Theory and Treatment Planning in Family Therapy: A Competency-Based Approach - Original PDF

دانلود کتاب Theory and Treatment Planning in Family Therapy: A Competency-Based Approach - Original PDF

Author: Diane R. Gehart

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Using state-of-the-art learning methods, THEORY AND TREATMENT PLANNING IN FAMILY THERAPY: A COMPETENCY-BASED APPROACH correlates with national standards for measuring student learning in mental health professions, including counseling, family therapy, psychology, and social work. A learning-centered, outcomes-based pedagogy engages students in an active learning process and introduces family therapy using theory-specific cases and treatment planning. Assignments empower students to apply theoretical concepts and develop real-world skills as early in training as possible. Extensive discussions review how diversity issues and research inform family therapy. Extensive instructor support includes scoring rubrics for accreditation assessment.

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Wilder and more unpredictable than anything Hollywood could conjure up, family ther- apy in the real world is enough to keep you on the edge of your seat. Some days it feels as though the room is lurched to a 45-degree angle and that the ship—once thought to be unsinkable—is going down. Other times your own head starts to spin in such a way that an exorcist might be warranted. By the time you begin to feel the Darth Vader death grip around your throat, you are ready to slip out to get some popcorn and catch your breath. But you can’t quite do that when you are cast in the leading role in a ther- apy session! So, there you are, still sitting with them. The entire Jackson family has their eyes fixed on the floor or a wall—anything but another person. The session is not going well. The otherwise jovial and free-spirited father has suddenly and harshly attacked his 8-year-old son for his lack of respect after the son used language and hand signals only allowed in R-rated movies. The heretofore demure and seemingly compliant mother then gives the father an equally punitive lam- basting for his overreaction. The 6-year-old “perfect” sister is frozen: silent with tears welling. This all unraveled in less than 60 seconds, before which time you thought things were going pretty well. In fact, you were starting to fantasize about whom you might thank as you accept the award for Most Brilliant Family Therapist of the Year. Now, you are the one expected to somehow rewrite the scene to ensure a reasonably happy—or at least not dramatic—ending. How are you going to do it? What are you going to say? Which issue are you going to address first? Who are you going to address first? What is your plan? You have some decisions to make, and less than 60 seconds to do so—no time for popcorn. You might be surprised—and relieved—to learn there is more than one effective way to handle the situation, just as you can imagine there are many poor ways to respond. The purpose of this book is to help you develop a clear sense of the responses that are most likely to succeed. The options you will learn for handling such a situation and many others like it come from family therapy theories. These theories describe how gen- erations of therapists have helped families like the Jacksons navigate the intimate, intense, and unpredictable adventure of helping couples and families learn to better express and experience their love for one another. The essence of becoming a competent therapist lies in the effective use of theory to inform what you do and say in session, and that is precisely the plot of this screenplay in which you will take center stage

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وحشی‌تر و غیرقابل‌پیش‌بینی‌تر از هر چیزی که هالیوود می‌تواند تداعی کند، خانواده‌درمانی در دنیای واقعی کافی است تا شما را روی صندلی‌تان نگه دارد. بعضی روزها به نظر می رسد که اتاق تا زاویه 45 درجه فرو رفته است و کشتی - که زمانی تصور می شد غرق نشدنی است - در حال سقوط است. مواقع دیگر سر خود شما شروع به چرخش می کند به گونه ای که ممکن است جن گیر اجباری شود. زمانی که شروع به حس کردن چنگال مرگ دارث ویدر در گلوی خود می کنید، آماده هستید تا از پاپ کورن بیرون بیایید و نفس خود را تازه کنید. اما وقتی در یک جلسه درمانی نقش اصلی را انتخاب می کنید، نمی توانید این کار را انجام دهید! بنابراین، شما اینجا هستید، هنوز با آنها نشسته اید. تمام خانواده جکسون چشمان خود را به زمین یا دیوار دوخته اند - هر چیزی جز شخص دیگری. جلسه خوب پیش نمی رود. این پدر شوخ و آزاده به طور ناگهانی و شدید به پسر 8 ساله خود به دلیل عدم احترام به او حمله کرده است. پس از آن، مادر فروتن و به ظاهر مطیع، پدر را به خاطر واکنش بیش از حدش به همان اندازه مجازات تنبیهی می کند. خواهر "کامل" 6 ساله یخ زده است: ساکت است و اشک می جوشد. همه اینها در کمتر از 60 ثانیه آشکار شد، قبل از آن زمان فکر می کردید همه چیز به خوبی پیش می رود. در واقع، شما شروع به خیال پردازی در مورد کسانی کرده اید که می توانید با دریافت جایزه بهترین خانواده درمانگر سال از آنها تشکر کنید. اکنون، شما کسی هستید که انتظار می رود به نحوی صحنه را بازنویسی کنید تا از پایان نسبتاً شاد - یا حداقل نه دراماتیک - اطمینان حاصل کنید. چطور میخواهی این کار را بکنی؟ چی میخوای بگی؟ اول به کدام موضوع می پردازید؟ قرار است اول با چه کسی صحبت کنید؟ برنامه شما چیست؟ شما باید تصمیماتی بگیرید و کمتر از 60 ثانیه برای انجام این کار وقت دارید—هیچ زمانی برای پاپ کورن ندارید. ممکن است تعجب کنید - و راحت شوید - از اینکه یاد بگیرید که بیش از یک راه موثر برای کنترل موقعیت وجود دارد، همانطور که می توانید تصور کنید راه های ضعیف زیادی برای پاسخ دادن وجود دارد. هدف این کتاب کمک به شما در ایجاد حس روشنی از پاسخ هایی است که به احتمال زیاد موفق می شوند. گزینه هایی که برای مدیریت چنین موقعیتی و بسیاری موارد دیگر مانند آن خواهید آموخت، از نظریه های خانواده درمانی سرچشمه می گیرند. این نظریه‌ها توضیح می‌دهند که چگونه نسل‌های درمانگر به خانواده‌هایی مانند جکسون‌ها کمک کرده‌اند تا در ماجراجویی صمیمی، شدید و غیرقابل پیش‌بینی کمک به زوج‌ها و خانواده‌ها بیاموزند که عشق خود را به یکدیگر بهتر ابراز و تجربه کنند. ماهیت تبدیل شدن به یک درمانگر شایسته در استفاده موثر از نظریه برای اطلاع رسانی به آنچه انجام می دهید و در جلسه می گویید نهفته است، و این دقیقاً طرح این فیلمنامه است که در آن شما در مرکز صحنه خواهید بود

 

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Author(s): Diane R. Gehart

Publisher: Cengage Learning, Year: 2016

ISBN: 9781305555891,9781285456430

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Making Connection: The Therapeutic Relationship 85 The Viewing: Case Conceptualization and Assessment 87 Targeting Change: Goal Setting 88 The Doing: Interventions 88 Putting It All Together 90 Case Conceptualization Template 90 Treatment Plan Template for Individual 90 Treatment Plan Template for Couple/Family 92 Research and the Evidence Base 93 Clinical Spotlight: Multisystemic Therapy 94 Goals 94 Case Conceptualization 94 Principles of Intervention 94 Tapestry Weaving: Diversity Considerations 95 Ethnic, Racial, and Cultural Diversity 95 Sexual Identity Diversity 95 Online Resources 96 References 97 Systemic Case Study: Blended Family Issues 98 Systemic Case Conceptualization 98 Systemic Treatment Plan 99 6 Strategic Therapy 103 Strategic Therapy 103 In a Nutshell: The Least You Need to Know 103 The Juice: Significant Contributions to the Field 103 Rumor Has It: The People and Their Stories 104 The Big Picture: Overview of Treatment 104 Making Connection: The Therapeutic Relationship 107 The Viewing: Case Conceptualization and Assessment 107 Targeting Change: Goal Setting 109 The Doing: Interventions 109 Putting It All Together 112 Case Conceptualization Template 112 Treatment Plan Template for Individual 113 Treatment Plan Template for Couple/Family 114 Research and the Evidence Base 116 Clinical Spotlight: Brief Strategic Family Therapy 116 Goals 116 Case Conceptualization 116 Principles of Intervention 117 Tapestry Weaving: Diversity Considerations 117 Ethnic, Racial, and Cultural Diversity 117 Sexual Identity Diversity 118 Online Resources 119 References 120 Strategic Case Study: Intergenerational Conflict in Chinese American Family 120 Strategic Case Conceptualization 121 Strategic Treatment Plan 122 viii Contents Copyright 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s). Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it. 7 Structural Family Therapy 125 Lay of the Land 125 In a Nutshell: The Least You Need to Know 125 The Juice: Significant Contributions to the Field 125 Rumor Has It: The People and Their Stories 128 The Big Picture: Overview of Treatment 128 Making Connection: The Therapeutic Relationship 129 The Viewing: Case Conceptualization and Assessment 130 Targeting Change: Goal Setting 132 The Doing: Interventions 132 Putting It All Together 135 Case Conceptualization Template 135 Treatment Plan Template for Individual 135 Treatment Plan Template for Couple/Family 137 Research and the Evidence Base 138 Clinical Spotlight: Ecosystemic Structural Family Therapy 139 Case Conceptualization 139 Goals 139 Interventions 139 Tapestry Weaving: Working with Diverse Populations 140 Cultural, Ethnic, and Socioeconomic Diversity 140 Sexual Identity Diversity 141 Online Resource 141 References 142 Structural Case Study: African American Family Adjusts to Divorce 142 Structural Case Conceptualization 143 Structural Treatment Plan 144 8 Satir’s Human Growth Model 147 Lay of the Land 147 Common Assumptions and Practices 147 The Satir Growth Model 148 In a Nutshell: The Least You Need to Know 148 The Juice: Significant Contributions to the Field 148 Rumor Has It: The People and Their Stories 151 The Big Picture: Overview of Treatment 152 Making Connection: The Therapeutic Relationship 153 The Viewing: Case Conceptualization and Assessment 154 Targeting Change: Goal Setting 157 The Doing: Interventions 158 Interventions for Special Populations 160 Putting It All Together 161 Case Conceptualization Template 161 Treatment Plan Template for Individual 162 Treatment Plan Template for Couple/Family 163 Research and the Evidence Base 164 Research on Humanistic Principles 164 Tapestry Weaving: Working with Diverse Populations 165 Cultural, Ethnic, and Gender Diversity 165 Sexual Identity Diversity 165 Online Resources 166 References 166 Contents ix Copyright 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s). Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it. Experiential Case Study: Son Comes Out in Immigrant Persian Family 167 Satir Case Conceptualization 168 Satir Treatment Plan 169 9 Symbolic-Experiential and Internal Family Systems 173 Lay of the Land 173 Symbolic-Experiential Therapy 173 In a Nutshell: The Least You Need to Know 173 The Juice: Significant Contributions to the Field 174 Rumor Has It: The People and Their Stories 174 The Big Picture: Overview of Treatment 175 Making Connection: The Therapeutic Relationship 175 The Viewing: Case Conceptualization and Assessment 176 Targeting Change: Goal Setting 178 The Doing: Interventions 179 Putting It All Together 181 Case Conceptualization Template 181 Treatment Plan Template for Individual 182 Treatment Plan Template for Couple/Family 184 Internal Family Systems Therapy 185 In a Nutshell: The Least You Need to Know 185 The Juice: Significant Contributions to the Field 185 Rumor Has It: The People and Their Stories 186 Making Connection: The Therapeutic Relationship 186 The Viewing: Case Conceptualization and Assessment 187 Targeting Change: Goal Setting 189 The Doing: Interventions 189 Putting It All Together 192 Case Conceptualization Template 192 Treatment Plan Template for Individual 192 Treatment Plan Template for Couple/Family 194 Research and the Evidence Base 195 Tapestry Weaving: Working with Diverse Populations 196 Cultural, Ethnic, and Gender Diversity 196 Sexual Identity Diversity 197 Online Resource 197 References 197 Symbolic Experiential Case Study: Cherokee Family Grieves Mother 198 Symbolic-Experiential Case Conceptualization 198 Symbolic-Experiential Treatment Plan 200 10 Intergenerational and Psychoanalytic Family Therapies 203 Lay of the Land 203 Bowen Intergenerational Therapy 203 In a Nutshell: The Least You Need to Know 203 The Juice: Significant Contributions to the Field 204 Rumor Has It: The People and Their Stories 206 The Big Picture: Overview of Treatment 207 Making Connection: The Therapeutic Relationship 207 The Viewing: Case Conceptualization and Assessment 207 Targeting Change: Goal Setting 211 x Contents Copyright 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s). Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it. The Doing: Interventions 211 Interventions for Special Populations 213 Putting It All Together 213 Case Conceptualization Template 213 Treatment Plan Template for Individual 214 Treatment Plan Template for Couple/Family 215 Psychoanalytic Family Therapies 217 In a Nutshell: The Least You Need to Know 217 The Juice: Significant Contributions to the Field 217 Rumor Has It: The People and Their Stories 217 The Big Picture: Overview of Treatment 218 Making Connection: The Therapeutic Relationship 218 The Viewing: Case Conceptualization and Assessment 219 Targeting Change: Goal Setting 221 The Doing: Interventions 221 Putting It All Together 222 Case Conceptualization Template 222 Treatment Plan Template for Individual 222 Treatment Plan Template for Couple/Family 224 Research and the Evidence Base 225 Tapestry Weaving: Working with Diverse Populations 226 Gender Diversity: The Women’s Project 226 Ethnicity and Culture Diversity 226 Sexual Identity Diversity 227 Online Resources 228 References 228 Intergenerational Case Study: African American Family Launching Children 229 Intergenerational Case Conceptualization 229 Intergenerational Treatment Plan 231 11 Cognitive-Behavioral and Mindfulness-Based Couple and Family Therapies 233 Lay of the Land 233 Behavioral and Cognitive-Behavioral Family Therapies 234 In a Nutshell: The Least You Need to Know 234 The Juice: Significant Contributions to the Field 234 Rumor Has It: The People and Their Stories 235 The Big Picture: Overview of Treatment 235 Making Connection: The Therapeutic Relationship 236 The Viewing: Case Conceptualization and Assessment 237 Targeting Change: Goal Setting 240 The Doing: Interventions 241 Putting It All Together 246 Case Conceptualization Template 246 Treatment Plan Template for Individual 247 Treatment Plan Template for Couple/Family 249 Mindfulness-Based Therapies 250 In a Nutshell: The Least You Need to Know 250 Gottman Method Couples Therapy 255 In a Nutshell: The Least You Need to Know 255 Debunking Marital Myths 256 The Big Picture: Overview of Treatment 256 Making Connection: The Therapeutic Relationship 257 Contents xi Copyright 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s). Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it. The Viewing: Case Conceptualization and Assessment 257 The Doing: Interventions 259 Research and the Evidence Base 260 Tapestry Weaving: Working with Diverse Populations 261 Ethnic, Racial, and Cultural Diversity 261 Sexual Identity Diversity 263 Online Resources 264 References 264 Cognitive-Behavioral Case Study: Korean Family Conflict Over Grades 266 Cognitive-Behavioral Case Conceptualization 267 Cognitive-Behavioral Treatment Plan 269 12 Solution-Based Therapies 271 Lay of the Land 271 Solution-Based Therapies 272 In a Nutshell: The Least You Need to Know 272 Common Solution-Based Therapy Myths 272 The Juice: Significant Contributions to the Field 273 Rumor Has It: The People and Their Stories 273 The Big Picture: Overview of Treatment 275 Making Connection: The Therapeutic Relationship 276 The Viewing: Case Conceptualization and Assessment 277 Targeting Change: Goal Setting 279 The Doing: Interventions 283 Interventions for Specific Problems 286 Putting It All Together 288 Case Conceptualization Template 288 Treatment Plan Template for Individual 288 Treatment Plan Template for Couple/Family 290 Solution-Oriented Ericksonian Hypnosis 291 Difference From Traditional Hypnosis 291 The Big Picture: Overview of Treatment 291 The Doing: Interventions 292 Research and the Evidence Base 292 Tapestry Weaving: Working with Diverse Populations 293 Ethnic, Racial, and Cultural Diversity 293 Sexual Identity Diversity 294 Online Resources 295 References 295 Solution-Based Therapy Case Study: Interfaith/Intercultural Couple Considers Marriage 297 Solution-Based Case Conceptualization 297 Solution-Based Treatment Plan 299 13 Narrative Therapy 301 Lay of the Land 301 Narrative Therapy 302 In a Nutshell: The Least You Need to Know 302 The Juice: Significant Contributions to the Field 302 Rumor Has It: The People and Their Stories 303 The Big Picture: Overview of Treatment 303 Making Connection: The Therapeutic Relationship 304 The Viewing: Case Conceptualization and Assessment 305 Targeting Change: Goal Setting 306 xii Contents Copyright 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s). Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it. The Doing: Interventions 307 Externalizing Questions 310 Interventions for Specific Problems 316 Putting It All Together 316 Case Conceptualization Template 316 Treatment Plan Template for Individual 317 Treatment Plan Template for Couple/Family 319 Research and the Evidence Base 320 Tapestry Weaving: Working with Diverse Populations 320 Ethnic, Racial, and Cultural Diversity 320 Sexual Identity Diversity 322 Online Resources 323 References 323 Narrative Case Study: Multiethnic Gay Couple 324 Narrative Case Conceptualization 325 Narrative Treatment Plan 327 14 Collaborative Therapy and Reflecting Teams 329 Collaborative Therapy and Reflecting Teams 329 In a Nutshell: The Least You Need to Know 329 The Juice: Significant Contributions to the Field 330 Rumor Has It: The People and Their Stories 331 The Big Picture: Overview of Treatment 332 Making Connection: The Therapeutic Relationship 333 The Viewing: Case Conceptualization and Assessment 335 Targeting Change: Goal Setting 336 The Doing: Interventions and Ways of Promoting Change 337 Reflecting Teams and the Reflecting Process 340 Putting It All Together 342 Case Conceptualization Template 342 Treatment Plan Template for Individual 343 Treatment Plan Template for Couple/Family 344 Clinical Spotlight: Open Dialogue, an Evidence-Based Approach to Psychosis 346 Outside the Therapy Room 346 Research and the Evidence Base 347 Tapestry Weaving: Working with Diverse Populations 348 Ethnic, Racial, and Cultural Diversity 348 Sexual Identity Diversity 349 Online Resources 350 References 350 Collaborative Case Study: Pakistani/Indian Couple with Sexual Abuse History 352 Postmodern Case Conceptualization 352 Postmodern Treatment Plan 354 15 Evidence-Based Treatments in Couple and Family Therapy: Emotionally Focused Therapy and Functional Family Therapy 357 Lay of the Land 357 Myths About Evidence-Based Treatments 357 Emotionally Focused Therapy 358 In a Nutshell: The Least You Need to Know 358 The Juice: Significant Contributions to the Field 359 Contents xiii Copyright 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s). Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it. Rumor Has It: The People and Their Stories 360 The Big Picture: Overview of Treatment 361 Making Connection: The Therapeutic Relationship 362 The Viewing: Case Conceptualization and Assessment 364 Targeting Change: Goal Setting 366 The Doing: Interventions 367 Putting It All Together 369 Case Conceptualization Template 369 Treatment Plan Template for Couple 370 Treatment Plan Template for Family 372 Tapestry Weaving: Diversity Considerations 373 Ethnic, Racial, and Cultural Diversity 373 Sexual Identity Diversity 373 Evidence Base 374 Functional Family Therapy 374 In a Nutshell: The Least You Need to Know 374 The Juice: Significant Contributions to the Field 375 Rumor Has It: People and Places 375 The Big Picture: Overview of Treatment 376 Making Connection: The Therapeutic Relationship 376 The Viewing: Case Conceptualization and Assessment 377 Targeting Change: Goal Setting 380 The Doing: Interventions 381 Putting It All Together 384 Case Conceptualization Template 384 Treatment Plan Template for Family 386 Tapestry Weaving: Diversity Considerations 387 Ethnic, Racial, and Cultural Diversity 387 Sexual Identity Diversity 388 Evidence Base 388 Online Resources 389 References 389 FFT Case Study: Mexican American Family with Substance-Abusing Teen 390 FFT Case Conceptualization 390 FFT Treatment Plan 392 16 Evidence-Based Group Treatments for Couples and Families 395 Lay of the Land 395 Brief Overview of Types of Groups 395 Psychoeducational Groups or “Classes” 395 Process Groups 396 Combined Groups 396 General Group Guidelines 396 Number of People 396 Open Versus Closed Groups 397 Group Selection: Who’s in Your Group? 397 Group Rules 398 Evidence-Based Couple and Family Groups 398 Psychoeducational Multifamily Groups for Severe Mental Illness 398 Groups for Partner Abuse 400 Relationship Enhancement Programs 402 Parent Training 403 xiv Contents Copyright 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s). Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it. Summary 404 Online Resources 404 References 405 PART III Cross-Theoretical Case Conceptualization and Integration 407 17 Cross-Theoretical Case Conceptualization and Integration 409 Knowing Where to Look 409 Case Conceptualization and the Art of Viewing 410 Theory-Specific vs. Cross-Theory Case Conceptualization 410 Benefits of Cross-Theoretical Conceptualization 410 Cross-Theoretical Conceptualization vs. Integration 410 Integration Options 411 Overview of Cross-Theoretical Case Conceptualization 413 Introduction to Client and Significant Others 413 Presenting Concern 414 Background Information 415 Strengths and Diversity Resources 416 Personal or Individual Strengths 416 Relational or Social Strengths and Resources 418 Spiritual Resources 418 Diversity Resources and Limitations 419 Family Structure 419 Family Life Cycle Stage 421 Boundaries: Regulating Closeness and Distance 421 Triangles and Coalitions 423 Hierarchy Between Child and Parents 423 Complementary Patterns 424 Satir’s Communication Stances 424 Gottman’s Divorce Indicators 426 Problem Interaction Patterns 427 Assessing Interaction Patterns 428 Systemic Hypothesis 428 Intergenerational Patterns 429 Attachment Patterns 431 Solution-Based Assessment 431 Previous Solutions That Did Not Work 431 Exceptions and Unique Outcomes: Previous Solutions That Did Work 432 Miracle Question Answer 432 Postmodern and Cultural Discourse Conceptualization 433 Dominant Discourses 433 Client Perspectives 434 Case Conceptualization, Diversity, and Sameness 435 Online Resources 436 References 436 Case Conceptualization Form 437 Name Index 445 Subject Index 447

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