An Integrating Framework For Human Behavior Theory And Social . - Pearson

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M01 LESS2740 02 SE C01.qxd1/21/1011:13 AMPage 11 Anfor IntegratingFrameworkHuman BehaviorTheory and Social WorkPractice1

M01 LESS2740 02 SE C01.qxd2 Chapter 11/21/1011:13 AMPage 2An Integrating Framework for Human Behavior Theory and Social Work PracticeIntroductionThe person-in-environment (or person-in-situation, biopsychosocial, psychosocial)perspective has historically been the central organizing focus of the social workprofession’s approach to the helping process. This perspective underscores “theinterdependence of individuals within their families, other social networks,communities and larger environments” (Northern & Kurland, 2001, p. 49).From its inception, the profession has drawn from a variety of disciplines (forexample, psychology, sociology, biology, anthropology, economics, and politicalscience) to inform its theoretical base for practice. Over time, it has attempted(with greater or lesser degrees of success) to synthesize data from these disparatefields to develop a theory base and practice models that reflect its traditional dualfocus: to enhance the biopsychosocial functioning of individuals and familiesand to improve societal conditions (Greene, 1991).This chapter will set the stage for the chapters that follow by providing aframework for integrating the wide range of theories and information presentedthroughout this text. This framework rests on ecosystemic concepts and isinformed by a variety of postmodern paradigms that emphasize social justice,multicultural competence, strengths and empowerment perspectives, and principles of developmental contextualism. It assumes the interrelatedness of the personal, interpersonal, and wider social spheres and informs a model for social workpractice that integrates skills at the micro, mezzo, and macro levels. We begin byproviding a historical overview of the social work profession as it relates tohuman behavior theory and practice. We will present fundamental assumptionsof an ecosystemic approach, as well as an introduction to contemporary perspectives that build on and refine that approach.Human Behavior Theory and Social Work Practice:A Historical PerspectiveThe Roots of Modern Social Work Practice:A Person-in-Environment FocusModern social work practice can trace its roots to several social movements of the19th century, and to two, relatively distinct, perspectives on the origin of humanproblems: those perspectives that viewed the person as the focus for change, andthose that saw problems in the environment as contributing most significantly tohuman distress. Three movements that illustrate these perspectives are describedin the following sections.The Person The first of these movements had its roots in the development of therelief aid and charity organization societies in the United States during the 1880s.Here, early social workers, or friendly visitors, visited homes to help families resolve

M01 LESS2740 02 SE C01.qxd1/21/1011:13 AMPage 3Human Behavior Theory and Social Work Practice: A Historical Perspective 3social and emotional problems (Richmond, 1917). This movement focused on theneed for change within individuals and families and “one might say the person partof the person-in-environment was emphasized” (Greene, 1991, p. 10). Inspired byscientific advances in such fields as medicine and engineering, the Charity Organization Societies began to develop a scientifically based theoretical foundation forpractice—one that emphasized diagnosis and cure and called for more educationand training for practitioners (Kirst-Ashman & Hull, 2009). This person-based perspective underlies traditional approaches to social casework.The Environment In the late 19th and early 20th centuries, both the settlementhouse movement and the emergent social welfare system in the African-Americancommunity tended to emphasize the “in-environment part of the formulation”(Greene, 1991, p. 10).The Settlement House Movement The settlement house movement developed inresponse to the social effects of the Industrial Revolution. As America becameincreasingly industrialized, people from rural areas in the United States (as well asimmigrants from other countries) moved to American cities in search of economic opportunities. They were frequently forced to live in the poor, overcrowded parts of these cities and to contend with such adverse conditions asdeteriorating housing, inadequate sanitation, and lack of worker protections. Inthe case of foreign immigrants, issues related to the need for adaptation to thenew culture added to their stress. The first settlement house was developed inNew York City in 1886, and by the turn of the century, there were many suchprograms across the country. These programs provided educational, medical, andsocial services designed to help poor Americans and recent immigrants betterunderstand and cope with their new, complex environments. Settlement houseworkers such as Jane Addams “accepted the role of applied sociologist” (DeHoyos& Jensen, 1985) and used social action as a means of creating a better society.They lived and worked with poor people, challenging the status quo by advocating for such programs as public housing and public health, supporting legislationdesigned to improve people’s lives, such as child labor laws and the granting ofwomen’s suffrage, and mobilizing people in poor communities to help improvetheir own lives (Popple, 1995; Smith, 1995).Social Welfare Systems in the African-American Community During the timethat Jane Addams and other settlement house workers were trying to address theneeds of poor European Americans, the African-American community was establishing several major social welfare organizations of its own (Carlton-LaNey,2001). Within a societal context that advocated segregation between African andEuropean Americans and a social science community context that largely viewedAfrican Americans as an inferior race (Newby, 1965), organizations such as theNational Association of Colored Women (NACW), the National League on UrbanConditions Among Negroes (NLUCAN), and the American branch of the UniversalNegro Improvement Association (UNIA) eventually grew to form “the foundationand framework for social welfare service delivery in the African American community” (Carlton-LaNey, 2001, p. xiii) and were founded on what was later

M01 LESS2740 02 SE C01.qxd4 Chapter 11/21/1011:13 AMPage 4An Integrating Framework for Human Behavior Theory and Social Work Practicetermed an empowerment perspective. This perspective, which focuses on reducingthe sense of powerlessness engendered in oppressed people by their social status,will be discussed later in this chapter (see also Chapter 5, “The Family in Society,”and Chapter 7, “Communities and Organizations,” for further discussion of thisperspective). For the moment, it is important to understand the context in whichAfrican-American citizens found themselves during the so-called Progressive Era(1898–1918), as social work became professionalized and increasing numbers ofprivate social welfare agencies were developing. With institutionalized racism permeating American life, African Americans were denied access to resources andopportunities; discrimination in housing, employment, education, health care andso forth made the road to overcoming poverty plagued with obstacles.The problems to which these groups responded included an array of life-threateningsocial ills. Clearly, racism and its attenuating grasp made life harsh and oppressivefor African Americans. This institutionalized racism permeated American life, denying access for African Americans to opportunities and resources. The race lensthrough which nearly all of life’s circumstances were viewed, and significant decisions addressed, was always in place. Furthermore, among African American socialWith institutionalized racism permeating American life, African Americans were denied access to resourcesand opportunities: discrimination in housing, employment, education, health care and so forth, made theroad to overcoming poverty plagued with obstacles.

M01 LESS2740 02 SE C01.qxd1/21/1011:13 AMPage 5Human Behavior Theory and Social Work Practice: A Historical Perspective 5welfare leaders, life circumstances had produced a “profound distrust of whitepeople” in spite of the fact that some were valued benefactors and others even carried the label “friend” (Carlton-LaNey, 2000; White, 1999, p. 98). . . . many othersocial problems existed among African Americans. . . . Because of poverty, the quality of life for African Americans in both the South and nationwide was miserable.Hemingway (1980) noted that the typical African-American Carolinian, forexample, “lived in a weather-beaten, unpainted, poorly ventilated shack, subsistedon a thoroughly inadequate diet and was disease ridden. Hook worms, pellagra anda variety of exposure-induced ailments consistently plagued him, limiting his lifeexpectancy rate” (p. 213). Their northern, urban counterparts did not fare muchbetter. They, too, found life harsh and difficult; however, circumstances in theNorth offered some room for self-respect and the hope for a better future. Nonetheless, the road to overcoming poverty was plagued with discrimination in housingand employment; inadequate education, health care and diet, and disproportionaterates of delinquency, crime and death. (Carlton-LaNey, 2001, p. xiv)The Emergence of the Medical ModelThe movements described served as precursors to modern professional social workpractice. In addition to their differences in approach and emphasis, each of thesemovements drew, over time, from different bodies of theory to inform their practices. Mary Richmond, an early social caseworker, wrote the first formal socialwork practice text, Social Diagnosis, in 1917. Although Richmond’s work reliedheavily on sociological research that emphasized the effects of the environment onpersonality development (Cooper & Lesser, 2005), this strong connection betweensociology and social casework weakened considerably after World War I and during the Great Depression, when societal problems often seemed too overwhelmingfor sociological fixes. Searching for a scientific base for practice, person-oriented socialcaseworkers were increasingly drawn to the nascent discipline of developmentalpsychology and the medical model of psychoanalytic theory as conceived by Sigmund Freud (see Chapter 3, “Theories of Development”). This growing interest inpsychological processes shifted the focus of social work practice away from environmental concerns toward a view of human problems as primarily intrapsychic innature. Soon, the person’s internal psychological problems were seen as the rootcause of all forms of human difficulties, poverty included.This medical model approach gained dominance in the profession during the1920s and 1930s. With the enormous economic upheavals of the Great Depression, social caseworkers found themselves working more and more frequentlywith middle-class clients whose adjustment issues were responsive to this focus.The profound, reality-based issues affecting America’s poor required a sociologically based approach and wider societal changes that were beyond the rather narrow scope of social casework as it was being practiced at that time. Ultimately,many of these structural problems were addressed with relative success by broadsocial reforms instituted by the federal government over time.

M01 LESS2740 02 SE C01.qxd6 Chapter 11/21/1011:13 AMPage 6An Integrating Framework for Human Behavior Theory and Social Work PracticeEmpowerment Perspectives: Integrating Group Workand Emphasizing Racial Justice and Social ChangeA pioneer in the area of helping to move social work toward a more even balancebetween the person and environment perspectives was E. Franklin Frazier, the directorof the Atlanta School of Social Work from 1922–1927. Frazier, an African-Americansociologist, had a somewhat conflicted relationship with the social work profession,despite the fact that he was instrumental in helping to establish and accredit the firstAfrican-American school of social work (the Atlanta School of Social Work).Three of Frazier’s intellectual and social commitments united him in part withsocial work and at the same time led to significant disjunctures with the profession. These are (1) a worldview that included socialism and the empowerment ofthe African American community through economic cooperation; (2) a radicalcommitment to racial justice, including an intense dedication to the kind of rigorous and scientific education that would “(fill) the Negro’s mind with knowledgeand (train) him in the fundamental habits of civilization” (Frazier, 1924d, p. 144);and (3) a controversial effort to use the combined tools of psychoanalysis andsocial inquiry to probe the internal operation of race prejudice and racial oppression in both Whites and Blacks. (Kerr-Chandler, 2001, p. 190)Frazier’s attraction to social work came from its integration of three fields thatinterested him: psychology, social study, and interest in working people. He wasparticularly interested in using Freud’s work to understand the psychology ofracism (Frazier, 1924a, 1924b, 1924c, 1924d, 1925, 1926, 1927), as well as theinternal constraints that prevented African Americans from moving forward.However, Frazier’s interest in using Freud’s work to explore the “characteristicsascribed to insanity” (Frazier, 1927, p. 856) as they related to Southern racismwas rejected by the relatively conservative social work community, which wasreluctant to threaten the segregationists within its midst (Carlton-LaNey, 2001).Despite the dominance of the medical model and the high status granted tothe psychiatric social work practice, descendants of the early settlement housemovement gradually began to establish themselves within the social work profession during the 1930s. These workers, with their emphasis on social change,advocacy, and community-oriented group-work programs, had drawn on theories ofpractical democracy and group dynamics to inform the theoretical base for theirpractice. Of particular significance was the work of Grace Coyle (1930), a socialworker whose dissertation, Social Process in Organized Groups, drew on her work insettlement houses, YWCAs, and industrial settings and helped to establish groupwork as a method of social work practice that could be effective in a wide varietyof agency settings (see Chapter 6, “Group Work”; Northern & Kurland, 2001;Toseland & Rivas, 2004).The Diagnostic School and the Family Therapy MovementFurther challenges to the professional dominance of the medical model and itsnarrow focus on the client’s internal conflicts came in the 1940s, when thediagnostic school of social work theory and practice began to exert its influence.

M01 LESS2740 02 SE C01.qxd1/21/1011:13 AMPage 7Human Behavior Theory and Social Work Practice: A Historical Perspective 7This school of thought held that all human problems had both psychological andsocial aspects (Cooper & Lesser, 2005) and proponents of this approach originatedthe term psychosocial to reflect their more balanced, dual-focused view of thehuman condition. During World War II and the years that followed, disciples ofthe diagnostic, psychosocial school drew on concepts from ego psychology todevelop their theoretical base for practice. Ego psychology, an offshoot ofFreudian theory, focused less on intrapsychic motivation and more on how individuals learn to cope with their environments and how interactions between theperson and environment may affect personality development (see Chapter 3,“Theories of Development”). During the 1950s, the gap between psychologicaland sociological perspectives was further bridged, as social workers becameincreasingly interested in the developing family therapy movement, with itsemphasis on how families change and develop over time, how the behavior ofone family member influences another, and how to help families to functionmore effectively.Historical Division by Professional Fields and Methods of PracticeDue in large part to the profession’s two-pronged philosophical evolution, socialworkers in direct practice tended, for many years, to be identified by a particularmethod (for example, casework, group work, community organization, andadministration), or field of practice (for example, medical, psychiatric, industrial,child welfare, education). Social caseworkers, with their emphasis on locatingproblems with the individual (the person), and the more socially oriented groupand community workers, maintained fairly separate professional identities and infact did not even merge into a single professional organization until the formationof the National Association of Social Workers (NASW) in 1955. Despite the professional merger, the practical divisions by method and field of practice persistedfor many years.Reform ApproachesWith the advent of the 1960s came a renewed interest in social issues and socialaction—the War on Poverty, Civil Rights movement, Women’s and Gay Liberation movements—all had a profound effect on the practice of social work(DeHoyos & Jensen, 1985). Although the dominance of the medical model hadbeen attenuated somewhat during the 1940s and 1950s, with renewed interest inenvironmental influences on human behavior, the profession had remainedgrounded in a primarily psychological approach to human behavior. It gave a nodto the environment as an important influence on personality development, butthe literature reflected little real attention to sociological research.As the 1960s unfolded, a reform approach began to take hold as calls for moreoutreach programs and more serious study of specific social forces and the natureof their influence became louder. Sociological models, particularly those relatedto ethnicity, social class, and social roles were increasingly introduced into thesocial work literature (DeHoyos & Jensen, 1985).

M01 LESS2740 02 SE C01.qxd8 Chapter 11/21/1011:13 AMPage 8An Integrating Framework for Human Behavior Theory and Social Work PracticeWith the advent of the 1960’s came renewed interest in social issues and social action:the War on Poverty,theCivil Rights Movement,and the Women’s and Gay Liberation movements all had significant impact on socialwork practice.An Integrating Framework for Human Behavior Theory:The Foundation for Multilevel PracticeIt became increasingly clear that none of the traditionally dominant theories thatviewed human behavior as fixed in place (either by genetic programming, pastintrapsychic phenomena, or environmental stimuli) were adequate, in isolation,to explain the complexities of human growth and development throughout thelife cycle. With the developments associated with the reform approach cameincreased pressure for theoretical models that could challenge the dominant,deterministic perspectives, help integrate practice methods (Middleman & Goldberg, 1987), and support the expansion of social work services from the psychological to the interpersonal, to the broader sociocultural arena (De Hoyos &Jensen, 1985).In this section, we will describe the social systems model and the ecologicalperspective, both of which provide the foundation for contemporary, multilevelsocial work practice and for thinking about human behavior and development inthe postmodern era.

M01 LESS2740 02 SE C01.qxd1/21/1011:13 AMPage 9An Integrating Framework for Human Behavior Theory: The Foundation for Multilevel Practice 9The Social Systems ModelIt was also during the 1960s that general systems theory began to gain stature inthe scientific community through the work of a biologist, L. Bertalanffy (1962).A system is a complex whole comprised of component parts that work together inan orderly way, over an extended period of time, toward the achievement of acommon goal. General systems theory is a set of rules for analyzing how systemsoperate and relate to one another, a concept that can be applied to many fields ofstudy. It was embraced by the social work community and applied to social systems. A social system is a person or group of persons who function interdependently to accomplish common goals over an extended period of time.Social workers felt this conceptual framework provided a way to bridge the profession’s historical interest in both the person and the environment. In other words,the systems model, as it applied to social systems, seemed to provide the social workpractitioner with a means to view human behavior through a wide lens that allowedfor assessment of the client across a broad spectrum of human conditions—as a person, as a member of a family, and as a participant in the community and the widersociety (DeHoyos & Jensen, 1985). The person-in-environment system becomes the unitof analysis (for example, the child in the context of family, school, or peers).Psychosocial Assessment and the Social Systems Model Social Work practitionersuse an assessment process to understand the nature of the presenting situation;the social worker gathers information about the many systems involved (including the individual’s past and present biological, cognitive, and emotional functioning and family and wider social networks, such as employment, education,religious, and other relevant sociocultural systems). In collaboration with theclient, the social worker forms an opinion of which system(s) appears to be mostin need of intervention to most effectively resolve the problem for which theclient is requesting assistance (Hollis, 1972). This system is referred to as the focalor target system.For example, if a young boy is referred to a social worker because of problembehaviors he exhibits at school, the assessment process may reveal that the child’sbehavior is a symptom of frustration due to an undiagnosed learning disability(neurobiological and psychological systems); anxiety over strife at home (psychological and family systems); reaction to an overwhelmed teacher in an overcrowded classroom (school and/or community system); and/or any combinationof these or other issues. Decisions about intervention follow accordingly, with thesocial worker focusing attention on the system(s) most in need of change andmost likely to effect a positive change in the overall situation (a focal system).The social systems model allowed for the easy integration of knowledgefrom a wide variety of biological, psychological, and sociological sources andtreated the person–environment as a single system, with the person and environment being inseparable and continually shaping one another. Here, biological functioning, psychological functioning, and sociocultural functioning arerelated in a contingency fashion. A disturbance of any part of this system affectsthe system as a whole (Wapner & Demick, 1999).

M01 LESS2740 02 SE C01.qxd10 Chapter 11/21/1011:13 AMPage 10An Integrating Framework for Human Behavior Theory and Social Work PracticeTransaction and Reciprocal Causality Central to this model are the concepts oftransaction and reciprocal causality. The term transaction refers to a process of acting and reacting between systems and is defined as a constant exchange betweensystems, in which each shapes and influences the other over time. This process ofmutual influence is referred to as reciprocal causality. It must be understood thatthere is no simple cause-and-effect relationship between any two systems, including the person and his/her environment. Rather, there is a reciprocal or circularrelationship in which, in the case of the person–environment unit, environmentalforces affect the individual’s behavior, whereas at the same time, the individualbrings forth behaviors and other personal characteristics that help to create conditions in the environment with which he/she must then deal. For example:An 18-month-old boy is hungry and tired and begins to whine and cling to hismother. His mother is busy cooking dinner, helping her elder children with theirhomework, and dealing, by telephone, with her own elderly mother’s latest medical crisis. Needless to say, this mother is feeling frustrated and overwhelmed, andshe begins to yell in response to the toddler’s whiny demands. The toddler reactsto his mother by losing what little control he has left, falling to the ground, kicking and sobbing. The mother now feels more overwhelmed, frustrated, and guiltyand begins to lose patience with her two elder children. In response to theirmother’s sharpness, these children protest loudly, slamming their notebooks shutas their mother storms out of the room.This example illustrates the circular nature of the transactions among members of this family system, with the toddler’s demands triggering the mother’sanger, the mother’s angry reaction triggering the toddler’s tantrum, which leadsthe mother to lose patience with her elder children, who respond emotionally,disrupting their homework and provoking more anger from their mother.The concept of reciprocal causality also gives rise to the premise that a changein one part of a system or in the relationship between parts will create change inthe whole system. (See Table 1.1.) This same example may be extended to illustrate that premise. Imagine the same situation, except that when the toddlerbegins to whine and cling, the mother is instead able to collect her thoughtsenough to realize that the child is hungry and needs soothing. Instead of yelling,she musters up her last bit of self-control, picks the toddler up, offers him a glassof milk, and is then able to put him in his high chair. The toddler’s needs are met,the situation de-escalates, the mother retains a sense of control and competence,and the elder children complete their homework. Here, by altering one small partof the person–environment configuration (the mother’s initial response to thetoddler), the outcome of the entire transaction is altered.The social systems model is based on several fundamental assumptions thatare important to understand if one is to fully appreciate the nature of the personin-environment gestalt. These are described in Table 1.1.

M01 LESS2740 02 SE C01.qxd1/21/1011:13 AMPage 11An Integrating Framework for Human Behavior Theory: The Foundation for Multilevel Practice 11TABLE 1.1The Social Systems Model: Fundamental AssumptionsAll forms of matter “from sub-atomic particles to theentire universe”can be viewed as systems, and allsystems have certain common properties that causethem to behave according to a common set of “rules”(Anderson & Carter, 1990).This is a basic assumption of a social systems approach.It is this assumption that makes generalist practicepossible.That is, this is the principle that allows us toview a school system as a client as easily as we see anindividual person as such. If both function as systems,then both share common characteristics, both willbehave in certain predictable ways, and both willpotentially be responsive to social work intervention.This statement, of course, oversimplifies the issues for thesake of explanation, but we believe it is nonetheless trueat its core. As noted by Berger and Federico:The physical and social sciences share the beliefthat the universe has some underlying order andthat behavior, be it the behavior of atomic particlesor interacting individuals, is a patterned, regulatedactivity than can be understood and in manyinstances, predicted and controlled (Berger &Federico, 1982).Every system is at the same time a unit unto itself, madeup of interacting parts, and a part of a larger whole.Anderson and Carter (1990) borrow the term holon(Arthur Koestler,1967) to describe this phenomenon:Each entity is simultaneously a part and a whole.The unit is made up of parts to which it is thewhole, the suprasystem, and at the same time, is apart of some larger whole of which it is acomponent or subsystem.The individual human being is on one hand, a wholesystem composed essentially of three subsystems thatinteract to promote the individual’s developmentthrough life: the biological system (the physical body),the psychological system (thoughts, feelings, andbehaviors) and the sociocultural environmental system(the social and physical environments). On the otherhand the individual human being is itself a subsystem(i.e., component part) of a supra system (a larger system);that is, the family. As a family member (subsystem of thefamily), the individual works with other family members(other subsystems) to maintain family functioning.Theseexamples, which are again simplified for the sake ofunderstanding, can be extended, ad infinitum, withthe family seen as a subsystem of a community, thecommunity as a subsystem of a nation or larger culture,and a nation as a subsystem of a global community.(Continued)

M01 LESS2740 02 SE C01.qxd12 Chapter 11/21/1011:13 AMPage 12An Integrating Framework for Human Behavior Theory and Social Work PracticeTABLE 1.1The Social Systems Model: Fundamental Assumptions (Continued)The whole system is different from the sum of its parts:it has definite properties of its own (Anderson & Carter,1990).Each social system has an identity of its own that isdifferent from the identities of its individual members.It isthe way in which the individual members relate to oneanother,how they organize themselves to work togethertoward their common purpose,which gives the socialsystem its unique identity.For example, two hospitals mayserve the same patient population, employ the same typeand number of staff,and share the same mission.Despitethese similarities in composition,each may have distinctlydifferent reputations with regard to quality and medicaloutcomes of care.Many factors,including distribution ofpower,patterns of organization and communication,degree of involvement with the community etc. may,ineffect,form two distinct institutional cultures.Simply put,when the component parts of systems are combined,they take on characteristics that the

2 Chapter 1 An Integrating Framework for Human Behavior Theory and Social Work Practice The person-in-environment (or person-in-situation, biopsychosocial, psychosocial) perspective has historically been the central organizing focus of the social work profession's approach to the helping process. This perspective underscores "the