Social Work Commons^™

Uncovering The Intricacies Of The Clinical Intake Assessment: How Clinicians Prioritize Information In Complex Contexts, Margaret M. O'Neill, Ora Nakash

School for Social Work: Faculty Publications

Objective: Based on a single intake interview, mental health clinicians must distill their assessment to brief statements reflecting essential information. We explored how clinicians organize and prioritize the clinical information they collect during the initial assessment of their clients. Method: We conducted in-depth semistructured interviews with a convenience sample of 38 clinicians in four community-and hospital-based mental health clinics in Israel. Clinicians were interviewed immediately following an intake session with 117 clients and were asked about the client’s main problem, evaluation process, rapport with the client, and role of sociocultural factors in assessment. We identified primary themes across interviews. Results: …

Classism In The Therapeutic Alliance : Implications For Clinical Social Work Practice, Taylor Millard

Theses, Dissertations, and Projects

This qualitative study was an exploration of the impact of classism in the therapeutic alliance, specifically from a power, privilege, and oppression framework, and with attention to participants’ salient intersecting identities. Twelve clinicians, who identified with working class backgrounds and who had engaged in therapy as both clinicians and clients, engaged in semistructured qualitative interviews. The findings indicated that classism was salient to participants’ intersectional subjectivities and to their experiences in the field. Significantly, participants all named experiences in which a systemic lack of attention to classism and/or social class identities led them to feel alienated and silenced as students, …

Patients' Perceptions Of Stressors In The Intensive Care Unit : A Meta-Analysis, Nancy Sohier Welch

Theses, Dissertations, and Projects

This study reveals what intensive care unit (ICU) patients from different countries consider most stressful about the ICU experience. A review of 16 independent studies on patients’ perceptions of ICU stressors yielded 10 data sets from seven countries that met criteria for inclusion in a meta-analysis. Stressors were categorized according to three types – bodily, psychological, and physical environmental – and were selected for comparison based on their frequent appearance among the top 20 stressors in each study selected. Findings showed considerable agreement between studies. Being in pain, Having tubes in the nose and mouth, and Being thirsty were …

Moving Past The Culture Bound Syndrome : Looking For Acute Social Withdrawal Outside Japan, Evan W. Correy

Theses, Dissertations, and Projects

The aim of this study was to determine whether acute social withdrawal (also known as hikikomori) is a culture bound syndrome, or if it exists in cultures outside Japan.

Surveys in both online and paper form were made available on Internet forums and were sent to Internet addiction clinics and private therapists across country. Questions on the survey assessed demographic information and included exploratory questions on treatment for hikikomori, a place for participants to provide information to the mental health community at large, and feedback from hikikomori participants regarding their lived experiences.

The demographic data indicated that acute social withdrawal …

Self-Shock : The Experience Of Individuals Relocating Within The United States, Michelle Mieko Kaiulani Daggett

Theses, Dissertations, and Projects

This qualitative study explored the experience of relocation on self-identity. More specifically, this study focused on the concept of self-shock, the idea that being in a foreign environment impacts an individual’s ability to maintain a consistent identity. This research was based on 12 interviews that were conducted via video-conferencing call or in-person with individuals who have relocated domestically for the first time within the United States. The findings of this study suggest that individuals relocating domestically within the United States can and do experience self-shock. One reason for conducting this study is because relocating is commonplace within the United States …