PSYC 561: Multicultural Counseling Flashcards

1
Q

Acculturation

A
  • Refers to the process of minority groups internalizing the values, beliefs, and traditions of the larger/majority group
  • This occurs at the individual level and group level
  • Can result in stress for those of the minority status
  • clinician should be able to identify a client’s level of acculturation because it can affect their worldview and response to their surroundings

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2
Q

ADDRESSING Model

A
  • An acronym that describes several facets of identity that are often overlooked
  • Learning these aspects of a clients identity can help us understand them in a more holistic way
  • The acronym stands for:
  • A: age
  • D: disability at birth
  • D: disability acquired
  • R: religion
  • E: ethnicity
  • S: Socioeconomic status
  • S: sexual orientation
  • I: indigenous heritage
  • N: nation of origin
  • G: gender identity/pronouns

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3
Q

Assimilation

A
  • Refers to the process when an immigrant to a new culture adopts that culture’s beliefs and practices
  • Immigrants often feel great pressure to blend in
  • May also feel embraced if they appear to belong to the culture
  • However, can cause stress for the individual and for those around them

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4
Q

Bicultural

A
  • Occurs when an individual ascribes to values and customs of two different cultural identities
  • Identifying as bicultural can be difficult in a society that encourages assimilation and an either-or attitude
  • you can communicate functionally and effectively in both cultures

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5
Q

Collectivism

A
  • Occurs when the psychosocial unit of operation resides in the family/group/collective society rather than the individual
  • Under this worldview, the needs and interests of the individual are sacrificed to meet the needs of the whole group
  • Collectivism is typically prominent in Eastern cultures

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6
Q

Coming Out Process

A
  • A process when a member of the LGBTQIA+ community reveals their gender identity or sexual orientation to others
  • This is not a “one and done” process as the individual often has to “come out” several times in their lives
  • There can be both positive and negative consequences depending on the individual and those around them

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7
Q

Cross’s Model of Racial Identity

A
  • Model developed during the Civil Rights movement
  • Delineates a five-stage process in which black people in the United States move from a white frame of reference to a positive black from of reference
  • The five stages include:
    1. Pre-encounter (focus on assimilation)
    2. Encounter (event challenges beliefs and causes shift)
    3. Immersion-Emersion (pulls away from white culture and enters black culture)
    4. Internalization (accepts both clitires but feels most connected to black culture)
    5. Internalization-Commitment (individual commits to and embraces black culture)
  • Acronym: Please encounter everyone in interest

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8
Q

Cultural Competence

A
  • The awareness, knowledge and skills needed to function and work effectively with culturally diverse populations
  • The therapist must understand the various influences of culture on a person’s behavior and interactions
  • Cultural competence is not a “check box”, but rather a lifelong process in which the therapist must continually engage

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9
Q

Cultural Relativism

A
  • Refers to the belief that manifestation and treatment of psychological disorders must take cultural differences into consideration
  • The client’s worldview and behaviors/emotional expression must be understood through the lens of their cultural identity

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10
Q

Cultural Racism

A
  • Rationalizes and perpetuates racial inequality via the ideology of cultural superiority and inferiority
  • It values whiteness and white culture
  • Devalues stereotypes
  • Labels culturally diverse groups as “other” or “less than”

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11
Q

Cultural Universality

A
  • Refers to the view that values, concepts, and behaviors characteristic of diverse cultures can be judged according to universal standards
  • Under this lens, it is believed that culturally diverse populations can be treated just the same as Western populations AND
  • cultural differences do not need to be considered

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12
Q

Culture

A
  • The distinctive customs, values, beliefs, knowledge, art, and language of a society or community
  • These values and concepts are passed on from generation to generation AND
  • are the basis for everyday behaviors/practices
  • One’s culture often has a significant influence on one’s identity and their internal frame of reference

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13
Q

Culture Bound

A
  • Refers to behaviors, values, and beliefs that are linked to a specific culture or group
  • Certain syndromes/disorders as well as treatments may be culturally bound
  • meaning they are only found in that culture
  • Therapists must be aware of these specific cultures so as not to misdiagnose or offend the client’s practice, particularly if it’s considered normal/healthy in their cultural lens

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14
Q

Emic

A
  • Refers to cultural specificity
  • Cultural differences must be considered in the diagnoses and treatment of diverse groups
  • The emic perspective emphasizes culture-specific norms/views in the context of the client’s culture
  • “M” for multicultural

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15
Q

Ethnicity

A
  • term used to describe belonging to a social group
  • with a common heritage which can include nation of origin, cultural tradition, religion, or language
  • influences one’s identity
  • Race and ethnicity commonly overlap
  • therapist must be aware of client’s ethnicity when assessing, diagnosing, and treating

Ex: Therapist uses the addressing model to obtain information about a client’s identity. The client identifies as a straight Mexican male who speaks Spanish and practices catholicism. His ethnicity is hispanic. The clinician takes his ethnicity (as well as other parts of his identity) into consideration to better conceptualize the client’s case and provide an appropriate diagnosis as well as form an effective and culturally appropriate treatment plan.

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16
Q

Ethnocentrism

A
  • An evaluation of other cultures according to preconceptions that originate in the standards/customs of one’s own culture(s)
  • it becomes problematic when a majority culture is ethnocentric and attempts to make people assimilate
  • Therapists must be careful not to perpetuate ethnocentrism in their practice

Ex: A clinician tells a Native American client that sweat lodges are silly and they should just go along with the American way.

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17
Q

Etic

A
  • Refers to cultural universality and
  • the belief that human beings share overwhelming commonalities
  • and that the manifestation/treatment of disorders are similar across all cultures
  • The etic perspective downplays cultural differences and assumes similarities between all group of people
  • “T” for total perspective

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18
Q

Eurocentric Monoculturalism

A
  • Refers to a belief in the superiority of one’s cultural heritage over another with a preference for European cultural traditions
  • Imposition of those standards upon the less powerful group
  • 5 components: belief in the superiority of the dominant group, belief in inferiority of others, power to impose standards on less powerful groups, manifestations in institutions, the invisible veil

Ex:

19
Q

Filial Piety

A
  • An attitude of respect for parents and ancestors
  • younger individuals take care of and show a lot of respect to older individuals within the community
  • in societies that are influences by Confucian thought
  • Refers to a reverence for parents/elders as the basis of all human relations and interactions

Ex:

20
Q

Individualism

A
  • Perspective prioritizes the needs and goals of the individual over those of the larger group
  • Focuses on autonomy, self-reliance, and assertiveness
  • Is often found in Western cultures like the United States

Ex:

21
Q

Institutional Racism

A
  • A set of institutional (organizations or governments) policies, practices, and priorities
  • that are designed to oppress minority populations
  • and force dependence on the majority population
  • This can include police practices, unemployment, housing and educational issues, discriminatory incarceration, economics, etc.
  • This is typically one of the most covert forms of racism
  • therefore very difficult to recognize and reassemble

Ex: John is frustrated because his best friend and his brother both committed the same crime of breaking into a car. His best friend is white but his brother is black. His best friend received no consequences while his brother was sent to jail. This is an example of institutional racism.

22
Q

Microaggression

A
  • Refer to everyday slight put-downs, invalidations, and insults
  • that are directed at diverse groups
  • Often times, microaggressions occur by well-intentioned people who are unaware that they have engaged in biased/harmful behaviors
  • Microaggressions are often split into three categories: (1) micro-insults, (2) micro-assaults, and (3) micro-invalidations

Ex:

23
Q

Minority

A
  • A subgroup with social, religious, ethnic, racial, or other characteristics that differ from the majority population
  • The term minority can extend to cover any group that is the subject of oppression and discrimination by another
  • Minority status often puts the individual at a disadvantage

Ex:

24
Q

Multicultural Counseling

A

-Refers to a way of being as opposed to a specific technique
- It is both an appreciation and validation of perspectives and a practice of therapy that aligns with the client’s life experiences and cultural values

Ex:

25
Q

Multicultural Competencies

A
  • Refers to the therapist’s ability to understand and
  • constructively relate to the uniqueness of each client in light of their cultural identity and influences
  • This is typically split into three components:
    1. Awareness ( knowing one’s own biases and views)
    2. Knowledge (knowing information about culturally diverse groups)
    3. Skills (the implementation of culturally appropriate intervention/interactions)

Ex:

26
Q

Multicultural Perspective in Counseling

A
  • This perspective recognizes the differences among and within clients
  • recognizes how their cultures impact their values
  • Therapists must maintain an awareness of their own cultural biases/values
  • in order to prevent them from interfering with their interaction with culturally diverse clients
  • Therapists are responsible for gaining knowledge of diverse populations
  • responsible for educating themselves about the culture(s) of their clients

Ex:

27
Q

Oppression

A
  • A situation in which people are governed in an unfair and cruel way
  • The exercise of this authority/power prevents individuals from having opportunities or freedoms
  • is perpetuated and maintained by a power imbalance
  • Dominant cultures will often use their status to silence “others” and “subordinate” cultural groups
  • done through laws and power
  • people who feel oppressed experience an external locus of control

Ex: LGBT individuals has been bullied, harassed and even lost his job because his boss did not agree with his choices

28
Q

Pluralism

A
  • The idea in which numerous ethnic, religious, or cultural groups
  • participate fully within the dominant society
  • while maintaining their cultural differences
  • These distinct groups may interact without conflict, but often feel the pressure to assimilate
  • salad bowl imagery: all cultures maintain their aspects and function alongside other cultures at the same time

Ex: Google as a company experiences pluralism. People of different cultures act fully within their own culture without assimilating.

29
Q

Poverty and Mental Illness

A
  • Those deemed in poverty are much (2-3x) more likely to develop a mental illness than those with a higher socioeconomic status
  • due to lack of affordable/safe housing and financial stressors, medical care
  • strong association with poverty and substance use
  • be aware of economic barriers to treatment

Ex:

30
Q

Race

A
  • A socially defined concept
  • sometimes used to designate a portion of the human population
  • with common physical characteristics, ancestry, beliefs, or language
  • The most widely used racial categories are based on visible traits like skin color though
  • it is important to remember that race in and of itself is a construct

Ex:

31
Q

Racial Identity Development Model

A
  • A 5-stage theory of racial identity development by Sue & Sue
    1. Individuals start in a state of conformity (the depreciation of self and their culture and an appreciation for dominant culture)
    2. Dissonance (individual experiences conflict with their submission to a dominant culture)
    3. Resistance and Immersion (individual experiences negative attitudes toward the dominant culture and positive attitudes toward their own culture)
    4. Introspection (individual tries to see the best in both cultures)
    5. Integrative Awareness (an appreciation of their own culture but is comfortable moving between both cultures)
  • Acronym: comps don’t really interest individuals

Ex:

32
Q

White Privilege

A
  • Refers to the unearned advantages and privileges that accrue to people of light-colored skin
  • Typically of White European descent
  • White privilege maintain the racial hierarchy in the United States
  • Often many white individuals are unaware of its presence/influence in their life
  • define reality, oblivious to the fact that whiteness is a privilege, able to deny it’s existence, telling oneself they’re not prejudiced

Ex:

33
Q

White Racial Identity Development

A
  • A 6-stage theory
    1. Contact (lacks awareness)
    2. Disintegration (has awareness but feels helpless at recognition of own advantage)
    3. Reintegration (active assertion of white superiority while denying racism)
    4. Pseudo-Independence (characterized by attempts to understand racial differences)
    5. Immersion/Emersion (increase of experiential and affective understanding and changing majority behavior/attitudes)
    6. Autonomy (awareness of whiteness with reduced guilt, acceptance of role in perpetuating racism, and commitment to social change)
  • Acronym: can dumb republicans please identify AS assholes

Ex:

34
Q

Worldview

A
  • Composed of people’s attitudes, values, and beliefs
  • that affect how people think, behave, define events, and make decisions
  • Consists of basic assumptions that provide a way of thinking about the world
  • Different cultures often have different worldviews
  • as a clinician, we must realize that our worldview may be different than out client’s worldviews

Ex:

35
Q

Counseling-relevant cultural issues for: African American clients

A
  • strong distrust for the majority culture and people that belong to it
  • must consider the level of racial identity development
  • have multigenerational homes, always ask who lives in the home
  • collective view in family and highly value family connections which don’t have to be blood (can be from church or school)
  • family and faith are important; may seek religious leaders/family members before therapists
  • discuss oppression discrimination in terms of the client
  • may respond well to community based programs (church or community centers)
36
Q

Counseling-relevant cultural issues for: Hispanic/Latinx clients

A
  • resistance to talking about problems because it is disrespectful to the family
  • think about citizenship and deportation
  • machismo, address dad first in therapy to show respect
  • man is in charge, brings home the money but women take care of the house
  • there are culturally bound illnesses within this culture
  • consider client’s level of acculturation
  • consider potential language barriers; may need translator
  • may consider incorporating family and religious components into therapy
37
Q

Counseling-relevant cultural issues for: Native American clients

A
  • 2% of population
  • may not look you in the eyes because it is seen as disrespectful
  • highest rates of suicide in teenagers
  • high rates of substance use disorder
  • connectedness to nature and spirituality
  • understand where they’re at in cultural identity
  • believe in non-interference
  • persons specific customs important to know because different groups mat have different practices; different tribes have different traditions
  • spiritual healers may be important person in their culture as healer
38
Q

Counseling-relevant cultural issues for: LGBT clients

A
  • never assume problems are because of sexual orientation or gender identity
  • be aware of support groups and resources
  • consider discrimination and oppression they have faced
  • ask about their pronouns and preferred name
  • allow them to take the lead on coming out process
  • be sure of social supports being strong and increase if necessary
  • be aware of your own beliefs about this community
  • high rates of suicide and bullying and substance use disorder
  • be open to helping the parents as well as the individual
39
Q

Counseling-relevant cultural issues for: Asian clients

A
  • often resistant to talking about feelings because it is not common in their culture
  • may describe somatic symptoms rather than mental health symptoms
  • important to address father as sign of respect in family settings
  • important not to pathologies filial piety as dependence on older members of family
  • Don’t touch them
  • May bring gifts
40
Q

Counseling-relevant cultural issues for: Arab clients

A
  • feel marginalized as security threat
  • feel as though people are distrusting of them and they have high levels of distrust
  • islamic religion, prayers 5 times a day
  • dress is different, conservative women
  • value education
  • arranged marriage
  • social status is important
  • value family connections and live in multifamily households
  • may expect detailed advice and direction and view therapist as experts to make decisions
41
Q

Counseling-relevant cultural issues for: Physically Disabled clients

A
  • never assume their problem is because of their physical disability
  • consider aspects of personality and life to see how it may be contributing to the problem
  • be aware of how society views them and how that impacts their mental
  • make your therapy office accessible to those with physical disabilities
  • don’t overlook sexual relationships
42
Q

Counseling-relevant cultural issues for: Female clients

A
  • struggle with harassment/discrimination
  • unequal rights, including pay
  • therapists should understand the available resources to women for motherhood
  • knowing how cultural norms or traditional gender roles are a part of their life is important
  • encourage them to advocate for themselves
  • more likely victims of violence than males
43
Q

Counseling-relevant cultural issues for: Male clients

A
  • may be resistant to talking about feelings because they are taught it is a sign of weakness
  • may respond better to reframing therapy as building strength and facing problems as a sign of bravery
  • use more lethal means of suicide
  • do better with male clinicians
  • have higher rates of learning disabilities
44
Q

Counseling-relevant cultural issues for: Clients in poverty

A
  • may have limited access to transportation to get to therapy or lack or resources (money)
  • 2x-3x more likely to struggle with mental illness
  • Consider resources for them/what levels of Maslow’s hierarchy of needs need to be met first
  • Race and gender to be considered for intersectionality that may be occurring
  • in-home therapy may be an effective modality of treatment
  • be open to working with other providers like social workers
  • may have extra economic concerns such as lower quality in nursing, employment, healthcare, etc.