Advancing Social Justice Through Clinical Practice

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Advancing Social Justice Through Clinical Practice Copyright Brief Contents Contents Foreword Preface Acknowledgments Part I: Steps Toward A Social Justice Therapeutic Practice Chapter 1 Rekindling the Reformist Spirit in the Mental Health Professions Social Justice Legacies in the Mental Health Professions Social Work Psychoanalysis Counseling Professions Psychiatry Family Therapy Toward an Open Conspiracy for Social Justice References Chapter 2 Counseling for Wellness and Justice: Foundations and Ethical Dilemmas Foundations Webs of Personal, Relational, and Collective Wellness Webs of Wellness and Justice Practice and Ethical Dilemmas Current Practices Justice-Based Practices Conclusion References Chapter 3 Social Justice Concerns and Clinical Practice Early Memories Historical Context and Early Barriers First Lessons and More Barriers Lessons From Survivors Hearing Each Other's Cry Hearing the Cry: A Second Story Why Do We Do This Work? Lessons From Training: What I Learned How I Learned How Students and Faculty Responded What Happened to the Student To Life: Why We Do This Work References Part II: Liberating Visions Of Clinical Practice Chapter 4 Radical Psychiatry: An Approach to Personal and Political Change In the Spirit of the Times Where Society and Psyche Intersect Alienation and Change, Social and Personal The Cooperation Theory Power Internalized Oppression: "The Pig" Problem-Solving Group Fighting the Pig Conflict Resolution Paranoia: The Value of Intuition Implications for Social Justice But What About . . . ? The Current State of the Art References Chapter 5 Ethnopolitical Psychology: Healing and Transformation Ethnopolitical Theory and Practice: Conceptual Influences Colonization Postcolonization Stress Disorder Cultural Imperialism Ethnocultural Allodynia Racism Thinking Racially Racial Trauma Racial Terrorism Communal Consequences of Racial Terrorism Ethnopolitical Practice: Accompanying and Bearing Witness Indigenous Healing: Calling Back the Spirit Dichos: An Ethnic Psychology Testimony Cultural Consciousness Ethnopolitical Action References Chapter 6 Gay and Lesbian Couples in Therapy: A Social Justice Perspective Focus of This Chapter Homophobia and the Cultural Context Prejudice and Discrimination Effects of Prejudice on Lesbian/Gay Couples Interventions for Countering Homophobia Relational Ambiguity Boundary and Commitment Ambiguity Ambiguity Related to Same-Gender Composition Interventions for Relational Ambiguity Social Support Families of Origin Families of Choice Assessing and Developing Social Support Therapist Guarding Against Heterocentric Bias–Countertransference Cautions About Applying Theory to Same-Sex Couples Same-Sex Marriage and Social Justice References Chapter 7 Risk Reduction and the Micropolitics of Social Justice in Mental Health Care Multiproblem Families Domains of Risk Risk Reduction Process References Chapter 8 Foundation Concepts for Social Justice-Based Therapy: Critical Consciousness, Accountability, and Empowerment Background: Family Therapy and Social Justice One Approach to Social Justice-Based Therapy: The Cultural Context Model The Cultural Context Model 1. Orientation 2. Sponsorship 3. Socioeducation 4. Culture Circles 5. Family Process Case Examples Foundation Concepts and More Illustrative Examples Critical Consciousness: Recognizing the Sociopolitical Context of Daily Life Integrating Socioeducation Into the Practice of Family Therapy Critical Consciousness: The Integration of Collectivism, Socioeducation, and Social Action Accountability: Replacing Domination and Privilege With a Call for Responsibility Empowerment: Action Based in Critical Consciousness and Accountability Placing Social Justice at the Center of Family Therapy Practice Conclusions References Chapter 9 Narrative Practice and Culture What Is Narrative Practice? Core Assumptions in Narrative Practice Power and Identity Narratives Integration of Core Ideas in Narrative Practice Dominant and Nondominant Stories Narrative Practice and Culture Traditional Versus Evolving Understandings of Culture Process of Narrative Practice and Social Justice Narrative Therapy Processes and Techniques Therapy as a Movement of Resistance Invitation to Accountability, Problem-Posing and Curiosity Techniques in the Narrative Therapy Process Conclusion References Part III: Community Building For Wellness And Justice Chapter 10 Families and Therapists as Citizens: The Families and Democracy Project The Public Role of Therapists False Dichotomies That Shape Therapy's Paradigm Conventional Beliefs That Limit Us Community Organizing and Family-Centered Community Building The Families and Democracy Project Origins of the Model Description of the Families and Democracy Model A Citizen Initiative in Health Care A Community Initiative to Take Back Family Time Comparison With Two Traditional Models Scope of Practice Processes of Leadership Location and Duration of the Work Orienting Ideal Key Lessons Learned Future Directions References Chapter 11 The Practice of Community Family Therapy Socioeconomic Context: Dancing Around the Poverty Issue Historical Context: Family Therapy and Poverty Similarities and Differences With Other Therapy Approaches Roots of the Community Family Therapy Paradigm Principles and Objectives of Community Family Therapy Assessment in Community Family Therapy Intervention in Community Family Therapy First Level of Engagement Second Level of Engagement Third Level of Engagement The Role of the Therapist Ethical Issues and Future Development of CFT Conclusion of Case Illustration References Chapter 12 Applying Feminist Theory to Community Practice: A Multilevel Empowerment Intervention for Low-Income Women With Depression Poverty and Depression in Women's Lives Determinants of Depression Among Poor Women Responses to Depression Among Poor Women Description of the ROAD Project History Operation Theoretical Underpinnings of ROAD Levels of Empowerment Returning Full Circle Central Challenges Daily Implementation Sustainability and Replicability Conclusion References Chapter 13 Toward a Community Psychology of Liberation Creating a Community Psychology of Liberation Domestic Violence From the Perspective of a Community Psychology of Liberation Culture as Context Domestic Violence in the Culture Caminar Latino: A Domestic Violence Intervention as a Tool for Liberation Conceptual and Philosophical Frameworks Program History, Structure, and Approach Does This Model Work? Lessons Learned Conclusion References Chapter 14 Striving for Social Justice Through Interprofessional University-School Collaboration The Proposed Benefits of Interprofessional Collaboration Theoretical Foundations for University/School Interprofessional Collaboration Social Justice Collaborative Practice—Tools for Tomorrow Social Justice Collaborative Practice—Graduate Interdisciplinary Training Project Developing Interprofessional University/School Collaborations Program Evaluations Challenges to Implementing Interprofessional Social Justice Practice Fiscal Constraints Structural Constraints Conclusions References Chapter 15 The Psychology of Working and the Advancement of Social Justice Mapping the Terrain of the Psychology of Working Work/Career and Mental Health The Psychology of Working and Social Justice Shared Assumptions and Values Implications for Practice, Prevention, and Public Policy Psychology of Working and Individual Counseling Practice Psychology of Working and Intervening in Broader Systems Implications for Research and Public Policy Conclusion Rerferences Chapter 16 Mental Health Policy and Social Justice Historical Developments Moral Treatment and the Building of Asylums Progressive Era Reforms The Community Mental Health Movement Civil Reform Through Litigation Policy Change Through Funding Mechanisms Barriers to Full Inclusion Recent Developments Framework Influencing Policy Critical Reflections References Part IV: Teaching and Training For Social Action Chapter 17 Advocacy, Outreach, and Prevention: Integrating Social Action Roles in Professional Training Critiquing the Status Quo Interventions Advocacy Outreach Prevention Training for Social Action Roles Roadblocks to the Integration of Social Action Roles Conclusion References Chapter 18 Toward an Emancipatory Communitarian Approach to the Practice of Psychology Training Emancipatory Communitarian Approach to Psychology Practice Counseling Psychology Program at the University of Oregon Bronfenbrenner's Ecological Model Readings, Coursework, Assistantships: Big Picture Critique Human Diversity and Multicultural Infusion Practica Sequence Community-Based Student Research Program Training Environment Faculty Scholarship and Service Training Outcomes, Evaluation, and Critique Summary and Conclusion References Chapter 19 Grounding Clinical Training and Supervision in an Empowerment Model Defining Empowerment in the Context of Counseling "5 C's" of Empowerment Collaboration Context Critical Consciousness Competence Community Practical Activities in Coursework Implications for Social Action Conclusion References Chapter 20 Applying Principles of Multicultural Competencies, Social Justice, and Leadership in Training and Supervision Purpose Tenets Affirming a Rationale Training and Supervision Informed by Multicultural Counseling Competencies: Social Justice Principles and Critical Race Theory Multicultural Counseling Competencies Critical Race Theory Rapprochement Between Principles of Social Justice and Ethical Guidelines Enacting Social Justice Through Professional Leadership Leadership Multicultural Organizational Leadership Barriers to Social Justice Practices Unintentional Racism Higher Education and the Status Quo Social Justice Strategies Strategies References Chapter 21 Educating for Social Change in the Human Service Professions Student Attitudes Curriculum Goals Theoretical and Ideological Perspectives on Social Change Social Change Principles Social Change Strategies Methods for Educating Students for Social Change My Experience of Teaching This Course Interviews With Human Service Practitioners Frustration and Empowerment Advice About Education Assumptions and Beliefs About Change Analysis/Action Social Work Practice Cautions and Opportunities for Social Change Classroom Action Projects and Field Placements Conclusion References Author Index Subject Index