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Culturally Competent Therapy

Culturally Competent Therapy

Steven Walker


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Book Details


This book seeks to liberate and empower practitioners seeking to meet the needs of all the troubled children and young people who come to them for help. Walker fills a gap in the available literature by addressing the needs of the changing demographic and ethnic tapestry of contemporary multi-cultural societies. This book extends classical concepts embodied in psychodynamic and systemic theory and provides practitioners with contemporary resources that reflect the changing external characteristics of society.
STEVEN WALKER is Programme Leader in Child and Adolescent Mental Health at Anglia Polytechnic University. He gained an MSc in Social Work and Social Policy at the LSE and qualified as a family therapist in 1992 after studying at the Tavistock Institute and the Institute of Family Therapy. He has undertaken research and has published many scholarly papers and books on the subject of children and young people during his twenty years of public service.

Table of Contents

Section Title Page Action Price
Cover Cover
Contents vii
Introduction 1
Overview of the book 4
Terminology 5
1 Cultural Competence 7
Introduction 7
Conceptualising culture 10
Ethnicity and culture 12
Developmental resources 14
Diversity and difference 20
Globalisation and identity 21
Culturally competent practice 23
Case illustration 27
Commentary 27
Summary 30
2 Similarities and Differences 32
Introduction 32
Sociological perspectives 35
Identity formation 36
Generational influences 39
The culture of self-esteem 41
Preventive practice 42
Systemic and psychodynamic theories 44
Family therapy practices 45
Systemic and psychodynamic work 46
Contemporary developments 50
Summary 53
3 Integrating Theory, Skills and Values 55
Introduction 55
Integrating and complementing 57
Synthesising and blending 60
Establishing the therapeutic relationship 64
Empowering by relinquishing 66
Attachment and loss 68
The symbolism of eating disorders 71
Summary 73
4 Socially Inclusive Practice 76
Introduction 76
Social exclusion 78
Social policy context 80
Therapy and cultural development 83
Socially excluded groups 85
Cultural dislocation 89
Elements of socially inclusive practice 91
Summary 94
5 Assessment and Intervention 96
Introduction 96
Perceptions of child and adolescent problems 99
Assessment as process 102
Integrated intervention 105
Early intervention 106
Postmodernism, culture and therapy 108
Bonding and attachment 109
Integrating systemic and attachment theories 111
A culturally competent theoretical model 115
Summary 117
6 Religion and Spirituality 119
Introduction 119
Religion and belief 121
Culture and spirituality 125
Child development 127
Psychology, religion and spirituality 130
The inner world of the child 132
Therapy and cultural belief 134
Summary 137
7 Fairy Stories, Myths and Legends 139
Introduction 139
Towards deeper cultural meaning 142
Narrative therapeutic ideas 144
Links between dreams/fantasies and legends 147
Thematic analysis of myths and legends 149
Engaging children and young people 151
Movies, television and fairy tales 153
Summary 155
8 Evaluating Practice and the Evidence Base 157
Introduction 157
Safeguarding children's culture 159
The research evidence 161
Children in families 164
A children's rights perspective 165
Including children and young people 169
Ethical considerations 170
Change and the evidence base 173
The broader cultural view 174
Summary 176
Bibliography 178
Index 210