Multicultural Counseling
The Multicultural
Journey to Cultural
Competence
1
As helping professionals:
Deal with our own feelings
Enhance or negate a deeper
understanding of ourselves as
racial/cultural beings ….
And our understanding of the
worldviews of culturally diverse clients
2
Social Justice
Equal access and opportunity and
about building a healthy, validating
society for all groups.
Why cultural competence is so
important as counselors.
3
More that acquiring knowledge of
cultural values and differences…
Being aware of sociopolitical
experiences
Empathy, without defensiveness and
anger
4
Implications for clinical Practice
Listen and be open
We all have inherited biases
We must acknowledge them to avoid hurting
our clients
Requires knowledge and experiences
We must look inside at our belief systems and
actions
Accept responsibility for making changes for
social justice
5
The Green Tail
If someone says you have a green
tail, the person is crazy.
If two people say you have a green
tail, it is a conspiracy.(A secret plan
by a group to do something unlawful
or harmful)
If seven people say you have a
green tail, you turn around and look.
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Small Group Exercise
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Multicultural Counseling
The Superordinate
Nature of Multicultural
Counseling
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Cultural Universality versus
Cultural Relativism
Etic – culturally universal
Concepts of normality and abnormality
are considered equally applicable across
cultures
9
Cultural Universality versus
Cultural Relativism
Emic – culturally specific
Concepts of normality and abnormality
are dependent upon lifestyles, cultural
values and worldviews
Affecting the expression and
determination of deviant behavior
10
Both have validity. We must look
at….
What is relevant to counseling and
therapy.
What is the relationship between
cultural norms, values, and attitudes
and the manifestation of behavior
disorders and their treatments.
11
The Emotional Consequences of
“Race”
Avoidance or minimization of
Diluting the importance
Discomfort may interfere with ability to
communicate freely and honestly and to
listen to others.
May cause counseling to be ineffective.
12
The Inclusive or Exclusive nature
of multiculturalism
More than race and ethnicity
“Each of us is born into a cultural context
of existing beliefs, values, rules, and
practices”
13
Socialization
The function of the family that occurs
through participation in many cultural
groups.
All reference groups exert a powerful
influence over us and influence our
worldviews.
14
Sociopolitical Nature of
Counseling
Power and influence
Euro-American perspective of normality
and abnormality
Areculture bound
May be inappropriate to diverse groups
15
Small Group discuss
Examples in today’s society
16
“Inclusive multicultural counseling
may be more superordinate than the
eurocentric clinical/counseling
competence”.
17
Balancing our understanding of…
Sociopoliticalforces that dilute the
importance of race and.
Acknowledging the existence of other
groups identities.
18
Tripartite(consisting of 3 parts) Development of
Personal Identity
Exploring formation of personal identity
Individual Level
Group level
Universal level
A holistic approach demands that we
recognize all three levels.
19
Group identity may also define a
helping relationship.
Interpretation of reality
Perspective on the nature of people
Origin of disorders
Standards for judging normality and
abnormality
Therapeutic approaches
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Defining Multicultural
Counseling/Therapy (MCT)
1. Broadening the role of the counselor to include teaching,
consulting, and advocacy.
2. Using modalities that are consistent with the life experiences
and cultural values of the client.
3. Acknowledgment of individual, group, and universal
dimensions of existence.
4. Using helping strategies that are universal and culture
specific.
5. Balancing individualism and collectivism with respect to
families, relationships, communities, and cultures.
6. Dealing with client insights and behaviors as well as possible
external systems when faced with prejudice, discrimination
and racism, ect.
21
Cultural Competence – Three
Primary Goals
1. Therapist Awareness of One’s Own
Assumptions, Values, and Biases – and
work through the biases, feelings, fears,
and guilt associated with it.
22
Cultural Competence – Three
Primary Goals
[Link] the Worldview of the Culturally
Diverse Clients, without judgment.
Cognitive empathy.
Knowledge of scope and nature of client’s cultural
background, experience, fears, and aspirations.
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Cultural Competence – Three
Primary Goals
3. Developing Appropriate Intervention Skills,
Strategies, Techniques and Style
Approaches
Level of disclosure
Emotive(rousing emotions) Talk, cognitive
Inactive, active, directive
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Cultural Competence – Three
Primary Goals
3. Developing Appropriate Intervention Skills, Strategies, Techniques and Style
‘The interpersonal transactions between the
counselor and client require differential
approaches that are consistent with the person’s
life experiences.’
Involvement in impacting systemic and societal
issues and processes.
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Cultural Competence – Three
Primary Goals
3. Developing Appropriate Intervention Skills, Strategies, Techniques
and Style
Alternative helping roles
Systemic intervention
EX: consultant, change agent, teacher,
advocate
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Cultural Competence
Case study-group discussion
26
Multidimensional Model of Cultural
Competence (MDCC)
1. Group-Specific Worldviews
2. Components of Cultural Competence
3. Foci of Therapeutic Interventions
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3. Foci of Therapeutic
Interventions
Focus 1: Individual – Counselors own biases,
prejudices, quality of information may require
changes
Focus 2: Professional – Bias of Counseling
Standards, ethics, world view, culture bound?, may
require changes
Focus 3: Organizational – Bias of Institutional
practices and policies may be targets of change
Focus 4: Social bias, detrimental to the mental and
physical health of minority groups may require
advocacy for change
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Exercise:
Small group list examples of each.
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Implications for Clinical Practice
MCT is inclusive of all types of groups
Counselors are not immune to bias
Identify culture-specific and culture-universal norms
Be careful using Euro-American worldviews and
standards for all MCT (inclusive groups)
Do not fall into the trap of “good counseling is good
counseling”
Traditional clinical role may not be enough
Utilize system interventions
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Multicultural Counseling
Multicultural Counseling
Competence for Minority Group
Counselors/Therapists
31
Being a therapist of color does not
automatically denote cultural competence
in working with clients of own or other
colors.
30
Cultural differences between
racial/ethnic groups
Cultural
values and how they are
expressed by different groups
Communication style (verbal & Nonverbal)
and how they are displayed
30
Ethnic Identity -stages
Enculturation
Acculturation
Assimilation
......powerful forces in the development of
identity
30
Counselors of color / white
clients
Clients may challenge their credibility
Counselor may "feel" need to prove
competence
Counselor may transfer negative feelings to
clients
Client may unrealistically view therapist as
super minority
Counselor may have to deal with racist
expressions of client
30
Counselors of color / another
group or own group clients
Over identification with client
Encountering clashes with values
Clashes in communication style &
therapeutic style ( ex: proxemics)
Receiving animosity because part of
mental health system
Dealing with stage of racial identity (for
client and counselor )
30
Implications
List and discuss
30
Multicultural Counseling
The Politics of Counseling and
Psychotherapy
31
Counseling Ethnocentric bias
White-Eurocentric perspective is "best"
Minorities are inherently pathological
Therapy involves a simple modification of
traditional Euro-Centric models.
Can be dangerous for minority groups
38
Cultural Universality versus
Cultural Relativism
Etic – culturally universal
Concepts of normality and abnormality
are considered equally applicable across
cultures
9
Cultural Universality versus
Cultural Relativism
Emic – culturally specific
Concepts of normality and abnormality
are dependent upon lifestyles, cultural
values and worldviews
Affecting the expression and
determination of deviant behavior
10
Cultural encapsulation(the act of
action of enclosing something in
or. as if in capsule
Substitution of modal stereotypes(a widely
held but fixed and over simplified
image/idea for a particular type of person
or thing) for the real world
Disregarding cultural variations
Rigid counselor roles and concepts of
normality
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Normality and abnormality
Insight
Disclosure
Emotions
Autonomy
Competence
Stress
Diagnosis and treatment
Labeling
Psychological inventories
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Historical Models
1. Genetically Deficient Model
“People of color are inferior”
2. Culturally Deficient Model
Environment perpetuated view of being culturally
disadvantaged, deficient or deprived
Lacking of culture
3. Culturally Diverse Model
Recognizing the legitimacy of alternative lifestyles, the
advantages of being bicultural and value of
differences
42
Social Justice counseling
Equal access and opportunity and
about building a healthy, validating
society for all groups.
Browsing the role of helpers (advocate,
consultant, psychoeducator, community
worker, chance agent)
3
Implications for Clinical Practice
Confronting political issues of mental health practice
Challenge training programs with what constitutes
normality
Equal treatment and fair portrayal on all levels of
education
Responsible research
Balance our study by focusing on the positive
attributes and characteristics of ethnic minorities
45
Multicultural Counseling
Systemic Oppression
46
Past and present discrimination
Is a tangible basis for minority distrust
of the majority society
Counselors may be proposing alien
value systems and rejecting their own
Client perceptions of counselor as part
of establishment
47
Institutional Racism
Created psychological barriers (for
minorities and whites) ....
That may interfere with therapy.
47
Ethnocentric Monoculturalism
Ethnocentric- evaluating other cultures
according to pre-conceptions
originating in the standards and
customs of one’s culture.
Monoculturalism- Is the policy or
process of supporting and advocating
or allowing the expression of the
culture of a single social or ethnic
group.
47
Ethnocentric Monoculturalism
Belief in superiority (values, characteristics,
norms, history, language)
Belief in others inferiority (less intelligent, less
qualified, undesirable traits)
Power to impose standards (economic, social,
political,.... Of the majority)
Manifestation in institutions ( programs, policies,
practices)
The assumption of a shared reality ( invisible veil)
47
Institutional Racism
Setof policies, priorities, accepted
normative patterns designed to
subjugate, oppress, and force
dependence of individuals and groups
on larger society.
47
Cultural paranoia
Suspicious,
mistrustful & paranoid
May be adaptive and healthy
Paranorm due to oppression
40
Client Reactions
Anxiety
Suspicion
Apprehension
Verbal constriction
Open resentment
Hostility
Pass or cool behavior
Self-disclosure may be delayed
48
Therapist Credibility
Characteristics that make counselor
appear
Worthy of belief
Capable
Entitled to confidence
Reliable
50
Expertness
Reputation and Evidence of specialized
training (may not be enhance expertness)
Testimony from minority group is valuable
Proficient/competent behavior may be most
valuable
Utilizingappropriate counseling skills and
strategies are crucial
Attitude of therapist may be most important
Genuineness, love, unconditional acceptance and
positive regard
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Trustworthy
Sincerity,openness, honesty perceived
lack of motivation for personal gain.
Self-disclosure is dependent on
perceived trustworthiness
Testing and looking for defensiveness
from the client
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Understanding Individual and
Systemic Worldviews
Locus of Control
External
Internal
Locus of Responsibility
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EC – External Control
People’s beliefs that reinforcing events occur
independently of their actions and that the future is
determined more by chance and luck
Hi EC…Often ethnic groups, lower socioeconomic
classes and women
Hi EC… may constitute a realistic sociopolitical
presence of influence from powerful others
Also may include chance or luck
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Powerlessness
The expectancy that a person’s
behavior cannot determine the
outcomes or reinforcements that he or
she seeks.
Realistic discrepancy between ability
and attainment.
Making it a negative force for motivation
27
Hi Externality
May be motivationally healthy if it
results from assessing one’s chances
for success rather than unpredictable
fate.
28
IC – Internal Control
People’sbeliefs that reinforcements are
contingent on their own actions and that
they can shape their own fate
29
Locus of Responsibility
Thedegree of responsibility or blame
placed on the individual
(Personal inadequacies and shortcomings)
or the system
(Discrimination or lack of opportunities)
30
Locus of Control
Internal Control
IC-IR IC-ER
External
Locus of Internal System
Responsibility Personal
EC-IR EC-ER
External Control
31
Locus of Control
Individuals believe that they
are masters of their fate and
that their actions do affect the Internal Control
outcomes.
IC-IR IC-ER
External
Locus of Internal System
Responsibility Personal
EC-IR EC-ER
External Control
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Locus of Control
Internal Control
IC-IR IC-ER
External
Locus of Internal System
Responsibility Personal
EC-IR EC-ER
Individuals deny cultural and
social restraints and accept
White social norms and
standards External Control
33
Locus of Control
Individuals believe that
they are able to shape
Internal Control events in their own life if
given a chance
IC-IR IC-ER
External
Locus of Internal System
Responsibility Personal
EC-IR EC-ER
External Control
34
Locus of Control
Internal Control
IC-IR IC-ER
External
Locus of Internal System
Responsibility Personal
EC-IR EC-ER
Individual feels that there
is very little one can do
in the face of such
severe external
External Control obstacles as prejudice
and discrimination
35
A culturally effective therapist
View these behaviors in a
nonjudgmental manner (not a
pathology)
Avoids personalization of hostility
Resolves challenges to own credibility
(non defensive)
49
Relevance of Research
Bias of interpretations
Bias of researcher
Purpose and focus of research
Attitudes and suspicions of minority groups
44
Bicultural
Capable of functioning in two different
cultural environments
43
Aging implications:
Serious lack of knowledge for the issues of
the elderly
Diminish social status in American society
At the mercy of benefits and protection
from government and retirement plans
Social services disparities
33
Increase of women in the workforce
Stressors of family life, work, and role
strain
Changing Family relationships and
structures
Institutional disparities
34
Rapid increase of racial/ethnic
minorities in the US
Immigration
Differential birth rates
35
Many other areas to address:
Sexual orientation
Ability/disability
Religion
Socioeconomics status
Etc.
36
Increase in elderly population
Aging baby boomer generation
Declining fertility rates
Increased longevity
32
Implications for clinical practice
Survival skills versus pathology
Counselor personalization and defensiveness
Overcome own issues
Credibility and trustworthiness may be tested
in the session
Referral is ok
Status rather than race may be an issue
Pages 144-145
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