The conflict and anguish that clients experience frequently result from the consequences of serious moral and ethical dilemmas and from the absence of dependable solutions. Such dilemmas are related to critical choices that need to be made about special problems of living, including obligation and responsibility to others. Social workers should give careful attention to the problems of clients as reflected in their narrative accounts, or stories, rather than attempt to categorize these problems in psychological terms or to search for pragmatic solutions to them.
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Howard Goldstein (1987) studied this question.
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