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Psychotherapy with Deaf Clients from Diverse Groups

Irene W. Leigh, Editor

Publication Year: 2010

The second edition of Psychotherapy with Deaf Clients from Diverse Groups features the introduction of six new chapters that complement full revisions of original chapters with advances in the field since its original publication. The first part begins with a new chapter on the current ethical issues relevant to working with deaf clients and in subsequent chapters provides updated information on the diversity of consumer knowledge, attitudes, beliefs, and experiences. Deaf therapists and their involvement in the Deaf community also are scrutinized in this context. The revised second part examines psychotherapy for various constituencies, including deaf women; lesbian, gay, and bisexual deaf populations;children of deaf parents; and people with Usher syndrome. Part Three chapters consider interventions with African American deaf clients, American Indians who are deaf, and Asians who are American and deaf. A new chapter expands information on therapy for Latino deaf clients. The final section incorporates three new chapters on other deaf populationsCdeaf college students, recipients of cochlear implants, and deaf elderly clients. Also, new information has been added to chapters on the treatment of Deaf survivors of sexual abuse and deaf clients with chemical dependency. The last addition to the second edition outlines dialectical behavior therapy for deaf clients, a valuable option for clinicians.

Published by: Gallaudet University Press

Title Page, Copyright Page

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pp. v-vi

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pp. vii

I would like to express my gratitude to those who have taught, supported, and sustained me in the work to which I have devoted my entire professional career. As a deaf woman, as a teacher, as a psychologist, and as a mother, I have had different opportunities for exposure to the various facets of the deaf community ...

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pp. ix-xii

In the mental health arena, every book represents a stepping stone in the endeavor to understand human nature and the forces that shape it. Ultimately, this understanding should elucidate the process of human development, facilitating the ability of mental health service providers to enhance the quality of life for ...

Part One/Overview

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1 Psychotherapy with Deaf People: The Ethical Dimension

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pp. 3-17

While training to become psychotherapists, we focus on theoretical orientations and approaches, skills and techniques, how to compose ourselves, and how to understand the worlds of our clients. The need to be sensitive to psychotherapeutic work with clients from diverse communities, whether based on ethnicity, ...

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2 The Diversity of Consumer Knowledge, Attitudes, Beliefs, and Experiences

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pp. 18-38

Attitudes toward health care influence the ways in which individuals in any community seek, utilize, and benefit from its services. Consequently, the provision of accessible and compassionate health care demands that clinicians possess an acute understanding of the beliefs and viewpoints prevalent in the communities in which ...

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3 Deaf Therapists and the Deaf Community: Issues to Consider

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pp. 39-62

Deaf therapists are now part of the core of mental health providers serving the American and European deaf communities. Currently, the American Deafness and Rehabilitation Association (ADARA), an organization comprising professionals providing services to deaf and hard of hearing persons, can boast that ...

Part Two/Diverse Communities

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4 The Evolution of Psychotherapy for Deaf Women

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pp. 65-84

The act of singling out a relatively specific group—in this case deaf women—for therapeutic consideration reveals the extent to which the American mental health profession, not to mention society as a whole, has essentially ignored or minimized the complex experiences of traditionally disenfranchised groups. ...

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5 Therapy Issues with Lesbians, Gay Men, Bisexuals and Transgender Individuals Who are Deaf

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pp. 85-108

The practice of psychotherapy with lesbian, gay, bisexual, and transgender individuals (often referred to as LGBT or GLBT communities) is quite different today when compared to previous years. Since 1973, when the American Psychiatric Association removed the diagnostic category of “homosexuality” from the ...

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6 Hearing Children of Deaf Parents: Issues and Interventions within a Bicultural Context

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pp. 109-135

It may seem strange that a book about psychotherapy and deaf people should give space to hearing people. From a biological perspective, hearing children of deaf parents (hcdp) are not deaf. But does it follow that they therefore are not part of a deaf community? By deaf communities, we include not only those who ...

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7 Psychotherapy for People with Usher Syndrome

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pp. 136-158

There are four basic categories of deaf-blindness: congenital deaf-blindness, acquired deafness and blindness, congenital or early deafness with acquired blindness, and congenital blindness with acquired deafness (Adler, 1987; Ingraham, Carey, Vernon, & Berry, 1994). Usher syndrome is the leading genetic cause of ...

Part Three/The Ethnic Dimension

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8 Mental Health Issues for African American Deaf People

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pp. 161-182

African American Deaf people are a minority group within a minority group. As a result, they may experience not only discrimination by the majority White culture, but also biases within the African American community based on assumptions about their hearing status. Although the media has publicized the Deaf community, ...

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9 Culturally Responsive Psychotherapy with Deaf American Indians

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pp. 183-209

American Indians who are Deaf form part of a unique minority group in the sense that Native Americans are the only indigenous minority group within our country.1 This fact sets them apart from other cultural groups whose members have immigrated to this land from other countries. Indeed, even the nomenclature ...

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10 Asian American and Deaf

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pp. 210-236

Being deaf or hard of hearing and ethnically Asian in the United States offers unique challenges to individuals and their families. Mentally healthy Asian American deaf individuals develop integrated ethnic/cultural identities. They understand the ways in which they are shaped by their Asian ethnicity, Americanness, ...

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11 Counseling Issues for Latino Deaf Individuals and Their Families

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pp. 237-258

On July 19, 1997, four deaf individuals entered the Queens, New York, police station at midnight with a three-page letter written in Spanish, only to leave nervously without giving it to the police. They reentered the station several times, communicating amongst themselves. Each time, they retreated without communicating ...

Part Four/Special Issues

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12 Deaf College Students

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pp. 261-280

On the cusp between childhood and adulthood, the “college years” (traditionally 17 to 24 years of age) are often viewed with awe and envy by those who are yet too young, and with fondness and remembrance by those whose time has passed. Though usually only 4 to 6 years out of one’s life, for most individuals ...

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13 Psychotherapy and Deaf Elderly Clients

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pp. 281-299

One of the fastest growing populations in the United States today is that of people over the age of 65, currently defined as elderly (Foos, 2008, p. 3; National Institute on Aging, 2002). Age 65 is generally used to define the term elderly because that age has been associated with mandatory retirement in many occupations ...

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14 Therapeutic Issues with Recipients of Cochlear Implants

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pp. 300-319

Acknowledging that one hears differently is a long and difficult process that no one, aside from others experiencing the same situation, may fully understand. Professionals need to be acutely aware of this before, during, and after providing services to any such client. Even therapists who are deaf or hard of hearing ...

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15 Deaf Survivors of Sexual Assault

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pp. 320-340

Every 2 minutes, someone in the United States is sexually assaulted (Rape, Abuse & Incest National Network, 2008). Sexual assault crosses culture, race, gender, sexuality, and income; it does not discriminate, although statistics clearly show that females are more likely to be sexually assaulted than males ...

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16 Chemical Dependency: An Application of a Treatment Model for Deaf People

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pp. 341-371

The availability of substance abuse prevention and treatment programs for the deaf community has occurred relatively recently, having developed primarily since the late 1980s. Because services and information about substance abuse are not yet widely available within the deaf community, members of the community ...

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17 Dialectical Behavior Therapy for Deaf Clients: Cultural and Linguistic Modifications for Outpatient Mental Health Settings

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pp. 372-392

Dialectical behavior therapy (DBT) is a form of cognitive behavioral therapy originally developed for treating chronically suicidal women with borderline personality disorder (BPD) (Linehan, Armstrong, Suarez, Allmon, & Heard, 1991; Linehan, Heard, & Armstrong, 1993). DBT developed through Linehan’s efforts ...

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pp. 393-398

Dale V. Atkins, PhD, a licensed psychologist, has a private practice in New York City. Educated at Teachers College, Columbia University (MA in deafness); and University of California, Los Angeles (PhD in educational psychology), she has written six books and several chapters and articles. A pioneer in the ...


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pp. 399-411

E-ISBN-13: 9781563684524
E-ISBN-10: 1563684527
Print-ISBN-13: 9781563684470
Print-ISBN-10: 1563684470

Page Count: 424
Illustrations: 7 tables, 8 figures
Publication Year: 2010