Sections 3.7.4 to 3.7.6 · Applied Exercise

Recognition and Repair

Five errors, one microaggression, one repair, and two decisions about competence.

Before you begin

The errors that most frequently appear in clinical practice with these populations fall into categories that are recognizable, preventable, and important to address not as moral failings but as clinical skills gaps. This exercise begins with five clinical moments, then moves to a microaggression, a repair, and the question of when to consult and when to refer.

Figure 3.7 appears in full at the end.

Estimated time to complete this exercise: 15 minutes

1Errors
2Impact
3Repair
4Thresholds
5Consult
6Close

Part 1 of 5

Clinical moment 1 of 5

A woman in her forties presents for help with work stress. Early in the session you ask how her husband is handling it.

Which error is this?

References

  1. Eubanks, C. F., Muran, J. C., & Safran, J. D. (2018). Alliance rupture repair: A meta-analysis. Psychotherapy, 55(4), 508–519. https://doi.org/10.1037/pst0000185
  2. Lilienfeld, S. O. (2017). Microaggressions: Strong claims, inadequate evidence. Perspectives on Psychological Science, 12(1), 138–169. https://doi.org/10.1177/1745691616659391
  3. Sue, D. W., Capodilupo, C. M., Torino, G. C., Bucceri, J. M., Holder, A. M. B., Nadal, K. L., & Esquilin, M. (2007). Racial microaggressions in everyday life: Implications for clinical practice. American Psychologist, 62(4), 271–286. https://doi.org/10.1037/0003-066X.62.4.271