Practice Beyond Cultural Humility

Claudia Grauf-Grounds, PhD, LMFT, is Professor Emeriti in the Department of Marriage & Family Therapy, Seattle Pacific University, and Lecturer/Faculty at the University of San Diego and Point Loma Nazarene University, USA.Tina Schermer Sellers, PhD, LMFT, is Associate Professor and Director of the Medical Family Therapy Program at Seattle Pacific University, USA.Scott Edwards, PhD, LMFT, is Associate Professor in the Department of Marriage & Family Therapy, Seattle Pacific University, USA. Hee-Sun Cheon, PhD, LMFT, is Associate Professor and Director of Clinical Training in the Department of Marriage & Family Therapy, Seattle Pacific University, USA.Don MacDonald, PhD, LMHC, is Professor in the Department of Marriage & Family Therapy, Seattle Pacific University, USA.Shawn Whitney, MS, LMFT, is Assistant Director of the Center for Family & Couple Therapy, Human Development & Family Studies, Colorado State University, USA.Peter Rivera, PhD, LMFT, is Assistant Professor and Director of Internships in the Department of Marriage & Family Therapy, Settle Pacific University, USA

• Preface Claudia Grauf-Grounds Section I: Foundations 1. Cultural Diversity Training: A Brief OverviewPeter Rivera and Claudia Grauf-Grounds2. The ORCA-Stance as a Practice Beyond Cultural HumilityClaudia Grauf-Grounds and Peter Rivera3. Philosophical Underpinnings and Evidence for the ORCA-StanceDon MacDonald4. Clinical Populations Ethnically Different Clients Michelle Naden, Kurt Johns, and Mary MolineSection II: Common Clinical Applications Introduction: How to Apply the ORCA-Stance in Clinical WorkClaudia Grauf-Grounds5. Ethnically Different Clients: Inviting Creativity with Cultural HumilityHee-Sun Cheon & Becca Seuss6. Immigrant ClientsMary Kelleher 7. Poverty and HomelessnessHeather Fisher8. Queering the ORCA-StanceCharlie Delavan and Brittany Steffan9. Survivors of TraumaAlissa Bagan10. Substance Use DisordersJenny Johnson11. Chronic Pain in AdultsLeslie Savage12. Chronic Illness in YouthCassady Kintner13. Body Size and Health: Using the ORCA-Stance to Counteract Weight DiscriminationEmily Rich14. Sexual StrugglesTina Schermer Sellers15. Spiritual Struggles: Treading on Sacred GroundWilliam Collins16. ChildrenLahela and Kyle Isaacson17. TweensShannon West18. AdolescentsScott Edwards19. CouplesShawn Whitney20. Divorcing and Step-familiesGerry PresarSection III: Contextual Applications21. Applying the ORCA-Stance to ParentingHee-Sun Cheon and Don MacDonald22. Reflections on Growing Up in an ORCA HouseholdTina Schermer Sellers, Chloe Sellers and Christian Sellers23. Unpacking a Story of RaceKenneth Jaimes & Kathleen Blair Smith24. Family Therapy TrainingScott Edwards, Hee-Sun Cheon, Claudia Grauf-Grounds, Peter Rivera & Shawn Whitney25. Family Therapy Alumni ReflectionsRobin Moore, Marcus Comer, Rose Joiner, Christina Steere, and Delene Jewett26. Ethical DilemmasDon MacDonald and Peter Rivera27. Clinical SupervisionLori Kimmerly28. Collaborating with Churches: Strengthening our Communities of MeaningShawn Whitney and Tina Schermer Sellers29. Collaborating with PhysiciansJackie Williams-Reade30. Finding Meaning in Our WorkplacesSteve Maybell31. Working with International Religious Organizations: An Explorer’s PerspectiveScott Green32. Cultural Humility & Beyond within Your Own Context Scott Edwards and Rachel Baska

"What a refreshing new look at culture and therapy! The model presented in this book is thoroughly relational and thus well-suited to the world of therapy. It's value-based and inspiring, it's field-tested with generations of students, and it's applicable to every clinical encounter within and across cultures. I'm grateful that this team decided to put decades of learning and experience into a book." William J. Doherty, Ph.D., Professor and Director of the Minnesota Couples on the Brink Project, University of Minnesota, USA. He is co-author of Helping Couples on the Brink of Divorce: Discernment Counseling for Troubled Relationships."Reaching out across gaps of culture, language, and power, and having that reaching out welcomed, can be the hardest challenge a therapist faces. A Practice Beyond Cultural Humility answers that challenge with ORCA practices for moving openness, respect, curiosity, and accountability from platitudes to practices, from values to embodied acts, to create a safe space where mutual welcoming can occur." James L. Griffith, M.D., Professor and Chair, George Washington School of Medicine and Health Sciences, USA. He is author of The Body Speaks: Therapeutic Dialogues for Mind-Body Problems and Encountering the Sacred in Psychotherapy."This timely book offers a welcome alternative to traditional content-oriented ¨cultural competence¨ training. The clinical applications of this novel process approach are wide-ranging, including ethnically diverse clients, body size and health, sexual or spiritual struggles. Practitioners, teachers and students in private practice, or in institutional and community settings, will change how they work with cultural diversity after reading this compassionate and practical book." Celia Jaes Falicov, Ph.D., Clinical Professor, University of California, San Diego, USA. She is author of Latino Families in Therapy, 2nd edition."What a great book! A Practice Beyond Cultural Humility brings together a diverse group of authors to explore how to integrate openness, respect, curiosity, and accountability into their work with clients. This will be a valuable resource for both clinicians and trainees for years to come." Joshua N. Hook, Associate Professor of Psychology, University of North Texas, USA. He is author of Cultural Humility: Engaging Diverse Identities in Therapy."To read this book is to go on a retreat with these authors. First, they invite us into their circle, sharing the values that guide and inform the ORCA-Stance. If you resonate with these values, as I did, and want to embody them in your work, then settle in, for help is here. The authors engage us with challenging, enlightening exercises. Once we are warmed up, the middle chapters show us myriad ways to therapeutically enact this Stance. We are then shown ways to teach the ORCA stance. In the therapy and teaching narratives, the authors allow us to see them stumble and learn, for humility and grace are the heart of this work. Finally, in the campfire time of this retreat, they tell us how they have tried to live ORCA in their personal and family lives. I leave this retreat refreshed, ready to revamp my fall psychotherapy course, equipped to think ORCA when I meet with people who are suffering, and mindful of ways to be a better grandmother." – Melissa Elliott, M.S.N., L.M.F.T, Clinical Assistant Professor, University of Virginia, USA. Family Therapist, Psychiatric Inpatient Unit; co-author of Encountering the Sacred: Talking with People in Therapy about their Spiritual Lives.