Counseling the Culturally Diverse E-Book

Derald Wing Sue

• Herausgeber: John Wiley & Sons
• Kategorie: Geisteswissenschaft
• Sprache: Englisch

Seitenzahl: 1397

Veröffentlichungsjahr: 2019

Beschreibung

A brand new, fully updated edition of the most widely-used, frequently-cited, and critically acclaimed multicultural text in the mental health field This fully revised, 8th edition of the market-leading textbook on multicultural counseling comprehensively covers the most recent research and theoretical formulations that introduce and analyze emerging important multicultural topical developments. It examines the concept of "cultural humility" as part of the major characteristics of cultural competence in counselor education and practice; roles of white allies in multicultural counseling and in social justice counseling; and the concept of "minority stress" and its implications in work with marginalized populations. The book also reviews and introduces the most recent research on LGBTQ issues, and looks at major research developments in the manifestation, dynamics, and impact of microaggressions. Chapters in Counseling the Culturally Diverse, 8th Edition have been rewritten so that instructors can use them sequentially or in any order that best suits their course goals. Each begins with an outline of objectives, followed by a real life counseling case vignette, narrative, or contemporary incident that introduces the major themes of the chapter. In-depth discussions of the theory, research, and practice in multicultural counseling follow. * Completely updated with all new research, critical incidents, and case examples * Chapters feature an integrative section on "Implications for Clinical Practice," ending "Summary," and numerous "Reflection and Discussion Questions" * Presented in a Vital Source Enhanced format that contains chapter-correlated counseling videos/analysis of cross-racial dyads to facilitate teaching and learning * Supplemented with an instructor's website that offers a power point deck, exam questions, sample syllabi, and links to other learning resources * Written with two new coauthors who bring fresh and first-hand innovative approaches to CCD Counseling the Culturally Diverse, 8th Edition is appropriate for scholars and practitioners who work in the mental health field related to race, ethnicity, culture, and other sociodemographic variables. It is also relevant to social workers and psychiatrists, and for graduate courses in counseling and clinical psychology related to working with culturally diverse populations.

Leseprobe

Table of Contents

Cover

Preface

CHANGES TO CCD

EFFICIENT UP‐TO‐DATE COVERAGE

PEDAGOGICAL STRENGTHS

APPRECIATION

REFERENCE

About the Authors

SECTION ONE: The Multiple Dimensions of Multicultural Counseling and Therapy

PART I: The Affective and Conceptual Dimensions of Multicultural Counseling and Therapy

1 Obstacles to Developing Cultural Competence and Cultural Humility

REACTIONS TO READING COUNSELING THE CULTURALLY DIVERSE

EMOTIONAL SELF‐REVELATIONS AND FEARS: MAJORITY GROUP MEMBERS

EMOTIONAL INVALIDATION VERSUS AFFIRMATION: MARGINALIZED GROUP MEMBERS

RECOGNIZING AND UNDERSTANDING RESISTANCE TO MULTICULTURAL TRAINING

CULTURAL COMPETENCE AND EMOTIONS

SUMMARY

GLOSSARY TERMS

REFERENCES

2 Multicultural Counseling and Therapy (MCT)

CULTURE‐UNIVERSAL (ETIC) VERSUS CULTURE‐SPECIFIC (EMIC) FORMULATIONS

THE NATURE OF MULTICULTURAL COUNSELING COMPETENCE

A TRIPARTITE FRAMEWORK FOR UNDERSTANDING THE MULTIPLE DIMENSIONS OF IDENTITY

INDIVIDUAL AND UNIVERSAL BIASES IN PSYCHOLOGY AND MENTAL HEALTH

THE IMPACT OF GROUP IDENTITIES ON COUNSELING AND PSYCHOTHERAPY

WHAT IS MULTICULTURAL COUNSELING AND THERAPY (MCT)?

WHAT IS CULTURAL COMPETENCE?

SOCIAL JUSTICE AND CULTURAL COMPETENCE

SUMMARY

GLOSSARY TERMS

REFERENCES

3 Multicultural Counseling Competence for Counselors and Therapists of Marginalized Groups

INTERRACIAL AND INTERETHNIC BIASES

IMPACT ON INTERRACIAL COUNSELING RELATIONSHIPS

STEREOTYPES HELD BY SOCIALLY MARGINALIZED GROUP MEMBERS

THE WHO‐IS‐MORE‐OPPRESSED GAME

COUNSELORS FROM MARGINALIZED GROUPS WORKING WITH MAJORITY AND OTHER MARGINALIZED GROUP CLIENTS

THE POLITICS OF INTERETHNIC AND INTERRACIAL BIAS AND DISCRIMINATION

THE HISTORICAL AND POLITICAL RELATIONSHIPS BETWEEN GROUPS OF COLOR

DIFFERENCES BETWEEN RACIAL/ETHNIC GROUPS

COUNSELORS OF COLOR AND DYADIC COMBINATIONS

SUMMARY

GLOSSARY TERMS

REFERENCES

PART II: The Impact and Social Justice Implications of Counseling and Psychotherapy

4 The Political and Social Justice Implications of Counseling and Psychotherapy

THE MENTAL HEALTH IMPACT OF SOCIOPOLITICAL OPPRESSION

SOCIOPOLITICAL OPPRESSION AND THE TRAINING OF COUNSELING/MENTAL HEALTH PROFESSIONALS

DEFINITIONS OF MENTAL HEALTH

COUNSELING AND MENTAL HEALTH LITERATURE

SOCIAL JUSTICE COUNSELING

SUMMARY

GLOSSARY TERMS

REFERENCES

5 The Impact of Systemic Oppression Within the Counseling Process

LOCATING CLIENTS' PROBLEMS ENTIRELY INSIDE THE CLIENTS

CULTURALLY RELATED RESPONSES THAT REPRODUCE STEREOTYPES

RESPONDING WHEN THE ISSUES ARE OUR OWN: WHITE FRAGILITY

EFFECTS OF HISTORICAL AND CURRENT OPPRESSION

COUNSELOR CREDIBILITY AND ATTRACTIVENESS

FORMATION OF INDIVIDUAL AND SYSTEMIC WORLDVIEWS

FORMATION OF WORLDVIEWS

SUMMARY

GLOSSARY TERMS

REFERENCES

6 Microaggressions in Counseling and Psychotherapy

CONTEMPORARY FORMS OF OPPRESSION

THE EVOLUTION OF THE “ISMS”: MICROAGGRESSIONS

THE DYNAMICS AND DILEMMAS OF MICROAGGRESSIONS

THERAPEUTIC IMPLICATIONS

MANIFESTATIONS OF MICROAGGRESSIONS IN COUNSELING/THERAPY

THE PATH FORWARD

SUMMARY

GLOSSARY TERMS

REFERENCES

PART III: The Practice Dimensions of Multicultural Counseling and Therapy

7 Multicultural Barriers and the Helping Professional

MY THERAPIST DIDN'T UNDERSTAND

STANDARD CHARACTERISTICS OF MAINSTREAM COUNSELING

CULTURE‐BOUND VALUES

CLASS‐BOUND VALUES

LANGUAGE BARRIERS

PATTERNS OF “AMERICAN” CULTURAL ASSUMPTIONS AND MULTICULTURAL FAMILY COUNSELING/THERAPY

OVERGENERALIZING AND STEREOTYPING

SUMMARY

GLOSSARY TERMS

REFERENCES

8 Communication Style and Its Impact on Counseling and Psychotherapy

COMMUNICATION STYLES

SOCIOPOLITICAL FACETS OF NONVERBAL COMMUNICATION

COUNSELING AND THERAPY AS COMMUNICATION STYLE

SUMMARY

GLOSSARY TERMS

REFERENCES

9 Multicultural Evidence‐Based Practice (EBP)

EVIDENCE‐BASED PRACTICE (EBP) AND MULTICULTURALISM

EVIDENCE‐BASED PRACTICE (EBP) AND DIVERSITY ISSUES IN COUNSELING

SUMMARY

GLOSSARY TERMS

REFERENCES

10 Non‐Western Indigenous Methods of Healing

WORLDVIEWS AND CULTURAL SYNDROMES

THE PRINCIPLES OF INDIGENOUS HEALING

EXAMPLES OF INDIGENOUS HEALING APPROACHES

DANGERS AND BENEFITS OF SPIRITUALITY

SUMMARY

GLOSSARY TERMS

REFERENCES

PART IV: Racial, Ethnic, Cultural (REC) Attitudes in Multicultural Counseling and Therapy

11 Racial, Ethnic, Cultural (REC) Identity Attitudes in People of Color

RACIAL AWAKENING

REC IDENTITY ATTITUDE MODELS

A GENERAL MODEL OF REC IDENTITY

COUNSELING IMPLICATIONS OF THE R/CID MODEL

VALUE OF A GENERAL REC IDENTITY FRAMEWORK

SUMMARY

GLOSSARY TERMS

REFERENCES

12 White Racial Identity Development

UNDERSTANDING THE DYNAMICS OF WHITENESS

MODELS OF WHITE RACIAL IDENTITY DEVELOPMENT

THE PROCESS OF WHITE RACIAL IDENTITY DEVELOPMENT: A DESCRIPTIVE MODEL

DEVELOPING A NONRACIST AND ANTIRACIST WHITE IDENTITY

SUMMARY

GLOSSARY TERMS

REFERENCES

SECTION TWO: Multicultural Counseling and Specific Populations

PART V: Understanding Specific Populations

13 Culturally Competent Assessment

THERAPIST VARIABLES AFFECTING DIAGNOSIS

CULTURAL COMPETENCE AND PREVENTING DIAGNOSTIC ERRORS

CONTEXTUAL AND COLLABORATIVE ASSESSMENT

INFUSING CULTURAL RELEVANCE INTO STANDARD CLINICAL ASSESSMENTS

SUMMARY

GLOSSARY TERMS

REFERENCES

PART VI: Counseling and Therapy with Racial/Ethnic Minority Group Populations

14 Counseling African Americans

CHARACTERISTICS AND STRENGTHS

SPECIFIC CHALLENGES

SUMMARY

GLOSSARY TERMS

REFERENCES

15 Counseling American Indians/Native Americans and Alaska Natives

CHARACTERISTICS AND STRENGTHS

SPECIFIC CHALLENGES

SUMMARY

GLOSSARY TERMS

REFERENCES

16 Counseling Asian Americans and Pacific Islanders

CHARACTERISTICS AND STRENGTHS

SPECIFIC CHALLENGES

SUMMARY

GLOSSARY TERMS

REFERENCES

17 Counseling Latinx Populations

CHARACTERISTICS AND STRENGTHS

SPECIFIC CHALLENGES

SUMMARY

GLOSSARY TERMS

REFERENCES

18 Counseling Multiracial Populations

CHARACTERISTICS AND STRENGTHS

SPECIFIC CHALLENGES

SUMMARY

GLOSSARY TERMS

REFERENCES

PART VII: Counseling and Special Circumstances Involving Racial/Ethnic Populations

19 Counseling Arab Americans and Muslim Americans

CHARACTERISTICS AND STRENGTHS

SPECIFIC CHALLENGES

SUMMARY

GLOSSARY TERMS

REFERENCES

20 Counseling Immigrants and Refugees

CHARACTERISTICS AND STRENGTHS

SPECIFIC CHALLENGES

SUMMARY

GLOSSARY TERMS

REFERENCES

21 Counseling Jewish Americans

CHARACTERISTICS AND STRENGTHS

SPECIFIC CHALLENGES

SUMMARY

GLOSSARY TERMS

REFERENCES

PART VIII: Counseling and Therapy with Other Multicultural Populations

22 Counseling Individuals with Disabilities

CHARACTERISTICS AND STRENGTHS

SPECIFIC CHALLENGES

SUMMARY

GLOSSARY TERMS

REFERENCES

23 Counseling LGBTQ Populations

CHARACTERISTICS AND STRENGTHS

SPECIFIC CHALLENGES

SUMMARY

GLOSSARY TERMS

REFERENCES

24 Counseling Older Adults

CHARACTERISTICS AND STRENGTHS

SPECIFIC CHALLENGES

SUMMARY

GLOSSARY TERMS

REFERENCES

25 Counseling Individuals Living in Poverty

CHARACTERISTICS AND STRENGTHS

SPECIFIC CHALLENGES

SUMMARY

GLOSSARY TERMS

REFERENCES

26 Counseling Women

CHARACTERISTICS AND STRENGTHS

SPECIFIC CHALLENGES

SUMMARY

GLOSSARY TERMS

REFERENCES

Glossary

Index

End User License Agreement

List of Tables

Chapter 3

TABLE 3.1 Ten Common Challenges Counselors of Color Face When Working with Wh...

Chapter 6

TABLE 6.1 Examples of Microaggressions

TABLE 6.2 Examples of Microaggressions in Therapeutic Practice

Chapter 7

TABLE 7.1 Components of White Culture: Values and Beliefs

TABLE 7.2 Cultural Value Preferences of Middle‐Class White EuroAmericans and Peop...

Chapter 8

TABLE 8.1 Communication Style Differences (Overt Activity Dimension—Nonverbal/Ver...

Chapter 9

TABLE 9.1 Examples of Empirically Supported Treatments (ESTs)

TABLE 9.2 Empirically Supported Relationship (ESR) Variables

TABLE 9.3 Relational‐Style Counselor Preferences of Ethnic Group Clients

Chapter 10

TABLE 10.1 Culture‐Bound Syndromes

Chapter 11

TABLE 11.1 The R/CID Model

Chapter 22

TABLE 22.1 Things to Remember When Interacting with Individuals with Disabili...

List of Illustrations

Chapter 2

FIGURE 2.1 Tripartite Development of Personal Identity

Chapter 4

FIGURE 4.1 Levels of Counseling Interventions

Chapter 5

FIGURE 5.1 Graphic Representation of Worldviews

Chapter 9

FIGURE 9.1 Three Pillars of Evidence‐Based Practice (EBP)

Chapter 14

FIGURE 14.1 The Interaction of Four Sets of Factors in the Jones Model

Guide

Cover

Table of Contents

Begin Reading

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EIGHTH EDITION

Counseling the Culturally Diverse

Theory and Practice

Derald Wing Sue | David Sue | Helen A. Neville | Laura Smith

This edition first published 2019.© 2019 John Wiley & Sons, Inc.

Edition HistoryJohn Wiley and Sons, Inc. (7e, 2015)

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by law. Advice on how to obtain permission to reuse material from this title is available at http://www.wiley.com/go/permissions.

The right of Derald Wing Sue, David Sue, Helen A. Neville, and Laura Smith to be identified as the authors of Counseling the Culturally Diverse: Theory and Practice, Eighth Edition has been asserted in accordance with law.

Registered OfficeJohn Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, USA

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Library of Congress Cataloging‐in‐Publication Data

Names: Sue, Derald Wing, author.Title: Counseling the culturally diverse : theory and practice / Derald Wing Sue [and three others].Description: Eighth edition. | Hoboken, NJ : John Wiley & Sons, Inc., 2019. | Includes bibliographical references and index. |Identifiers: LCCN 2018042673 (print) | LCCN 2018044428 (ebook) | ISBN 9781119448235 (Adobe PDF) | ISBN 9781119448280 (ePub) | ISBN 9781119448242 (paperback)Subjects: LCSH: Cross‐cultural counseling.Classification: LCC BF636.7.C76 (ebook) | LCC BF636.7.C76 S85 2019 (print) | DDC 158.3–dc23LC record available at https://lccn.loc.gov/2018042673

Cover Design: WileyCover Image: © Anthony Carpinelli / EyeEm / Getty Images

Preface

For nearly four decades, Counseling the Culturally Diverse: Theory and Practice (CCD) has been the cutting‐edge text in multicultural counseling and mental health, used in an overwhelming majority of graduate training programs in counseling and clinical psychology. It now forms part of the multicultural knowledge base of licensing and certification exams at both the master's and the doctoral levels. In essence, it has become a “classic” in the field, and continues to lead the profession in the research, theory, and practice of multicultural counseling and therapy (MCT). CCD upholds the highest standards of scholarship and is the most frequently cited text in multicultural psychology and ethnic minority mental health.

With the addition of two new co‐authors, Dr. Helen Neville and Dr. Laura Smith, to the eighth edition, instructors will note a fresh, new, and exciting perspective to the content of CCD, and their scholarly input guarantees it will continue to rank as the most up‐to‐date text in the field. Both have been foremost leaders in multicultural psychology, and their voices become obvious in this revised edition.

CHANGES TO CCD

Much new research has been conducted in multicultural counseling, cultural competence, social justice advocacy, new roles of the helping professional, White allyship, and culture‐specific interventions over the past few years. In essence, the topical areas covered in each chapter continue to be anchors for multicultural counseling coverage. As a result, while the chapters remain similar, each has undergone major revisions; some are quite extensive in the updating of references, introduction of new research and concepts, and discussion of future directions in counseling, therapy, and mental health.

We maintain our two‐part division of the book, with 12 separate chapters in Section One: The Multiple Dimensions of Multicultural Counseling and Therapy, and 13 population‐specific chapters in Section Two: Multicultural Counseling and Specific Populations. We introduce Section Two by providing a chapter, “Culturally Competent Assessment” (Chapter 13), that outlines the many variables that influence assessment, diagnosis, and case conceptualization—which, hopefully, guide the reader's understanding of each specific population presented. All have been thoroughly updated using common topical headings (when possible) that allow better cross‐comparisons between and among the groups.

EFFICIENT UP‐TO‐DATE COVERAGE

We have heard from textbook adopters that the breadth and depth of coverage has made it very difficult for instructors and students to digest the amount of material in a single course. Although reviewers suggested that CCD be shortened, they did not recommend eliminating topics, but rather condensing, summarizing, streamlining, or eliminating certain subtopics. We have tried our best to do so without violating the integrity of the content. Each of the major chapters 1 through 12) has been shortened by an average of 10%, but the special population chapters have maintained their original length. This latter decision was based on our belief that further shortening would result in the chapters having a “checklist” quality. Further, we are also aware that most instructors do not assign all special population chapters, but rather pick and choose the ones most relevant to their classes.

Despite shortening major sections of the text, new advances and important changes in multicultural counseling suggest additional areas that need to be addressed. These include building on the previous groundbreaking edition, which has become the most widely used, frequently cited, and critically acclaimed multicultural text in the mental health field, and updating concepts to be consistent with Diagnostic and Statistical Manual of Mental Disorders (DSM‐5) categories and principles, the multicultural guidelines of the American Psychological Association, the American Counseling Association's (ACA) multicultural and social justice competencies, and Council for Accreditation of Counseling & Related Educational Programs (CACREP) standards.

We also include the most recent research and theoretical formulations that introduce and analyze emerging important multicultural topics. These include the concept of “cultural humility” as a domain of cultural competence; the important roles of White allies in the struggle for equal rights; the emerging call for social justice counseling; the important concept of “minority stress” and its implications in work with marginalized populations; greater focus on developmental psychology that speaks to raising and educating children about race, gender, and sexual orientation; reviewing and introducing the most recent research on lesbian, gay, bisexual, transgender, and queer (LGBTQ) issues; major research developments in the manifestation, dynamics, and impact of microaggressions; and many others.

PEDAGOGICAL STRENGTHS

One of the main goals of the eighth edition has been to better engage students in the material and allow them to actually become active participants in digesting multicultural counseling concepts. We have increased our focus on pedagogy by providing instructors with exercises and activities to facilitate experiential learning for students. We open every chapter with broad chapter objectives, followed by more specific—and oftentimes controversial—reflection and discussion questions interspersed throughout, which allow for more concentrated and detailed discussion by students on identifiable topical areas.

Further, every chapter opens with a clinical vignette, longer narrative, or situational example that previews the major concepts and issues discussed within. Many of these are new and serve to anchor the multicultural issues to follow. They add life and meaning to the chapter concepts and research. The chapter focus questions serve as prompts to address the opening “course objectives,” but instructors and trainers can also use them as discussion questions throughout the course or workshop. As in the previous edition, we have retained the “Implications for Clinical Practice” and “Summary” sections at the end of every chapter.

There are two other major resources available for instructor use:

A series of brief simulated multicultural counseling videos that can be used in the classroom or viewed online. Each video relates to issues presented in one of the first 13 chapters. They are excellent training aids that allow students to witness multicultural blunders by counselors, identify cultural and sociopolitical themes in the counseling process, discuss and analyze what can go wrong in a session, and suggest culturally appropriate intervention strategies.

Following each video, Dr. Derald Wing Sue and Dr. Joel M. Filmore discuss and analyze each session in the context of the themes of the chapter. Instructors have many ways to use the videos to stimulate classroom discussion and understanding.

In keeping with the importance of applying research and theory to work with client and client systems, we encourage instructors to use

Case Studies in Multicultural Counseling and Therapy

, edited by Sue, Gallardo, and Neville (

2014

), alongside

CCD

.

APPRECIATION

There is an African American proverb that states, “We stand on the head and shoulders of many who have gone on before us.” Certainly, this book would not have been possible without their wisdom, commitment, and sacrifice. We thank them for their inspiration, courage, and dedication, and hope they will look down on us and be pleased with our work. We would like to acknowledge all the dedicated multicultural pioneers in the field who have journeyed with us along the path of multiculturalism before it became fashionable. We also wish to thank the staff of John Wiley & Sons for the enormous time and effort they have placed in obtaining, evaluating, and providing us with the necessary data and feedback to produce this edition of CCD. Their help was no small undertaking, and we feel fortunate in having Wiley as our publisher.

Working on this eighth edition continues to be a labor of love. It would not have been possible, however, without the love and support of our families, who provided the patience and nourishment that sustained us throughout our work on the text. Derald Wing Sue wishes to express his love for his wife, Paulina, his son, Derald Paul, his daughter, Marissa Catherine, and his grandchildren, Caroline, Juliette, and Niam. Helen A. Neville wishes to express her deepest love and appreciation for her life partner, Sundiata K. Cha‐Jua, her daughters, and the memory of her parents. Laura Smith expresses love and appreciation for the support of her partner, Sean Kelleher, as well as her extended family. David Sue wishes to express his love and appreciation to his wife and children.

We hope that Counseling the Culturally Diverse: Theory and Practice, eighth edition, will stand on “the truth” and continue to be the standard bearer of multicultural counseling and therapy texts in the field.

Derald Wing SueDavid SueHelen A. NevilleLaura Smith

REFERENCE

Sue, D. W., Gallardo, M., & Neville, H. (2014).

Case studies in multicultural counseling and therapy

. Hoboken, NJ: Wiley.

About the Authors

Derald Wing Sue is Professor of Psychology and Education in the Department of Counseling and Clinical Psychology at Teachers College, Columbia University. He served as president of the Society for the Psychological Study of Culture, Ethnicity and Race, the Society of Counseling Psychology, and the Asian American Psychological Association. Dr. Sue continues to be a consulting editor for numerous publications. He is author of more than 160 publications, including 21 books, and is well known for his work on racism/antiracism, cultural competence, multicultural counseling and therapy, and social justice advocacy. Three of his books, Counseling the Culturally Diverse: Theory and Practice, Microaggressions in Everyday Life, and Overcoming our Racism: The Journey to Liberation (John Wiley & Sons), are considered classics in the field. Dr. Sue's most recent research on racial, gender, and sexual orientation microaggressions has provided a major breakthrough in understanding how everyday slights, insults, and invalidations toward marginalized groups create psychological harm to their mental and physical health and create disparities for them in education, employment, and health care. His most recent book, Race Talk and the Conspiracy of Silence: Understanding and Facilitating Difficult Dialogues on Race promises to add to the nationwide debate on racial dialogues. A national survey has identified Derald Wing Sue as “the most influential multicultural scholar in the United States,” and his works are among the most frequently cited.

David Sue is Professor Emeritus of Psychology at Western Washington University, where he has served as the director of both the Psychology Counseling Clinic and the Mental Health Counseling program. He is also an associate of the Center for Cross‐Cultural Research at Western Washington University. He and his wife, Diane M. Sue, have coauthored the books Foundations of Counseling and Psychotherapy: Evidence‐Based Practices for a Diverse Society, Understanding Abnormal Psychology (12th edition), and Essentials of Abnormal Psychology (2nd edition). He is coauthor of Counseling the Culturally Diverse: Theory and Practice. He received his PhD in Clinical Psychology from Washington State University. His writing and research interests revolve around multicultural issues in individual and group counseling and the integration of multicultural therapy with evidence‐based practice. He enjoys hiking, snowshoeing, traveling, and spending time with his family.

Helen A. Neville is Professor of Educational Psychology and African American Studies at the University of Illinois at Urbana‐Champaign. Before coming to Illinois in 2001, she was on the faculty in Psychology, Educational and Counseling Psychology, and Black Studies at the University of Missouri‐Columbia, where she cofounded and codirected the Center for Multicultural Research, Training, and Consultation. Dr. Neville has held leadership positions on campus and nationally. She was a Provost Fellow and participated in the CIC/Big 10 Academic Alliance Academic Leadership Academy. Currently, she serves as president for the Society for the Psychological Study of Culture, Ethnicity, and Race (2018), which is a division of the American Psychological Association (APA). She has co‐edited five books and (co)authored nearly 90 journal articles and book chapters in the areas of race, racism, racial identity, and diversity issues related to well‐being. Dr. Neville has been recognized for her research and mentoring efforts, including receiving the Association of Black Psychologists' Distinguished Psychologist of the Year Award, the APA Minority Fellowship Award, Dalmas Taylor Award for Outstanding Research Contribution, APA Graduate Students Kenneth and Mamie Clark Award, the APA Division 45 Charles and Shirley Thomas Award for mentoring/contributions to African American students/community, and the Winter Roundtable Janet E. Helms Mentoring Award.

Laura Smith is Professor of Psychology and Education and Director of Clinical Training in the Counseling Psychology Program at Teachers College, Columbia University. Laura was formerly the Training Director of Pace University's American Psychological Association (APA)‐accredited predoctoral internship program and later the founding Director of the Rosemary Furman Counseling Center at Barnard College. She was subsequently Director of Psychological Services at the West Farms Center in the Bronx, where she provided services, training, and programming within a multifaceted community‐based organization. Laura's research interests include social inclusion/exclusion and emotional well‐being, the influence of classism and racism in psychological theory and practice, whiteness and white antiracism, and participatory action research (PAR) in schools and communities. She is the author of the book Psychology, Poverty, and the End of Social Exclusion and the former Chair of the APA Committee on Socioeconomic Status, and she was awarded the 2017 APA Distinguished Leadership Award on behalf of that committee.

SECTION ONEThe Multiple Dimensions of Multicultural Counseling and Therapy

Becoming culturally competent in working with diverse populations is a complex interaction of many dimensions that involve broad theoretical, conceptual, research, and practice issues. This section is divided into four parts (each part contains a number of chapters) that describe, explain, and analyze necessary conditions that mental health practitioners must address on issues related to multicultural counseling and therapy, cultural competence, and sociopolitical influences that cut across specific populations.

Part I: The Affective and Conceptual Dimensions of Multicultural Counseling and Therapy

Part II: The Impact and Social Justice Implications of Counseling and Psychotherapy

Part III: The Practice Dimensions of Multicultural Counseling and Therapy

Part IV: Racial, Ethnic, Cultural (REC) Attitudes in Multicultural Counseling and Therapy

PART IThe Affective and Conceptual Dimensions of Multicultural Counseling and Therapy

Chapter 1

Obstacles to Developing Cultural Competence and Cultural Humility: Understanding Resistance to Multicultural Training

Chapter 2

Multicultural Counseling and Therapy (MCT)

Chapter 3

Multicultural Counseling Competence for Counselors and Therapists of Marginalized Groups

1Obstacles to Developing Cultural Competence and Cultural Humility: Understanding Resistance to Multicultural Training

Chapter Objectives

1. Acknowledge and understand personal resistance to multicultural training.

2. Identify how emotional reactions to topics of prejudice, discrimination, and oppression can act as obstacles to developing

cultural competence

and

cultural humility

.

3. Understand

worldview

differences between majority and socially devalued group members in U.S. society.

4. Make sense of why majority group members often react differently from marginalized group members when issues of racism, sexism, or heterosexism are discussed.

5. Be cognizant of how

worldviews

may influence the ability to understand, empathize, and work effectively with diverse clients.

6. Realize that becoming an effective multicultural counselor is a lifelong journey.

Reading and digesting the content of this book may prove difficult and filled with powerful feelings for many of you. Students who have taken a course on multicultural counseling and therapy (MCT) or multicultural mental health issues have almost universally felt both positive and negative feelings that affect their ability to learn about diversity issues. It is important not to allow those emotions to go unacknowledged, or to avoid exploring the psychological meanings they may have for you. As you begin your journey to becoming a culturally competent or culturally responsive counselor/mental health professional, the road will be filled with obstacles to self‐exploration, to understanding yourself as a racial/cultural being, and to understanding the worldview of those who differ from you in race, gender, ethnicity, sexual orientation, and other sociodemographic characteristics.

The subject matter in this book and course requires you to explore your biases and prejudices, a task that often evokes defensiveness and resistance. It is important to recognize personal resistance to the material, to explore its meanings, and to learn about yourself and others. Sometimes what is revealed about you may prove disturbing, but having the courage to continue is necessary to becoming a culturally competent counselor or therapist. This chapter is specifically written to help readers understand and overcome their emotive reactions to the substance of the text, and the course you are about to take. Let us begin by sharing reactions from four past students to reading Counseling the Culturally Diverse: Theory and Practice (CCD) and discuss their meaning for them, and the implications for mental health practice.

Video 1.0: Introduction

Introduction to the book and videos.

REACTIONS TO READING COUNSELING THE CULTURALLY DIVERSE

Reaction #1

White Female Student:

“How dare you and your fellow caustic co‐author express such vitriol against my people? You two are racists, but of a different color … I can't believe you two are counselors. Your book does nothing but to weaken our nationalism, our sense of unity and solidarity. If you don't like it here, leave my country. You are both spoiled hate‐mongers who take advantage of our educational system by convincing others to use such a propagandistic book! Shame on you. Your book doesn't make me want to be more multicultural, but take ungrateful people like you and export them out of this great land of mine.” (Name withheld)

Analysis: This response reveals immense anger at the content of CCD, and especially at the authors, whom she labels “hate‐mongers” and “racists.” It is obvious that she feels the book is biased and propagandistic. The language of her words seems to indicate defensiveness on her part as she easily dismisses the material covered. More important, there is an implicit suggestion in the use of “people like you” and “land of mine” that conveys a perception that only certain groups can be considered “American” and that others are “foreigners.” This is similar to statements often made to people of color: “If you don't like it here, go back to China, Africa, or Latin America.” Likewise, the implication is that this land does not belong to persons of color who are U.S. Citizens, but only to White Americans.

Reaction #2

White Male Student:

“I am a student in the field of Professional Counseling and feel compelled to write you because your text is required reading in our program. I am offended that you seem to think that the United States is the only perpetrator of prejudice and horrific acts. Excuse me sir, but racism and oppression are part of every society in the world ad infinitum, not just the United States. I do not appreciate reading biased material that does not take into account all forms of prejudice including those from minorities. You obviously have a bone to grind with White people. Minorities are equally racist. Why do you take such pleasure in attacking whites when we have done so much to help you people?” (Anonymous)

Analysis: Similar to the first response, the male student is also angry and offended about the content. There is a strong feeling of defensiveness, however, that emanates from his narrative. It appears he feels unjustly accused of being bigoted and that we are implying that only U.S. society and not others are racist. To make himself feel less guilty, he emphasizes that “every society” oppresses “minority” constituents and it is not Whites alone who are prejudiced. These are actually accurate statements, but they mask the defensiveness of the student, and have the goal of exonerating him and other Whites for being prejudiced. If he can get other groups to admit they too are racist, then he feels less guilt and responsibility for his own beliefs and actions.

Reaction #3

Latina Student:

“I am currently embarking on the journey of becoming a Marriage and Family Therapist at a California State University. I just want to thank you for writing Counseling the Culturally Diverse. This book has spoken to me and given me so much knowledge that is beyond words to express. Finally, there is someone willing to tell it like it is. You have truly made an impact in my life because, being an ethnic minority, I could empathize with many of the concepts that were illustrated. Although some White classmates had difficulty with it, you truly validated much of my experiences. It reaffirmed how I see the world, and it felt good to know that I am not crazy! Once again thanks for writing the book.” (Name withheld)

Analysis: The reaction from the Latina student is diametrically opposite to that of her White counterparts. She reacts positively to the material, finds the content helpful in explaining her experiential reality, feels validated and reaffirmed, and realizes that she is “not crazy.” In other words, she finds the content of the book truthful and empathetic to her situation. The important question to ask is, “Why does she react so differently from the two White students?” After all, the content of the book remains the same, but the perceptions appear worlds apart.

Reaction #4

African American Male Student:

“When I first took this course (multicultural counseling) I did not have much hope that it would be different from all the others in our program, White and Eurocentric. I felt it would be the typical cosmetic and superficial coverage of minority issues. Boy was I wrong. I like that you did not ‘tip toe’ around the subject. Your book Counseling the Culturally Diverse was so forceful and honest that it made me feel liberated … I felt like I had a voice, and it allowed me to truly express my anger and frustration. Some of the white students were upset and I could see them squirming in their seats when the professor discussed the book. I felt like saying ‘good, it's about time Whites suffer like we have. I have no sympathy for you. It's about time they learned to listen.’ Thank you, thank you, and thank you for having the courage to write such an honest book.” (Name withheld)

Analysis: Like the Latina student, the African American male finds the book compelling, honest, and truthful. He describes how it makes him feel liberated, provides him with a voice to describe his experiences, and taps into and allows him to express his anger and frustration, and he thanks the authors for writing CCD. He implies that most courses on multicultural psychology are taught from a EuroAmerican perspective, but the book content “tells it like it is.” Additionally, the student seems to take pleasure in observing the discomfort of White students, expresses little sympathy for their struggle in the class, and enjoys seeing them being placed on the defensive. (We will return to the meaning of this last point shortly.)

Reading CCD is very likely to elicit strong emotions among readers. These four reactions, two by White students and two by readers of color, reveal the range of emotions and reactions likely to be expressed in classes that use the text. For nearly four decades, we have received literally hundreds of emails, letters, and phone calls from students, trainees, professors, and mental health professionals reacting strongly to the content and substance of CCD. Many of the readers praise the book for its honest portrayal of multicultural issues in mental health practice. Indeed, it has become the most widely used and cited text in multicultural psychology, considered a classic in the field (Ponterotto, Fingerhut, & McGuinness, 2013; Ponterotto & Sabnani, 1989), and now forms the knowledge base of licensing and certification exams for counseling and mental health professionals.

Despite the scholarly status that CCD has achieved, some readers (generally those from the majority group) find the substance of the book difficult to digest and have reacted very strongly to the content. According to instructors of MCT classes, the powerful feelings aroused in some students prevent them from being open to diversity issues, and from making classroom discussions on the topic a learning opportunity. Instead, conversations on diversity become “shouting matches” or become monologues rather than dialogues. These instructors indicate that the content of the book challenges many White students about their racial, gender, and sexual orientation realities, and that the book's writing style (passionate, direct, and hard‐hitting) also arouses deep feelings of defensiveness, anger, anxiety, guilt, sadness, hopelessness, and a multitude of other strong emotions in many. Unless properly processed and understood, these emotions act as roadblocks to exploring issues of race, gender, and sexual orientation. Learning about multicultural psychology is much more than an intellectual exercise devoid of emotions.

It would be a mistake, however, to conclude from these examples that White students and students of color respond uniformly in one way. As we will explore in future chapters, many White students react positively to the book and some students of color report negative reactions. But, in general, there are major worldview differences and reactions to the material between the groups. For example, many socially marginalized group members find solace in the book; they describe a deep sense of validation, release, elation, joy, and even feelings of liberation as they read the text. What accounts for these two very different reactions?

For practicing professionals and trainees in the helping professions, understanding the differing worldviews of our racially, ethnically, and culturally diverse clients is tantamount to effective multicultural counseling. But understanding our own reactions to issues of diversity, multiculturalism, oppression, race, gender, and sexual orientation is equally important to our development as counselors/therapists (Collins, Arthur, & Brown, 2013; Todd & Abrams, 2011). As we will shortly see, that understanding can be quite anxiety‐provoking, especially when we are asked to confront our own biases, prejudices, and stereotypes. The old adage “counselor or therapist, know thyself” is the basic building block to cultural competence and cultural humility in the helping professions. Let us take a few moments here to dissect the reactions of the four readers in our opening narratives and attempt to make meaning of them. This is a task that we encourage you to personally take throughout your educational journey as well. Likewise, as a counselor or therapist working with culturally diverse clients, understanding differences in worldviews is an important first step to becoming culturally competent.

Video 1.1: Reacting to Race and Racism

Select the video link to view a conversation with the author about reacting to race and racism.

EMOTIONAL SELF‐REVELATIONS AND FEARS: MAJORITY GROUP MEMBERS

It is clear that the two White students are experiencing strong feelings in reaction to the content of CCD. As you will shortly see, the book's subject matter (a) deals with prejudice, bias, stereotyping, discrimination, and bigotry; (b) makes a strong case that counseling and psychotherapy may serve as instruments of cultural oppression rather than therapeutic liberation (Sue, 2015; Wendt, Gone, & Nagata, 2015); (c) indicates that well‐intentioned mental health professionals are not immune from inheriting the racial, gender, and other biases of the larger society; and (d) suggests therapists and trainees may be unconsciously biased toward clients from marginalized groups (Ratts & Pedersen, 2014).

Although supported by the research literature and by clinical observations and reports, these assertions can be quite disturbing to members of the majority group. If you are a majority group member and beginning the journey to developing cultural competence and cultural humility, it is possible that you may share similar reactions to those of the students. Both White students, for example, are reacting with anger and resentment; they believe that the authors are unjustly accusing U.S. society and White Americans of racism, and claim the authors are themselves “racist” but of a different color. They have become defensive and are actively resisting and rejecting the content of the book. If these feelings persist throughout the course unabated, they will act as barriers to learning and further self‐exploration. But what do these negative reactions mean to the students? Why are they so upset? Dr. Mark Kiselica (Sue & Sue, 2013, pp. 8–9), a White psychologist and now provost of a college in New York, writes about his own negative emotional reactions to reading the book during his graduate training. His personal and emotional reactions to the book provide us with some clues.

I was shaken to my core the first time I read Counseling the Culturally Different (now Counseling the Culturally Diverse) … At the time, I was a doctoral candidate at The Pennsylvania State University's counseling psychology program, and I had been reading Sue's book in preparation for my comprehensive examinations, which I was scheduled to take toward the end of the spring semester…

I wish I could tell you that I had acquired Sue's book because I was genuinely interested in learning about multicultural counseling … I am embarrassed to say, however, that that was not the case. I had purchased Sue's book purely out of necessity, figuring out that I had better read the book because I was likely to be asked a major question about cross‐cultural counseling on the comps. During the early and middle 1980s, taking a course in multicultural counseling was not a requirement in many graduate counseling programs, including mine, and I had decided not to take my department's pertinent course as an elective. I saw myself as a culturally sensitive person, and I concluded that the course wouldn't have much to offer me. Nevertheless, I understood that … the professor, who taught the course, would likely submit a question to the pool of materials being used to construct the comps. So, I prudently went to the university bookstore and purchased a copy … because that was the text … used for his course.

I didn't get very far with my highlighting and note‐taking before I started to react to Sue's book with great anger and disgust. Early on in the text, Sue blasted the mental health system for its historical mistreatment of people who were considered to be ethnic minorities in the United States. He especially took on White mental health professionals, charging them with a legacy of ethnocentric and racist beliefs and practices that had harmed people of color and made them leery of counselors, psychologists, and psychiatrists. It seemed that Sue didn't have a single good thing to say about White America. I was ticked off at him, and I resented that I had to read his book. However, I knew I had better complete his text and know the subject matter covered in it if I wanted to succeed on the examinations. So, out of necessity, I read on and struggled with the feelings that Sue's words stirred in me.

Developing culturally competence and cultural humility in counseling/mental health practice demands that nested or embedded emotions associated with race, culture, gender, and other social identity differences be openly experienced and discussed. It is these intense feelings that often block our ability to hear the voices of those most oppressed and disempowered (Sue, 2011). How we, as helping professionals, deal with these strong feelings can either enhance or impede a deeper understanding of ourselves as racial, ethnic, and cultural beings and our understanding of the worldviews of culturally diverse clients. Because Mark did not allow his defensiveness and anger to get the best of him, he was able to achieve insights into his own biases and false assumptions about people of color. The following passage reveals the internal struggle that he courageously fought and the disturbing realization of his own racism.

I tried to make sense of my emotions—to ascertain why I was drawn back to Sue's book again and again in spite of my initial rejection of it. I know it may sound crazy, but I read certain sections of Sue's book repeatedly and then reflected on what was happening inside of me … I began to discover important lessons about myself, significant insights prompted by reading Sue's book that would shape the direction of my future … I now realized that Sue was right! The system had been destructive toward people of color, and although my ancestors and I had not directly been a part of that oppressive system, I had unknowingly contributed to it. I began to think about how I had viewed people of color throughout my life, and I had to admit to myself that I had unconsciously bought into the racist stereotypes about African Americans and Latinos. Yes, I had laughed at and told racist jokes. Yes, I had used the “N” word when referring to African Americans. Yes, I had been a racist.

Sue's book forced me to remove my blinders. He helped me to see that I was both a product and an architect of a racist culture.

(Sue & Sue, 2013, pp. 9–10)

Years after first reading the book, Mark Kiselica (1999) talks about his racial awakening and identifies some of the major fears many well‐intentioned Whites struggle with as they begin studying racism, sexism, or heterosexism on a personal level. This passage, perhaps, identifies the major psychological obstacle that confronts many Whites as they process the content and meaning of the book.

You see, the subjects I [White psychologist] am about to discuss—ethnocentrism and racism, including my own racism—are topics that most Whites tend to avoid. We shy away from discussing these issues for many reasons: We are racked with guilt over the way people of color have been treated in our nation; we fear that we will be accused of mistreating others; we particularly fear being called the “R” word—racist—so we grow uneasy whenever issues of race emerge; and we tend to back away, change the subject, respond defensively, assert our innocence and our “color blindness,” denying that we could possibly be ethnocentric or racist. (p. 14)

It is important to note Mark's open admission to racist thoughts, feelings, and behaviors. As a White psychologist, he offers insights into the reasons why many White trainees fear open dialogues on race; they may ultimately reveal unpleasant secrets about themselves. In his own racial awakening, he realizes that discussing race and racism is so difficult for many Whites because they are racked with guilt about how people of color have been treated in the United States and are fearful that they will be accused of being a racist and be blamed for the oppression of others. Rejecting and avoiding racial topics are major strategies used to hold on to one's self‐image as a good, moral, and decent human being who is innocent of racial bias and discrimination.

Mark's honesty in confronting his own racism is refreshing, and his insights are invaluable to those who wish to develop culturally competence and become allies in the struggle for equal rights (Chao, Wei, Spanierman, Longo, & Northart, 2015; Spanierman & Smith, 2017). He is a rarity in academic circles, even rarer because he was willing to put his words on paper for the whole world to read as a means to help others understand the meaning of racism on a human level. Mark's courageous and open exploration of his initial reactions to CCD indicates what we have come to learn is a common, intensely emotional experience for many readers.

Video 1.2: Same Material, Different Reaction

The different reactions to the material that majority students may have compared to their minority counterparts.

EMOTIONAL INVALIDATION VERSUS AFFIRMATION: MARGINALIZED GROUP MEMBERS

It is clear that the same subject matter in CCD often arouses a different emotional response from marginalized group members; for the two students of color, for example, they felt heard, liberated, and validated. They describe the book content as “honest” and “truthful,” indicating that their lived experiences had finally been validated rather than silenced or ignored. One of the more interesting comments is made by the Latina student: “it felt good to know that I am not crazy.” What did she mean by that? Many people of color describe how their thoughts and feelings about race and racism are often ignored, dismissed, negated, or seen as having no basis in fact by majority group members. They are told that they are misreading things, overly sensitive, unduly suspicious, or even paranoid when they bring up issues of bias and discrimination; in other words, they are “crazy” to think or feel that way.

As can be seen from the students of color, many marginalized group members react equally strongly as their White counterparts when issues of oppression are raised, especially when their stories of discrimination and pain are minimized or neglected. Their reality of racism, sexism, and homophobia, they contend, is relatively unknown or ignored by those in power because of the discomfort that pervades such topics. Worse yet, many well‐intentioned majority persons seem disinclined to hear the personal stories of suffering, humiliation, and pain that accrue to persons of color and other marginalized groups in our society (Sue, 2015). The following quote gives some idea of what it is like for a Black man to live his life day in and day out in a society filled with both covert and overt racist acts that often are invisible to well‐intentioned White Americans.

I don't think white people, generally, understand the full meaning of racist discriminatory behaviors directed toward Americans of African descent. They seem to see each act of discrimination or any act of violence as an “isolated” event. As a result, most white Americans cannot understand the strong reaction manifested by blacks when such events occur … They forget that in most cases, we live lives of quiet desperation generated by a litany of daily large and small events that, whether or not by design, remind us of our “place” in American society. [Whites] ignore the personal context of the stimulus. That is, they deny the historical impact that a negative act may have on an individual. “Nigger” to a white may simply be an epithet that should be ignored. To most blacks, the term brings into sharp and current focus all kinds of acts of racism—murder, rape, torture, denial of constitutional rights, insults, limited opportunity structure, economic problems, unequal justice under the law and a myriad of … other racist and discriminatory acts that occur daily in the lives of most Americans of African descent.

(Feagin & Sikes, 1994, pp. 23–24)

The lived experience of people of color is generally invisible to most White Americans, as this quotation portrays. As we will discuss in Chapter 6, racial, gender, and sexual orientation microaggressions are experienced frequently by people of color, women, and lesbian, gay, bisexual, transgender, and queer (LGBTQ) persons in their day‐to‐day interactions with well‐intentioned members of the dominant society (Nadal, Griffin, Wong, Davidoff, & Davis, 2017; Velez, Moradi, & DeBlaere, 2015). Microaggressions are the everyday slights, put‐downs, invalidations, and insults directed to socially devalued group members by well‐intentioned people who often are unaware that they have engaged in such biased and harmful behaviors. A lifetime of microaggressions can have a major harmful impact on the psychological well‐being of victims. Note the following narratives provided by American Indians as they describe day‐to‐day experiences with microaggressions that serve to undermine their humanity through exposure to racial hostility and assumptions of inferiority.

I know my dad has a lot of white friends, and they get comfortable with him and they say really insulting things. They call us wagon burners, dirty Indians. And, it's, it's, it's when they get, when they start getting out of line ‘cause my dad wouldn't say anything. I would, start saying stuff and then they'd come back to my dad and be like “oh, what's wrong with your son? Can't he take a joke?” Well it's not funny when, when someone insults you to your face and then they just expect you to laugh at it like they do. (name withheld)

…so I filled out the little form and I took it up to the girl behind the glass and said “I've got this thing for the parking permit” [at the local university] And she looked at it and looked at me, and she said “So are you delivering this for Dr. X?” and I said “No, actually I am Dr. X.” And she got really red and embarrassed, you know, but I don't really know what was in her mind. You know, maybe I just don't look professorial or something like that.

(Senter & Ling, 2017, pp. 266, 269)

Here, it is important to note the emotional toll of having to listen to racially hostile name calling among “so‐called” friends or to have to continually prove your legitimacy as a professional. These narratives are part of a larger study on racial microaggresions against American Indians (Senter & Ling, 2017). People retold stories of being assumed to be poor, addicted to alcohol or drugs, lazy, and dirty. Narrators described costs associated with microaggressions including being followed, receiving poor service, and getting overcharged. Over time, these experiences left people with hurt and anger; some people coped by distancing themselves from non‐Natives or trying to hide. But, people of color are also strong. Like so many others who experience racial microaggressions, many used these moments as an opportunity to educate others.

Given the fact that the majority of people of color have experienced microaggressoins in their lifetime, covering these topics in class can serve to validate their lived realities. Dr. Le Ondra Clark, now an African American psychologist in California, describes her experiences of being one of the few Black students in a graduate program and the feeling of affirmation that flooded her when taking a multicultural counseling course and using CCD as the textbook.

I, a native of Southern California, arrived at the University of Wisconsin, Madison, and was eager to learn. I remember the harsh reality I experienced as I confronted the Midwest culture. I felt like I stood out, and I learned quickly that I did. As I walked around the campus and surrounding area, I remember counting on one hand the number of racial and ethnic minorities I saw. I was not completely surprised about this, as I had done some research and was aware that there would be a lack of racial and ethnic diversity on and around campus. However, I was baffled by the paucity of exposure that the 25 members of my master's cohort had to racial and ethnic minority individuals. I assumed that because I was traveling across the country to attend this top‐ranked program focused on social justice, everyone else must have been as well. I was wrong…

I did not begin to feel comfortable until I attended the Multicultural Counseling course later that week. Students were assigned a number of textbooks as part of this course, including CCD … I never imagined a textbook would bring me so much comfort. I vividly remember reading each chapter and vigorously taking notes in the margins. I also remember the energy I felt as I wrote about my reactions to the readings each week. I felt like the book legitimized the experiences of racial and ethnic minorities and helped me understand what I was encountering in my Midwest surroundings. It became a platform from which I could explain my own experience as a racial and ethnic minority from Southern California who was transplanted to the Midwest. The personal stories, concepts, and theories illustrated in CCD resonated with me and ultimately helped me overcome my feelings of isolation. CCD provided me with the language to engage in intellectual discourse about race, ethnicity, social class, privilege, and disparities. I remember the awareness that swept over the class as we progressed through the textbook … I felt that they were beginning to view things through my cultural lens, and I through theirs. We were gaining greater understanding of how our differing cultural realities had shaped us and would impact the work we conducted as therapists.

(Sue & Sue, 2013, pp. 17–18)

Le Ondra's story voices a continuing saga of how persons of color and many marginalized individuals must function in an ethnocentric society that unintentionally invalidates their experiences and enforces silence upon them. She talks about how the text provided a language for her to explain her experiences and how she resonated with its content and meaning. To her, the content of the book tapped into her experiential reality and expressed a worldview