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While there are numerous resources for practitioners on the subject, the ambiguity remains of what actually constitutes effective multicultural counseling and psychotherapy and how it should be incorporated into their sessions. This book addresses the question of how to apply current theories and research with a unique “start-to-finish” approach, examining the role culture plays in each stage of the therapeutic process, from before the clinical intake to termination. Each chapter is devoted to one of these stages and provides practical strategies, techniques, examples, and case studies. The reader will find new ways to consider the influence of culture and expand their own knowledge and skills as a practitioner.
This book offers a clear, easily adaptable model for understanding and working with cultural differences in therapy.
In this text, practical strategies, techniques, and examples are used to show how spirituality can influence each stage of treatment from before the clinical intake, starting with an understanding of ethical practice guidelines and therapist self-awareness, through termination.
The publication of the Cultural Formulation Outline in the DSM-IV represented a significant event in the history of standard diagnostic systems. It was the first systematic attempt at placing cultural and contextual factors as an integral component of the diagnostic process. The year was 1994 and its coming was ripe since the multicultural explosion due to migration, refugees, and globalization on the ethnic composition of the U.S. population made it compelling to strive for culturally attuned psychiatric care. Understanding the limitations of a dry symptomatological approach in helping clinicians grasp the intricacies of the experience, presentation, and course of mental illness, the NIMH Group on Culture and Diagnosis proposed to appraise, in close collaboration with the patient, the cultural framework of the patient's identity, illness experience, contextual factors, and clinician-patient relationship, and to narrate this along the lines of five major domains. By articulating the patient's experience and the standard symptomatological description of a case, the clinician may be better able to arrive at a more useful understanding of the case for clinical care purposes. Furthermore, attending to the context of the illness and the person of the patient may additionally enhance understanding of the case and enrich the database from which effective treatment can be planned. This reader is a rich collection of chapters relevant to the DSM-IV Cultural Formulation that covers the Cultural Formulation's historical and conceptual background, development, and characteristics. In addition, the reader discusses the prospects of the Cultural Formulation and provides clinical case illustrations of its utility in diagnosis and treatment of mental disorders. Book jacket.
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This is definitely a book whose time has come. One of the brilliant aspects of the EMDR therapy approach is that it makes it clinically possible to cut through social issues, and yet maintain its cultural consonance. From multiple contributions around the world, each chapter brings significant insights into how EMDR therapy can be culturally attuned and yet efficacious in preserving the individuality of each client. Highly recommended for those therapists who work in multi-cultural settings. -Esly Regina Carvalho, Ph.D., Trainer of Trainers, EMDR Institute/EMDR Iberoam rica and President TraumaClinic do Brasil/TraumaClinic Edições, Brasilia, Brazil. Underscoring the importance of cultural competence, this groundbreaking book focuses on using EMDR therapy with specific populations, particularly those groups typically stigmatized, oppressed, or otherwise marginalized in society. Drawing on social psychology research and theory as well as social justice and social work principles, it delivers general protocols for EMDR intervention for recovery from the internalized effects of cultural mistreatment. Employing best-practice methods for cultural competence as EMDR therapy is introduced to new cultures worldwide, the editor and esteemed EMDR clinician-authors relay their experiences, insights, guidance, and lessons learned through trial and error while adapting EMDR interventions for cross-cultural competency and therapeutic effectiveness The text defines cultural competence and validates the need for a multi-culturally aware approach to psychotherapy that embraces authentic socialidentities and attends to the impact of socially based trauma. Chapters address using EMDR therapy to heal the trans-generational impact of Anti-Semitism,working with the LGBT population, treating an immigrant woman suffering from social anxiety, healing individuals with intellectual disabilities, thetraumatizing effects of racial prejudice, harmful cultural messages about physical appearance, EMDR therapy attuned to specific cultural populations andsocially based identities, and many other scenarios. The text is replete with step-by-step treatment guidelines to help clients recover from traumatic lifeevents, dos and don‚Äôts, and common adaptive and maladaptive cultural beliefs. Key Features: Defines cultural competence and validates the need for a multi-culturally aware approach to psychotherapy Offers innovative protocols and strategies for treating socially based trauma within the EMDR model Presents best practice methods for cultural competence Includes step-by-step treatment guidelines and dos and don'ts Written by highly esteemed EMDR clinician-authors
Cultural diversity has always been a fact of life, nowhere more so than in the unique melting pot of U.S. society. Respecting and understanding that diversity is an important -- and challenging -- goals. Culture and Psychotherapy: A Guide to Clinical Practice brings us closer to that goal by offering a fresh perspective on how to bring an understanding of cultural diversity to the practice of psychotherapy to improve treatment outcomes. This remarkable work presents the nuts and bolts of incorporating culture into therapy, in a way that is immediately useful and practical. Illustrated by numerous case studies that demonstrate issues, techniques, and recommendations, the topics in this wide-ranging volume focus not on specific race or ethnicity but instead on culture. Introduction -- Summarizes the influence of culture (an abstract concept defined as an entity apart from race, ethnicity, or minority) on the practice and process of psychotherapy while offering a broadened definition of psychotherapy as a special practice involving a designated healer (or therapist) and identified client (or patient) to solve a client's problem or promote a client's mental health Case Presentations and Analysis -- Illustrates distinctive cultural issues and overtones within psychotherapy, such as the traditional Japanese respect for authority figures, the Native American concept of spirit songs, the clash of modern values with traditional Islamic codes, and the effects of the conflict between Eastern values of dependence and group harmony and Western values of independence and autonomy Specific Issues in Therapy -- Discusses lessons from folk healing, the cultural aspects of the therapist-patient relationship, and the giving and receiving of medication as part of therapy Treating Special Populations -- Presents issues and trauma faced by African Americans, Hispanic veterans, Southeast Asian refugees, adolescents, and the ethnic minority elderly Special Models of Therapy -- Shows the interplay between cultural issues and specific models of therapy, including marital therapy for intercultural couples and group therapy with multiethnic members The relevance of cultural diversity will only grow stronger in the coming years as our definition of community expands to embrace global -- not just local -- issues. With its balanced combination of clinical guidance and conceptual discussion highlighted by fascinating case studies, this volume, authored by national and international experts, offers psychotherapists, psychiatrists, psychologists, psychiatric residents, psychiatric nurses, and mental health social workers -- both in the U.S. and abroad -- an expansive focus and richness of content unmatched elsewhere in the literature.
While psychoanalytic scholars often address specific aspects of diversity such as gender, race, immigration, religion, sexual orientation, and social class, the literature lacks a set of core principles to inform and support culturally competent practice. This approachable volume responds to that pressing need. Drawing on the contributions of psychoanalytic scholars as well as multicultural and feminist psychologists, Tummala-Narra presents a theoretical framework that reflects the realities of clients' lives and addresses the complex sociocultural issues that influence their experiences, identity, and psychological health. Psychoanalytic theory proves to be particularly valuable in exploring: The client's and the therapist's indigenous cultural narratives, and the conscious and unconscious meanings and motivations that accompany these narratives The role of context in how clients use language and express affect in psychotherapy The experience of social oppression and its impact on the therapeutic process The dynamic nature of culture, which means that individuals negotiate complex, intersecting cultural identifications An expanded form of self-examination in which the therapist reflects on his or her own sociocultural context In examining these questions, the author provides engaging case illustrations from her own clinical practice, as well as findings from her research with youth of immigrant origin. This book will appeal not only to practitioners of psychoanalytic psychology but to all those interested in the constantly evolving theory and research on effective practice with diverse clients.
Offering a primary focus on North American cultural and ethnic diversity while addressing global questions and issues, Counseling Across Cultures, Seventh Edition, edited by Paul B. Pederson, Walter J. Lonner, Juris G. Draguns, Joseph E. Trimble, and María R. Scharrón-del Río, draws on the expertise of 48 invited contributors to examine the cultural context of accurate assessment and appropriate interventions in counseling diverse clients. The book’s chapters highlight work with African Americans, Asian Americans, Latinos/as, American Indians, refugees, individuals in marginalized situations, international students, those with widely varying religious beliefs, and many others. Edited by pioneers in multicultural counseling, this volume articulates the positive contributions that can be achieved when multicultural awareness is incorporated into the training of counselors.
An indispensable collection of real-life clinical cases from practicing experts in the field of multicultural counseling and psychotherapy Case Studies in Multicultural Counseling and Therapy is a one-of-a-kind resource presenting actual cases illustrating assessment, diagnostic, and treatment concerns associated with specific populations. The contributors—well-known mental health professionals who specialize in multicultural counseling and psychotherapy—draw on their personal experiences to empower therapists in developing an individually tailored treatment plan that effectively addresses presenting problems in a culturally responsive manner. Providing readers with the opportunity to think critically about multicultural factors and how they impact assessment, diagnosis, and treatment, this unique book: Covers ethical issues and evidence-based practice Integrates therapists' reflections on their own social identity and how this may have influenced their work with their clients Considers the intersectionality of racial/ethnic, class, religious, gender, and sexual identities Contains reflection and discussion questions, an analysis of each case by the author, and recommended resources Includes cases on racial/ethnic minority populations, gender, sexuality, poverty, older adults, immigrants, refugees, and white therapists working with people of color Aligns with the ACA's CACREP accreditation standards, tha APA guidelines for multicultural competence, and the AMCD Multicultural Counseling Competencies