A major challenge faced by clinical social work practice today is how to apply clinical social work knowledge and practice theories to ethnic and racial groups who have diverse cultural values and practices. A solution-focused approach that incorporates the premises and techniques of social constructivism, empowerment-based practice, and a strengths perspective is well suited for responding to the needs of these groups with respect for their values and practices. With its focus on pragmatic change and encouraging clients to create solutions for themselves, in addition to avoiding the shame that clients in these enthnic and racial populations feel in seeking professional help, this approach fits cultural approval to seek support and advice.
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References
1.
Al-krenawiA., & GrahamJ. R. (2000). Culturally sensitive social work practice with Arabs clients in mental health setting. Health and Social Work, 25, 9–22.
2.
AndersonE. (1999). Code of the streets. In GallagherC. A. (Ed.), Rethinking the color line: Readings in race and ethnicity (pp. 347–357). California: Mayfield Publishing.
3.
AndersonH., & GoolishianH. (1992). The client is the expert: A not-knowing approach to therapy. In McNameeS., & GergenK. J. (Eds.), Therapy as social construction (pp. 25–39). Newbury Park, CA: Sage.
4.
AtkinsonD. R., & GimR. H. (1989). Asian American cultural identity and attitudes toward mental health services. Journal of Counseling Psychology, 36, 209–212.
5.
BarnesS. L. (2001). Stressors and strengths: A theoretical and practical examination of nuclear, single-parent, and augmented African American families. Families in Society, 82, 449–460.
6.
BatesonG. (1979). Mind and nature.New York: E. P. Dutton.
7.
BatesonC. (1972). Steps to an ecology of mind.New York: Ballantine Books.
8.
BergI. K. (1994). Family-based services: A solution-focused approach.New York: W. W. Norton.
9.
BergI. K., & De JongP. (1996). Solution-building conversations: Co-constructing a sense of competence. Families in Society, 77, 376–391.
10.
BergI. K., & KellyS. (2000). Building solutions in child protective services.New York: W. W. Norton.
11.
BergI. K., & MillerS. (1992). Working with the problem drinker: A solution-focused approach.New York: W.W. Norton.
12.
BromanC. L. (1996). Coping with personal problems. In NeighborsH. W., & JacksonJ. S. (Eds.), Mental Health in Black America (pp. 117–129). Thousand Oaks, CA: Sage.
13.
CongressE. P. (1997). Using the culturagram to assess and empower culturally diverse families. In CongressE. P. (Ed.), Multicultural perspectives in working with families (pp. 3–16). New York: Springer.
14.
CongressE. P., & LynnM. (1997). Family and group approaches with culturally diverse families: A dialogue to increase collaboration. In CongressE. P. (Ed.), Multicultural perspectives in working with families (pp. 275–287). New York: Springer.
15.
Cooper-PatrickL., BrownC., PalencharD. R., GonzalesJ. J., & FordD. E. (1995). Factors associated with help-seeking behavior for mental health services. AHSR and FHSR Annual Meeting Abstract Book, 12, 105.
16.
CorcoranJ. (2000). Solution-focused family therapy with ethnic minority clients. Crisis Intervention and Time-Limited Treatment, 6, 5–12.
17.
CrossT. L., BazronB. J., DennisK. W., & IsaacsM. R. (1989). Toward a culturally competent system of care.Washington, DC: Child and Adolescent Service System Program Technical Assistance Center.
18.
de ShazerS. (1994). Words were originally magic.New York: W. W. Norton.
19.
de ShazerS. (1991). Putting difference to work.New York: W. W. Norton.
20.
de ShazerS. (1985). Keys to solutions in brief therapy.New York: W. W. Norton.
21.
de ShazerS., & MolnarA. (1984). Four useful interventions in brief family therapy. Journal of Marital and Family Therapy, 10, 297–304.
22.
DeanR. G. (1993). Constructivism: An approach to clinical practice. Smith College Studies in Social Work, 63, 126–146.
23.
DevoreW., & SchlesingerE. G. (1998). Ethnic-sensitive social work practice (5th ed.). Boston: Allyn & Bacon.
24.
DorfmanR. A. (Ed.). (1998). Paradigms of clinical social work, Volume 2.New York: Brunner/Mazel.
25.
EarlyT., & GlenMayeL. F. (2000). Valuing families: Social work practice with families from a strengths perspective. Social Work, 45, 118–130.
26.
FalicovC. J. (1998). Latino families in therapy: A guide to multicultural practice.New York: Guilford Press.
27.
FranklinC., & MooreK. C. (1998). Solution-focused brief family therapy. In FranklinC., & JordanC. (eds.), Family practice: Brief systems methods for social work (pp. 105–142). Pacific Grove, CA: Brooks/Cole.
28.
FreudS. (1923/1961). The ego and the id. In StracheyJ. (ed. and trans.), The standard edition of the complete psychological works of Sigmund Freud.London: Hogarth (Original work published 1923).
29.
GeertzH. (1973). The interpretation of cultures.New York: Basic Books.
30.
GergenK. J. (1999). An invitation to social construction.Thousand Oaks, CA: Sage.
31.
GonzalezR. C., BieverJ. L., & GardnerG. T. (1994). The multicultural perspective in therapy: A social constructionist approach. Psychotherapy, 31, 515–524.
32.
GreenJ. W. (1999). Cultural awareness in the human services: A multiethnic approach (3rd ed.). Boston: Allyn and Bacon.
33.
GreeneG. J., & LeeM. Y. (2001). The social construction of empowerment. In O'MeliaM., & MileyK. K. (Eds.), Pathways to power: Readings in contextual social work practice (pp. 175–201). Boston, MA: Allyn and Bacon.
34.
GreeneG. J., LeeM. Y., MentzerR., PinnellS., & NilesD. (1998). Miracles, dreams, and empowerment: A brief practice note. Families in Society, 79, 395–399.
35.
GutierrezL. M., DeLoisK. A., & GlenMayeL. (1995). Understanding empowerment practice: Building on practitioner-based knowledge. Families in Society, 76, 534–542.
36.
GutierrezL. M., & LewisE. A. (1999). Empowering women of color.New York: Columbia University Press.
37.
GutierrezL. M., ParsonsR. J., & CoxE. O. (Eds.) (1998). Empowerment in social work practice: A sourcebook.Pacific Grove, CA: Brooks/Cole.
38.
HallE. T. (1983). The dance of life.Garden City, NY: Doubleday.
39.
HoM. K. (1993). Family therapy with ethnic minorities.Newbury Park, CA: Sage.
40.
HoytM. F. (Ed.) (1998). The handbook of constructive therapies: Innovative approaches from leading practitioners.San Francisco: Jossey-Bass.
41.
HurdleD. E. (2002). Native Hawaiian traditional healing: Culturally based interventions for social work practice. Social Work, 47, 183–192.
42.
JohnsonJ. L., & CameronM. C. (2001). Barriers providing effective mental health services to American Indians. Mental Health Services Research, 3, 215–223.
43.
LaxW. D. (1996). Narrative, social constructivism, and Buddhism. In RosenH., & KuehlweinK. T. (Eds.), Constructing realities; Meaning-making perspectives for psychotherapists (pp. 195–220). San Francisco: Jossey-Bass.
44.
LeeE. (Ed.). (1997). Working with Asian Americans: A guide for clinicians.New York: Guilford.
45.
LeeM. Y. (2000). Understanding Chinese battered women in North America: A review of the literature and practice implications. Journal of Ethnic and Cultural Diversity in Social Work, 8, 215–241.
46.
LeeM. Y. (1996). A constructive approach to clients' help-seeking process: A response to cultural diversity. Clinical Social Work Journal, 24, 187–202.
47.
LeeM. Y., GreeneG. J., & RheinscheldJ. (1999). A model for short-term solution-focused group treatment of male domestic violence offenders. Journal of Family Social Work, 3, 39–57.
48.
LeongF. T. L., WagnerN. S., & TataS. P. (1995). Racial and ethnic variations in help-seeking attitudes. In PonterottoG., CasasJ. M., SuzukiL. A., & AlexanderC. M. (Eds.), Handbook of multicultural counseling (pp. 415–438). Thousand Oaks, CA: Sage.
49.
LeongF. T. L., & LauA. S. L. (2001). Barriers to providing effective mental health services to Asian Americans. Mental Health Services Research, 3, 201–214.
50.
LinT. Y., TardiffK., DonetzG., & GoreskyW. (1978). Ethnicity and patterns of help-seeking. Culture, Medicine and Psychiatry, 2, 3–13.
51.
LinkB. G., PhelanJ. C., BresnahanM., StueveA., & PescosolidoB. A. (1999). Public conceptions of mental illness: Labels, causes, dangerousness, and social distance. American Journal of Public Health, 89, 1328–1333.
52.
LittlewoodR. (1988). Towards an inter-cultural therapy: Some preliminary observations. Journal of Social Work Practice, 5, 9–19.
53.
LopezS. R. (1989). Patient variable biases in clinical judgment: Conceptual overview and methodological considerations. Psychological Bulletin, 106, 184–203.
54.
LumD. (Ed.). (2003). Culturally competent practice: A framework for understanding diverse groups and justice issues (2nd ed.). Pacific Grove, CA: Brooks/Cole.
55.
MaturanaH., & VarelaF. (1980). Autopoiesis and cognition.Dordrecht, Holland: Dreidel.
56.
MillerG. (1997). Becoming miracle workers, Language and meaning in brief therapy.New York: Aldine de Gruyter.
57.
MolnarA., & de ShazerS. (1987). Solution focused therapy: Toward the identification of therapeutic tasks. Journal of Marital and Family Therapy, 13(4), 349–358.
58.
McLanahanS., & GarfinkelI. (1989). Single mothers, the underclass, and social policy. The Annals of the American Academy of Political and Social Science, 501, 92–104.
59.
MurphyC. M., & BaxterV. A. (1997). Motivating batterers to change in the treatment context. Journal of Interpersonal Violence, 12, 607–619.
60.
National Association of Social Workers. (1996). Code of ethics of the National Association of Social Workers.Washington, DC: Author.
61.
NeimeyerR. A., & MahoneyM. J. (1993). Constructivism in psychotherapy.Washington, DC: American Psychological Association.
62.
O'HanlonW., & WilkJ. (1987). Shifting contexts: The generation of effective psychotherapy.New York: Guilford.
63.
PangK. Y. C. (1990). Hwabyung: The construction of a Korean popular illness among Korean elderly immigrant women in the United States. Culture, Medicine, and Psychiatry, 14, 495–512.
64.
PedersenP. (Ed.) (1999). Multiculturalism as the fourth force.New York: Brunner/Mazel.
65.
ProctorE. K., & DavisL. E. (1994). The challenge of racial difference: Skills for clinical practice. Social Work, 39, 314–323.
66.
RappC. A. (1998). The strengths model: Case management with people suffering from severe and persistent mental illness.New York: Oxford University Press.
67.
RosaldoM. Z. (1984). Toward an anthropology of self and feeling. In ShwederR. A., & LeVineR. A. (Eds.), Culture, theory: Essays on mind, self and emotion (pp. 137–157). Cambridge: Cambridge University Press.
68.
RoseS. M. (1990). Advocacy/empowerment: An approach to clinical practice for social work. Journal of Sociology and Social Welfare, 17, 41–51.
69.
SaegertS. (1989). Unlikely leaders, extreme circumstances: Older Black women building community households. American Journal of Community Psychology, 17, 295–316.
70.
SaleebeyD. (1996). The strengths perspective in social work practice: Extensions and cautions. Social Work, 41, 296–304.
71.
SavayaR. (1995). The under-use of psychological services by Israeli Arabs: An examination of the roles of negative attitudes and the use of alternative sources of help. International Social Work, 41, 195–209.
72.
SegalU. A. (1993). Cross-cultural values, social work students and personality. International Social Work, 36, 61–73.
73.
ShapiroV. (1995). Subjugated knowledge and the working alliance: The narratives of Russian-Jewish immigrants in session. Psychotherapy in Practice, 1, 9–22.
74.
Shonfeld-RingelS. (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, 53–63.
75.
SnowdenL. R. (2001). Barriers to effective mental health services for African Americans. Mental Health Services Research, 3, 181–187.
76.
SueS., & ZaneN. (1987). The role of culture and cultural techniques in psychotherapy: A critique and reformulation. American Psychologist, 42, 37–45
77.
TakeuchiD. T., SueS., & YehM. (1995). Return rates and outcomes from ethnicity-specific mental health programs in Los Angeles. American Journal of Public Health, 85, 638–643.
78.
UbaL. (1994). Asian Americans: Personality patterns, identity, and mental health.New York: Guilford.
79.
U. S. Department of Health and Human Services. (1999). Mental health: A report of the surgeon general.Rockville, MD: U.S. Department of Health and Human Services, Substance abuse and Mental Health Services Administration, Center of Mental Health Services, National Institute of Health, National Institute of Mental Health.
80.
VegaW. A., & LopezS. R. (2001). Priority issues in Latino mental health services research. Mental Health Services Research, 3, 189–200.
81.
WrightM. A. (1998). I'm chocolate, you're vanilla: Raising healthy Black and biracial children in a race-conscious world.San Francisco, CA: Jossey-Bass.
82.
YamashiroG., & MatsuokaJ. K. (1997). Help-seeking among Asian and Pacific Americans: A multiperspective analysis. Social Work, 42, 176–186.
