Addressing Cultural Complexities in Counseling and Clinical Practice:

An Intersectional Approach
Addressing Cultural Complexities in Counseling and Clinical Practice
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For individuals in the U.S. & U.S. territories

Pages: 371
Item #: 4317618
ISBN: 978-1-4338-3594-0
Publication Date: January 2022
Format: Paperback
Availability: In Stock

Hays’ popular bestseller invites readers to move beyond a one-dimensional view of identity to a nuanced understanding of the overlapping cultural influences that affect us all.

This fourth edition features new chapters featuring culturally adapted cognitive behavioral tools and techniques, and trauma due to racism and other systemic forms of oppression. It remains richly illustrated with case material, with many new vignettes and examples demonstrating the ADDRESSING framework in both counseling and clinical practice.

Other new material includes updated discussion of gender identity, with attention to clinically relevant research regarding transgender and nonbinary people, more on people with disabilities (the largest minority group in the U.S.), the latest terminology and language regarding diverse minority groups, and a special section on social justice and its relationship to therapeutic practice.

In an increasingly diverse society, mental health providers must be able to work effectively with a wide variety of clients. The ADDRESSING framework shows clinicians and counselors how to take into account age and generational influences, developmental or other disabilities, religion and spirituality, ethnic and racial identity, Indigenous heritage, national origin, socioeconomic status, sexual orientation, and gender.

Each chapter includes Key Ideas summaries and practice exercises, making this book ideal for personal education or group use.

Table of Contents


I. Becoming a Culturally Responsive Therapist

  • Diversity, Complexity, and Intersectionality
  • Essential Knowledge and Qualities
  • Your Cultural Self-Assessment

II. Making Meaningful Connections

  • That’s Not What I Meant: Finding the Right Words
  • Intersectionality: The Complexities of Identity
  • Creating a Positive Therapeutic Alliance

III. Sorting Things Out

  • Conducting a Culturally Responsive Assessment
  • Understanding Trauma
  • Culturally Responsive Testing
  • Making a Culturally Responsive Diagnosis

IV. Beyond the Treatment Manuals

  • Culturally Responsive Therapy: An Integrative Approach
  • Culturally Adapted Tools and Techniques
  • Indigenous, Creative, Mindfulness, and Social Justice Interventions
  • Pulling It All Together: A Complex Case
  • Conclusion

About the Author

Author Bio

Pamela A. Hays, PhD, received her doctorate in clinical psychology from the University of Hawaii and completed a National Institute of Mental Health postdoctoral fellowship at the University of Rochester School of Medicine.

She was on the graduate psychology faculty of Antioch University in Seattle, Washington, for 11 years, and in 2000, returned to her hometown on the Kenai Peninsula in Alaska, where she has worked in community mental health for the Kenaitze Tribe's Dena'ina Wellness Center, in private practice, and served on the Board of the Alaska State Psychological Association.

Her research has included work with Tunisian women in North Africa and with Vietnamese, Lao, and Cambodian people in the U.S.

She is the author of Connecting Across Cultures: The Helper's Toolkit and Creating Well-Being: Four Steps to a Happier, Healthier Life; coeditor of the book Culturally Responsive Cognitive–Behavioral Therapy: Assessment, Practice, and Supervision; and coauthor of the forthcoming book (with video series) Cognitive Behavioral Therapy Techniques and Strategies.

Dr. Hays' work with clients is featured in several APA-produced DVDs, and she provides consultation and teaches workshops internationally.

Visit her website for more information on Dr. Hays' clinical practice, publications, videos, and workshops.