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

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.

Preface 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 andBrittany 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 Lahelaand 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 Sellersand 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 MacDonaldand Peter Rivera 27. Clinical Supervision Lori Kimmerly 28. Collaborating with Churches: Strengthening our Communities of Meaning Shawn Whitneyand 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 Edwardsand Rachel Baska

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