Steven Soifer

Paruresis (shy bladder syndrome): A cognitive-behavioral treatment approach

Paruresis is a social anxiety disorder characterized by a fear of being unable to urinate in the presence of others. This condition has not been covered in the social work literature, yet is a perfect example of a person-in-environment problem. This article explores the use of graduated exposure therapy during weekend-long workshops for the treatment of paruresis. One hundred one participants participated in workshops and were administered pretreatment, posttreatment, and 1-year follow-up treatment scales. Repeated measures analysis of variance indicated significant improvement in shy bladder symptoms. Significant improvement in global severity of shy bladder was observed posttreatment and at the 1-year follow-up point. Findings suggest that graduated exposure therapy improves self-reported global severity of shy bladder symptoms and that these gains were maintained at 1-year follow up.Paruresis is a social anxiety disorder characterized by a fear of being unable to urinate in the presence of others. This condition has not been covered in the social work literature, yet is a perfect example of a person-in-environment problem. This article explores the use of graduated exposure therapy during weekend-long workshops for the treatment of paruresis. One hundred one participants participated in workshops and were administered pretreatment, posttreatment, and 1-year follow-up treatment scales. Repeated measures analysis of variance indicated significant improvement in shy bladder symptoms. Significant improvement in global severity of shy bladder was observed posttreatment and at the 1-year follow-up point. Findings suggest that graduated exposure therapy improves self-reported global severity of shy bladder symptoms and that these gains were maintained at 1-year follow up.Paruresis is a social anxiety disorder characterized by a fear of being unable to urinate in the presence of others. This condition has not been covered in the social work literature, yet is a perfect example of a person-in-environment problem. This article explores the use of graduated exposure therapy during weekend-long workshops for the treatment of paruresis. One hundred one participants participated in workshops and were administered pretreatment, posttreatment, and 1-year follow-up treatment scales. Repeated measures analysis of variance indicated significant improvement in shy bladder symptoms. Significant improvement in global severity of shy bladder was observed posttreatment and at the 1-year follow-up point. Findings suggest that graduated exposure therapy improves self-reported global severity of shy bladder symptoms and that these gains were maintained at 1-year follow up.

Women's Achievement of Empowerment through Activism in the Workplace

In social work, workplace activism has been overlooked as a source of empowerment for women clients. This article reports on the results of a case study of a predominantly female union engaged in grass-roots organizing and legislative activity to promote comparable worth. An unanticipated finding of the study was the high degree to which personal, interpersonal, and political empowerment took place among the women who were deeply involved in the campaign for comparable worth. Social workers need to be more aware of the potential that workplace organizing and political action offer for the empowerment of their women clients.

Infusing Content about Jews and about Anti-Semitism into the Curricula

Abstract The social work profession has overlooked the topic of Jews as a cultural-religious minority group and the problem of anti-Semitism. Yet, current accreditation standards mandate that social work programs educate students about the differences among ethnic, racial, and cultural groups. This article traces the history of the Jews and the dynamics of anti-Semitism. The author suggests that this content be incorporated into the social work curricula at the micro practice level. Students should explore their own ethnic identities and religious backgrounds. This self-exploration will enable them to be open to new information and to be aware of misinformation about other groups. At the macro practice level, role plays would help students practice their responses to anti-Semitic incidents and would sensitize them to the feelings of members of oppressed groups. Overall, the profession needs to research this content and work to eliminate anti-Semitism.