Role enactment: A social work method for inducing behavior change

Abstract

This paper has gathered empirical evidence in favor of a notion that our prepsychoanalytic predecessors knew intuitively: role enactment is a germinal social work means for producing behavioral change. In another paper the writer (Borenzweig, 1971) analyzes why the profession joined the exclusive psychoanalytic bandwagon and forsook its social psychological birthirght. The social workers of the “social psychiatry” era were concerned about issues contemporary social workers and psychiatrists are readdressing: how does the disturbed person perform pathological and socially requisite roles? How much more therapeutic leverage is obtained by encouraging the patient to enact roles in a milieu approximating the normal, in his normal milieu, or in both? The “social psychiatry” psychiatrists recognized their predominantly physico-psychic interest in the patient, depended on social workers for those aspects of diagnosis which entailed social functioning, and held the social worker responsible for the patient's post-discharge role performance. It is largely social work's influence upon psychiatry which concerns the latter profession with role. Recent psychiatric, diagnostic, and post-treatment evaluative instruments (Spitzer, 1963; Katz and Lyerly, 1963) incorporate the evaluation of role performance as asine qua non for psychic measurement.