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    1. If parents are overwhelmed by many environmental stressors, such as unemployment, lack of transportation and medical care, and residence in an unsafe neighborhood, their ability to provide consistent warmth and nurturance may be compromised.

      This is not surprising to me because I witness this exact pattern in children while working in a public school. Many times, children come to school making inappropriate remarks to others, talking about hating their lives, or having extreme outbursts that can last for long periods throughout the day. I have also noticed sudden changes in their engagement with instruction and assigned work. When contacting parents, they often begin venting and expressing the difficult situations they are experiencing at home, which can contribute to the student’s behavior and emotional struggles at school.

    2. We discuss the use of the manual, both its advantages and disadvantages, and how it reconciles with social work’s perspective and ethics in Chapter 3.

      Highlighting both the advantages and disadvantages of the DSM is important for social workers so they can understand its usefulness while also recognizing its limitations. This allows social workers to apply it appropriately and effectively when helping clients. Because mental health assessment is such an essential part of diagnosis, understanding the DSM is crucial to how we will practice in the field.