Advancing Social Justice Through Clinical Practice

ISBN-10: 0805855181

ISBN-13: 9780805855180

Edition: 2007

Authors: Etiony Aldarondo

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Description:

There is a healthy development in the human service professions these days. At community clinics, private practices, and universities around the country mental health professionals and service providers are working with increased awareness of the toxic effects of social inequities in the lives of people they aim to help. Quietly, by acting out their beliefs on justice and equality, clinicians are redressing the balance between professing our craft as clinicians and professing our humanity as citizens. Advancing Social Justice Through Clinical Practice is a comprehensive volume that bridges the gap between the psychosocial realities of clients and the dominant clinical practices. It offers an array of conceptual and practical innovations to address both individual suffering and social inequities fueling this suffering. This is an empowering tool and a must read for mental health professionals. The accessible writing style also makes it ideal for teachers and students in the field. The book opens with a discussion of the historical, ethical, and experiential foundations for the development of social justice-based practice. Parts II and III present conceptual frameworks, strategies, and techniques used by social justice oriented practitioners. The final section discusses various ways to develop the skills and competencies required of mental health professionals aspiring to be both agents of individual and social transformation. Filled with hope, critical analysis, and uncommon clinical wisdom, this is a book like no other in the field.
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Book details

List price: $85.95
Copyright year: 2007
Publisher: Routledge
Publication date: 3/21/2007
Binding: Paperback
Pages: 520
Size: 7.00" wide x 10.00" long x 1.25" tall
Weight: 2.244
Language: English

Foreword
Preface
Acknowledgments
Steps Toward a Social Justice Therapeutic Practice
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
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
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
Liberating Visions of Clinical Practice
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
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
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 Issues
Guarding Against Heterocentric Bias-Countertransference
Cautions About Applying Theory to Same-Sex Couples
Same-Sex Marriage and Social Justice
References
Risk Reduction and the Micropolitics of Social Justice in Mental Health Care
Multiproblem Families
Domains of Risk
Risk Reduction
Process
References
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
Orientation
Sponsorship
Socioeducation
Culture Circles
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
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
Community Building for Wellness and Justice
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
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
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
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
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
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
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
Teaching and Training for Social Action
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
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
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
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
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
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