Feminist macro practice is based on principles derived from the political and social analyses of women’s movements in the United States and abroad. As a practice approach, feminism emphasizes gendered analyses and solutions, democratized structures and processes, diversity and inclusivity, linking personal situations with political solutions, and transformative actions. Feminist practice is in concert with a multisystemic approach; it complements and extends strength-based social work. It requires that the practitioner be relational and open to other ways of knowing and understanding.
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Feminist Macro Social Work Practice
Cheryl A. Hyde
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Income and Wealth Inequality
Laurel Sariscsany
Reversing extreme economic inequality is one of the grand challenges for social work, identified as one of the most critical issues in the field. Two key types of economic inequality, income and wealth inequality are described. Although, wealth and income inequality are often discussed synonymously they have differing levels of inequality and impact clients’ lives differently. Perhaps more importantly, as this article describes, solving income and wealth inequality require differing solutions. The article further explores the specific income and wealth inequality experienced by women and people of color, due in part to discrimination. Lastly, the efforts of social workers to address economic inequality through research, practice, and advocacy are described.
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Intimate Partner Violence and Reproductive Coercion
Amber Sutton, Haley Beech, and Debra Nelson-Gardell
Intimate partner violence (IPV) affects millions of individuals yearly, both domestically and globally. Direct linkages exist between experiencing IPV and adverse health outcomes. No matter the type of service arena, social workers encounter IPV; for that reason, all social workers need to be familiar with IPV, its consequences, and potential interventions. One form of IPV that is often undetected and underreported is reproductive coercion (RC). Reproductive coercion, a relatively new term, focuses on birth control sabotage and pregnancy coercion. Reproductive coercion is directly associated with IPV in that power and control are maintained by stripping away autonomy and decision-making ability concerning one’s reproductive and sexual health. Although many victims of IPV will experience this type of sexual abuse, RC is a less discussed form of violence and is often difficult to detect through traditional screening processes, further delaying effective intervention. Reproductive coercion affects the overall emotional, physical, and psychological health of survivors, therefore social workers need to be able to identify specific RC behaviors and know how to appropriately intervene and advocate. A thorough review of the existing literature on the link between IPV and RC has been organized into practical application methods that social workers can use to inform micro, mezzo, and macro levels of practice. All practice methods are designed to aid in reducing harm caused by RC and to help increase survivors’ control over their own bodies and reproductive health. Such applications will include screening for potential abuse, recognizing risk and protective factors, introducing culturally sensitive interventions, and policy implications and recommendations.
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Men: Practice Interventions
Robert Blundo
A consistent theme for the majority of men in the United States remains the code of manhood. Men are expected by society to be stoic in the face of danger and to play out, in all aspects of life, the idea of the rugged individual going it alone, even in the face of a quickly changing world. Whereas social-work theorists and practitioners talk about male aggression, sexuality, intimacy, depression, anxiety, addiction, ageing, and work-related concerns, most men are less likely to view these as problems. If they do enter into counseling or treatment, they are less likely to remain for any length of time. Faced with these issues, practitioners are challenged to find ways of engaging men and forming successful collaboration and meaningful outcomes.
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Queer Communities, LGBTQIA2S+ Populations, and Macro Practice
Michael P. Dentato
Related to understanding queer identities, an ongoing need exists for the expansion of competency among social workers across micro and macro practice frameworks. Practitioners must be aware of their own positionality and use of cultural humility associated with practice and advocacy for lesbian, gay, bisexual, transgender, queer, intersex, asexual, and two-spirit+ (LGBTQIA2S+) communities, which include those identifying as demisexual, omnisexual, and pansexual, among others. Relatedly, social workers must be attentive to evolving terminology and contexts through which the term queer has been defined over the years, as well as relevant challenges with connectedness to (or separation from) the larger LGBTQIA2S+ community. Age cohort associations and the role of intersectionality also have relevance and underscore the multidimensional discourse necessary to develop effective competency and the ability to engage in affirming macro practice with queer communities. Social work practitioners must understand the implications for best practices associated with establishing and maintaining an affirming alliance with queer clients via policy practice efforts, advocacy efforts, community organizing, service provision, or therapeutic context. In addition, there remains a continued need for ongoing research associated with understanding the unique needs of queer identities and the queer community at large.
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Reproductive Health Justice
Silvia M. Chávez-Baray, Eva M. Moya, and Omar Martinez
Reproductive health endeavors in regard to prevention, treatment, and emerging disparities and inequities like lack of access to comprehensive and equitable reproductive health for immigrants and LGBTQ+ populations are discussed. Practice-based approaches for reproductive health justice and access care models, to advance reproductive justice, are included. Implications for macro social work practice and historical perspectives, practices, and social movements of reproductive health justice in the United States to promote reproductive health justice in the context of political, legal, health, and social justice efforts are salient to advance social justice.
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Sexual Harassment
Sondra J. Fogel and Doris A. Boateng
Sexual harassment is a form of discrimination as well as a complex social issue with psychological implications for both those who are harassed and those who perpetrate the harassment. Women continue to be primary targets, although men, youths, and sexual minorities are increasingly pursued. Legally prohibited in the workplace and educational institutions, sexual harassment persists in personal interactions as well as by electronic means despite prevention efforts such as education programs and zero-tolerance policies. This entry will define sexual harassment, provide an overview of its prevalence, and describe approaches for its remedy.
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Women: Overview
Ruth A. Brandwein
This overview article introduces the topic of women, beginning with general demographic information. The section on poverty and inequality, which follows, describes the gender differences and delineates some reasons why women are poor and unequal. Issues of child care, welfare, and education are explored. Interpersonal violence and sexual trafficking are discussed, followed by a discussion of health and mental health issues affecting women, including access to health care. The role of women as well as women social workers in politics is briefly explored. Throughout, attention is paid to intersectionality. The article concludes with a discussion of current trends and challenges, with a brief examination of changes in policies affecting women from the Obama presidency to the end of the Trump administration in 2020, including implications for social justice, as well as implications for social work.
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Women: Practice Interventions and Macro Practice
Cheryl A. Hyde
Macro social work practice with women encompasses women as practitioners in organizational, community, and policy arenas, and issues of particular concern to women including violence against women, reproductive rights, family health and well-being, and economic equity. It recognizes that women, as a group, are more likely to be marginalized, subordinated, and oppressed compared to men, as a group. Further, there is awareness of the diversity within the category of “woman.” This article provides an overview of women as macro practitioners, issues central to the lives of women, feminist activism and its influence on macro social work, and examples of macro practice centered on the lived experiences of women. Given the gender inequities and discrimination that women and girls contend with daily, macro social work needs to embrace these issues and strive to dismantle gender-based oppression if the profession’s social justice mission is to be realized in full.
