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Chapter 2
The Changing Nature of the Helping Process
SUMMARY
In this chapter, we give students a social context for understanding helping behavior and
the human service professions. Factors that influence helping behavior include the values
of a society, the historical period, the economic situation, and the socio-political climate.
As these factors shift, the human services shift to reflect changing attitudes and situations.
These shifts tend to follow a cyclical and dialectical path. Earlier modes of service often
reappear in a future century. For example, the current conservative proposal for putting poor
children in orphanages signals a return to a 19th century mode of child welfare. Many
shelters for the homeless resemble 18th and 19th century almshouses.
We emphasize the difference between theories that tend to blame people themselves for
their troubles (victim-blaming), and theories that look at the social system (opportunity
theory). We show how the structure of social welfare programs reflects these opposing
theories. For example, means-tested programs that separates the “deserving” from the
“undeserving” draw upon victim-blaming theory, while institutional universal programs draw
upon opportunity theory.
We give a brief history of the development of social welfare in the U.S. including the 1935
Social Security Act, the War on Poverty, the Welfare Rights Movement of the 1960s and
1970s, and the conservative onslaught against social welfare beginning in the 1980s and
continuing to the present. We summarize theories of leading conservative policy makers,
including Charles Murray, and show how those theories distort the public’s ability to have a
clear understanding of such phenomena as teenage pregnancy. We discuss the racist ideology
inherent in the TANF program (formerly AFDC) since its beginnings and how it continues
in the present. We consider welfare reform as an attack on racial minorities as well as an attack
on women.
We illustrate the cyclical nature of helping by showing historical changes in society’s
approach to welfare, mental illness, and juvenile justice. We then discuss how behavior
becomes defined as a social problem, illustrating this by examples: the drug scare, AIDS,
welfare, and family violence. Finally, we describe the historical development of the social
work and human service professions.
LEARNING OUTCOMES
โข
โข
โข
โข
Students will be able to characterize societal attitudes toward people with problems and
how the social programs to deal with them have changed through the ages.
Students will be able to differentiate between means-tested and universal programs and
describe how poverty is defined.
Students will be able to critique cycles of helping in the welfare, mental health, juvenile
justice, and criminal justice systems.
Students will be able to explain the history of human service work and the careers
within the field.
PUTTING THEORY INTO PRACTICE: SUPPLEMENTARY ASSIGNMENTS
a. Oral History
Students are asked to interview an older relative or friend of the family to discover what
kind of human service problems they faced when they were the same age as the student
is now. Students will research what kinds of services were available to deal with the
problems that young people faced then. They should phrase questions that try to
det ermi ne how young people were treated by the community, how his or her problems
were viewed by others, what changes have come about since he or she was a young adult
and what his or her opinions are about the quality of those changes.
b. Research the history of a social agency in the community.
This can be internet or library research or an interview with someone who is familiar with
the history of the agencyโhow it was started, where its initial funding came from, what
its initial mission was and how all of these have changed since its inception.
c. Go to your local TANF (welfare) office and sit in the waiting room for an hour.
You donโt need to announce yourself unless the receptionist asks you who you are, in
which case you can explain that you are here to observe for a class assignment.
Observe carefully then, write up your observations and your analysis of what kind
of service appears to be being delivered. How might it feel to a person who had to come
to that office for help? Notice how the receptionist and workers treat the clients, how
the clients look, and how clients respond to each other and to the staff. Notice the physical
conditions of the office and think about what kind of message this sends to the clients.
How does the appearance of the waiting room compare to offices that serve the middle
class and rich? If you wish, you can talk to clients and ask their impressions of welfare.
Notice how accessible the office is to a variety of clients. Is it within easy reach of
public transportation? Is there enough parking space? Are there toys and play space for
children when parents need to bring them to the office? Notice whether information about
the agency or other programs is available. Report your observations to the class.
Discuss how your observations illustrate public policy regarding welfare.
d. Film Analysis.
Have students watch the film โSins of Our Mothersโ (PBS-An American Experience,
1989). This film tells the story of a young woman sent to the textile mills in
Massachusetts in the 1820s. It touches on child labor, unwed pregnancy, and poverty.
Have students write a paper (or discuss in class) how the attitudes of the family and
townspeople reflect the cyclical nature of human service policies. Students can compare
how these issues were dealt with in the early 1800s, and how they are similar to/different
from current attitudes and policies. The film also can serve as a springboard for a discussion
on Social Darwinism.
TEST ITEMS
Open-ended Questions
1. Discuss the philosophy of Social Darwinism.
โข The adaptation of the ideas of Charles Darwin on evolution to the realm of sociology.
โข Herbert Spencer used Darwin’s work to coin the phrase “survival of the fittest” The fittest were
presumed to be those people who were able to make money. Poor people were declared unfit
2. Discuss how the discriminatory classification of people as โdeservingโ versus
โundeservingโ has impacted what kinds of social service programs are likely to be
implemented?
โข The opposing classifications of individuals as deserving versus undeserving have resulted in
very different approaches to giving help. Victim blamers feel superior to the victims and
separate people into โthemโ and โusโ. The blaming the victim ideology always sees character
defects in individuals. Entire groups of people are blamed for their behavior. This results in
programs that address character or personality defects, rehabilitation programs, punishing
programs designed to correct behavior, programs to detect fraud.
3. What kinds of social service programs are people who believe in opportunity theory likely
to implement?
โข Programs that make changes in the social system which will create more opportunities for
people, such as job programs, community development, or organizing for social change.
4. Why do liberals tend to prefer universal over means-tested programs?
โข Universal programs do not separate the social classes from each other. They have more
political clout because the middle class and rich get benefits from them. They avoid the stigma
of programs that are only for the poor.
5. Discuss the difference in how people view Social Security programs for children and the
TANF program.
โข While the children on Social Security do not differ in any important way from children on TANF,
the children โon welfareโ are stigmatized while the children on Social Security are hardly
noticed by the general public.
6. Name some of the achievements of the welfare rights movement of the 1960s and 1970s
โข People were provided with lawyers to help them fight for their rights. Those lawyers struck
down some repressive laws such โman in the houseโ rules. The movement helped poor families
get more money, and created a fundamental change in the consciousness of welfare recipients
about their right to dignity and respect for the important work of mothering.
7. Describe how Opportunity Theory explains the emergence of social problems.
โข It defines human problems as a result of interacting personal and social forces, often beyond
the control of the individual. It looks at individuals as embedded in families and communities
and in economic and political systems that exert a powerful pull on personality development,
social status, and life chances. It does not blame people’s problems on their individual defects,
but upon the lack of opportunity for advancement or access to resources in the social system.
8. Summarize the Catholic Bishopsโ statement on poverty.
โข Poverty violates the sense of a caring community, deprives people of citizenship, and leaves
them powerless. It assaults not only one’s pocketbook but also one’s fundamental human
dignity
9. What were Charles Murrayโs beliefs about teenage pregnancy?
โข Illegitimacy is the single most important social problem of our time โ more important than
crime, drugs, poverty, illiteracy, welfare or homelessness because it drives everything else.
10. What statements in the Personal Responsibility Act reflected Charles Murrayโs philosophy?
โข Title I of the Personal Responsibility Act, entitled โReducing Illegitimacy,โ declared that
โmarriage is the foundation of a successful society,โ and listed so-called โfactsโ about
illegitimacy that featured teenage mothers and linked criminality with absent black fathers.
11. What are some of the things that help to reduce teen pregnancy?
โข Sex education and easy availability of contraception lower the likelihood of getting pregnant.
Research shows that the most powerful factor in the decision to delay pregnancy until later in
life is an adolescentโs commitment to education and a future career apart from motherhood.
12. Why does the National Organization for Women (NOW) maintain that the Personal
Responsibility Act is an attack on women?
โข It attempts to pressure all women into a repressive sexuality, limited reproductive choices, and
conventional family arrangements.
13. Describe how welfare provides a good example of the cycles of reform using the theory of
Frances Fox Piven and Richard Cloward.
โข Welfare expands and contracts in response to changes in the economy and the political
climate. Welfare expands in times of civil turmoil, and when the turmoil dies down, welfare
contracts and is used to enforce work norms. An example of the cycle of expansion is the
beginning of large-scale federal relief programs during the Great Depression. An example of
contraction is the cutbacks during the 1940โs and 1950โs after the turmoil of the 1930โs
subsided. Welfare was often withheld from people in order to force them into low-paid
agricultural and factory work.
14. What is the โprinciple of less eligibilityโ?
โข Welfare grants should be kept lower than the lowest wage, in order to encourage people
to take any low wage job rather than go on welfare.
15. Why is welfare like โsocietyโs lightning rodโ?
โข Welfare attracts peopleโs ideas and beliefs about dependence and self-reliance-about work,
about race, about single mothers, and about the nature of a just society. Welfare is more of a
politically hot issue in the United States than in any other industrialized country.
16. Why does Wacquant say that the governmentโs policy for poor people is now โprison fare
and workfareโ?
โข In the 1960โs the goal for prisoners was rehabilitation, but now the goal is being tough on
crime. Wacquant believes that welfare reform and massive incarceration were two parts of
the same policy of enforcing conformity to an unstable job market of temporary, part-time,
and low paid people. In addition to enforcing low-wage work, politicians use โtough on crimeโ
rhetoric to win elections and cash-strapped rural communities build prisons to provide
employment-sometimes the only employment available in the community. The U.S.is the
worldโs leader in incarceration with 3 million people in the nationโs prisons or jails in 2010,
which is a 50% increase over the past 30 years. Tough on crime policies run parallel to tough
on welfare policies and child welfare policies terminating parental rights. African-Americans
are disproportionately represented in all of these populations.
17. Discuss some of the beliefs of the mental patientsโ liberation movement.
โข They believe that mental patients should not be coerced into hospitals or into taking
medication. They believe that professionals have treated them in paternalistic and controlling
ways, and they believe that patients and ex-patients are capable of running their own services.
18. What have been the unintended consequences of deinstitutionalization of mental patients?
โข Many of the patients have been “re-institutionalized” into shelters for the homeless, nursing
homes, and prisons. Not enough community residences were provided for after care services
for the discharged patients.
19. Why are so many mentally ill patients placed in nursing homes?
โข Since Medicaid paid for nursing homes and was paid for partly by the federal government, this
encouraged states to shift much of the financial burden to the federal government by
discharging patients to private nursing and boarding homes. In addition, patients were
federally subsidized by Supplemental Security Income (SSI) and Social Security Disability
Insurance (SSDI).
20. How does the juvenile justice system differ from the adult criminal justice system?
โข Juveniles do not have the right to a jury trial unless they are bound over to an adult court. Their
cases are heard in a closed court.
21. When does a particular kind of personal or social behavior become defined as a โsocial
problemโ?
โข Behaviors become social problems when some people and organizations force those issues to
the top of the public agenda. Wife-abuse and rape were not defined as social problems until
the feminist movement challenged traditional assumptions about a womenโs place in society.
The process of defining and treating those problems is often more political than scientific. The
drug scare led an overwhelming majority of both houses of Congress to vote for new antidrug
laws, sometimes the objective reality of the scope of a problem has very little relationship to
the public perception, of its gravity as shaped by the media. The drug problem was
exaggerated, and the AIDS problem was underplayed for many years, due largely to lobbying
efforts of various interest groups.
22. What are the differences between the Charity Organization Societies (COS) and the
settlement house movement?
โข The COS claimed to deliver โscientific charityโ through case-by-case work of โfriendly visitorsโ.
These โfriendly visitorsโ sought to separate the โdeservingโ from the โundeservingโ poor
through an investigation of their life situations. The COS thought that poverty was
perpetuated by indiscriminate relief giving, which made people lazy, or by character defects.
The settlement house movement was exemplified by the work of Jane Addams at Hull House
in Chicago. The settlement house workers wanted to bring together the privileged and the
underprivileged. This movement established agencies in city slums where professionals gave
group services and engaged in social action on behalf of the slum dwellers. Jane Addams drew
a sharp distinction between her kind of work and the work of the COS. She did not think that
the COS workers were โfriendlyโ at all in the moralistic way they drew distinctions between the
deserving and undeserving poor.
23. What might account for the initial slow government response to the problems associated
with AIDS?
โข The perception of AIDS as a result of “deviant” sexual behavior of gay men stigmatized its
victims and caused people to deny its seriousness.
24. Discuss the findings of the study by Fairness and Accuracy in Reporting (FAIR) about how
the media contributed to stereotyping of welfare recipients?
โข Most people interviewed were politicians and government officials, and most said that
spending on the poor ought to the restricted. Governors who had implemented punitive
programs were interviewed often. Welfare recipients were seldom interviewed and those
chosen to be interviewed often reinforced stereotypes.
25. How did the civil rights movement affect the human services?
โข People of color, feminists, gays, and young people created their own alternative self- help
groups such as the Black Panther breakfast program, feminist health collectives, parent co-op
day care centers, shelters for battered women, rape crisis centers, and gay and lesbian
counseling centers.
26. How did the OEO War on Poverty affect the human services?
โข It challenged the traditional practices of social workers. Agencies hired indigenous workers
from the communities they served in order to forge links between the agency and the users of
service. Poverty lawyers often clients against what they viewed as repressive agency rules or
practices.
27. Describe the New Careers movement.
โข It was begun as part of the War on Poverty to create human service careers for poor people.
Because of the “career ladder conceptโ, a worker who was not formally trained or credentialed
could advance through on-the-job experience. One of the movementโs leaders started the
College of Human Services in New York City with the intention to โchange the whole pattern of
credentialingโ.
Closed-ended Questions
1. The federal government supports college programs in prisons.
a. True
b. False
2. The poor have always been treated with suspicion and mistrust throughout history.
a. True
b. False
3. Governments have generally been eager to give help to the needy.
a. True
b. False
4. What philosophy of social welfare believes that all citizens should have help as a social
right?
a. Capitalism
b. Institutional
c. Means-tested
d. Special needs
e. Residual
5. The first large-scale federal involvement in income supports was
a. General Assistance.
b. Food stamps.
c. Social Security Act.
d. Women, Infants, and Children Program.
e. War on Poverty.
6. The last major federal expansion in the welfare state was the:
a. Social Security Act.
b. Personal Responsibility and Work Opportunity Act.
c. Mothersโ Pension.
d. War on Poverty.
e. TANF Program.
7. The welfare rights movement of the 1960s and 1970s helped welfare recipients feel that
their job as mothers deserved societyโs respect and recompense.
a. True
b. False
8. The view that poverty and other social problems are caused by the people who are
enmeshed in those problems is called
a. victim-blaming.
b. family-centered theory.
c. opportunity theory.
d. socialism.
e. social democracy
9. The Catholic Bishops have called for more help for the poor and oppressed.
a. True
b. False
10. A victim-blamer would be likely to attribute the cause of homelessness to personality
defects.
a. True
b. False
11. People who believe that problems are caused by an unjust social system are likely to prefer
means-tested over universal programs.
a. True
b. False
12. The Personal Responsibility Act gave generous benefits to teen parents.
a. True
b. False
13. Welfare has been called one of the battlegrounds of a war on women.
a. True
b. False
14. In the 1990s, a victim-blaming theory was more prevalent in the United States than an
opportunity theory.
a. True
b. False
15. More women are behind bars today than at any other point in U.S. history due to mandatory
sentencing for drug offenses.
a. True
b. False
16. Charles Murray believes that the most serious social problem today is
a. AIDS.
b. drug use.
c. teenage pregnancy.
d. pollution.
17. Frances Fox Piven and Richard Cloward believe that welfare expands in times of civil
turmoil.
a. True
b. False
18. The โprinciple of less eligibilityโ states that welfare payments are kept lower than wages
in order to encourage people to take any low-wage job rather than go on welfare.
a. True
b. False
19. Middle-class women who choose to stay home to care for children receive tax deductions.
a. True
b. False
20. The rate of recovery of mental patients is higher in
a. the United States
b. England
c. Third-World countries
21. Abstinence education is effective in lowering birth rates.
a. True
b. False
22. The Progressives wanted to abolish mental hospitals.
a. True
b. False
23. The child-saving movement led to the development of childrenโs institutions, foster care,
and the juvenile court.
a. True
b. False
24. Deinstitutionalization was a large-scale reform movement that.
a. returned people from the community into state hospitals
b. took people out of institutions and returned them to their community
c. was very successful and lived up to its promise
25. Since the Gault case, juveniles have the right to confront and cross examine their accusers
and witnesses when accused of a crime.
a. True
b. False
26. Boot camps are an effective method of treating delinquency.
a. True
b. False
27. The largest proportion of anti-drug money has been spent on law enforcement and jails
rather than on drug treatment programs and supportive services for addicts.
a. True
b. False
28. After basketball star Magic Johnson and tennis champion Arthur Ashe admitted that they
were HIV positive or had contracted AIDS, the media was less sympathetic in its discussion
of the disease.
a. True
b. False
29. African-Americans use cocaine more than white people.
a. True
b. False
30. The media consulted research, advocacy groups, and welfare recipients frequently when
they presented information on welfare.
a. True
b. False
31. A good diet and exercise would have the same benefits for poor people as they do for the
rich.
a. True
b. False
32. The Charity Organization Societies were the first to use:
a. Group work.
b. Case work.
c. Community organizing.
d. Advocacy.
e. Community development.
33. The settlement house movement relied mainly on case work.
a. True
b. False
34. The settlement house tradition has influenced the profession of social work more than the
Charity Organization Society tradition.
a. True
b. False
35. The designers of the War on Poverty criticized social work for being out of touch with poor
people.
a. True
b. False
36. The New Careers movement created many entry level human service jobs for poor people.
a. True
b. False
37. The United States has the highest incarceration rate in the world.
a. True
b. False
38. As welfare and other safety net programs were cut back, the criminal justice system has
expanded.
a. True
b. False
Chapter 2
1. B
2. B
3. B
4. B
5. C
6. D
7. A
8. A
9. A
10. A
11. A
12. B
13. B
14. A
15. A
16. C
17. A
18. A
19. A
20. C
21. B
22. B
23. A
24. B
25. A
26. B
27. A
28. B
29. B
30. B
31. B
32. B
33. B
34. B
35. A
36. A
37. A
38. A
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