CHAPTER 9 Multicultural Evidence‐Based Practice

Question 1

what hemisphere of therapy tends to ignore cultural values and spirituality and sociality

Answer 1

western therapy

Question 2

what percentage of those of the LGBTQIA+ feel dissatisifed with their therapy as compared to non LGBTQIA+ clients?

Answer 2

more than half

Question 3

what are the 4 major issues with using empirically supported therapies?

Answer 3

use of manuals for these therapies often denies cultural contexts
validity for these therapies for use with minority groups is questionable due not being a part of the clinical trials
does not acknowledge client-therapist relationship
too much emphasis on experiments and not other forms of research

Question 4

what are 4 ways to create cultural adaptations to treatment?

Answer 4

(a) matching the language and racial or ethnic backgrounds of the client; (b) incorporating cultural values in the specific treatment strategies; (c) utilizing cultural sayings or metaphors in treatment; and (d) considering the impact of environmental variables

Question 5

what are the 4 parts of a strong therapeutic relationship

Answer 5

empathy, respect, genuineness, and warmth

Question 6

define connectednes

Answer 6

feelings of closeness with the therapist, working together in an enabling atmosphere, receiving support for change, and being provided an equality of status within the working relationship

Question 7

define cultural humility x6

Answer 7

Cultural humility which is defined by flexibility; self‐reflection, mutual empowerment, awareness of bias; a lifelong, learning‐oriented approach to working with diversity; and a recognition of the role of power on the part of the therapist

Question 8

what are teh 3 parts of a therapeutic alliance

Answer 8

(a) an emotional or interpersonal bond between the therapist and the client; (b) mutual agreement on appropriate goals, with an emphasis on changes valued by the client; and (c) intervention strategies or tasks that are viewed as important and relevant by both the client and the therapist

Question 9

what 2 cultures are very focused on having a strong relationship with the therapist

Answer 9

african american and latinx.

Question 10

what 4 races prefer a more active or directive counselor

Answer 10

black, asian, latinx and multiracial

Question 11

define an active or direct counselor x4

Answer 11

concrete suggestions, providing direct answers, challenging the client’s thinking with thought‐provoking questions, and providing psychoeducation regarding the therapy

Question 12

what kind of therapist do african americans prefer x4

Answer 12

same sex, assertive, and structured, and seeking social interaction

Question 13

what kind of therapist do latinx prefer

Answer 13

interpersonal (not clinical distance)

Question 14

define somatic empathy

Answer 14

the subconscious mirroring of gestures and expressions or body posturing, somatic sensations

Question 15

what culture prefers a more distant kind of empathy

Answer 15

asian

Question 16

what is the major issue with over identification

Answer 16

makes it hard to be objective (may not see a person’s responsibility in interpersonal issues)

Question 16

what can too much counter transferenc cause

Answer 16

over identification

Question 16

what are the 3 parts of evidence based practice

Answer 16

clinical expertise, client’s culture and preferences, best available research

Question 16

define evidence based practice

Answer 16

he integration of the best available research with clinical expertise in the context of patient characteristics, culture, and preferences