Culturally Competent Family Therapy: A General Model

By Shlomo Ariel | Go to book overview

PART V
THERAPY

The subject of this part of the book is the principles, processes and techniques of culturally competent family therapy. Chapter 11 includes a discussion concerning the special nature of the therapeutic alliance in culturally competent family therapy. Cross-cultural communications between therapist and family are often subject to suspicion, ethnocentric prejudices and misunderstandings. These are particularly prominent in communication between therapists who represent the advantaged mainstream and families that represent disadvantaged minorities. The problems are even graver when the therapist represents organizations that symbolize political, social and economic power. Methods for overcoming these difficulties are suggested. Using intermediaries is recommended.

Chapter 12 concentrates on the question of how culturally competent therapeutic strategies and tactics are planned on the basis of the assessment. General principles for constructing a strategy are proposed. The components of a good strategy are listed and discussed. The main component specifies the principles and mechanisms for effecting therapeutic change. The choice of tactics and techniques of intervention should take into consideration the cultural-specific family programs and the stage of the therapeutic process. The therapist's analysis of the family's culture is not necessarily shared with the family. What is shared is determined by the family's cultural characteristics and by the goals of therapy. Techniques are borrowed from various sources and adapted to the needs of culturally competent therapy. Major sources are various schools of family therapy and traditional healing methods.

Chapter 13 discusses the structure and dynamics of the overall therapeutic process. It includes also one complete case description.

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Culturally Competent Family Therapy: A General Model
Table of contents

Table of contents

  • Title Page iii
  • Contents v
  • Foreword vii
  • Acknowledgments ix
  • Introduction xi
  • Part I - Culture and Family Therapy: an Overview 1
  • 1 - The Necessity to Incorporate Culture into the Theory and Practice of Family Therapy 3
  • Summary 17
  • 2 - The General Model of Culturally Competent Family Therapy: a Brief Outline 19
  • Summary 30
  • Part II - Family-Cultural Concepts Relevant to Diagnosis and Treatment 33
  • 3 - The Family's Conceptualization of Its Environment 35
  • Summary 43
  • 4 - The Family's Cultural Identity 45
  • Summary 65
  • 5 - The Family's Functioning and Lifestyle 67
  • Summary 74
  • 6 - The Family's Coping with Problems and Difficulties 77
  • Summary 82
  • Part III - The Information-Processing Framework 83
  • 7 - The Family as an Information-Processing System 85
  • Summary 100
  • 8 - Culturally Determined Family Dysfunction 103
  • Summary 116
  • Part IV - Culturally Competent Family Diagnosis 119
  • 9 - Data-Collection Instruments and Procedures 121
  • Summary 130
  • 10 - Analysis of Diagnostic Data 131
  • Summary 150
  • Part V - Therapy 153
  • 11 - The Therapeutic Alliance in Culturally Competent Family Therapy 155
  • Summary 163
  • 12 - Planning the Therapy: Strategies, Tactics and Techniques 165
  • Summary 193
  • 13 - The Therapeutic Process 195
  • Summary 212
  • Epilogue 213
  • Appendix - A Classified List of References 215
  • References 229
  • Index 249
  • About the Author 255
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