The Case of "Rosa": Exploring Socio-Cultural Identities in Treatment

This paper explores social-cultural identities, in particular language, as an integral component in culturally competent psychotherapy. Integrating in treatment discussions around the complex matrix of intersecting socio-cultural identities between client and therapist enhances the therapeutic relationship and promotes treatment gains. Trauma processing, in particular, is enriched when issues of power and privilege as they pertain to socio-cultural identities are addressed. Using bilingualism and language switching in treatment are described as therapeutic interventions in working with clients who share a common language with the therapist. The importance of addressing race-based oppression and trauma is also noted.