bipolar disorder (of either sub-type) was distinctive (36.8%). Patients with a bipolar I disorder reported a slightly higher family history (41.2%) compared to patients with a bipolar II disorder (36.3%), and with both significantly higher than the rate of bipolar disorder in family members of unipolar depressed patients (18.5%).

Conclusions:

Findings support the view that bipolar disorder is heritable. The comparable rates in the two bipolar sub-types support the positioning of bipolar II disorder as a valid condition with strong genetic underpinnings.
What affects completion of the scholarly project? A survey of RANZCP trainees
Authors: Cheung Gary , Gale Chris , Menkes David B
Published: May 2018

Objective:

To explore trainee perception of what facilitates or delays completion of the RANZCP Scholarly Project (SP).

Method:

Of 182 currently registered New Zealand trainees, 33 (18%) completed an online questionnaire and three open-ended questions.

Results:

Most trainees agreed or strongly agreed that having protected time for research (87.5%) and access to an appropriate supervisor (87.9%) would facilitate the completion of their SP. Other college requirements were identified by most trainees (87.9%) as a factor delaying completion.

Conclusions:

Identifying and protecting research time and ensuring adequate supervision appear essential to improve the uptake and completion of this training requirement.
The Effect of MAOA and Stress Sensitivity on Crime and Delinquency: A Replication Study
Authors: Christ Christa C. , Schwartz Joseph A. , Stoltenberg Scott F. , Brauer Jonathan R. , Savolainen Jukka
Published: May 2018

Across several meta-analyses, MAOA-uVNTR genotype has been associated with an increased risk for antisocial behavior among males who experienced early life adversity. Subsequently, early life stress and genetic susceptibility may have long-term effects on stress sensitivity later in life. In support of this assumption, a recent study found evidence, in two independent samples, for a three-way interaction effect (cG × E × E) such that proximate stress was found to moderate the interactive effect of MAOA-uVNTR and distal stress on crime and delinquency among males. In light of recent developments in cG × E research, we attempted to replicate these findings in an independent sample of university students. Our results failed to support any cG × E or cG × E × E effects reported in the original study. Implications of a failed replication and general concerns for future cG × E research are discussed.
1. In the Home Setting
Authors: Sharkey Harold B.
Published: May 2018

A Symposium

The three papers presented here were given at a Forum of the New York Committee on Immigration and Naturalization, New York, N. Y., May 7, 1959. Mrs. Sonia S. Smick was Chairman of the Committee. Mr. Sharkey is Supervisor of the Division of Services to the Aged, Jewish Family Service, New York; he was formerly Director of Family Service, New York Association for New Americans. Mrs. Weinberg is Casework Supervisor, Foster Home Department, Jewish Child Care Association of New York. Mrs. Hochfeld is a Supervisor, International Social Service, American Branch, New York, N. Y.
Practitioners' Orientations to Knowledge and Conceptual learning from Practice: Part I
Authors: Smith Neilson F.
Published: May 2018

Our first aim is to develop in students … a capacity to apply knowledge and a well-established habit of seeking it, using it, testing it critically, and formulating principles.1
Social Workers' Contribution to Genetic Counseling
Authors: Schild Sylvia
Published: May 2018

A trend to a climate more conducive to constructive work with the objective reality of a defect does not lessen the emotional impact of the diagnosis
Family Tasks and Reactions in the Crisis of Death
Authors: Goldberg Stanley B.
Published: May 2018

The maladaptive mourning reaction, individual and familial, is not as frequent a reason for casework treatment as other psychosocial problems
Traditional and Behavior Therapy —Competition or Collaboration?
Authors: Fisher Phyllis K.
Published: May 2018

For noncooperating parents, supportive psychotherapy is recommended as an adjunctive treatment to a behavior modification program for the child
Crisis Intervention after a Natural Disaster
Authors: Birnbaum Freda , Coplon Jennifer , Scharff Ira
Published: May 2018

The spectrum of families' responses to the results of a flood included total family breakdown as well as increased solidarity and determination to cope with the problems
The Alcoholic Denial Syndrome: An Alcohol-Focused Approach
Authors: Fewell Christine Huff , Bissell LeClair
Published: May 2018

Denial, which is viewed here as a composite phenomenon, is the major obstacle to treatment for the alcoholic and the significant others in his life
Social workers as “enablers” in the treatment of alcoholics
Authors: Levinson Valerie R. , Straussner Shulamith L. Ashenberg
Published: May 2018

Seeking underlying causes to explain the disease of alcoholism detracts from the treatment process and can enable continued drinking behavior
Intake and Referral in an Alcoholism Agency
Authors: Petropoulos Alice W.
Published: May 2018

Referral is a subtle process requiring rapport, an expert diagnosis and assessment of needs, and the ability to match needs with available resources
The treatment of adolescent alcoholism
Authors: Unger Robert A.
Published: May 2018

Only recently has the abuse of alcohol by young people and its relationship to the family, the schools, and the law become more evident
Training for treatment of alcoholism in women
Authors: Corrigan Eileen M. , Anderson Sandra C.
Published: May 2018

Research findings on women alcoholics are reviewed, implications for social work practice discussed, and a new training model for alcoholism treatment proposed
The impact of energy boom-town growth on rural areas
Authors: Bates V. Edward
Published: May 2018

A crisis of unprecedented magnitude faces rural communities coping with social and environmental change from boom-town growth related to energy development
Equity in admissions to a school of social work
Authors: Vigilante Florence W.
Published: May 2018

Provision of compensatory processes enables candidates who have equal access, but who suffer from endemic deprivations, to achieve equitable consideration
Foundations for Social Work on Open-Heart Surgery Service
Authors: Granite Ursula
Published: May 2018

Pre- and postoperative intervention can be crucial in the ability of patients and their families to cope with the psychosocial ramifications of heart surgery
Through the Looking Glass: Supervision in Family Therapy
Authors: Rickert Vernon C. , Turner John E.
Published: May 2018

An innovative model for training family therapists in a family agency provides direct observation and immediate supervision through use of a one-way mirror
Intergenerational Separation Anxiety in Family Therapy
Authors: Leader Arthur L.
Published: May 2018

Family therapy is especially appropriate in dealing with the powerful impact on family members of pathological forms of separation anxiety and fear of abandonment
Social Work with the Mentally Retarded Client
Authors: Scanlon Pauline L.
Published: May 2018

Special support is often needed to help this client to identify and to express feelings verbally and to translate them into concepts usable in other situations
Social Services for Abused Wives
Authors: Higgins John G.
Published: May 2018

The increasing incidence of battered wives has brought a growing awareness of the need for special services and skills to use in helping these crisis clients
Utilizing the School Setting to Facilitate Family Treatment
Authors: Moynihan Sharon K.
Published: May 2018

A more cooperative and positive method of treatment intervention is created with the reduction of potential parental feelings of competition with their child
Service Delivery Difficulties under a Government Program
Authors: Bloom Allan A.
Published: May 2018

The author describes three major obstacles that inhibit effective service delivery to clients in a Title XX counseling project and recommends some solutions
Increasing Accountability for Human Services Administrators
Authors: Stretch John J.
Published: May 2018

Modern human services management strategies offer both a conceptual and an operational bridge for the provision of more effective and efficient services
Accountability in Clinical Practice
Authors: Haselkorn Florence
Published: May 2018

The concept of accountability in social work practice is examined and the dilemmas involved in separating accountability and evaluation receive critical scrutiny
Treating the Separation-Individuation Conflict
Authors: Taylor Shirley S. , Siegel Norma
Published: May 2018

The discrete use of multiple therapy modalities evolves from a clinical understanding of individual family members involved in a separation–individuation crisis
Theory in Action: A Community Social Service Agency
Authors: Lee Judith A. , Swenson Carol R.
Published: May 2018

Life model, interactionist concepts of social work prove to be effective when translated directly into action in a community social service agency
Institutional Racism in Mental Health and Criminal Justice
Authors: Morales Armando
Published: May 2018

Institutional racism barriers are seen functioning to keep white persons out of the criminal justice system and minority persons out of the mental health system
A Review of Crisis Intervention Theory
Authors: Smith Larry L.
Published: May 2018

The current status of crisis intervention theory is reviewed, and concepts are presented to make the crisis model easier and more effective for therapists to use
Teenage Pregnancy: The Need for Multiple Casework Services
Authors: Schinke Steven P.
Published: May 2018

A multiple casework approach—primary prevention, early intervention, and postpartum services—can better meet the needs of an at-risk teenage population
Mobile Families and the School
Authors: Constable Robert T.
Published: May 2018

The effects of mobility on the family are reviewed and a school social work practice model for aiding the adjustment of the newly moved child is developed
Reassessing the Effect of Public Policy on Family Functioning
Authors: Zimmerman Shirley L.
Published: May 2018

The primacy of the family must be reflected in both policy and practice if families with socially dependent members are to be served effectively
The Process of Separation and Divorce: A New Approach
Authors: Chiancola Samuel P.
Published: May 2018

A therapist who views separation and divorce as a process, rather than as a social failure, can aid in helping clients through this difficult period
Social Policies, Social Services, and the Law
Authors: Lukton Rosemary Creed
Published: May 2018

Adapting social work techniques to the preparation of a legal suit can serve as a mechanism for client advocacy and contribute to social change
A Feeling of Irrelevance: The Effects of a Nonsupportive Society
Authors: Reiner Beatrice Simcox
Published: May 2018

Individualism, narcissism, violence, and depression may be seen as expressions of the sense of powerlessness felt by individuals in today's society. But, as signs of the search for wholeness that is going on in the sciences and professions, they may offer some clues to solutions for society's problems.
What Will Social Workers “Will”?
Authors: Anderson Joseph D.
Published: May 2018

Social work practice informed by the concepts of “will” and “self-actualization” for clients and practitioners can contribute to the enhancement of mutual aid processes in human relations.

Learning to do this requires both the will and the ability to care in mediating between social systems and people's needs.
Emotional Disturbance in Children of Holocaust Survivors
Authors: Newman Lisa
Published: May 2018

The psychological damage inflicted by the Nazi Holocaust continues to be felt more than a generation later.

Therapists need to become more sensitive to the adverse effects this traumatic event has had on the children of survivors, effects that have too often been overlooked or denied.
The Notion of Responsibility in Family Therapy
Authors: Leader Arthur L.
Published: May 2018

A sense of responsibility can develop from ties of loyalty and obligation that are generated and nourished within the family. A major aim of therapy, especially family therapy, is to help family members not only express their feelings but also take responsibility for the effects of their feelings on others.
Consumer Involvement in the Training of Social Work Students
Authors: Wikler Lynn
Published: May 2018

An exploratory project suggests the importance of including the perspective of the social service consumer in the training of students. A group of parents of mentally retarded children volunteered to tell students of their experiences in counseling and to assess the students' interviewing skills.
Alcohol and Older Adults: Overt and Covert Influences
Authors: Hubbard Richard W. , Santos John F. , Santos Mary Alice
Published: May 2018

Service providers and family members need to be aware of the multiple effects alcohol abuse has on the elderly. A review of cases illustrates various alcohol-related problems experienced by this group and intervention techniques for curbing consumption of alcohol and ameliorating its adverse effects on their lives.
Evaluating Social Work Practice: A Conceptual Model and Example
Authors: Schinke Steven Paul
Published: May 2018

A smoking-reduction program provided an opportunity to evaluate the effectiveness of social work intervention. The model developed for the program yields a means of empirically demonstrating practice efficacy, of gathering data-based feedback about social programs, and of accounting to clients, administrators, and funders.
Facilitating an Eclectic Use of Practice Theory
Authors: Simons Ronald L. , Aigner Stephen M.
Published: May 2018

To link social work skills to an eclectic use of intervention theories, the generic assessment was translated into the language of role theory, and a problem typology based on the theory was developed. Each of its problem classifications suggests an intervention role most appropriate for the client's needs.
Group Services for Learning Disabled Children and Their Parents
Authors: Gitterman Naomi Pines
Published: May 2018

Learning disabilities affect cognitive and social development. Group services for learning disabled children, adolescents, and their parents can provide effective intervention. Voluntary participation by students and parents and cooperation from school staff enhance this mutual aid network for better learning and problem solving.
The Personality of the Worker: An Unexplored Dimension in Treatment
Authors: Rhodes Sonya L.
Published: May 2018

The influence the caseworker's personality has on transference and the manner in which worker vulnerability and client behavior function to affect countertransference are considered in a conceptual framework emphasizing the workers' perception of these traits. Implications for teaching and supervision are examined.
A Training Program for Bilingual Paraprofessionals
Authors: Ebihara Henry
Published: May 2018

An immigrant population that had readily responded to bilingual paralegal assistance indicated a need for other social services, and an in-service casework training program was devised for the paralegal staff. Increased receptiveness to cultural differences and greater trainee input were outcomes of the training program.
Choosing Parenthood: A Needed Family Life Education Group
Authors: Prochaska Janice , Coyle Jane R.
Published: May 2018

Little help has been available for couples struggling with the decision of whether or not to have children. A couples' group was offered to provide an opportunity to discuss their ambivalence, fears, and expectations about having children. The participants valued sharing their concerns with others facing the same decision.
Preferential Adoption: A New Mode of Family Formation
Authors: Feigelman William , Silverman Arnold R.
Published: May 2018

Growing numbers of fertile couples are adopting some of their children. A comparison between these preferential and the more traditional adopting parents indicates the differing motivations of the two groups, which affect selection of children, patterns of adjustment, reaction of kin, and the need for social services.
A Methodology for Problem-System Identification
Authors: Brown Lester B. , Levitt John L.
Published: May 2018

Although the necessity of knowing whether change has occurred after intervention is stressed in social work practice, a method of helping practitioners do this has not been clearly defined.

This article outlines a possible system of problem identification based on psychodynamic, behavioral, and task-centered practice.
A Focal Conflict Model of Marital Disorders
Authors: Wallace Marquis Earl
Published: May 2018

An integration of psychoanalysis and family systems theory using focal conflict theory from ego psychology is offered to provide a view of marital disorders as mutual efforts to solve shared conflicts or ego dysfunctions. Four interactional patterns in family systems theory are explained by three psychoanalytic mechanisms.
DPS Leadership within an Agency and Leadership in the Profession
Authors: Freed Anne O.
Published: May 2018

The director of professional service is a leader charged with improving and integrating clinical service and developing administrators' skills. The multiple roles of the DPS, and the bearing these tasks have on the quality service delivery for which family agencies are noted, are outlined and discussed.
Perinatal Coaching—A New Beginning
Authors: Cooper Harriet , Dreznick June , Rowe Beatrice
Published: May 2018

A hospital-based perinatal coaching program fosters communication between first-time parents and their infants. Support provided includes learning about babies' individual differences, normal responses, bonding principles, modeling techniques, early childhood development, as well as realistic expectations of new parents.
Parent-Child Attachment Concept: Crucial for Permanency Planning
Authors: Hess Peg
Published: May 2018

Various dimensions of the concept of parent-child attachment, including the impact of separation on attachments and factors which contribute to change in attachments are reviewed. Emphasis is given to early designation of the foster child's expected, permanent caretaker, and to frequent, regular parent-child visitation.
Designing Effective Curriculum for Family Life Education
Authors: Ammons Paul , Giordano Jeffrey A.
Published: May 2018

A theoretical framework is provided for developing and presenting family life programs which realize preventive goals. Such programs require comprehensive planning, the use of innovative instructional technology, and evaluation. A creative program model, with its theoretical assumptions, is presented.
Issues in the Resettlement of Indochinese Refugees
Authors: Brown Geoffrey
Published: May 2018

Among the earliest and most visible issues of refugee resettlement care are the tasks relating to housing, language training, and job placement. The long-term effectiveness of these activities is often determined, however, by factors operating at the level of cultural values and variations and emotional adjustment.
Students and Short-Term Family Therapy: An Assessment
Authors: Meddin Jay , Wattenberg Shirley H.
Published: May 2018

Social work graduate students doing short-term family therapy had most success in alleviating the problems of the identified patient and preventing a new patient's being singled out; had slightly less success in helping to improve the marital dyad; and tended to be more effective with certain types of families.
A Family Agency Integrates Advocacy, Counseling, and FLE
Authors: Barozzi Ronald L. , Park Daniel , Watson Eunice L.
Published: May 2018

The historical perspective, value, and process of integrating advocacy, counseling, and family life education (FLE) in a family service agency is described. The integration of these three components of service delivery offers improved service to the community as well as increased opportunity for staff growth.
Issues and Answers in Treating Alcoholism
Authors: Parihar Bageshwari S.
Published: May 2018

Controversy and confusion continue to surround the disease of alcoholism, clouding treatment efforts and troubling the field. Examination of these issues and suggestions for combatting some of the problems pinpoint the need for further research to help bring diagnostic precision to the complex disease.
Social Health Concepts for Family Practice
Authors: Smith Joy R. Powles
Published: May 2018

Social health concepts require that the central focus of assessment and intervention be the development of familial social health, not the elimination of pathology. The social energy generated by an effective relationship with the worker assists the family in making the changes necessary for healthy functioning.
Third-Party Vendorship: An Imperative for the 1980s
Authors: Meddin Barbara J.
Published: May 2018

The question of third-party vendor status for clinical social workers raises important issues about equal client access to mental health services and about the continued viability of the clinical social work profession. Answers to the problem lie in clinical social work education and licensing of practice.
Emotional Components of Supervision: An EAP Workshop
Authors: Hayes Linn Spencer , O'Connor Mary R.
Published: May 2018

Supervisory personnel often experience physical and emotional stress as a result of anxiety about role function. This problem has been effectively addressed through an educational workshop that uses a problem-solving model to help resolve the emotional stumbling blocks that interefere with supervision.
Parent-School-Child Systems: Triadic Assessment and Intervention
Authors: Compher John Victor
Published: May 2018

The results of an exploratory study of parents whose children experience school-related or delinquency problems suggest that the quality and style of the relationship that the parents have with school personnel have an especially important bearing on the children's progress or continued difficulties.
Building Theory for Family Practice
Authors: Freed Anne O.
Published: May 2018

In the light of the changing social milieu and the changing demography of the family, research on family practice is essential if practice is to continue to serve families in a world of shifting values. A more unified and integrated theory, tested through model building, will result in a more effective practice.
Successful Partners: Credit Counseling and Family Services
Authors: DiGiulio Joan Ferry , Janosik Gerald J.
Published: May 2018

Collaboration between family counselors and credit counselors provides an expanded, integrated service when both programs are offered by a family service agency. The combined professional expertise of the two disciplines can facilitate client evaluations and offer a more comprehensive service and treatment process.
Enabling in the Eighties: The Client Advocacy Group
Authors: Pearlman Margaret H. , Edwards Mildred G.
Published: May 2018

The advocacy group provides the practitioner and clients with an additional or alternative approach to understanding and dealing with environmental stress. The professional facilitates group process, enabling clients to develop their own resources, take their own actions, and become their own change agents.
Identity and Community Relocation
Authors: Morschauser Edward J. , Chescheir Martha W.
Published: May 2018

A prevention model designed to assist individuals and families during the process of relocating into a new community is presented. The model utilizes a combined educational-therapeutic approach that emphasizes primary prevention through the development of coping skills, community networks, and individual autonomy.
Conflicts of Professional Duty in Social Work
Authors: Reamer Frederic G.
Published: May 2018

Social workers frequently encounter conflicts of duty in their work with individuals, families, communities and organizations, and in the design and implementation of social welfare policy.

They need to carefully assess these divided loyalties before judging that some ethical obligations take precedence over others.
Post-Traumatic Stress Disorders among Vietnam Combat Veterans
Authors: Langley M. Keith
Published: May 2018

The conflict in Vietnam has ceased, but for many veterans the hostilities remain in terms of problems ranging from nightmares to inability to cope with a nonhostile environment. The veterans are beginning to emerge from a postwar underground life-style to seek help; working with them requires special treatment skill and understanding.
The Prediction of Successful Foster Placement
Authors: Stone Norman M. , Stone Susan F.
Published: May 2018

This study examines the incidence and causes of foster home breakdowns—the unplanned removal of children from foster care. Results indicate that successful placement was most highly associated with the caseworker's expenditure of energy and degree of contact and rapport building.
Toward a Clarification of Role Loss
Authors: Faria Geraldine
Published: May 2018

Although role loss appears to be an important part of the process of role change, it is a vaguely defined and little understood concept. A working definition of role loss and its delineation into four types of loss—including real, symbolic, fantasied-real, and fantasied-symbolic—are tested at the empirical level.
Using Telephone Therapy for “Unreachable” Clients
Authors: Ranan Wendy , Blodgett Andrea
Published: May 2018

Treating the “unreachable” client is a challenging although common task. One possible solution to this problem is using the telephone as a means of engaging even very resistant clients in treatment. By means of two case examples, the authors outline indications for telephone therapy and guidelines for its use.
Serving the Unemployed
Authors: Krystal Esther , Moran-Sackett Marsha , Thompson Sylvia V. , Cantoni Lucile
Published: May 2018

The current recession has prompted the family service agencies of a metropolitan area to develop special projects to serve unemployed persons and their families. Staff assigned to these projects learn how unemployed people react to economic tragedy as well as ways to assess and treat this grieving population.
Separation Difficulties between Parents and Young Adults
Authors: Wechter Sharon L.
Published: May 2018

Young people and their parents often encounter difficulties in attempting to achieve separation from one another. This article examines the literature related to separation-individuation and presents a case illustration that focuses on these issues with clients from the personal perspective of the worker
A Growth-Task Model of Human Development
Authors: Weick Ann
Published: May 2018

Human growth during adulthood is cyclical and more related to the reworking of growth tasks than the assumption of new roles. A model of human development based on this theory offers an expanded, and potentially more powerful, instrument for helping adults cope with change.
Service Workers' Responses to Abuse of the Elderly
Authors: Pratt Clara C. , Koval James , Lloyd Sally
Published: May 2018

The social service providers and physicians who encounter elder abuse have several potential avenues of intervention open to them in helping the elderly. Practice and training issues are discussed that are relevant for improving interventions and referrals in cases of family abuse of the elderly.
Intervention with Heart Attack Patients and Families
Authors: Sokol Bernice
Published: May 2018

Workers who attend to a stage model of acute illness can create linkage with other problems and events to effectuate a comprehensive and dynamic plan of intervention. A systematized approach is proposed to effectively understand the psychological reactions to illness manifested by heart attack patients and their families.
Indicators of Adoption Breakdown
Authors: Zwimpfer Diane M.
Published: May 2018

Eighty cases of adoption breakdown were compared with a control group of successful adoptions. An analysis of placement decisions strongly indicated that matching a marginal child with marginal parents overloaded the situation and resulted in almost certain breakdown.
The Holding Environment: Breaking the Cycle of Abuse
Authors: Dougherty Nora
Published: May 2018

Parents who abuse or neglect their children were frequently deprived of caring, consistent, and encouraging parenting themselves. A program offering a therapeutic and growth-enhancing environment to such parents and their children is described and its benefits are analyzed.
Jails: Neglected Asylums
Authors: Briar Katharine Hooper
Published: May 2018

Who cares about the jails? These neglected institutions are serving as asylums for the indigent, the mentally ill, and the substance abuser. Reasons for this situation are reviewed along with the urgent need for social work services within the jail.
Worker and Agency in Textbooks— Images of Which Reality?
Authors: Reisch Michael , Ephross Paul H.
Published: May 2018

A comparative content analysis of major social work texts shows significant variations in the ways in which they treat the relationship between social workers and employing agencies. The implications are relevant to the tensions among workers, agencies, and educators.
Custody Contest: How to Divide and Reassemble a Child
Authors: Noble Dorinda N.
Published: May 2018

Too many children are being used as pawns in custody disputes. Workers can help families defuse the battle atmosphere if they understand the background and intricacies of custody laws and engage in action to ensure fair play for the child.
Increasing Staff Sensitivity to the Black Client
Authors: Jones Richard L.
Published: May 2018

Many human service practitioners working with black families lack a knowledge of black culture. Social service agencies must address this deficiency through the provision of staff development programs. Such programs, to be sound, need to be developed with an awareness of critical issues and principles.
The Reconstructed Welfare State and the Fate of Family Policy
Authors: Zimmerman Shirley L.
Published: May 2018

The welfare state, undergoing a major restructuring, is forming alliances with families for the provision of services to family members. How can this be reconciled with the simultaneous weakening of the state's commitment to family economic security—once its primary objective?
Social Work Advocacy in the Regulatory Process
Authors: Albert Raymond
Published: May 2018

Rule making by governmental administrative agencies plays an important role in the lives of people who tend to be victimized by a decrease in services. Social work advocacy can influence the process with techniques appropriate to the profession's historic role.
Ethnic Reality: The Life Model and Work with Black Families
Authors: Devore Wynetta
Published: May 2018

The life model for social work practice lacks specificity in its examples of practice with black families. Case illustrations demonstrate how combining the principles of the model with ethnic sensitive practice would lead to more effective work with black families.
Using Language to Help Depressed Elderly Aphasic Persons
Authors: Dunkle Ruth E. , Hooper Celia R.
Published: May 2018

Because the psychological needs of the elderly aphasic person are so difficult to assess, they usually go unmet. A language therapist and a social worker, working together, can build on each other's skills and facilitate comprehensive treatment for the patient.
Joint Child Custody Counseling— Divorce 1980s Style
Authors: Charnas Jane F.
Published: May 2018

Joint custody is proposed as a viable and constructive arrangement subsequent to divorce. This article provides a model for counseling for it, capitalizing on parents' emotional commitment to their children. Case examples illustrate various patterns of joint custody.
Team Service to the Elderly
Authors: Cohen Ruth G.
Published: May 2018

This report of a family service agency's experience in a demonstration project describes a team service delivery system for the elderly. The agency found that the system improved staff morale, diminished the institutionalization of older persons, and reduced the cost of service.
Domestic Conflict Containment: A Spouse Abuse Treatment Program
Authors: Neidig Peter H. , Friedman Dale H. , Collins Barbara S.
Published: May 2018

A structured, skill-building treatment approach aims at eliminating violent behavior between abusive couples. Principles, components, and screening and evaluation procedures of the program are described. The program, developed for military families, could be adapted for civilian use.
A Multidisciplinary Approach to Treating Child Neglect
Authors: Mouzakitis Chris Michael , Goldstein Susan C.
Published: May 2018

Although the multidisciplinary team approach is useful in treating child abuse and neglect, it is underutilized in the first instance and rarely employed in the second. The authors discuss the rationale, process, function, and effectiveness of such a team in dealing with child neglect.
I've Got a Secret: The Student in the Agency
Authors: Feiner Harriet A. , Couch Elsbeth Herzstein
Published: May 2018

The process of social work education places students in agencies temporarily; the clients with whom they work often do not know that they are students and that their length of service will be limited. This article weighs the pros and cons of the practice and urges an end to secrecy.
The Psychomechanic, Nonchemical Management of Depression
Authors: Zentner Ervin B. , Zentner Monna
Published: May 2018

Therapeutic control of the manifestations of depression are managed through an antidepression regime whose exact nature and presentation vary with the type of depression. Rapid symptom amelioration makes causal problems accessible to the social worker and the client.
Stepsibling Relationships in Remarried Families
Authors: Rosenberg Elinor B. , Hajal Fady
Published: May 2018

Stepsibling relationships are an overlooked aspect of remarried families. Characteristics of these relationships are described and illustrated and implications of the effects of stepsiblings on each other and on the family unit are discussed.
Cultural Factors in Casework with Chinese-Americans
Authors: Ryan Angela Shen
Published: May 2018

Many Chinese-Americans are still influenced by the teachings of Confucius, Laotze, and Buddha. A worker's understanding of how these influences may affect a client's way of life, thinking, and communicative behavior is important to accurate assessment and effective treatment.
The Stresses and Coping Behavior of Battered Women
Authors: Finn Jerry
Published: May 2018

A study of battered women found that they experience stress from multiple sources but are deficient in coping skills; both men and women involved in marital violence fail to use problem-solving strategies. Ways of helping include the teaching of coping skills and program coordination.
The Autonomy-Paternalism Dilemma in Social Work Practice
Authors: Abramson Marcia
Published: May 2018

Autonomy and paternalism are contrasted in their moral, philosophical, and social work contexts. The dilemmas they present to the social worker who values client self-determination, yet wants to help, are discussed. Ideas about reconciling the concepts are presented.
Group Treatment: Adult Victims of Childhood Sexual Abuse
Authors: Deighton Joan , McPeek Phil
Published: May 2018

A team of one male and one female therapist combines family and group therapy to treat women who were incest victims in childhood. Issues involve psychosexual dysfunction, parenting problems, and depression and suicidal ideation. Family-of-origin issues are emphasized.
Families in Blue: Insights from Air Force Families
Authors: Bowen Gary Lee
Published: May 2018

Based on a study of 664 U.S. Air Force married couples, this report analyzes the family and social relationships of the couples and their attitudes toward and knowledge of family enrichment and support programs. The study suggests that military families need increased services.
Parent-Child Communication through Preschool Books
Authors: Coplon Jennifer K. , Worth Douglas
Published: May 2018

Preschool books foster psychological and cognitive growth in children and are a tool for building parent-child communication and for discussing situational and developmental strains. In Family Life Education groups, they can be used to focus discussion on parenting issues.
An Ecological Approach to Practice with Single-Parent Families
Authors: Howard Tina U. , Johnson Frank C.
Published: May 2018

Six components of the ecological model help practitioners understand the dynamics of single-parent families and devise preventive and interventive strategies to resolve post-divorce problems. The role orientation of the parent is emphasized.
Adolescents' Response to Parents' Alcoholism
Authors: Priest Kathryn
Published: May 2018

Reactions to an alcoholic father affect peer and family relationships and school work, which reflect an adolescent's fears, anger, grief, low self-esteem, and poor sex identification. The role of the mother and what happens when sobriety is achieved are discussed.
Consultation: A Treatment Model for the Aging and Their Families
Authors: Wolinsky Mary Ann
Published: May 2018

An initial, time-limited family interview evaluates and plans for the aging relative through negotiating, restructuring, and delegating. As roles change, the intergenerational system shifts. The model, often by way of therapy, helps maintain the dignity of the aging.
Group Treatment that Helps Abusive or Neglectful Parents
Authors: Tuszynski Ann
Published: May 2018

This article addresses the maturational and closure problems of women who, because they neglect or abuse their children, have been referred to a family life center for treatment. The treatment approach blends general system theory, structural family therapy, and group work in a day program.
Social Work Practice with West Indian Immigrants
Authors: Sewell-Coker Beverly , Hamilton-Collins Joyce , Fein Edith
Published: May 2018

When West Indians come to live in North America, they encounter conflicting values. The resulting stress may lead to dysfunctional reactions, particularly in regard to parent-child relationships. Agency workers report on the program they developed to help such immigrants.
Intervention in Child Sexual Abuse: A Survey of Attitudes
Authors: Wilk Ruth J. , McCarthy Carolyn R.
Published: May 2018

The attitudes of protective service workers, police officers, and mental health therapists toward child sexual abuse in a rural county in Florida were determined by a mailed questionnaire. Reactions of these professionals to three cases taken from the literature showed unexpected as well as expected differences.
A Cognitive-Humanistic Approach to the Hard-to-Reach Client
Authors: Goldstein Howard
Published: May 2018

The reluctant client challenges the worker because of the cognitive distance between them. Concrete, convergent thinkers, such clients are baffled by the abstract, reflective, and introspective. A cognitive-humanistic approach bridges this distance by starting where the client is and by working within the client's world of experience.
A Comprehensive Program for Postdisaster Counseling
Authors: Seroka Carolyn M. , Knapp Carl , Knight Sherry , Siemon Carol R. , Starbuck Sara
Published: May 2018

Counseling for and research findings on a relief program for tornado victims are discussed with an emphasis on school and community outreach. Reactions and problems correlated with age, sex, injury or death of family members or friends, and degree of tornado involvement. Children were at high risk.
Social Work Practice Models: A Better Recipe
Authors: Berger Raymond M.
Published: May 2018

Much of social work model building has been perpetuated by professional acceptance without model coherence and evidence of effectiveness. Criteria for better model building include accurate language, parsimony, operationalized values, and recognition of core helping ingredients and social control functions.
Identifying and Treating the Alcoholic Client
Authors: Leikin Celia
Published: May 2018

Alcohol abuse is identified as a disease rather than a symptom of emotional and psychological problems. Assessment techniques, symptoms, progression of the disease, and treatment of the alcoholic and his or her family are reviewed for the social worker in a general practice setting.
Decreasing Court Appearances of Juvenile Status Offenders
Authors: Stewart Mary Janet , Vockell Edward L. , Ray Rose E.
Published: May 2018

This study of first-time juvenile status offenders showed a significant decrease in court appearances of two groups who received special treatment compared to the control group. Treatment included intervention counseling, informal unofficial probation, and appropriate referrals to other community agencies.
Gaining Community Entree to Assess Service Needs of Hispanics
Authors: Humm-Delgado Denise , Delgado Melvin
Published: May 2018

Human service providers are increasingly interested in developing culturally appropriate programs to meet the needs of a growing Hispanic population throughout the United States. This article examines such strategies as outreach and networking that effect entree to the community in order to assess needs.
Marriage and Family in the USSR: Changes Are Emerging
Authors: Imbrogno Salvatore , Imbrogno Nadia Ilyin
Published: May 2018

The ideal image of marriage and family in the USSR may be agreed on by the Party and the intelligentsia, but not by the Soviet citizenry. As the society becomes more complex, changes, such as the right to divorce and the right to obtain abortions, are being made in USSR national family policy.
Beyond Cracker-Barrel Images: The Rural Social Work Specialty
Authors: Martinez-Brawley Emilia E.
Published: May 2018

The domain of social work is characterized as the zone in which people interact with their environment and where incongruities between social needs and social provisions exist. The rural social work specialty is discussed within this rubric, and exceptions, because of the special nature of the rural environment, are noted.
Pathways to Treatment: How Orthodox Jews Enter Therapy
Authors: Wikler Meir
Published: May 2018

Orthodox Jewish clients usually enter treatment after they have tried to solve their problems by talking with friends and rabbis. Concerned with confidentiality because of the stigma attached to mental health therapy, they usually rely on their own resources to find a therapist. The religion of the therapist is often an issue.
Family Therapy with Violent Couples
Authors: Weidman Arthur
Published: May 2018

A family service agency undertook a conjoint family therapy program designed to end violent behavior and to encourage growth in families. This report tells how it was organized, describes the resources that were used, and tentatively concludes that it achieved its goals.
Distribution Channels in Marketing Social Work
Authors: Fine Seymour H. , Fine Adell P.
Published: May 2018

Many human service professions are adopting the concepts of social marketing. One of these is the idea that the agency is just one of a system of institutions that comprise a “distribution channel” for the service being marketed. Three forms of such interagency arrangements are discussed.