Advancing Psychodynamic-Based Clinical Social Work Practice to Address Structural Trauma: Integrating Neuroscience and Attachment Theory.

Abstract

Psychodynamic-based practice (PBP), including approaches informed by attachment theory, is a widely used therapeutic modality in clinical social work for addressing trauma. Yet, in some clinical spaces, PBP has faced challenges due to its process-oriented nature, particularly in an era that increasingly favors manualized, short-term interventions. Meanwhile, sociocultural neuroscience has emerged as a field providing evidence for trauma interventions. Recently, both clinical social work and sociocultural neuroscience have begun highlighting the impact of structural trauma on mental health and the need to alleviate harms stemming from experiencing such trauma. Integrating neuroscience insights and methods may offer an opportunity to enhance PBP in clinical social work practice, particularly in addressing structural trauma. This article reviews recent developments in sociocultural neuroscience that is relevant for clinical social work practice with clients who have experienced trauma, outlines how these insights can inform PBP grounded in attachment theory, and discusses the potential implication of integrating sociocultural neuroscience with PBP in addressing structural trauma underpinning the place attachment framework.