Chapters authored
Mindfulness-Based Stress Reduction as a Culturally Relevant Treatment for Racial or Ethnic Minorities
Racial or ethnic minorities (REM) are at a particularly high risk of experiencing mental health conditions. Unlike their White counterparts, social determinants of health (e.g., poverty, racialized violence, or discrimination) exacerbate REM quality of life. REM are less likely than non-Hispanic Whites to seek and receive mental health treatment. Additionally, REM are more likely to experience systemic barriers (e.g., cultural mistrust, stigma, lack of access, and financial barriers), which further complicates their willingness and capacity to seek treatment. While Evidence-Based Treatments (EBTs) are identified as empirically supportive treatments for a range of mental health conditions, there is skepticism about their cultural appropriateness and relevance for REM populations. Clinicians must be culturally competent and use clinical tools (e.g., Multidimensional Model for Developing Cultural Competence) to assist in promoting cultural competence. Likewise, practitioners must be conscientious and knowledgeable about the pitfalls of EBTs when working with REM. Mindfulness-based techniques, such as MBSR, are culturally sensitive and inclusive of historical, social, and cultural ideologies that align with the needs of REM. MBSR has the potential to offer holistic coping given its effectiveness in promoting neurological, physical, and psychological healing.
Part of the book: Counseling and Therapy
Perspective Chapter: Therapeutic Alliance, Rupture and Repair in Group Therapy
This chapter contains an overview of the therapeutic alliance including the purpose and importance of therapeutic alliance as well as recent research that provides knowledge on therapeutic alliance within the group therapy context. This chapter will also take a deep dive into understanding the rupture-repair model, its’ connections with therapeutic alliance, and provide clinical examples of what a rupture and repair may look like in group therapy. Finally, this chapter discusses cultural considerations and includes clinical examples on rupture and repairs where individual and cultural differences are important. In conclusion, therapeutic alliance has been identified as a key contributor to positive outcomes for group therapy clients. While ruptures are expected to occur during therapy, It is important to note that both the rupture and the repair equally effect the therapeutic alliance as well as the outcome of treatment. Outcomes to therapy that align with a strong therapeutic alliance include reduced symptoms, client retention, improved outlook on life, and an improved occupational and interpersonal functioning. Outcomes of therapy associated with a successful repair involve a decrease in anxiety and depressive symptoms, increase in daily living activities, an increase in empathy for their group members, and stronger therapeutic alliance among the group.
Part of the book: The Theory and Practice of Group Therapy