Counseling the Contemporary Woman
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Suzanne Degges-White. Counseling the Contemporary Woman
Acknowledgments
Foundational Perspectives and Theory
Reenvisioning the Feminine Ideal
Multicultural and Social Justice. Counseling Foundations
Intersectionality: A Critical Lens for Women’s Issues
Addressing the Complexity of Women’s Diversity
Age and Generational Influences
Developmental or Other Disability
Religion and Spiritual Orientation
Ethnic and Racial Identity
Socioeconomic Status
Sexual Orientation
Indigenous Heritage
National Origin
Implications for Counseling and Advocacy
Conclusion
References
Integrating Feminist Therapy into Counseling Practice
Feminist Thought Meets Feminist Therapy
Feminist Therapy: Not for Women Only
What Does Empowerment Look Like?
The Four Realms of Personal Power
Feminist Therapy in Practice
Feminist Therapy Techniques
Assertiveness Training
Relabeling and Reframing
Social Identity and Gender Role Analysis
Power Analysis
Bibliotherapy
Conclusion
References
Integrating Relational-Cultural Therapy into Counseling Practice
A Relational-Cultural Therapy Understanding
Core Components of RCT
Mutuality
Mutual Empathy
Authenticity
Growth-Fostering Relationships
The Five Good Things
Relational Images/Expectations
Central Relational Paradox
Condemned Isolation
Disconnection
Relational-Cultural Therapy in Practice
Relational-Cultural Therapy Techniques
Cross-Cultural Application of. Relational-Cultural Therapy
Conclusion
References
Development from Adolescence through Older Adulthood
Counseling Adolescent Girls
Case Vignette: Sofia
Emotional, Behavioral, and Cognitive Changes
Identity Development
Sexual Identity and Sexual Activity
Relationships with Parents
Mother–Daughter Relationships
Father–Daughter Relationships
Friendships
Romantic Relationships
Relationship with Self and Media
Best Practices
Cultural Considerations
Ethical Considerations
Advocacy Opportunities
Case Vignette Wrap-Up: Sofia
Interventions: Strength-Based Approach
Brief Conceptualization
Final Wrap-Up
Questions for Reflection
References
Counseling Emerging and Young Women
Case Vignette: Agneshka
Physical Development
Emotional, Behavioral, and Cognitive Changes
Identity Development
Sexual Identity
Relationships
Relationships with Parents
Friendships
Romantic Relationships
Pursuing Commitment
Transition to Committed Life and Family Life
Divorced and Single Mothers
School and Work Transitions
Challenges in the Workforce
Best Practices for Working with. Emerging Adult Women
Cultural Considerations
Ethical Considerations
Advocacy Opportunities
Case Study Wrap-Up: Agneshka
Interventions: Strength-Based Approach
Brief Conceptualization
Final Wrap-Up
Questions for Reflection
References
Counseling Midlife Women
Case Vignette: Cara
Physiological Changes That Occur. during the Midlife Period
Perimenopause and Menopause
Hot Flashes
Sleep Disturbances
Aging Bodies
Bone Density
Cardiovascular System
Skin and Hair
Weight Gain
Suggestions for Client Education
Psychological and Emotional Changes. That May Occur during Midlife
Mood Swings and Irritability
Depression
Anxiety
Relational Challenges That May Appear. during Midlife
Relationship to Self and Purpose in Life
Intrapersonal Concerns
Jung’s Perspective on Midlife Development
Erikson’s Perspective on Midlife Development
Relationships with Others
Romantic Relationships
Sexual Relationships
Caring for Others
Family Relationship Changes
Friendships and Social Support Networks
Cultural Considerations
Ethical Considerations
Advocacy Opportunities
Case Vignette Wrap-Up: Cara
Intervention Strategy: Reframing Negative Self-Assessment
Career Skills and Fantasy Focusing
Questions for Reflection
References
Counseling Older Adult Women
Case Vignette: Jordan
Physical Development
Psychosocial Development
Optimal versus Successful Aging
Disengagement Theory
Activity Theory
Continuity Theory
Selective Optimization and Compensation Theory
Counseling Approaches with Older Women
Reminiscence
Life Review
Guided Autobiography
Women in Relationships
Relationship with Self
Relationships with Friends
Relationships with Partners
Sexuality
Relationships with Parents
Relationship with Adult Children and Grandchildren
Mother–Adult Daughter Relationships
Grandparents
Sibling Relationships
Best Practices
Cultural Considerations
Ethical Considerations
Advocacy Opportunities
Case Vignette Wrap-Up: Jordan
Interventions: Strengths-Based Approach
Brief Conceptualization
Final Wrap-Up
Questions for Reflection
References
Career Counseling
Career Counseling over the Career Span
Case Vignette: Maria
Early Career Development
Importance of Mentorship in Early Career Development
Revisiting the Case of Maria: Family Life
Priorities in Life
Work–Life Balance
Challenges and Opportunities
Revisiting the Case of Maria: A Return to Work
Changes in the Workplace
Midcareer
Revisiting the Case of Maria: Her Family Grows
Career Advancement
Revisiting the Case of Maria: Ten Years Later
Working Longer
Dealing with Younger Bosses
Revisiting the Case of Maria: Unexpected Changes Arise
Delaying Retirement
Grandparents as Parents
Reframing
Retirement
Revisiting the Case of Maria: Retirement
Implications for Counselors
Early Career
Midcareer
Career Advancement
References
Counseling Concerns. of Relational Focus
Counseling Women Dealing with Family-of-Origin Issues
Case Vignette: Rania
Family-of-Origin Issues
Foundational Theory of. Narrative Family Counseling
Narrative Therapy Best Practices
Metaphors
The Miracle Question
Psychoeducation and Unfinished Business
The Empty Chair Technique
Genograms
Conclusion
Cultural Considerations
Ethical Considerations
Advocacy Opportunities
Case Vignette Wrap-Up: Rania
Questions for Reflection
References
Counseling Contemporary Couples
Case Vignette: Aretta
Fostering Hope Program
Isolation and Connection
Anger and Regret
Grief and Loss
Expectations and Hope for Family Planning
Partner Support and Communication
Mindfulness, Self-Compassion, and Self-Care
Cultural Considerations
Ethical Considerations
Advocacy Opportunities and Reflections
Case Vignette Wrap-Up: Aretta
References
Counseling Women Facing Contemporary Family Challenges
Case Vignette: Eleanor
The Family Life Cycle
Parental Separation and Divorce
Blended Families
Social Influences and the Family
Bullying and Hazing
Peer Pressure
Drugs and Alcohol
Sexuality and Sexual Identity Formation
Best Practices When Working with Families
Genograms
Family Mapping
Family Sculpting
Cultural Considerations
Ethical Considerations
Advocacy Opportunities
Case Study Wrap-Up: Eleanor
Questions for Reflection
References
Counseling Survivors of Emotional and Physical Abuse
Case Vignette: Meredith
Cycle of Abuse
Best Practices
Trauma-Focused Cognitive Behavioral Therapy
Attachment-Based Therapy
Somatosensory Interventions
Cultural Considerations
Ethical Considerations
Advocacy Opportunities
Case Vignette Wrap-Up: Meredith
Questions for Reflection
References
Counseling Strategies for Building Healthy Support Networks
Case Study: Trinidad
Positive Effects of a Healthy Support Network
Loneliness
Types of Loneliness
Combating Loneliness
Social Isolation
Strategies to Increase Social Engagement. and Support Networks
Friendship Traits Client Self-Assessment Intervention
Traits of Integrity
Traits of Caring
Traits of Congeniality
Support Needs Self-Assessment Intervention
Strategies for Helping Clients Connect to Others
Suggestions for Finding Potential Friends
A Note about Social Media
Helping Clients Terminate Unhealthy Relationships
Diversity Considerations
Ethical Considerations
Advocacy Opportunities
Case Vignette Wrap-Up: Trinidad
Questions for Reflection
References
Individual Concerns
Counseling Women with Body Image Concerns
Case Vignette: Sadie
Prevalence and Risk Factors
Body Image Concerns by Diagnosis and Behavior
Treatment Interventions
Intentional Checking
Body Maps
Art Therapy
Body Image Journal
Ethical Considerations
Cultural Considerations
Best Practices
Case Vignette Wrap-Up: Sadie
Questions for Reflection
References
Counseling Women with Low Self-Esteem
Case Vignette: Roberta
Acceptance and Commitment Therapy Best Practices
Strength Bombardment
Fostering Psychological Flexibility
Finding Exceptions
Cognitive Defusion
“Acting as If”
Cultural Considerations
Ethical Considerations
Advocacy Opportunities
Case Vignette Wrap-Up: Roberta
Questions for Reflection
References
Counseling Women with Depression
Case Vignette: Yvonne
Women Affected by Major Depressive Disorder
Women Affected by Other Forms of Depressions
Persistent Depressive Disorder (PDD)
Perinatal and Postpartum Depression (PPD)
Premenstrual Dysphoric Disorder and. Perimenopausal Depression (PMDD)
Depression as a Co-occurring Disorder
Suicidality Assessment
Risk Factors and Warning Signs
Protective Factors
Treatment for Depression
Practical Considerations
Best Practices
Cultural Considerations
Ethical Considerations
Advocacy
Resources for Counselors and Clients
Case Vignette Wrap-Up: Yvonne
Treatment Plan
Brief Case Conceptualization
Outlook for Yvonne
Questions for Reflection
References
Counseling Women with Anxiety
Case Vignette: Chu
Anxiety Disorders
Specific Phobias
Foundational Theory of. Cognitive Behavioral Therapy
Best Practices
Psychoeducation
Thought Stopping
Mindfulness and Relaxation Techniques
Deep Breathing Body Scan
Anxiety Visualization
Visual Arts Interventions
Exercise and Physical Activity Interventions
Diversity Considerations
Ethical Considerations
Advocacy Opportunities
Case Vignette Wrap-Up: Chu
Questions for Reflection
References
Counseling Women with Addictions
Case Vignette: Sylvie
Does Gender Matter in Addiction Onset?
Common Reasons for Substance Use in Women
Addiction and Treatment
Transtheoretical Model of Change (TTM)
Motivational Interviewing (MI)
Alcohol Addiction
Residential Treatment
Pharmacological Treatment
Cognitive Behavioral Therapy
Mutual-Help Groups
Opioid Addiction
Treatment
Cultural Considerations
Ethical Considerations
Advocacy Opportunities
Case Vignette Wrap-Up: Sylvie
Questions for Reflection
References
Caring for Self and Caring for Others
Women with Chronic Illness and Disabilities
Case Vignette: Zahra
Disability Perspective
Gendered Disability Experience
Health and Disability
Access to Health-Care Services
Sexual and Reproductive Health
Social Participation
Educational Outcomes
Employment Outcomes
Violence
Cultural Considerations and. Inclusive Implications for Counselors
Case Vignette Wrap-Up: Zahra
Questions for Reflection
References
Counseling Women Who Caregive
Case Vignette: Sonya
Types of Caregivers and Their Identities
Caregiver Identity
Issues Women Caregivers Face
Stress and Burden
Unknown Territory
Roles and Relationships
Family Discord
Anticipatory Grief
Bereaved Caregivers
Complex Emotional Responses after Loss
Unexpected Gifts
Practical Considerations in Counseling
Self-Care
Addressing Grief
Support and Resources
Best Practices
Cultural Considerations
Ethical Consideration
Advocacy Opportunities and Resources
Caregivers Assessments
Organizations for Caregivers
Online Resources
Case Vignette Wrap-Up: Sonya
Interventions: Grief Counseling Using Both a Meaning-Reconstruction Lens and a Strengths-Based Approach
Brief Conceptualization
Final Wrap-Up
Questions for Reflection
References
Coping with Grief and Loss. over the Lifespan
Counseling Women Who Have Lost Their Mothers
Case Vignette: Camille
Foundations of Grief Work
Types of Grief
Grief Models and Best Practices
Mother–Daughter Relationships and Implications of Loss
Clayton’s Phases of Grief
Doka’s Styles of Grief
Worden’s Tasks of Mourning
Grief Implications in Identity Development
The Bereavement of Adult Children
Developmental Approaches and Influencing Factors
Cultural Factors in Bereavement
Cultural Difference in Mother–Daughter Relationships
Ethical Considerations
Advocacy Considerations
Counselor Interventions
Case Vignette Wrap-Up: Camille
Conclusion
References
Counseling Women Who Have Lost a Partner
Case Vignette: Cynthia
Grief and Bereavement
Grief Phases
Grief Tasks
Complicated Grief
Disenfranchised Grief
Types of Death
Anticipated Death
Unanticipated Death
Bereavement as a Risk Factor
Resilience in Loss
Transitioning from Widowhood to Single Life
Practical Considerations
Best Practices
Cultural Considerations
Ethical Considerations
Advocacy Opportunities
Case Vignette Wrap-Up: Cynthia
Interventions: Strengths-Based Approach
Brief Conceptualization
Final Wrap-Up
Questions for Reflection
References
Counseling Women Experiencing Fetal and Perinatal Loss
Case Vignette: Khloe
The Experience of Fetal Loss and Perinatal Death
Counseling Women Coping with. Fetal or Perinatal Loss
You Are Not Alone
The Story of Us
Rebooting the Self
The Process of Grieving
Ethical Considerations
Cultural Considerations and. Empowerment Opportunities
Case Vignette Wrap-Up: Khloe
Intervention Strategy: Connecting with Client, Showing Respect, and Sharing Knowledge
Telling Her Story and Examining Identity
Questions for Reflection
References
Counseling Women Who Have Lost a Child
Case Vignette: Karla
Potential Grief Responses to Loss of a Child
Normal and Complicated Grief
Type of Death: Natural or Unnatural Causes
Best Practices for Mothers Suffering Grief. after the Loss of a Child
Making Meaning from Memories
Traumatic or Unnatural Deaths
Cultural Considerations
Ethical Considerations
Advocacy Opportunities
Case Vignette Wrap-Up: Karla
Questions for Reflection
References
Index
About the Editors
List of Contributors
Отрывок из книги
This project is the culmination of the efforts of many individuals who are dedicated to doing what they can to better the lives of others. We celebrate the investment of energy and time by all of the clinicians who work with women, as well as the energy and time invested by their clients who work on themselves. We are grateful to everyone who advocates for the needs of women and to those who strive to provide the best care they can. We hope this book provides helpful information as well as validation of the work that is done to enhance the lives of others. We also would like to acknowledge the support of our editorial team at Rowman & Littlefield, including Courtney Packard and Mark Kerr.
Chapter 1
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Behavior rehearsal occurs when a counselor asks a client to practice, in session, the statements or questions that the client wants to use outside of session. For instance, if a client feels that her work supervisor is unfairly assigning work tasks based on gender, her counselor can ask her to state, in session, what she would like to express to her supervisor. She might try out statements such as, “Mr. Jackson, I feel that you assign me more of the background research on projects than you do the men in our department. I’d like the opportunity to meet with potential clients, not just do the fact-finding on their businesses.” The counselor can invite her to practice the statement several times in session as well as play out the potential conversation through role play by having the client and counselor take turns playing out the roles of employee and supervisor. This allows the counselor the opportunity to try and manipulate the conversation in ways that will give the client practice in keeping to the facts and refusing to allow herself to be “derailed” in her advocacy for her rights on the job. The counselor may also encourage the client to practice the statement in front of a mirror to help her practice assertive, strong posture and facial expressions.
Learning to be accepting of one’s shortcomings can be especially challenging when a client has been taught that her identity has little value and is an impediment to success. Counselors can provide clients with the space to discuss the negative messages they receive about their gender, appearance, identity, and so on. Following the discussion, the counselor can help the client to tease out any “truths” in the message and help the client to “own” her weaknesses without any sense of shame. For instance, if a client acknowledges that she is stronger in “street smarts” than “book smarts,” she can discuss ways her “weakness” has strengths and become less defensive about her lack of formal education.
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