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When working with culturally different clients it is important to remember that their culture shapes their identity, and their cultural reality could be very different from the clinicians (Garthwait, 2016). Their culture may have taught them to think differently, socialize differently, and both unconsciously and consciously view the world differently (Garthwait, 2016). The clinician should be aware of this, and be careful to show understanding, not judgment, during the session (Garthwait, 2016). It is also helpful if the clinician develops a dual perspective with the client; to focus on both the client’s attitudes, values, etc. while also focusing on society’s values and attitudes (Garthwait, 2016). A dual perspective will help the clinician understand how the client and their environment are interacting (Garthwait, 2016). According to Diller (2007), the first task to working with culturally different clients is to make them feel comfortable. This means taking care not to assume that you know a client’s cultural views or place them into stereotypical molds (Diller, 2007). The clinician should ask the client if they would mind teaching the clinician …show more content…
Simply showing the client empathy towards his situation could make him feel more comfortable with me (Hepworth et al., 2016). Letting the client know that I understand how difficult it must be to watch his father struggle, how defensive the client might feel about telling his father that his condition is terminal, and how sorrowful it is to say goodbye could strengthen our helping relationship. I can use a strengths based perspective and help the client see how resilient and kind he is for caring for his ailing father, and use motivational interviewing to further explore the his strengths (Robbins, Chatterjee, & Canda,
..., p.261) With this knowledge of the culture that one works in, the health care worker can better see the differences with the cultures of the patients that they are taking care of. Hopefully this understanding will lead to less conflict and better healing.
Although, even if the therapist is from the same cultural background this can still be hard to counsel these clients because of different traditions, language dialects, family values, and ancestry. This does not mean that the therapist cannot help these clients, but this could hinder the therapist and client relationship if brought up in an entire different environment. For instance, you can have two individuals from the same cultural background and family values, but these individuals live in an entirely different environment or learned different family values and belief system. When working with a diverse client, it is very important to monitor your own culturally beliefs and be willing to work with the client no matter if you have any biases or prejudice towards them. Some of the strategies that could be helpful in these situations include, (a) treat the client the same way you would like to be treated, (b) research some information about the clients background and, (c) beware of your own cultural biases and prejudices when counseling minorities if your unaware of their backgrounds.
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.
Race and ethnicity can influence a client’s experience of self and others in a variety of ways. A client’s personal race and ethnicity can influence his or her experience within the context of therapy through the set of beliefs he or she brings into the room. This set of beliefs and customs influences how he or she views therapy and whether there is motivation to be there. If the client’s culture does not usually seek therapy for their problems, or even believe in mental illness, it is likely the client will have apprehensions about trusting or speaking to the clinician. If the clinician is not aware of this possibility, the clinician may wonder why the client is in therapy if he or she will not speak or allow rapport to be built. A responsible clinician will take this into consideration.
I let my client tell me how he felt about illness based on his own values and beliefs. I also used therapeutic communication techniques such as general lead, listening, sitting at eye level with the client etc. to make this as comfortable as possible for him. I think I was appropriate and very successful at retrieving my client’s beliefs about illness and sickness without pressuring him too much. In the future when conducting an interview with another person about their culture, I would use the same techniques and approach as I found it to be very successful, and my client was very comfortable and established a trust worthy relationship with him regarding his illness based on his cultural beliefs and values. This interview contributed in preparing me for the future and also gave me insight on how to conduct a successful cultural assessment without making assumptions. I learned that every culture is unique and has somewhat of a similarity to other cultures, but one must never assume before doing a thorough assessment. This also prepared me in being more culturally competent while providing care to clients and their families from different cultures and
Going to a different country or area of the world can open up anybody’s eyes to see that culture makes a huge impact on the understanding and practices of healthcare that seem to be so common to other areas of the world. When a person lives in one country their whole life, that person may not realize how different the life they live is from someone in a foreign country. If a person is going to receive treatment from someone with a different cultural background, they should be expected to get treatment to respects their own culture. Massachusetts College of Pharmacy and Health Sciences having such a diverse variety of students has their own cultural competency definition that states “effectively and comfortably communicate across cultures with patients of differing backgrounds, taking into account aspects of trust in order to adopt mutually acceptable objectives and measures”. In the book Dancing Skeletons: Life and Death in West Africa by Katherine Dettwyler, the issue of culture and healthcare are greatly prevalent. Katherine Dettwyler herself goes to West Africa as an anthropologist and her horizons are broadened when during her research she comes in contact with how much culture has an impact on healthcare and everyday life.
Counseling skills has provided me with a valuable insight into the helping relationship and how it is both created and maintained in order to encourage growth and development in the client. The factors involved within the helping relationship include considering Roger’s core conditions, congruence, unconditional positive regard and empathy as the three main characteristics necessary in a helping relationship. In order to fully incorporate all three of Roger’s core conditions, I as the counselor must be self-aware, as a lack of self-awareness may inhibit truly listening and understanding the client; self-awareness can be enhanced through exercises such as Johari’s window. Counseling skills such as body language and active listening also plays a role within encouraging the client to open up and can help me as the counselor convey empathy.
broad range of clients. Awareness and respect for diversity and multicultural values facilitates good communication and therapeutic relationship.
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.
Current research implies that an empathetic clinician-client relationship and interrelated ecosystems play the majority role in the success of therapy (Kilpatrick & Holland, 2009). The clinician’s ability to be present and actively perceive what the client is experiencing is of utmost importance in creating a therapeutic alliance. It is imperative that the clinician gains positive regard towards the client and their environment displaying honest acceptance towards the client no matter what issues are presented in session. This closely relates to a sincere presentation of genuineness that instills a feeling of honesty within the client and clinician (Kilpatrick & Holland, 2009). An experienced clinician builds upon the therapeutic
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
Cultural blindness can lead to misconceptions and the inability to treat patients efficiently. Culture, religion, beliefs, values, social economic standings, education, mentality, morals, and treatment are all different from person to person, community, and groups. These barriers can be overcome by treating each patient as a unique individual and seeking to learn about cultural beliefs and differences, without reservations or pre-judgments but with an open and willing mind. These inhibiting barriers can be crossed through acceptance and commonality can be established. Through Patient-centered communication and attentiveness to the patients’ interpretation, discussion of lifestyle and treatment choices in an open and non-judgmental manner, and understanding of patient views, concerns and information needs can lead to cultural sensitivity and appreciation (Dean, R,
Consequently, counselors should take a concerted effort to educate themselves about diverse cultures they are working with to become accustomed their beliefs and values. Furthermore, counselors should listen to their clients to gain an awareness to become in tuned to the slight nuisances that their clients and ask their clients to educate in order to gain an understanding of with no pretentions should probe with the This difference diverse populations are less likely to understand perceptions and role of
Understanding cultural differences not only improves the effectiveness of the treatment the patient receives, it is also help the nurse to prevent negliency of care. It is impostant to maintain a curiosity about each patient no matter how much we know abouth that person's culture.
Culturally congruent care draws on the knowledge and experience from the people of the culture themselves, which Leininger calls “emic” knowledge. This allows the patient to actively participate in their own level of care, expressing what is culturally acceptable and what is not. It also takes in the views from an outsider’s perspective, which Leininger coins “etic” knowledge (Leininger, 2007). Culturally congruent care combines emic and etic knowledge to provide a more well-rounded cultural view on healing, thus giving patients more comprehensive and holistic caring (Leininger, 2007).