This edition is no longer for sale. However, a second edition is available.

Addressing Cultural Complexities in Practice: A Framework for Clinicians and Counselors moves beyond unidimensional concepts of identity to an understanding of the multiplicity of cultural influences that work to form each of us. The true experience of identity is complex and contextual. A person is not simply Latino or gay, Asian American or a person with a disability, an older American or a refugee. Rather, one or any combination of these identities may be salient for a particular individual in a given context.

Pamela A. Hays offers the ADDRESSING framework for recognizing and working with cultural influences—helping readers understand identity as a multidimensional combination of age, developmental and acquired disabilities, religion, ethnicity, socioeconomic status, sexual orientation, indigenous heritage, national origin, and gender.

Engagingly written and featuring a variety of case examples, this book combines the latest research with vignettes from the author's own practice. Each chapter's contents are summarized in "Key Idea" tables, which facilitates use of the guidelines in the classroom as well as in the clinic. Unlike other books on therapy with diverse clients, which tend to focus on working with one particular ethnic group, Addressing Cultural Complexities in Practice provides a framework that can be used with a person of any cultural identity.

This thought-provoking book will be invaluable to counselors, clinicians, and any professional working with clients from a variety of diverse backgrounds.

Table of Contents

I. Introduction

  1. Seeing the Forest and the Trees: The Complexities of Culture in Practice

II. Self-Assessment

  1. Becoming a Culturally Responsive Therapist
  2. Looking Into the Clinician's Mirror: Cultural Self-Assessment

III. Connecting With Your Client

  1. Entering Another's World: Understanding Clients' Identities and Contexts
  2. Making Meaningful Connections: Establishing Respect and Rapport

IV. Culturally Responsive Assessment and Diagnosis

  1. Sorting Things Out: Culturally Responsive Assessment
  2. Putting Culture to the Test: Considerations With Standardized Testing
  3. Making Sense and Moving On: Culturally Responsive Diagnosis and the DSM-IV

V. Culturally Responsive Practice

  1. How to Help Best: Culturally Responsive Therapy
  2. Practice Doesn't Make Perfect, But It Sure Does Help: A Final Case Example
  3. Conclusion: Addressing the Other in Each of Us


Author Index

Subject Index

About the Author

Author Bio

Pamela Hays completed a BA in Psychology and French at New Mexico State University, an MS in Counseling Psychology at the University of Alaska, a PhD in Clinical Psychology at the University of Hawaii, and an NIMH postdoctoral fellowship in geropsychology at the University of Rochester. Her research has included a study in North Africa of the impact of rapid social changes on Arab women's mental health and an investigation of the mental health needs of Vietnamese, Lao, and Cambodian refugees living in the United States. She is a licensed clinical psychologist who has worked in a variety of inpatient and outpatient settings, in the areas of rehabilitation, geriatrics, domestic violence, substance abuse, and individual and family therapy.

Her articles on cognitive behavior therapy, couples therapy, older adults, and multicultural and feminist issues have appeared in Professional Psychology: Research and Practice, the Journal of Counseling and Development, the International Journal of Psychology, and Women and Therapy. From 1989 to 2000, she was a core faculty member of the graduate psychology program at Antioch University, Seattle. She is currently a psychologist at Central Peninsula Counseling Services in Kenai, Alaska, and continues to teach as an adjunct faculty at Antioch.