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Foundations of Counseling and Psychotherapy: Evidence-Based Practices for a Diverse Society

Foundations of Counseling and Psychotherapy: Evidence-Based Practices for a Diverse Society

David Sue, Diane M. Sue

ISBN: 978-0-471-43302-6 November 2007 456 Pages


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Foundations of Counseling and Psychotherapy provides an overview of the most prevalent theories of counseling within the context of a scientific model that is both practical and up-to-date. Authors David Sue and Diane Sue provide you with the best practice strategies for working effectively with your clients using an approach that recognizes and utilizes each client’s unique strengths, values, belief systems, and environment to effect positive change. Numerous case studies, self-assessment, and critical thinking examples are included.

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Chapter 1: Science and Diversity in Psychotherapy: Important Perspectives.

Impact of Managed-Care.

Evidence-Based Practice and Empirically Supported Therapies.

Cultural and Diversity Issues.

Evidence- Based Practice and Diversity Issues in Therapy.

Chapter 2: Evidence-Based Practice in Psychotherapy: Techniques and Relationships.

Psychotherapy as It Is Often Practiced.

Empirically Supported Therapies (ESTs).

Contextual and Empirically Supported Relationships.

Factors Related to Treatment Outcome.

Conducting Therapy using a Scientifi c Model.

Chapter 3: Therapist-Client Relationship Skills.

The Therapeutic Alliance.

Choosing Relevant Interventions.

Preventing Treatment Failure.

Chapter 4: Contextual and Collaborative Assessment.

Clinical Assessment.

Diversity Considerations.

Chapter 5: Diagnosis and Conceptualization.

Diagnosis Using DSM-IV-TR.


Conceptualization and Development of Treatment Goals.

Collaborative Conceptualization Model.

Collaborating on Intervention Strategies.

Chapter 6: Psychodynamic Theory and Techniques.

The Evolution of Psychodynamic Theory.

Traditional One-Person Psychoanalytic Theories.

Two-Person or Relational Psychoanalytic Theories.

Psychodynamic Concepts and Techniques.

Research on Psychodynamic Therapy and Techniques.

Diversity Issues with Psychoanalytic Intervention.

Chapter 7: Core Conflictual Relationship Theme Therapy.

Theoretical Basis of the CCRT Method.

Supportive Elements Necessary for a Strong Therapist-Client Bond.

Steps in Identifying the CCRT.

Therapeutic Goals with CCRT.

The Three Phases of CCRT Therapy.

Evaluation of CCRT Therapy: Scientific Basis, Contextual and Diversity Issues.

Recommended Readings.

Chapter 8: Interpersonal Therapy.

Theory of Interpersonal Therapy.

Therapist Role and Strategies in IPT.

IPT Treatment of Depression.

Evaluation of Interpersonal Therapy: Scientific Basis, Contextual and Diversity Issues.

Recommended Readings.

Chapter 9: Humanistic Theories and Techniques.

The Client-Centered Approach.

Existential Therapy.

Gestalt Therapy.

Research on Client-Centered Therapy.

Diversity Issues with Client-Centered Therapy.

Chapter 10: Motivational Enhancement Therapy.

Motivational Interviewing Theory.

The Motivational Enhancement Therapy Program for Alcohol Abuse and Dependence.

Evaluation of Motivational Interviewing: Scientific Basis, Contextual and Diversity Issues.

Recommended Readings.

Chapter 11: Cognitive-Behavioral Theory and Techniques.

Classical Conditioning Theory.

Operant Conditioning Therapy.

Social Skills Training.

Assertiveness Training.

Social Learning Theory.

Cognitive-Behavioral Theory.

Research on Cognitive-Behavioral Therapies.

Diversity Issues with Cognitive- Behavior Therapy.

Chapter 12: Cognitive-Behavioral Therapy for Depression.

Beck's Theory of Depression.

Components of Cognitive-Behavioral Therapy for Depression.

Impediments to Collaboration.


Initial Interview and Introduction to CBT.

The Structure and Format of Ongoing CBT Sessions.

Evaluation of CBT: Scientifi c Basis, Contextual and Diversity Issues.

Recommended Readings.

Chapter 13: Dialectical Behavior Therapy.

Theory and Conceptualization.

Dialectical Behavior Therapy.

Cognitive and Behavioral Intervention Strategies.

The DBT Treatment Process.

Evaluation of DBT: Scientific Basis, Contextual and Diversity Issues.

Recommended Readings.

Chapter 14: Multicultural Counseling Theory.

Multicultural Counseling Theory.

Evaluation of MCT.

Chapter 15: Multicultural and Diversity Issues in Counseling and Psychotherapy.

Acknowledging Differences: Respect and Understanding Are the Key.

Issues Related to Specifi c Populations.

Specific Considerations for Diverse Populations.

Failures in Cultural Competence and What We Need to Do.

Chapter 16: Assessment and Intervention in Emergency Situations.

Understanding Your Own Response to Crisis.

Understanding the Emergency Plan for Your Work Setting.

The Importance of Assessing the Prior Histories of All Clients.

Assessing and Responding to an Emergency Situation.

Assessing and Responding to a Suicidal Crisis.

Best Practices In Managing Situations Involving Suicidal Ideation.

Assessing and Managing an Angry or Potentially Violent Client.

Best Practices in Crisis Management.

Chapter 17: Understanding Psychopharmacology.

Overview of Psychopharmacology Basics.

The Role of Therapists in Medication Management.

Special Considerations with Medication.

Chapter 18: Medications Used with Psychological Disorders.

Medications Used to Treat Depression.

Medications Used with Anxiety Disorders.

Medications Used with Psychotic Disorders.

Medications Used with Bipolar Disorder.

Medications Used with Attention-Deficit / Hyperactivity Disorder.

Herbal Remedies.

Considerations and Best Practices Regarding the Use of Medication.

Appendix A: Intake Assessment Form.

Appendix B: Issues Related to Specific Populations.

African American Populations.

Native American Populations.

Asian American Populations.

Latino Populations.

Immigrant Populations.

Gay Men, Lesbians, Bisexuals, and Transsexuals.

Considerations with Gender.

Considerations with Older Adults.

Considerations with Disability Issues.

Appendix C: Psychotropic Medications.

Medications Commonly Used in the Treatment of Depression.

Medications Commonly Used as Mood Stabilizers in Bipolar Disorder.

Medications Commonly Used in the Treatment of Anxiety Disorders.

Medications Commonly Used in the Treatment of ADD / ADHD.

Medications Commonly Used in the Treatment of Psychotic Symptoms.


Author Index.

Subject Index.

"Rather than a 'theory of the week' approach, the Sues focus on 'what works' and what beginning professionals can do to meet the demands of the changing mental health scene. This book presents evidence-based approaches (which are often controversial) in a new, scholarly, interesting, and even comforting way. This resource could serve as a different textbook for the theories course—one with important and practical implications for the future. I recommend it most highly." (Counseling Today, April 2010)

"David and Diane Sue present an up-to-date, authoritative, well-referenced, and well-written overview of the field of psychotherapy in their text Foundations of Counseling and Psychotherapy: Evidence-Based Practices for a Diverse Society. This text would serve as an excellent required course text for a graduate course on psychotherapy techniques for clinical or counseling psychology students or as a text for an advanced undergraduate course for psychology majors intending to pursue graduate studies in clinical psychology. The text's strengths are in the clear writing, the up-to-date research references, and the inclusion of supplemental readings and appendices." (PsycCRITIQUES, 7/29/09)

  • Unique conceptual framework recognizing individual diversity and the need to consider individual variables when applying specific theoretical models and counseling strategies.
  • Integrates theory and intervention and discusses research findings, critical thinking, and evidence-based practice guidelines.
  • Covers special topics not covered in other texts: crisis, suicide, and violence assessment and psychopharmacology.
  • Provides information on therapeutic skills, intake interviews, assessment, diagnosis, and brief empirically-supported treatments needed for clinical psychology, mental health counseling, and social work professionals. 
  • Cultural and diversity considerations are infused throughout the text.