Cultural Competence Assessment and Case Study Essay

Cultural competence has to do with one’s culture. Culture affects among other factors, how children are raised, how families communicate, what is considered normal or abnormal, ways of coping with issues, the way we dress, when and where we seek medical treatment, and so forth. I should know because I come from a very cultural home where it is considered bad to talk to a male doctor about anything gynecological.

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).

Derald (2013) stated, “The adage “counselor or therapist, know thyself” is the basic building block to cultural competence in the helping professions.” (P.6) Part of connecting with clients includes the separation and awareness of the helping professional versus the other person. The helping profession has not always embraced the awareness of self in regards to culture. To be culturally competent the helping professional should conceptualize the issue with the understanding of the cultural background of their client. In this paper I will summarize significant historical changes in society that influenced

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

The importance of a cross-cultural understanding in Psychology is imperative to successful care and assistance of mental health. Understanding and acknowledging the complexities of different cultures is the beginning of a more informed approach to mental health. Cultural factors and questions play a fundamental role, however, simply acknowledging cultural differences does not necessarily provide the best individual help. Thus, a combination of cultural, demographic and individual factors are crucial initial steps to specific individual assistance. Treating individuals in context can help discern deviations from cultural factors and norms. Therefore an approach which recognises that both culture and specificity to the client is most effective. Knowing someone’s background can be fundamental to clinical help but could also reinforce cultural stereotypes, this overly simplistic view could be detrimental to treatment. Throughout this essay the impact of culture on mental health will be examined, and how the health care provider and client mediate a relationship to produce the most effective results.

Cultural competence can become an ethical issue when a clinician is unaware the sensitivity of the clients in which the clinician is providing counseling. A great example from Chp. 4 is the case of the (indian; words means more than action). An effective preparation for counselor to deal with cultural competence-ethical issue is to familiarize with the demographic area where the counselor is practicing. Further, the counselor should learn more of the dominate ethnicities in their demographic areas that way the counselor is well prepared for cultural diversity counseling.

Counseling individuals from different cultures can be challenging, however with the counselor’s proper sense of awareness, knowledge, and skills they are able to become culturally competent. Cultural competency is a fundamental part of counseling and should be demonstrated by all counselors. It is essential to become aware of cultural differences between individuals and find ways to maximize the effectiveness of counseling. In order to discover cultural difference I selected an individual named Jia and found several cultural differences between her and I. Through our different cultures and lifestyles I was able to understand how counseling would exist differently.

Every year a large group of Haitians come into the United States and may become a part of the health care system. In the challenging field of nursing, nurses need to be aware of cultural differences and should provide each client with cultural competent care. Each and every year, Haitians enter this country legally and illegally but regardless of how they enter the US, it is inevitable that they will need to be cared for at some time in their life. The astute nurse must understand the need for cultural sensitivity and what to assess for prior to providing care for a Haitian client. The assessment should include communication barriers, orientation of time, health beliefs, health risks, and even more

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).

Understanding of the different cultural and racial population is important for counselors to recognize and consider in counseling. Due to the various approaches that should be taken when dealing with different cultures. Our textbook states “Counseling without attention or respect to the critical differences of diversity will likely not be successful.” (Clinton & Ohlschlager pg. 617) It is like you must put their shoes on, within the context of culture for the counselor to be effective. For example, when dealing with Asian clients they are very likely to have intense familial relationships. This contrasts with modern day United States American culture; our culture is centered on the self, not the us.

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

Counselors who are unaware of diverse cultural viewpoints are more than likely to do intentional or unintentional damage when working within communities opposite of their own and with those whose cultures and worldviews differ from theirs. If a counselor is unaware of their own cultural identity, biases, and stereotypes, how then will they know if they are unintentionally causing harm to their clients or build rapport? Cultural self-awareness is relevant because counselors need to know their cultural identity and what they must offer their clients in a therapeutic relationship and to help clients become aware their cultural identities.

Being aware of culture in the field has many benefits. The main benefit would be that it would help in providing better therapy for the client in question. Understanding how culture affects a client’s life can help explain the clients various roles and identities in life. Apart from that, understanding socio cultural settings will help the psychologist be more aware of the needs of their clients. For example, Indians are less comfortable in seeing a psychologist and are less liable to tell their family and friends that they are in currently undergoing therapy (Zhang, Snowden, & Sue, 1998). The psychologist should use information about the clients’ culture to personalise the therapy in order to enhance the effectiveness of it as well as to not discourage the client as well as to understand how culture affects the client and the disorder. The involvement of culture would also make the psychologist more aware of their own personal biases and mind-sets that maybe prevent the therapy from being effective. Creation of guidelines to help psychologists in the assessment of clients from varied cultures are important.

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).

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.