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A Grammar of Power in Psychotherapy

Exploring the Dynamics of Privilege
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New in paperback. This book reveals four common patterns of interaction in the therapy partnership, and explains how social power dynamics influence those patterns. Societal issues based in power and privilege inevitably enter the therapy room. In this book author Malin Fors offers an intersectional grammar to unmask the hidden dynamics. Integrating theory, research, and a wealth of clinical narratives, Fors explores four core situations: when therapist and patient have similar levels of social power, when either therapist or patient has more privilege relative to the other, and when both therapist and patient have similar levels of nonprivilege. This fresh synthesis-for which the author was awarded the 2016 APA Division 39 Johanna K. Tabin Book Proposal Prize-offers new language for understanding power dynamics in psychotherapy, counseling, and all treatment relationships. Clinical topics explored include voluntary and involuntary self-disclosure, visible and invisible similarities between patient and therapist, internalized oppression, and choosing whether or not to address privilege explicitly, among many others. Nancy McWilliams contributed the Foreword to this book, which gives professionals from any therapy orientation a helpful framework for aligning their desire for social justice with healing interactions around race, gender, sexuality, ability, class, age, and other differences.
"Writing from a sophisticated feminist ethics viewpoint, Fors (Univ. of Tromso, Norway) offers a 'matrix of relative privilege' as a conceptual model designed to untangle and heighten awareness surrounding the subtle cultural blindness affecting psychotherapy... Recommended." -Choice "To ignore power and privilege disparities in psychotherapy is to effectively ignore their existence within the broader societal and global context. Malin Fors' detailed examination of power and privilege dynamics allows readers to learn not only what the literature says, but also to hear firsthand accounts of Fors' experiences both in and out of the therapeutic dyad. Lastly, Fors' leaves space to discuss where we can go from here and reminds the reader that this book is not intended as a manual or set of instructions, rather an incomplete, ever-evolving grammar geared at upheaving clinical blind spots, and raising awareness around power and privilege disparities within psychotherapy." -APA Division 44 Newsletter
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