Engagement in Cross-Cultural Clinical Practice: Narrative Analysis of First Sessions

Tsang, A. Ka Tat; Bogo, Marion; Lee, Eunjung

doi:10.1007/s10615-010-0265-6

Cited by 30 publications

(24 citation statements)

References 50 publications

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“…One study by Tsang, Bogo, & Lee (2011) analyzed the session transcript data of nine cases from pre- to post-treatment. Complex coding procedures from a narrative research perspective were supplemented by the information provided on various process and symptom measures (which were both subjective and objective in nature).…”

Section: Empirical Data Identifying Specific Featuresmentioning

confidence: 99%

Collaboration in Multicultural Therapy: Establishing a Strong Therapeutic Alliance Across Cultural Lines

Asnaani¹,

Hofmann

2012

J Clin Psychol

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Achieving effectiveness of therapeutic interventions across a diversity of patients continues to be a foremost concern of clinicians and clinical researchers alike. Further, across theoretical orientations and in all treatment modalities, therapy alliance remains a critical component to determine such favorable outcome from therapy. Yet, there remains a scarcity of empirical data testing specific features that most readily facilitate effective collaboration in a multi-cultural therapy relationship. This article reviews the literature on terminology, empirical findings, and features to enhance collaboration in multi-cultural therapy, suggesting guidelines for achieving this goal in therapy with patients (and therapists) of various cultural/racial backgrounds. This is followed by a multi-cultural case study presenting with several co-morbid Axis I disorders, to exemplify the application of these guidelines over the course of therapy.

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Section: Empirical Data Identifying Specific Featuresmentioning

confidence: 99%

Collaboration in Multicultural Therapy: Establishing a Strong Therapeutic Alliance Across Cultural Lines

Asnaani¹,

Hofmann

2012

J Clin Psychol

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“…In the face of this intensity, it is tempting for clinicians to withdraw or to emotionally distance themselves as a means of self-protection. However, previous research has demonstrated the value in remaining emotionally attuned and responsive to the client in the midst of powerful, emotional, therapeutic content as opposed to seeking factual information, providing cognitive responses, or asking about behavioral strategies (Tsang, Bogo, & Lee, 2011).…”

Section: Resultsmentioning

confidence: 99%

Repairing Alliance Ruptures in the Mandatory Reporting of Child Maltreatment: Perspectives from Social Work

Tufford

2014

Families in Society: The Journal of Contemporary Social Service

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Mandatory reporting of child maltreatment presents a challenging clinical issue for social workers who find themselves obligated to report the maltreatment while managing an often discordant therapeutic alliance with the family. The betrayal and anger felt by families following the report may result in the discontinuation of treatment or negatively impact further clinical work. Registered social workers participated in an online survey examining how they maintain the therapeutic alliance in the face of mandatory reporting. Results showed numerous strategies employed before and following the disclosure of reportable material. Practice principles for clinicians are suggested.

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“…Nine clients self-identified as white, two as Asian, and four as African. Of these participants, three were adolescents, six were in their 20s, two in their 30s, three in their 40s, and one in her 50s (see Tsang, Bogo and George, 2003;Tsang, Bogo and Lee, 2011 for details of the original research).…”

Section: Methodsmentioning

confidence: 99%

“…To provide culturally responsive services, several family therapy approaches recommend joining as a means for therapists to convey respect for a family's cultural values and ideas (Greif, 1990;Lee and Horvath, 2014;McGoldrick, 2012;Tsang, Bogo and Lee, 2011). As a way of joining in cross-cultural encounters, some have suggested that therapists need to identify and mobilize parts of themselves that are congruent with the family in order to find common ground (Minuchin and Fishman, 1981).…”

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confidence: 99%

Joining revisited in family therapy: discourse analysis of cross‐cultural encounters between a therapist and an immigrant family

Lee

Tsang

Bogo

et al. 2017

Journal of Family Therapy

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With increasing diversity in therapeutic dyads, there has been renewed attention to the process of ‘joining’ in cross‐cultural encounters. Inspired by discourse analysis, we conducted a close reading of therapy transcripts between a Pakistani immigrant mother‐daughter dyad and a Canadian white female therapist in an outpatient clinic. Our findings illustrate detailed discursive interactions for joining techniques – selective joining, confirmation, and tracking – (1) where the therapist facilitates joining moments with the family and (2) where the same techniques are used to preclude further exploration of the family's cultural views. Consequently, the joining process is at times limited by the therapist's enactment of her own assumptions about the family's culture. Due to the doxic nature of cultural assumptions, a discursive analysis may help to prevent therapists from silencing their clients’ cultural voices and to be more reflexive of their assumptions, thus promoting joining. Practitioner points Joining in family therapy is a dynamic process The detailed analysis of joining moments can serve as an example for training therapists to examine their moment‐to‐moment responses to culturally diverse clients Therapeutic constructs/techniques (e.g. joining) cannot be decontextualized or conceptualized as apolitical and acultural Critical reflexivity may prevent therapists from unknowingly oppressing culturally diverse clients’ experiences and cultural identities

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Engagement in Cross-Cultural Clinical Practice: Narrative Analysis of First Sessions

Cited by 30 publications

References 50 publications

Collaboration in Multicultural Therapy: Establishing a Strong Therapeutic Alliance Across Cultural Lines

Collaboration in Multicultural Therapy: Establishing a Strong Therapeutic Alliance Across Cultural Lines

Repairing Alliance Ruptures in the Mandatory Reporting of Child Maltreatment: Perspectives from Social Work

Joining revisited in family therapy: discourse analysis of cross‐cultural encounters between a therapist and an immigrant family

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