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Pamela Hays' ADDRESSING Framework

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Stephen Bradley

on 9 March 2016

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Transcript of Pamela Hays' ADDRESSING Framework

Age
What (if any) developmental disabilities does my client have?
How do these contribute to my ideas about what is possible / not possible for my client?
Do I have the support/ information / knowledge to help my client if they struggle with a developmental disability?
Can I find a way to talk about this aspect of my client’s / my life? If so, how and when would be appropriate and helpful?
Disability (from birth)
How does my client’s socioeconomic status impact their ability to participate in treatment?
How does my socioeconomic status impact my ability to help my client?
Has my or my family’s socioeconomic status changed in my lifetime? In my parents’ lifetimes? If so, how does this impact how I might feel / think in relation to my client’s identified socioeconomic status?
Have I seen where my client, their family or community lives?
Have I visited the home or neighborhood of this client (or similar homes / neighborhoods)?
Can I find a way to talk about this aspect of my client’s / my life? If so, how and when would be appropriate and helpful?
Socioeconomic Status
Does my client struggle with any disabilities acquired after birth? Do I struggle with similar/ different disabilities in my own life?
How does my clients’ disability influence my thinking about what is / is not possible for them to achieve?
How might my client view my own disability (assuming they are aware of it) in relation to my ability to help them?
Can I find a way to talk about this aspect of my client’s / my life? If so, how and when would be appropriate and helpful?
Disability Acquired Later In Life
Pamela Hays' ADDRESSING Framework
Clinical Implications in Practice
Am I aware of my client’s religion/ spiritual orientation?
How does this impact my view of my client? Am I aware of what that orientation means to them?
Does my own religious / spiritual orientation impact my view of my client? If so, how?
Can I find a way to talk about this aspect of my client’s / my life? If so, how and when would be appropriate and helpful?
Religion / Spiritual Orientation
Ethnic and Racial Identity
How comfortable am I with my own racial and ethnic identity in the presence of my client? How comfortable am I if I know or perceive a difference between my own and my client’s ethnic / racial identity?
Do I have concerns / issues about how effective I will be with my client if we are of different ethnic / racial backgrounds than each other?
What (if any) fears, worries, or concerns do I have about talking with my client as a member of their ethnic and / or racial group(s) or culture(s)?
How do I feel if our ethnic / racial identities clearly indicate a significant difference between our access to privilege? How do I imagine my client feels?
Can I find a way to talk about this aspect of my client’s / my life? If so, how and when would be appropriate and helpful?
What are my assumptions about my client’s sexual orientation? Am I aware of my own orientation?
How does this influence my engagement with my client?
How comfortable am I talking with my client about their intimate relationship(s)?
Do I feel I have the knowledge I need to be able to help my client in this area of their life (intimate relationships)?
How comfortable am I talking about sex in general with clients?
Can I find a way to talk about this aspect of my client’s / my life? If so, how and when would be appropriate and helpful?
Sexual Orientation

Does my age status relative to my client’s age give me greater / lesser privilege?
How does the intersection of my / my client’s age impact my ability to engage them in the treatment process?
How might age influence their perception of the problems that bring them into therapy?
How does age influence how my client views me? How I view my client?
Can I find a way to talk about this aspect of my client’s / my life? If so, how and when would be appropriate and helpful?
Gender
How does my client identify in terms of gender identity (i.e. cis-male, cis-female, third gender, two-spirit, trans man/ FTM, trans woman/MTF?
How do I identify in regards to my own gender identity?
What thoughts / feelings / associations / beliefs do I have in relation to the spectrum of gender identity possibilities?
What thoughts / feelings/ associations / beliefs do I imagine my client has in relation to members of my identified gender group?
Can I find a way to talk about this aspect of my client’s / my life? If so, how and when would be appropriate and helpful?
National Origin
Indigenous Heritage
What is my own indigenous heritage? Where do my people come from / originate? Did we originate here (wherever “here” may be)? If so, how does this influence my sense of identity?
Where is the origin of my client’s indigenous heritage? How does this influence his / her sense of identity?
Am I aware of how many distinct indigenous cultural groups there are connected to the land / region/ country in which I live and work?
Can I find a way to talk about this aspect of my client’s / my life? If so, how and when would be appropriate and helpful?

How comfortable do I feel discussing my client’s experiences in the United States as a member of their community of national origin?
How comfortable do I feel discussing my own experiences in the U.S.A as a member of my own community of national origin?
Did my client immigrate during his / her lifetime? Did their parents / grandparents immigrate during their lifetimes? If so, what were some of the circumstances around this transition? What have been some of the impacts on my client’s (and their family’s) life?
Can I find a way to talk about this aspect of my client’s / my life? If so, how and when would be appropriate and helpful?
Full transcript