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Critique of multicultural counseling and therapy
Compare and contrast psychodynamic and humanistic therapies
Critique of multicultural counseling and therapy
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Unique perspective on psychopathology
Humanist therapies posit that clients are resilient beings that possess natural inclinations to survive and grow, even in the face of adverse circumstances (Cain, 2002). Although humanistic therapies, do not deny that psychopathology exists, they tend to look beyond the medical model of psychology when working with clients (Cain, 2002). They take a non-pathologizing view. Clients have complex life stories, emotions, and behaviors (Angus et al., 2015). While these patterns of living may be representative of a clinical diagnostic category, clients are never reduced to one. Schneider and Krug (2015) suggest that psychological health represents static and culturally normative views of health which does
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Humanistic therapy is no exception to this concern. Sue, Arrendo, and McDavis (1992) proposed three characteristics that are essential for cultural competence. The therapist must (1) have an awareness of his or her worldview, biases and assumptions, (2), have an understanding the client’s worldview, and (3) use culturally appropriate interventions. These three characteristics are congruent with the core conditions, including the therapists’ empathic understanding of client’s internal frame of reference, therapist’s self-congruence (emotional intelligence,) and unconditional positive regard (Quinn, 2012). Additionally, humanist therapies also value the client’s right to determine what is best for themselves which is helpful in choosing intervention strategies that are culturally appropriate. Moreover, Comas-Diaz (2012) also posits that multicultural psychotherapy is embedded in humanism in three ways. The first is contextualism. Humanistic therapists listen to clients’ perspectives rather than imposing ethnocentric psychological theory onto clients. The second is a focus on holism. Humanistic therapists view clients holistically and aim to help clients’ subjective experiences of distress by uniting the mind, body, and spirit. Finally, liberation and freedom are inherent humanistic values that are also present in multicultural psychotherapy (Comas-Daiz, 2012). Thus, the core values that humanism embraces fit with multicultural
“Cultural competence is the ability to engage in actions or create conditions that maximize the optimal development of client and client systems” (Sue & Sue, 2013, p. 49). Multicultural competence includes a counselor to be aware of his or her biases, knowledge of the culture they are evaluating, and skills to evaluate a client with various backgrounds (Sue & Sue, 2013). Client assessment involves gathering information pertaining to the client’s condition. Making a culturally responsive diagnosis involves using the DSM-IV-TR axis (Hays, 2008). Following the axis backwards is ideal to discovering the client’s diagnosis, understanding the client’s ADDRESSING outline will help to come to a closer resolution for a diagnosis.
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.
This approach emphasizes the importance of the potential of humans and sought to make up for the missing component of conscious in the psychodynamic approach. The humanistic approach oriented psychologist has the belief that human behavior is guided by intent and the individual’s set of values (Association, 2014). Those who subscribe to this orientation believe there are both an unconscious and a conscious element to determining behavior. The unconscious element is considered to be the individual’s application of learned norms and experience, while the conscious element is applied by making deliberate choices and decisions. A humanistic oriented practitioner will use differing types of therapy such as client-centered therapy, Gestalt therapy, or existential therapy (American Psychological, 2015). Client-centered therapy or person-centered therapy was developed by Carl Rogers and places the client as the leader of the therapy. This approach allows for the growth and better understanding of self within the individual, as they solve their own problems, while the therapist is there to provide empathetic support (Australian, 2010). Gestalt therapy focuses on the responsibility of the individual for their current situation and considers relationships, environment, and social experiences occurring, and influencing behavior (Polster & Polster, 2010). This process consists of the practitioner acting as a guide and offer advise in helping the client to deal with their current issue. Existential therapy consists of allowing an individual the ability to live with their issues within their own existence (Price, 2011). This means a therapist uses this type of therapy to assist clients with understanding what the present problem is and learning to deal with the consequences of that issue in their every day life. With
Cook, D. & Helms, J. (1999). Using race and culture in counseling and psychotherapy. Needham Heights, Massachusetts: A Viacom Company.
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).
Smith, T. B., Rodríguez, M. D., & Bernal, G. (2011). Culture. In J. C. Norcross (Ed.), Psychotherapy relationships that work (2nd ed.). New York: Oxford University Press.
It is interesting to note according to Raskin et al. ( 2011), “Our basic practice [client centered therapy] remains true to the core conditions no matter who our client may be. We also assert that our ability to form an initial therapeutic relationship depends on our own openness to and appreciation of respect for all kinds of difference” (p. 183). I believe that the cultural diversity that CCT maintains is important in a multiplicity open therapeutic environment. The implications for a non discriminatory form of therapy are that it can be used across populations. This allows for broader use of this theory and the chances for positive outcomes is increased because the availability.
Ethical Issues in Multicultural Counseling are very prevalent today. Counselors may or may not know how to counsel people of different race, ethnicity, gender, sexual identity socioeconomic status, disability, age or spirituality. Due to their lack of knowledge in that area, ethical issues may arise. In order for a counselor to gain knowledge of Multicultural Counseling, the counselor must begin to gain an understanding of their clients past and culture. It is also important that the counselor does not categorize the client based his/her race, ethnicity, gender, sexual identity socioeconomic status, disability, age and spirituality. The counselor also must consider and respect the client’s culture, when trying to comprise the client’s treatment
A diversity perspective is something that you take into major consideration when you counsel a client. In person-centered therapy the first major limitation to this multicultural populations is for people who are in mental health clinics may way a different type of treatment. They may want something more structured to help them resolve their emotional problems, and want to learn certain coping skills to deal with everyday problems. In person-centered counseling this may not be the best type of therapy in this type of situation. The second reason there might be some limitations is because it could be difficult to translate the core therapeutic conditions into an actual practice with some cultures. For example, some clients are accustomed to indirect communication and they would not be comfortable with a therapist showing direct expressions towards them. A third reason that this type of therapy might be a limitation is some culture groups go by collectivism instead of focusing on being an individual. In these cultures, clients are influenced by social expectations and not motivated by their own expectations. This is a major limitation for person-centered therapy because they focus on self-actualization, understanding the self, and trying to improve ones self. The focus on a person individual development and personal growth may seem selfish in a culture that may
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.
Understanding Multicultural Counseling Introduction Multicultural counseling plays a crucial role in addressing the diverse needs of clients from various cultural backgrounds within the field of mental health. This paper aims to explore the definition of multicultural counseling, its significance in general counseling, family counseling, and group and ethnic counseling, as well as the dangers associated with a lack of multicultural preparation in counseling. Additionally, personal reflections on the application of multicultural counseling principles will be discussed. A Definition of Multicultural Counseling Multicultural counseling encompasses an approach to therapy that acknowledges and respects the cultural backgrounds, beliefs, and values
The humanistic approach has been used in the area of therapeutic counselling for over five decades. Even with the existence of various other forms of counselling, the humanistic methodology has proved to be exceedingly successful.
They only encourage their clients to express their feelings and believe that they could solve their problems by themselves. Even though the psychoanalytic approach was criticized as unobservable and the humanism is over emphasis the ability of individual, but neglect the external factors, e.g. environmental and cultural influences; they indeed made contributions to help people to tackle their psychic/psychological problems. (1,616 words) Reference ---------
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.
During therapy the importance of subjective experiences, the existence of the ability of personal growth and the importance of goal-directed meanings in life are emphasised (Frankl, 1959). Furthermore, the importance of the proper circumstances for the growth of self-concept (Rogers, 1959), the necessity of self-actualization and recognition of one's potential, accentuation of joy as part of life and authenticity are stimulated (Cave, 1999). The client is motivated to make one's own decisions without the intervention of the therapy leader. Focus is placed on present rather than on past and the therapist is more like an active listener. Roger's therapy was argued (Truax, 1996) that it is a simple form of behaviour therapy as it is using positive reinforcement. The humanistic therapy also incorporates other used techniques, such the already discussed Roger's person-centered therapy, Berne's (1964) transactional analysis, Perl's (1969) gestalt therapy, conjoint therapy, milieu therapy (Jones, 1953). These approaches are most useful with specific individuals, not with patients with particular disorders. Patients do acquire benefits from humanistic therapy approaches, however difficulty arises from the point of view whether science can adequately measure what the therapist finds meaningful about the changes they perceive during therapy (Yalom, 1980). The