Chapter Six Objectives: Use of Self in Clinical Practice
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Knowledge (Declarative Knowledge)
By the end of this chapter you should possess declarative knowledgeable about:
- The terminological turmoil associated with direct practice; the definitions of such terms as "indirect" and "direct" practice as well as "therapy"
- The difference between a professional clinical social work relationship and the type of professional relationship needed for policy, advocacy, management and community practice.
- The difference between a clinical relationship based on belief bonding and a therapeutic alliance
- How a professional relationship differs from a personal relationship
- The difference between initial contact at point of entry and the establishment of a working relationship based on belief bonding
- The history of the concept of relationship in social work
- How different theories inform the enactment of a therapeutic relationship.
- The empirical evidence that supports the efficacy of relationship as a dynamic of the change process.
- The difference between efficacy and effectiveness studies in determining whether therapy works and which theory-based therapy is better than another.
- The practitioner"s use of self-observation as a tool in the helping process.
- How methods shape and change the context of relationship
- How time (brief and long term therapy) reconfigures the therapeutic alliance.
- How declarative knowledge (procedural knowing) is connected to the enactment of a therapeutic process (tacit knowing).
Skills (Application of Knowledge- Procedural and Tacit Knowing)
- By the end of this chapter you should demonstrate beginning competency in the art of healing in clinical practice by being able to:
- Establish a working (therapeutic) relationship with clients
- Use the decision tree to guide your use of self in relationship; regulate the intensity of the worker-client relationship according to the purpose of the interview, the facts of the case and the theory selected
- Use empirically supported treatments in the enactment of a therapeutic process to the extent possible
- Use process recordings and field supervision to improve your use of self in the helping relationship; move from novice to master
- Manage the strains and ruptures that occur in a therapeutic relationship or alliance
- Value the role of process recordings and supervision in moving from novice to master social work clinician
- Respect the licensing hierarchy as a performance indicator of clinical skill attainment designed to protect the client
- Give credence to the importance of face to face contact in forming the therapeutic alliance needed for the enactment of a healing process
- Respect BSW and MSW similarities and differences on the novice-to master trajectory.