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The Black Perspective in Clinical Social Work

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Abstract

Given the persistence of oppression in contemporary society, social workers may expect to encounter social bias in the clinical setting. On the one hand, clients who identify as a member of a disadvantaged social group may report experiences of oppression accompanied by emotional, behavioral, and physical responses (Carter in Couns Psychol 35(1):13–105, 2007; Sue in Microaggressions and marginality: manifestation, dynamics, and impact, Wiley, Hoboken, 2010). On the other hand, those who are members of a historically privileged social group may present with negative affective and behavioral responses associated with prejudicial ideations towards disadvantaged social groups (Sullaway and Dunbar in Clin Psychol 3(4):296–309, 1996). This paper provides evidence from my field experiences that directly confronting social bias encountered in the clinical setting promotes client wellbeing and social justice with diverse clients. In doing so, I respond to the call for front line practitioners to share their perspectives regarding the integration of social justice and social work (Maschi et al. in J Soc Work Pract 25(2):233–253, 2011). I also elaborate on Howard University School of Social Work’s Black Perspective as a theoretical orientation for clinical social work with diverse populations (Gourdine and Brown in Howard University School of Social Work in the 1970s: social action, advocacy, and agents of change, Black Classic Press, Baltimore, 2016). Because Black perspectives are often marginalized in scholarship and practice, I hope to shed light on their critical role in addressing contemporary clinical issues (Bent-Goodley et al. in J Hum Behav Soc Environ 27(1–2):27–35, 2017; Graham in Soc Work Educ 28(3):268–280, 2009).

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Notes

  1. I will distinguish between the general term, “Black perspectives,” and the theoretical orientation, “The Black Perspective,” by capitalization of the latter throughout the paper.

References

  • Adams, M., Blumenfeld, W. J., Castaneda, C., Hackman, H. W., Peters, M. L., & Zuniga, X. (Eds.). (2013). Readings for diversity and social justice (3rd edn.). New York: Routledge.

    Google Scholar 

  • Baker, R. L. (2003). The social work dictionary (5th edn.). Washington, DC: NASW.

    Google Scholar 

  • Bent-Goodley, T., Snell, C. L., & Carlton-LaNey, I. (2017). Black perspectives and social work practice. Journal of Human Behavior in the Social Environment, 27(1–2), 27–35.

    Google Scholar 

  • Berry-Edwards, J. B. (2016). Cultural intelligence for clinical social work practice. Clinical Social Work Journal, 44(3), 211–220.

    Google Scholar 

  • Boyd-Franklin, N. (2003). Black families in therapy: Understanding the African American experience. New York: Guilford Publications.

    Google Scholar 

  • Carter, R. T. (2007). Racism and psychological and emotional injury: Recognizing and assessing race-based traumatic stress. The Counseling Psychologist, 35(1), 13–105.

    Google Scholar 

  • Clinical Social Work Association (2016). Clinical social work association code of ethics. Retrieved from https://clinicalsocialwork.wildapricot.org/CSWA-Ethics.

  • Demick, J. (2000). Toward a mindful psychological science: Theory and application. Journal of Social Issues, 56(1), 141–159.

    Google Scholar 

  • Dietz, C. A. (2000). Responding to oppression and abuse: A feminist challenge to clinical social work. Affilia, 15(3), 369–389.

    Google Scholar 

  • Djikic, M., Langer, E. J., & Stapleton, S. F. (2008). Reducing stereotyping through mindfulness: Effects on automatic stereotype-activated behaviors. Journal of Adult Development, 15(2), 106–111.

    Google Scholar 

  • Erikson, E., Erikson, J., & Kivnick, H. (1986). Vital involvement in old age. NewYork: Norton & Co.

    Google Scholar 

  • Fontes, L. A. (2008). Child abuse and culture. New York: Guilford Publications.

    Google Scholar 

  • Fryer, R. G. (2010). Racial inequality in the 21st century: The declining significance of discrimination (Working Paper No. w16256). Cambridge, MA: National Bureau of Economic Research.

    Google Scholar 

  • Gambrill, E. (2013). Social work practice: A critical thinker’s guide (3rd edn.). New York: Oxford University Press.

    Google Scholar 

  • Gary, R. B., & Gary, L. E. (1994). History of social work education for black people 1900–1930. The Journal of Sociology & Social Welfare, 21, 67–81.

    Google Scholar 

  • Glasgow, D. (1972). Black power through community control. Social Work, 17(3), 59–64.

    Google Scholar 

  • Gomez, C., & Yassen, J. (2007). Revolutionizing the clinical frame: Individual and social advocacy practice on behalf of trauma survivors. Journal of Aggression, Maltreatment & Trauma, 14(1–2), 245–263.

    Google Scholar 

  • Gourdine, R. M., & Brown, A. W. (2016). Howard University School of Social Work in the 1970s: Social action, advocacy, and agents of change. Baltimore, MD: Black Classic Press.

    Google Scholar 

  • Graham, M. (2009). Reframing black perspectives in social work: New directions? Social Work Education, 28(3), 268–280.

    Google Scholar 

  • Howard, S. (2017). Social work in the black community: A collective response to contemporary unrest. Journal of Sociology and Social Welfare, 44(1), 81–97.

    Google Scholar 

  • Husain, A., & Howard, S. (2017). Religious microaggressions: A case study of muslim Americans. Journal of Ethnic & Cultural Diversity in Social Work, 26(1–2), 139–152.

    Google Scholar 

  • Huynh, V. W. (2012). Ethnic microaggressions and the depressive and somatic symptoms of Latino and Asian American adolescents. Journal of Youth and Adolescence, 41(7), 831–846.

    PubMed  Google Scholar 

  • Kam, P. K. (2014). Back to the ‘social’ of social work: Reviving the social work profession’s contribution to the promotion of social justice. International Social Work, 57(6), 723–740.

    Google Scholar 

  • Kocet, M. M., & Herlihy, B. J. (2014). Addressing value-based conflicts within the counseling relationship: A decision-making model. Journal of Counseling & Development, 92(2), 180–186.

    Google Scholar 

  • Langer, E. J. (1989). Mindfulness. Woburn, MA: Addison-Wesley.

    Google Scholar 

  • MacLeod, B. P. (2013). Social justice at the microlevel: Working with clients’ prejudices. Journal of Multicultural Counseling and Development, 41(3), 169–184.

    Google Scholar 

  • Maschi, T., Baer, J., & Turner, S. G. (2011). The psychological goods on clinical social work: A content analysis of the clinical social work and social justice literature. Journal of Social Work Practice, 25(2), 233–253.

    Google Scholar 

  • McLaughlin, A. M. (2009). Clinical social workers: Advocates for social justice. Advances in Social Work, 10(1), 51–68.

    Google Scholar 

  • McLaughlin, A. M. (2011). Exploring social justice for clinical social work practice. Smith College Studies in Social Work, 81(2–3), 234–251.

    Google Scholar 

  • Nadal, K. L., Issa, M., Griffin, K. E., Hamit, S., & Lyons, O. B. (2010). Religious microaggressions in the United States. In D. W. Sue (Ed.), Microaggressions and marginality: Manifestation, dynamics, and impact. Hoboken, NJ: Wiley.

    Google Scholar 

  • National Association of Social Workers (NASW). (2008). NASW Code of Ethics. Retrieved from https://www.socialworkers.org/pubs/code/code.asp.

  • National Association of Social Workers (NASW). (2017). NASW code of ethics. Retrieved from https://www.socialworkers.org/LinkClick.aspx?fileticket=ms_ArtLqzeI%3d&portalid=0.

  • Noh, S., Kaspar, V., & Wickrama, K. A. S. (2007). Overt and subtle racial discrimination and mental health: Preliminary findings for Korean immigrants. American Journal of Public Health, 97(7), 1269–1274.

    PubMed  PubMed Central  Google Scholar 

  • Okonofua, J. A., & Eberhardt, J. L. (2015). Two strikes race and the disciplining of young students. Psychological science, 26(5), 617–624.

    PubMed  Google Scholar 

  • Ortiz, L., & Jani, J. (2010). Critical race theory: A transformational model for teaching diversity. Journal of Social Work Education, 46(2), 175–193.

    Google Scholar 

  • Powers, Y. O., & Kalodner, C. R. (2016). Cognitive behavior theories. In D. Capuzzi & M. D. Stauffer (Eds.), Counseling and psychotherapy: Theories and interventions (6th edn., pp. 227–252). Alexandria, VA: American Counseling Association.

    Google Scholar 

  • Ratts, M. J., McCullough, J. R., & Rubel, D. J. (2016). Diversity and social justice issues in counseling and psychotherapy. In D. Capuzzi & M. D. Stauffer (Eds.), Counseling and psychotherapy: Theories and interventions (6th edn., pp. 35–65). Alexandria, VA: American Counseling Association.

    Google Scholar 

  • Sakamoto, I. (2007). An anti-oppressive approach to cultural competence. Canadian Social Work Review/Revue Canadienne de Service Social, 24(1), 105–114.

    Google Scholar 

  • Santa-Sosa, E., & Runyon, M. (2015). Addressing ethnocultural factors in treatment for child physical abuse. Journal of Child & Family Studies, 24(6), 1660–1671. https://doi.org/10.1007/s10826-014-9969-5.

    Article  Google Scholar 

  • Schiele, J. H., & Hopps, J. G. (2009). Guest editorial: Racial minorities then and now: The continuing significance of race. Social work, 54(3), 195–199.

    PubMed  Google Scholar 

  • Solomon, B. (1976). Black empowerment. New York: Columbia University Press.

    Google Scholar 

  • Staggers-Hakim, R. (2016). The nation’s unprotected children and the ghost of Mike Brown, or the impact of national police killings on the health and social development of African American boys. Journal of Human Behavior in the Social Environment, 26(3–4), 390–399.

    Google Scholar 

  • Stanford Center on Poverty. (2017). State of the union: The poverty and inequality report. Stanford, CA: Stanford Center on Poverty.

    Google Scholar 

  • Sue, D. W. (Ed.). (2010). Microaggressions and marginality: Manifestation, dynamics, and impact. Hoboken, NJ: Wiley.

    Google Scholar 

  • Sullaway, M., & Dunbar, E. (1996). Clinical manifestations of prejudice in psychotherapy: Toward a strategy of assessment and treatment. Clinical Psychology: Science and Practice, 3(4), 296–309.

    Google Scholar 

  • Swenson, C. R. (1998). Clinical social work’s contribution to a social justice perspective. Social Work, 43(6), 527–537.

    Google Scholar 

  • Thomas, K. A., & Dettlaff, A. J. (2011). African American families and the role of physical discipline: Witnessing the past in the present. Journal of Human Behavior in the Social Environment, 21(8), 963–977.

    Google Scholar 

  • Wakefield, J. C. (1988). Psychotherapy, distributive justice, and social work: Part 2: Psychotherapy and the pursuit of justice. Social Service Review, 62(3), 353–382.

    Google Scholar 

  • Wilkins, E. J., Whiting, J. B., Watson, M. F., Russon, J. M., & Moncrief, A. M. (2013). Residual effects of slavery: What clinicians need to know. Contemporary Family Therapy, 35(1), 14–28.

    Google Scholar 

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Correspondence to Stephenie Howard.

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Howard S declares that she has no conflict of interest.

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Howard, S. The Black Perspective in Clinical Social Work. Clin Soc Work J 48, 335–342 (2020). https://doi.org/10.1007/s10615-018-0663-8

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