David O. Avruch and Wendy E. Shaia

Avruch and Shaia published in the Journal of Progressive Human Services


Decades of social science data have illuminated how oppression and inequality on the macro levels of society can manifest as trauma and deprivation on the individual or micro level. However, clinical pedagogies within human services fields (social work, substance use disorder treatment, psychology, psychiatry) do not adequately reflect these advances. This creates barriers for service providers seeking to address socially-engineered trauma, i.e., trauma occurring in the context of oppressive macro structures such as white supremacist racism, neoliberal economic policies and cisgender-heteropatriarchy.

Avruch, D. O., & Shaia, W. E. (2022). Macro MI: Using Motivational Interviewing to Address Socially-engineered Trauma. Journal of Progressive Human Services, 33(2), 176–204. https://doi.org/10.1080/10428232.2022.2063622

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