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Client Self-Determination: Untangling the Knot
Social Service Review
Vol. 63, No. 4 (Dec., 1989), pp. 598-612
Published by: The University of Chicago Press
Stable URL: http://www.jstor.org/stable/30012053
Page Count: 15
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Client self-determination may be the most confounding concept in the intellectual underpinnings of social work. While self-determination is accorded utmost esteem in the profession, its meaning and application are clouded. A number of existing justifications for self-determination concepts are outlined. However, serious questions have been raised concerning the primacy and efficacy of the self-determination principle from a number of sources. This critique covers four general areas: limitations in client capacity to make choices, external restraints that inhibit choice, other values that may have primacy, and other professional considerations that influence practice behavior. An alternative conceptual perspective is proposed.
Social Service Review © 1989 The University of Chicago Press