Cultural and Linguistic Competence in Communication Disorders Flashcards
Culture
Shared beliefs, values, customs and behaviors of a group of people, encompassing everything from language and arts to social norms and traditions
Cultural Responsiveness
Understanding and appropriately including and responding to the combination of cultural variables and the full range of dimensions of diversity that an individual brings to interactions
Requires:
Valuing diversity
Seeking to further cultural knowledge
Working towards creating community where diversity is valued
Cultural Competence
Dynamic and complex process that requires on-going self assessment, continuing cultural education, openness to other’s values and willingness to share own values and beliefs
Similar to maintaining professional competence
Cultural Humility
Understanding that one must first being with self-examination of one’s own beliefs and cultural identity to better understand other’s beliefs and cultures
lifelong process of self-reflection
Developing cultural responsiveness
Ongoing process that includes:
Self assessment: Review of personal history, values, beliefs and biases
Understanding how those factors may influence perceptions of communication abilities and patterns
Understanding how personal perceptions may influence interactions and service delivery to individuals and
Transitioning understanding into actions that support unbiased and culturally appropriate and relevant clinical environments
ASHA Roles and Responsibilities
ASHA requires SLPs and AUDs to practice in a manner that considers the impact of cultural variables for effective assessment and intervention
Responsiveness includes:
Engaging in internal reflection
Acknowledging limits in education and training
Respecting individuals and not using stereotypes
Integrating individual’s traditions and customs into service
Recognizing affects of assimiliation in communication
Demonstrating cultural humility
Cultural considerations in assessment and intervention
Difference v. Disorder
Avoid making assumptions that a communication pattern contributes to a disorder when it is just a variation
Example:
Cultural variation may influence social behavior (eye-gazing, face expressions, rules of social interactions)
Accents and dialects are not articulation disorder
Assessment: Gather case history and compare to others from the same community. Ethnographic interviewing techniques using open ended questions and restating by repeating
Careful using normative assessments and use accommodations and modifications as see fit
Intervention: Remove or minimize cultural barriers to intervention and include culturally relevant experience to intervention
