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Direct Social Work Practice Theory and Skills Ebook All Chapter Scribd Ebook PDF
Direct Social Work Practice Theory and Skills Ebook All Chapter Scribd Ebook PDF
Skills eBook
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vi Contents
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Contents vii
Seeking Concreteness 147 Trying to Convince Clients about the Right Point
Types of Responses That Facilitate Specificity of of View through Logic, Lecturing, Instructing,
Expression by Clients 148 or Arguing 176
Specificity of Expression by Social Workers 153 Analyzing, Diagnosing, or Making Glib or Dogmatic
Exercises in Seeking Concreteness 154 Interpretations 177
Providing and Maintaining Focusing 154 Threatening, Warning, or Counterattacking 178
Selecting Topics for Exploration 155 Stacking Questions and Using Double-Barreled
Exploring Topics in Depth 156 Questions 179
Managing Obstacles to Focusing 160 Asking Leading Questions 179
Interrupting Inappropriately or Excessively 179
Summarizing Responses 161
Dominating the Interaction 180
Highlighting Key Aspects of Problems, Strengths, and
Keeping Discussions Focused on Safe Topics 180
Resources 162
Responding Infrequently 181
Summarizing Lengthy Messages 163
Parroting or Overusing Certain Phrases or Clichés 181
Reviewing Focal Points of a Session 163
Dwelling on the Remote Past 182
Providing Focus and Continuity 164
Going on Fishing Expeditions (Tangential Exploration)
Analyzing Your Verbal Following Skills 164
182
Summary 166 Failing to Be Aware of Cognitive Bias 183
Competency Notes 166 Gauging the Effectiveness of Your Responses 183
Modeled Social Worker Responses to Exercises in The Challenge of Learning New Skills 184
Reflection of Content 166
Summary 186
Modeled Social Worker Responses to Exercises with
Competency Notes 186
Reflection of Affect 166
Note 186
Answers to Exercises in Identifying Closed- and
Open-Ended Responses 166
CHAPTER 8
Modeled Social Worker Responses to Exercises in
Assessment: Exploring and Understanding
Identifying Closed- and Open-Ended Responses 167
Problems and Strengths . . . . . . . . . . . . . . . . . . . . .187
Modeled Social Worker Responses to Exercises in Seeking
Concreteness 167 The Multidimensionality of Assessment 188
Note 167 Defining Assessment: Process and Product 188
Assessment: Focus and Timing 189
Priorities in Assessments 190
CHAPTER 7
Assessment and Diagnosis 190
Eliminating Counterproductive Communication The Diagnostic and Statistical Manual (DSM-5) 191
Patterns and Substituting Positive
Culturally Competent Assessment 192
Alternatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .168
The Person-in-Environment 193
Impacts of Counterproductive Communication
Emphasizing Strengths in Assessments 194
Patterns 169
The Role of Knowledge in Assessments 195
Identifying and Improving Nonverbal Barriers to Effective
Communication 169 The Role of Theory in Assessments 196
Physical Attending 169 Caveats about Using Knowledge and Theories 197
Cultural Nuances of Nonverbal Cues 169 Sources of Information for Assessments 197
Other Nonverbal Behaviors 170 Enactment 198
Taking Inventory of Nonverbal Patterns of Client Self-Monitoring 198
Responding 171 Collateral Contacts 199
Eliminating Verbal Barriers to Communication 172 Assessment Instruments 199
Reassuring, Sympathizing, Consoling, Social Worker’s Personal Experience 200
or Excusing 173 Questions to Answer in Problem Assessment 201
Advising and Giving Suggestions or Solutions Getting Started 201
Prematurely 174 Identifying the Problem, Its Expressions, and Other
Using Sarcasm or Employing Humor Critical Concerns 202
Inappropriately 175 The Interaction of Other People or Systems 203
Judging, Criticizing, or Placing Blame 175 Assessing Needs and Wants 204
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viii Contents
Typical Wants Involved in Presenting Problems 204 Assessing Behavioral Functioning 234
Stresses Associated with Life Transitions 205 Risk of Aggression 236
Cultural, Societal, and Social Class Factors 206 Assessing Motivation 237
Severity of the Problem 206
Assessing Environmental Systems 237
Meanings That Clients Ascribe to Problems 206
Physical Environment 238
Sites of Problematic Behaviors 207
Social Support Systems 239
Temporal Context of Problematic Behaviors 207
Frequency of Problematic Behaviors 208 Spirituality and Affiliation with a Faith
Duration of the Problem 208 Community 241
Other Issues Affecting Client Functioning 208 Written Assessments 241
Emotional Reactions 209 Biopsychosocial Assessments 242
Coping Efforts and Needed Skills 209
Support Systems 210 Case Notes 246
Resources Needed 210 Summary 248
Assessing Children and Older Adults 211 Competency Notes 249
Data Sources and Interviewing Techniques 211 Skill Development Exercises in Assessment 250
Maltreatment 213
Notes 250
Summary 214
Competency Notes 214 CHAPTER 10
Skill Development Exercises in Exploring Strengths Assessing Family Functioning in Diverse
and Problems 215 Family and Cultural Contexts . .. . . . . . . . . . . . . .251
Note 215 Defining Family and Family Functions 252
Self-Awareness in Family Assessment 253
The Family Systems Framework 254
CHAPTER 9 Homeostasis 255
Assessment: Intrapersonal, Interpersonal, and Boundaries and Boundary Maintenance 256
Environmental Factors . . . . . . . . . . . . . . . . . . . . . .216 Family Decision Making, Hierarchy, and Power 257
The Interaction of Multiple Systems in Human Family Roles 259
Problems 216 Communication Styles of Family Members 260
Family Life Cycle 264
Intrapersonal Systems 217
Family Rules 265
Assessing Biophysical Functioning 218 Social Environment 267
Physical Characteristics and Presentation 218 Family Adaptive Capacity 267
Physical Health 218
Assessment Skills and Strategies 270
Assessing Use and Abuse of Medications, Alcohol,
Observing Patterns of Interaction 270
and Drugs 219
Interviewing Skills and Circular Questioning 272
Assessing Cognitive/Perceptual Functioning 224 Genograms 274
Intellectual Functioning 224 Standardized Scales 276
Judgment 225
Summary 277
Reality Testing 225
Coherence 226 Competency Notes 277
Cognitive Flexibility 226 Skill Development Exercises in Assessing Families 278
Values 226
Beliefs 227 CHAPTER 11
Self-Concept 227 Forming and Assessing Social Work Groups . .. . .279
Assessing Affective Functioning 228
Classification of Groups 280
Emotional Control 229
Treatment Group Subtypes 280
Range of Emotions 229
Self-Help Groups 281
Appropriateness of Affect 230
Task Group Subtypes 282
Suicidal Risk 230
Depression and Suicidal Risk with Children The Evidence Base for Groups 282
and Adolescents 231 Formation of Treatment Groups 283
Depression and Suicidal Risk with Older Adults 233 Identifying the Need for the Group 283
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Contents ix
Establishing the Group Purpose 283 Goals Should Be Commensurate with the Knowledge
Deciding on Leadership 285 and Skills of the Practitioner 329
Determining Group Composition 285 Goals Should Be Stated in Positive Terms That Emphasize
Choosing an Open or Closed Group 286 Growth 329
Determining Group Size and Location 287 Avoid Agreeing to Goals about Which You Have Major
Setting the Frequency and Duration of Meetings 288 Reservations 330
Conducting Preliminary Interviews 288 Goals Should Be Consistent with the Functions
Determining the Group Structure 289 of the Agency 332
Formulating Preliminary Group Guidelines 290 Applying Goal Selection and Development Guidelines
Assessing Group Processes 293 with Minors 332
A Systems Framework for Assessing Groups 294 Eliciting Minors’ Understanding of the Goal and Point
Assessing Individuals’ Patterned Behaviors 294 of View of the Problem and Using This Information
Identifying Roles of Group Members 295 to Assist Them to Develop Goals 333
Assessing Individuals’ Cognitions and Behaviors 296 Is the Minor Voluntary or Involuntary? 334
Assessing the Group’s Patterned Behaviors 297 Definition and Specifications of the Behavior to Be
Assessing Group Alliances 297 Changed 334
Assessing Group Norms 299 The Process of Negotiating Goals 337
Assessing Group Cohesion 301 Determine Clients’ Readiness for Goal Negotiation 337
Single-Session Groups 301 Explain the Purpose and Function of Goals 339
Formation of Task Groups 303 Jointly Select Appropriate Goals 339
Task Group Purpose 303 Define Goals Explicitly and Specify Level of Change 339
Task Group Membership and Planning 303 Determine Potential Barriers to Goal Attainment and
Beginning the Task Group 304 Discuss Benefits and Risks 340
Assist Clients in Making a Clear Choice about
Cultural Considerations in Forming and Assessing Task
Committing Themselves to Specific Goals 341
or Treatment Groups 305
Rank Goals According to Client Priorities 342
Ethics in Practice with Task or Treatment Groups 306
Monitoring Progress and Evaluation 342
Informed Consent, Confidentiality,
Methods of Monitoring and Evaluating
and Self-Determination 306
Progress 343
Competence 309
Quantitative Measurements 344
Nondiscrimination 309
Qualitative Measurements 348
Summary 309 Combining Methods for Measuring and
Competency Notes 310 Evaluating 350
Skill Development Exercises in Planning Groups 311 Evaluating Your Practice 351
Contracts 352
CHAPTER 12 The Rationale for Contracts 352
Developing Goals and Formulating Formal and Informal Contracts 352
Developing Contracts 353
a Contract . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .312
Sample Contracts 358
Goals 312
Summary 360
The Purpose and Function of Goals 313
Linking Goals to Target Concerns 313 Competency Notes 360
Distinguishing Program Objectives and Client Skill Development Exercises in Developing Goals 361
Goals 314 Notes 361
Factors Influencing Goal Development 315
Types of Goals 319
Guidelines for Selecting and Defining Goals 319 PART 3
Goals Must Relate to the Desired Results Sought by THE CHANGE-ORIENTED PHASE . . . . . . . . . 363
Voluntary Clients 320
Goals for Involuntary Clients Should Include
CHAPTER 13
Motivational Congruence 321
Goals Should Be Defined in Explicit and Measurable
Planning and Implementing Change-Oriented
Terms 324 Strategies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .364
Goals Must Be Feasible 327 Change-Oriented Approaches 364
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x Contents
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Contents xi
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xii Contents
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Preface
When we, your authors, teach BSW and MSW stu- As in previous editions, the text and supporting
dents, we are often confronted with the question materials explicitly integrate the related video content,
“What should I do if … ?” The easy (and usually cor- allowing instructors to use the video materials for in-
rect) answer is “It depends.” How a social worker class or homework activities. Adjustments in design
responds in any given situation depends on a variety and content clearly link the text to student skill develop-
of factors: the setting in which he or she is working, ment and core competencies specified by CSWE and
the client, the nature of the helping relationship that EPAS (2015). We describe how to construct SOAP
has developed, the advantages and disadvantages of notes to assist quality planning and recording of prac-
any given action or choice, and so on. tice. Students and practitioners have been confused
We wrote this book to help answer the “it about the use of various terms to describe responses
depends”—to equip you with the knowledge and criti- that are sensitive to client content and emotion. Sensi-
cal thinking to weigh the factors involved in decisions tive to the current widespread use of the term “reflec-
throughout the helping process, both as a student social tion,” we now use “reflection of emotion” to describe the
worker and as a professional. At first, that process can previous term and “paraphrasing” and “reflection of
seem cumbersome. It can be difficult to digest all this content” to add dimension to the previous global term
new information and recall it as needed during client “reflection.” Additional content has been added on inti-
interactions. This learning process involves becoming mate partner violence and work with military families.
acquainted with the concepts in this book, understand- Practice guidelines are now designed to be less adult-
ing the pros and cons of various choices, becoming centric and include more appropriate guidance for inter-
familiar with the different variables that affect practice, viewing children and adolescents. We continue to seek
and using this knowledge and these skills in supervi- guidelines for practices that are responsive to diversity.
sion, in work with colleagues and classmates, and in
practice with clients.
As social workers ourselves, we have the utmost
THE STRUCTURE OF THE TEXT
respect for the complexity of the work, the power that The book has four parts. Part 1 introduces the reader to
professionals hold, and the grave situations in which the social work profession and direct practice and pro-
we are entrusted to help others. In this text, we have vides an overview of the helping process, including core
tried to provide you with a foundation to practice competencies, the role of evidence-based practice, the
with excellence and integrity in this vital profession. domains and roles of social work, and the elements of
We write this in a context in which many clients of ethical practice.
color are fearful about the values and motives of Part 2 presents the beginning phase of the helping
authorities, whether they be police or social service process, and each chapter includes examples from the
workers. Skills taught in the text include ways to listen videotapes developed for the text. It addresses strategies
effectively, share power, and pursue social justice. and skills for building relationships, providing direc-
An additional context is practice with clients that is tion and focus in interviews, avoiding common com-
trauma informed, and we consider contemporary munication errors, and substituting better options.
services to LGBTQ clients, military families, and Subsequent chapters in this section address problem
emerging immigrant populations, among others. The and strengths exploration, theories and techniques for
book also includes the context of the Affordable individual, family, and group assessment, and the pro-
Care Act. cesses involved in goal setting.
xiii
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xiv Preface
Part 3 presents the middle, or goal attainment, established by the Council on Social Work Education
phase of the helping process. It describes change- (CSWE). Our intent is to facilitate programs’ ability to
oriented strategies, including updated material on link content provided in this textbook with expecta-
task-centered, crisis intervention, cognitive restructur- tions for student learning and accomplishment. As is
ing, and solution-focused approaches to practice, large- true in almost all learning, students must acquire
systems change, advocacy, case management, family knowledge before they are expected to apply it to prac-
practice, and group work. Readers learn advanced com- tice situations.
munication and intervention techniques and common CSWE has identified nine core compe-
social worker and client barriers to change. tencies that are critical for professional
Part 4 deals with the final phase of the helping practice (CSWE, 2015). For clarity, we
process, incorporating material on evaluating and ter- have alphabetized in lowercase the practice
minating social work relationships in an array of behaviors under each competency. “Help-
circumstances. ing Hands” Icons located within paragraphs clearly
show the linkage between content in the textbook and
ALTERNATIVE CHAPTER ORDER specific practice behaviors and competencies. Each icon
is labeled with the specific competency that relates
This book has been structured around phases of prac- directly to the content conveyed in the paragraph. For
tice at systems levels ranging from individual to family example, an icon might be labeled EP [Educational
to group to macro practice. Some instructors prefer to Policy] 1, which is the competency “Demonstrate ethi-
teach all content about a particular mode of practice in cal and professional behavior” (CSWE, 2015). Accre-
one block. In particular, those instructors whose courses dited social work programs are required to demonstrate
emphasize individual contacts may choose to present that students have mastered all practice behaviors for
chapters in a different order than we have organized competence as specified in the EPAS. (Please refer to
them (see Table 1). They may teach content in Chapters www.cswe.org for the EPAS document.)
5–9, skip ahead to Chapters 12 and 13, and then delve Corresponding to each icon, “Competency Notes”
into Chapters 17 and 18. Similarly, family content can at the end of each chapter explain the relationship
be grouped by using Chapters 10 and 15 together, and between chapter content and CSWE’s competencies.
group content by using Chapters 11 and 16 together. A summary chart of the icons’ locations in all chapters
We have presented the chapters in the book in the cur- and their respective competency or practice behavior is
rent order because we think that presentation of inter- placed in the front matter of the book.
vention by phases fits a systems perspective better than A new Practice Behaviors Workbook is available to
beginning with a choice of intervention mode. instructors and students through MindTap. This work-
book includes exercises that provide students with
TABLE 1 Organization of Chapters opportunities to develop the practice behaviors in class
by Mode of Practice or as part of their homework, facilitating their mastery
over practical aspects of social work and minimizing the
MODE OF PRACTICE
need for programs to develop additional assessments.
Across levels Chapters 1–4, 19
Individual Chapters 5–9, 12, 13, 17, 18
Family Chapters 10, 15
Group Chapters 11, 16
NEW FEATURES AND RESOURCES
Macro Chapter 14 FOR THE 10TH EDITION
The 10th edition continues to integrate many videos,
demonstrating cross-cultural practice, engagement with
The Empowerment Series: Relationship an adolescent, sessions from the middle of the helping
with the Educational Policy Statement process, and motivational interviewing.
and Accreditation Standards (EPAS), and
Professional Competencies Chapter 1
This book is part of the Cengage Learning Empower- In this chapter we included an updated presentation of
ment Series and addresses accreditation standards evidence-based practice, reframed the presentation of
Copyright 2017 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
Preface xv
social work challenges to opportunities, revised the discuss self-awareness and self-correction when errors
values section, and presented the case study more are noticed. We added double-barreled questions and
quickly in the chapter. We included a link to a George cognitive bias to the list of counterproductive patterns
Will article commenting on an earlier version of the text. of communication.
Chapter 2 Chapter 8
We included more details to explain the social work Chapter 8 has been updated to include a more compre-
practice framework. A brief discussion of the micro, hensive section addressing the treatment of children
mezzo, and macro systems is included, and we added and adolescents as well as a section highlighting impor-
a comment on technology in social work. We added to tant changes from DSM-4 to DSM-5.
the definition of clinical social work practice and direct
social work practice and added more detail to the dis- Chapter 9
cussions of social work roles.
Chapter 9 now includes greater detail regarding the col-
lection of data for developmental assessments as well as
Chapter 3 additional examples of assessments and documentation.
Concepts were added pertaining to cultural compe- In addition, the issue of elder misuse of drugs is addressed
tence throughout the chapter. For example, interior and changes from DSM-4 to DSM-5 are discussed.
decorations that are sensitive to diverse populations
are discussed in the section on physical conditions of Chapter 10
the interview. Chapter 10 has been reorganized and adds new content
that will help social work students integrate family
Chapter 4 systems assessments into their practice. It includes
This chapter features extra attention to the mainte- expanded attention to self-awareness and practice with
nance of professional boundaries in online contexts diverse families and a detailed articulation of a family
and the importance of professional self-awareness and systems framework for assessment of family strengths
self-regulation. Ethics in cases of interpersonal violence and adaptive capacity. The chapter closes with a descrip-
and other challenging venues have been added. tion of three assessment strategies, including the use of
circular questions, genograms, and standardized assess-
ment scales.
Chapter 5
The empathy scale was revised to reflect a bottom level Chapter 11
for “no empathy demonstrated.” The list of affective
words was modified to make it more contemporary. This edition features expanded examples of group types
Recent theory and research on empathy was included, and a deeper discussion of task groups. A new section
and guidelines for self-disclosure were revised. has been added to address single-session groups. Other
sections have been streamlined, and contemporary
issues, such as the use of devices in sessions and online
Chapter 6 contact outside of group, have been included.
Use of the term “reflection” was expanded to include
both reflection of emotion and reflection of content, Chapter 12
replacing the former term “paraphrasing.” There is
more content aimed at interviewing children and ado- Chapter 12 discusses the purpose and function of goals
lescents. Guidelines for interviewing include expanded and the process involved in goal development with vol-
attention to strengths and resources. untary clients, involuntary clients, and minors. General
and specific tasks or objectives are discussed as instru-
mental strategies for goal attainment. Revisions include
Chapter 7 the use of video and case examples to demonstrate the
This chapter now includes a short discussion on the process of developing goals. Each example demon-
importance of putting away cell phones in the section strates the link between goals and a target, and the
on nonverbal behaviors. Throughout the chapter we subsequent development of general and specific tasks.
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Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
xvi Preface
Sample contracts are provided, and methods for moni- groups, and more detailed coverage of technology and
toring and measuring the progress and outcome of groups.
goals are discussed.
Chapter 17
Chapter 13
This chapter links to earlier coverage of empathy and
Chapter 13 provides students with comprehensive includes a review of new research on empathy. It adds
knowledge and skills of evidence-based intervention cultural bias as a barrier to interpretation. Many exam-
strategies and procedures. Case and video case examples ples have been revised and adapted, including new skill
illustrate the application of each strategy. Trauma- development examples. The decision about when inter-
informed care and its principles and importance in pretation is appropriate has been clarified.
work with clients is introduced in this edition. The fit
between trauma-informed care and the values and prin-
Chapter 18
ciples of social work practice is discussed. Resources
intended to further knowledge and understanding of Chapter 18 makes use of case examples to identify and
the prevalence of client trauma are presented at the resolve relations dynamics between the social worker
end of the chapter. and clients. A video case example demonstrates moti-
vational interviewing as a strategy to assist clients in
Chapter 14 the change effort.
Chapter 14 provides a condensed foundation for under-
standing macro practice. Micro to macro assessment Chapter 19
questions and problem-solving strategies are empha- This chapter has new sections on avoiding treatment
sized, as is the connection between micro and macro dropouts, endings in short-term therapy such as crisis
concerns. Case examples illustrate the shift from case and single-session services, and the effects of endings
to cause in social work practice with diverse clients on students. There is also information on practical,
and target problems. A social justice lens is adopted in hybrid models of evaluation that can be adopted in
this chapter as a framework for understanding social an array of agency settings.
work advocacy efforts. New content in this chapter con-
siders the social worker’s role as a policy advocate, in
which the macro-level change effort focuses on organi- INSTRUCTOR ANCILLARIES
zation practices and policies that influence the environ- MindTap
ment experienced by clients.
MindTap for Direct Social Work Practice: Theory and
Skills engages and empowers students to produce their
Chapter 15
best work—consistently. By seamlessly integrating
Chapter 15 was revised to conceptualize social work with course material with videos, activities, apps, and
families in the diverse settings in which social workers much more, MindTap creates a unique learning path
routinely encounter families, in addition to traditional that fosters increased comprehension and efficiency.
family therapy settings and programs. Moreover, the For students:
chapter presents intervention skills that are at the heart
of most contemporary evidence-based approaches to ● MindTap delivers real-world relevance with activi-
social work with families. Interventions are organized ties and assignments that help students build criti-
into first- and second-order change strategies, and new cal thinking and analytic skills that will transfer to
content was included to support skill-training interven- other courses and their professional lives.
tions, as well as to emphasize the continuity between ● MindTap helps students stay organized and effi-
intervention strategies presented in earlier chapters and cient with a single destination that reflects what’s
their application to social work with families. important to the instructor, along with the tools
students need to master the content.
Chapter 16 ● MindTap empowers and motivates students with
This chapter has been more closely integrated with information that shows where they stand at all
Chapter 11. It has an expanded and reorganized section times—both individually and compared to the
on task groups, a new section on single-session highest performers in class.
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Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
Preface xvii
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Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
Copyright 2017 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
About the Authors
xix
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Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
xx About the Authors
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Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
PART 1
Introduction
1 The Challenges and Opportunities of Social Work
2 Direct Practice: Domain, Philosophy, and Roles
3 Overview of the Helping Process
4 Operationalizing the Cardinal Social Work Values
Part 1 of this book provides you with a background of concepts, values, historical
perspectives, and information about systems. This information will, in turn, prepare
you to learn the specific direct practice skills described in Part 2.
Chapter 1 introduces you to the social work profession; explains its context, mis-
sion, purposes, and values; and describes how systems perspectives can guide you in
conceptualizing your work.
Chapter 2 elaborates on the roles played by social workers, including the distinc-
tions made between clinical and direct social work practice, and presents a philosophy
of direct practice.
Chapter 3 offers an overview of the helping process, including exploration, imple-
mentation, and termination.
Finally, Chapter 4 introduces the cardinal values and ethical concerns underlying
social work.
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Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
CHAPTER
1
The Challenges and
Opportunities of Social Work
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Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
C H A P T E R 1 / The Challenges and Opportunities of Social Work 3
THE CONTEXT OF SOCIAL WORK with a case example that highlights several aspects of
social work practice and provides the context for con-
Let’s start our discussion of social work by examining cepts we will introduce in the chapter.
the context of the profession. Social work seeks to pro- Many social workers practice in set-
mote human and community well-being, enhance tings, such as schools, where they perform
quality of life, and promote social and economic justice dual roles, protecting both the community
and the elimination of poverty (EPAS, 2015). Toward at large and vulnerable individuals, in addi-
these objectives, social work practice includes both tion to playing other supportive roles EP 2, 3, 6, 7,
opportunities and challenges for assisting individuals, (Trotter, 2006). No matter where they are and 8
families, groups, organizations, and communities. employed, social workers are influenced
These opportunities and challenges exist in a context by the social work value of self-determination for their
that has been relatively stable over time but has also clients. For this reason, in addition to exploring school
changed in the recent past. For example, many social attendance issues with Mrs. Ramirez and her children,
workers continue to practice with clients at the lower Tobias addressed Mrs. Ramirez’s other concerns.
levels of the social economic ladder, although those cli- Of course, social workers are not the only helping
ents now have access to the Patient Care and Afford- professionals who provide direct services to clients in
able Care Act (PCACA), commonly known as need. They have a special interest, however, in helping
Obamacare. Meanwhile, long-lasting concerns among empower members of oppressed groups (Parsons,
African Americans about whether police act more to 2002). Indeed, as a profession, social workers are com-
serve them or harass them now exist in a context in mitted to the pursuit of social justice for poor, disad-
which FBI Director James Comey has acknowledged a vantaged, disenfranchised, and oppressed people
legacy of poor treatment of African Americans by (Carniol, 1992; Finn & Jacobson, 2003; Marsh, 2005;
police and unconscious bias, recognizing that poverty Pelton, 2001; Van Wormer, 2002). In this case, in addi-
and educational gaps often bring that community and tion to seeing his client, Mrs. Ramirez, as a parent
police together in dangerous circumstances (Comey, struggling with school attendance issues, Tobias also
2015). In addition, differences of opinion remain saw her as a client experiencing challenges possibly
regarding same-sex marriage, while at the same time related to issues in the United States surrounding
more and more states made it legal within their bor- undocumented immigrants (Cleaveland, 2010; Padilla
ders, and the Supreme Court has now established it as a et al., 2008). Interestingly, a law passed by the U.S.
right in all states. A national resolution of a debate House of Representatives in 2005, but not in the Sen-
about the proper role of immigration has still not ate, would have made it a crime for service providers
occurred, creating challenges for social workers who such as Tobias to assist undocumented immigrants.
provide services to people who are undocumented. However, according to the National Association of
Meanwhile, social work practice continues to be Social Workers (NASW) Immigration Toolkit
provided in organizational and resource settings that (NASW, 2006, p. 4), “the plight of refugees and immi-
are fraught with limitations. In addition, social workers grants must be considered on the basis of human
work in many different settings—governmental agen- values and needs rather than on the basis of an ideo-
cies, schools, health care centers, family and child logical struggle related to foreign policy.” The contrast
welfare agencies, mental health centers, business and between these two positions suggests that social work-
industry, correctional settings, and private practices, to ers grapple with issues of social justice in their everyday
name a few. Social workers also work with people of all practice. As a social worker, Tobias obviously could not
ages, races, ethnic groups, socioeconomic levels, reli- personally resolve the uncertain situation of undocu-
gions, sexual orientations, and abilities. Social workers mented immigrants. However, he could work with
themselves variously describe their work as rewarding, Mrs. Ramirez and local health institutions to explore
frustrating, satisfying, discouraging, stressful, and, most possible solutions to her problems.
of all, challenging (Pooler, Wolfer, & Freeman, 2014). Note that in this case example, Mrs. Ramirez did
Clearly, the context of social work presents both not seek assistance herself. Rather, she was referred by
challenges and opportunities. This book will assist school staff because of her children’s poor school atten-
you in developing practice skills, values, and knowledge dance. She would therefore be referred to as a legally
so that you can be helpful to individuals, families, and mandated client who receives services under the threat
groups in any social work setting. This chapter begins of a court order. Those clients who themselves apply for
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4 PART 1 / Introduction
CASE EXAMPLE
Marta Ramirez was referred to child welfare services perspective on school attendance. He explained
because her two elementary-school-age children that child welfare workers are called on to assist fam-
had more than seven days of unexcused absences ilies in having their children educated. He also asked
from school during the term, the standard for edu- about how things were going for Mrs. Ramirez and
cational neglect in her state. When Tobias, a child her family in their community. In doing so, Tobias
welfare social worker, met with Mrs. Ramirez, he explained his dual roles of (1) responding to the
found that the children had missed similar amounts law violation by statute and (2) helping families
of time when they had lived in another state. There address issues of concern to them.
had not been earlier investigations, however, as Mrs. Ramirez acknowledged that her children’s
legal standards for educational neglect were differ- school attendance had been sporadic. She attrib-
ent in the previous state. Mrs. Ramirez noted that uted this to their illnesses, their feeling unwelcome
her children had been frequently ill with “flu and in the school, and her own health difficulties that
asthma.” She also said that the children did not feel inhibited her in getting the children ready for
comfortable at the school, and they felt that the school.
teachers were mean to them because they were Tobias asked Mrs. Ramirez if she would like
Hispanic. In addition, Mrs. Ramirez had sustained a to receive assistance in problem solving, both
work-related back injury that limited her ability to about how to get her children to school and
get out of bed some mornings. As an undocu- how to help them have a better educational expe-
mented immigrant, Mrs. Ramirez was ineligible for rience there. In addition, although health issues
the surgery she needed. Finally, she acknowledged were not served directly by his child welfare
experiencing depression and anxiety. agency, Tobias offered to explore linkages with
Tobias shared with Mrs. Ramirez the reason the medical field to address Mrs. Ramirez’s health
for the referral under statute and asked for her and depression concerns.
services are referred to as voluntary clients. Many Such assessments also seek to reveal strengths and
potential clients, including those like Mrs. Ramirez, potential resources. For example, Mrs. Ramirez’s
become more voluntary if their own concerns are potential strengths and resources include her determi-
explicitly addressed as part of the social work assess- nation that her children have a better life than their
ment. Many potential clients fall between the two parents, as well as other community and spiritual sup-
extremes of legally mandated and voluntary clients, as port systems, both locally and in her home country of
they are neither legally coerced nor seeking a service Mexico. Those potential resources must be assessed in
themselves (Trotter, 2006). These potential clients, the context of challenges, both internal and external,
who often experience nonlegal pressures from family such as the lack of a health care safety net for undocu-
members, teachers, and referral sources, are known as mented immigrants and Mrs. Ramirez’s own medical
nonvoluntary clients (R. H. Rooney, 2009). and psychological concerns.
With each type of client (legally man-
dated, voluntary, and nonvoluntary), social
work assessments include three facets:
THE MISSION OF SOCIAL WORK
EP 7 1. Exploration of multiple concerns The perspectives taken by social workers in their pro-
expressed by potential clients fessional roles will influence how their clients’ concerns
2. Circumstances that might involve legally man- are conceptualized and addressed. According to the
dated intervention or concerns about health or NASW, “the primary mission of the social work pro-
safely fession is to enhance human well-being and help meet
3. Other potential problems that emerge from the the basic human needs of all people with particular
assessment attention to the needs and empowerment of people
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C H A P T E R 1 / The Challenges and Opportunities of Social Work 5
who are vulnerable, oppressed, and living in poverty” In 2007, the columnist George Will and a group of
(NASW, 2008a). The International Federation of Social conservative scholars charged that the NASW social
Workers (IFSW) defines the purpose of social work as work Code of Ethics, as well as the authors of a previ-
including the promotion of social change and the ous edition of this book, prescribed political orthodoxy
empowerment and liberation of people to enhance in violation of freedom of speech and in opposition to
well-being (IFSW, 2000, p. 1). Comparisons of the mis- critical thinking (NASW, 2007; Will, 2007). While sup-
sion of social work in the United States to the interna- port for social and economic justice as national priori-
tional definition note the shared focus on marginalized ties ebbs and flows in the U.S. political landscape, the
peoples and empowerment but add an emphasis on social work profession supports these goals at all times
global and cultural sensitivity (Bidgood, Holosko, & as part of its core mission. It is not relevant to the
Taylor, 2003). profession whether the political majority in such
In this book, we will delineate the core elements times label themselves as liberal, conservative, green,
that lie at the heart of social work wherever it is prac- independent, or otherwise. Social workers ally with
ticed. These core elements can be classified into two those political groups that benefit the oppressed groups
dimensions: purposes of the profession and core com- who form their core constituencies. Social workers
petencies, where core competencies include character- therefore seek to promote social and economic justice
istic knowledge, values, and practice behaviors (CSWE, for both Americans and immigrants with or without
2015, p. 1). Let’s now turn to the purposes of social documentation. As such, in our case example, the pre-
work and the nine core competencies. vention of conditions that limit human rights and qual-
ity of life guides Tobias to take seriously the allegation
that Mrs. Ramirez and her family have not been made
THE PURPOSES OF SOCIAL to feel welcome at the school. Indeed, with national
priorities of raising testing scores for reading and writ-
WORK ing, attention to the needs of those who speak English
Social work practitioners help clients move toward as a second language may be in conflict with the goal of
specific objectives. The means of accomplishing those increasing test scores.
objectives, however, vary based on the unique circum- The purposes outlined also suggest that Tobias
stances of each client. Even so, all social workers share might assist Mrs. Ramirez and her family in a variety
common goals that constitute the purpose and objec- of other ways to meet their needs. Those ways include
tives of the profession. These goals unify the profession the creation of policies to find solutions to the health
and help members avoid developing narrow perspec- needs of immigrants without documents. Social work-
tives that are limited to particular practice settings. ers perform preventive, restorative, and remedial func-
To best serve their clients, social workers must be will- tions in pursuit of this purpose:
ing to assume responsibilities and engage in actions
that expand upon the functions of specific social agen- ● Prevention involves the timely provision of ser-
cies and their designated individual roles as staff mem- vices to vulnerable persons, promoting social func-
bers. For example, Tobias, the child welfare social tioning before problems develop. It includes
worker who met with Mrs. Ramirez, assessed her issues programs and activities such as family planning,
and concerns and went beyond the child protection well-baby clinics, parent education, premarital
mission of the child welfare setting. and preretirement counseling, and marital enrich-
According to the Council on Social ment programs (Pomeroy & Steiker, 2012).
Work Education (CSWE), a key compe- ● Restoration seeks to restore functioning that has
tency of the social work profession is to been impaired by physical or mental difficulties.
advance human rights and social and eco- Included in this group of clients are persons with
EP 3
nomic justice. Social justice refers to the varying degrees of paralysis caused by severe spinal
creation of social institutions that support injury, individuals afflicted with chronic mental ill-
the welfare of individuals and groups (Center for Eco- ness, persons with developmental disabilities, per-
nomic and Social Justice, n.d.). Economic justice refers sons with deficient educational backgrounds, and
to those aspects of social justice that relate to economic individuals with many other types of disability.
well-being, such as a livable wage, pay equity, nondis- ● Remediation entails the elimination or ameliora-
crimination in employment, and social security. tion of existing social problems. Many potential
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Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
6 PART 1 / Introduction
clients in this category are similar to Mrs. Ramirez The values of the social work profession also
in that they are referred by others, such as the reflect strongly held beliefs about the rights of people
school system, family members, neighbors, or doc- to free choice and opportunity. They recognize the pre-
tors, who have perceived a need. ferred conditions of life that enhance people’s welfare,
ways that members of the profession should view and
In addition, the Educational Policy and Accreditation treat people, preferred goals for people, and ways in
Standards (EPAS) affirm the commitment of social which those goals should be reached. We next consider
programs to the core values of the profession: service, five values and purposes that guide social work educa-
social justice, dignity and worth of the person, impor- tion. These five values are italicized, and the content
tance of human relationships, integrity, competence, that follows each is our commentary.
human rights, and scientific inquiry (CSWE, 2015;
NASW, 2008a). 1. Social workers’ professional relationships are built
on regard for individual worth and dignity and
are advanced by mutual participation, acceptance,
confidentiality, honesty, and responsible handling of
SOCIAL WORK VALUES conflict. This value is reflected in several parts of
All professions have value preferences that the NASW Code of Ethics. The code states: “Social
give purpose and direction to their practi- workers’ primary goal is to help people in need”
tioners. Indeed, the purpose and objectives (NASW, 2008a). That is, service to others is ele-
of social work and other professions come vated above self-interest; social workers should
EP 1 from their respective value systems. Profes- therefore use their knowledge, values, and skills
sional values, however, are not separate to help people in need and to address social pro-
from societal values. Rather, professions espouse blems. The code also states that social workers
selected societal values. Society, in turn, sanctions the should “respect the inherent dignity and worth of
activities of professions through supportive legisla- the person.” Every person is unique and has inher-
tion, funding, delegation of responsibility for certain ent worth; therefore, social workers’ interactions
societal functions, and mechanisms for ensuring that with people as they pursue and utilize resources
those functions are adequately discharged. Because a should enhance their dignity and individuality,
profession is linked to certain societal values, it tends enlarge their competence, and increase their
to serve as society’s conscience with respect to those problem-solving and coping abilities.
particular values. People who receive social work services are often
Values represent strongly held beliefs about how overwhelmed by their circumstances and have
the world should be, about how people should nor- exhausted their coping resources. Many feel stressed
mally behave, and about what the preferred conditions by a multitude of problems. In addition to helping
of life are. Broad societal values in the United States are clients reduce their stress level, social workers aid
reflected in the Declaration of Independence, the Con- clients in many other ways: They help them view
stitution, and the laws of the land, which declare and their difficulties from a fresh perspective, consider
ensure certain rights of the people. In addition, societal various remedial alternatives, foster awareness
values are reflected in governmental entities and pro- of strengths, mobilize both active and latent
grams designed to safeguard the rights of people and to coping resources, enhance self-awareness, and teach
promote the common good. Interpretations of values problem-solving strategies and interpersonal skills.
and rights, however, are not always uniform. Consider, Social workers perform these functions while
for example, the heated national debates over the right recognizing “the central importance of human
of women to have abortions; the controversy over the relationships” (NASW, 2008a). Social workers
rights of gays and lesbians to enjoy the benefits of mar- therefore engage clients as partners in purposeful
riage; and conflicts between advocates of gun control efforts to promote, restore, maintain, and enhance
and those espousing individual rights. These debates the clients’ well-being. This value is reflected in yet
continue despite the fact that same-sex marriage has another Code of Ethics principle: “Social workers
now been legalized, for example. Similarly, national behave in a trustworthy manner.” This principle
concern over gun control and safety contends with suggests that social workers practice consistently
concerns over constitutional protections. with the profession’s mission, values, and ethical
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C H A P T E R 1 / The Challenges and Opportunities of Social Work 7
standards, and that they promote ethical practices such efforts include working with citizens and
in the organizations with which they are affiliated public officials to arrange transportation to health
(NASW, 2008a). care agencies for the elderly, persons with disabil-
2. Social workers respect the individual’s right to make ities, and indigent people; developing neigh-
independent decisions and to participate actively in borhood organizations to campaign for better
the helping process. People have a right to freedom as educational and recreational programs; organizing
long as they do not infringe on the rights of others. tenants to assert their rights to landlords and
Therefore, transactions with people who are seeking housing authorities for improved housing and
and utilizing resources should enhance their inde- sanitation; and organizing support groups, skill
pendence and self-determination. Too often in the development groups, and self-help groups to assist
past, social workers and other helping professionals people in coping with difficult problems of living.
focused on “deficit, disease, and dysfunction” Social workers also frequently perform the
(Cowger, 1992). The attention currently devoted role of facilitator or enabler to enhance access to
by social workers to client empowerment and resources. For example, they may enhance com-
strengths means that social workers assist clients in munication among family members; coordinate
increasing their personal potential and political efforts of teachers, school counselors, and social
power such that clients can improve their life situa- workers in assisting troubled students; help groups
tion (Krogsrud, Miley, O’Melia, & Dubois, 2013; provide maximal support to their members; open
Parsons, 2002; Saleebey, 2006). Consistent with channels of communication between coworkers;
this value, this book incorporates an empowerment include patients or inmates in the governance of
and strength-oriented perspective for working with institutions; facilitate teamwork among members
clients. Chapter 13 focuses on skills designed to of different disciplines in hospitals and mental
enhance empowerment and capacity for indepen- health centers; and provide for consumer input
dent action. into agency policy-making boards.
3. Social workers are committed to assisting clients to 4. Social workers strive to make social institutions
obtain needed resources. The social worker’s com- more humane and responsive to human needs.
mitment to client self-determination and empow- Although many social workers primarily provide
erment is hollow if clients lack access to the direct service, they also have a responsibility to
resources necessary to overcome their problems work toward improving clients’ quality of life by
and achieve their goals (Hartman, 1993). Because promoting policies and legislation that enhance
people such as Mrs. Ramirez from our case exam- their clients’ physical and social environments.
ple often know little about available resources, For example, the problems of individuals, families,
social workers must act as brokers by referring groups, and neighborhoods can often be prevented
people to resource systems such as public legal ser- (or at least ameliorated) by implementing laws and
vices, health care agencies, child welfare divisions, policies that prohibit contamination of the physi-
mental health centers, centers for elderly persons, cal environment and enrich both physical and
and family counseling agencies. Some individual social environments. Therefore, social workers
clients or families may require goods and services should not limit themselves to remedial activities
from many different providers and may lack the but rather should seek out causes of problems and
language facility, physical or mental capacity, sponsor or support efforts aimed at improving
experience, or skills needed to avail themselves of their clients’ environments.
these goods and services. Social workers then may 5. Social workers engage diversity and dif-
assume the role of case managers; that is, they may ference in practices. Social workers per-
not only provide direct services but also assume form their services with populations
responsibility for connecting the client to diverse that are characterized by great diversity,
resources and ensuring that the client receives including the intersection of dimen- EP 2
needed services in a timely fashion. sions such as “age, class, culture, dis-
Clients sometimes need resource systems that ability, ethnicity, gender, gender identity and
are not available. In these cases, social workers expression, immigration status, political ideology,
must act as program developers by creating and race, religion, sex and sexual orientation, religion,
organizing new resource systems. Examples of physical or mental ability, and national origin”
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8 PART 1 / Introduction
(CSWE, 2015). NASW’s Code of Ethics requires how diversity and difference shape human experience
social workers to have a knowledge base about and form human identity. Among those factors are
and recognize strengths of their clients’ cultures gender identity and sexual orientation. Hence the
and deliver services that are sensitive to those personal value that some social workers might hold
cultures (NASW, 2008a). Social workers must regarding sexual orientation must be superseded by
therefore be informed about and respectful of dif- the professional commitment to understanding diver-
ferences. Social workers must also continually sity and difference.
update their knowledge about the strengths and Conflicts between the personal and/or profes-
resources associated with individuals from diverse sional values of the social worker and the personal
groups to increase the sensitivity and effectiveness values of a client or group sometimes arise. Not infre-
of the services they provide to those clients. An quently, students (and even seasoned social workers)
increasing number of social workers are themselves experience conflicts over value-laden, problematic
members of these diverse populations. They face the situations such as incest, infidelity, rape, child neglect
challenge of working effectively with both clients or abuse, spousal abuse, and criminal behavior.
and agency staff from the majority culture as well Because social workers encounter these and other pro-
as persons from their own groups. blems typically viewed by the public as appalling, and
because personal values inevitably shape the social
Turning the five values just described into worker’s attitudes, perceptions, feelings, and responses
reality should be the mutual responsibility to clients, it is vital that social workers remain flexible
of individual citizens and of society. Society and nonjudgmental in their work. It is therefore vital
should foster conditions and provide that you be aware of your own values, recognize how
EP 1
opportunities for citizens to participate in they fit with the profession’s values, and assess how
policy-making processes. Citizens, in turn, they may affect clients whose values differ from your
should fulfill their responsibilities to society by actively own or whose behavior offends you. It is particularly
participating in those processes. important that you become aware of your own values
Considered individually, these five values are not because social workers often have opportunities and
unique to social work. Their unique combination, how- power that many clients do not possess and may there-
ever, differentiates social work from other professions. fore inadvertently impose their own values on their
Considered in their entirety, these values make it clear clients.
that social work’s identity derives from its connection
with the institution of social welfare. According to
Gilbert (1977), social welfare represents a special help-
ing mechanism devised to aid those who suffer from
EPAS COMPETENCIES
the variety of ills found in industrial society: “When- In this chapter, we will introduce the nine competen-
ever other major institutions, be they familial, religious, cies of EPAS and state them in terms of what social
economic, or educational in nature, fall short in their work graduates should be able to do when they have
helping and resource providing functions, social wel- completed their course of study. Please don’t feel
fare spans the gap” (p. 402). apprehensive about whether you are capable of per-
For example, the ideal social work practitioner is a forming these competencies now. It will be your task
warm, caring, open, and responsible person who safe- and that of your educational program to prepare you to
guards the confidentiality of information disclosed by reach these competencies by the time you graduate.
clients. Because you, the reader, have chosen to enter While each of these competencies will be covered in
the field of social work, most of your personal values greater detail in later chapters, the following sections
probably coincide with the cardinal values espoused by summarize the main points of each competency.
the majority of social work practitioners.
However, your personal values may conflict with
professional values. For example, some social workers EPAS Competency 1
have personal and/or religious beliefs that homosexual- This competency requires that social work-
ity is an unhealthy choice, not a natural, perhaps ers understand the value base and ethical
genetic, circumstance. In EPAS Competency 2, the standards of the profession, as well as rele-
competent social worker is expected to understand vant laws and regulations that may affect EP 1
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C H A P T E R 1 / The Challenges and Opportunities of Social Work 9
social work practice at various levels. In addition, this dimensions of diversity as the intersection of multiple
competency requires that social workers understand factors, including, but not limited to, age, class, color,
frameworks of ethical decision making and how to culture, ethnicity, gender, gender identity and expres-
apply principles of critical thinking to those frame- sion, immigration status, marital status, physical and
works in practice, research, and policy. Social workers mental ability, political ideology, race, religion/spiritu-
must also recognize their own personal values, the dis- ality, sex, sexual orientation, and tribal sovereign status.
tinction between personal and professional values, and For example, Tobias, the social worker in our case
how their personal experiences and reactions influence example, would try to understand Mrs. Ramirez from
their professional judgment and behavior. For example, many perspectives, including her immigration status,
if Tobias from our case example had any personal gender, ethnicity, and other perspectives relevant to
values that might impede his work with Mrs. Ramirez her situation. This competency guides social workers
and her children, he would take care that his profes- to understand that, as a consequence of difference, a
sional values supersede those personal values. person’s life experiences may include oppression, pov-
Note that this competency requires that ethical erty, marginalization, and alienation as well as privilege,
and professional behavior be understood in the context power, and acclaim. Social workers also understand the
of the profession’s history, its mission, and the roles forms and mechanisms of oppression and discrimina-
and responsibilities of social workers. It is understood tion and recognize the extent to which a culture’s struc-
that learning continues after graduation through life- tures and values, including social, economic, political,
long learning, in which social workers are committed and cultural exclusions, may oppress, marginalize,
to continually updating their skills to ensure they are alienate, or create privilege and power. Social workers
relevant and effective. According to this competency, are aware of privilege and act mindful of it.
social workers also must understand emerging forms This competency also contains the recommenda-
of technology and the ethical use of technology in tion that social workers use reflection to manage their
social work practice. Hence, social workers must use personal values. For example, early in his working with
technology such as voice messages, emails, and texts Mrs. Ramirez, Tobias wrote in his case notes that he
mindfully and responsibly in ways that protect client suspected that her children were not attending school
confidentiality. in part because she and other undocumented immi-
Social workers engage in a variety of practice beha- grants did not value education as much as their fellow
viors to fulfill this competency. For example, they make students and families in their new community in the
ethical decisions by applying the standards of the United States. In fact, there is evidence to suggest that
NASW Code of Ethics and relevant laws and regula- Mexican immigrants value education highly (Valencia
tions and by utilizing the models for ethical decision & Black, 2002). Tobias’s statement might be seen as a
making, ethical conduct of research, and additional belief, a hypothesis, or a possible bias that could have
codes of ethics as appropriate to context. Social work- profound implications for his work with Mrs. Ramirez.
ers also employ reflection and self-regulation to man- If he acted on his belief that her children were not
age their personal values and maintain professionalism attending primarily because she and other Mexican
in practice situations. They demonstrate professional immigrants were not motivated about education, he
demeanor in their behavior, appearance, and oral, might not explore other community- or school-based
written, and electronic communication. Social workers barriers to their attendance, such as their perception
use technology ethically and appropriately to facilitate that the children were not welcome. Holding members
practice outcomes. Finally, they use supervision and of oppressed groups personally responsible for all
consultation to guide professional judgment and aspects of their condition is an unfortunate value pred-
behavior. icated on the Horatio Alger myth that all successful
people lift themselves up by their own bootstraps.
This competency therefore requires sensitivity to struc-
EPAS Competency 2 tures that may act to oppress.
Social workers are guided in this compe- This competency also guides social workers to
tency to understand how diversity and dif- consider the importance of their commitment to diver-
ference characterize and shape the human sity as we consider the Eurocentric assumptions that
experience and are critical to the forma- undergird many practice models (Sue & Sue, 2012).
EP 2
tion of identity. They understand the We take the position that some factors are universal.
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10 PART 1 / Introduction
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C H A P T E R 1 / The Challenges and Opportunities of Social Work 11
knowledge, and use their practice experience to inform work as a helping profession is the understanding
scientific inquiry and use research evidence to inform that all direct practice occurs in a policy context.
their practice. Hence, social workers need to know about the history
Some proponents suggest that employing of and current structures for policies and services. In
evidence-based intervention entails being able to pursuit of this competency, social workers analyze, for-
explain an evidence-based approach to clients; creating mulate, and advocate for policies that advance the
a useful, realistic evaluation format; refining such inter- social well-being of their clients. They also collaborate
vention and evaluation formats based on knowledge with colleagues and clients for effective policy action.
of the client; understanding the relevant elements of While some social workers provide direct services to
evidence-based techniques; incorporating evidence clients, others act indirectly to influence the environ-
from use of the intervention; and being critical consu- ments supporting their clients, thereby developing and
mers of evidence in practice situations (Pollio, 2006; maintaining the social infrastructure that assists clients
Thyer, 2013). Others suggest the need to use knowledge in meeting their needs. Many social work programs
of the context in formulating such interventions and to contain one or more required courses in policy and
consider the theoretical base in selecting interventions practice as well as an advanced practice curriculum in
(Adams, Matto, & Le Croy, 2009; Gitterman & Knight this area. In our case example, Tobias’s interaction with
2013; Payne, 2005; Walsh, 2006). More recently there Mrs. Ramirez must be considered in the context of
have been calls to integrate attention to common fac- policies related to school attendance and policies
tors and common elements with attention to evidence- related to health care access.
based practice (Barth et al., 2012).
Given the range of evidence available in different EPAS Competency 6
fields of practice, we agree that evidence-based practice This competency focuses on engagement
should be a highly valued source of information in the with individuals, families, groups, organiza-
context of planning an intervention. Following this prin-
tions, and communities. Social workers
ciple, in our case example, Tobias and his agency would apply their knowledge of human behavior
be advised to be mindful of evidence-basedinterventions in the social environment and the practice
that assist families with the problem of low school atten- EP 6
context to engage with clients and consti-
dance. He and his agency would be wise to become tuencies. They also use empathy, reflection, and inter-
familiar with programs that promote personal relation- personal skills to effectively engage diverse clients and
ships between school personnel and families around
constituencies. In our case example, Tobias would seek
attendance issues, such as the evidence-based program to use empathy in his interactions with Mrs. Ramirez
Check & Connect (checkandconnect.umn.edu). They and use his interpersonal skills to help her to the great-
would also need to integrate this knowledge with infor-
est extent possible.
mation about the environmental context and relevant
interventions. For example, assisting Mrs. Ramirez in
getting her children ready for transportation to school EPAS Competencies 7 and 8
might be one part of the intervention, as well as working These competencies focus on engaging
with the school to construct a more welcoming environ- with, assessing, intervening with, and
ment for the children. Part of this context is also evaluating individuals, families, groups,
Mrs. Ramirez’s physical and emotional health. She may organizations, and communities. These
be more likely to have her children ready for school if she competencies get at the heart of social EP 7 and 8
is linked to health care providers who can assist her with work intervention and reflect the knowl-
her need for surgery and her depression. edge and skills that this book is designed to address.
In order to meet these competencies, social workers
prepare for action with individuals, families, groups,
EPAS Competency 5 organizations, and communities both substantively
This competency requires that social work- and emotionally. They do this by using empathy and
ers engage in policy practice to advance other interpersonal skills, developing a mutually
social and economic well-being and to agreed-upon focus of work, and identifying desired out-
deliver effective social work services. One comes. Utilizing these skills, Tobias in our case example
EP 5 of the distinguishing features of social would attempt to personally engage Mrs. Ramirez and
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12 PART 1 / Introduction
her family. We recognize that the success of such designed to change the systems that directly affect
engagement efforts depends in part on sensitivity to clients, such as the family, peer group, or classroom.
cultural norms and hence also includes attention to ● Macro-level practice. Still further removed from
the competency related to diversity. face-to-face delivery of services, macro-level social
These competencies also include attention focused work practice involves the processes of social plan-
on assessment and refer to the knowledge and ning and community organization. On this level,
skills required to collect, organize, and interpret client social workers serve as professional change agents
data. In this context, social workers must have skills in who assist community action systems composed of
assessing both a client’s strengths and limitations. individuals, groups, or organizations in dealing
They must be able to develop mutually agreed-upon with social problems. For example, social workers
intervention goals and objectives and be able to select may work with citizen groups or with private,
appropriate intervention strategies. public, or governmental organizations. Activities
of practitioners at this level include (1) develop-
EPAS Competency 9 ment of and work with community groups and
organizations; (2) program planning and develop-
This competency requires knowledge and ment; and (3) implementation, administration,
skills in evaluation. To meet this compe- and evaluation of programs (Meenaghan, 1987).
tency, social workers must be able to cri-
tically analyze, monitor, and evaluate Effective practice requires knowledge related to all
EP 9 interventions. Following this competency, three levels of practice. Nevertheless, schools of social
Tobias from our case example would estab- work often offer “concentrations” in either micro or
lish goals with Mrs. Ramirez and regularly assess prog- macro practice and require less preparation in the
ress with her. This competency requires that social other levels. Concentrations are often designated
workers select appropriate means of evaluation, criti- around an area of direct practice in particular popula-
cally analyze efforts to evaluate and monitor programs, tions or settings, such as adult mental health, child wel-
and apply evaluation data to improve service delivery. fare, family practice, group work, school social work,
aging, and work with children and adolescents. Such
concentrations may emphasize micro practice or incor-
LEVELS OF PRACTICE porate mezzo and macro practice. Some schools have
Social workers address the competencies we have just generalist practice curricula, which require students to
discussed at multiple levels of practice: achieve balanced preparation in all three levels of prac-
tice. Undergraduate programs and the first year of
● Micro-level practice. The population served by graduate programs typically feature generalist practice
social workers at this level of practice includes curricula, which aim to prepare students for working
individuals, couples, and families. Practice at the with all levels of client systems.
micro level is designated as direct practice because Macro concentrationsoften refer to practice in com-
practitioners deliver services directly to clients in munity organization, planning, management, and advo-
face-to-face situations. Direct practice, however, is cacy. Administration entails playing a leadership role in
by no means limited to such face-to-face contact. human service organizations that seek to effectively
● Mezzo-level practice. The second level of social deliver services in accordance with the values and laws
work practice is defined as “interpersonal relations of society. It includes the processes involved in policy
that are less intimate than those associated with formulation and subsequent translation of that policy
family life; more meaningful than among organiza- into operational goals, program design and implementa-
tional and institutional representatives; [including] tion, funding and resource allocation, management of
relationships between individuals in a self-help or internal and interorganizational operation, personnel
therapy group, among peers at school or work or direction and supervision, organizational representation
among neighbors” (Sheafor, Horejsi, & Horejsi, and public relations, community education, monitoring,
1994, pp. 9–10). Mezzo events are “the interface evaluation, and innovation to improve organizational
where the individual and those most immediate productivity (Sarri, 1987, pp. 29–30).
and important to him/her meet” (Zastrow & Kirst- Direct practitioners are necessarily involved to
Ashman, 1990, p. 11). Mezzo intervention is hence some degree in administrative activities. In addition,
Copyright 2017 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
C H A P T E R 1 / The Challenges and Opportunities of Social Work 13
many direct practitioners who hold master’s degrees systems model is understood as a way to examine
become supervisors or administrators later in their pro- strengths and weaknesses in transactions between per-
fessional careers. Knowledge of administration, there- sons, families, cultures, and communities as systems.
fore, is vital to direct practitioners at the master’s This emphasis, which resulted from the prominence
degree level, and courses in administration are fre- and wide acceptance of Freud’s theories in the 1920s and
quently part of the required master’s degree curriculum 1930s, reached its zenith in the 1940s and 1950s. With
in social work. Although many direct practitioners the emergence of ego psychology, systems theory, theo-
engage in little or no macro-level practice, those who ries of family therapy, expanded awareness of the impor-
work in rural areas where practitioners are few and tance of ethnocultural factors, and emphasis on
specialists in social planning are not available may ecological factors in the 1960s and 1970s, increasing
work in concert with concerned citizens and commu- importance was accorded to environmental factors and
nity leaders in planning and developing resources to to understanding the ways in which people interact with
prevent or combat social problems. their environments. Systems models were first created in
the natural sciences, and ecological theory developed
from the environmentalmovement in biology; ecological
ORIENTING FRAMEWORKS systems theory in social work adapted concepts from
both of these models.
TO ACHIEVE COMPETENCIES
Practitioners and beginning students need orienting Habitats and Niche
frameworks to ground their work in achieving the com- Two concepts of ecological theory that are especially rel-
petencies just described. There is ever-increasing infor- evant to social workers are habitat and niche. Habitat
mation from the social sciences, social work, and allied refers to the places where organisms live and, in the
disciplines that point to specific interventionsfor specific case of humans, consists of the physical and social set-
problem situations. Successful use of such interventions tings within particular cultural contexts. When habitats
represents formidable challenges because available are rich in the resources required for growth and devel-
knowledge is often fragmented. Further, because social opment, people tend to thrive. When habitats are defi-
work often takes place in agency settings with clients cient in vital resources, physical, social, and emotional
whose concerns cut across psychological and environ- development and ongoing functioning may be adversely
mental needs, an orienting perspective is needed to affected. For example, a substantial body of research
address these levels of concerns and activities. As we’ll indicates that supportive social networks of friends, rela-
see in this section, the ecological systems model is useful tives, neighbors, work and church associates, and pets
in providing an orienting perspective (Germain & Git- mitigate the damaging effects of painful life stresses. By
terman, 1996; Pincus & Minahan, 1973; Siporin, 1980). contrast, people with deficient social networks may
respond to life stresses by becoming severely depressed,
Ecological Systems Model resorting to abuse of drugs or alcohol, engaging in vio-
lent behavior, or coping in other dysfunctional ways.
A system is a set of orderly elements that
Niche refers to the statuses or roles occupied by
are related to make a whole. Systems theory
members of the community. One of the tasks in the
emphasizes the interactions between these
course of human maturation is to find one’s niche in
elements (Kirst-Ashman & Hull, 2012).
society, which is essential to achieving self-respect and
Adaptations of the ecological systems
EP 7 a stable sense of identity. Being able to locate one’s
model, originating in biology, make a
niche, however, presumes that opportunities congruent
close conceptual fit with the “person-in-environment”
with human needs exist in society. That presumption
perspective that dominated social work until the mid-
may not be valid for members of society who lack equal
1970s. Although that perspective recognized the influ-
opportunities because of race, ethnicity, gender, pov-
ence of environmental factors on human functioning,
erty, age, disability, sexual identity, or other factors.
internal factors had received an inordinate emphasis in
assessing human problems. In addition, a perception of
the environment as constraining the individual did not Mutual Influence of People and Environments
sufficiently acknowledge the individual’s ability to affect An objective of social work, as noted earlier, is to pro-
the environment. In social work practice, an ecological mote social justice so as to expand opportunities for
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Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
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DANCE ON STILTS AT THE GIRLS’ UNYAGO, NIUCHI
I see increasing reason to believe that the view formed some time
back as to the origin of the Makonde bush is the correct one. I have
no doubt that it is not a natural product, but the result of human
occupation. Those parts of the high country where man—as a very
slight amount of practice enables the eye to perceive at once—has not
yet penetrated with axe and hoe, are still occupied by a splendid
timber forest quite able to sustain a comparison with our mixed
forests in Germany. But wherever man has once built his hut or tilled
his field, this horrible bush springs up. Every phase of this process
may be seen in the course of a couple of hours’ walk along the main
road. From the bush to right or left, one hears the sound of the axe—
not from one spot only, but from several directions at once. A few
steps further on, we can see what is taking place. The brush has been
cut down and piled up in heaps to the height of a yard or more,
between which the trunks of the large trees stand up like the last
pillars of a magnificent ruined building. These, too, present a
melancholy spectacle: the destructive Makonde have ringed them—
cut a broad strip of bark all round to ensure their dying off—and also
piled up pyramids of brush round them. Father and son, mother and
son-in-law, are chopping away perseveringly in the background—too
busy, almost, to look round at the white stranger, who usually excites
so much interest. If you pass by the same place a week later, the piles
of brushwood have disappeared and a thick layer of ashes has taken
the place of the green forest. The large trees stretch their
smouldering trunks and branches in dumb accusation to heaven—if
they have not already fallen and been more or less reduced to ashes,
perhaps only showing as a white stripe on the dark ground.
This work of destruction is carried out by the Makonde alike on the
virgin forest and on the bush which has sprung up on sites already
cultivated and deserted. In the second case they are saved the trouble
of burning the large trees, these being entirely absent in the
secondary bush.
After burning this piece of forest ground and loosening it with the
hoe, the native sows his corn and plants his vegetables. All over the
country, he goes in for bed-culture, which requires, and, in fact,
receives, the most careful attention. Weeds are nowhere tolerated in
the south of German East Africa. The crops may fail on the plains,
where droughts are frequent, but never on the plateau with its
abundant rains and heavy dews. Its fortunate inhabitants even have
the satisfaction of seeing the proud Wayao and Wamakua working
for them as labourers, driven by hunger to serve where they were
accustomed to rule.
But the light, sandy soil is soon exhausted, and would yield no
harvest the second year if cultivated twice running. This fact has
been familiar to the native for ages; consequently he provides in
time, and, while his crop is growing, prepares the next plot with axe
and firebrand. Next year he plants this with his various crops and
lets the first piece lie fallow. For a short time it remains waste and
desolate; then nature steps in to repair the destruction wrought by
man; a thousand new growths spring out of the exhausted soil, and
even the old stumps put forth fresh shoots. Next year the new growth
is up to one’s knees, and in a few years more it is that terrible,
impenetrable bush, which maintains its position till the black
occupier of the land has made the round of all the available sites and
come back to his starting point.
The Makonde are, body and soul, so to speak, one with this bush.
According to my Yao informants, indeed, their name means nothing
else but “bush people.” Their own tradition says that they have been
settled up here for a very long time, but to my surprise they laid great
stress on an original immigration. Their old homes were in the
south-east, near Mikindani and the mouth of the Rovuma, whence
their peaceful forefathers were driven by the continual raids of the
Sakalavas from Madagascar and the warlike Shirazis[47] of the coast,
to take refuge on the almost inaccessible plateau. I have studied
African ethnology for twenty years, but the fact that changes of
population in this apparently quiet and peaceable corner of the earth
could have been occasioned by outside enterprises taking place on
the high seas, was completely new to me. It is, no doubt, however,
correct.
The charming tribal legend of the Makonde—besides informing us
of other interesting matters—explains why they have to live in the
thickest of the bush and a long way from the edge of the plateau,
instead of making their permanent homes beside the purling brooks
and springs of the low country.
“The place where the tribe originated is Mahuta, on the southern
side of the plateau towards the Rovuma, where of old time there was
nothing but thick bush. Out of this bush came a man who never
washed himself or shaved his head, and who ate and drank but little.
He went out and made a human figure from the wood of a tree
growing in the open country, which he took home to his abode in the
bush and there set it upright. In the night this image came to life and
was a woman. The man and woman went down together to the
Rovuma to wash themselves. Here the woman gave birth to a still-
born child. They left that place and passed over the high land into the
valley of the Mbemkuru, where the woman had another child, which
was also born dead. Then they returned to the high bush country of
Mahuta, where the third child was born, which lived and grew up. In
course of time, the couple had many more children, and called
themselves Wamatanda. These were the ancestral stock of the
Makonde, also called Wamakonde,[48] i.e., aborigines. Their
forefather, the man from the bush, gave his children the command to
bury their dead upright, in memory of the mother of their race who
was cut out of wood and awoke to life when standing upright. He also
warned them against settling in the valleys and near large streams,
for sickness and death dwelt there. They were to make it a rule to
have their huts at least an hour’s walk from the nearest watering-
place; then their children would thrive and escape illness.”
The explanation of the name Makonde given by my informants is
somewhat different from that contained in the above legend, which I
extract from a little book (small, but packed with information), by
Pater Adams, entitled Lindi und sein Hinterland. Otherwise, my
results agree exactly with the statements of the legend. Washing?
Hapana—there is no such thing. Why should they do so? As it is, the
supply of water scarcely suffices for cooking and drinking; other
people do not wash, so why should the Makonde distinguish himself
by such needless eccentricity? As for shaving the head, the short,
woolly crop scarcely needs it,[49] so the second ancestral precept is
likewise easy enough to follow. Beyond this, however, there is
nothing ridiculous in the ancestor’s advice. I have obtained from
various local artists a fairly large number of figures carved in wood,
ranging from fifteen to twenty-three inches in height, and
representing women belonging to the great group of the Mavia,
Makonde, and Matambwe tribes. The carving is remarkably well
done and renders the female type with great accuracy, especially the
keloid ornamentation, to be described later on. As to the object and
meaning of their works the sculptors either could or (more probably)
would tell me nothing, and I was forced to content myself with the
scanty information vouchsafed by one man, who said that the figures
were merely intended to represent the nembo—the artificial
deformations of pelele, ear-discs, and keloids. The legend recorded
by Pater Adams places these figures in a new light. They must surely
be more than mere dolls; and we may even venture to assume that
they are—though the majority of present-day Makonde are probably
unaware of the fact—representations of the tribal ancestress.
The references in the legend to the descent from Mahuta to the
Rovuma, and to a journey across the highlands into the Mbekuru
valley, undoubtedly indicate the previous history of the tribe, the
travels of the ancestral pair typifying the migrations of their
descendants. The descent to the neighbouring Rovuma valley, with
its extraordinary fertility and great abundance of game, is intelligible
at a glance—but the crossing of the Lukuledi depression, the ascent
to the Rondo Plateau and the descent to the Mbemkuru, also lie
within the bounds of probability, for all these districts have exactly
the same character as the extreme south. Now, however, comes a
point of especial interest for our bacteriological age. The primitive
Makonde did not enjoy their lives in the marshy river-valleys.
Disease raged among them, and many died. It was only after they
had returned to their original home near Mahuta, that the health
conditions of these people improved. We are very apt to think of the
African as a stupid person whose ignorance of nature is only equalled
by his fear of it, and who looks on all mishaps as caused by evil
spirits and malignant natural powers. It is much more correct to
assume in this case that the people very early learnt to distinguish
districts infested with malaria from those where it is absent.
This knowledge is crystallized in the
ancestral warning against settling in the
valleys and near the great waters, the
dwelling-places of disease and death. At the
same time, for security against the hostile
Mavia south of the Rovuma, it was enacted
that every settlement must be not less than a
certain distance from the southern edge of the
plateau. Such in fact is their mode of life at the
present day. It is not such a bad one, and
certainly they are both safer and more
comfortable than the Makua, the recent
intruders from the south, who have made USUAL METHOD OF
good their footing on the western edge of the CLOSING HUT-DOOR
plateau, extending over a fairly wide belt of
country. Neither Makua nor Makonde show in their dwellings
anything of the size and comeliness of the Yao houses in the plain,
especially at Masasi, Chingulungulu and Zuza’s. Jumbe Chauro, a
Makonde hamlet not far from Newala, on the road to Mahuta, is the
most important settlement of the tribe I have yet seen, and has fairly
spacious huts. But how slovenly is their construction compared with
the palatial residences of the elephant-hunters living in the plain.
The roofs are still more untidy than in the general run of huts during
the dry season, the walls show here and there the scanty beginnings
or the lamentable remains of the mud plastering, and the interior is a
veritable dog-kennel; dirt, dust and disorder everywhere. A few huts
only show any attempt at division into rooms, and this consists
merely of very roughly-made bamboo partitions. In one point alone
have I noticed any indication of progress—in the method of fastening
the door. Houses all over the south are secured in a simple but
ingenious manner. The door consists of a set of stout pieces of wood
or bamboo, tied with bark-string to two cross-pieces, and moving in
two grooves round one of the door-posts, so as to open inwards. If
the owner wishes to leave home, he takes two logs as thick as a man’s
upper arm and about a yard long. One of these is placed obliquely
against the middle of the door from the inside, so as to form an angle
of from 60° to 75° with the ground. He then places the second piece
horizontally across the first, pressing it downward with all his might.
It is kept in place by two strong posts planted in the ground a few
inches inside the door. This fastening is absolutely safe, but of course
cannot be applied to both doors at once, otherwise how could the
owner leave or enter his house? I have not yet succeeded in finding
out how the back door is fastened.