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Channel: Real World Clinical
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Real World Clinical Blog: On Childhood Sexual Abuse

To successfully treat children who have been sexually abused, several paradigm shifts are required. This means, primarily, that we need to reconceptualize the possible scope of sexual abuse.

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Real World Clinical Blog: Rethinking Addiction Treatment

Addiction work is truly trauma work. Trauma work requires deep attunement; recognition of developmental capacity and limitations; and steady, vigorous attention to the relationship.

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Emotional Acres of Land/Black Lives Matter

Clinically, our work comes down to the provision of an emotional acre of land for each client. For clients of color, this requires a more generous invitation into the room. It requires an intentional...

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The Impostor Syndrome and the Social Worker

Whether it is referred to as a feeling of fraudulence, impostor syndrome, or a false sense of self, it is a psychological state that makes our work difficult, uncomfortable, and dissatisfying.

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Real World Clinical Blog: Deciphering Trauma

One week after the mass shooting in Orlando, we are faced with the difficult work of managing the resulting trauma. Part of this management requires us to delineate between the presentation of trauma...

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On Orlando and Beyond

There isn’t much for me to say about Orlando that hasn’t already been said. That said, it seems irresponsible and avoidant to write about anything else this week.

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Real World Clinical Blog: Poverty as Trauma, Social Work as Cure

In 2016, the American Academy of Pediatrics declared poverty the single most pressing, chronic health issue for children in the U.S. Recent research shows poverty is likely the largest determinant of...

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Real World Clinical Blog: Art as Self-Care, The Art of Self-Care

I don’t know if I am a good photographer or not. I don’t actually care. That is an incredible feeling for me. Self-care should allow us to engage with parts of ourselves in an unpressured, unhurried,...

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Real World Clinical Blog: The Mental Health of Trans People

Successful work with trans people requires a deft awareness of several issues. We must remain aware of our power when working with the trans population. We must also remain aware of the idiosyncratic...

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Real World Clinical Blog: The Health of Trans People

As many of us, as social workers, look toward becoming supportive allies of the trans community, we need to truly interrogate what it means to be an ally.

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Real World Clinical Blog: Congratulations New Social Work Grads and Welcome!

New social work graduates, your freshness will infuse essential energy into the minds of your clients and your agencies alike. We are lucky to have you!

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Real World Clinical Blog: Negotiating Salary, Negotiating Worth

Salary is a social work issue. Many students and rising graduates ask me what is a fair salary to expect. This is the wrong question. The first question we need to ask ourselves is: how much do we need...

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Real World Clinical Blog: Troubled Me, Troubled You

It is okay to be distracted, tired, angry, anxious. It is not okay to work when you are hungry and debilitatingly exhausted.

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Real World Clinical Blog: Keeping the Clinical in Social Work

To render social work clinical, we listen for more, and think about what is behind the scenes of what is said. Social work is clinical social work. And clinical work, done well, is infused with social...

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Real World Clinical Blog: Tenderly Assessing Suicide

Suicide assessment is gut wrenching and soul stirring work. Done well, we are drawn into conversations about the deep wish that many feel for the relief that death would supposedly bring.

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Real World Clinical Blog: It's Not You, It's Me

By recognizing what happens when the two of us are together, we give voice to the “thirdness” that arises in our work.

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Real World Clinical Blog: Childism and Its Implications

The idea behind childism is that there is an unconscious pull to invalidate the psychic lives of children. This invalidation happens in both subtle and highly evident ways.

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Obscured Paths Toward Wellness

For every client, clearly, treatment goals and paths toward wellness or relief look different. The loftier our clinical goals are, the more likely we are to miss essential strides toward change and...

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Real World Clinical Blog: Nothing But the Truth

As social workers, we are trained in the art of understanding relativity. We step away from the stance of relativity when our clients are in danger.

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Real World Clinical Blog: I Believe in Ghosts

The more I practice clinical social work, the more I believe in ghosts. I don’t mean ghosts in the classic sense. Instead, I mean that our work is haunted, on many levels, by relationships and historic...

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