Introduction to the Special Issue

The authors introduce the special issue of the Journal of Counseling & Development on “Integrating the Multicultural and Social Justice Counseling Competencies Into Practice, Research, and Advocacy.” They first discuss the rationale and importance of the special issue, as well as the transformative opportunities that the Multicultural and Social Justice Counseling Competencies (MSJCC; Ratts, Singh, Nassar-McMillan, Butler, & McCullough, 2015) have to influence counseling and the broader helping professions. Then they provide an overview the special issue articles and their respective contributions. They conclude by explicating the challenges and opportunities in integrating and implementing the MSJCC into counseling practice, research, and advocacy.     

Therapy at the Cultural Interface: Implications of African Cosmology for Traumatic Stress Intervention

The topic of intercultural or multicultural therapy continues to stimulate much debate in the field of psychotherapy. Intercultural counseling training emphasizes respect for cultural beliefs as a core dimension of appropriate intervention. This paper addresses the limitations of this perspective in guiding therapists when faced with a clinical situation in which the non-challenging of cultural belief systems seems counter-therapeutic. The discussion is focused around critical observations of circumstances in which conventional African wisdom, as understood by clients presenting for trauma counseling, appeared to be counterproductive for their recovery in terms of western intervention principles. In psychotherapy for traumatic stress and traumatic bereavement, such tensions appear to arise particularly strongly because of the inevitable search for meaning in the face of extraordinary life events. Focusing on meaning making, cognitive intervention, schema realignment and reframing within trauma therapy, the paper explores ethical considerations and areas of potential conflict with reference to theory and clinical case material. Some strategies for therapeutic engagement are proposed.     

Eyes wide open: Facilitating student therapists’ experiences with the unfamiliar

Psychotherapists and counsellors work increasingly with culturally different or unfamiliar clients in the context of global migration and relocation. This paper explores the learning processes of trainee therapists within a South African community clinic context which confronts trainees with cultural diversity and a range of complex and traumatic presenting problems. Learning within this context entails interfacing with the ‘unfamiliar’, a process which challenges students both culturally and personally. Drawing upon the ideas of Wilfred Bion we suggest the importance of supervisory reverie in helping students convert raw sensory data into reflective practice. We suggest that working within community clinic contexts prompts personal anxieties as well as context-related anxieties of persecution or annihilation, of narcissistic injury and of contamination. It is hoped that a psychodynamic understanding may prompt further debate regarding the training of therapists working with diverse populations and problems.     

Training Therapists to Be Culturally Sensitive with Asian American Women Clients

SUMMARY

We describe here a developmental sequence of three key training experiences that contribute to developing cultural sensitivity for clinicians who are not of Asian heritage and are working with Asian American women. The sequence reflects and illustrates our guiding assumptions for developing multicultural sensitivity, including an emphasis on cultural self-awareness and a reflexive approach to knowledge acquisition and clinical practice. Effects of these training experiences are illustrated through three case examples of therapy with Asian American women written by an African American male and two European American female therapists at different stages in their training.     

Curriculum Evaluation and Assessment of Multicultural Genetic Counselor Education

Multicultural competence in genetic counseling integrates racial-cultural knowledge, awareness, and skills into clinical interventions and research practices. Researchers and educators often cite racial-cultural factors as obstacles for visible racial-cultural people seeking help. However, the professional's unfamiliarity of how his or her own racial-cultural group affiliations are influenced by the history of discrimination and oppression coupled with their lack of self-understanding of racial-cultural issues for him- or herself has also limited the effectiveness of genetic counseling. The purpose of this study is to evaluate the effectiveness of the Handbook of Cross-Cultural Genetic Counseling, a multicultural curriculum developed for genetic counselor education for increasing multicultural counseling competence. The multicultural curriculum was evaluated for its effectiveness of increasing multicultural counseling competence using a nonequivalent control group design. A participant's multicultural counseling competence was hypothesized to increase after being taught the curriculum. The curriculum was effective for increasing multicultural counseling competence. Additionally, achieved multicultural counseling competence was not influenced by when the curriculum was taught. Trend analyses measuring the longitudinal impact of the curriculum on multicultural competence were significant. Implications of the results are discussed.     

A New Paradigm for Women's Sexual Orientation

Abstract

This paper critiques old models of women's sexual orientation that viewed heterosexuality as the norm for mental health, characterized lesbians as masculinized sexual “inverts,” and looked to biology to explain the development of homosexuality. A new paradigm for women's sexual orientation is presented. This paradigm emphasizes the importance of the social context and recognizes the multiple pathways that can lead a woman to identify as lesbian, bisexual or heterosexual. In addition, the main components of sexual orientation are considered as is the potential fluidity of women's sexuality. Throughout, implications of the new paradigm for psychotherapy with women are considered.