论社会工作理论在医务社会工作实务中的应用

作为一个全新领域的医务社会工作实务,亟需相应的理论进行指导,实现理论与实务相结合,更好地为有需要的医护人员和患者服务,但目前已有的文献基本上都是在一般通则的意义上探讨社会工作的基本理论,在医务社会工作中缺少实践意义。通过对社会工作文献中相关理论的梳理,挖掘适合在医务社会工作实务的运用的需要理论、生命周期理论、社会支持理论、认知行为理论、危机干预理论及增能等相关理论,并对在实践中哪些情境应该使用上述理论,如何运用上述理论,提出具体的指导方法,以帮助医务社会工作者在实务实践中的应用。     

Ego Psychological Contributions to Understanding Microaggressions in Clinical Social Work Practice

Although the concept of microaggressions is highly useful for social work, current discussions of this concept have failed to adequately address some of the complex clinical issues associated with the recipient's experience of microaggressions. The complexity of these issues is especially noteworthy in work with clients who have mental illness, and/or have experienced trauma. Our understanding of microaggressions and the assessment and treatment process can be enriched by applying a psychoanalytic lens, and in particular, an ego psychological framework.     

美国医院的医务社会工作及其启示

当今世界的医务社会工作成熟于美国,以美国开展医务社会工作的发展过程、社会福利制度、功能定位、条件、挑战和发展等几方面为切入点,列举了马萨诸塞州总医院和加州大学-旧金山医学中心开展医务社会工作的实例。提出当前我国的医务社会工作已经逐步走入实践探索阶段,借鉴美国成熟经验,在医务社会工作实践发展的起步阶段,最佳介入点是医院,和谐医患关系是其优先介入领域,探索符合中国国情的医务社会工作制度是未来社会工作制度创新的重点和难点。     

The Effect of Demographic Variables on Client Attachment Patterns to Clinical Social Workers

Abstract

Client attachment to therapist is a new topic in the field of clinical social work. Using attachment theory, this study examined the relationship between three types of client attachment to therapist (secure, avoidant-fearful, and preoccupied) and the following variables: marital status, age of participant, and gender of the social worker, among a sample of 174 mental health clients. The results showed that there is a significant relationship between a secure pattern and gender of the social worker. In addition, they showed a significant relationship between avoidant-fearful and preoccupied patterns and the marital status of the participants. Furthermore, the results indicated a significant relationship between a preoccupied pattern and the age of the participants. The findings of the current study have implications for the field of clinical social work in Kuwait.     

Throwing a Wrench in the Work(s): Using Multicultural and Social Justice Competency to Develop a Social Justice–Oriented Employment Counseling Toolbox

This article presents a social justice toolbox from which employment counselors can draw when working with various populations at multiple levels. First, the authors introduce social justice and its relationship to employment counseling (the toolbox). Second, the skills and knowledge required to integrate social justice into employment counseling (the tools) are presented. Finally, strategies are offered to maintain social justice competency so that the tools can be maintained and applied ethically and effectively.     

音乐治疗在社会工作中的运用及其发展前景探析

音乐治疗以音乐的各种要素,即节奏、旋律、音色、音高等作为干预手段对人的心理、生理产生影响,是对音乐传统功能之外的拓展。社会工作在实务工作中可以吸纳音乐治疗方法,将之运用到儿童、妇女、老年人、移民等群体,结合社会工作专业的理论,改善服务对象心理行为问题,协助个体、群体解决具体困难,从而丰富社会工作实务方法。未来,社会工作专业应引入音乐治疗专业人才,在社工机构建立完整音乐治疗流程、体系,结合中国民众的特点以及中国传统音乐的特色,走中国特色音乐社会工作专业化道路。

     

医务社会工作学校、医院与社会合作模式

在综合考虑经济欠发达地区的经济、社会、文化等因素基础上,基于现代医学模式理论和全人照顾理论,建构了医务社会工作学校、医院与社会合作模式。该模式能整合高校、医院和社会的力量,为患者及其家属提供良好的医务社会工作服务。在新模式实践基础上,总结了新模式的组织体系、专业责任划分、服务内容、模式的运作、模式评估。最后,在政策、制度、教育、宣传、资金等方面提出发展和推广新模式的建议。研究结论为医务社会工作学校、医院与社会合作模式是经济欠发达地区初步发展医务社会工作的较佳模式。     

社会工作视野下构建和谐医患关系的策略分析

和谐的医患关系是一切医疗活动的基础。面对当前医患关系中的不和谐现象,不同学者对其形成的原因及其对策进行了多学科的探索。作为一种以利他主义为指导的专业助人服务活动,社会工作则提供了一种介入医疗纠纷问题的崭新视角。在协调医患关系的过程中,医务社会工作需要面向病患及其家属、医护人员、医院管理层、社会及大众媒体、政府公共卫生管理部门等不同的主体,发展出不同的工作策略,扮演不同的服务角色。     

Rape Myth Acceptance among Social Work Students

It is important to examine rape myth acceptance and the pertinent situational factors that affect attitudes and beliefs concerning the act of rape, perpetrators, and survivors. This study examines the influence of alcohol consumption and perceptions of alcohol use on levels of rape myth acceptance among social work students. Results showed differences in levels of rape myth acceptance based on race or ethnicity and gender. Results also showed that the version of the vignette read by the participant was a significant predictor of rape myth acceptance. Respondents’ perceptions of alcohol consumption were also a strong predictor of rape myth acceptance levels. These results demonstrate there are multiple factors that influence social work students’ rape myth acceptance levels that need further examination.     

儿童临终关怀社会工作伦理困境、成因及其突破

基于对武汉市Y医院5名医务社会工作者的深度访谈,揭示了我国儿童临终关怀社会工作伦理困境的现实表征,包括专业价值与传统文化间的冲突、患儿主体权与家长主义间的冲突、有限医疗资源与案主需求间的冲突等方面的伦理之争。分析可知上述伦理困境源于复杂实践情境中价值观的多元性、伦理依据的多重性、患儿群体的特殊性。并提出儿童临终关怀社会工作伦理困境的突破之道在于从价值共存、主体意识、政策引领三个方面出发,树立本土伦理实践守则、提升全民理性生命意识、完善服务支持与政策体系,从整体上促进我国儿童临终关怀社会工作事业的发展。

     

Learning on Work Placement: The Narrative Development of Social Competence

This paper explores the development of social competence by examining examples of research interviews conducted with 35 British undergraduate students on work placements. Work placement schemes are a characteristic of contemporary higher education, which is particularly geared towards students’ development of employability and transferable skills. Among these skills is that of social competence which is often taken for granted as emerging from normative adult developmental processes. Research on social competence is mostly confined to developmental psychology and focused on studying children and adolescents in their social settings. Moreover, the methodology of social competence is often developed from a child-developmental perspective, neglecting the situation-specific development beyond childhood. The paper argues that social competence is examinable as situated discursive practice and that it is essential to understanding career development. Membership categorisation analysis identifies the participant’s fluid positioning in narrating experiences of work and university. Lastly the paper addresses implications for theories of development and learning and considers ways in which this study can be expanded in the future.

论医务社会工作中的价值观冲突和伦理困境

医务社会工作遵循着社会工作专业的一般价值观和伦理守则,并在此基础上,发展出其特有的价值观和职业伦理。对医务社会工作实践中的价值冲突和伦理困境及解决这些难题的指导原则等问题进行探讨,以期使医务社会工作者对工作实践中可能遇到的相关问题有初步的认识,并为他们在行动决策时提供参考和借鉴。     

肿瘤社会工作的发展背景、实践模式与挑战

21世纪以来,得益于医学模式转型,对患者多元需求的关注,以及国家政策和国际经验等方面的影响,我国肿瘤社会工作得到初步发展。基于生态系统理论,肿瘤社会工作从微观、中观、宏观三个层面开展心理社会干预,总结了一些本土化实践经验。然而由于政策规划、组织支持、自身建设等限制性因素,给肿瘤社会工作的可持续发展带来挑战。肿瘤社会工作需要坚持需求导向和家庭为本,关注患者的环境资源与支持系统,以优势与赋权为视角,坚持跨学科合作理念和全程管理,满足患者及其家庭的心理社会需求,提高患者生命质量。

     

医疗社会工作：现实意义和发展趋向

医疗社会工作是社会工作专业的重要实务领域之一,在西方发达国家的医疗事业中扮演着不可替代的角色,具有解决患者及其家属问题、处理医患关系,并促进公共卫生政策的改善等多种功能。从我国目前的发展来看,尚处于起步阶段,还有诸多需要努力的方面,包括完善相关政策、提高服务质量、修正教育模式、突出中国特色等。     

我国高等教育中健康社会工作教育现状及发展路径

从躯体健康、心理健康、社会适应和道德健康方面分析健康社会工作的内涵与必要性。从开设健康社会工作方向的院校情况、健康社会工作的课程开设情况、健康社会工作的师资情况、健康社会工作方向学生的就业情况方面分析我国高等教育中健康社会工作教育的现状。以此为基础,从加强健康社会工作办学力量、完善健康社会工作课程体系、加强健康社会工作师资队伍、助推健康社会工作学生就业方面提出未来高等教育中健康社会工作教育的发展路径。

     

医务社会工作介入的灵性视角：理论、实践与展望

灵性健康被学者视为所有健康层面中最深沉、最核心的部分,可以支持和影响其他的健康层面。不过,在当前中国的医务社会工作实践中,灵性资源相对匮乏,还没有得到应有的重视。在不同历史时期,医务社会工作中的灵性视角有着多层次、多维度的丰富内涵。在医务社会工作实践中,灵性视角的运用体现在非线性的介入策略、丰富的实务技术,重视服务对象的生命意义问题。灵性视角具有独特的意义和价值,与医务社会工作有较强的契合性。在医务社会工作实务、研究和教育中,需要加强对灵性视角的理解和自觉应用。

     

New Directions in Catholic Historical Research: Saints in Social Work

For over half a century now, the profession of social work has ignored calls to develop critical infrastructures for strengthening and expanding historical research in schools of social work. Since World War II, for example, doctoral dissertations involving significant historical research in schools of social work have become virtually extinct. The vanishing of these dissertations represents a simultaneous vanishing of social work's capacity to detect historical figures who are indigenous to and yet have remained undetected in social work history. As a result, and unintentionally, social work scholars have been seemingly unable to detect Louise de Marillac as the patron saint of social workers or Ellen Gates Starr as a popular folk saint among social workers in Catholic religious orders. The study includes the rare, post-mortem photograph of Ellen Gates Starr, dressed in the full habit of a Catholic Benedictine nun.     

医务社会工作与医疗志愿服务联动机制的实践研究

医务社会工作与医疗志愿服务联动对于构建和谐医患关系、提高医院的医疗服务水平和质量具有重要作用。从医务社会工作和医疗志愿服务的发展状况入手,对医务社会工作与医疗志愿服务联动的必要性、联动机制、策略和具体实践进行了探讨,提出要有针对性地采取相应的措施来提高联动的效果,如推进医务社会工作与医疗志愿服务的项目化的建设及建立医疗志愿者服务团队的激励机制。这些实践和探索为医疗机构创新和优化医疗服务模式提供了参考依据。     

Otto Rank: Pioneering Ideas for Social Work Theory and Practice

This article examines Otto Rank's psychology and its profound implications for social work knowledge-building and practice. The paper begins with a brief biographical portrait, highlighting the significance of Rank's relationship and eventual break with Freud, and contextualizing the ideas that became the basis for the Functional Approach. We discuss Rank's conception of human functioning in the social environment, his influence on later theories, and a contemporary critique of Rank's ideas. The paper concludes with a discussion of Rank's contributions to the Functional Approach and to social work practice in general.     

Proactive Vitality Management and Creative Work Performance: The Role of Self-Insight and Social Support

Integrating proactivity and creativity literatures, we argue that people can perform more creatively at work when they proactively manage their levels of vitality. Proactive vitality management is defined as individual, goal-oriented behavior aimed at managing physical and mental energy to promote optimal functioning at work. We hypothesize that this process may be facilitated by being aware of one's own state and by support from others. A total of 242 employees participated in a weekly diary study for three consecutive weeks, yielding 610 observations. Results of multilevel analyses show that participants reported more creative work performance during weeks in which they had proactively used vitality management. In addition, in line with our predictions, self-insight and social support for creativity in the workplace acted as cross-level moderators and strengthened the relationship between proactive vitality management and creativity. We conclude that a proactive approach regarding physical and mental energy is an important bottom-up strategy that may foster creativity in work settings.