All episodes of clinical practice, regardless of the social worker's agency setting, include the stages of assessment, planning, intervention, and ending (also known as termination). endings may be planned or unplanned, and forced or voluntary. The importance of attending to the ending of an intervention is to ensure that closure is achieved. That is the social worker and client understand why their relationship is ending and can process the experience. They may review the successes and failures of their work, plan for the client's maintenance of gains, and perhaps institute new goals for the client to pursue. Closure also may include the worker and client's acknowledgment of feelings about their relationship and may enhance their mutual confidence in managing future relationships. Many social workers who have a grasp of practice theory and intervention techniques feel less competent when ending their work with clients (Fortune, 1985), and they receive little instruction on this in their academic and agency training. The topic may receive even less emphasis among practitioners who work with clients with schizophrenia. Such practice is not always considered to be psychotherapeutic, and the chronic nature of the disorder generally requires long-term work. This paper emphasizes multicultural issues and importance of closure with members of this client population and provides guidelines for social workers to incorporate constructive ending processes into their work. Theoretical perspective
Buy Free Custom «Multicultural Issues» Essay Paper paper online
The theory of ego psychology provides a useful perspective from which to address intervention and ending tasks with people with schizophrenia (Goldstein, 1995; Schamess, 1996). ego psychology guides the social worker through a range of task-focused and reflective interventions in short- or long-term clinical relationships. The social worker monitors the client's reality testing, judgment, expression of affect, defenses, relationships, sense of self, ability to manage stimuli, and sense of mastery. Intervention goals include helping the client to develop new adaptive capacities and interpersonal skills. ego psychology also encourages the social worker to monitor developments in the clinical relationship. People with schizophrenia often have few close relationships, and many of these are conflicted. A positive clinical relationship, one that cultivates an attachment between the client and social worker and models a process for examining other relationships, is an essential component of practice with this client population. Schizophrenia is a disorder of the brain, characterized by abnormal patterns of thought and perception (American Psychiatric Association, 1994). It includes two types of symptoms. Positive symptoms represent exaggerations of normal behavior (such as hallucinations, delusions, disorganized thinking, and tendencies toward agitation); negative symptoms represent a diminishing of what would be considered normal behavior (such as flat or blunted affect, social withdrawal, noncommunication, anhedonia, and ambivalence). Although schizophrenia is widely acknowledged to be biologically based (Gottesman, 1991), there are significant psychological and social factors related to its etiology and course.
A person with schizophrenia experiences ego deficits in reality testing, judgment, the sense of self, impulse control, and integrative processes. The inability of the person to regulate interpersonal boundaries is influenced by many factors, including the symptoms of the illness, its cognitive impairments, and the adverse effects of medication. Many people with schizophrenia experience ambivalence about relationships, which presents their social workers with a major challenge. The defenses of denial and projection keep the client at a distance from others. The lack of a clear sense of self further impairs the client's ability to regulate boundaries. Clients often struggle with conflicting needs for closeness to and distance from others, as both extremes may represent a threat to the sense of self. Still, the client's development of interpersonal skills can help to resolve this ambivalence and facilitate growth. People with schizophrenia may become less isolated if their interpersonal problems are addressed. During the ending process this includes helping the client plan to maintain appropriate boundaries in relationships, to use good judgment in self-disclosure, and to develop greater awareness of his or her reactions to others (Hertz, 1996). ...
FREE Extras:
- FREE revision (within 2 days)
- FREE title page
- FREE bibliography
- FREE outline (on request)
- FREE e-mail delivery
- FREE formatting
We Guarantee:
- Quality research and writing
- 24/7/365 Live support
- MA, BA, and PhD degree writers
- 100% Confidentiality
- No hidden charges
- Never resold works
- Complete authenticity
Paper Format:
- 12 pt. Times New Roman
- Double-spaced/Single-spaced papers
- 1 inch margins
- Any citation style
- Up-to-date sources only
- Fully referenced papers
Related Sociology essays
0
Preparing Orders
0
Active Writers
0%
Positive Feedback
0
Support Agents
Dissertation chapter - Literature ..., 4 pages
This writer is perfection at its best. She reads and follows the instructions and completes assignments promptly to assist you in completing the assignment on time. So happy I found this writer. She is 5-star plus!!
John R., USA
9:32 AM, Feb 17, 2025
Blog Article, 4 pages
great paper as usual
Kristen P., USA
7:42 AM, Feb 17, 2025
Literature Review, 9 pages
1 paragraph short of 2 pages
Gea E., USA
7:22 AM, Feb 17, 2025
Revision, 14 pages
it was a amazing essay thx so much
Bhupendra A., Australia
6:49 AM, Feb 17, 2025
Dissertation chapter - Hypothesis, 11 pages
This's a good writer done my work in before the due time, which gave time to read and no stress.
Viet P., USA
8:42 PM, Feb 13, 2025
Research proposal, 5 pages
Great paper and got it before due date!
Hieu P., USA
11:09 PM, Feb 17, 2025
Literature Review, 8 pages
Better than the last, but again offline and could not do a revision. I did it myself. Attention to details is an effective part of writing, just saying.
Jannette V., USA
9:01 PM, Feb 17, 2025
Poem, 9 pages
Recieved paper early and had great knowledge!
Avetis K., Indonesia
6:36 PM, Feb 17, 2025
Discussion Board Post, 15 pages
good writer and did meet the timeline
Lisa G., USA
3:36 PM, Feb 17, 2025
Marketing Plan, 18 pages
perfect, but reply too slow
Jonathan R., Japan
3:13 PM, Feb 17, 2025
Dissertation chapter - Literature ..., 4 pages
This writer is perfection at its best. She reads and follows the instructions and completes assignments promptly to assist you in completing the assignment on time. So happy I found this writer. She is 5-star plus!!
John R., USA
9:32 AM, Feb 17, 2025
Blog Article, 4 pages
great paper as usual
Kristen P., USA
7:42 AM, Feb 17, 2025
Literature Review, 9 pages
1 paragraph short of 2 pages
Gea E., USA
7:22 AM, Feb 17, 2025
Revision, 14 pages
it was a amazing essay thx so much
Bhupendra A., Australia
6:49 AM, Feb 17, 2025
Dissertation chapter - Hypothesis, 11 pages
This's a good writer done my work in before the due time, which gave time to read and no stress.
Viet P., USA
8:42 PM, Feb 13, 2025
Research proposal, 5 pages
Great paper and got it before due date!
Hieu P., USA
11:09 PM, Feb 17, 2025
Literature Review, 8 pages
Better than the last, but again offline and could not do a revision. I did it myself. Attention to details is an effective part of writing, just saying.
Jannette V., USA
9:01 PM, Feb 17, 2025
Poem, 9 pages
Recieved paper early and had great knowledge!
Avetis K., Indonesia
6:36 PM, Feb 17, 2025
Discussion Board Post, 15 pages
good writer and did meet the timeline
Lisa G., USA
3:36 PM, Feb 17, 2025
Marketing Plan, 18 pages
perfect, but reply too slow
Jonathan R., Japan
3:13 PM, Feb 17, 2025