Focusing on the breadth of issues that affect psychotherapy with African American women, this unique volume is designed to help clinicians develop a broader understanding of what is useful and what is problematic when applying psychodynamic concepts to their clients. From an array of seasoned clinicians, chapters present innovative and creative reformulations of theory and technique that build upon and challenge existing models. Issues addressed include the psychological dilemmas confronting diverse African American women as they negotiate a society that is hostile to them on multiple levels; how ethnicity, class, gender, sexual orientation and other differences come into play within the therapeutic dyad; and approaches to unraveling the complex interplay of sociopolitical, intrapsychic, and interpersonal concerns in treatment. Filled with illustrative clinical material and pointers for practice, the volume will enhance the cultural competence of mental heath practitioners and students across a range of disciplines.

African American Patients in Psychotherapy integrates history, current events, arts, psychoanalytic thinking, and case studies to provide a model for understanding the social and historical dimensions of psychological development across African American communities. Among the topics included are psychological consequences of slavery and Jim Crow, the black patient and the white therapist, the toll of even "small" racist enactments, the black patient's uneasy relationship with health care providers, and a revisiting of the idea of "black rage." Author Ruth Fallenbaum also examines the psychological potential of reparation for centuries of slave labor and legalized wage and property theft.

This unique handbook covers the consensuses and controversies surrounding traditional and nontraditional psychotherapeutic methodologies as related to individuals and specific subpopulations. It is the most comprehensive, integrative resource available to the graduate level student and to the practicing clinician.

African American Patients in Psychotherapy integrates history, current events, arts, psychoanalytic thinking, and case studies to provide a model for understanding the social and historical dimensions of psychological development. Among the topics included are psychological consequences of slavery and Jim Crow, the black patient and the white therapist, the toll of even “small” racist enactments, the black patient’s uneasy relationship with health care providers, and a revisiting of the idea of “black rage.” Author Ruth Fallenbaum also examines the psychological potential of reparation for centuries of slave labor and legalized wage and property theft.

This pioneering work is the most comprehensive book on Black families in therapy to appear in the clinical literature. It is unprecedented in its attention to the cultural diversity among Black families, its emphasis on the utilization of cultural strengths in therapy, and on its application of the concept of clinical empowerment. Dr. Boyd-Franklin also gives thoughtful attention to the therapist's use of self and the subtleties which are often involved in the treatment process. Highlighting the diversity among Black Afro-American families, the author's first five chapters explore a number of cultural issues including racism, racial identification, and skin color; extended family patterns and informal adoptions; role flexibility and boundary confusion; religion and spirituality. Numerous case examples provide rich illustrations of these topics. The latter part of the book further explores socioeconomic differences with specific chapters on poor inner-city, single-parent, and middle-class Black families. An important contribution of this work is its elaboration of the Multisystems Model which allows family therapists to intervene with Black families at multiple levels including the individual, the family, the extended family, church and community networks, and the social service system. Dr. Boyd-Franklin's clear straightforward presentation of this model will allow the practicing therapist to apply it to even the most complex treatment realities. In addition, this Multisystems Model has applicability to many other ethnic groups and treatment situations. For training programs that include ethnicity, culture, and the treatment of Black families in their curriculum, this book provides a comprehensive syllabus. It is essential reading for family therapists, psychologists, psychiatrists, social workers, medical practitioners, pastoral counselors, educators, and public agency administrators. For students and practitioners in these fields it provides a scholarly, incisive analysis that sets a standard for ethnicity studies in the therapeutic arena.

The experiences of both black patients and the black mental health professionals who serve them are analyzed against the backdrop of the cultural, societal, and professional forces that have shaped their place in this specialized health care arena.

This book compiles the contributions of mental health professionals, and scholars of humanities, to offer a multifaceted perspective on the transgenerational trauma of slavery, the hardship of single parent families, the ruthlessness of anti-black racism, and the burden of poverty and social disenfranchisement on the African American individual.