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Discussion paper on cultural competency
Adjustment to new cultural environments
Discussion paper on cultural competency
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Cultural Adaptation
The purpose of this essay is to identify ways an individual may adapt to a new culture and the stages the individual may go through to culturally adapt to the new culture. Individuals and families face many obstacles when leaving their home country and integrating into a new society. This essay will address how this adaptation affects them as an individual, their culture, and as society as a whole. Culture is considered as the client’s values, beliefs, customs, race and ethnicity, spirituality, gender and sexuality, etc. (NASW, 2015). It is the responsibility of the social worker to become culturally competent in order to effectively work with diverse cultures.
Stages of Cultural Adaptation
There are three stages of cultural adaptation prior to the individual developing bicultural identity (University of Illinois, 2015). A client may not need to go through every stage prior to acquiring bicultural identity. It will depend on the individual, their
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This process may include specialized training, classes, research and learning from the client/client system (Weaver, 1999). By instilling a more cultural competent form of assessment and intervention the clinician and client will develop a working relationship which further assists the client to attain services that will help the client to develop bicultural identity (Marsiglia & Booth, 2014). Developing a relationship in which the client and clinician can begin to acquire a mutual trust and respect for one another will allow the client develop effective coping skills to bring their present culture and the new culture into practice. The clinician and other community resources need to be careful not to transfer their own beliefs or values onto the client, but allow them to make choices for what is in their best interest
During the initial interview with the client a new format is used called the Cultural Case Formulation. This takes into account the cultural identity of the person, their cultural definitions of distress, and cultural stressors. Psychosocial stressors are included which can be unique to each culture and the level that a person identifies with their culture can be taken into account when treatment planning. By assessing a client's cultural identity this may allow the clinician to identify barriers or commonalities between themselves and the
It is important to include cultural issues in the helping process to be more effective. We also need cultural competence because the U.S. is becoming more diverse. Therefore with diversity comes different beliefs, norms, and values. Eurocentric values dominate sciences and began cultural universals which puts the clash of dominate and non-dominate cultural behaviors in motion. In 1996 the NASW Code of Ethics increased the recognition of cultural competence. It is important to know diversity exist within ethnic and cultural groups because social workers need to know that relationships between helping professionals and clients may be strained. This happens because of the distrust between groups. Another important aspect is that the professional realizes their own values, biases, and beliefs. The reason for this is because they must value diversity to start with and understand the dynamics of difference. Culturally competent practitioners have to go through developmental process of using their own culture as a starting point to meet all behaviors. Striving for cultural competence is a long term process of development. The literature on cultural competence is theoretical and conceptual. They have not been evaluated in a systematic way. Roughly there are 2 million Native americans in the U.S. Which survive decimating disease, over-repressed in child welfare system, suffer from health problems, and are among the poorest people in the United States. Working with them clearly falls within the social work clearly mandate to serve vulnerable and oppressed clients. However, we do not know how many people from this group is actually receiving help from social workers. Even though it is important to train social workers to provide care in th...
Counselors today face the task of how to appropriately counsel multicultural clients. Being sensitive to cultural variables can be conceptualized as holding a cultural lens to human behavior and making allowances for the possibility of cultural influence. However, to avoid stereotyping, it is important that the clinician recognize the existence of within-group differences as well as the influence of the client’s own personal culture and values (Furman, Negi, Iwamoto, Shukraft, & Gragg, 2009). One’s background is not always black or white and a counselor needs to be able to discern and adjust one’s treatment plan according to their client.
Culture can be defined as behaviors exhibited by certain racial, religious, social or ethnic groups. Some factors in which culture may vary include: family structure, education, and socioeconomic status (Kodjo, 2009). Some may think cultural competence is something that has an end point, however, when the big picture is seen, it is a learning process and journey. From the writer’s perspective, the client-therapist relationship can be challenging. Culturally competent therapists must realize that behaviors are shaped by an individual’s culture. Many changes are taking place within the United States cultural makeup. Therapists and healthcare professionals are being challenged to provide effective and sensitive care for patients and their families. This type of culturally sensitive care requires the professional to be open and seek understanding in the patients diverse belief systems (Kodjo, 2009).
For example, the Campinha-Bacote model views cultural competence as an ongoing process that involves the integration of the following constructs: cultural awareness, cultural knowledge, cultural skill, cultural encounters, and cultural desires (Campinha-Bacote, 2002). This model can be implemented into practice as I can recognize my own cultural background to prevent the tendency to impose any biases on another individual’s culture. I can begin to build upon my cultural knowledge by asking questions in a respectful manner to seek information about one’s culture. Most importantly, a desire to want to engage in the process of becoming culturally competent will be a deciding factor for positive patient outcomes. Examples of this desire may include, the willingness to learn how to conduct cultural assessments or a genuine passion to be open and accept differences between cultures. Moreover, it is important to recognize that cultural competency is not an end result, but an ongoing learning process (Campinha-Bacote,
Cultural Competence is important for many reasons. First, it can help develop culturally sensitive practices which can in turn help reduce barriers that affect treatment in health care settings. Second, it can help build understanding, which is critical in competence, in order wards knowing whom the person recognizes as a health care professional and whom they views as traditional healer, can aid the development of trust and improve the individual’s investment and participation in treatment. Third, our population in the United States is not only growing quickly but also changing, cultural competence will allow us as educators and healthcare workers keep up wi...
programs, particularly with treatment initiation and retention. Hiring qualified staff of the same ethnic background may dramatically increase patient access and initiation into treatment. In addition, if the treatment provider is not of the same ethnic background, it is best that he or she take on an inquisitive role and not make any ethnocentric assumptions based on his own cultural heritage. The goat of the clinician should be to uncover social cultural issues that will affect acceptance, retention, and ultimately, treatment outcome". (Patrick Abbott, MD and Duane M. Chase. n.d para,
A sudden change in one’s surroundings can result in culture shock. Culture shock refers to the anxiety and surprise a person feels when he or she is discontented with an unfamiliar setting. The majority of practices or customs are different from what a person is used to. One may experience withdrawal, homesickness, or a desire for old friends. For example, when a person goes to live in a different place with unfamiliar surroundings, they may experience culture shock. Sometimes it is the result of losing their identity. In the article “The Phases of Culture Shock”, Pamela J. Brink and Judith Saunders describe four phases of culture shock. They are: Honeymoon Phase, Disenchantment Phase, Beginning Resolution Phase, and Effective Function Phase. These phases denote some of the stages that exemplify culture shock. The four phases are illustrated in the articles “New Immigrants: Portraits in Passage” by Thomas Bentz, “Immigrant America: A Portrait” by Alejandro Portes and Ruben G. Rumbaut, “When I Was Puerto Rican” by Esmeralda Santiago, “Today’s Immigrants, Their Stories” by Thomas Kessner and Betty Boyd Caroli, and lastly, “The New Americans: Immigrant Life in Southern California” by Ulli Steltzer, and are about the experiences of some immigrants. This essay will examine the four phases of culture shock and classify the experiences of these immigrants by the different phases of culture shock identified.
Cultural competence can be defined as using the ability of one’s awareness, attitude, knowledge and skill to effectively interact with a patient’s many cultural differences. Madeline Leininger, a pioneer on transcultural nursing describes it this way; “a formal area of study and practice focused on comparative human-care differences and similarities of the beliefs, values and patterned lifeways of cultures to provide culturally congruent, meaningful, and beneficial health care to people” (Barker, 2009, p. 498). The importance of cultural diversity in healthcare allows for the delivery of appropriate cultural autonomy. Showing respect for others will lead to trust between nurse and patient which in turn improves healing and health.
There are different perspectives, however, which put stress on various aspects of culture and try to identify its boundaries and its substitutes. Some regard culture as separate entity from demographic factors, some point out acculturation as one of the obstacles, which makes culture difficult to identify, some show how an intimate and meaningful relationship between a counsellor and a culturally different client to be established. In this essay I will be discussing what the different concepts of understanding of culture in Counselling are, by examining different authors and perspectives and evaluating their strengths and weaknesses.
Australia is a multicultural country where immigrants from all over the world immigrate to Australia. This research is focused on Australian’s immigrants who play a big role in this society. Immigration carries significant factors that affect the process of adaptation on an immigrant. The significant factors discussed further on are social factors, economic factors and cultural factors. To understand immigration and immigrant it would be explained the meaning of it and the types of immigrants. Answering the Research question, it would also be explained what an immigrant aims to reach by explaining the factors that help to feel settled in a new country. As I’m an immigrant in Australia I personally know how factors affect directly the process of adaptation. During this research I aim to prove how these factors affect the process of adaption. It is intended to make useful recommendations to the host country and to the immigrants in order to adapt to a new country easily. It must be said that not everyone experience the same process of adaptation because everyone is exposed to different factors. Moreover, immigrants may experience more than one factor as one factor can lead to the development of other factor.
A social worker must present themselves as a learner and understand clients from all experts of their own experiences. To show your respect to the clients as a social worker you must be able to show that you understand complexity of cultural identity. Cultural competence targets social workers knowledge of development, focusing on culturally specific demographics, characteristics, values, and intravenous technique. When dealing with cultural sensitivity a worker’s genuine appreciation of the client’s uniqueness and universalistic respect for the client’s humanness is needed. To have success in multicultural practice, cultural responsiveness come in to play, which means to be culturally responsive, social workers use dialogue skills that place the client’s construction of reality at the center of the
Insofar as therapists and patients have different reference groups, all encounters may be considered cross-cultural. If this perspective is endorsed, then one may indeed consider cultural competence to be essential to overall clinical competence. Therapists should strive for cultural competency by acquiring both generic and specific cultural knowledge and skill sets. Various generic cultural issues may occur at each phase of psychotherapy, and specific cultural knowledge guides their resolution.
The Role of Culture in Shaping us as Individuals Culture has a big impact on how we all fit in as individuals in today’s society, and since this assignment is about that I decided to include some of my own experiences to illustrate my point of view and compare it with those of my classmates and some of the readings. My family and I moved to United States in 1998 from Albania. My parents believed that I and my sister would get a better education here and also it would be useful and interesting to learn another language and its culture.
Firstly, beliefs and attitudes infer the counselor’s ability to move beyond cultural unawareness for safeguarding that their personal biases, values or problems will not affect their ability to work with culturally diverse clients (Corey, 2013). In the same way, culturally skilled counselors are cognizant of the fact that “cultural self-awareness and sensitivity to one’s own cultural heritage” plays an integral role in the helping process (Corey, 2013, p.