Conceptualization Of Stigma And Transcultural Considerations

To provide competent care to a client, the therapist has to be culturally prepared to work with the client. To be culturally competent as a therapist I have to be aware of my own bias, my identity, and my values in regards of my culture. I also need to be aware of the judgments that I have about the client’s cultural identity. In order to know the client’s culture, I would inquire about the identity during the intake. I would use the Addressing model by Pamela Hays to inquire the cultural identity of my clients. The addressing model helps to consider the various social categories that a client belongs to. Also, providing culturally competent services is to be aware of the population surrounding the therapist’s office or agency in order to

In my personal opinion and experience, I find that the field of psychology is lacking in diverse cultural competencies as much as the society is diverse in its population. I believe that as with using any theoretical model, the therapists’ cultural knowledge needs to include understanding of the many cultural considerations influencing the effectiveness of treatment when dealing with clients from diverse backgrounds. When servicing the individuals in the family, care and attention needs to be directed towards family and community norms and values around help seeking, secrecy and confidentiality, family roles, child rearing and spiritual practices.

The sociocultural lens is a theory used in social work practice to help understand how a client’s culture affects the client’s behavior, perception, and life (p.

Department of Health and Human Service (2003), stating that cultural competency is “the ability to provide services to clients that honor different cultural beliefs, interpersonal styles, attitudes and behaviors and the use of multi-cultural staff in the policy development, administration and provision of those services.” According to the National Associations of Social Workers’ (2008) code of ethics, competency is important for understanding clients and their needs. Cultural competence differs from cultural humility in that it solely provides educational information regarding diverse populations in attempts to provide quality services. Culturally humility is a philosophy that includes components of cultural competence, but also involves analyzing ones self-awareness and biases. It includes life long learning surrounding issues of cultural diversity. Cultural humility is what is strived for but for the purpose of this analysis it will focus on cultural competence as a means of educating individuals on LGBT issues in later

The NASW Standards for Cultural Competence addresses the standard of empowerment and advocacy, which I find both reassuring and admirable, because, as a social worker becomes more culturally aware of their clients, they need to have the desire to ensure equality for all of them. From the text, social workers become specialists in understanding the effects of demeaning social policies against their clients, where they find the medium between aiding in producing positive change without imposing their own beliefs. Mastery of this standard requires the cohesion between a social worker and client to seek minimal changes in social policies to prove that advocacy imposes change before shifting towards revolutionizes social policies and laws.

In the field of human services, “cultural competency” has become a common buzz meant to address in part the . The intention being, that workers are able to achieve some level of knowledge and training that prepares them to work with

Some of the author’s major points are the lack of understanding of what cultural competence really means which is bringing confusion about ways it can be utilized in the social work field. The confusion of the utilization of cultural competence is leading to the lack of consensus concerning the effective training that providers should obtain and the population being served with the cultural competence skills lack clear description. According to the author, the most popular cultural competence intervention in the healthcare system is the cultural competency training which is for health care providers and the two approaches that have been utilized in creating the intervention are; the programs aimed at improving knowledge which is group specific,

Stigma surrounds mental illness even in contemporary society. Research has aimed to reduce this. World Health Organisation (WHO; 2012) have stated that such stigma is a “hidden human rights emergency”.

competence is an imperative aspect that practicing social workers need to employ when providing treatment to clients. Daniel’s treatment provider has to maintain cultural sensitivity when assisting him with obtaining a higher quality of life. Daniel’s ethnicity, age, sex, class, and veteran status require that the treatment provider have knowledge regarding Daniel’s diverse cultural background. Treatment providers that are working with specific populations such as the military must acquire knowledge surrounding the experiences of military personnel, families and children (Cederbaum et al., 2014).

This has provided me with an added insight into what interventions may be beneficial when working with clients. My aptitude for ¨thinking outside the box¨ has facilitated effective problem solving in situations that had no single or clear-cut solution. I hope to enhance this attribute during my time in field placement by refining my critical thinking skills and increasing my knowledge of community resources, so that I can gain a strengthened awareness of how to best advocate for and support clients. My ability to integrate personal goals, values, culture and socioeconomic background into treatment planning and in the treatment process has allowed me to develop realistic and attainable goals that are relevant to each individual. This strength stems from the steadfast belief that cultural relevance is essential to provide effective services. My social work experience has refined my organization and planning skills and I have fine-tuned my ability to manage a chaotic schedule. When I have encountered challenges in the field, I have overcome them by seeking supervision and consulting with more experienced colleagues. I also dedicate extra time to learning about cultures, concepts, and practices that I may have a difficult time understanding or am not familiar with. A final strength I believe will be an asset when working as a professional social worker is my dedication to the social work mission and

In the National Association for Social Workers (NASW) Code of Ethics, there are many standards a social worker should uphold in order to promote a healthy and helpful relationship with the client. One such aptitude is Cultural Competence and Social Diversity, which is in section 1.05 of the NASW code of ethics (National Association of Social Workers, 2008). There are three sections associated with this competency “Social workers should understand culture and its function in human behavior and society, recognizing the strengths in all cultures”. It is assumed that “social workers should have a knowledge base of their clients’ cultures and be able to demonstrate competence in the provision of services that are sensitive to clients”. As a

Stigma can be defined as a mark of shame or ignominy that sets individuals apart from others. Goffman notes “Society establishes the means of categorizing persons and the complement of attributes felt to be ordinary and natural for members of each of these categories”. (Goffman) Given, when a person is labeled by said illness, disorder, or deviancy they are seen as a part of a stereotyped group and as a result are stigmatized by the “normals”. Moreover, the routines of social interactions in society allow us to create normative expectations and demands for the way ones in said society are expected to

It is imperative that social workers become knowledgeable about their clients’ cultures and are culturally sensitive. In learning about their clients’ cultures, social workers need to be aware of how powerful and significant culture is in relating to clients’ behavior, values, and beliefs. Becoming culturally competent requires the ability to integrate awareness, knowledge, and skills while maintaining a positive working relationship with the client (Sue and Zane, 1987). Today, the concerns regarding cultural competency continue to accentuate the importance of preparing social workers for a diversified society.

There are many stigmas, or misconceptions and misperceptions in our society which need to be shattered. I believe that one of the worse possible effects of stigma is that it causes those affected by psychological disorders, or mental illness, to crawl more deeply into themselves because it provokes a sense of shame. Stigma thrusts those suffering with mental illness into a sense of isolation, social exclusion, and discrimination. “Stigma can lead to discrimination … It may be obvious or direct … Or it may be unintentional or subtle…” (Staff). Stigma is often as big as the illness itself and I confess to having been a perpetuator of this dreaded thing, although not consciously aware and without the intent of furthering the harm of someone.

Individuals with serious mental illness are doubly affected by their disease; not only do they experience the often debilitating symptoms of their condition, but they must also endure mundane mental health stigmas and prejudices. Stigmatized attitudes are perceived to be one of the greatest impediments to living a complete and fulfilling life. Stigma has been defined as a combination of three related problems: ignorance, prejudice and discrimination (Rose, Thornicroft, Pinfold, & Kassam, 2007). Ignorance implies a lack of knowledge, prejudice entails negative attitudes, and discrimination involves exclusionary actions against people deemed to be different. Two forms of stigma are commonly distinguished in literature. Public stigma describes the attitudes of society towards people with mental illness, while self-stigma results from the internalization of prejudice by people who suffer from mental health conditions (Corrigan, Powell, & Rüsch, 2012). The World Health Organization announced that stigma was the most crucial obstacle to overcome for a community to functioning effectively and efficiently (Ontario Hospital Association, 2013).