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Counseling the Culturally Diverse: Theory and Practice, 7th Edition

Counseling the Culturally Diverse: Theory and Practice, 7th Edition

Derald Wing Sue, David Sue

ISBN: ES8-1-119-08433-4

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The standard bearing guide for multicultural counseling courses now enhanced with research-based, topical, and pedagogical refinements

Counseling the Culturally Diverse: Theory and Practice, 7th Edition is the new update to the seminal work on multicultural counseling. From author Derald Wing Sue – one of the most cited multicultural scholars in the United States – this comprehensive work includes current research, cultural and scientific theoretical formations, and expanded exploration of internalized racism. Replete with real-world examples, this book explains why conversations revolving around racial issues remain so difficult, and provides specific techniques and advice for leading forthright and productive discussions. The new edition focuses on essential instructor and student needs to facilitate a greater course-centric focus.

In response to user feedback and newly available research, the seventh edition reflects:

  • Renewed commitment to comprehensiveness. As compared to other texts in the field, CCD explores and covers nearly all major multicultural counseling topics in the profession. Indeed, reviewers believed it the most comprehensive of the texts published, and leads in coverage of microaggressions in counseling, interracial/interethnic counseling, social justice approaches to counseling, implications of indigenous healing, the sociopolitical nature of counseling, racial identity development, and cultural use of evidence-based practice.
  • Streamlined Presentation to allow students more time to review and analyze rather than read more detailed text
  • New advances and important changes, such as expanded coverage of internalized racism, cultural humility, expansion of microaggression coverage to other marginalized groups, social justice/advocacy skills, recent research and thinking on evidence-based practice, and new approaches to work with specific populations.
  • Most current work in multicultural mental health practice including careful consideration of the multicultural guidelines proposed by the American Psychological Association and the draft guidelines for Multicultural and Social Justice Counseling Competencies (MSJCC) (2015) from the American Counseling Association's Revision Committee.
  • Expanded attention to the emotive nature of the content so that the strong emotive reaction of students to the material does not prevent self-exploration (a necessary component of cultural competence in the helping professions).
  • Strengthened Pedagogy in each chapter with material to facilitate experiential activities and discussion and to help students digest the material including broad Chapter Objectives and more specific and oftentimes controversial Reflection and Discussion Questions. Every chapter opens with a clinical vignette, longer narrative, or situational example that previews the major concepts and issues discussed in the chapter. The Chapter Focus Questions serve as prompts to address the opening 'course objectives,' but these questions not only preview the content to be covered, but are cast in such a way as to allow instructors and trainers to use them as discussion questions throughout the course or workshop. We have retained the 'Implications for Clinical Practice' sections and added a new Summary after every chapter. Instructor's Handbook has been strengthen and expanded to provide guidance on teaching the course, anticipating resistances, overcoming them, and providing exercises that could be used such as case studies, videos/movies, group activities, tours/visits, and other pedagogy that will facilitate learning.
  • Easier comparison between and among groups made possible by updating population specific chapters to use common topical headings (when possible).

Offering the perfect blend of theory and practice, this classic text helps readers overcome the discomfort associated with discussions of race, provides real-world examples of how to discuss diversity and difference openly and honestly, and closely examines the hidden and unwritten rules that dictate many aspects of diversity in today's world.

Related Resources


About the Authors

Section One the Multiple Dimensions of Multicultural Counseling and Therapy

Part I: The Affective and Conceptual Dimensions of Multicultural Counseling and Therapy

Chapter 1 Obstacles to Cultural Competence: Understanding Resistance to Multicultural Training

Emotional Self-Revelations and Fears: Majority Group Members 

Emotional Invalidation versus Affirmation: For Marginalized Group Members 

A Word of Caution 

Recognizing and Understanding Resistance to Multicultural Training: For Trainees and Trainers 

Cognitive Resistance—Denial

Emotional Resistance 

Behavioral Resistance 




Chapter 2 The Superordinate Nature of Multicultural Counseling and Therapy 

Culture Universal (Etic) versus Culture Specific (Emic) Formulations 

The Nature of Multicultural Counseling Competence 

A Tripartite Framework for Understanding the Multiple Dimensions of Identity 

Individual and Universal Biases in Psychology and Mental Health 

The Impact of Group Identities on Counseling and Psychotherapy 

What Is Multicultural Counseling/Therapy? 

What Is Cultural Competence? 

Cultural Humility and Cultural Competence 

Social Justice and Cultural Competence 



Chapter 3 Multicultural Counseling Competence for Counselors and Therapists of Marginalized Groups

Counselors from Marginalized Groups Working with Majority  and Other Marginalized Group Clients 

The Politics of Interethnic and Interracial Bias and Discrimination 

The Historical and Political Relationships between Groups of Color

Differences between Racial/Ethnic Groups 

Counselors of Color and Dyadic Combinations 



Part II The Political Dimensions of Mental Health Practice

Chapter 4 The Political and Social Justice Implications of Counseling and Psychotherapy 

The Education and Training of Mental Health Professionals 

Definitions of Mental Health 

Counseling and Mental Health Literature 

Need to Treat Social Problems—Social Justice Counseling 

The Foci of Therapeutic Interventions:    Individual, Professional, Organizational and Societal

Social Justice Counseling 



Chapter 5 Impact of Systemic Oppression 

Therapist Credibility and Client Worldviews 

The Rest of the Story 

Therapist Credibility and Attractiveness 

Formation of Individual and Systemic Worldviews 

Formation of Worldviews 



Chapter 6 Microaggressions in Counseling and Psychotherapy 

Contemporary Forms of Oppression 

Evolution of the “Isms”: Microaggressions 

The Dynamics and Dilemmas of Microaggressions 

Therapeutic Implications 


Part III The Practice Dimensions of Multicultural Counseling/Therapy

Chapter 7 Barriers to Multicultural Counseling and Therapy: Individual and Family Perspectives

Identifying Multicultural Therapeutic Issues 

Generic Characteristics of Counseling/Therapy 

Culture-Bound Values 

Class-Bound Values 

Language Barriers 

Patterns of “American” Cultural Assumptions and Multicultural Family Counseling/Therapy 




Chapter 8 Culturally Appropriate Intervention Skills and Strategies

Cultural Expression of Mental Disorders 

Communication Styles 

Sociopolitical Facets of Nonverbal Communication 

Counseling and Therapy as Communication Style 



Chapter 9 Multicultural Evidence-Based Practice 

Evidence-Based Practice and Multiculturalism  

Evidence-Based Practice and Diversity Issues in Therapy 



Chapter 10 Non-Western Indigenous Methods of Healing: Implications for Multicultural Counseling and Therapy

Legitimacy of Culture-Bound Syndromes: Nightmare Deaths and the Hmong Sudden Death Phenomenon 

The Principles of Indigenous Healing 




Part IV Racial/Cultural Identity Development in Multicultural Counseling and Therapy

Chapter 11 Racial/Cultural Identity Development in People of Color: Therapeutic Implications

Racial Awakening 

Racial/Cultural Identity Development Models 

A Racial/Cultural Identity Development Model

Therapeutic Implications of the R/ CID Model




Chapter 12 White Racial Identity Development: Therapeutic Implications

What Does It Mean to Be White? 

The Invisible Whiteness of Being 

Understanding the Dynamics of Whiteness 

Models of White Racial Identity Development

The Process of White Racial Identity Development: A Descriptive Model

Developing a Nonracist and Antiracist White Identity 


Section Two Multicultural Counseling and Specific Populations

Part V Understanding Specific Populations  

Chapter 13 Culturally Competent Assessment

Therapist Variables Affecting Diagnosis 

Cultural Competence and Preventing Diagnostic Errors 

Contextual and Collaborative Assessment

Infusing Cultural Competence into Standard Clinical Assessments 


Part VI Counseling and Therapy with Racial/Ethnic Minority Group Populations

Chapter 14 Counseling African Americans

Characteristics and Strengths 

Specific Challenges 


Chapter 15 Counseling American Indians and Alaska Natives

Characteristics and Strengths

Specific Challenges

Alcohol and Substance Abuse


Chapter 16 Counseling Asian Americans and Pacific Islanders

Characteristics and Strengths

Specific Challenges


Chapter 17 Counseling Latinos

Characteristics and Strengths

Specific Challenges


Chapter 18 Counseling Individuals of Multiracial Descent

Multiracialism in the United States

Specific Challenges

A Multiracial Bill of Rights

Multiracial Strengths


Part VII Counseling and Special Circumstances Involving Racial/Ethnic Populations

Chapter 19 Counseling Arab and Muslim Americans

Arab Americans

Muslim Americans

Characteristics and Strengths 

Specific Challenges


Chapter 20 Counseling Jewish Americans

Characteristics and Strengths

Specific Challenges


Chapter 21 Counseling Immigrants and Refugees

Challenges and Strengths

Counseling Refugees


Part VIII Counseling and Therapy with Other Multicultural Populations

Chapter 22 Counseling LGBT Individuals

Understanding Sexual Minorities

Specific Challenges


Chapter 23 Counseling Older Adult Clients

Characteristics and Strengths

Specific Challenges of Older Adults


Chapter 24 Counseling Women

Specific Challenges

Embracing Gender Strengths


Chapter 25 Counseling and Poverty

Demographics: Who Are the Poor? 

Strengths of People Living in Poverty 

Suggested Guidelines for Counselors 


Chapter 26 Counseling Persons with Disabilities

Understanding Disabilities

The Americans with Disabilities Act

Specific Challenges

Supports for Individuals with Disabilities

Counseling Issues with Individuals with Disabilities


Author Index

Subject Index