The focus of this book is on theories for direct (or clinical, micro) social work practice. It focuses on theories for practice with individuals, although the relevance of these theories for practice with couples, families, and groups is also considered. Beyond simply offering a survey of clinical theories in this book, the authors promote what they call a generalist-eclectic approach for the use of theory in direct practice.
Including the word generalist in the name of the approach might seem odd because one of the generally accepted hallmarks of generalist social work practice is that it spans direct and indirect (or macro) practice methods, whereas this approach focuses only on direct practice. By using the word generalist to describe the approach to direct practice, the authors emphasize their belief that specialization in direct practice must be firmly grounded in the generalist perspective of social work practice; that the values, principles, generic processes, and holistic perspective that are integral to generalist social work practice are a necessary foundation for direct practice specialization. Although this might be taken for granted by some, this sometimes gets lost in the rush for specialization.
One reason it is important to ensure that direct practice is grounded explicitly within the generalist perspective is because most theories that clinical social workers use have been developed outside of the profession, and aspects of such theories may not fit well with some social work principles. When this is the case, modifications to these aspects of theories are necessary. For example, theories that place the worker in the role of expert should be used in a more egalitarian, collaborative manner, and theories that have a specific and narrow conception of human problems should be broadened to include consideration of a wide range of factors (e.g., environmental and sociocultural factors need to be considered along with biological, intrapsychic, and interpersonal factors).
A second reason for embedding direct practice within the generalist perspective is that the latter can function to broaden the mandate and role of direct practitioners beyond narrow clinical confines. For instance, it is important that the focus of clinical social work should include helping clients to meet basic needs by providing them with or linking them to resources and services, and engaging in social advocacy for clients—and the generalist perspective reminds us of the importance of such helping strategies. In addition, social work students who are entering their concentration or specialization year will have the generalist grounding and application of the direct practice theories will be reinforced by this knowledge.
This chapter provides an overview of our generalist-eclectic approach to direct practice. The major elements of the generalist social work perspective central to our generalist-eclectic approach to direct practice are reviewed. Then, an overview of the distinctive aspects of our generalist-eclectic approach is provided Finally, in some detail eclecticism, primarily with regard to the trend toward it over the last 35 years is discussed. The latter discussion includes (a) an overview of eclecticism that documents historical resistance to eclecticism, the fact of and reasons for the trend toward the eclectic use of theory and technique, and continuing resistance to eclecticism (particularly in the form of the empirically supported treatment [EST] movement); (b) a review of the four major approaches to eclecticism in the literature and some of the specific eclectic models within each of the approaches; and (c) a delineation of our approach to eclecticism.