The “use of self” is a powerful tool that social workers rely upon to facilitate treatment growth for their clients. Yet, for many ethnic and racial minority clinicians, their self contains personal, psychological, social, and cultural aspects that they must acknowledge, examine and negotiate as they enter into the clinical arena. The therapeutic world is increasingly diverse, therefore, the profession must address issues relating to researching, educating, training, supervising, and supporting clinicians from diverse backgrounds to attend with greater knowledge and self-examination. They must attend to the nuances of use of self with respect to issues of intersectionality in order to provide attuned, culturally responsive, and socially just treatment. This paper demonstrates how clinical social work practitioners can facilitate self-development and growth in clients through their strategic use of self as grounded in early British and American object relations theories and contemporary relational theory. The clinical materials in the composite case study (employed to protect the confidentiality of the clients) are used to illustrate that when clinicians embrace the challenges of working in the intercultural and interracial treatment arena and dive deeply beyond the choppy surface, there are many opportunities to further the therapeutic progress while providing a culturally sensitive and socially just clinical practice. Implications for clinical social work practice, education and research are identified.

中文翻译：

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在肥沃的雷区：在跨文化和跨种族临床治疗组合中通过促进自我发展和成长来应对挑战和机遇

“自我使用”是社会工作者赖以促进其客户的治疗增长的强大工具。然而，对于许多少数族裔和少数族裔的临床医生来说，他们的自我包含个人、心理、社会和文化方面的内容，他们在进入临床领域时必须承认、检查和协商这些方面。治疗世界越来越多样化，因此，该专业必须解决与研究、教育、培训、监督和支持来自不同背景的临床医生有关的问题，以获取更多的知识和自我检查。他们必须注意在交叉性问题上使用自我的细微差别，以便提供协调的、文化上敏感的和社会公正的治疗。本文展示了临床社会工作从业者如何通过他们以早期英美客体关系理论和当代关系理论为基础的自我战略使用来促进客户的自我发展和成长。复合案例研究中的临床材料（用于保护客户的机密）用于说明当临床医生接受在跨文化和跨种族治疗领域工作的挑战并深入研究波涛汹涌的表面时，有很多机会进一步推进治疗进展，同时提供文化敏感和社会公正的临床实践。确定了对临床社会工作实践、教育和研究的影响。