Overview

This book shows how silence around taboo topics can undermine therapy goals, as well as the teaching, practice, and profession of psychotherapy more broadly. It gives readers the skills they need to recognize and overcome barriers to speaking up. The authors describe current and historical contexts that can make frank discussions of certain topics difficult, and present factors that play a role in self-silencing. Strategies including questions for reflection and group exercises can help readers build the courage to talk more openly, honestly, and directly in the therapy room and beyond. Chapters focus on a variety of topics that can be difficult to discuss openly including physical difference and disability, sexual orientation, sexual reactions to clients, therapist feelings of anger, oppression, white supremacy culture, religion, money and fees, and death and dying. Speaking the Unspoken seeks to create dialogue, by encouraging the reader to deepen their understanding of these underexamined topics and improve their ability to help clients and strengthen the profession.

Full Product Details

Author:   Kenneth S. Pope ,  Nayeli Y. Chavez-Dueñas ,  Hector Y. Adames ,  Janet L. Sonne
Publisher:   American Psychological Association
Imprint:   American Psychological Association
ISBN:  

9781433841590

ISBN 10:   1433841592
Pages:   190
Publication Date:   06 June 2023
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Paperback
Publisher's Status:   Active
Availability:   Available To Order  
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Table of Contents

Dedication Acknowledgements Introduction: Unspoken Topics in Psychotherapy and How This Book Can Help Break the Silence Part I: The Problem of the Unspoken 1. A Chilling Context for Psychotherapy: Cancel Culture, Hyperpolarization, Books and Topics Banned by the State, Frightened Academics, and Self-Censorship 2. A Silenced Profession: The Toxic Effects of Taboo Topics 3. Systems of Silencing and Cognitive Cues for Keeping Quiet 4. An Example of the Problem: Therapists' Sexual Attractions, Arousals, and Fantasies Part II: Preparing to Break the Silence 5. Looking Inward: A Self-Assessment of How We Respond to Challenging Topics 6. Strengthening the Courage to Speak Up: Creating a Supportive Context Part III: Speaking the Unspoken—Exercises for Exploring and Learning 7. Talking About Physical Difference and Disability 8.  Talking About Sexual and Affectional Orientation 9.  Talking About Sexual Reactions to Clients 10.  Talking About Anger 11.  Talking About Oppression 12.  Speaking Up About White Supremacy Culture 13.  Talking About Religion 14.  Talking About Money and Fees 15.  Talking About Death and Dying Part IV: Speaking the Unspoken Beyond Psychotherapy 16. Speaking Up in Supervision and Consultation 17. Speaking Up in the Profession and the Community Part V: But What If... 18. Hitting a Wall, or The Wall Hitting Us: What to Do When Confused, Scared, Disheartened, or Stuck References About the Authors Index

Reviews

What a treasure of a book! The teaching, practice, and profession of psychotherapy are enhanced when we openly and directly address, understand, and continuously process “taboo” topics that are challenging. The amazing authors provide history and sources of resistance to topics such as group identity, anger, oppression, and sexual feelings regarding clients. Most importantly, and of significant value, the book provides strategies that inspire us to have the courage, confidence, and determination to address the relevant issues in the various contexts in which we work. After reading this outstanding, compelling, must-read contribution, you will agree that creating a culture of speaking up benefits us all! -- Melba J. T. Vasquez, PhD, ABPP, Independent Practice; Former President, American Psychological Association Here, at last, is the book we never really knew we needed, but needed so desperately. “Silence and silencing have shaped the psychotherapy profession.” Truer words were never (un)spoken. -- Eric Y. Drogin, JD, PhD, ABPP, Harvard Medical School, Boston, MA, United States; Former Chair, APA Committee on Professional Practice and Standards Speaking the Unspoken is essential reading for anyone who practices, teaches, supervises, and studies psychotherapy. It will help you to recognize and overcome barriers to thinking clearly, speaking openly, and listening respectfully about unspoken topics in our profession. The engaging vignettes, thought-provoking exercises, suggested strategies, and informational pearls of wisdom will strengthen your courage, humility, readiness, and skills to engage in authentic discussions. -- Joan Cook, PhD, Professor of Psychology, Yale University, New Haven, CT, United States Kenneth S. Pope, the foremost psychological ethicist of our time (someone who walks the talk), and a diverse and distinguished cadre of coauthors provide a necessary exploration of censored and challenging topics in psychotherapy. They show how correct Sigmund Freud was in positing that suppressed material will “come forth later in uglier ways.” -- Etzel Cardeña, PhD, Thorsen Professor in Psychology, Lund University, Lund, Sweden; Coeditor, Varieties of Anomalous Experience; founding editor, Journal of Anomalous Experience and Cognition Speaking the Unspoken: Breaking the Silence, Myths and Taboos That Hurt Therapists and Patients is a must-read for EVERY therapist. The authors raise awareness and brilliantly illustrate how to address critical, contemporary, and challenging issues in therapy and supervision, including oppression and racism. I highly recommend this book. -- Lillian Comas-Díaz, PhD, Recipient of the American Psychological Association Gold Medal Award for Life Achievement in the Practice of Psychology; Past President, Psychologists in Independent Practice, APA Division 42; Author of Multicultural Care: A Clinician’s Guide to Cultural Competence Have you ever avoided talking about something important? Have you ever wished for the courage to speak up? In clear and accessible prose, Speaking the Unspoken explains what underlies the fear and the other obstacles that keep us silent. With remarkable clarity, the book models the courage to discuss complex topics and provides practical advice for how and when to discuss previously unspoken matters. Every psychotherapist should read this intelligent and transformative book. -- Jennifer Joy Freyd, PhD, Founder and President, Center for Institutional Courage; Professor Emerit, Psychology, University of Oregon, Eugene, OR; Adjunct Professor, Psychiatry & Behavioral Sciences, Stanford University, Stanford, CA, United States; Editor, Journal of Trauma & Dissociation Brave and compelling, Pope and colleagues’ volume paves the way for change and enlightenment of mindsets in clinical training, supervision, and practice. This courageous book outlines what is NOT DISCUSSED in clinical practice, supervision, and consultation; the impacts of these omitted topics; and guideposts to identify, reflect on, and address them. The authors address emotionally, politically, and personally charged topics that are avoided. It is a “must-read” for educators, supervisors, and clinicians-in-training. -- Carol Falender, PhD, Adjunct Professor, Graduate School of Education and Psychology, Pepperdine University, Los Angeles, CA; Clinical Professor, Psychology Department, University of California, Los Angeles, Los Angeles, CA, United States “Several topics have been historically avoided in psychotherapy.” The opening line of this book sheds light on a central truth—we tend to avoid certain topics because we have been told it is “uncultured” to address them in “polite society.” Although we may wish it to be so, averting our gaze does not remove these issues and problems from reality—not in society and not in our practices. The authors, experts in ethics, multiculturalism, practice, and training, do an excellent job of guiding us through our own necessary edification. They invite us not to collude with the silence and the avoidance created when we hide behind the veil of “politeness” and the guise of clinical neutrality. The book aims to enhance our skills and tolerance to feeling distressed and uncomfortable when we do “Break the Silence.” In learning how to do the necessary yet uncomfortable, we benefit our profession and the people we serve. -- Cynthia de las Fuentes, PhD, Independent Practice Offers specific strategies aimed at helping therapists build knowledge and courage to engage in more open and honest discussions… The text offers nine thought-provoking topics, including physical differences and disability, oppression, money and fees, sexual and affectional orientation, and white supremacy culture, examining each closely to initiate the reader’s self-reflection practice and inspire discussions in a myriad of learning environments. The authors have successfully shown how normalizing discussions on tough topics can begin to eliminate the forces that hinder dialogues of healing. Highly recommended. -- Choice. American Library Association (ALA)

Author Information

Kenneth S. Pope, PhD, ABPP, is a licensed psychologist. A fellow of the Association for Psychological Science (APS), he served as chair of the ethics committees of the American Board of Professional Psychology and the American Psychological Association (APA). Dr. Pope received the APA Award for Distinguished Contributions to Public Service, the APA Division 12 Award for Distinguished Professional Contributions to Clinical Psychology, the Canadian Psychological Association's John C. Service Member of the Year Award, and the Ontario Psychological Association's Barbara Wand Award for significant contribution to excellence in professional ethics and standards. Dr. Pope has authored and coauthored several books. Nayeli Y. Chavez-Dueñas, PhD, received her doctorate in clinical psychology from the APA-accredited program at Southern Illinois University at Carbondale. She is a professor at The Chicago School of Professional Psychology (TCSPP) where she serves as the faculty coordinator for the concentration in Latinx mental health in the Counseling Psychology Department. She is the codirector of the IC-RACE Lab (Immigration, Critical Race, and Cultural Equity Lab). Dr. Chavez-Dueñas has coauthored two books and has earned a number of awards including the 2018 APA Distinguished Citizen Psychologist Award. To learn more, please visit Dr. Chavez-Dueñas’ lab at www.icrace.org  Hector Y. Adames, PsyD, received his doctorate in clinical psychology from the APA-accredited program at Wright State University in Ohio and completed his APA predoctoral internship at the Boston University School of Medicine’s Center for Multicultural Training in Psychology (CMTP). Currently, he is a licensed psychologist and a professor at The Chicago School of Professional Psychology, Chicago Campus, and the codirector of the IC-RACE Lab (Immigration, Critical Race, and Cultural Equity Lab). Dr. Adames has coauthored or coedited several books and has earned several awards including the 2018 Distinguished Emerging Professional Research Award from the Society for the Psychological Study of Culture, Ethnicity and Race (APA Division 45). To learn more, please visit Dr. Adames’ lab at www.icrace.org Janet L. Sonne, PhD, received her doctorate in clinical psychology from UCLA and completed her predoctoral internship at the UCLA Neuropsychiatric Institute (now The Jane and Terry Semel Institute for Neuroscience and Human Behavior). Dr. Sonne is a licensed psychologist and an emerita professor in the Department of Psychology, School of Behavioral Health, Loma Linda University, where she has taught and supervised clinical psychology graduate students, psychiatry residents, and medical students. A fellow in APA Division 42, Dr. Sonne has served as a member twice on the APA Ethics Committee, and as a member and as chair of the California Psychological Association Ethics Committee. She has also served as an expert consultant/witness and has authored and coauthored several books, book chapters, and journal articles. Beverly Greene, PhD, ABPP is a professor of psychology at St. John’s University, and a practicing clinical psychologist in New York City. A fellow of APA and nine of its divisions, Dr Greene is board certified in clinical psychology (American Board of Professional Psychology), a fellow of the Academy of Clinical Psychology and is a licensed psychologist in New York and New Jersey. Dr Greene is the author of over 100 scholarly publications, of which 12 have received national awards for making significant and distinguished contributions to the psychological literature. She was the founding coeditor of the APA Society for the Psychology of Sexual Orientation and Gender Diversity book series. Dr. Greene is the recipient of 40 national awards for distinguished contributions to scholarship, teaching, mentoring, leadership, service, and advocacy.

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