Social Work Theory and Methods Comparison Table Theory Key Concepts Systems Theory     Ecological Approach   People are not isolated individuals but operate as part of wider networks or "systems" Systems may be informal (e.g. family or friends), formal (e.g. clubs, support groups) or public (schools, hospitals) Difficulties may arise if there is a lack of fit between the person and the systems they operate within. Systems can be employed to support the service user to achieve change. Germain and Gitterman – "Life model" (1980 / 1996) -people are interdepende nt with each other and their environment – each influences the other over time. People move Advantages      Emphasis on changing environments rather than individuals. Focus on patterns rather than "cause and effect" – allows for different ways of getting to the desired outcome. Sees worker as part of a system of change rather than solely responsible – may lend itself to multidisciplinary work. Acknowledgement of interrelationship between person and environment. Consideration of a range of resources to support people – both internal and external. Limitations     Does not explain why things happen or give guidance about how to act to bring about change. May overemphasi se "bigger picture" at the expense of details. Values maintenance and integration over conflict – may not explicitly challenge inequality. Does not encourage challenge of oppressive systems. As above. Situations where this may be useful  Task Centred Approach         through their own unique life course and may encounter "stressors" – some of which may make them feel they cannot cope. People employ coping mechanisms and draw on resources in the environment, social networks and inner resources. Brief work within explicit time limits Collaborative approach between worker and service user – based on a contract. Systematic work Includes some behavioural ideas but mainly a cognitive approach Usual to take action to get what you want Action guided by beliefs about self and world Time-limits help motivate service users People may “get stuck” if       Clear and straightforward Short timescale may help people feel more committed Well supported by research Service users supported to take control of own life. Can increase service user's coping skills to deal with issues in the future. Strengths based approach which assumes that service users can overcome problems with the right support.      Not effective where there are longerterm psychologica l issues Not effective where service user doesn’t accept the right of the agency to be involved. May oversimplify issues people face Some people may be too overwhelme d by the issues they face to have the energy to address them. Does not really address power  Crisis Intervention       they have to deal with a certain issue over and over Problems defined as “unsatisfied wants" Brief  intervention – deals with immediate issues rather  than longer term problems Based on egopsychology  and cognitivebehavioural models – serious events have an impact on the way people think about themselves and their emotional reactions Assumes we live in “steady state” – able to cope with change Crises upset the steady state and provide opportunity to improve skills / risk of failure Period of disorganised thinking / behaving Crises can reawaken  Help people to deal with major events or life transitions Can incorporate other theories – solutionfocussed / cognitivebehavioural Time-limited and task-focussed.   differentials between service user and worker. May not address structural issues of power and oppression May not help people who experience “continual crises” Does not address issues around poverty or social exclusion unresolved issues from the past but offer a chance to correct nonadjustment to past events. Cognitivebehavioural approach / Rational Emotive Behaviour Therapy      Rather than  being an "insight based therapy" it uses techniques from behaviourism  , social learning theory and cognitive theory. Based on the  assumption that our thoughts, beliefs, images and attitudes influence our behaviour and if these are changed, our behaviour will change. "Self-talk" reinforces irrational thinking. Involves identifying and reframing unhelpful beliefs. Worker teaches service user to challenge own beliefs. Can involve modifying behaviour using a Many empirical studies to suggest effectiveness (although evidence around degree of effectiveness is disputed.) Can be used to support service users to increase their problem solving skills and coping skills. Effective over a wide range of issues.       Directive approach Starts from the assumption of deficit, ie the service user is lacking something. Requires a high level of knowledge and skill to apply. Focussed on the presenting issues rather than addressing causes. "Much behaviour may be perceived to be emotionally driven and irrational, when it represents.. a rational response to very upsetting and disturbing experiences. (Lindsay, 2009) Doesn't take account of socioeconomic factors.  Motivational Interviewing    system of rewards. Use of ABC system – activating event – belief – consequence and Ellis (1962) extends to DEF – Dispute beliefs, replace beliefs with Effective rational belief, describe the Feelings which will be the result. Applied form of CBT, developed by Miller and Rollnick (1991, 2002) defined as "a personcentred directive method for enhancing an intrinsic motivation to change by exploring and resolving ambivalence. " Worker adopts an empathic and nonconfrontation al approach but worker is directive. Worker is alert to language person uses and looks for    Accepts change must come from intrinsic motivation and cannot be forced upon people. Supports people to explore their ambivalence around change. Accepts that people may "lapse" but this is part of learning process.  Usage and research around effectiveness have been largely around addictive behaviours      SolutionFocussed Approach   language of change. Worker provides education / information about situation the service user is in (e.g. effects of smoking / drinking alcohol / taking drugs etc) Worker encourages service user to list benefits and costs of lifestyle and alternative lifestyles Explore barriers to goals Reframe past events – focus on more positive aspects. Supported by an understandin g of the cycle of change (Prochaska and DiClemente 1986) [Precontemplatio n/ contemplatio n / decision / active changes / maintenance / lapse. Cognitive  approach Focus on understandin  g solutions rather than Co-operative therapy with a wide application Emphasis on listening to the service user’s   May not fit with agency's own procedures May not be           Person  on problems Originates from Milwaukee Centre for Brief Therapy Post-modern therapy based on theories of language and meaning. Uses knowledge of service users Avoids diagnostic labelling – considers this disempoweri ng Focus on difference and exceptions Person is not the problem Assessment based on strengths not deficits Talking can construct experience Distinction between “problems” and “unhappy situations.” Problems can be addressed, “unhappy situations” have to be coped with. Encourages sense of “personal agency.” Based on the       story Seek solutions with the service user’s life Can fit with antioppressive practice and be empowering. Least intrusive – takes easiest route to solutions Reduces risk of "dependency" on worker. Optimistic approach which assumes change is possible. Time limited.      Allows people to  suitable for people who have difficulty responding to questions Feminist critique of language being constructed by men therefore language not reflecting women’s experience. Approach of understandin g solution without understandin g problem could be misundersto od Focus on behaviour and perception rather than feelings may limit efficacy. May not be effective with people in crisis or people with very low selfesteem who may not accept that they have strengths and skills. Role of SW Centred Approach (nb different to PersonCentred Care)    Psychosocial Model     work of Carl Rogers Sets out the principles of empathy, congruence and unconditional positive regard as necessary in the helping relationship. Non-directive approach Based on the idea that everyone has the capacity to develop and grow. Based on the idea that people have inner worlds and outer realities. Certain events remind us of past events we have tried to block out. Events can take on greater emotional significance. People develop in a series of stages and "faulty personality development" in childhood can affect our           find their own way in their own time. Values all forms of experience. Resists temptation to criticise people. Emphasis on building an equal and meaningful working relationship with service users. Widely applicable across service user groups. Affirms the dignity and worth of all people Can help with recurring emotional problems Way of understanding seemingly "irrational" behaviour Emphasises the importance of selfawareness. Influenced a listening, accepting attitude in social workers People can be empowered by insight into what is going on within themselves and between themselves and the outside world.       may not allow for non-directive approach. Not a timelimited approach. Difficult to apply if service user not motivated to engage. Focuses on individual change rather than societal factors, although allows individuals to express their own goals which may not be the agenda of mainstream society. Focussed on a medical model of individual pathology. Tends to ignore issues of power and oppression. Social workers act as "minipsychoanaly sts" – use of clinical jargon. Tendency to focus on cause and effect. Can lead to service users being labelled – "inadequate"   Recovery Model      responses later in life. Draws on "personality theory" – id, ego, superego and looks at defence mechanisms. Considers "defence mechanisms" we deploy to protect the ego.  Model used in Mental Health  services which emphasises recovery rather than illness. Recovery does not necessarily mean being "symptomfree" but regaining a sense of control and purpose Not being defined by a label or diagnosis. Recognises strengths of the individual. Open to possibilities for the future – return to employment or education.  Individuals viewed as experts in their own situation. Positive approach which attempts to give control back to the person.   , "narcissistic" , "manipulativ e", "resistant" and can lead to victim blaming. May not be culturally appropriate – based on valuing selfgrowth and selfawareness which are not norms shared across all cultures. Can challenge authority of medical profession and thus not be accepted / implemented in some MH services. Currently mainly used in MH services – but could have broader applicability. Narrative Approach    SW encourages the person to describe their life in their own words. Opportunity to tell their story, an in the process define identity. SW can support the person to feel in control of the narrative and draw their attention to the possibility of a different narrative for the future.   Can help people understand the pressures they have faced and the impact of discrimination and oppression. Can help people make sense of change and adjust to new situations.   SWs may see the discussion as "rambling" or "off the point" and try to cut off the person's narrative. The person or their family may ask for a "solution" and not see the value in the approach.