Case Study Of Misdiagnoing African-American Client

Each client is influenced by race, ethnicity, national origin, life stage, educational level, social class, and sex roles (Ibrahim, 1985). The counsellor must view the identity and development of culturally diverse people in terms of multiple interactive factors rather than a strictly cultural framework (Romero, 1985).

Statistics state that mental illness is estimated to be higher in blacks than in whites. One of the contributing factors to why blacks aren’t being cared for when they have a mental illness is because of the stigma that mental illness doesn’t exist within the community. According to Plowden (2006), “ African American men often differ in their presentation of depression and are often misdiagnosed. African American men are at greater risk for depression, but they are less likely to participate in mental health care.” This is due to the

I believe another key characteristic trait of a counselor is one who is culturally responsive to the diverse needs of the individuals we serve. The counseling profession would be inadequate if there were a lack personal awareness of the diverse multicultural groups that create the communities in which we live in (Brinson, J. A., & Lee, C. C., 2005). To be a competent counselor, a person must possess the ability to be nonjudgmental and communicate positive unconditional regard both on a cultural and personal level that is understandable to the individual. A culturally responsive counselor is cognizant of how his or her values, biases, and assumptions may impact a person's counseling experience of diverse cultural backgrounds. In that regard, an effective counselor is able to be cognizant of

Two main points cannot be overlooked. First, it is a fact that the people living in the neighborhood are poor. Secondly, it is the black community that will be affected by the closure of the emergency department in the hospital. In my opinion, this may be racial discrimination.

Over the year?s minorities have been treated differently in America. There was a point in time when people did not understand people of color and even made assumptions about them. Because of this systemic factors have been established both in the mental health and education system. Counselors had their own perception

Historically, Black Americans have been reluctant to pursue mental health treatment. Bean (2007) details how cultural tensions, Black religiosity, gender role dynamics, and African American history with mental health has lead to current negative perceptions of counseling and psychological services in African American communities. Bean (2007) conducted this study by sampling 194 African American students of Tennessee State University and an additional 94 Black residents of a neighboring community of Nashville, TN. The author’s participants completed tests measuring Cultural Mistrust Inventory (CMI), Religious Orientation Scale (ROS), Gender Role Conflict Scale (GCRS) and Attitudes toward Seeking Professional Psychological Help Scale (ATSPPH). Ultimately, gender roles did significantly correlate to informing

Health care for mental illness is an issue in the African American community for Men, Women and Adolescents due to the underserving and lack of mental healthcare providers, the cultural stigma of having mental illness and

When experiencing a mental illness, African Americans face obstacles “related to understanding the problem or situation and limitation in awareness of possible solutions, strategies remedies and resources” (Hines-Martin, Malone, Kim, & Brown-Piper, 2003). In a study by Hines-Martin (2003), participants verbalized that they did not think they were “crazy” and therefore did not need mental health services. In this instance participants showed a lack of knowledge about what mental health illness looks like. They identified mental illness as dichotomous states (Hines-Martin et al., 2003). A study by Mental Health America found similar results. In this study, a majority of African Americans surveyed believed that depression was a “health problem” and in some cases “normal” (MHA, 2012). Talking about mental illness is taboo for African Americans, and as a result they possess little knowledge about specific mental health problems or available treatments (Alvidrez et al., 2008). For African Americans, stigma serves as an impediment to problem recognition. Because they have a misconstrued idea of what mental illness is, they are less likely to contemplate that they have such problems. Alvidrez (2008) found that stigma prevented 65% of their survey respondents from contemplating that they had such problems. Because many African Americans are uninformed about what mental illness is and how it

Racism against African Americans and other ethnicities is still prevalent in our society. Salis (2015) mentions a recent poll of Caucasian and African Americans and found that sixty percent of those surveyed felt racial relationships ha vent improved and forty percent felt they were worse. In this paper, I will identify how a counselor can reduce the effects of racism and discrimination that has affected African Americans. Additionally, I will address what role a counselor plays in reducing the stigma of mental illness within the African American community. Furthermore, I will highlight the legal and ethical issues identified in the video

The Diagnostic Statistical Manual is used to diagnosis persons that are getting assessed with mental health disorders. The manual contains criteria the clinician can use to diagnosis a client. If the client meets a certain number of markers then they are given a diagnosis of a particular disorder. But, what if it’s not that easy? For African Americans, there has been a history of getting misdiagnosis by clinicians which has led to some mistrust. The cultural differences between African Americans and their white clinicians can possibly lead to the misdiagnosis of the clients. An article on clinician race states, “African Americans are less likely to be diagnosed with mood disorders and more likely to be be diagnosed with schizophrenia” (Adebimpe, 1981; Neighbors, 1997). Within this review, we will explore research conducted by scholars that examine the relationships between the diagnoses of African Americans by White Clinicians.

It is important to be aware of one’s limitations, weaknesses and strengths in the delivery of counseling services. Taking into account the cultural values of the client, the support systems and the client’s view of the key parts of his or her makeup (the history of the client) are culture specific (because someone is of the same race does not mean that values will be the same) and does not discount the individual. Sue et al reminds us that multicultural counseling competency looks beyond racial and ethnic minorities and also includes disabilities, sexual orientation, age, and other special populations (Sue, et al, 1992).

Engaging into the importance of multicultural competence, awareness of such competency has become a significant necessity in the area of mental health, and various fields of psychology (Hayes, 2008). It is essential for a counselor to be multicultural competent in order to develop a therapeutic alliance with a client, while understanding their cultural identity. Therefore, culturally competent knowledge, attitudes, and skills of diverse culture, is necessary, in proper treatment and diagnosis. Nonetheless, the complexity of cultural diversity can contribute to challenges in assessment, diagnosis and or treatment. It is further understood; by understanding one’s social history, psychosocial history, presenting problems, along with other pertinent information regarding a cultural responsiveness in a diagnosis, and how it would be beneficial to individuals of various social, ethnic, and other minority groups in order to make a treatment plan based on the findings of a cultural assessment (Sue & Sue, 2013). Nonetheless, cultural influences, often neglected, are needed to incorporate the challenges cultural groups face when seeking treatment. Therefore, I have found it applicable to use “ADDRESSING,” framework in therapy as a resource for developing cultural and relevant assessments in addition to the onset symptoms presented in the client in the case study of Mrs. Hudson. The use of “ADDRESSING” acronym is designed to obtain age, developmental and physical disabilities

Cultural competency is critical in psychology practice. In the United States, the groups, which considered as cultural and ethnic minorities, are growing in the population (APA, 2003). Culture often influences the content and quality of people’s experience, perception, and response. Thus, it is important for psychologists to be aware of cultural influences on client’s presenting experience(s) (Gardiner & Kosmitzki, 2010). Without a regard for cultural influence, there is a significant risk for the psychologist to misunderstand, misinterpret, and misguide his or her client. Such misunderstanding, misinterpretation, and misguidance are not only unhelpful but can be detrimental for the client (Corey, Corey, & Callanan, 2011; Pope, & Vasquez, 2011).

In order to provide culturally appropriate care, an examination of one's personal views, beliefs, and prejudices must be examined. The first portion of this paper will examine my personal values, beliefs, biases, and prejudices. The remaining paper will analyze the African American culture relating to the Ginger and Davidhizar's Transcultural Assessment Model cited in Hood (2010). This model uses six key cultural elements that include communication, space, social organization, time, environment, and biological variations. This model provides a systematic approach for assessing culturally diverse clients. I will also discuss an aspect of care that I would

The relationship of a counselor to his or her client can be troubled when the two come from different cultural backgrounds. "As counselors incorporate a greater awareness of their clients' culture into their theory and practice, they must realize that, historically, cultural differences have been viewed as deficits (Romero, 1985). Adherence to white cultural values has brought about a naive imposition of narrowly defined criteria for normality on culturally diverse people" (Bolton-Brownlee 1987). The challenge for counselors today is to balance multiculturalism and sensitivity for the client with the need to move the client forward and enable him or her to reach productive life goals. Cultural acceptance cannot be synonymous with complacency.