About the Authors xix Part I: Principles and Assumptions of Multicultural Social Work Practice 1 Chapter 1 Cultural Diversity and Implications for Multicultural Social Work Practice 3 Chapter Learning Objectives 3 Overview 4 Voices of Diversity and Marginalization 4 African American Male 4 Gay American 4 Female Worker 5 Person with a Disability 5 Person in Poverty 6 Individual from an Undocumented Immigrant Family 6 Diversification of the United States and Implications for Social Work 10 The Multiple Dimensions of Human Identity 14 Individual Level 16 Group Level 17 Universal Level 18 Individual and Universal Biases in Social Work 18 Multicultural Challenges in Social Work Practice 20 Implications for Multicultural Social Work Practice 22 Summary 23 Chapter 2 Theoretical Foundations for Multicultural Social Work Practice 29 Chapter Learning Objectives 29 Overview 30 Theoretical Perspectives for Competent Multicultural Social Work Practice 30 Ecological Systems Perspective 31 Strengths Perspective 33 Social Justice Perspective 35 Critical Perspective 37 Antiracism as a Social Work Agenda 39 Intersectionality Perspective 43 Implications for Multicultural Social Work Practice 53 Summary 54 Chapter 3 Becoming Culturally Competent in Social Work Practice 59 Chapter Learning Objectives 59 Overview 60 Defining Cultural Competence in Social Work Practice 60 Four Components of Cultural Competence 62 Competency 1: Becoming Aware of One''s Own Values, Biases, and Assumptions about Human Behavior 62 Competency 2: Understanding the Worldviews of Culturally Diverse Clients 63 Competency 3: Developing Appropriate Intervention Strategies and Techniques 64 Competency 4: Understanding Organizational and Institutional Forces That Enhance or Diminish Cultural Competence 66 Working Definition of Cultural Competence 67 Multidimensional Model of Cultural Competence in Social Work 69 Dimension 1: Group-Specific Worldviews 70 Dimension 2: Components of Cultural Competence 71 Dimension 3: Foci of Cultural Competence 77 What Is Multicultural Social Work Practice? 79 Implications for Multicultural Social Work Practice 81 Summary 82 Part II: Systemic Oppression and Social Justice 87 Chapter 4 Understanding the Sociopolitical Implications of Oppression and Power in Social Work Practice 89 Chapter Learning Objectives 89 Overview 90 A Clash of Expectations 90 Effects of Historical and Current Oppression 95 Ethnocentric Monoculturalism 96 Belief in Superiority 96 Belief in the Inferiority of Others 97 Power to Impose Standards 97 Manifestation in Institutions 98 The Invisible Veil 98 Historical Manifestations of Ethnocentric Monoculturalism 99 Impact of Ethnocentric Monoculturalism in Helping Relationships 102 Credibility, Expertness, and Trustworthiness in Multicultural Social Work Practice 105 Credibility of the Social Worker 105 Implications for Multicultural Social Work Practice 110 Summary 111 Chapter 5 Microaggressions in Social Work Practice 117 Chapter Learning Objectives 117 Overview 118 What Did He Really Mean? 118 Microaggression as a Form of Oppression 121 Microaggressions and the Clash of Sociodemographic Realities 122 Microaggressions and the Invisibility of Unintentional Expressions of Bias 131 Microaggressions and the Perceived Minimal Harm 133 The Catch-22 of Responding to Microaggressions 133 Categories of Microaggressions 133 Social Work Practice and Microaggression 136 Microinsults and Direct Social Work Practice 137 Microinvalidations and Direct Social Work Practice 140 Implications for Multicultural Social Work Practice 144 Summary 145 Part III: Racial/Cultural Identity Development 149 Chapter 6 Racial/Cultural Minority Identity Development 151 Chapter Learning Objectives 151 Overview 152 Who Am I? 152 Racial/Cultural Identity Development Models 154 Black Identity Development Models 156 Other Racial/Ethnic Identity Development Models 157 Feminist Identity Theory 158 Working Racial/Cultural Identity Development Model 158 Conformity Stage 159 Who Am I--White or Black? 160 Dissonance Stage 165 Resistance and Immersion Stage 166 Introspection Stage 168 Integrative Awareness Stage 170 Implications for Multicultural Social Work Practice 172 Summary 173 Chapter 7 White Racial Identity Development 179 Chapter Learning Objectives 179 Overview 180 "What Does It Mean to Be White?" 180 Forty-Two-Year-Old White Businessman 180 Twenty-Six-Year-Old White Female College Student 181 Sixty-Five-Year-Old White Male Construction Worker (Retired) 181 Thirty-Four-Year-Old White Female Stockbroker 182 Twenty-Nine-Year-Old Latina Administrative Assistant 182 Thirty-Nine-Year-Old Black Male Salesman 183 Twenty-One-Year-Old Chinese American Male College Student (Majoring in Ethnic Studies) 183 The Invisible Whiteness of Being 184 Understanding the Dynamics of Whiteness 185 Models of White Racial Identity Development 187 The Hardiman White Racial Identity Development Model 188 The Helms White Racial Identity Model 191 The Process of White Racial Identity Development: A Descriptive Model 196 Conformity Stage 196 Dissonance Stage 197 Resistance and Immersion Stage 199 Introspection Stage 200 Integrative Awareness Stage 201 Implications for Multicultural Social Work Practice 202 Summary 203 Part IV: Practice Dimensions of Multicultural Social Work 207 Chapter 8 Barriers to Effective Multicultural Clinical Practice 209 Chapter Learning Objectives 209 Overview 210 Cultural Barriers: A Case Example 210 Generic Characteristics of Counseling and Therapy 214 Sources of Conflict and Misinterpretation in Clinical Practice 218 Culture-Bound Values 218 Class-Bound Values 226 Language Barriers 232 Generalizations and Stereotypes: Some Cautions 233 Implications for Multicultural Social Work Practice 234 Summary 235 Chapter 9 Cultural Styles in Multicultural Intervention Strategies 241 Chapter Learning Objectives 241 Overview 242 "Speaking from My ''Cultural Space''": A Case Example 242 Communication Styles 244 Nonverbal Communication 246 Proxemics 246 Kinesics 247 Paralanguage 250 High- versus Low-Context Communication 252 Sociopolitical Facets of Nonverbal Communication 254 Nonverbals as Reflections of Bias 255 Nonverbals as Triggers of Biases and Fears 258 Differential Skills in Multicultural Social Work Practice 261 Implications for Multicultural Social Work Practice 264 Summary 265 Chapter 10 Multicultural Family Social Work Interventions 269 Chapter Learning Objectives 269 Overview 270 Family Life, Mental Health, and Culture: A Case Study 270 Family Systems Approaches and Assumptions 276 Issues in Working with Racial/Ethnic Minority Families 279 Racial/Ethnic Minority Reality 279 Conflicting Value Systems 280 Biculturalism and Acculturation 280 Ethnic Differences in Minority Status 281 Ethnicity and Language 283 Ethnicity and Social Class 284 Multicultural Family Social Work: A Conceptual Model 285 People-Nature Relationship Dimension 286 Time Dimension 288 Relational Dimension 290 Activity Dimension 291 Nature of People Dimension 293 Implications for Multicultural Social Work Practice 294 Summary 296 Chapter 11 Religion, Spirituality, and Indigenous Methods of Healing 301 Chapter Learning Objectives 301 Overview 302 Religion, Spirituality, and Social Work Education 302 Religious Affiliation and Ethnic Identity 306 Asian Americans and Pacific Islanders and Religious Identity 307 African American Religious Identity 307 Latino/Hispanic Religious Identity and Affiliation 308 Native American Religious Practices 309 Muslim Americans and Religious Affiliation 309 Spiritual Assessments in Social Work Practice 310 Indigenous Spirituality and Healing 311 Spirit Attacks: The Case of Vang Xiong 312 The Legitimacy of Culture-Bound Syndromes: Nightmare Deaths and the Hmong Sudden Death Phenomenon 314 Causation and Spirit Possession 318 Shaman as Therapist: Commonalities 320 Principles of Indigenous Healing 321 Holistic Outlook, Interconnectedness, and Harmony 324 Belief in Metaphysical Levels of Existence 325 Spirituality in Life and the Cosmos 327 Implications for Multicultural Social Work Practice 330 Summary 333 Chapter 12 Multicultural Organizational Change: Antiracist Practice and Social Justice 341 Chapter Learning Objectives 341 Overview 342 Where Do Social Workers Do Social Work? 342 Monocultural versus Multicultural Organizational Perspectives in Social Work 345 Lesson 1: A failure to develop a balanced perspective between person focus and systems focus can result in.