A Practice Beyond Cultural Humility : How Clinicians Can Work More Effectively in a Diverse World book cover
1st Edition

A Practice Beyond Cultural Humility
How Clinicians Can Work More Effectively in a Diverse World

ISBN 9780367356446
Published March 10, 2020 by Routledge
278 Pages

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Book Description

A Practice Beyond Cultural Humility offers specific guidance to support students and practitioners in providing on-going, culturally-attuned professional care.

The book introduces a multicultural diversity-training model named the ORCA-Stance, an intentional practice which brings together four core components: Openness, Respect, Curiosity, and Accountability. Drawing from an array of influences, it showcases work with common clinical populations in a variety of contexts, from private practice to international organizations. Each clinical chapter offers a brief review of information relevant to the population discussed, followed by a case study using the ORCA-Stance, and a summary of recommended best practices. In each case, the practice of the ORCA-Stance is shown to allow relationships to become more culturally sensitive and, therefore, more effective.

A Practice Beyond Cultural Humility provides practical examples, research, and wisdom that can be applied in day-to-day clinical work and will be valuable reading for a wide-range of mental health students and clinicians who seek to continue their professional development.

Table of Contents


Claudia Grauf-Grounds

Section I: Foundations

1. Cultural Diversity Training: A Brief Overview

Peter Rivera and Claudia Grauf-Grounds

2. The ORCA-Stance as a Practice Beyond Cultural Humility

Claudia Grauf-Grounds and Peter Rivera

3. Philosophical Underpinnings and Evidence for the ORCA-Stance

Don MacDonald

4. Clinical Populations Ethnically Different Clients

Michelle Naden, Kurt Johns, and Mary Moline

Section II: Common Clinical Applications

Introduction: How to Apply the ORCA-Stance in Clinical Work

Claudia Grauf-Grounds

5. Ethnically Different Clients: Inviting Creativity with Cultural Humility

Hee-Sun Cheon & Becca Seuss

6. Immigrant Clients

Mary Kelleher

7. Poverty and Homelessness

Heather Fisher

8. Queering the ORCA-Stance

Charlie Delavan and Brittany Steffan

9. Survivors of Trauma

Alissa Bagan

10. Substance Use Disorders

Jenny Johnson

11. Chronic Pain in Adults

Leslie Savage

12. Chronic Illness in Youth

Cassady Kintner

13. Body Size and Health: Using the ORCA-Stance to Counteract Weight Discrimination

Emily Rich

14. Sexual Struggles

Tina Schermer Sellers

15. Spiritual Struggles: Treading on Sacred Ground

William Collins

16. Children

Lahela and Kyle Isaacson

17. Tweens

Shannon West

18.  Adolescents

Scott Edwards

19. Couples

Shawn Whitney

20. Divorcing and Step-families

Gerry Presar

Section III: Contextual Applications

21. Applying the ORCA-Stance to Parenting

Hee-Sun Cheon and Don MacDonald

22. Reflections on Growing Up in an ORCA Household

Tina Schermer Sellers, Chloe Sellers and Christian Sellers

23. Unpacking a Story of Race

Kenneth Jaimes & Kathleen Blair Smith

24. Family Therapy Training

Scott Edwards, Hee-Sun Cheon, Claudia Grauf-Grounds, Peter Rivera & Shawn Whitney

25. Family Therapy Alumni Reflections

Robin Moore, Marcus Comer, Rose Joiner, Christina Steere, and Delene Jewett

26. Ethical Dilemmas

Don MacDonald and Peter Rivera

27. Clinical Supervision

Lori Kimmerly

28. Collaborating with Churches: Strengthening our Communities of Meaning

Shawn Whitney and Tina Schermer Sellers

29. Collaborating with Physicians

Jackie Williams-Reade

30. Finding Meaning in Our Workplaces

Steve Maybell

31. Working with International Religious Organizations: An Explorer’s Perspective

Scott Green

32. Cultural Humility & Beyond within Your Own Context

Scott Edwards and Rachel Baska

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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


"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.