Psychoanalytic Theory and Cultural Competence in Psychotherapy


Book Description

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.




Culturally Informed Therapy for Schizophrenia


Book Description

"This book is primarily designed for clinicians and researchers interested in learning how to conduct an empirically supported, Culturally Informed Therapy for Schizophrenia (CIT-S) that integrates core components of evidenced based family therapy. It is estimated that approximately one percent of adults in the United States will be diagnosed with schizophrenia or a related schizophrenia spectrum disorder (SSD). Without treatment, prognosis is generally poor. Fortunately, traditional family therapies have shown increasing promise in reducing relapse rates and improving mental health for this population. As more and more societies become multicultural, however, there is an increasing expectation that mental health providers will also be prepared to meet the needs of unique and culturally diverse clients in an efficient, skillful, and culturally relevant manner. CIT-S is a 15-week, family-focused, cognitive behavioral approach for managing schizophrenia spectrum disorders. The intervention draws upon clients' cultural beliefs, practices, and traditions to help them conceptualize and manage mental illness. It aims to improve the quality of clients' lives in a manner that is in line with their values and takes into account their cultural norms when discussing important issues and addressing challenges (such as mental illness) within the family. CIT-S contains five distinct modules: 1) Family Collectivism 2) Psychoeducation 3) Spirituality 4) Communication Training and 5) Problem Solving. For each module, a detailed rationale, background information, therapy instructions, suggested homework assignments, and a sample case vignette is provided in an accessible, easy-to-use, manner"--




Culturally Informed Psychoanalytic Psychotherapy


Book Description

Dr. Tummala-Narra demonstrates this approach to therapy with a Caucasian woman who is coming into therapy to deal with deep-rooted feelings regarding race and racial tension. This video features a client portrayed by an actor on the basis of actual case material.




Reaching Across Boundaries of Culture and Class


Book Description

In a world that is forever fragmenting into divisions of ethnicity and class, this groundbreaking book offers an approach to therapy that reaches across the boundaries that usually divide us. Reaffirming psychotherapy's roots in a progressive approach to social change, the contributors show how contemporary methods can be used to treat patients often previously thought unresponsive to psychodynamic therapy. Cultural values, countertransference guilt, immigration, bilingualism, and battered self-esteem in African-American patients are among the many topics discussed. Numerous examples guide the clinician to a better understanding of the role of culture in the therapeutic relationship. A Jason Aronson BookIn a world that is forever fragmenting into divisions of ethnicity and class, this groundbreaking book offers an approach to therapy that reaches across the boundaries that usually divide us. Reaffirming psychotherapy's roots in a progressive approach to social change, the contributors show how contemporary methods can be used to treat patients often previously thought unresponsive to psychodynamic therapy. Cultural values, countertransference guilt, immigration, bilingualism, and battered self-esteem in African-American patients are among the many topics discussed. Numerous examples guide the clinician to a better understanding of the role of culture in the therapeutic relationship.




Belonging Through a Psychoanalytic Lens


Book Description

Watching people protest, one hypothesis is that underlying these actions for specific justifiable causes is a sense of wishing to belong, of wishing not to be alone. Recent knowledge from patients and empirical research shows the importance of belonging to groups to both psychological and physical well-being. The problems of many students, minority group members, immigrants, terrorists, and lonely people are linked to an insufficient sense of belonging. Whereas psychoanalytic theory has focused on the need for a secure attachment to a primary caretaker, it has failed to note the importance of a sense of belonging to the family group, a friendship group, a community, a religious group, a nation-state, etc. This book demonstrates the difficulties faced by those who immigrate, those who never feel a sense of their true selves as belonging in a family or a cohesive professional group, and the difficulties of psychoanalysts themselves in knowing where they belong in patients’ lives. The problems of breaking up marital and professional relationships as well as our relationship with the Earth are also discussed. Freudian theory rejected the idea of a sense of "oneness" with humanity as being infantile. Recent developments regarding the similarities between meditational practices and psychoanalysis have questioned Freud’s idea. This book shows the importance of an interpersonal/relational psychoanalysis focusing on real relationships and not simply one that examines inner conflicts. It will be useful to psychologists, other mental health practitioners, social scientists, and anyone with normal struggles in life.




Inhabiting Implication in Racial Oppression and in Relational Psychoanalysis


Book Description

What does it feel like to encounter ourselves and one another as implicated subjects, both in our everyday lives and in the context of our work as clinicians, and how does this matter? With contributions from a diverse group of relational psychoanalytic thinkers, this book reads Michael Rothberg’s concept of the implicated subject—the notion that we are continuously implicated in injustices even when not perpetrators—as calling us to elaborate what it feels like to inhabit such subjectivities in relation to others both similarly and differently situated. Implication and anti-Black racism are central to many chapters, with attention given to the unique vulnerability of racial minority immigrants, to Native American genocide, and to the implication of ordinary Israelis in the oppression of Palestinians. The book makes the case that the therapist’s ongoing openness to learning of our own implication in enactments is central to a relational sensibility and to a progressive psychoanalysis. As a contribution to the necessary and long-overdue conversation within the psychoanalytic field about racism, social injustice, and ways to move toward a just society, this book will be essential for all relational psychoanalysts and psychotherapists.




Advancing Psychotherapy for the Next Generation


Book Description

This book brings together a global community of mental health professionals to offer an impassioned defence of relationship-based depth psychotherapy. Expressing ideas that are integral to the mission of the Psychotherapy Action Network (PsiAN), the authors demonstrate a shared vision of a world where this therapy is accessible to all communities. They also articulate the difficulties created by the current mental health diagnostic system and differing conceptualizations of mental distress, the shortsightedness of evidence-based care and research, and the depreciation of depth therapy by many stakeholders. The authors thoughtfully elucidate the crucial importance of therapies of depth, insight, and relationship in the repertoire of mental health treatment and speak to the implications of PsiAN’s mission both now and in the future. With a distinguished international group of authors and a clear focus on determining a future direction for psychotherapy, this book is essential reading for all psychotherapists.




Contemporary Psychodynamic Psychotherapy


Book Description

Contemporary Psychodynamic Psychotherapy: Evolving Clinical Practice covers the latest applications of psychodynamic therapy for a range of clinical issues, including depression, anxiety, psychosis, borderline personality and trauma. It discusses psychodynamic practice as an evidence-based therapy, providing reviews of outcome and process research. Covering a wide array of treatments tailored for specific disorders and populations, this book is designed to appeal to clinicians and researchers who are looking to broaden their knowledge of the latest treatment strategies, novel applications, and current developments in psychodynamic practice. - Outlines innovative delivery strategies and techniques - Features therapies for children, refugees, the LGBT community, and more - Covers the psychodynamic treatment of eating, psychosomatic and anxiety disorders - Includes psychotherapy strategies for substance misuse and personality disorders




Case Conceptualization and Treatment Planning


Book Description

Case Conceptualization and Treatment Planning: Integrating Theory With Clinical Practice teaches students in counseling, psychotherapy, and clinical psychology how to develop the case conceptualization and treatment planning skills necessary to help clients achieve change. Author Pearl S. Berman provides client interviews and sample case studies in each chapter along with detailed steps for practice and developing treatment plans. Chapters conclude with questions that engage students in critical thinking about the complexity of human experiences. The updated and expanded Fourth Edition includes cutting-edge issues in trauma-informed care; responsiveness to development across the lifespan; integration of issues relevant to intersectionality of oppression; and evidence-based practice.




A People’s History of Psychoanalysis


Book Description

As inequality widens in all sectors of contemporary society, we must ask: is psychoanalysis too white and well-to-do to be relevant to social, economic, and racial justice struggles? Are its ideas and practices too alien for people of color? Can it help us understand why systems of oppression are so stable and how oppression becomes internalized? In A People’s Historyof Psychoanalysis: From Freud to Liberation Psychology, Daniel José Gaztambide reviews the oft-forgotten history of social justice in psychoanalysis. Starting with the work of Sigmund Freud and the first generation of left-leaning psychoanalysts, Gaztambide traces a series of interrelated psychoanalytic ideas and social justice movements that culminated in the work of Frantz Fanon, Paulo Freire, and Ignacio Martín-Baró. Through this intellectual genealogy, Gaztambide presents a psychoanalytically informed theory of race, class, and internalized oppression that resulted from the intertwined efforts of psychoanalysts and racial justice advocates over the course of generations and gave rise to liberation psychology. This book is recommended for students and scholars engaged in political activism, critical pedagogy, and clinical work.