Eduardo Duran--a psychologist working in Indian country--draws on his own clinical experience to provide guidance to counsellors working with Native Peoples. Translating theory into actual day-to-day practice, Duran presents case materials that illustrate effective intervention strategies for prevalent problems, including substance abuse, intergenerational trauma, and internalized oppression. Offering a culture-specific approach that has profound implications for all counselling and therapy, this groundbreaking volume: provides invaluable concepts and strategies that can be applied directly to practice; outlines very different ways of serving American Indian clients, translating Western metaphor into Indigenous ideas that make sense to Native People; and presents a model in which patients have a relationship with the problems they are having, whether these are physical, mental, or spiritual. It includes a section in each chapter to help non-American Indian counsellors generalize the concepts presented to use in their own practice in culturally sensitive ways.