Social Work is under attack, not the least of which comes from within its own ranks. Clinical social work appears to the hardest hit as critics question its fit with social work’s historic focus on the poor and the oppressed. In addition, there continues to be ongoing controversy regarding the profession as means of social control. Clinical social work has also been attacked for its reliance on the medical model and the growth in private practice. Do these attacks and criticisms signal the end of clinical social work? Or, could this be viewed as part of a process through which social work analyzes its self in its continuing efforts to remain relevant. Is this the evolutionary path of social work? This paper explores some of these controversies and debates. The profession has grown, evolved, and responded to criticism since its inception. A current model for understanding the fit between clinical social work and social justice is presented as an example of how debate continues to lead the profession forward. |