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Professional Practice as Policy

Day-by-day clinical practice extensively expresses policy judgments and creates policy. This may be seen in the very assumptions of professional practice, in the all but unnoticed structure of agency rules and procedures, and in the practitioner's attentiveness to the relationship of clients to altering social surroundings. The widespread view that practice is technical and largely devoid of value choices derives from selective or misguided interpretations of the worker's situation. An understanding of the value-based choices that all practitioners make empowers them and makes them responsible.