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Casework and the medical metaphor.

W L Miller

    Social Work
    |June 10, 1980
    PubMed
    Summary

    The medical model, once foundational in social work, negatively impacted the profession. This study critiques its influence and proposes alternative frameworks for social work practice.

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    Area of Science:

    • Social Work
    • Psychology
    • Sociology

    Background:

    • The medical model, characterized by a disease-focused approach, has historically influenced social work practice.
    • This model frames clients as patients and social issues as pathologies.

    Purpose of the Study:

    • To critically analyze the impact of the medical metaphor on social work.
    • To propose alternative theoretical frameworks for social work casework.

    Main Methods:

    • Conceptual analysis of metaphors in social work.
    • Historical review of the medical model's application in casework.
    • Exploration of alternative models.

    Main Results:

    • The medical model's influence has been detrimental to the social work profession.
    • It may oversimplify complex social problems and individual experiences.
    • Alternative models offer more holistic and empowering perspectives.

    Conclusions:

    • Social work should move beyond the limitations of the medical model.
    • Adopting alternative frameworks can enhance the effectiveness and ethical practice of social work.
    • Further research into and implementation of these alternative models is recommended.

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