Psychotherapy With Deaf and Hard of Hearing Persons: A Systemic Model

[(Psychotherapy with Deaf and Hard-of-Hearing Persons: A Systemic Model)] [ Author: Michael A. Harvey] published on (April, ) Hardcover – April 12,
Table of contents

New search User lists Site feedback Ask a librarian Help. Advanced search Search history. Browse titles authors subjects uniform titles series callnumbers dewey numbers starting from optional. See what's been added to the collection in the current 1 2 3 4 5 6 weeks months years. Cite this Email this Add to favourites Print this page. Catalogue Persistent Identifier https: J Wikipedia Citation Please see Wikipedia's template documentation for further citation fields that may be required. You must be logged in to Tag Records. In the Library Request this item to view in the Library's reading rooms using your library card.

Product details Format Hardback pages Dimensions Man's Search for Meaning Viktor E. Act Made Simple Russ Harris. Energy Medicine James L. Radical Acceptance Tara Brach. Maps of Meaning Jordan B. Civilization and Its Discontents Sigmund Freud. Becoming Supernatural Joe Dispenza. Love's Executioner Irvin D. The Satir Model Etc. Becoming Attached Robert Karen. The Art of Gathering Priya Parker. How to Be Human Ruby Wax. Further, some states have their own interpreter assessment programs that operate independently of the national certifying bodies Critchfield, There are also a number of states that require specific, advanced training to work in mental health settings e.

It is important for psychologists to know the legal requirements in their state. Some psychotherapists might find it easier to contract with an interpreting agency than try to identify individual interpreters on an as-needed basis. Further, it may be useful for psychotherapists to review the writings of Crump n. Thus, the first concern in working with an interpreter is finding access to a highly-skilled interpreter with experience in a psychotherapy setting.


  • Treatment of Deaf Clients: Ethical Considerations for Professionals in Psychology?
  • Logos of Phenomenology and Phenomenology of The Logos. Book Two: The Human Condition in-the-Unity-of;
  • Start the conversation.
  • Recommended Books | Deaf Counseling Center!
  • On the Origin of Species (Penguin Classics)?

Leigh notes that although there are many competent interpreters with appropriate certification and expertise, only a minority has the skills necessary to interpret in the psychotherapy setting. However, the use of an interpreter even one that is less skilled , should be preferred over using family members. Qualified interpreters should always be preferred over family members or other ad hoc interpreters Leigh, A second ethical, and legal, concern in working with an interpreter is related to who pays for the services provided.

According to the ADA Update: The APA also notes that the cost of doing so is outweighed by the risk of an ADA complaint being filed against the psychologist. Since the Deaf community is small in size, both generally and within a given location, and the number of qualified interpreters is scarce, it is important for psychologists to consider that qualified interpreters are likely to be known to clients in other contexts.

This may result in heightened anxieties and concerns among clients related to self-disclosure and confidentiality Steinberg, That is, psychologists are required by Standard 4. This also points to the importance of only using qualified interpreters whenever possible. It may also be necessary to require interpreters to sign a contract stating they received adequate training by the psychologist and agree to uphold the confidentiality of their clients.

Interpreters should be familiar with common terms and concepts used in therapy and should be comfortable with conveying this information to the client in a neutral way without inserting their own biases. It becomes the responsibility of the psychologist to educate his- or her-self on the information relevant to working with qualified interpreters in treatment.

Specific recommendations and resources are offered at the end of the current article. Special attention should also be paid to linguistic alterations i. Although it is vital for psychologists to take responsibility in ensuring mental health language competence and comfort with session content when working with qualified interpreters, it is also important for psychologists to understand the inherent judgment that qualified interpreters must use to do their job ethically i. Dean and Pollard believe that when this is taken in a literal context although they were referring to the version of the RID code, it is very similar it is erroneous and detrimental because translations often do not correspond the precise words said, translations can and often do require information to be added or deleted i.

Psychologists must understand the realities of interpreting work and balance these with their requirement to safeguard their clients and do no harm. In a related study, Miller and colleagues had fifteen therapists and interpreters working with refugees in the U. Although there were positive aspects, some therapists reported observing inappropriate interpreter reactions to sensitive content e.

Cornes and Napier suggest that challenges with processing the emotional impact of sensitive therapeutic material will have clear consequences on the equivalence of the interpretation. Comfort with session content should ideally be addressed before the session with the psychologist in private. Psychologists must take on the responsibility to ensure mental health language competence and comfort with content are addressed prior to being brought into session with the client, whom psychologists have an ethical responsibility to safeguard.

A further ethical consideration in working with qualified interpreters is informed consent. The Ethics Code, in Standard This process is complicated when using a qualified interpreter for many of the same reasons previously mentioned. Psychotherapists must be personally responsible for ensuring that information related to informed consent is adequately translated i. It would also be ethically responsible to consider how the underlying concepts of informed consent can be influenced by cultural factors.

Barnett and Goncher give the example of autonomy, or the right to self-determination as emphasized in General Principle E: Conceptualizations of autonomy may vary by culture.

Best ways to cure Hearing loss Deafness

For example, a Deaf client may feel more comfortable including significant members from the Deaf community in his or her decision making process. Psychologists should strive to consider the plethora of relevant ethical issues, particularly those discussed in the current paper, prior to beginning treatment with a Deaf client, and should consider additional matters, such as legal factors, relevant to bringing a qualified interpreter into treatment.

A discussion of all relevant considerations for working with qualified interpreters is beyond the scope of this paper.

In addition to maintaining ethical standards, psychologists should strive to guarantee that all persons, regardless of hearing status or cultural affiliation, are afforded access to and benefit from the contributions of psychology and receive equal quality in the services they provide Principle D: While it is impossible for psychologists to become competent in working with every cultural and linguistic group given our increasingly diverse culture, it is their ethical responsibility to try their best to do so.

Some might argue that given the small size of this population, it is unlikely a psychologist will ever receive such a referral. Although it is unlikely that identification and resolution of ethical problems will be straightforward, it is the responsibility of the psychologist and the field of psychology as whole to uphold the standards of the Ethics Code.

A special thank you to Dr. Presser for encouraging me to write this paper and for helping me prepare my manuscript for publication. National Center for Biotechnology Information , U. Author manuscript; available in PMC Jan 1. Boness, University of Missouri, Columbia;. The publisher's final edited version of this article is available at Ethics Behav.

Abstract Providing therapy to deaf clients raises important ethical considerations for psychologists related to competence; multiple relationships and boundary issues; confidentiality; assessment, diagnosis, and evaluation; and communication and using interpreters. Practitioners require knowledge, training, and resources to be properly educated on and competent in the ethical treatment of deaf clients The current article presents a detailed explanation of relevant background information and an evaluation of the fundamental ethical considerations that psychologists must be prepared to address in working with the deaf population.

Values, behaviors, and traditions of Deaf culture Within the Deaf culture there are a number of other important values, behaviors, and traditions that are unique to this group. Mental Health Needs of Deaf Individuals As is true with any cultural or linguistic group, the mental health needs of their members vary based on their particular life experiences, values, and beliefs. Competence to Provide Treatment The standard of professional competence Standard 2. Psychological Assessment, Diagnosis, and Evaluation An additional area with a number of ethical considerations concerns psychological assessment, diagnosis, and evaluation.

Training should also consider the ethical considerations described in the current article as they are an important aspect of competence. Training must also focus on issues relevant to working with qualified interpreters, including how to identify a qualified interpreter, knowledge of potential errors qualified interpreters can make, and how to collaborate with qualified interpreters pre- and post-session as well as within session to protect the therapeutic alliance and ensure comprehension by the client e. Further, therapists should be trained in how to deal with assessing interpreter competence, comfort with session content, and how to navigate the informed consent process when working with a qualified interpreter.

Recommended Books

Further, the Missouri Department of Mental Health offers free online trainings http: Such benchmarks may be best detailed in the professional guidelines for the application of the APA Ethics Code mentioned above. Beginning with certification programs via workshops or online courses would also be useful tools for addressing this aim more immediately given the challenges related to graduate-level training described above. Actively work in collaboration with the Deaf community and Deaf organizations to provide information and psychoeducation to their members in order to expedite equal access to services.

Clinicians should actively participate in professional organizations in the field of deaf studies Leigh, This might increase the possibility that all persons, regardless of hearing status or cultural affiliation, are afforded access to and benefit from the contributions of psychology. Encourage empirical research focused on how to be most effective in treatment and assessment when using an interpreter.

Since this places financial responsibility on the provider, it would also be beneficial to advocate for funding that would give providers the economic resources necessary to achieve this goal. As a field, work to make doctoral level training more accessible for Deaf trainees.

Post navigation

However, institutions such as Gallaudet University often experience challenges in placing students in internships with more general programs, even if the program has an emphasis on treating disabled clients. Mentalizing in clinical practice. American Psychiatric Publishing; Ethical principles of psychologists and code of conduct. Guidelines for providers of psychological services to ethnic, linguistic, and culturally diverse populations. Interpreters for the deaf revisited.

Bilingual issues in mental health assessment and treatment. Hispanic Journal of Behavioral Sciences. Barnett JE, Goncher I. Informed consent with culturally diverse clients. Community participatory research with deaf sign language users to identify health inequities. American Journal of Public Health.

Too much of a good thing or not enough? Professional Psychology- Research and Practice. The signs of silence: Communicating with deaf and hearing-impaired patients. Deaf and hard of hearing people. Test interpretation and diversity: Achieving equity in assessment. American Psychological Association; Understanding multiple relationships in rural practice. APA ethics code commentary and case illustrations. Special issues in psychotherapy with minority Deaf women. Cornes A, Napier J.

Psychotherapy With Deaf and Hard of Hearing Persons : Michael A. Harvey :

Challenges of mental health interpreting when working with deaf patients. Meeting the mental health needs of persons who are deaf. Training, standards, and certification. The application of demand-control theory to sign language interpreting: Implications for stress and interpreter training. Journal of Deaf Studies and Deaf Education. Consumers and Service Effectiveness in Interpreting Work: A Practice Profession Perspective. Interpreting and interpreter education: Directions for research and practice. Oxford University Press; Determinants of mental distress in adults with a severe auditory impairment: Mental health of deaf people.

Resources for mainstream programs: A qualitative meta-synthesis on the experience of psychotherapy for deaf and hard-of-hearing people. Glickman N, Crump C. Sign language dysfluency in some deaf persons: Implications for interpreters and clinicians working in mental health settings.

Deaf mental health care. Glickman N, Harvey M. Psychotherapy with deaf adults: The development of a clinical specialization. Journal of the American Deafness and Rehabilitation Association. Cognitive behavioral therapy for deaf and hearing persons with language and learning challenges. Deaf mental health research: Ethics in mental health and deafness. Gallaudet University Press; Gutman V, Pollard RQ. Nov, Working with deaf interns and internship applicants; pp.