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List of Tables, Figures, and Exhibits xi
Preface xv
Introduction 3
Traditional and Nontraditional Perspectives on Empathy, Help-Seeking, and Healthy Outcomes 7
The Historical Roots of Empathy 8
Cultural Assumptions of Empathy: A Critique 12
Globalization of Counseling and Psychotherapy 14
The Inclusion of Formal and Informal Support Systems 16
Conclusion: Possibilities for Empathy 20
Toward More Inclusive Empathy: A Survey of Relational Worldviews and Alternative Modes of Helping 23
The Importance of Collectivistic and Individualistic Theories 24
The Importance of High- and Low-Context Theories 26
What Is the Essence of Self? 27
Synthetic Culture Examples of Cultural Diversity 34
A Survey of Non-Western Therapies 37
Conclusion 39
Defining Inclusive Cultural Empathy 41
A Conceptual Model of Inclusive Cultural Empathy 41
How ICE Incorporates and Adds to Multicultural Competence 44
An Inclusive Definition of Culture 47
An Inclusive Definition of Positive Therapy Outcomes 50
Developing Inclusive Cultural Empathy 53
The Contrasting Process of Moral Exclusion 57
Conclusion 59
Affective Acceptance: Relating to and Understanding Ourselves and Others 61
We Are Both Similar and Different at the Same Time 62
Culture Is Complex and Not Simple 70
Behaviors by Themselves Are Not Meaningful 76
Not All Racism Is Intentional 80
Conclusion 91
Affective Acceptance: Embracing Inclusion and Developing Empathy 93
Counselors Are All Vulnerable to Cultural Encapsulation 93
Inclusion Is More Likely to Define a Cultural Context Than Exclusion 101
Internal Spiritual Resources Are Important 104
Ambiguity, Although Inconvenient, Has Potentially Positive Value 109
Final Thoughts on Affective Acceptance 112
Intellectual Understanding: Race, Gender, Religion, and Spirituality 115
Key Cultural Identity Constructs 116
The Importance of Salience 117
Race 119
Gender 125
Religion/Spirituality 129
Conclusion 134
Intellectual Understanding: Examining Other Key Cultural Identity Constructs 135
Affectional Orientation 135
Age 139
Physical and Mental Capacity Issues 144
Class and Socioeconomic Status 145
Convergence and Salience 151
Final Thoughts on Intellectual Understanding 151
Integral Skills: Hearing Our Culture Teachers Through Empathy 155
Purpose of Internal Dialogue 156
The Triad Training Model as a Way to Practice Hearing Internal Dialogue 161
Debriefing 164
Other Internal Dialogue Training Models 167
Reflection of Feelings 169
Reflection of Meanings 175
Combining Feeling and Meaning: A Balancing Act 177
Conclusion 178
Integral Skills: Microskills for Inclusive Cultural Empathy 181
Mistakes and Recoveries 182
Articulating the Problem From the Client's Perspective 183
Recognizing Client Resistance to the Helper or Helping Process 184
Overcoming Defensiveness Toward Clients 185
Developing Multicultural Competencies With the Triad Training Model 186
Demonstrating the Triad Training Model in Action 195
Conclusion 198
Empowerment Applications of Inclusive Cultural Empathy 199
Multiculturalism Is Inclusive and Broadly Defined 200
Empowerment Through Inclusive Cultural Empathy 202
The Dangers of Cultural Encapsulation and Exclusion 209
The Intrapersonal Cultural Grid 210
The Interpersonal Cultural Grid 211
Conclusion 222
Conclusion: Developing Multicultural Awareness, Knowledge, and Skill 223
Multiculturalism as a Fourth Force 224
Culture-Centered Advocacy Competencies 228
The Awareness-Knowledge-Skill Model 230
The Benefits of Multicultural Awareness 232
The Generic Importance of Multicultural Knowledge 233
The Generic Application of Multicultural Skill 235
Conclusion 241
Guidelines for the Four Synthetic Cultures 243
Practicing Inclusive Cultural Empathy With Synthetic Cultures 249
References 255
Author Index 277
Subject Index 285
About the Authors 299
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