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Politics of "Twoness": Policy, Clinical Judgment, Relationship, and Evidence-Based Practice

NCJ Number
237158
Journal
Social Work in Mental Health Volume: 9 Issue: 2 Dated: March-April 2011 Pages: 122-136
Author(s)
Margaret Arnd-Caddigan, Ph.D., LCSW; Richard Pozzuto, Ph.D.
Date Published
April 2011
Length
15 pages
Annotation
This article examines North Carolina's mental health policy as "evidence-based practice" (EBP).
Abstract
North Carolina has designated its mental health policy as "evidence-based practice" (EBP). The role given to the social worker in this policy is an example of one approach to relationship identified by Carol Gilligan (1993) and Jessica Benjamin (2004), which the latter termed "complementary twoness." From this position the social worker's clinical judgment is seen to be potentially harmful to the client and thus must be mediated by a more objective means. An alternative position exists in which the relationship between the clinician and client can be understood to be of vital importance. Rather than attempting to mediate this relationship because of the inherent danger, thirdness calls upon us to elevate this relationship and the clinical judgment that is the result of the connection. In this article the authors deconstruct the current social work practice of EBP and policy guidelines in the light of the very nature of therapeutic relationship and latest research on neuroscience. (Published Abstract)