Eduardo Duran - a psychologist working in Indian country - draws on his own clinical experience to provide guidance to counselors working with the native people. Translating theory into actual day-to-day practice, Duran presents case materials that illustrate effective intervention strategies for prevalent problems, including substance abuse, intergenerational trauma, and internalized oppression. Offering a culture-specific approach that has profound implications for all counseling and therapy, this groundbreaking volume: provides invaluable concepts and strategies that can be applied directly to practice; outlines very different ways of serving American Indian clients, translating Western metaphor into indigenous ideas that make sense to Native People; presents a model in which patients have a relationship with the problems they are having, whether these are physical, mental, or spiritual; and, includes a section in each chapter to help non-American Indian counselors generalize the concepts presented to use in their own practice in culturally sensitive ways.