Why We Need a Biopsychosocial Perspective with Vulnerable, Oppressed, and At-Risk Clients

被引：23
作者：
Berzoff, Joan [1 ]
机构：
[1] Smith Coll, Sch Social Work, Northampton, MA 01063 USA
来源：
SMITH COLLEGE STUDIES IN SOCIAL WORK | 2011年 / 81卷 / 2-3期
关键词：
drive theory; ego psychology; average expectable environment; object relations; self psychology; relational enactments; critical race theory; social contexts in which clients are seen; stress hormones; trauma; abuse and brain development; TRAUMA; RACISM;
D O I：
10.1080/00377317.2011.590768
中图分类号：
C916 [社会工作、社会管理、社会规划];
学科分类号：
1204 ;
摘要：
This article considers why we need to take a biopsychosocial perspective in assessment and treatment of individuals. Using psychological concepts drawn from drive theory, ego psychology, object relations, attachment theory, self psychology and relational theory, the author makes explicit the need to connect these ideas with social and biological contexts. Arguing that psychodynamic theories contain the social as well as the psychological, the author traces Freud's social commitments, the role of critical race theory, the importance of social contexts in shaping development while also considering the effects of neglect, trauma and abuse on the developing brain. Holding in mind all of these positions, is what makes clinical social work truly the impossible profession.
引用
收藏
页码：132 / 166
页数：35
相关论文
共 60 条
[41]  
McIntosh P., 1988, White privilege: Unpacking the invisible knapsack
[42]   Beyond empathic failures: Cultural racism as narcissistic trauma and disenfranchisement of grandiosity [J].
Miliora, MT .
CLINICAL SOCIAL WORK JOURNAL, 2000, 28 (01) :43-54
[43]  
Mitchell S.A. Black M. J., 1995, FREUD HIST MODERN PS
[44]  
Ogden T., 1982, PROJECTIVE IDENTIFIC
[45]  
Peltz R., 2006, Psychoanalysis, Class and Politics: Encounters in the Clinical Setting, P65
[46]   An intersubjective perspective on vicarious trauma and its impact on the clinical process [J].
Rasmussen, B .
JOURNAL OF SOCIAL WORK PRACTICE, 2005, 19 (01) :19-30
[47]  
Richmond M., 1917, Social diagnosis
[48]  
Saks E.R., 2007, The center cannot hold: My journey through madness
[49]  
Schore A.N., 1994, AFFECT REGULATION OR
[50]   The Efficacy of Psychodynamic Psychotherapy [J].
Shedler, Jonathan .
AMERICAN PSYCHOLOGIST, 2010, 65 (02) :98-109
123456