Showing posts with label assignment. Show all posts
Showing posts with label assignment. Show all posts

Saturday, November 10, 2018

Child-Friendly Assessment


In one of my earlier post, I talked about the need for assessment of learning, and that assessment need not necessarily be a burden.  Just to clarify again, assessment starts the moment we first interact with the child and ends when the child left.  It’s a continuing process, and how you used the findings will determine its importance.

Assessment can be done through our daily observations, activities and interactions with the child.  However, our education system also demands a child to go through some form of written paper-pencil test which are most often standardized, and this is where the issues and gross misunderstanding of assessment arises.

A written paper-pencil test, especially those of the summative nature, are often large-scale, standardized, and more often than not, assesses only the recall and retrieval ability of the child.  Such assessments are a burden and can even have major implication on the self-esteem of the child.   It’s no wonder standardized assessment are often seen negatively because it assumes that every child learns in the same way, took away the autonomy of the child and the teachers, and reduces the whole being of an individual into statistics. 

But large-scale standardized assessment must not be confused with individual assessment (worth of a being) as it has its own objectives and usage.  They are meant to be quantified, and it has its due share of benefits. Large-scale standardized assessment, if designed objectively and executed methodically can yield several benefits, such as: ensuring accountability of the delivery system, monitoring performances at various stages/levels of the schooling system, informing educational policy and planning, facilitating better teaching-learning processes through instructional diagnosis and generating a discourse on quality of student learning.

Large-scale Assessment has often been misused that it has become an exacting experience for the students and the teachers.  Students are habituated to an assessment that can only lead to stress, marking, pass or fail, and a tension for their future. Large-scale standardized assessment must veer-off from that perception, and one way to do that is to adopt a child-friendly approach of assessment.

Child-friendly assessment is a concept that can be defined simply as the deliberate process of administrating a contextualized assessment in a stress-free environment through a friendly process. Child-friendliness must start from the conceptualization of the tools that we used for assessment, on how we present the reports and how we used it.

Child-friendly assessment is a deliberate process, and every aspect of it must be though-out before starting.  It begins from the tool development process till how we choose to present the data at the end.

Elements of Child-Friendliness in the Tool of Assessment:
  • Tool must have Diverse questions types with more MCQs than constructed responses: MCQs can cover broad topics, can easily detect misconception and misunderstanding, are more reliable and ease the checking process; while we need few constructed responses to test the depth of understanding.
  • Tool must take into account the aptitude and capabilities of the children: The structure, language used, and content of stems are derived from the existing syllabus considering its age-appropriateness.
  • Tool must take into account the experiences of the child: The constructed responses must focus on the child’s narrative of their life experiences.
  • Tool must respect and acknowledge the social and cultural context of the child: The tools are designed to ensure context appropriateness, and sensitively includes examples and contents from each area of where the tools are administrated.
  • Tool must respect and accommodate the prior knowledge and experiences of the child: Besides asking questions that are directly related to the experience of the child, it also asks them question related to topics which they have covered previously.
  • Tool must have simple language and design: The papers are designed in such a way that it minimizes room for confusion (eg. No questions are broken across pages, differentiation between number and stems, consistency in formatting and wording, and proper instructions), have illustrations and pictures to make it more attractive.
  • An Exhaustive Rubrics for Constructed responses: The rubrics or answer key must consider the child’s point of views.  The tool developer must pilot their tools before finalizing it, exploring all possible ways a question can be answered.  The child’s point of view on an issue will come within a context, and such views must also be assessed from that point of view.

Elements of child-friendliness in Practices and Processes of Administration:
  • Be very selective of the Assessor: Be very selective of who you select as assessors.  You don’t want random people to go to school to administer the assessment.  We want someone who is approachable, pleasant and friendly to children, and have had experience of working with children before, and have had basic introduction to the various concept of education.  We also want that person to be able to comprehend the process of tool administration and maintain data quality.
  • Emphasis on training of assessors: Assessors must be thoroughly trained for every processes and practiced for a number of days. The training must include mock-sessions for every key process like how to introduce yourself to the schools and students, how to introduce your tool to the students, what to say to the students to assure the students and reduce their stress, how to build rapport with the students, etc.
  • Rapport-building with the students: Make it compulsory for the assessor to focus on rapport building with the institution and the children before starting the assessment.
  • Have a set of what to do and what not to do: Train your assessors on a set of good practices that includes what to do and what not to do, how to speak, how to behave, and even appearance.
  • Focus on reducing the stress/tension in the assessment location: Train your assessors on how to assure the students that the assessment is not an assessment of their worth and talk about how one can change our destinies.
  • Reading of Questions: In Primary school, the questions could be read-out by the assessors (just have a separate instruction manual on what to read and not to read, and which word to emphasize, based on the objective of each of the questions).
  • Defined Process: Have a well-defined process for tool adminstration that is also documented as a manual and can be referred to by the assessors at all time and ensure that the assessors adhere to the manual.


Large-scale assessments are always expensive, as such it usually come with specific objectives.  They are mostly summative in nature, but many parts of the tools must be used formatively.  Doing assessment only for quantification purpose should be a crime, it’s not fair at all.  The data has so much potential to enhance the learning, so the findings must invariably go back to the teacher so that she can deal with the misconceptions and other challenges.

As we can seen from the above, standardized assessment can be versatile and can also be used for formative purposes also, however, standardized assessment has its own specific objective, as such, a teacher must refrain from using tools of such standardized assessment for assessing their own students, except for preparing them for such assessment. 

No one knows the students better than a teacher, and the teacher is the only qualified person to design a more contextualize tools. Consider the level and context of your child when designing, ask them question in a way they can fully understand what is being asked of them, focus on critical thinking and analyzing misconception, and most importantly, use the findings. 

It is in human’s nature to always want to know if they have achieved their objectives or not. Assessment is done basically because we have objectives.  And all our institutions that sets out with specific objectives, want to see if they are progressing as per their expectation, where and when they need to do course correction, and what remedial issues need to be taken.  Standardize assessment is here to stay, in school and outside school,  and we need to ensure that the tools we used and the processes we followed doesn’t add to more stress for our students.  


Friday, March 01, 2013

ROLE OF SOCIAL WORK IN CANCER PREVENTION AND CANCER CARE

 
Cancer is, to a large extent, avoidable. Many types of cancers are preventable. Others can be detected early in their development, treated and cured. Even with late stage cancer, the pain can be reduced, the progression of the cancer slowed, and patients and their families helped to cope.

The profession of social work has great strength in tools and techniques especially in the areas of community mobilization and in providing psychosocial support that the medical profession doesn’t have. Some other example of the strength of social work will include social action and mass mobilization; understanding of community’s dynamics and eliciting community participation; social welfare linkage and management; counselling, group work and community work for educational purpose and psycho-social support, etc. The tools of social action especially mass motivation, mobilization and participation of the community will be very effective at the preventive level of cancer.

In the Curative level, social work can provide supportive roles to the doctors and patients by providing psychosocial and emotional support which is today, widely accepted as a critical component of medical treatment. It can provide motivational, educational and therapeutic counselling to the cancer patients; it can links patients with necessary resources like funding and treatment aids from the governmental sector as well as non-governmental sectors, etc.

At the rehabilitation level, there is even a greater role for social work by taking care of the palliative unit. At the palliative level, taking care of the psycho-emotional needs is critical not just for the cancer patients but also for their families for any eventualities.

The Government of India under its National Cancer Control Programmes (NCCP) followed four principal approaches in controlling cancer in India. This paper will also follow that approach in exploring the possible roles of the profession of Social Work in Cancer Care and Prevention, with one more heading added, i.e. Policy level.  
  1. Prevention
  2. Early Detection
  3. Diagnosis and Treatment
  4. Palliative Care
  5. Policy Level


1. PREVENTIVE LEVEL
Prevention should be the key element in any disease control programme. Prevention means eliminating or minimizing exposure to the causes of cancer, and includes reducing individual susceptibility to the effect of such causes. This approach offers the greatest public health potential and the most cost effective long-term method of cancer control.

Cancer prevention at the individual and community level, social worker can take a leading role by ensuring community participation in taking preventive actions, awareness generation at all level from school, neighbourhood, to community.
  • The most useful prevention strategy is reduction in tobacco consumption (all forms). Currently about 50% of cancers in men and 20% of cancers in women are related to tobacco use. Social workers can take a leading role in spreading the health implication of tobacco, helping people deal with tobacco addiction, and rehabilitation of tobacco farmers and those whose livelihoods depended on tobacco in one form or the other by helping and generating alternative source of livelihood;
  • The social workers can ensure in involving all levels of the population in the educational process regarding cancer. The contents of cancer education should focus on, tobacco control, physical activity and avoidance of obesity, healthy dietary practices, reducing occupational and environmental occupational exposures, reducing alcohol use, immunization against hepatitis B virus, safe sexual practices to avoid human papilloma virus infection.
  • Campaigning for a healthy lifestyle, which includes eating plenty of fruits and vegetables, avoidance of alcohol and adequate physical activity, is protective for many of the non-communicable diseases including cardiovascular disease and diabetes, and can be considered as part of the overall health promotion programmes.
  • Cancers related to infectious agents such as human papillomavirus and hepatitis B virus can be prevented through vaccination strategies, and social workers can take a leading role in mobilizing the communities.
For the above mentioned prevention measures at the community level, a variety of methods can be employed to educated the community:
  • Among School and University student: Conducting drawing and essay competitions, debates, discussions, seminars and street play competitions, etc.
  • Among Community organization, Municipal, District and State Health Administration: Organizing Participatory workshops and training sessions.
  • In the Mass Media: Participatory programmes on radio and television, descriptive articles in newspapers and magazines,
  • Among the General population: Conducting exhibitions and public lectures, conducting street level awareness drive, focus group discussion with community members, health camp, etc.


2. EARLY DETECTION OF CANCER
Early detection of cancer is critical in combating cancer mortality rate. In India, almost 60 – 70 % of cancer patients are detected at advanced stage which reduced the chances of recovery and raise the cancer mortality rate. 

Cancer Screening is the application of a relatively simple and inexpensive test to asymptomatic subjects to classify them as being likely or unlikely to have cancer. A screening test in itself will not prevent cancer; it needs to be followed up through a systematic medical approach. Still, this is a relative simple measure for early detection of cancer that can be undertaken even by those who have no advance training in medicine but are familiar with medical processes like medical and health social workers with minimal training about the screening process.
  • Opportunistic screening or case finding can be done by the Medical Social Welfare Unit in selected pockets of community based on the populations’ likelihood of getting cancer (this can be determined by many criteria like life-style, community living in industrial areas, or in a waste disposal or waste treatment areas, community whose livelihood are related to radiation or tobacco industry, etc.). This will help not only in early detection but also in increasing the awareness level of the community.
  • Clinical breast examination can be made feasible for women above the age of 40 years, which can be carried out by general practitioners besides community mobilizers like Social Workers. Also there are some simple breast self-examination techniques for women which social workers can teach to groups of women in the communities.
  • Cancers in accessible parts of the body like the oral cavity may be detected at an early stage or even in a precancerous stage through simple inspection and examination; medically familiar personnel like medical social workers can be trained for this purpose.
  • Self-examination of the oral cavity (MSE) and breast (BSE) can be useful methods and each can be propagated widely as a strategy through simple IEC (Informational, Educational Communication) materials, community meeting, focus group discussion, etc. for the early detection of cancer.

3. DIAGNOSIS AND TREATMENT LEVEL
In the Curative level, social work can provide supportive roles to the doctors by providing psychosocial and emotional support to the patients and their families which is considered as a critical component of medical treatment. It can provide motivational, educational and therapeutic counselling to the cancer patients; it can links patients with necessary resources like funding and treatment aids from the governmental sector as well as non-governmental sectors, etc.

At the diagnosis and treatment level, the roles and functions that a social worker can play in cancer care are:
  • Motivation counselling to patients to seek medical help and enabling resources for the treatment and providing proper referral services
  • Educational counselling to the cancer patients about their medical status, preparing them for future course of treatment and treatment process and the possible outcomes of the treatments.
  • Therapeutic counselling to deal with the psychological stress and trauma that can have severe implication on their already weak physical body;
  • If the patients and/or the family are in crisis because of the treatment, crisis intervention has to be undertaken
  • Emotional support to the family of the cancer patients, and eliciting the involvement of the family in the treatment process
  • Providing the cancer patients with various social welfare resources that will enable and enhance their access to better health care and treatment
  • Linkage of cancer patients with governmental and non-governmental welfare resources
  • Organizing therapeutic and/or peer support group for cancer patients
  • Since cancer patients are under extensive emotional and psychological anxiety and stress, organizing recreational and entertainment for them is important
  • A diagnosis of cancer and subsequent treatment can have a significant impact on self-concept, the way in which people perceive or react to themselves. Living with cancer may affect personal self-concept (facts about the self or a person’s self-opinion); social self-concept (perceptions of how one is regarded by others); and self-ideals (perceptions of oneself with respect to how one would like to be). Social worker can provide support and counselling for such patients.

4. PALLIATIVE CARE
Palliative care is an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment, and treatment of pain and other problems – physical, psychosocial and spiritual. Palliative care is particularly important in less developed countries where a high proportion of cancer patients are diagnosed in advanced stages when treatment is no longer effective. These patients can be relieved from suffering with relatively low-cost interventions.

The various issues that crop up in palliative care especially in the terminal stages are:
  • Physical issues towards the end of life incudes loss of function and curtailment of activity and physical effects to perform activities of daily living, including self-care activities, mobility, physical activities and role activities.
  • Psychological issues towards the end of life include fear, distress, anxiety, anger, frustration, disappointment, depression, etc.
  • Social issues towards the end of life include disruption social relationships as a result of impaired ability to pursue normal activities and maintenance of social contacts.
  • Existential and spiritual issues towards the end of life include confrontation with mortality, the meaning of life, isolation and worth as a person. As patients reached terminal stages, spiritual issues gain importance as determinants of quality of life. Spiritual considerations may also assist the individual to endure present discomforts and, if need be, to face death with courage and dignity.
  • Impact of towards-the-end-of-life issues on the family includes general depression, concern about old parents or young children, unclear role and power structures in the family, unclear source of income and means of livelihoods, etc.
The role of the social worker is to help the family and patient deal with the personal and social problems of illness and disability, as well as to provide support during the progression of the disease and the bereavement process if the patient is at the end of life.
  • The social worker’s assessment helps define the patient’s and family’s needs from a psychosocial perspective, and helps anticipate problems within the family that may result from dysfunction and financial difficulties, particularly as the family begin planning for the future.
  • Social work offer such interventions as referral to needed community services, emotional support (including individual counselling of patients and family members) and bereavement counselling.
  • At this stage, social worker can help in finding help and assistance for the patients if there is no one to take care of them, find a nursing home or palliative care unit that can take-care of their personal needs, and helping the family of the patients on how to deal with this physical issues.
  • The social worker can help the patients in coping and dealing with the issues of their medical condition, including the possibility of death, ensuring that their personal concern and worries are taken care of as much as possible, and if the need arises, finding spiritual guide and person to interact with the patients.
  • The social worker can help the patients in staying in contact with family and friends and other loved ones, explain to the family how he is unable to maintain or reciprocate the relationships, etc.
  • Conducting support group for the family, along with therapeutic counselling to cope with the situation.

5. POLICY LEVEL OF CANCER CARE
There are many ways that a social worker can get involved at the Macro level of cancer prevention and cancer care:
  • Many types of cancers can be prevented to a large extent through a comprehensive tobacco control programme including education, legislation, and tobacco cessation services.
  • Ensuring leadership that create clarity and unity of purpose, and to encourage team building, broad participation, ownership of the process, continuous learning and mutual recognition of efforts made in cancer care.
  • Ensuring involvement of stakeholders of all cancer related sectors, and at all levels of the decision-making process, to enable active participation and commitment of key players for the benefit of cancer control programme.
  • Creation of partnerships to enhance effectiveness through mutually beneficial relationships, and build upon trust and complementary capacities of partners from different disciplines and sectors.
  • Responding to the needs of people at risk of developing cancer or already presenting with the disease, in order to meet their physical, psychosocial and spiritual needs across the full continuum of care.
  • Ensuring decision-making based on evidence, social values and efficient and cost effective use of resources that benefit the target population in a sustainable and equitable way.
  • Ensuring the application of a systemic approach by implementing a comprehensive programme for cancer with inter-related key components sharing the same goals and integrated with other related programmes and to the health system.
  • Seeking continuous improvement, innovation and creativity to maximize performance and to address social and cultural diversity, as well as the needs and challenges presented by a changing environment.
Looking at the prevalent trends in the spread and magnitude of cancer and its non-discriminate penetration of every sections of the society, cancer is already a health concern that needs urgent attention from all sections including policy-makers across the world. According to the World Health Organization, death from cancer and other life-style diseases in the developing world including India is expected to increase 104% worldwide by the year 2020. In India, the total cancer cases alone are likely to go up from 979,786 cases in the year 2010 to 1,148,757 cases in the year 2020.

The profession of Social work, especially medical and health social work must take this opportunity in order to survive and thrive in this fluctuating and complex environment in which it is reduced to a supporting role. Social workers must either accept this challenge to change and re-evaluate the services provided and expand their horizon of works or lose the opportunity to be players in the field of cancer prevention and cancer care.


[This is an extract from my Research Paper titled: Exploring the Role of Social Work in Cancer Care and Cancer Prevention submitted to the Dept. of Social Work, Jamia Millia Islamia (New Delhi) and conducted in BRAIRCH of All India Institute of Medical Science (New Delhi) between September 2011 – March 2012 ]


Wednesday, March 02, 2011

Categories of Victims and Phases of Disaster

(This is part of my assignment on "types of disaster and psycho-social impact of disaster", references are given at the end)

1. Categories of Victims of Disaster
2. Phases of Disaster

1. CATEGORIES OF VICTIMS OF DISASTER
Almost everyone in the population is affected by a disaster. No one is untouched by it. Those who suffer damage are called victims. The victims may die or live. Those who manage to live are called survivors. These survivors can be classified as follow (CRED, 2010):
VICTMS DEFINITIONS & EXAMPLES
Primary Survivor One who is exposed to the disaster first-hand and then survives. They are called ‘survivor victims’. Intervention is primarily for them since they are the most highly impacted amongst the victims. Survival guilt (“why don’t I die with my family?”) is very high among primary survivor.
Secondary Survivor One who grieves the loss of primary victims, Eg. A mother who lost her child, or a man who lost his friend. Self-blame (“I should have done this”) is common among secondary survivor.
Third Level Survivor The rescue and relief personnel who are exposed to the devastation and sufferings of people are also highly affected by the disaster. They undergo almost the same mental trauma as the other victims.
Fourth Level Survivor Reporters, government personnel, traders, etc.
Fifth Level Survivor People who read about or see the event in media reports.

2. PHASES OF DISASTER
Disasters are not totally discrete events. Their possibility of occurrence, time, place and severity of the strike can be reasonably and in some cases accurately predicted by technological and scientific advances. It has been established that there is a definite pattern in their occurrences and hence we can to some extent reduce the psychosocial impact of damage though we cannot reduce the extent of damage itself.
There are a number of disaster phases that have been identified by mental health professionals (CRACC, 2008). Each of these phases is associated with emotional and behavioural elements, although there is often overlap.
(i) Pre-disaster Warning: The length of this phase depends on the event. For flooding, there are usually several days of warning that give people time to prepare, but for tsunami the warning might be short, while earthquake may not come with a warning.
(ii) Impact/Inventory (within hours): People may be temporarily stunned or confused as the disaster strikes, but they quickly recover and focus on protecting themselves and those close to them. Emotions include fear, helplessness, loss, dislocation, and feeling responsible ("I should have done more"). The inventory phase immediately follows the event as people start forming a preliminary picture of individual and community conditions. Emotions are wide-ranging as the extent of the impact is realized.
(iii) Heroic (up to 1 – 2 weeks): Throughout these first phases and afterward, people are responding to demands for heroic action to save the lives and property of others. Altruism is prominent. And people are willing to put forth major energy to help others survive and recover.
(iv) Honeymoon (1 – 24 weeks): This phase generally extends from one week to six months after the disaster. For those most directly affected, there is a strong sense of having shared with others a dangerous, catastrophic situation. For the community, there is a sense of cohesion and working together to recover. Relief efforts are in full swing, and hopes of a quick recovery run high. The emotions associated with this phase range from gratitude and hope to grief and continued disbelief.
(v) Disillusionment (2 months – 2 years): This phase can last from two months up to two years. The realities of recovery set in, and people experience feelings of disappointment, frustration, anger, resentment and bitterness if setbacks occur and promises of assistance are not fulfilled or are seen as too little, too late. Outside relief agencies and volunteers leave and some local community groups may weaken. Those most directly affected realize they have much to do themselves and their lives may never be the same. The ‘shared community’ feeling may gradually be lost as people concentrate on rebuilding their own lives and solving individual problems. Emotions are likely to include self-doubt, loss, grief, and isolation.
(vi) Coming to terms/Reconstruction (2 -5 and Lifetime): This phase generally lasts for several years after the disaster. Survivors focus on rebuilding their homes, businesses, farms and lives. The appearance of construction and new buildings, and development of new programs and plans bolster residents' belief and pride in community and in their own individual abilities to rebuild. But this process can be marked by ups and downs as anniversary and other events trigger emotional reactions, and if signs of progress are delayed.
It is important to understand the various phases of disaster because adopting the most appropriate approach right after the onset of disaster can make a big difference in the long-term, especially in the sphere of dealing and coping with the psycho-social impact.

Friday, September 24, 2010

GENDER AWARE SOCIAL WORK

INTRODUCTION
Contemporary social issues are highly complex, globally interrelated, and dynamic. Social workers have contradictory roles when dealing with them: they have to act as instruments of government (the social control function) and as advocates of people oppressed by the policies of government and other authorities (the social change function). Under the present circumstances social workers must be able to draw upon many sources of information and different knowledge traditions. Accomplishing this requires them to break out of the truths of objectifying knowledge and the traditional meta-narratives of the profession.
For social work it is important to understand primarily the mechanisms that produce and reproduce social inequalities, and for the purpose of the current paper the inequalities between the genders. The discourse on women is still trapped in a binary understanding of the differences between nature and culture, body and mind, private and public, civil and political, emotional and rational, and so forth, where the first binary pole is said to belong to women and the other to men.

Gender is undoubtedly among the most important issues, without critical reflection on gender in everyday practices, social workers are likely to encourage the reproduction of traditional gender-specific family roles in circumstances in which the constant questioning of them would be more appropriate

Gender Aware Social Work theory and practice has much to offer the practitioners who can adapt its principles for professional practice. The existence of gender aware social work is testimony to their capacities to do so. Gender aware social work has encouraged the assumption of a gender-sensitive stance in working with women and insisted on valuing women’s knowledge, talents and contributions to the profession.

The insights provided by this paradigm have been incorporated into a wide range of social work activities.

The current paper shall deal with the Concept of Gender and placing it at the Centre of the Social Work practice. The paper aims to further discuss the various theoretical and practical issues regarding Gender Aware Social Work.  This paper is by no means a thorough description of Gender Aware Social Work, but instead is a humble attempt to familiarise and understand the importance of Gender in Social Work theory and practice.

UNDERSTANDING GENDER
For many people, the terms “gender” and “sex” are interchangeable. Yet biological sex and gender are different; gender is not inherently connected to one’s physical anatomy.  Sex is biological and includes physical attributes such as sex chromosomes, gonads, sex hormones, internal reproductive structures, and external genitalia. At birth, it is used to identify individuals as male or female.  Gender on the other hand is far more complicated. Along with one’s physical traits, it is the complex interrelationship between those traits and one’s internal sense of self as male, female, both or neither as well as one’s outward presentations and behaviours related to that perception.

The French Feminist Simone de Beavoir who is considered as a precursor of gender theories, had analyzed that biological determinism confines women to the sphere of reproductive and nurturing roles. She pointed out the difference between "natural and cultural sex" by saying that a "woman is not born but made" This later on became the basis for gender theories.

Ann Oakley who was among the first few feminists to use this concept says, " Gender is a matter of culture, it refers to the social classification of men and women into masculine and feminine." "Male-ness and female-ness are not biological givens, but rather the result of a long historical process.

Gender refers to the socio-cultural definition of man and woman, the way in which they are differentiated and assigned socially acceptable roles. These are maintained, sustained by multiple structures like family, community, society, ethnicity, and through tools like culture, language, education, media and religion.

For ages we have been socialized into believing that the different categories, roles and status accorded to men and women in society is determined by biology i.e. sex, that they are natural and constant and therefore not changeable. In a way, women and their bodies are held responsible for their specific roles and subsequently their subordinate status in society.

When biological determinism has been accepted as natural, there is obviously no need to address the gender inequalities and injustice that exist in society. However, if biology alone determined our roles, every woman would be only cooking washing sewing etc. But this clearly is not the case because most professional cooks, launderers and tailors happen to be men. The roles also change with time, culture, and region.

Therefore, neither sex nor nature is responsible for the unjustifiable inequalities that exist between women and men. Like the inequalities that exist between classes and races, inequality between women and men are also created by historical constructs and therefore they can be questioned, challenged and changed.

In short, Gender refers to
·         The social differences between men and women
·         Gender is a learned and enforced behaviour
·         Gender varies with culture
·         Gender varies within culture
·         Gender changes over time.
Knowledge of an individual's gender provides information that ultimately influences how people behave, think, and react to individuals. Hoffman and Pasley assert there are five cognitive structures influenced by gender:
·         Perceptions about men and women
·         Attributions, or explanations based on being male or female
·         Expectancies, or predictions based on whether one is male or female
·         Assumptions regarding the nature of men and women
·      Beliefs or standards, or the underlying systems that define how men and women "should be"
All five of these cognitive structures are dynamic, interrelated, and influenced by gender as a social category.
Gender stereotypes are beliefs or assumptions about men's and women's roles and characteristics; however, they do not necessarily correspond to reality. They have strong prescriptive effects on individuals' responses. Gender stereotypes can lead to prejudice and discrimination. For example, an employer might hold a belief that women are too emotional (a gender stereotype), leading to dislike and prejudice (a negative attitude) toward female employees. Ultimately, this could lead to discrimination (a biased behaviour), as the employer will not hire women for a particular position based on this gender stereotype

GENDER IN SOCIAL WORK
Social work provides a site in which sexual politics are played out so that dynamics endorsing male supremacy operate within social work as well as outside it.

Social work is defined as a ‘women’s profession’. Although numerically dominant, women do not control it. The historical development of Social Work occurred in the tradition of middle class philanthropy, whereby the women of the middle class were active in the works of charity. This trend is argued to be an extension of “caring and nurturing” by these women from the households to their communities.

Prof. Anjali Gandhi argues that “as social work grew into a visible profession with reasonable remuneration and opportunities for career progression, it paved way for the entry of men. While women worked largely at grassroots level, men occupied middle or managerial positions.”

Men are abandoning direct work with ‘clients’. Men have become even more reluctant to join the practitioners’ ranks during the past decade. Unlike women, they use practice as a steppingstone to a management career.

Decision-making processes and policy formulation remain firmly under men’s control. Women practitioners are likely to be managed by men and take this as the norm. Women occupying these positions appear as aberrations because managerial skills are associated with men and their unusualness is remarked upon.

Thus, one could argue that that the current Social Work practice maintains the existing gender order i.e. women as care givers and men working at the level of policy making and administration. It is crucial to point out at this juncture that male dominations is visible not only in the practice but also in the theories and literature of Social Work.

The historical backdrop of the feminist movement and the different waves of feminism provides a context to understand how feminist social work grew. As stated, with women gaining voices and visibility by their activism in the 1960s, feminism challenged the existing gender biases. They were concerned with the lack of representation of women in counseling training programs and in research and the lack of recognition of the role of gender.
Many clinical and counseling theories are based on socially constructed norms of healthy male development. For example, Erik Erikson's developmental theory delineates life-span tasks from birth to death. The goal of every developmental task is for the individual to begin individuating and achieving autonomy in order to develop a healthy ego . One of the main feminist criticisms of Erikson's theory is that the notions of autonomy and independence are based on male norms in Western society. Women, on the other hand, are more relational and strive to be connected in relationships. If women do not fit into this developmental cycle, will they develop pathological symptoms?
The notion of abnormality is heavily influenced by social and cultural norms. Early philosophers have depicted women as irrational beings. Harris and Lighter assert that, historically, when women were the focus of attention in the mental health fields, they were "in the role of patient or repository of psychopathology, not as exemplar of healthy personality development". In the 1700s and 1800s, women's mental illness was linked to sin and vice, and later, women's mental illness was tied to the "weaker" female constitution due to menstruation, pregnancy, and menopause. Some even argued that a woman's womb moved aimlessly throughout the body, causing insanity and draining life energy.
Some have argued that the negative construction of women's bodies and behaviors essentially functioned as social control. Women's roles were maintained by labelling socially unacceptable behaviours as "hysterical," "insane," or "neurotic.
Thus, there is a need for a paradigm of Social Work theory and practice that takes into consideration the constructions of gender and is more sensitive towards women and their context.
Feminist movements have been the pioneers in bringing forth the critique of the arbitrary construction of gender. Thus, for the understanding that feminists hold regarding Gender, Feminism is an appropriate tool to develop Gender- sensitive Social Work or Gender Aware Social Work. 
Therefore, the following discussion of Feminist Social Work seems essential.

FEMINIST APPROACH TO SOCIAL WORK
Feminist Social Work could be defined as a form of social work practice that takes women’s experience of the world as the starting point of its analysis and by focusing on the links between a woman’s position in society and her individual predicament, responds to her specific needs, creates egalitarian relations in ‘client’–worker interactions and addresses structural inequalities.

Meeting women’s particular needs in a holistic manner and dealing with the complexities of their lives – including the numerous tensions and diverse forms of oppression impacting upon them, is an integral part of feminist social work. Its focus on the interdependent nature of social relations ensures that it also addresses the needs of those that women interact with – men, children and other women.

Feminist social workers have been first to root women’s troubles in their social positions and roles as women. In creating feminist social work, women activists have drawn on feminist insights more generally and woven these into their own unique patterns of theory and practice

Feminist social workers have challenged gender-blind theories and practices that have treated women as offshoots of men under the guise of the universal human being that although un-gendered resounds to men’s ways of thinking, living and working. In social work, these have been replaced with woman-centred approaches that advocate sensitive gendered responses to the needs of women ‘clients’ and women workers. More recently, feminist social work has incorporated men more fully into its theory and practice.

By placing gender on the social work map, feminist social workers have challenged the gender neutrality regarding this social division usually upheld in traditional professional social work theories and practice. Feminists have questioned traditional practitioners’ reliance on a Universalist discourse that uses men as the yardstick for measuring (all) women’s experiences because locating women in these spaces denies women’s specific experiences in the routines of daily life and presupposes their dependent status.

According to Domineli, Feminist social workers have examined the contexts in which social work practice is undertaken by both relocating social work within a patriarchal capitalist global social structure and focusing on the gendered nature of social relations which are locality specific and differentiated across multiple social dimensions.

Whilst social work is understood within its legislative frameworks and specific national and cultural contexts, feminists attempt to identify those elements that women share with other women. Hence, feminist social workers seek to bridge gaps amongst women by examining the commonalities they share with each other alongside the specificities of their particular positions.

However, their focus on similarities between women has been criticised by postmodernists. The postmodernists questioned the validity of the Feminist approach as one that treats women as a singular, uniform category. She terms these ‘essentialist’ for ignoring the impact of ‘race’, disability, age, sexual orientations and other social divisions upon gender relations, despite their commitment to examining women in their social situations. Nevertheless, the importance of the Feminist Approach to Social Work is not undermined by such arguments.

Gender Aware Social Work is not exclusively women centric. However, since women have been victims of systemic oppression, women are the apparent focus of Gender Awareness Social Work. This approach has a crucial role to play in working with men also.

The importance of social workers responding to men’s needs, particularly in relation to assisting men in the tasks of improving their psycho-social functioning and re-education regarding the formation of non-abusive intimate relationships with less socially powerful women and children, has been identified and acted upon.  The scope of this approach for working with men shall be discussed later in the course of this paper.

Feminist social work has shed important insights on this issue because it takes women’s well-being as the starting point, though not necessarily the end of its analyses and has made creating egalitarian social relations an integral part of practice.

According to Harding, Feminist Social Work has the following features:
1)      challenging men’s experiences as the yardstick for measuring women’s;
2)      unpacking universalist standards and exposing their failure to describe, understand or value women’s diverse lifestyles and contributions to society;
3)      critiquing dualist thinking and the concepts that formulate knowledge as binary categories operating in opposition to each other;
4)      recognising identity politics as a central dynamic in how social relations are organised and reproduced;
5)      respecting women’s multiple and fluid identities;
6)      acknowledging the significance of gendered power relations in shaping the opportunities available for men and women to build their lives in accordance with their views of their needs; and
7)      recognising the capacity of women to take action on their own behalf and to demonstrate solidarity across a range of social divisions.

IDEOLOGICAL ORIENTATIONS
Feminist theory has impacted not only Individual and collective lives but ways In which knowledge about Individuals and society is developed and used. Feminism is transforming both social thought and social action.
Social work has also been influenced by and influencing feminist thought and action. Recent literature calls for a re-examination of social work learning and practice based upon new knowledge about women as well as new interpretations of previously existing theories and beliefs about women's roles in society.
Feminist theory forms the basis for the study of the experiences of women in society, specifically of women's status and position within that society, on the premise that women's experience emerge from its social, political and economical structure.
Feminist thought assumes that women's interests and perspectives are valid in and of themselves, are not inferior or secondary to those of men's, nor should they be defined only in relation to or as a deviation from men's experiences. The absence of these assumptions in traditional sociological, psychological, historical and philosophical scholarship is one of the criticisms which have emerged in feminist scholarship.
While feminism is grounded in these fundamental premises, there is no single or universally accepted version of feminism. Each framework yields a different interpretation of the social world and influences the assumptions, observations, and conclusions that are made regarding women's experiences in society as well as the change strategies that are employed to alter that status and those experiences.
The main currents of Feminist theory are briefly described below:

Liberal feminism locates the origins of women's oppression in women's lack of equal civil rights and equal opportunities as well as in past tradition and learned psychology associated with the sex role socialization process. Based upon this analysis, liberal feminism purports that women's liberation will be achieved with the removal of sexist discrimination so that women have the opportunity to pursue their potential for individual development just as fully as men do.
This feminist perspective emphasizes social and legal reform through pol1cies designed to create equal opportunities for women and to establish individual civil rights so that no one is denied access to the existing social-economic system because of sex, race, or class. Liberal feminism further assumes that the re-education of the public concerning the sex role socialization process is a means towards achieving more liberated and egalitarian gender relations.
Socialist feminism locates the origins of women's oppression in the interaction of the capitalist system based on class inequalities, with the patriarchal system based on gender inequities. As a result of this interaction, women are subordinated and exploited through misuse of their labor In the marketplace, for which they are persistently underpaid, and of their labor in the home, for which they are not paid at all. Current reality is viewed in terms of an economically based class system reinforced by sexist attitudes and practices.
According to this analysis, feminism aims to abolish both capitalism and male dominance in order to end women's oppression. In contrast to the reform-oriented liberal feminist perspective, socialist feminism emphasizes the necessity for revolutionary societal changes in order to eliminate the existing unequal distribution of power.
Equality is viewed not only in terms of opportunity but, more crucially, in terms of rewards. This perspective necessitates and facilitates an understanding of the experiences of women of all classes and races as a means of understanding oppression. An essential feminist strategy for achieving the liberation of women involves al1gnment with other oppressed groups in order to find their common grounds of oppression and to resist women's subordination in the marketplace and in the home.
Radical feminism locates the origins of women's oppression in the patriarchal control of female sexuality and female fertility. This perspective Identifies male power and privilege in patriarchal relations as the essential determinant of women's subordination. Radical feminism emphasizes that in the existing social order women are oppressed and exploited primarily in sexual and procreative relations in the home, which is the sphere of life defined by the male culture as personal rather than as political.
Just as with socialist feminism, radical feminism challenges society's basic structure and identifies the need for revolutionizing its existing organization. An essential strategy for eliminating women's oppression is the establ1shment of a woman culture separate from the lives of men, thus redefining social relations and overthrowing or undermining the present dominant patriarchy.

Some of the other popular feminist theories are mentioned below:
Cultural feminism argues that certain qualities or characteristics (e.g., nurturing) are more prevalent in women. Cultural feminists believe these characteristics should be honored and valued as opposed to focusing on the similarities between men and women. According to this school of feminism, society should be restructured in such a way that emphasizes cooperation rather than aggression

Women-of-color feminism asserts that many of the other feminist perspectives do not take into account other factors of female diversity, such as race, ethnicity, social class, and sexual orientation, although these dimensions affect the lives of women as well . For example, a lesbian woman's life experiences will be uniquely different from a heterosexual woman's due to the different experiences and forms of discrimination.

Postmodernist feminism: Postmodernism is an intellectual movement that argues against the traditional and universal ways of theorizing and reasoning and Western notions of science. Postmodernists are also opposed to the language of binary opposites (e.g., male/female, white/black, etc.). Postmodernist feminists emphasize the importance of deconstructing discourse to identify sexist and patriarchal tones and biases in Western culture.

Global feminists emphasize the issues of oppression, marginalization, and discrimination among all women globally. They focus on oppression as it relates to neo-colonialism (economic structures created by former colonial powers to maintain colonies' dependencies) and global capitalism. Issues such as education, prostitution, and access to health care are important topics for global feminists.

FEMINIST SOCIAL WORK- THEORY AND PRACTICE

Social work occupies an interesting position within the nation-state as the collective expression of its desire to care for others in difficult circumstances, and as a professional activity whose practitioners work in the interstices between the national and local levels, and between the personal and political planes. Social workers as public officials who represent the public’s wish to intervene in the private lives of fellow citizens, if necessary without their consent in cases of mental illness or child protection, engage with the contradictions encapsulated by this divide. Consequently, the division between the public and private sphere is crossed at a number of different points in practice.

Feminist insights about the nature of the public–private divide can contribute to reconceptualising it. In social workers’ encounters with women, the division of women’s lives into public and private domains is important. Many ugly secrets about the horrific abuse of women and children within the privacy of family settings become routine knowledge within the social work domain. Ironically, this knowledge becomes privately appropriated by remaining ‘confidential’ information between practitioners and ‘clients’, rarely being shared beyond the realm of supervisory relationships and case files. Feminists have pressed for government action in subverting the public–private divide by passing
laws against domestic violence and child abuse in the home proposing laws against rape in marriage, building women’s shelters; and providing resources to help men desist from abusive behaviours.

In the context of the traditional Social Work practice with families provides sites in which patriarchal relations can be reproduced. Social workers engage in their perpetuation by enforcing women’s roles as mothers and nurturers whilst excluding men from being involved in these.

Feminist social work has sought to identify the inadequacies of this approach to women, children and men within family settings and provided principles on which more egalitarian relationships can be established.

Working with men
Feminism is not against men’s well-being, but it is firmly against sexism and privileging men’s welfare over women’s. This includes privileges emanating from practices that: endorse the preferential treatment of men over women on sexist grounds in any arena; give preference to boy children over girls; require women to subordinate their needs to those of the men in their lives; and exert unilateral forms of control over women’s sexual and reproductive capacities. Social workers cannot support a sexist status quo be anti-sexist, feminist, pro-feminist or woman-centered. Feminist social workers would address questions of which interventions best ensure the well-being of women, men and children. Instead of conceptualising women’s welfare as being gained at the expense of men or children or vice versa, they think of how to end gender oppression and affirm the wellbeing of all as an outcome of the process of empowering women.

The internalisation of the sexism implicit in hegemonic social relations between men and women may result in women practitioners colluding with sexist assumptions held by male ‘clients’. A woman social worker may relate to a man on a stereotypical basis if she is not aware of gendered power. Moreover, in their relationships with men ‘clients’, women practitioners should not think of power as existing only along gender lines. Social workers can impose power over relations on men ‘clients’ along other social divisions such as ‘race’ and class.

The principles of solidarity and social worker’s legal remit suggest that feminist theoretical formulations and principles of practice ought to include men, albeit on a different, though not unequal basis, to women. Whilst allowing for this opportunity, the space for women to work with women must remain protected. This is to facilitate women’s growth as women and enable them to establish their own agendas for change.

Working with men requires a re-conceptualisation of masculinity in accordance with feminist insights and a holistic approach to men and the relationships in which they engage. Men’s emotional needs, have to be brought centrally into the equation. Moreover, the social positions of both men and women as they are currently defined have to change.

Problematising masculinity has been an important feminist contribution that has prompted a reconsideration of men’s roles in society and redefinition of their relationships with women and children. Progress in this arena also requires a reformulation of men’s relationships with other men. Securing changes in all these directions means that women and men have to work to support each other’s emancipator endeavours. To facilitate this, feminist social workers have to dialogue with men social workers to identify areas in which women can work with men and those that men are solely responsible for addressing. Men social workers will also have to reconsider the nature of the relationships to be established between men social workers and men ‘clients’ if feminist principles are to be upheld.

Feminist Social work well placed to work with men in anti-sexist or pro-feminist ways. To begin with, social workers are obliged to work with whoever asks for their services. Its value orientation endorses self-determination, respect for the person, and non-judgmental attitude. These values are useful when working with men.

PRINCIPLES OF FEMINIST SOCIAL WORK
Whilst there is a great deal of diversity in feminism and feminist approaches to social work / welfare, there are some principles which are common to many forms of feminism and which writers in this area have suggested are consistent with a feminist approach to practice, both individually and organizationally.
The Personal is Political: This is obviously one of the most significant phrases to come out of the feminist movement. The "guts" of the statement is probably quite obvious. It is a worthwhile and I think, enlightening experience to actually explore in some detail the ways in which our personal experiences are actually linked to the political, social system. It is certainly suggested here that one of the ways that change to the social system has been avoided is through the separation of this connection between the individual and the social.
Valuing Process and Product: The idea that the way that you go about something is just as (if not more important) than the actual end product or goal that you might achieve, is one of the strong messages that has come from feminism to social work. In many ways this seems to be a key principle for (my) social work practice. Part of this includes the importance of relationships, learning to value the simplest things (like listening and simply being there for someone), and processes that value and affirm people. It seems to be those process issues - the issues about how we go about our interactions with people - that often really make a difference in people's lives.
Reconceptualising Power: The whole notion of power as it is currently understood by mainstream society seems to be about power over others rather than the power to live one's life in the way that we might choose. Feminism has had a great interest in exploring the ways that power has been used as an oppressive force in women's lives, as well as developing ideas about ways in which women can reclaim some sort of power in their own lives. In terms of social work practice I think the notions of empowerment and choice really need to be explored and clarified so that we avoid perpetuating people's powerlessness by putting them in positions of impossible empowerment.
Challenging Separations: Feminism suggests that our whole way of living is characterised by dualisms. We are either  male or female, black or white, good or bad, right or wrong, rational or emotional, and soon. The separations between things such as theory and practice for example, seem to be more about keeping apart things that actually need to be considered together. It is this wholistic, integrated aspect to feminism that is being stressed here.
Valuing Difference: One of the ways in which we have been able to perpetuate a social system that values some over others, is through a culture of intolerance of difference. One of the significant contributions of feminist theory has been a reconceptualisation of difference so that difference might come to be seen as a positive and enriching thing to be celebrated rather than a justification for oppressive behaviours and fears. Given that women are obviously all different, and that women have been subjected to oppressive experiences primarily because of their constructed differences from men, it would seem that there is a lot to be gained through the celebration of difference.
Feminism as Ontology: Feminism is often considered to be a world view. By this I mean that people who feel committed to the ideas of feminism tend to attempt to live these views in all aspects of their lives. In this sense, I question whether feminism can be something that you only incorporate into your working life for example. It seems to me that most feminists would recognise the importance of striving for some sort of consistency between what we ask of others and what we ask of ourselves. Needless to say, this is a hugely difficult thing to achieve and given the dominant social pressures in our lives it's not surprising that we often find ourselves acting or thinking in ways that seem inconsistent with our beliefs.
Women’s Experiences: Women's experiences have been traditionally underrepresented and devalued in the sciences and social sciences. In the feminist clinical context, clients should feel that their voices are heard and placed within the context of women's, not men's, experiences.
Focus on Change: One of the predominant goals of traditional therapy is to reduce symptoms and bring the client back to a state of equilibrium. The goal of feminist therapy is not to simply reduce symptoms but to bring about long-lasting positive change. One aspect of this change is an engagement in skills development . According to the APA, contemporary feminist counseling is conceptualized by "a shift from focusing the 'microscope' on individual change and responsibility to the more balanced focus on identifying and working to effect environmental and institutional change" 
Empowerment and Social Change: Because gender stereotypes, discrimination, prejudice, and other forms of oppression are rooted and reinforced at institutional levels, social action is needed to bring about change. The notion of empowerment is key when working with women in this feminist context. Empowerment results when individuals are assisted to develop skills and enhance their inner capabilities.

FEMINIST INTERVENTIONS AND STRATEGIES
Gender Role Analysis: The goal of gender role analysis is to assist clients to identify the specific gender role expectations and messages that influence their behaviours. Five steps are necessary in true gender role analysis. First, the Worker helps the client to identify various gender role beliefs and expectations experienced from early childhood. Second, the clinician and the client discuss how these expectations have affected the client's life negatively and positively. Third, the client works to identify internalized beliefs based on these gender role expectations. Fourth, with the help of the clinician, the client will decide which of the internalized beliefs he/she would like to address. Finally, a specific plan is developed to implement and monitor changes.
Assertiveness Training: Sharf defines assertiveness as behaviors that involve standing up for one's rights without violating the rights of other. Many feminist practitioners argue that women may need to be taught assertiveness skills due to the fact that assertiveness is not usually considered a desirable female attribute. The underlying assumption of assertiveness training is that after women are educated about their personal rights and taught skills to overcome perceived barriers, other positive outcomes (e.g., enhanced self-esteem) will follow.
Balancing Power: Feminist practitioners work with clients to promote awareness of the differences in power relations between men and women in society. The first step is to explore definitions of power with the client and to assist clients to identify which definition of power best fits within the client's value orientation. Subsequent steps involve helping the client to recognize internalized messages about power and to alter them. In order to model egalitarian relationships, the therapeutic environment becomes crucial. As discussed, in feminist social work the  relationship between client and worker is collaborative.
It is important to remember that the heart of feminist Social Work is changing the larger community in which the client exists. In other words, it is not enough to simply work with a couple in conducting a gender-role analysis in how traditional gender role socializations have influenced their domestic decisions. Working in an advocacy and consultant capacity in the community to educate and raise awareness about gender issues in order to promote change in areas such as child care, education, and occupational policies is equally as important.

CONCLUSION
Feminist theory and practice has much to offer feminist practitioners who can adapt its principles for professional practice. The existence of feminist social work is testimony to their capacities to do so.
Feminist social work has encouraged the assumption of a gender-sensitive stance in working with women and insisted on valuing women’s knowledge, talents and contributions to the profession. It has already had a substantial impact on social work theory and practice (Dominelli, 1992). Consequently, women have been acknowledged as beings with their own interests; specific aspirations
for themselves, their families and close others; and their own ways of knowing; valuing and doing things  Despite feminist social work’s failure to become the dominant paradigm in the discipline, its insights have been incorporated into a wide range of social work activities
Feminist theories have the capacity to play a greater role in enabling social work practice to become more effectively anti-oppressive and inclusive.  For this to occur, academics and practitioners have to validate women’s lives by incorporating into their work the conceptual frameworks and experiential knowledges that feminists have highlighted. These include the differentiated concepts of interdependence, mutuality, reciprocity and citizenship. Additionally, they have to recognise women as agents with the ability to determine their own futures.

REFRENCES

·         Adams, R., Dominelli, L. and Payne, M. (1998) Social Work: Themes, Issues and Critical Debates (London: Macmillan – now Palgrave).
·         Basu, M. (1997) The Challenge of Local Feminisms: Women’s Movements in Global Perspective (Boulder: Westview Press).
·         Brandwein, R. (1986) ‘A Feminist Approach to Social Policy’, in N. Van Den Berg and L. Cooper (eds) Feminist Visions for Social Work
·         Dale, J. and Foster, P. (1986) Feminists and State Welfare (London: Routledge and Kegan Paul).
·         Dominelli, L. (1997) ‘Feminist Theory’ in M. Davies (ed), The Blackwell Companion to Social Work (Oxford: Blackwell).
·         Dominelli, L. (1997c) Sociology for Social Work (London: Macmillan – now Palgrave).
·         Gandhi,  Anjali  ‘Mainstreaming Gender in Social Work Education’
·         Mazumdar K (1998) Gender Awareness in field instruction, Indian Journal of Social Work. Vol 59, issue 4 pp 969-980
·         Pease, B. (1981) Men and Feminism. Paper presented at Women and Social Work Seminar.


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