scholarly journals Relational Autonomy and Service Choices in Social Worker–Client Conversations in an Outpatient Clinic for People Using Drugs

Author(s):  
Kirsi Juhila ◽  
Johanna Ranta ◽  
Suvi Raitakari ◽  
Sarah Banks

Abstract This article focuses on how clients’ self-determination is accomplished in social worker–client conversations when discussing choices of clients’ future services in a low-threshold outpatient clinic in Finland targeted at people who use drugs. Self-determination is approached from the point of view of relational autonomy, meaning that choices are never made completely independently but within certain societal and interactional contexts. The article applies interactional analysis to data from ten social worker–client conversations, which include forty-eight instances of ‘choice talk’. The results demonstrate how social workers work hard to promote clients’ self-determination, and how this is carried out with different emphases within the frame of relational autonomy. Social workers do not perform ethically questionable manipulation practices. Quite the reverse, their contributions in the conversations can be interpreted as endeavours to increase clients’ self-confidence and autonomy competencies. However, a concern from an ethical point of view is that real service options are rather scarce for the clinic’s clients. This considerably reduces the clients’ capacity for self-determination. Furthermore, it also reduces the autonomy of social workers, who have limited opportunities to organise the services their clients desire and that the social workers themselves consider are the best options.

Author(s):  
Vitalii Zaika ◽  
Alla Heta ◽  
Yevheniia Vyshar

The article highlights the topical issue of communicative potential of future social workers in their professional activities. Modern requirements for a social worker require ablity to interact with various groups of clients: children, adolescents, youth, the elderly or people with special needs, deviant or delinquent behavior, addicted to psychoactive substances, victims of violence, war, natural disasters. disasters, prisoners, etc. Social workers must be able to communicate effectively with representatives of various target groups in the social sphere, in order to provide social services. They are become skilled for conflict-free communication, self-control, capable to empathize, to listen and prove point of view. All these professional competencies can be reflected as the communicative potential of a social worker. For the purpose of empirical research of communicative potential psychodiagnostic methods were applied: Diagnosis of the need for communication (U.Orlov), Can you listen? (E.Rogov), Study of the level of communicative control (M.Schneider), Identification of communicative and organizational skills (B.Fedoryshyn), Determining the behavioral style in a conflict situation (K.Thomas). Based on psychodiagnostic methods, it was found that future social workers have high indicators of communication needs, listening skills, level of communication control, level of communication skills and the predominance of average level of organizational skills. Among the styles of behavior in a conflict situation, the dominant are cooperation and compromise, which indicates a desire to meet the needs of the communication partner. The data indicate a high level of development of the communicative potential of future social workers and their readiness for professional activity in the chosen field.


2021 ◽  
Vol 1 (1) ◽  
pp. 20-44
Author(s):  
Pebri Yanasari

Social worker as a profession based on help and assistance. One of them has the main task of trying to solve problems for individuals and groups. In handling it, social workers are the same as other professions, namely having a certain code of ethics in providing services to their clients. With regard to violence against women, the values and ethics of social workers can be applied in dealing with this problem. The method used in this research is descriptive qualitative, the data obtained from the results of interviews with institutions. For the approach, researchers used a phenomenology approach. The sources come from media references and other supporting books. In this case, the social worker at Rifka Annisa Yogyakarta tries to be wise and neutral towards the client in establishing a good relationship with the client's problems. The series of mentoring received by the client ends when the client / victim has carried out Self-Determination (self-determination) where the final decision is determined by the client / victim so that in handling the social worker experiences a dilemma when the decision is not in line with the process that has been done with the client.


1987 ◽  
Vol 11 (7) ◽  
pp. 224-225 ◽  
Author(s):  
John Dunn ◽  
Thomas Fahy

Section 136 of the Mental Health Act 1983 is a controversial section. It authorises a police constable, often with no psychiatric training, to take a mentally disordered person from a public place to a place of safety, usually a hospital or a police station, so that he or she may be assessed by a doctor and a social worker within a 72 hour period. There have been several studies looking at this section from the point of view of psychiatrists, social workers, and other interested parties, in particular MIND. The aim of this study was to find out from the police whether or not problems arose during their dealings with people whom they had placed on section 136.


Author(s):  
Waleed Abdullah Alsaloom

The study aimed to know the methods of reducing the obstacles facing the families of quadriplegic patients in the Kingdom of Saudi Arabia from their point of view and from the point of view of social workers. To achieve the goal of the study, the researcher used the Social Survey Methodology, and the study sample consisted of (120) of the families of quadriplegic patients, in addition to (70) social workers, and the researcher used the questionnaire as a study tool. The results of the study showed that the families of those with quadriplegia agree to methods of reducing obstacles that confront them with an average of (4.08) and that the most important of these methods are as follows: Increasing the social worker’s awareness of the professional intervention methods during the crisis, the need for the social worker to understand the tasks that he must perform towards the families of quadriplegic patients, educating the families of the importance of the social worker’s intervention and revealing the problems they face, especially social and economic, providing training courses for the specialist on support methods for families of quadriplegia patients. The results of the study also showed the approval of the social workers on methods to reduce the obstacles facing families of quadriplegia patients with an average of (4.04), and the most important of these methods are the following: Increased awareness of the social worker with methods of professional intervention during the crisis, the need for the social worker to understand the tasks that he must perform towards the families of quadriplegic patients, Sensitizing families on the importance of social worker intervention and revealing problems they face, especially social and economic, providing training courses for the specialist on methods of support for families of quadriplegia patients.


Author(s):  
Widian Nicola

Self-determination is a pathway by which individuals can safeguard as well as define their sense of safety. However, when an individual’s sense of safety is placed at risk, particularly within the context of community, safety can become illusive. Due to safety’s subjective nature, social workers and healthcare providers are invited to examine closely the roles they play to uphold a client’s self-determination, as well as manage risk as instruments of the healthcare programmes we represent, within the context of community and amid our clients’ challenging and oftentimes complex life circumstances. These ethical junctures offer practitioners an opportunity to examine how personal and collective ethical decisions are made, particularly through the lens of the ethics of care, which aims to place relationality at the forefront of the decision-making process. This clinical ethnographic narrative examines several ethical junctures I faced as the social worker to an elderly client diagnosed with schizophrenia.


2005 ◽  
Vol 48 (3) ◽  
pp. 289-299 ◽  
Author(s):  
Cindy Davis ◽  
Biljana Milosevic ◽  
Eileen Baldry ◽  
Anne Walsh

English This study used qualitative methods to explore the role of the hospital social worker, providing further meaning to quantitative results reported in the first article. Findings revealed that social workers performed various tasks under the umbrella of discharge planning. Social workers' unique approach to patient care with its emphasis on self-determination often causes conflict with other medical professionals who tend to be directive. French Cette étude a utilisé des méthodes qualitatives pour explorer le rôle des travailleurs sociaux en milieu hospitalier fournissant davantage du sens aux résultats quantitatifs déjà documenté. Les résultats indiquent que les travailleurs sociaux ont accompli de diverses taªches sous la rubrique de la planification des sorties. L'approche favorisé par les travailleurs sociaux mettant l'accent sur l'autodétermination, crée souvent des conflits avec d'autres professionnels de la santé qui ont tendance à utiliser une approche plutôt directive. Spanish Este estudio utilizó métodos cualitativos para explorar el rol del trabajador social hospitalario, ofreciendo nuevos significados a los recientes resultados cualitativos reportados. Los hallazgos revelaron que los trabajadores sociales llevaron a cabo varias tareas bajo el paraguas de la planeación de las altas. El único acercamiento de los trabajadores sociales, para el cuidado de los pacientes, con énfasis en la determinación personal, a menudo ocasiona conflicto con otros profesionales médicos quienes tienden a ser directivos.


Author(s):  
Elena Matsefuk ◽  

The author proves that the leading means for creating a system of individual value attitudes is a problematic personality-related educational situation as an element of unity of epistemological and axiological situations. Pupils’ value attitudes formation process is revealed in the context of attitude towards responsibility as a socially significant value. Problematic personality-relevant pedagogical situations promote potential actualization of axiological environment of humanitarian education. The author comes to the conclusion that personalityrelated pedagogical situations promote the development of individual pupil’s capacity to comprehend and evaluate all the manifestations of the world from the ethical point of view, acquire the experience of valuable self-determination and form the value attitudes system of an individual.


2018 ◽  
Vol 29 (1) ◽  
pp. 3-18
Author(s):  
Masoodi Marjan

Abstract The aim of this study is to furnish a reliable theoretical overview on metacognitive awareness. This research is carried out to (1) familiarize the researchers with the definition, components and sub-components of metacognitive awareness (2) discuss a brief outline of metacognitive awareness along with its origin and essence from the point of view of its historical development (3) link metacognitive awareness to a number of other constructs, including motivation (4) illustrate the features of self-regulated students and their recruited metacognitive strategies and (5) briefly examine the major challenges in the implementation of metacognitive awareness. In conclusion, this research reveals that the analysis of metacognitive awareness and its components gives rise to a new notion of auto-noetic (self) knowledge of learners through planning, monitoring and reflectively evaluating task performance, and creates higher levels of self-efficacy which provides students with different educational contexts in which they are able to have more self-confidence, get more positive feedback both from an instructor and classmates and cultivate in learners more self-regulatory characteristics that enable them to learn autonomously, be completely equipped with motivation and be welcoming to challenges. The study provides benefits to both learners and educators. Learners can receive guidance on how to foster metacognitive awareness for being more competent learners. Furthermore, it provides meaningful insights for curriculum developers to provide metacognitive awareness-based curricula.


Author(s):  
Poppy Nurmayanti

This research aim to test do emotional intellegence consisting of five component that is recognition self awareness, self regulation, motivation, empathy, and social skills have an effect on to storey level understanding of accountancy point of view from gender perspective. This research also aim to know the existence of role self confidence as moderating variable to emotional intellegence influence to storey level understanding of accounting. Besides also this research aim to see the existence of difference emotional intellegence between student owning self confidence of strong with student which is self confidence of weak. Measuring instrument to measure storey level understanding of accountancy is average point of accountancy that is PA1, PA2, AKM1, AKM2, AKL1, AKL2, AU1, AU2, and TA. The data analysis used is simple linear regression, Moderating Regression Analysis (MRA), and independent sample t-test. The results show that recognition self awareness, self regulation, motivation, social skill and empathy do not have an effect on by significance and only empatht  has  role as quasi moderator variable. There is no difference between emotional intellegence woman and man. But, weak self confidence and strong self confidence differ for all of emotional intellegence (recognition self awareness, self regulation, motivation, empathy, and social skills). Many factors which influence storey level understanding of accountancy like mental stress factor, and so on. Result of this research can give contribution to university in order to compiling curricullum and give input to student in order to develop and manage their emotional intellegence and self confidence.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
P Schröder-Bäck ◽  
T Schloemer ◽  
K Martakis ◽  
C Brall

Abstract Background The outbreak of SARS in 2002 lead to a public health ethics discourse. The crisis management of that time was ethically analysed and lessons to be learned discussed. Scholarship and WHO, among others, developed an ethics of pandemic preparedness. The current “corona crisis” also faces us with ethical challenges. This presentation is comparing the two crises from an ethical point of view and a focus on Europe. Methods An ethics framework for pandemic preparedness (Schröder et al. 2006 and Schröder-Bäck 2014) is used to make a synopsis of ethical issues. Ethical aspects of 2002 and 2020 that were discussed in the literature and in the media are compared. For 2020, the focus is on interventions in Italy, Germany, Switzerland, and the Netherlands. Results Topics that emerged from the 2002 crisis were, among others, revolving around aspects of stigmatisation and fair distribution of scarce resources (esp. vaccines, antivirals). Currently, most urgent and ethically challenging aspects relate to social distancing vs. autonomy: Isolation and quarantine are handled differently across Europe and the EU. Questions of transferability of such interventions prevail. Contexts vary vertically over time (2002 vs. 2020) and horizontally (e.g. between Italy and Germany at the same time). Furthermore, trust in authorities, media and health information is a key issue. Conclusions Ethical aspects are key for good pandemic preparedness and management. The context of the crises between 2002 and 2020 has slightly changed, also based on “lessons learned” from 2002. This has implications on ethical issues that are being discussed. New lessons will have to be learned from the 2020 crisis. Key messages Pandemic preparedness and outbreak management entail many ethical tensions that need to be addressed. Currently, questions of trust and transferability are key to the crisis management, further ethical issues could still emerge.


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