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HUMAN BEHAVIOR IN THE SOCIAL ENVIRONMENT SEQUENCE

HBSE 130. Theories of Individual Development
This course will introduce students to the psychodynamic theories that best explicate individual psychological development over the life cycle from a biopsychosocial perspective. These theories, taught from an historical perspective, include drive theory, ego psychology, object relations and attachment theory, self psychology, and psychosocial life cycle theories. Differences in male and female development will be discussed. Particular attention is given to sources of development of individual strength and resilience. Students will begin to learn to critique and compare theories for their applications to and usefulness for social work practice, as they reflect particular sets of values and intersect with ethnicity, social class, gender, sexual orientation, religion, age, disability, and other forms of diversity. The course will bridge theoretical constructs to contemporary practice settings. Required course first summer. Two quarter-hours.

HBSE 131. Problems in Biopsychosocial Functioning
This course will draw upon the individual personality theories taught in 130, Theories of Individual Development, to provide a context in which to understand problems in biopsychosocial functioning. The course will provide students with an opportunity to explore how the relationships between biological, psychological, and environmental factors can lead to the development of individual problems in functioning. Students will learn some of the tools with which to make descriptive developmental assessments in examining psychosis, personality disorders, depressive disorders, and anxiety disorders, as well as how ethnicity, race, social class, gender, sexual orientation, age, religion, and other social variables intersect with assessment and practice issues. Required course first summer. Two quarter-hours.

HBSE 132. Family Theory for Clinical Social Work Practice
Theories framing the foundation for social work practice with families are explored as they assist in understanding (1) the relationship between the family and its environment; (2) intergenerational family culture, structure, and process; (3) family life cycle processes; (4) internal family organization and process and (5) individual and family meanings and narratives. Attention will be given to those theories that have dominated the early family therapy movement as well as newer epistemological positions and concepts deriving from more current feminist and constructionist critiques. Cross-cutting the exploration of family theory are issues of ethnicity, race, socioeconomic status, religion, sexual orientation, age, physical, emotional or cognitive disability as well as varying family forms. These themes will be examined as they impact on the mastery of "normative" and idiosyncratic life transitions and crises. Special attention is given to the relationship between theory and social justice. Required course first summer. Two quarter-hours.

HBSE 133. Sociocultural Concepts
This course will introduce students to the sociocultural concepts that define the context of human experience. While exploring the broad thematic areas of culture, social structures, inter-group relationships and identity, concepts of ethnicity, race, class, gender, sexual orientation, religion, age, and disability will be explored so as to understand how these variables impact individual lives. Implications for practice will be explored. Special attention will be given to the uses and misuses of power in constructing social identities and meanings as well as personal and group experiences, and to the ways that social identity and position affect access to services and resources. Required course first summer. Two quarter-hours.

HBSE 330. Child Development from Infancy to Adolescence in its Social Context
This foundation course will examine the bio-psycho-social development of children and adolescents as a basis for understanding: (a) cognitive and affective developments allowing the child to construct individual and social life at increasingly complex levels of differentiation and affiliation, (b) the use of those developmental levels as paradigms for healthy functioning, (c) a range of childhood experiences which may enhance or deter well-being and development, and (d) the utility of normal child development as a heuristic for understanding developmentally based theories of bio-psycho-social difficulties. The course illustrates compares, and contrasts fallibilistic realist and constructivist approaches to knowledge development. Values and ethical issues related to these approaches are identified and related to practice illustrations. Particular attention will be paid to issues of self-regulation, internal representation, affect, cognition, relatedness, and separation. The tasks of infancy, early childhood, latency, and early adolescence are examined in the contexts of family and peer relationships and values and in relation to influences of gender, race, ethnicity, social class, sexual orientation, religion, age, disability, and other cultural forces on the developing child. Issues of strengths, resilience, vulnerability, and dysfunction in the developing child are addressed. All of these themes are illustrated through practice application involving children and adults. A critical stance is encouraged in which various ideas and theories are examined in relation to the values they imply, the sociocultural contexts in which they develop, and their application to participants’ other courses (such as practice and racism). Required course second summer for students with no prior child development course. Two quarter-hours.

HBSE 331. Comparative Psychodynamic Theories for Clinical Social Work Practice
This course will introduce and compare psychodynamic theories that are relevant to clinical social work practice. We will be comparing theoretical approaches in terms their relevance to particular aspects of clinical work, including: the nature of the relationship between clinician and client; uses of transference - counter-transference,  what is hypothesized to be healing or mutative in the clinical situation; ideas regarding the  developmental origins and nature of psychopathology; the impact of trauma and its treatment; the origins and treatment of addictions and substance abuse; and throughout, the importance of culture, race, gender and class in both the understanding of and work in the clinical relationship as well as in peoples’ lives.  We will be learning and critiquing clinical theories, considering the historical and cultural contexts in which they developed as well as their relevance to different kinds of psychopathology, problems and settings.

This course will provide an opportunity to consider points of agreement and disagreement between models and approaches to clinical work, as well as to consider contemporary psychodynamic ideas in the context of contemporary practice. We are lucky to have several guest lecturers during the course of the term. 

HBSE 333. Developmental Deviations in Childhood and Adolescence
This course examines deviations in childhood and adolescence from a biopsychosocial developmental perspective. A range of psychodynamic, cognitive, and other relevant theories will be studied as they shed light on the development of child and adolescent disorders. Specific clinical entities such as pervasive developmental delays, physiological disorders, and personality, cognitive, affective, and behavior disorders are considered in terms of their etiologies and features and in relation to the practice challenges they raise. Theories are critically examined in terms of the sociocultural contexts in which they develop and the cultural values and beliefs they express. Particular attention is given to the influences of gender, race, ethnicity, and other forms of diversity on the development of deviations, as well as to the impact on children and families of various kinds of oppression and deprivation. The ways in which abuse and neglect can shape development are also examined. Required course second summer for students with prior child development courses. Two quarter-hours.

HBSE 334. Racism in the United States: Implications for Social Work Practice
The nature and impact of racism will be defined and understood from both historical and social structural perspectives. Oppression, prejudice, discrimination, and the role of power in social and interpersonal contexts will be explored in terms of the social construction of individual and group racial identity and in terms of their impact on individuals, families, groups, and communities. Students will have an opportunity to examine their own experiences of both privilege and oppression. Implications for practice that are strengths oriented and culturally sensitive will be explored. The unique challenges and particular dilemmas that both students of color and white students encounter in practice will be examined. Students will also learn to critically examine theories, concepts and models of practice for racial bias. The course will combine lecture, discussion and experiential learning as students have an opportunity to examine the impact of growing up and living in a racist society and practicing in racist institutions. Required course second summer. Two quarter-hours.

HBSE 335. Crisis Intervention
This new elective introduces different clinical social work practice approaches to crisis intervention grounded in a range of theoretical models within social context i.e. crisis, object relations, attachment, cognitive behavioral, ego psychology, and a multi systemic approach. Critical incidents will include para suicidal and suicidal behavior; traumatic death; severe psychopathology; acute addictions; domestic violence; responses from children and adolescents to homicide and witnessing violence; catastrophic illness or accidents; and violence in the workplace. Focus will be placed on the identified client within the context of the family network. The intersection of diversity of sociocultural themes will be woven throughout the course. Clinical case discussions as well as videotapes will help to facilitate classroom dialogue. Elective for second or third summer, 2 quarter-hour credits.

HBSE 533. Senior Integrative Seminar
This course will assist students in reflecting upon their clinical practice and in integrating the many theories they have studied with their evolving professional selves. A relational perspective will be offered as a framework for the discussion of clinical issues. Attention will be focused on clinical and ethical dilemmas which emerge in the therapeutic process. These dilemmas may include: transference and countertransference issues; questions pertaining to self-disclosure and boundaries; supervisory dilemmas; the differential use of self in working with various client populations and with issues of difference; and the role of managed care in practice. The goals of the course are: (1) to help students conceptualize how the therapeutic process unfolds and to appreciate why they intervene in particular ways; (2) to synthesize theory into a coherent social work approach that attends to internal and external factors and allows for the most creative uses of the self; (3) to develop the courage and patience to "not know" while attending to the complexities inherent in the therapeutic dialogue; and (4) to develop and trust their own voices as social workers as they prepare to enter the field. Students will be encouraged to discuss their most perplexing clinical and ethical dilemmas from their placements, and to grapple with their unanswered theoretical questions. The course will also provide an opportunity for students to gain a sense of closure as they complete their studies at Smith. Elective course final summer. Two quarter-hours.

HBSE 534. Attachment and Mastery in Contemporary Ego Psychology
This course examines two of the most important human motivations, attachment and mastery (self-efficacy), as central aspects of human behavior. For clinicians these motives are particularly important because they are at the heart of the therapeutic relationship and often present the most difficult problems in both short and long-term therapies. The course will maintain a dual focus on theory and on clinical applications. Clinical examples from the assigned readings and the instructor's clinical practice will illustrate how attachment and mastery are manifested in diverse populations. In the current climate of managed care there will be a special emphasis on understanding these concepts as they manifest themselves in brief therapy (including the research on brief therapy of the San Francisco Psychotherapy Research Group). Student presentations will focus on re-examining clinical dilemmas that have occurred in their own clinical work in the light of these concepts.  Elective course second or third summer.  Two quarter hours.

HBSE 536. Culture and Development Across the Life Course:
An Anthropological Perspective

This course will use ethnographic data and concepts from anthropology to explore similarities and differences in development as it occurs across cultures. Emphasis will be on understanding the interaction between biological/maturational species-wide aspects of development and the cultural context: the way cultural values, ideals and practices shape, and give meaning to, development. The course will use a history of ideas approach to explore the continuing debate within anthropology between relativist, universalist and cultural pluralist approaches to understanding development across cultures, and the relevance of this debate to clinical social work practice. It will also help students think creatively about using psychodynamic models of development, which describe development in European and North American culture, in their practice with clients from non–western cultures. Elective course second or third summer. Two quarter-hours.

HBSE 537. Violence: A Systemic Approach to Assessment and Intervention
Each of us is touched by violence in some way. Our lives are influenced by violence through a variety of systems from family relationships to institutional and cultural structures. A culture's response to and understanding of the nature of its people's violence have lasting consequences. As social workers, we frequently engage with individuals and communities in crisis and are confronted with interpersonal and systemic brutality. We are often on the front line in responding to violence in our work with both the perpetrators and the victims of violent acts. Our study of human relationships in the context of working toward positive change on both the micro and macro level requires an understanding of the social construction of both antisocial and prosocial behaviors. Work with violent individuals and oppressive systems truly challenges our ability as social workers to identify with the other in our attempt to reach levels of empathy necessary to be effective agents of change.
We will examine the nature of violence, cruelty and aggression in the service of violence prevention as well as intervention in response to violence. In order to understand more fully avenues for fostering non-violent communities, families and individuals, we will also explore the phenomena of kindness, the relationship between restorative understanding and accountability and the process of survival and healing. Attention will be paid to the influence of diversity factors such as race, ethnicity, religion, socioeconomic status, sexual orientation, age, gender, and disability. Elective course second or third summer. Two quarter-hours.

HBSE 540. Death and Bereavement Over the Life Cycle
This class will address issues of Death, Loss and Bereavement as they are experienced in today's society. We will explore some of the reasons for why this is often a hidden topic not only in the larger society but in particular in social work practice. Social Workers confront loss of some kind in almost all therapeutic situations, as the issue of loss is central to all life changes. With recent demographic changes in family structure, previous family and social networks no longer support, explain and contain the experience of death and bereavement. Clinicians are now placed in the position of being the healers of the grief experience. However, most clinicians report a high level of discomfort and lack of training in dealing with either their own losses or the losses of others. This course will focus on both the experiences of dying and bereavement as viewed by dying individuals, surviving family and friends. How we cope with grief shapes our lives, it illuminates our response to change, and can determine how we form, maintain and let go of relationships. A life cycle approach will be used with the focus on the most concrete of losses, death, and then integrating that as part of a continuum of loss, e.g. the loss of youth, divorce/end of previously committed relationships, an ideal, a dream, or even a former self. The challenges of confronting AIDS, violence, unseen losses such as pregnancy related losses and addiction will be explored. We will look at the process of loss and change as well as at the social institutions that provide services to the dying and bereaved. Social work interventions will be suggested. The material in this course is drawn from original case histories, at times using video recordings. Woven throughout the course will be examples from the world of the arts, literature, drama and poetry as well as from the professional literature. The student's own experience of repeated terminations during their MSW years at Smith will also be integrated into class themes, challenging each graduating senior, in the present, with the question: Is loss, when mourned, a vehicle for growth? Elective course second or third summer. Two quarter-hours.

HBSE 560. Comparative Perspectives on Disability and Disability Policy
This course introduces students to people with disabilities. Initially, it considers the social construction and demographics of physical, emotional and cognitive disability. Individual experiences of people with various types of disabilities are explored, followed by a discussion of access and social integration. After gaining a sense of the personal experiences of people with disabilities, implications for social work practice are addressed. Major disability policies are studied and critiqued, along with strategies toward empowerment and social justice. Elective course second or third summer. Two quarter-hours.

HBSE 592. Severely and Persistently Mentally Ill Clients and Their Families: Treatment and Social Policy Perspectives
This course will address some of the major policy and service delivery issues in the field of mental health that affect the lives of individuals with chronic mental illness and their families. Particular attention will be given to individuals suffering from major mental illnesses, including Schizophrenia, Bipolar Disorders, Major Depressive Disorder, and Psychological Trauma. Course readings and case material will also address issues in the treatment of adults dually diagnosed with major mental illnesses and Substance Related Disorders. Advocacy efforts from clients and their families will be discussed. Students' class presentations of their own clinical work with mentally ill adults will provide opportunities for discussing treatment questions and ethical dilemmas that arise in working with these individuals and their families. Elective course taken in the second or third summer. Two quarter-hours.

HBSE 593. Human Sexuality
This course will explore topics in human sexuality. These may include physiology of sexuality, taking a sexual history, sexual orientation, sexual development over the life cycle, and sexual dysfunctions. Students will explore the applications of this knowledge to clinical practice and will also consider their own level of comfort with this material as it relates to the clinical situation. Elective course taken in the second or third summer. Two quarter-hours.

HBSE 5535. Gender Studies
What contributions have feminist and postmodern perspectives given to our understanding of gender? How do our assumptions and beliefs about gender inform our approaches to identity, coupling, sexuality, parenting, and alternative family forms? Utilizing an overview of seminal and current writings, this seminar will address clinical practice and public policy issues from a range of psychological, biological, cultural, and social theories about gender. Case vignettes, film, and literature will provide illustrations for in-class discussion. Elective course third summer.  Two quarter-hours.

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