Book Review—Mindfulness and Acceptance in Social Work: Evidence-Based Interventions and Emerging Applications

Mindfulness and Acceptance in Social Work: Evidence-Based Interventions and Emerging Applications is a thorough primer for mental health practitioners interested in adopting a more holistic approach to serving their clients while increasing their own self-awareness and growth across the life span. The editor has compiled and coauthored thoughtful essays on a variety of modalities, from behavioral activation to acceptance and commitment therapy, dialectical behavioral therapy to mindfulness-based stress reduction. The evidence-based interventions and emerging applications address the ongoing development of cultural competence, best practices for at-risk children’s groups, and self-regulatory practices that enhance one’s healing presence. Social workers, counselors and therapists who have searched for a deeply humanistic way to apply cognitive interventions will find inspiration in these pages.

Of particular interest to the more spiritually oriented reader will be the exploration of Zen roots in mindfulness practices and how functional contextualism takes on deeper meaning when we consider our shared interdependence. Expanding on our understanding of person-in-environment, an Eastern framework for person-as-environment bridges modern social work with ancient practices for the reduction of suffering, both in oneself and others. Those invested in working toward global well-being will be reignited with encouragement for the ways in which one individual’s healing and expanding realizations can spark necessary changes at the micro, mezzo and macro levels.

The variety of approaches reviewed helpfully represents the “technical eclecticism” required to effectively serve a broad array of clients from a mindfulness perspective, while allowing humanistic practitioners to stay firmly rooted in their theoretical center. The modalities discussed integrate differing levels of emphasis on thought, feeling and behavior, giving the practitioner beginning assessment and treatment tools to adjust for clients’ more evident processing pathways and efforts at wellness. Those who need more concrete structure are likely to respond to behavioral activation or dialectical behavioral therapy, while those who benefit more from insight-oriented, moment-to-moment self-regulation practices may respond more to acceptance and commitment therapy, or mindfulness-based stress reduction.

Since Mindfulness and Acceptance in Social Work is a primer, it does not address the amount of time and training that are necessary to become proficient in facilitating any of these approaches with any given population or clinical concern. Mental health practitioners committed to ethical practice would be wise to seek out training and supervision to develop adequate skills to serve a broad spectrum of clients, and particularly those with the most need. This primer focuses primarily on the needs of individual young to middle-aged adult clients, rather than families, couples, children, the elderly or many types of groups; practitioners serving multiple clients together, or clients not of middle adulthood, may wish to further research articles addressing their client populations and the best use of mindfulness practices for them. Knowing how to apply mindfulness and acceptance in crisis management requires further training and supervision.

Professional counselors who work in community-based agencies, public health clinics, field-based settings and private practices may all find a thread to follow from Mindfulness and Acceptance in Social Work: Evidence-Based Interventions and Emerging Applications. The authors have written from each of these work experiences, addressing respectful integration of the mindfulness tradition into their modern social work. Given the movement that mindfulness has seen in these managed care settings, there is likely to be increasing evidence for its application with a wider variety of clients across the life span and from around the world in the coming years. For the counselors who wish to be a part of that movement, Mindfulness and Acceptance in Social Work: Evidence-Based Interventions and Emerging Applications is a well-written springboard from which to launch.

Boone, M. S. (Ed.). (2014). Mindfulness and acceptance in social work: Evidence-Based interventions and emerging applications. Oakland, CA: New Harbinger.

Reviewed by: Karen Roller, Palo Alto University, Palo Alto, CA.

The Professional Counselor

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Book Review—Mental Health Practice in Today’s Schools: Issues and Interventions

Public schools today face an ever-increasing array of issues that impact both the school climate and the overall mental health of students at all levels—elementary, middle and high. In order to identify these issues and provide successful, research-based interventions, Raymond H. Witte and G. Susan Mosley-Howard have brought together practitioners and experts in the field to present a concise yet comprehensive resource to assist both school support professionals and clinical mental health practitioners who work with school-age children. Mental Health Practice in Today’s Schools: Issues and Interventions provides essential guidance in serving the mental health needs of all students.

The first part of the book focuses on core professional topics that help facilitate the role of mental health practitioners in schools’ student support services. Because Response to Intervention has become a focal point for the identification of special-needs populations and of students with chronic behavioral challenges, procedures are presented for screening at-risk students for mental health intervention, as well as for integrating mental health programs within the school community. Authors also discuss how to use counseling microskills more effectively with children of varying developmental levels. In addition, two of the more widely-used and successful theoretical approaches in working with school-age populations, reality therapy and solution-focused brief therapy, are presented by acknowledged experts in the field—Robert Wubbolding and Cynthia Franklin, respectively.

As many educators working in the schools may not be familiar with disorders commonly diagnosed in the school-age population, authors identify these disorders and provide strategies for presenting this information effectively to teachers, administrators and other student support personnel. Likewise, authors offer guidance on legal and ethical considerations when providing mental health services to children and adolescents within the school environment.

Specific issues encountered by educators and mental health professionals working in the schools are addressed in the second part of the book. Bullying is an international phenomenon, and this text provides interventions for assisting both the aggressor and the target of the bullying behavior. School staff members often have a particularly difficult time in developing effective strategies to combat cyberbullying, which is bullying by means of electronic devices and social media. This behavior can cross school boundaries, making it difficult to pursue due to students’ rights to privacy and free speech, and to the extent of the school’s authority to legally intervene. However, bullying can be linked to other issues such as physical or sexual abuse, substance abuse, and suicide, and as such, authors provide suggestions for addressing each of these challenges for school crisis prevention and intervention by mental health professionals working in the schools.

Although some of the information presented by the various authors is more technical in nature, I found this book to be informative, novel in its choice of subjects, and a user-friendly read for practitioners and educators alike. Such topics as student threat assessment and psychopharmacology are necessary but seldom included in mental health practice texts relative to the public schools, making this book a much more comprehensive text for use not only by practitioners but also in the preparation of students in training for the mental health professions. A particular strength of this book is that the authors are drawn from various fields and professional perspectives—psychology, psychiatry, social work, mental health counseling and public education. The text’s only limitation is that I would have liked to see a more prominent emphasis on collaboration with existing student services members, such as school counselors, in support of mental health interventions within the school environment.

Overall, Mental Health Practice in Today’s Schools: Issues and Interventions provides a comprehensive guide to the mental health issues of students in our schools and practical school-wide prevention and intervention strategies to address these challenges. This text will likely serve as an essential resource for mental health practitioners and educators working in the schools for years to come.

Witte, R. H., & Mosley-Howard, G. S. (Eds.). (2015). Mental health practice in today’s schools: Issues and interventions. New York, NY: Springer.

Reviewed by: Michael A. Keim, NCC, Columbus State University, Columbus, GA.

The Professional Counselor

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Book Review—Love Sense: The Revolutionary New Science of Romantic Relationships

Dr. Sue Johnson, creator of emotionally focused therapy and bestselling author of Hold Me Tight: Seven Conversations for a Lifetime of Love, explores the science of love in her latest book Love Sense: The Revolutionary New Science of Romantic Relationships. In this day and age, we have the knowledge to “split the atom and soar into space,” yet we lack a clear and rigorous understanding of the instinct and connection that drives the human life. Dr. Johnson states that love is “far from being unfathomable;” it is “logical and understandable.” Dr. Johnson wrote Love Sense as a guide for finding the way to more fulfilling, lasting love.

In part one of Love Sense, Dr. Johnson starts with an explanation of the emotional bond of love, covering John Bowlby’s attachment theory. In part two, she describes emotion, the brain and the body, weaving in years of scientific research ranging from Freud to genetic research. She normalizes the common and relatable experiences that are difficult parts of love, claiming, “Love relationships aren’t meant only to be joyrides; they’re also restorative and balancing meeting places where negative emotions are calmed and regulated.” Dr. Johnson covers the neurochemistry of love, including a detailed account of hormones and the brain. The context of the information relates to emotional bonding between parent and infant and between adult lovers.

After describing the science of love, or the physiological reactions, Dr. Johnson describes love in action in part three of Love Sense. She shares how love moves and evolves over time, stating that “relationships are not static, frozen-in-time unions; they are living, breathing organisms.” Dr. Johnson covers how bonds become unraveled and renewed. In part four, Dr. Johnson concludes with two chapters about the application of the new science on attachment and love. Providing a love story example, Dr. Johnson shows how one couple—Andre and Cleo—move from a breakup to bonding. This is a “down-to-earth story of love made possible by the love sense that is now available to us all.”

In addition to factual material, Love Sense includes experiment sections at the end of chapters, which give readers an opportunity to apply the material. Readers can utilize the scientific information presented to gain emotional understanding in the present moment. Counselors can expand their understanding of the driving force in relationships, hopefully improving their clinical effectiveness. Laypersons can read scientific information in a digestible form and apply the new information in their relationships, a task that is made easy through the book’s experiment sections. Whether the reader is a professional or not, Love Sense provides new insight on what is so “vital to our existence”—love.

Johnson, S. (2013). Love sense: The revolutionary new science of romantic relationships. New York, NY: Little, Brown.

Reviewed by: Traci P. Collins, NCC, doctoral student in counselor education at North Carolina State University and Managing Editor of The Professional Counselor.

The Professional Counselor

http://tpcjournal.nbcc.org

Book Review—The Elements of Counseling Children and Adolescents

The Elements of Counseling Children and Adolescents is a brief, yet beneficial, text that offers an introduction to anyone exploring developmentally appropriate strategies for addressing the problems of children and adolescents. As is, the text may be useful for students in all branches of mental health.

The authors begin the book by reviewing the concepts of setting the stage for counseling (Chapter 1), the process of counseling (Chapter 2), and self-awareness and growth (Chapter 3). Though these topics are covered in many introductory counseling books, here the authors focus on what counseling can look like when working with children and adolescents. Likewise, the authors discuss setting the stage, the process of counseling, and self-awareness and growth from a developmental perspective for working with non-adult clients. One might also conceptualize Chapters 2 and 3 as concerning the fundamental skills used in counseling tailored for children and adolescents. Within these chapters, as the authors explore each skill, they provide mini-transcript examples to demonstrate each skill.

In Chapter 4, misconceptions and assumptions are examined. The authors remind readers that children and adolescents are not adults, and that progress and growth may not occur in the same fashion or resemble that of adults. This chapter, as a prelude to Chapter 5, warns of cookie-cutter approaches and emphasizes the importance of the client’s individuality.

Chapter 5 provides a brief description of evidence-based and contemporary practices that are useful when working with non-adult populations. The chapter covers the more conventional modalities (e.g., brief, solution-focused, cognitive behavioral and behavioral) as well as the less conventional (e.g., play therapy and creative techniques). Both individual and systemic counseling models are described. Chapters 6 and 7 end the book’s coverage of topics by discussing crisis intervention, mandated reporting, grief and counselor self-care.

The book is easy to read and the chapters flow in a succinct manner. Its greatest strength is the use of the “elements of” format to highlight specific topics that are important for all to consider, regardless of whether the reader is a novice or educator. In total, 59 elements are described. Also, as previously noted, each chapter includes mini-session transcripts as well as summary and discussion questions. These aspects allow for further discussion within educational settings or reflection by individual readers. Finally, the appendix provides a “how to” section for use in educational settings.

In addition to its strengths, The Elements of Counseling Children and Adolescents also has some limitations. The text is only introductory and does not provide enough depth to be used as the primary text for a class on counseling children and adolescents. At only 126 pages, the book lacks information on the application of evidence-based practices to specific disorders. The authors mention the tenets of each modality as well as some of the disorders that each modality may be used to treat; however, there is no exploration or description of, for example, what “Modality A” looks like when used with “Disorder A.” The text frequently and appropriately describes the importance of individual differences and integrative practice; however, it fails to explore cultural differences within child and adolescent populations.

The best application of the text for counseling professionals would be as a supplemental text in a class on counseling skills and techniques. The average skills class covers the basic counseling microskills from the perspective of working with adults. With this said, this text would make an excellent companion to apply basic skills to working with non-adult populations.

Cook-Cottone, C. P., Kane, L. S., & Anderson, L. M. (2015). The elements of counseling children and adolescents. New York, NY: Springer.

Reviewed by: E. Franc Hudspeth, NCC, Henderson State University, Arkadelphia, AR.

The Professional Counselor

https://tpcjournal.nbcc.org/

Book Review—Essential Interviewing and Counseling Skills: An Integrated Approach to Practice

Essential Interviewing and Counseling Skills is a helpful resource for facilitating an understanding of integrative counseling methods. Moving beyond theory, this book not only explains the relevance of integrative methods, but also fosters the application of an integrative approach. The book is divided into four sections which incrementally guide the learner in developing essential knowledge and skills. Titled “Building the Foundation,” the aptly named first section provides important aspects of interviewing, ethics, case conceptualization, selecting interventions and diversity issues. After acquiring foundational skills, the reader is prepared to transition to learning the importance of developing a counseling relationship. In this segment, the reader learns core counseling concepts such as reflecting, conveying empathy and strengthening the therapeutic alliance. The third section assists the learner in connecting with the client and promoting change. Within the areas of assessment, diagnosis and treatment planning, the authors provide the reader with expansive insight into goal setting, wellness, emotionality, the nature of the therapeutic relationship and helpful techniques. The final section concludes with termination considerations for a variety of counseling modalities such as group, school, career, family and forensic counseling. Additionally, the authors highlight methods of crisis intervention and suicide prevention.

In accordance with integrative practice, the writers provide a distinctive section that assists the learner in developing a unique counseling style. The format of the book emphasizes the essentiality of continued education and notes the importance of professional development via conferences, workshops, seminars, certifications, networking, supervision and self-care. The seamless progression of this book from chapter to chapter is helpful in utilizing a developmental teaching perspective in counselor education. The authors provide case examples and multicultural perspectives throughout the text to assist in the learning process. In addition, skill boxes with learning exercises, resources and reflections are sprinkled throughout the book, which aid in threading the learned material into practice. Furthermore, several of these skill boxes include web applications through which the reader can venture beyond the text.

The authors certainly achieve their intention of providing knowledge in a manner that is easily accessible to a beginning audience. The range of information from acquiring basic skills to integrating methods makes this book suitable for the counseling trainee, novice counselor or clinician seeking guidance in expanding and integrating practice. The skills-focused, reflective style of this text may also be helpful to the experienced counselor looking for fresh approaches to counseling. Chapters are equipped with reviews, personal reflections, keywords and suggestions for further reading that may assist the counselor educator in developing or facilitating training courses. On the other hand, due to the skills-focused approach, this text may be insufficient for training courses that aim to encompass the depth of counseling theories. Overall, the authors provide a wealth of information to assist in counseling training. Students in counseling training programs will find Essential Interviewing and Counseling Skills a helpful guide in expanding their clinical toolbox.

 

Prout, T., & Wadkins, M. (2014). Essential interviewing and counseling skills: An integrated approach to practice. New York, NY: Springer.

 

Reviewed by: Shainna Ali, doctoral student in counselor education, University of Central Florida, Orlando, FL.

 

The Professional Counselor

http://tpcjournal.nbcc.org

 

Book Review—Mindfulness and Acceptance in Multicultural Competency

Mindfulness and Acceptance in Multicultural Competency by Akihiko Masudo is part of The Mindfulness and Acceptance Practica series. This groundbreaking volume focuses on a contextual approach to multicultural theory and practice. With the emergence of new cognitive and behavioral therapies that integrate mindfulness and acceptance principles, this book represents a significant contribution to the exploration of how these principles account for culture and diversity, the particular ways in which acceptance and mindfulness-based methods can be adapted culturally through specific evidenced-based approaches, and the application of mindfulness and acceptance to some issues commonly linked to the experience of diversity.

Part I of the book addresses the complexity of multicultural issues with an emphasis on how mindfulness and acceptance principles, which are based on a functional-context perspective, represent a valid alternative to the classic content-based approach (awareness, knowledge and skills) in promoting multicultural competence. As such, the contributors argue that in order to understand and promote cultural competency, there is a need to develop a functional contextualism, which demands an understanding of the moment-by-moment and relational nature of the counseling experience, as well as an acknowledgment that both counselor and client are contextual beings.

Part II of the book focuses on the cultural competency and cultural adaptation of Dialectical Behavior Therapy, Mindfulness-Based Cognitive Therapy, and Acceptance and Commitment Therapy. A central premise of this section is that these approaches are functional, contextual and process-focused, and as such, they facilitate cultural competency. The book presents specific examples of how these therapies can be contextually adapted to the client’s sociocultural background.

Part III of this volume illustrates the use of mindfulness- and acceptance-based principles and interventions in general contexts of multicultural practice and training, as well as in addressing specific issues. The beginning of this section illustrates the cultural adaptation of mindfulness- and acceptance-based approaches for non-English speakers. The authors’ main point is that the adaptation of intervention protocols, rather than simply attending to issues of content, must attend to the functional and contextual reality of the clients. The next part of this section focuses on the use of mindfulness and acceptance principles in multicultural competency training. The authors’ basic premise is that acceptance- and mindfulness-based approaches can reduce responses that interfere with multicultural training and lead to intrinsic motivation for developing multicultural competency. The rest of this section focuses on how mindfulness and acceptance principles and interventions can be used to address specific issues associated with the experience of diversity such as spirituality, prejudice and shame. The contributors’ main ideas reflect the need to emphasize the common ground between prominent spiritual traditions and acceptance- and mindfulness-based therapies, the importance of increasing psychological flexibility, the relevance of focusing on the verbal processes that underlie stigma rather than its content, the importance of promoting intrinsic and prosocial anti-stigma actions, and the need to integrate compassion-based interventions that promote quality of life.

As a whole, this book represents a valuable addition to the classic content-based approaches to building multicultural competency. Mindfulness and acceptance principles are highlighted as useful tools in the process of understanding and conceptualizing cultural issues. Mindfulness- and acceptance-based approaches are examined based on their cultural competency as well as their great potential for multicultural adaptation. Finally, mindfulness and acceptance principles and interventions are presented as significant resources for facilitating change in the context of issues that are relevant to specific minorities.

In general, the authors succeed in illustrating the enhancing role that mindfulness- and commitment-based principles and interventions have in the process of conceptualizing and developing cultural competency. Their demonstration of the adaptability of specific approaches is valuable but somewhat limited, mostly due to the low availability of research and experience related to the implementation of these approaches with diverse populations. In my opinion, this volume’s greatest contribution is its illustration, with specific case examples, of the groundbreaking potential that mindfulness- and commitment-based principles and interventions have in the change process of those affected by issues such as stigma, discrimination and prejudice.

Reviewed by: Raul Machuca, Barry University, Miami Shores, FL.

Masuda, A. (Ed.). (2014). Mindfulness and acceptance in multicultural competency. Oakland, CA: New Harbinger.

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