final exam Flashcards
**Multiculturalism as a fourth force
Powerful force
Enhances existing model
Infuses awarenes/sensitivity
Applied to various cultural backgrounds
recent efforts to emphasize issues of diversity and culture
Adding divisons (highlight cultural competance)
APA ethics code changes (principle E, standards 3.01, etc. & APA qualification requires adressing diverse backgorunds
DSM (Cultural formulation interview, outline, cultural-bound syndromes/concepts of distess)
What is cultural competance?
–Counselor’s awareness, knowledge, and skills needed to function effectively in a pluralistic democratic society (Inclusivity, respect poeples cultures/beliefs, all coexist)
–Effective advocacy of new theories, practices, policies, and organizational structures that are more responsive to all groups
etic vs emic
etic - emphasizes our simalarities (early days)
emic - recognizes cultural-specific norms, considers clients’ thoughts/behavior in context of their culture
Tripartate Model of Personal Identity
individual - unique, nonshared experience (our DNA)
group - like other people (gender, ethnicity, race, sexual orientation
universal - like all other people (self-awareness, homo sapiens, ability to use symbols, common life experiences)
level of similarities at these 3 levels
cultural adaptation
Adapt treatment for different groups
Allocentric (community) guided imagery scripts instead of idiocentric (individual) scripts
cultural self awareness
- Begins with learning about own culture
- Not only basic facts, but values, assumptions, and biases
- Unique and idiosyncratic views (individuals perspective reflects their personal experiences & values, challenges existing norms)
Knowledge of diverse cultures
–acknowledge cultural differences with clients
–have knowledge of their cultural group (knowing history not just values)
–Appreciate the heterogeneity inherent in every culture, avoid sterotyping
acculturation
person/groups adopt and adapt to the cultural traits, values, customs, and behaviors of a different cultural group. modify orginal culture and incorporate new ideas. result of migreation, colonization, globalization.
acculturation strategies
when individuals from the same culture undergo acculturation
their experiences, attitudes, levels of adaptation to the new culture can vary + contribute to the development of heterogeneity within the culture
Heterogeneity within cultures stems from differences in acculturation
Acculturation strategies (john berry)
Assimilation – abandon old culture for new
Separation –reject new culture, retain old
Integration – retain new and old
Marginalization – reject new and old (lack of belonging, discriminated against, inability to maintain their cultural identity while being denied acceptance by the dominant culture.)
a sim
narrow vs broad definitions of culture
Narrow - typically point to ethnicity and
race as the defining characteristics
vs – much broader range of variables, includingsocioeconomic status, gender, geography/region, age, sexual orientation, religion/spirituality, disability status,
immigrant/refugee status, and political affiliation,
“any group that shares a theme or issues”
subcultures
based on specific work settings, living communities, or other variables may represent enough of an influence on the life experiences of clients to justify tailoring the treatment to best fit them (i.e. prison culture)
graduate programs should…
–explicitly state a commitment to diversity
–active effort to retain a diverse faculty
–ensure students aware of their own cultural values/bias and others they work with
–evaluate students on their cultural competence on a regular basis
microagressions
subtle, everyday actions, behaviors, or verbal comments that communicate derogatory or negative messages to individuals based on their membership in a marginalized or minority group. These actions are often unintentional unconsciously done, but they can still have harmful effects on the recipients.
(example; asking male client if they have a girlfriend)
What Constitutes a
Culture?
-Narrow vs broad definitions
-Numerous cultural variables
-Interactions in many ways
-Shapes life experience of client
difficulties MEASURING the outcome of culture-based efforts
- How to meausre it reliabily (consistently)
- How to set baseline for cultural competance beofre trainaing
- How to make a causal connection between efforts and outcomes
Educational Alternatives
Assessment of all courses for infusion of culture- centered approach in curriculum
Regular evaluation of students on cultural competence
GENERAL PRINCIPLES
Aspirational (describe an ideal level of ethical functioning or how psychologists should strive to conduct themselves)
broad, guiding, cant get in troube for
Ethical standards
ENFORCEABLE, very specific, descriptive, CAN get in trouble for
ethical principles
Beneficence/Nonmaleficence
act in the best interest of others, psychologists strive to benefit those with whom they work and do no harm (nonmaleficence)
ethical principles
Fidelity and Responsibility
Psychologists establish relationships of trust with those with whom they work. They are aware of their professional/scientific responsibilities to society/specific communities in which they work
Fidelity - loyal, honest, and trustworthy in their relationships with patients or clients. maintaing boundaires and trust
Responsibility – refers to the duty or obligation of healthcare professionals to fulfill their professional roles and duties effectively
ethical principles
integrity
Psychologists seek to promote accuracy, honesty, and truthfulness in the science, teaching, and practice of psychology
having a strong moral compass and consistently acting in accordance with one’s values, even when faced with challenges or temptations. being transparent, trustworthy, responsiblliy for actions
ethical principles
Justice
Psychologists recognize that fairness and justice entitle all persons to access and benefit from the contributions of psychology and to equal quality in the processes, procedures, and services being conducted by psychologists
fairness, equity, and the distribution of resources or benefits. all clients entitled to treatment
ethical principles
Respect for People’s Rights and Dignity
Psychologists respect the dignity and worth of all people, and the rights of individuals to privacy, confidentiality, and self-determination.
privacy and maintaining the confidentiality of their personal information, clients’ autonomy to make decsions, being culturally sensitive and not discriminating for race, sexual orientation, etc.
confidentiality
characteristic most closely associated with the ethical practice of clinical psychology, mentioned among the general principles
multiple relationships
Refers to situations where a professional engages with a client or patient in roles or contexts beyond the therapeutic relationship.
what makes it unethical?
–if the impairment in the psychologist is compromised (can’t perform their duties effectively)
–Exploitation or Harm to the client
boundaries of competence
Psychologists provide services, teach, and conduct research with populations and in areas only within the boundaries of their competence, based on their education, training, supervised experience, consultation, study, or professional experience.
responsibility to provide care and services within the scope of their expertise and training, and to recognize and address their own limitations.
informed consent
in any professional activity conducted by psychologists, informed consent is an essential process. ensures the client is knowledgeable about the activities in which they may participate, it affords individuals the opportunity to refuse to consent if they so choose
informed consent
in any professional activity conducted by psychologists, informed consent is an essential process. ensures the client is knowledgeable about the activities in which they may participate, it affords individuals the opportunity to refuse to consent if they so choose
continuing education
regulations of many state licensing boards. says to be eligible to renew their licenses, psychologists in many states must attend lectures, participate in workshops, complete readings, or demonstrate in some other way that they are sharpening their professional skills and keeping their knowledge of the field current.
Ethics in Clinical Assessment
Test selection
Test security – prevent the questions, items, and other stimuli included in psychological tests
from entering the public domain
Test data
Ethics in Clinical Research
Ethical obligations ( minimize harm to participants, plagiarism, and avoid fabrication of data)
Efficacy of psychotherapy Participants who don’t receive treatment, all should be informed before of chance of placebo
Contemporary Ethical
Issues
ethics in small communities (military bases, small colleges/towns)
tech and ethics- online therapy and online psych tests
**divided loyalities **
Personal problems - Burnout
-causes: repetition, not leaving it at work, taking on too much with one client, personal problems
-effects: providing poor treatment, not making good connections
-actions: take appropirate action, self care
assesment
Clinical Psychologists use assessment more than any other (social workers, psychiatrists, prof. counselors) Employ a wide range of methods: intelligence and personality tests, neuropsychological tests
Assessment is closely and uniquely associated
with the identity of clinical psychology
validity vs reliability
Validity -measures what it claims to measure
Reliability -consistent, repeatable results
Clinical unity
Clinical unity recognizes that individuals seeking healthcare often have complex needs that extend beyond a single medical condition. It involves bringing together various healthcare professionals, such as physicians, nurses, psychologists, social workers, and other specialists, to collaborate and provide integrated care.
emphasizes the integration of medical, behavioral, and social care to provide holistic and patient-centered services.
general skills
The interviewer should acquire general skills as a foundation for conducting interviews
-quieting yourself : Turning off internal thoughts/questions to focus fully on client
-being self-aware: knowing how you affect people interpersonally & how they relate to you
-developing positive working relationships with clients. : genuine respect, empathy, cultural sensitivity, attentive listening
the interviewer: specific behaviors
Eye Contact
–facilitates and communicates listening
-makes client feel heard
-requires interviewer to have cultural knowledge and sensitivity
the interviewer: specific behaviors
body language
-culture shapes connotations of body language
General rules for interviewer
-face the client
-appear attentive
-minimize restlessness
-display appropriate facial expressions
the interviewer: specific behaviors
vocal qualitites
-skilled interviewers
-use pitch, tone, volume, and fluctuation
-attend closely to the vocal qualities of clients
the interviewer: specific behaviors
verbal tracking
effective interviews monitor the client’s train of thought by..
-repeating key words/phrases
-weaving clients language into their own
-shifting topics smoothly