Even to this discussion about social work v other kinds of therapy and different settings, I still ask, what happens when you follow the money$$$..?
It is generally true that the actual name of the license can have little to do with what any individual does, but the reality is that economic factors such as who pays, who takes what kind of insurance, who is able to handle what kinds of legalities such as files, notes, and treatment plan, etc, those are completely differentiated by the name of the license.
The title not even pedigree determines who can be treated or not and what kind of treatment they get. And not the kind of agency, setting, situation, person or even training background. I mean at the bedrock foundation.
The social systems that handle people are just as large and transparent as are those of the Catholic Church to abuse.
I can see that it may seem to be more prevalent or possible in private practice and perhaps it is, but it happens all over in the field, in hospitals, residential settings, and so on. In fact there is more of a sense that people are more easy to mess with in such settings since often they will not dare to complain and if they do will be ignored as just making it up, symptomatic and other things.
I'm not sure that it makes a huge difference. Abuse is abuse. I wouldn't say that domestic violence is substantially different if it occurs in a wealthy family or on the streets. Would we say murder is different? Maybe in very rare cases like on a reservation where the oversight is non-existent and FBI so people can be murdered and no one do a thing...I suppose...but this is an example of a place that has lots of supposed oversight and yet really is abusive even in structure and in the everyday existence of people's lives.
I don't believe the description of how social work differs from private practice I think. People always need and look for emotional support. If anything people involved in the "system" need even more humane treatment and seek it out. That is therapeutic, that is the basis of therapy. Saying people engaged in forms of therapy but not in private practice don't have the same needs or get the same sorts of things seems odd to me for some reason. What about kids? They get treatment in schools or through social services but does that mean they get no emotional therapy? I don't understand.
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