Clinical Work and Social Action: An

Clinical Work and Social Action: An Integrative Approach develops a paradigm for social work and human services practice that integrates clinical work and social action. Social workers, clinicians, activists, and educators will explore ways to create harmony in the divisions that currently exist between values, theory, and practice, thereby reducing conflicts in their work. This book identifies central values and selected theoretical ideas for a new model of work that you can adapt to your practice setting. Separate chapters include case material related to work with people of color, work with oppressed populations, and classroom teaching. Clinical Work and Social Action connects the historic split between clinical work and social action to better serve the people with whom you work. Through Clinical Work and Social Action, you will find valuable suggestions and insights into how you can integrate values, theory, and practice as the basis for a new model of work. The book includes topics such as: exposing the myth that "politics" has no place in practice with individual clients and families and demonstrates that all practice is political examining a new paradigm for practice that encourages change at the individual, agency, and social policy levels demonstrating the importance of Paulo Freire'¬"s ideas about dialogical praxis to social welfare work teaching a model of practice that facilitates and promotes involvement and open dialogue with people in the community and students in the classroom offering insight into how you can respond to the full range of your clients'concerns, such as racism, classism, homophobia, domestic violence, homelessness, disabilities, and emotional difficulties exploring how your values, theories, training and experience affect the choice of interventions you make with individuals, groups, and families To bridge the gap between clinical work and social action, you must develop a practice that includes the possibility of social change. With Clinical Work and Social Action, you will find many case studies and examples to help you do just that. This informative book provides you with ways to work with clients to bring about individual and social change and offers strategies for creating change in social agencies and communities.

Jerome Sachs, DSW, is Associate Professor at Smith College School for Social Work.

Acknowledgments	p. xi
Introduction	p. 1
Values	p. 5
Theoretical Knowledge	p. 5
Practice, Praxis, and Contradictions	p. 7
Outline of the Book	p. 10
Values	p. 15
Self-Determination	p. 17
Economic and Political Justice	p. 21
Dialogical Praxis	p. 25
Introduction to Theory and Phenomenology	p. 29
Phenomenology, the Critical Incident Technique, Process Recording, and Problematizing the World	p. 32
Analysis of a "Typical" Intervention of an Industrial Social Worker Working for a Labor Union	p. 35
Freud	p. 45
Listening and the Unconscious	p. 45
Listening to the Unconscious of Workers and Students	p. 49
The Real and the Resistance	p. 51
Negation	p. 52
Clinical Neutrality	p. 56
Anxiety	p. 58
From Positivist Sociology and Social Psychology to Symbolic Interaction Theory	p. 61
August Comte's Positivism and the Origins of European and American Sociology	p. 62
The Beginnings of American Sociology	p. 64
Symbolic Interaction Theory and the Chicago School of Sociology	p. 68
Critical Theory and Critical Practice	p. 77
The Roots of Critical Theory	p. 77
Karl Marx	p. 78
Sigmund Freud	p. 80
Max Horkheimer	p. 81
Critical Theory in Practice: Herbert Marcuse's Repressive Tolerance	p. 84
Michel Foucault and Postmodern Theory	p. 86
The Contradictions in Clinical Work	p. 91
Contradictions in Clinical Work at the Level of the Worker	p. 92
A Word About Countertransference and Contradictions	p. 95
Contradictions in Agencies	p. 96
Contradictions in the Professional Role	p. 99
Contradictions in Social Work Education	p. 101
Contradictions in the Political Economy	p. 101
The Intensity of Contradictions	p. 103
Action and Reflection in Work with a Group of Homeless People	p. 105
The Decision to Work with the Homeless	p. 107
The Engagement Process	p. 110
Practical Principles	p. 111
The First Action	p. 113
Dealing with Identification with the Oppressor: Working at the Psychosocial Interface	p. 115
The Last Action	p. 117
Conclusion and Final Contradiction	p. 119
Introduction to Teaching	p. 121
The First Day	p. 122
A Case Discussion	p. 129
Codifications	p. 141
Introduction to Codifications	p. 141
Some Additional Ideas About Codes and Their Uses	p. 145
Codifications of Students' Experiences in Summer Classes and in the Field	p. 146
Rules and Safety	p. 162
Using Process in Class	p. 163
Clinical Considerations	p. 166
Cultural Considerations	p. 166
Power/Status Considerations	p. 168
Organizational Policy Considerations	p. 169
Some Additional Reflections: Names, Titles, and Timing	p. 170
Violence	p. 172
Reflections on Race	p. 175
Taking the Work to the Community	p. 177
The Course Assignment	p. 187
Introduction to Cases	p. 189
Contradiction Related to Self-Determination	p. 189
Contradiction Related to Race and Power (Political Justice)	p. 192
Contradiction Related to Dialogic Praxis Across Cultures	p. 195
Other Case Material	p. 197
Additional Comments	p. 198
Epilogue	p. 201
Process Recording--Mary, 10/11/90	p. 203
Process Recording--Ben Williams and Frank, 1/27/98	p. 209
Bibliography	p. 213
Index	p. 223
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Clinical Work and Social Action: An Integrative Approach

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