Social work historically has had two overarching domains. One domain is concerned with communities and policy development, the other with direct practice involving individuals, groups and families. Both the macro and micro domains are infused with concerns of social justice and advocacy. Conflict in the profession between social justice and casework began over a century ago, with early social work leaders Mary Richmond and Jane Addams. Controversy within the profession continues today. This paper will present many of the differing viewpoints within the ever-changing kaleidoscope of the profession. The paper will objectively present the issues of debate regarding micro and macro foci and recent debates related to professionalization, licensure, and the education of social workers. It will challenge readers to critically think about their own practices and view points. The synergy of the profession is much more than either people changing or society changing. As a profession we must move beyond the discord to the embodiment of harmony. The problem of AIDS will be discussed in order to demonstrate the challenges of working at both the micro and macro levels.

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