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7 - Building Strong and Effective Alliances with Black Female Clients

from Part II - Therapy Contexts

Published online by Cambridge University Press:  22 June 2023

Donna Baptiste
Affiliation:
Northwestern University, Illinois
Adia Gooden
Affiliation:
Unconditionally Worthy, Co.
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Summary

In this chapter, we highlight key approaches to building strong therapeutic relationships with Black female clients. We also review the challenges that therapists may face in building strong therapeutic relationships with Black women and provide strategies to overcome these challenges. We discuss the occurrence of microaggressions in therapy and provide specific strategies for how to frame conversations about micro-aggressions to validate historical and present client experiences both in and outside of therapy.

Type
Chapter
Information
Promoting Black Women's Mental Health
What Practitioners Should Know and Do
, pp. 163 - 188
Publisher: Cambridge University Press
Print publication year: 2023

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References

Books

Burke, T., & Brown, B. (Eds.). (2021). You are your best thing: Vulnerability, shame resilience, and the black experience. Random House.Google Scholar
Helms, J. E. (2017). Counseling Black women: Understanding the effects of multilevel invisibility. In Kopala, M. & Keitel, M (Eds.), Handbook of counseling women (pp. 219233). Sage Publications, Inc. https://doi.org/10.4135/9781506300290.n22Google Scholar
Higgins, N. (2021). Purposeful perspectives: Empowering black women towards spiritual alignment, self-mastery, & joy. Paper Raven Books.Google Scholar
Winters, M. F. (2020). Inclusive conversations: Fostering equity, empathy, and belonging across differences. Berrett-Koehler Publishers.Google Scholar

Articles

Asnaani, A., & Hofmann, S. G. (2012). Collaboration in multicultural therapy: Establishing a strong therapeutic alliance across cultural lines. Journal of Clinical Psychology, 68(2), 187197.Google Scholar
Coleman, D. (2000). The therapeutic alliance in multicultural practice. Psychoanalytic Social Work, 7(2), 6591. http://dx.doi.org/10.1300/J032v07n02_04Google Scholar
Collins, S., Arthur, N., & Wong‐Wylie, G. (2010). Enhancing reflective practice in multicultural counseling through cultural auditing. Journal of Counseling & Development, 88(3), 340347. https://doi.org/10.1002/j.1556-6678.2010.tb00031.xCrossRefGoogle Scholar

Podcasts

Crenshaw, K. (Executive Producer). (2019–present). Intersectionality matters! [Audio podcast]. African American Policy Forum. https://www.aapf.org/imkc-podcast-episodesGoogle Scholar

Media Resources

Stovall, N. (2019). Whiteness on the couch. Longreads. https://longreads.com/2019/08/12/whiteness-on-the-couch/Google Scholar

References

Adams, J. M. (2000). Individual and group psychotherapy with African American women: Understanding the identity and context of the therapist and patient. In Jackson, L. C. & Greene, B. (Eds.), Psychotherapy with African American women: Innovations in psychodynamic perspective and practice (pp. 3361). Guilford Press.Google Scholar
Asnaani, A., & Hofmann, S. G. (2012). Collaboration in multicultural therapy: Establishing a strong therapeutic alliance across cultural lines. Journal of Clinical Psychology, 68(2), 187197.Google Scholar
Borba, C. P., DePadilla, L., McCarty, F. A., von Esenwein, S. A., Druss, B. G., & Sterk, C. E. (2012). A qualitative study examining the perceived barriers and facilitators to medical healthcare services among women with a serious mental illness. Women’s Health Issues, 22(2), e217e224. https://doi.org/10.1016/j.whi.2011.10.001Google Scholar
Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research & Practice, 16(3), 252260. https://doi.org/10.1037/h0085885CrossRefGoogle Scholar
Boykin, A. W., Jagers, R. J., Ellison, C. M., & Albury, A. (1997). Communalism: Conceptualization and measurement of an Afrocultural social orientation. Journal of Black Studies, 27(3), 409418.Google Scholar
Brown, L. S. (2008). Feminist therapy. In Lebow, J. (Ed.), Twenty-first century psychotherapies: Contemporary approaches to theory and practice (pp. 277306). John Wiley & Sons, Inc.Google Scholar
Castonguay, L. G., Constantino, M. J., & Holtforth, M. G. (2006). The working alliance: Where are we and where should we go? Psychotherapy: Theory, Research, Practice, Training, 43(3), 271279.CrossRefGoogle ScholarPubMed
Coleman, D. (2000). The therapeutic alliance in multicultural practice. Psychoanalytic Social Work, 7(2), 6591. http://dx.doi.org/10.1300/J032v07n02_04Google Scholar
Collins, S., Arthur, N., & Wong‐Wylie, G. (2010). Enhancing reflective practice in multicultural counseling through cultural auditing. Journal of Counseling & Development, 88(3), 340347. https://doi.org/10.1002/j.1556-6678.2010.tb00031.xGoogle Scholar
Comas-Díaz, L. (2006). Cultural variation in the therapeutic relationship. In Goodheart, C. D., Kazdin, A. E., & Sternberg, R. J. (Eds.), Evidence-based psychotherapy: Where practice and research meet (pp. 81105). American Psychological Association. https://doi.org/10.1037/11423-004Google Scholar
Constantine, M. G. (2007). Racial microaggressions against African American clients in cross-racial counseling relationships. Journal of Counseling Psychology, 54(1), 116. https://doi.org/10.1037/0022-0167.54.1.1Google Scholar
Evans, K. M., Kincade, E. A., Marbley, A. F., & Seem, S. R. (2005). Feminism and feminist therapy: Lessons from the past and hopes for the future. Journal of Counseling & Development, 83(3), 269277.Google Scholar
Foronda, C., Baptiste, D. L., Reinholdt, M. M., & Ousman, K. (2016). Cultural humility: A concept analysis. Journal of Transcultural Nursing, 27(3), 210217. https://doi.org/10.1177/1043659615592677Google Scholar
Gaebel, W., Muijen, M., Baumann, A. E., Bhugra, D., Wasserman, D., van der Gaag, R. J., Heun, R., Zielasek, J., & European Psychiatric Association. (2014). EPA guidance on building trust in mental health services. European Psychiatry, 29(2), 83100.Google Scholar
Gooden, A. (2019). Black women in couples and families. In Lebow, J. L., Chambers, A. L., & Breunlin, D. C. (Eds.), Encyclopedia of couple and family therapy (pp. 285289). Springer. https://doi.org/10.1007/978-3-319-49425-8_702Google Scholar
Greene, B. (1997) Psychotherapy with African American women: Integrating feminist and psychodynamic models. Smith College Studies in Social Work, 67(3), 299322. https://doi.org/10.1080/00377319709517495CrossRefGoogle Scholar
Hook, J. N., Davis, D. E., Owen, J., Worthington, E. L., & Utsey, S. O. (2013). Cultural humility: Measuring openness to culturally diverse clients. Journal of Counseling Psychology, 60(3), 353366. https://doi.org/10.1037/a0032595Google Scholar
Horvath, A. O., Re, A. C. D., Flückiger, C., & Symonds, D. (2011). Alliance in individual psychotherapy. In Norcross, J. C. (Ed.), Psychotherapy relationships that work: Evidence-based responsiveness (pp. 2569). Oxford University Press. https://doi.org/10.1037/a0022186Google Scholar
Jackson, A. P., & Sears, S. J. (1992). Implications of an Africentric worldview in reducing stress for African American women. Journal of Counseling & Development, 71(2), 184190.Google Scholar
Johnson, S., Price, M., Mehta, N., & Anderson, P. L. (2014). Stereotype confirmation concerns predict dropout from cognitive behavioral therapy for social anxiety disorder. BMC Psychiatry, 14(1), 16. https://doi.org/10.1186/s12888-014-0233-8Google Scholar
Jones, L. V., & Harris, M. A. (2019). Developing a Black feminist analysis for mental health practice: From theory to praxis. Women & Therapy, 42(3–4), 251264. https://doi.org/10.1080/02703149.2019.1622908CrossRefGoogle Scholar
Jones, M. C., & Shorter-Gooden, K. (2009). Shifting: The double lives of Black women in America. Harper Collins.Google Scholar
King, A. C., & Canada, S. A. (2004). Client-related predictors of early treatment drop-out in a substance abuse clinic exclusively employing individual therapy. Journal of Substance Abuse Treatment, 26(3), 189195. https://doi.org/10.1016/s0740-5472(03)00210-1Google Scholar
Lambert, M. J., & Barley, D. E. (2001). Research summary on the therapeutic relationship and psychotherapy outcome. Psychotherapy: Theory, Research, Practice, Training, 38(4), 357361. https://doi.org/10.1037/0033-3204.38.4.357Google Scholar
McGuire, T. G., & Miranda, J. (2008). New evidence regarding racial and ethnic disparities in mental health: Policy implications. Health Affairs (Project Hope), 27(2), 393403. https://doi.org/10.1377/hlthaff.27.2.393Google Scholar
Sharf, J., Primavera, L. H., & Diener, M. J. (2010). Dropout and therapeutic alliance: a meta-analysis of adult individual psychotherapy. Psychotherapy: Theory, Research, Practice, Training, 47(4), 637645.Google Scholar
Shonfeld-Ringel, S. (2001). A re-conceptualization of the working alliance in cross-cultural practice with Non-Western clients: Integrating relational perspectives and multicultural theories. Clinical Social Work Journal, 29(1), 5363. https://doi.org/10.1023/A:1005258511296Google Scholar
Shorter-Gooden, K. & Jackson, L. C. (2000). The interweaving of cultural and intrapsychic issues in the therapeutic relationship. In Jackson, L. C. & Green, B. (Eds.), Psychotherapy with African American women. Guilford Press.Google Scholar
Sue, D. W., Capodilupo, C. M., Torino, G. C., Bucceri, J. M., Holder, A. M. B., Nadal, K. L., & Esquiline, M. (2007). Racial microaggressions in everyday life: Implications for clinical practice. American Psychologist, 62(4), 271286. https://doi.org/10.1037/0003-066x.62.4.271Google Scholar
Sue, S. (1998). In search of cultural competence in psychotherapy and counseling. American psychologist, 53(4), 440448.Google Scholar
Thompson, V. L. S., Bazile, A., & Akbar, M. (2004). African Americans’ perceptions of psychotherapy and psychotherapists. Professional Psychology: Research and Practice, 35, 1926.Google Scholar
Vasquez, M. J. (2007). Cultural difference and the therapeutic alliance: An evidence-based analysis. American Psychologist, 62(8), 878885. https://doi.org/10.1037/0003-066X.62.8.878Google Scholar
Waite, R., & Killian, P. (2007). Exploring depression among a cohort of African American women. Journal of the American Psychiatric Nurses Association, 13(3), 161169. https://doi.org/10.1177/1078390307304996Google Scholar
Washington, H. A. (2006). Medical apartheid: The dark history of medical experimentation on Black Americans from colonial times to the present. Doubleday Books.Google Scholar
Williams, C. B. (2000). African American women, Afrocentrism and feminism: Implications for therapy. Women & Therapy, 22(4), 116.Google Scholar
Williams, C. B. (2005). Counseling African American women: Multiple identities – Multiple constraints. Journal of Counseling & Development, 83(3), 278283.Google Scholar

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