The Practice of Collaborative Counseling and Psychotherapy Developing Skills in Culturally Mindful Helping 1st Edition by David Pare ISBN 1412995094 9781412995092

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ISBN 10: 1412995094 
ISBN 13: 9781412995092
Author: David Pare

The Practice of Collaborative Counseling and Psychotherapy: Developing Skills in Culturally Mindful Helping is a comprehensive introduction to counseling and psychotherapy skills designed to teach future practitioners how to develop and foster collaborative relationships with their clients. Keeping power relations and cultural diversity at the forefront, Paré’s text examines, step by step, the skills involved in collaborative therapeutic conversation—an approach that encourages a contextual view of clients and counteracts longstanding traditions of focusing primarily on individual pathology. Indeed, this insightful text teaches students how to keep clients at the heart of their therapy treatment by actively engaging them in the helping process. Guided by the notion of local knowledge, Paré acknowledges the resourcefulness of clients, showing how to capitalize on existing skills and abilities to construct useful change. This textbook reinvigorates the training of counselors and psychotherapists by drawing on a wide range of contemporary ideas and practices. The Instructor’s teaching site include instructional videos which feature a diverse group of practitioners demonstrating the skills introduced in the text. David Pare, PhD is a psychologist and family therapist. He is also a full professor at the University of Ottawa, Faculty of Education, where he teaches counselling and psychotherapy. The director of the Glebe Institute, A Centre for Constructive and Collaborative Practice, Dr. Pare has a long-standing interest in collaborative approaches to counselling and supervision. He is co-editor of Collaborative Practice in Psychology and Therapy (with Glenn Larner) and Furthering Talk: Advances in the Discursive Therapies (with Tom Strong).

The Practice of Collaborative Counseling and Psychotherapy Developing Skills in Culturally Mindful Helping 1st Table of contents:

SECTION ONE: PREPARING FOR PRACTICE
1. Culture, Counseling, and Care
Introduction: Counseling as a Cultural Practice
Conversation
Talk as Intervention
Honing Familiar Skills to a New Level
Culture
Recognizing the Role of Culture
Culture in Pluralistic Terms
Student Voices. Talia: Changing Identities
Box 1.1. Multiple Cultural Locations
Box 1.2. Wearing Many Hats: Maria’s Multiple Cultural Locations
Counseling and Colonization
Context as Cultural Location
Reflection 1.1
Care
Care as a Guiding Compass
Meaning and Story
Reality Through a Human Lens
Reflection 1.2
Meaning and Culture
Student Voices. Rahima: The Meaning of Weekend
Counseling and Psychotherapy as World Making
Centering Client Meanings
Power
A Process Both Generative and Oppressive
Not All Stories Are Created Equally
The Role of Power in Ethics
Reflection 1.3
Social Justice
Making Meaning, Doing Justice
Individualism and a Deficit Focus
Responding to Injustice
Collaborative Dialogue
Tapping Insider Knowledge
Resistance as a Lapse in Collaboration
From Discovery to Creation
Relationship
Natural Science Versus Cultural Exchange
Practice-Based Evidence
Relationship as Process
Mindfulness
High-Stakes Conversations
Attending Inwardly and Outwardly
Reflection 1.4
Mindfulness and Ethical Caring
Chapter One Recap
Chapter One Discussion Questions
2. Therapeutic Conversation
Introduction
Reflection 2.1
Therapeutic Conversation as a Specialized Form of Talk
Box 2.1. The Distinct Features of Therapeutic Conversation
Professional Activity, Shared Expertise
Invisible Hierarchies
Reflection 2.2
Language Games: Working With Theory
Counseling and Psychotherapy as Venues for World Making
Reflection 2.3
Therapeutic Conversation and Culture
Talk as Poetry
Meaning: Beyond Information Transmission
Co-construction of Meaning
Intentionality: Doing Things With Words
Student Voices. Kira: Putting Hands in the Dough
Chapter Two Recap
Chapter Two Discussion Questions
Box 2.2. Topics for Practice Conversations
Chapter Two Activities
SECTION TWO: CONSTRUCTING A FOUNDATION FOR COLLABORATION
3. Receiving and Listening
Introduction
Receiving: Creating a Hospitable Space for Sharing
Using Transparency to Create Trust and Enable Informed Consent
Box 3.1. Transparency
Reflection 3.1
Student Voices. Margaret: First-Session Nerves
Reflection 3.2
Being Present With Compassion and Empathy
Compassion as Shared Humanity
Box 3.2. Suffering and Connection
Empathy: Walking in Another’s Shoes
Student Voices. Inez: Being a Client for the First Time
Reflection 3.3
Documenting Clients’ Lives: Notes and Records
Listening: Attending to the Moment
Student Voices. Margaret: Handing Over the Spotlight
Reflection 3.4
Hearing Ourselves
Using Silence
Student Voices. Talia and Margaret: Growing Accustomed to Silence
Reflection 3.5
Chapter Three Recap
Chapter Three Discussion Questions
Chapter Three Activities
4. Building the Relationship
Introduction
Research on Therapeutic Outcomes
The Importance of the Therapeutic Relationship
The Myth of Neutrality
One-Way and Two-Way Accounts of Therapy
Reflection 4.1
Self-Disclosure and the Therapeutic Relationship
Student Voices. Estrella: Withholding Her Illness Story
Student Voices. Talia: From Indiscriminate to Intentional Sharing
Authenticity and Genuineness Revisited
Student Voices. Bella: Shifting Relationships, Shifting Identities
Reflection 4.2
Therapeutic Stance: Relating as an Ally
Box 4.1. An Appreciative Ally
Bringing Forward Local Knowledge
Both/And: Listening for Possibilities and Preferences
Box 4.2. Both/And (And, And …)
Reflection 4.3
Double Listening: Listening as an Ally
Relating to Values
Reflection 4.4
Relating to Skills and Abilities
Relating to Agency
Chapter Four Recap
Chapter Four Discussion Questions
Chapter Four Activities
SECTION THREE: MAPPING CLIENTS’ EXPERIENCE
5. Receiving and Reading Meaning
Introduction
Verbal Expression
Cultural Curiosity
Reflection 5.1
Avoiding the Rush to Understanding
Student Voices. Lydia: The Impact of Curiosity
Minimizing Misreadings
Reflection 5.2
Nonverbal Expression
Reading Nonverbals
Student Voices. Inez: Attending to Nonverbals
Cultural Variations in Nonverbals
Context and Meaning
Words Among Words
The Hermeneutic Circle
Intuition and Accountability
Encouraging Sharing
Conveying Attention and Concern Nonverbally
Reflection 5.3
Using Language to Solicit the Client’s Account
Reflection 5.4
Chapter Five Recap
Chapter Five Discussion Questions
Chapter Five Activities
6. Responding to and Confirming Meaning
Introduction
Reflection 6.1
The Relational Dance of Dialogue
Reflection 6.2
Response-Ability and Improvisation
Verifying Clients’ Intended Messages
Restating
Reflection 6.3
Paraphrasing
Reflection 6.4
Student Voices. Rachelle: Clarity Through Dialogue
Confirming the Counselor’s Understanding
Box 6.1. Confirming the Counselor’s Understanding in Three Steps
Student Voices. Talia: When Counselors Don’t Confirm Their Understandings
Reflection 6.5
Summing Up
Recapping
Reflection 6.6
Summarizing
How Are We Doing? Consulting Clients on the Joint Process
Chapter Six Recap
Chapter Six Discussion Questions
Chapter Six Activities
SECTION FOUR: ASSESSING CHALLENGES, PREFERENCES, AND OPPORTUNITIES
7. Defining and Describing Problems and Preferences
Introduction
Problem Definition as a Starting Point for Constructive Collaboration
Conversation With a Purpose
Taking a Temperature Reading
Box 7.1. Getting at Clients’ Subjectivity
Student Voices. Inez: Slowing Down to Watch the Picture Develop
Including the Client’s Voice in Problem Definition
Whose Problem Is It Anyway?
Box 7.2. What’s Really Going on Here?
Naming Rights
Reflection 7.1
What’s Up? Asking About Clients’ Concerns
Box 7.3. Problem Definition and Diversity
Opening the Conversation
Box 7.4. Language Diversity to Match Client Diversity
Student Voices. Handing Over the Spotlight
The Shifting Definition of Problems
Reflection 7.2
Co-Constructing Language for Problems
Loaning Descriptive Support to Clients
Escaping Problem Identities: Separating Person and Problem
Box 7.5. Externalizing: Separating People and Problems
Reflection 7.3
Box 7.6. Internalized and Externalized Problem Descriptions
Problems and Preferences: Two Sides of a Coin
Student Voices. Nadia: Problems and Preferences, Flip Sides of the Coin
Pointing in a Direction: Client Preferences as a Compass for the Journey
Invoking Preferences Through Questions
Reflection 7.4
Describing a Preferred Outcome
Box 7.7. The Miracle Question
Student Voices. Serena: Vivid Imagery Through the Miracle Question
Letter From the Future
Chapter Seven Recap
Chapter Seven Discussion Questions
Chapter Seven Activities
8. Assessment I: Evaluating Challenges and Competencies
Introduction
Box 8.1. Narrow and Broad Versions of Assessment
A Moving Target
Identifying Problems and Challenges Early in the Process
Previous Counseling and the Client’s Theory of Change
Reflection 8.1
Evaluating Risk of Harm
Harm to Others
Harm to the Client
Self-Harm
Keeping Diversity Visible Through a Stance of Curiosity
Assessment as Intervention: Selective Curiosity
Reflection 8.2
Box 8.2. Who’s in the Mirror? Generating Experience Through Assessment
Assessing Competence
Box 8.3. Resha’s Story: Competence Amid Challenges
Reflection 8.3
Effects and Responses: Foregrounding Action
Effects Questions
Box 8.4. Effects-Focused Questioning
Response-Based Questioning
Box 8.5. Responding to Violence, Aggression, and Other Problems
Box 8.6. Response-Based Questioning
Reflection 8.4
Box 8.7. Nora’s Story: From Effects to Responses
Box 8.8. Foregrounding Responses
Chapter Eight Recap
Chapter Eight Discussion Questions
Chapter Eight Activities
9. Assessment II: Attending to the Wider Context
Introduction
Considering Context
Sensible Accounts of Client Action
Reflection 9.1
Countering Traditions of Individualism
Box 9.1. The Relational Self: Context and Assessment
Cultural Constraints and Supports
Box 9.2. Resha’s Constraints and Supports
The Ecology of Experience: Scoping the Immediate and Wider Terrains
Box 9.3. The Ecology of Experience
Multiple Contexts, Multiple Selves
Reflection 9.2
Box 9.4. Generating Questions Across Contexts
Painting Pictures: In Praise of Specificity
Box 9.5. Scaling Experience to Evoke Concrete Description
Using Genograms to Locate Experience in Social Contexts
Box 9.6. Mapping Social Relations With a Genogram
Thin and Thick Description
Engaging Clients in Critical Reflection on Diagnostic Labels
Box 9.7. Therapeutic Conversation and the Diagnostic and Statistical Manual of Mental Disorders (DSM)
Box 9.8. Generating Thick Description in Relation to Diagnostic Labels
Reflection 9.3
Dignifying Clients: Thick Description and Insider Knowledge
Capturing Three-Dimensionality Through Layered Description
Box 9.9. Multilayered Descriptions in Assessment
Cultural Considerations in Assessment
Normal According to Whom?
Box 9.10. Culture-Specific Syndromes
Reflection 9.4
Client Acculturation and Assessment
Considerations in Assessing Trauma
Chapter Nine Recap
Chapter Nine Discussion Questions
Chapter Nine Activities
SECTION FIVE: PROMOTING CHANGE
10. Collaborative Influence: Achievable Goals Toward Preferred Outcomes
Introduction
In the Client’s Favor: Collaborative Influence
Advice Giving Versus Facilitative Questioning
Reflection 10.1
Box 10.1. The Dilemma of the Meandering Conversation
Scaffolding Client Learning Through Questions
Box 10.2. Scaffolding: The Heart of Outcome-Oriented Collaborative Dialogue
Change in Manageable Increments
A Collaborative Relational Posture
Box 10.3. Collaborative Influence and Relational Posture
Resistance and Collaboration
Box 10.4. Encountering Resistance
Reflection 10.2
Preferred Outcome as Destination
Using a Miracle Question to Paint a Picture of a Preferred Outcome
Exceptions: Fragments of Preferred Outcomes
Establishing Achievable Goals
Student Voices. Razni: Preferences, Goals, and Preferred Outcomes
Box 10.5. Well-Defined Goals
Reflection 10.3
Box 10.6. To Goal or Not to Goal?
Maria and Jorge’s Collaboration on Goal Setting
Box 10.7. Highlights of Jorge’s Miracle Scenario
Box 10.8. Jorge’s Goals
Invitation to Critical Reflection
Box 10.9. Eyes Wide Open: Critical Reflection
Critical Reflection and Mindful Practice
Reflection as Inquiry
The Role of Theory in Collaborative Influence
Avoiding Culture-Bound Myopia
Chapter Ten Recap
Chapter Ten Discussion Questions
Chapter Ten Activities
11. Working With Actions
Introduction
Research on Counseling Theories and Models
Do Something Different: Keying in on Action
Causality and Human Action
Action Versus Explanation
Reflection 11.1
Capitalizing on the Constancy of Change
Inquiring About Presession Change
Projecting Change Into the Future
When Change Isn’t Evident: Coping Questions
Promoting Intrinsic Motivation
Alternatives to Cheerleading
Action in the Face of Adversity
Reflection 11.2
Action and the Language of Change
Constructing What You Look For
Slowing Down the Image
Reflection 11.3
Rehearsal for Action: In-Session Enactments
Trying It out Between Sessions: Homework
Chapter Eleven Recap
Chapter Eleven Discussion Questions
Chapter Eleven Activities
12. Working With Thoughts and Beliefs
Introduction
The Mediating Role of Thoughts
Box 12.1. The Fallout of Dario’s Thoughts
Box 12.2. Monica: Event, Thought, Consequence
Linking Activating Event, Thought, and Consequence
Helping Clients Identify Self-Talk
Discerning Implicit Self-Talk
Box 12.3. Reading Between the Lines
Box 12.4. Moods
Box 12.5. An Alternative to the Rational-Irrational Dichotomy
Gauging the Impact of Automatic Thoughts
Box 12.6. Inviting Clients to Evaluate the Impact of Thoughts
The Relationship Between Automatic Thoughts and Global Beliefs
Challenging the Truth Claims of Thoughts and Global Beliefs
Identifying Exceptions to Unhelpful Thoughts and Beliefs
Disputing Problematic Thoughts and Beliefs Through Socratic Dialogue
Generating Alternative Thoughts and Beliefs
Generating Beliefs Embedded in Exceptions
Generating Beliefs Arising From Disputation
Constructing Thought Records
Box 12.7. Jorge’s Thought Record
Mindfulness Practice and Cognition
Incorporating Mindfulness When Working With Thoughts and Beliefs
Loosening the Grip of Unhelpful Cognitions
Chapter Twelve Recap
Chapter Twelve Discussion Questions
Chapter Twelve Activities
13. Working With Emotions and Values
Introduction
Reflection 13.1
Culture and Emotion
Reflection 13.2
Balancing Universalist and Relativist Views of Emotion
Choosing Alternate Emotions
Feel Something Different
Box 13.1. Exceptions to Problematic Feelings
Reflection 13.3
Emotional Expression in Session: Strong Brew
Safety Considerations Around Emotional Sharing
Counselor Avoidance of Emotional Content
Reflection 13.4
Using Immediacy: Identifying Emotion in the Here and Now
From Abstract Language to Experience in the Moment
Using Immediacy in Response to Nonverbals
Box 13.2. Inviting Emotional Exploration
Dis-Solving Emotional Knots Through Examination and Reflection
Reflection 13.5
Turning Toward Difficult Emotion
Chapter Thirteen Recap
Chapter Thirteen Discussion Questions
Chapter Thirteen Activities
14. Working With Stories
Introduction
Story and Culture
Deconstruction: Tracing Problems to Cultural Stories
Reflection 14.1
The Ripple Effect of Deconstruction
Interrogating the Discourses Informing Counselor Practices
The Temporal Dimension of Stories
Box 14.1. Changing the Past, Altering the Future
Identifying Exceptions: Threads of Alternate Stories
Reflection 14.2
The Role of Double Listening in Restorying
Box 14.2. The Thread of a Problem-Saturated Account
Box 14.3
Developing Thick Descriptions of Exceptions
Reflection 14.3
Linking Exceptions Through Time
Box 14.4
Name the Emerging Story
Chapter Fourteen Recap
Chapter Fourteen Discussion Questions
Chapter Fourteen Activities
15. Endings and Beginnings
Introduction
When Is It Over? Determining When to End Therapy
The Ending of Therapy as a Rite of Passage
Reflection 15.1
Taking Stock of Learnings
Celebrating, Documenting, and Soliciting Witnesses to Changes
Reflection 15.2
Preparing for Next Steps
Box 15.1. Preparing for Setbacks
Reflection 15.3
Chapter Fifteen Discussion Questions
Chapter Fifteen Activities
Glossary
Appendix 1: Assessment
Appendix 2: Signs of Abuse
Appendix 3: Assessing for Suicidality
Appendix 4: Mindfulness, Meditation, and the Breath

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