Case managers strive to establish collaboratiue relationships that address both the psychic and t... more Case managers strive to establish collaboratiue relationships that address both the psychic and the environmental needs of clients; yet they encounter a variety of transference and countertransference reactions resulting from an ever-changing array of reality situations.
... Donald) and their views on the historical milieu in which she lived: Pati Auterinen, Barbara ... more ... Donald) and their views on the historical milieu in which she lived: Pati Auterinen, Barbara Barnett, Ursula Behr, Gemma Blech, Dorothy ... Marks, Nancy Martin, Nora Minnies, Janet Matteson, Elspeth Morley, Karen Proner, Eric Rayner, Charlotte Riley, Simon Rodway, Jane Rowe ...
This volume, a collection of six extended case reports, is an attempt to describe the marathon of... more This volume, a collection of six extended case reports, is an attempt to describe the marathon of the case management process as it unfolds over many years. Each of these case reports is followed by a commentary by a distinguished discussant with extensive clinical experience. The purpose of these commentaries is to initiate a dialogue about the following issues: in a field characterized by outreach and informality, what sort of professional boundaries in the case management relationship are required? When should case managers be assertive and when should they play a more passive role, allowing clients to set the pace of involvement? As case management values client self-determination, are coercive interventions ever warranted? If so, when and how should they be used? When should case managers persist in their intervention strategies and when should they change gears and try another approach? This is the 65th issue of the quarterly journal "New Directions for Mental Health Services."
While the term "management" connotes images of impersona ! care, D. W. Winnicott repeat... more While the term "management" connotes images of impersona ! care, D. W. Winnicott repeatedly used this term to describe the responsive envi' ronmental holding that is central to all human development. Influenced by observations of how normal mothers and families address the physical and psychic needs of children, he and his wife, Clare, a distinguished British social worker, operationalized this concept in finding and supporting "facilitating environments" with a wide range of disturbed children and adults. Using case material from a contemporary community program for the mentally ill, this paper will review the Winnicotts' important, but often neglected , perspectives on the environmental management of psychotic adults. As the burgeon ing field of "case m a n a g e m e n t " has focused a t t en t ion on the e n v i r o n m e n t a l needs of psychotic clients, the lack of direct practice models has c rea ted a d i s turb ing conceptual vacuum w...
Recognizing that many individuals begin therapy concerned about aspects of their actual life circ... more Recognizing that many individuals begin therapy concerned about aspects of their actual life circumstances, Harry Stack Sullivan's interpersonal model begins with a "detailed inquiry" where the therapist actively explores many aspects of the client's past and present life circumstances including family, friends, education, workplace, community, ethnicity, and religion. Beginning with this data about the client's life, the therapy can then proceed to explore the affects evoked by these real life experiences. "No one has grave difficulties in living if he has a very good grasp of what is happening to him"
Recognizing that many individuals begin therapy concerned about aspects of their actual life circ... more Recognizing that many individuals begin therapy concerned about aspects of their actual life circumstances, Harry Stack Sullivan's interpersonal model begins with a "detailed inquiry" where the therapist actively explores many aspects of the client's past and present life circumstances including family, friends, education, workplace, community, ethnicity, and religion. Beginning with this data about the client's life, the therapy can then proceed to explore the affects evoked by these real life experiences. "No one has grave difficulties in living if he has a very good grasp of what is happening to him"
Over the past 30 years, case management has become a ubiquitous intervention approach throughout ... more Over the past 30 years, case management has become a ubiquitous intervention approach throughout the mental health and health care fields. Often poorly defined, case management, perhaps a linguistic repackaging of ―social work‖ or ―social casework,‖ encompasses a wide range of environmental interventions with persons in need, including persons suffering from severe mental illness, substance abuse, and chronic medical conditions such as HIV, tuberculosis, and diabetes. In health care, the term case management can refer to cost-conscious telephone interventions to monitor medical services or to discharge planning from an inpatient facility. In mental health, case management may refer to helping a client obtain disability benefits or apply for housing assistance. Or it may refer to a friendly paraprofessional visitor who assists with homemaking and transportation. Addressing these disparate needs, an array of case management models have been identified and articulated: brokerage, rehab...
Abstract Selma Fraiberg, a social worker and psychoanalyst, is best known for her classic volume,... more Abstract Selma Fraiberg, a social worker and psychoanalyst, is best known for her classic volume, The Magic Years, and her pioneering work in infant mental health. In this article, her multi-faceted professional career will be explored. Beginning with her thoughts about social work and psychoanalysis as an undergraduate, I discuss her professional education and the influence of three refugee analysts from Vienna before outlining her diverse contributions to group work with children and adolescents, agency-based psychotherapy with children, and clinical research on the development of blind children. Finally, I discuss the evolution of her theoretical perspectives and the impact of her legacy nearly 40 years after her death.
In this presentation, the authors will describe a clinical case management approach with a severe... more In this presentation, the authors will describe a clinical case management approach with a severely depressed, diabetic man conducted with the support and collaboration of the managed care department of a major insurer. Addressing both the cost concerns of the insurer and the medical and environmental needs of the insured, the implications of such efforts for social work practice in a managed care environment are discussed by the case manager and the insurer's nurse care manager.
Http Dx Doi Org 10 1080 02650533 2013 818943, Aug 19, 2013
Although many of the innovative contributions of Harry Stack Sullivan have been incorporated into... more Although many of the innovative contributions of Harry Stack Sullivan have been incorporated into contemporary psychotherapy practice, his ideas are rarely studied today by psychotherapists and social workers. Integrating his clinical experience with innovations in the social sciences, Sullivan challenged prevailing psychoanalytic theories that focused on libidinal drives and abstract entities such as the id, ego and superego. Instead, he highlighted how personality evolves from actual experiences with significant others and the larger social environment, a perspective that is compatible with social work theory and practice. Outlining major components of Sullivan's theoretical and clinical contributions, this article discusses how clinical social workers can operationalize these concepts toward the modest objective of simply 'helping' their clients develop mutually satisfying interpersonal relationships.
In recent years, young adults have either returned to or never left the "family nest" in increasi... more In recent years, young adults have either returned to or never left the "family nest" in increasing numbers. Recent data from the U.S. Census Bureau shows that 19 percent of men ages 25 to 34 lived at home in 2011, an increase from 14 percent in 2005. Meanwhile, women living at home in that age group have increased from 8 to 10 percent during that same time period (Huffington Post, 2011). These changes have been impacted by recent economic stressors, but also by longer term sociological trends (Furstenberg, 2010). For example, the percentage of young persons ages 18 to 24 in school has increased from 29% in 1970 to 45% in 2007. Meanwhile, marriage rates for this age group during these years dropped from nearly 40% to 16%; for ages 25-29, marriage rates declined from 80% to 42%. These sociological trends are conflated with more problematic behavioral concerns, including alcohol and drug abuse, video gaming and internet "addiction" and psychiatric disorders including anorexia, bipolar disorder, depression, ADHD and even psychosis. Parents are frequently unable to differentiate what is normative and what is problematic. Some examples of young adults living at home:
Case managers strive to establish collaboratiue relationships that address both the psychic and t... more Case managers strive to establish collaboratiue relationships that address both the psychic and the environmental needs of clients; yet they encounter a variety of transference and countertransference reactions resulting from an ever-changing array of reality situations.
... Donald) and their views on the historical milieu in which she lived: Pati Auterinen, Barbara ... more ... Donald) and their views on the historical milieu in which she lived: Pati Auterinen, Barbara Barnett, Ursula Behr, Gemma Blech, Dorothy ... Marks, Nancy Martin, Nora Minnies, Janet Matteson, Elspeth Morley, Karen Proner, Eric Rayner, Charlotte Riley, Simon Rodway, Jane Rowe ...
This volume, a collection of six extended case reports, is an attempt to describe the marathon of... more This volume, a collection of six extended case reports, is an attempt to describe the marathon of the case management process as it unfolds over many years. Each of these case reports is followed by a commentary by a distinguished discussant with extensive clinical experience. The purpose of these commentaries is to initiate a dialogue about the following issues: in a field characterized by outreach and informality, what sort of professional boundaries in the case management relationship are required? When should case managers be assertive and when should they play a more passive role, allowing clients to set the pace of involvement? As case management values client self-determination, are coercive interventions ever warranted? If so, when and how should they be used? When should case managers persist in their intervention strategies and when should they change gears and try another approach? This is the 65th issue of the quarterly journal "New Directions for Mental Health Services."
While the term "management" connotes images of impersona ! care, D. W. Winnicott repeat... more While the term "management" connotes images of impersona ! care, D. W. Winnicott repeatedly used this term to describe the responsive envi' ronmental holding that is central to all human development. Influenced by observations of how normal mothers and families address the physical and psychic needs of children, he and his wife, Clare, a distinguished British social worker, operationalized this concept in finding and supporting "facilitating environments" with a wide range of disturbed children and adults. Using case material from a contemporary community program for the mentally ill, this paper will review the Winnicotts' important, but often neglected , perspectives on the environmental management of psychotic adults. As the burgeon ing field of "case m a n a g e m e n t " has focused a t t en t ion on the e n v i r o n m e n t a l needs of psychotic clients, the lack of direct practice models has c rea ted a d i s turb ing conceptual vacuum w...
Recognizing that many individuals begin therapy concerned about aspects of their actual life circ... more Recognizing that many individuals begin therapy concerned about aspects of their actual life circumstances, Harry Stack Sullivan's interpersonal model begins with a "detailed inquiry" where the therapist actively explores many aspects of the client's past and present life circumstances including family, friends, education, workplace, community, ethnicity, and religion. Beginning with this data about the client's life, the therapy can then proceed to explore the affects evoked by these real life experiences. "No one has grave difficulties in living if he has a very good grasp of what is happening to him"
Recognizing that many individuals begin therapy concerned about aspects of their actual life circ... more Recognizing that many individuals begin therapy concerned about aspects of their actual life circumstances, Harry Stack Sullivan's interpersonal model begins with a "detailed inquiry" where the therapist actively explores many aspects of the client's past and present life circumstances including family, friends, education, workplace, community, ethnicity, and religion. Beginning with this data about the client's life, the therapy can then proceed to explore the affects evoked by these real life experiences. "No one has grave difficulties in living if he has a very good grasp of what is happening to him"
Over the past 30 years, case management has become a ubiquitous intervention approach throughout ... more Over the past 30 years, case management has become a ubiquitous intervention approach throughout the mental health and health care fields. Often poorly defined, case management, perhaps a linguistic repackaging of ―social work‖ or ―social casework,‖ encompasses a wide range of environmental interventions with persons in need, including persons suffering from severe mental illness, substance abuse, and chronic medical conditions such as HIV, tuberculosis, and diabetes. In health care, the term case management can refer to cost-conscious telephone interventions to monitor medical services or to discharge planning from an inpatient facility. In mental health, case management may refer to helping a client obtain disability benefits or apply for housing assistance. Or it may refer to a friendly paraprofessional visitor who assists with homemaking and transportation. Addressing these disparate needs, an array of case management models have been identified and articulated: brokerage, rehab...
Abstract Selma Fraiberg, a social worker and psychoanalyst, is best known for her classic volume,... more Abstract Selma Fraiberg, a social worker and psychoanalyst, is best known for her classic volume, The Magic Years, and her pioneering work in infant mental health. In this article, her multi-faceted professional career will be explored. Beginning with her thoughts about social work and psychoanalysis as an undergraduate, I discuss her professional education and the influence of three refugee analysts from Vienna before outlining her diverse contributions to group work with children and adolescents, agency-based psychotherapy with children, and clinical research on the development of blind children. Finally, I discuss the evolution of her theoretical perspectives and the impact of her legacy nearly 40 years after her death.
In this presentation, the authors will describe a clinical case management approach with a severe... more In this presentation, the authors will describe a clinical case management approach with a severely depressed, diabetic man conducted with the support and collaboration of the managed care department of a major insurer. Addressing both the cost concerns of the insurer and the medical and environmental needs of the insured, the implications of such efforts for social work practice in a managed care environment are discussed by the case manager and the insurer's nurse care manager.
Http Dx Doi Org 10 1080 02650533 2013 818943, Aug 19, 2013
Although many of the innovative contributions of Harry Stack Sullivan have been incorporated into... more Although many of the innovative contributions of Harry Stack Sullivan have been incorporated into contemporary psychotherapy practice, his ideas are rarely studied today by psychotherapists and social workers. Integrating his clinical experience with innovations in the social sciences, Sullivan challenged prevailing psychoanalytic theories that focused on libidinal drives and abstract entities such as the id, ego and superego. Instead, he highlighted how personality evolves from actual experiences with significant others and the larger social environment, a perspective that is compatible with social work theory and practice. Outlining major components of Sullivan's theoretical and clinical contributions, this article discusses how clinical social workers can operationalize these concepts toward the modest objective of simply 'helping' their clients develop mutually satisfying interpersonal relationships.
In recent years, young adults have either returned to or never left the "family nest" in increasi... more In recent years, young adults have either returned to or never left the "family nest" in increasing numbers. Recent data from the U.S. Census Bureau shows that 19 percent of men ages 25 to 34 lived at home in 2011, an increase from 14 percent in 2005. Meanwhile, women living at home in that age group have increased from 8 to 10 percent during that same time period (Huffington Post, 2011). These changes have been impacted by recent economic stressors, but also by longer term sociological trends (Furstenberg, 2010). For example, the percentage of young persons ages 18 to 24 in school has increased from 29% in 1970 to 45% in 2007. Meanwhile, marriage rates for this age group during these years dropped from nearly 40% to 16%; for ages 25-29, marriage rates declined from 80% to 42%. These sociological trends are conflated with more problematic behavioral concerns, including alcohol and drug abuse, video gaming and internet "addiction" and psychiatric disorders including anorexia, bipolar disorder, depression, ADHD and even psychosis. Parents are frequently unable to differentiate what is normative and what is problematic. Some examples of young adults living at home:
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