Great strides have been made in the counseling field to promote multiculturalism, yet it is a complex endeavor and continues to meet challenges in implementation and efficacy. Challenges such as cultural encapsulation, client access to care, implementation of multicultural counseling competencies, and unique issues involved in the practice of counseling a diverse population of clients remains. Research is ongoing to determine the efficacy of culturally adapted treatments in the therapeutic process.
Cultural Encapsulation
A challenge in implementing culturally sensitive techniques for counselors is recognizing their biased perspectives, assumptions, and worldview. Cultural Encapsulation is the tendency of counselors to view the world
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Access to Care
An additional barrier to multicultural counseling is client access to care. The utilization of mental health services by minority groups is low in the United States (Smith, Domenech Rodriguez, Guillermo, 2011). The fact that minority groups underutilize mental health services is attributed to systemic issues such as lack of affordable transportation, inconvenient office hours, demographic mismatch, language barriers, economics, and lack of clinics in neighborhoods with predominately ethnic minority groups (Smith, Domenech Rodriguez, Guillermo, 2011). To address these issues, multiculturalism in the mental health services field has committed to equipping more culturally competent counselors, encouraging community-based counseling efforts for easier access, increasing bilingual and culturally diverse counselors, as well social advocacy. Despite their recognition, these challenges are difficult to remedy and remain a problem for clients of minority groups.
Integration of the Multicultural Counseling Competencies
Ongoing efforts to remedy inequities in counseling practices continue. One way is to train multiculturally competent counselors who are aware that a “one size fits all” approach is not effective for a diverse population of clients (Gerig, 2014). The American Psychological Association created a task force focused on
One of the most promising approaches to the field of multicultural counseling/therapy has been the work on racial/cultural identity development among minority groups. This model acknowledges within groups differences that have implications for treatment. The high failure-to-return rate of many clients seems to be intimately connected to the mental health professional’s inability to assess the cultural identity of clients accurately. The model also acknowledges
Cultural competence and ethical responsibility of counselors is an issue that holds increasing importance. To be both multicultural and ethical is increasingly challenging. The population of the United States is changing quickly from a predominately white Caucasian society to an ethnically diverse society`. The Hispanic population, which represented only 9% of the population in 1990, is projected to increase to about 25% of the population by 2050. The number of African Americans, Asian Americans/Pacific Islanders, and American Indians/Eskimos/Aleuts will continue to increase as well (Aponte & Wohl, 2000). It has been predicted that Whites, who made up three fourths of the U.S. population in 1990, will no longer be in the majority by the
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
As individuals, we are diverse based on the background, experience, ability, race, language, etc. which impact the lens through which we view others and ourselves. As diverse individual, we may belong to dominant or non- dominant groups. Thus, either we have power and privilege or we experience discrimination and oppression. Further, we are shelled with diversity, ethnicity, and multiculturalism issues. Counselors have some ethical primary responsibilities to respect the dignity and promote the welfare of the client (A.1.a), “honoring diversity and embracing a multicultural approach in support of the worth, dignity” and “promoting social justice” (Herlihy & Corey, 2014, p. 3)
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).
As a result, it is imperative to take a look at current and historical oppressions that a client experience by being part of a minority social group or a group that does not conform to popular culture (Aviera, 2002). These oppressions will offer me a deeper insight into the source of challenges that a client faces. By merely looking at the individual without considering these oppressions, I could fail to determine what drives him to experience life the way that he does. Therefore, in order to build a practice that is useful to a different set of cultures, keeping in mind significant experiences encountered as a collective is fundamental in cultivating effective cross-cultural counseling
This paper will introduce and define the need for Multicultural awareness as a clinical mental health counselor. It will further explore examples of various topics in Multicultural counseling such as: Racial and ethnic diversity, gender and social economic status. As a result of this research, in Multicultural awareness, the self-assessment rendered the identity of myself. It allowed me to realize what and who I was as “other.” In realizing who I was as “other”, I saw my own self-identity, and some of my flaws. Therefore, this assessment made me realize the need to develop a plan to correct areas of which demonstrated lower scores in: acceptance of change, stereotyping, and assuming may interfere as a mental health counselor if not corrected. Multicultural Self-Assessment After taking the multicultural self-assessment, my results revealed the following about myself. For the most part of this assessment, my strongest points were rounded in cultural diversity and understanding. Contrary to such, I scored lower in the areas of “assuming something is when it’s not,” “stereotyping,” and “adapting new changes” (Petrone, M. C. 2004). Lastly, more often than not results displayed equality, and positive outlook type of personality. For example, in posting to the discussion board, I tried to respond to topics without, disrespecting ones’ values, and at the same time introducing awareness about the topic. First Time I Realized I was “Other” The first
The need to provide mental health services to culturally diverse clients has increased over the past couple of years due to the increase in racial and ethnic diversity in the United Sates. Consequently, there is a need for mental health professionals to offer effective interventions that address social issues that accompany racial and ethnic diversity (Constantine, Hage, Kindaichi, & Bryant, 2007). Research shows that efforts are being made to implement social justice advocacy strategies and interventions into counseling practices. This growing movement calls for counselors to be agents and advocates for social justice, oppression, and discrimination (Ratts & Hutchins, 2009). Social justice counseling approaches focus on empowering the individual by actively confronting injustices and inequalities that affects clients in their systemic frameworks (Pedersen, Lonner, Draguns, Trimble, & Rio, 2015).
While working with clients that are multicultural, it’s important that counselors address the behavioral problems in the client’s family. (Santisteban, et al., 2003). It is important that the counselor allows changes in the family’s function and allow problematic behaviors to change to allow the family to work better, together (Santisteban, et al., 2003). The counselor can do this by addressing the client’s presenting problems and correcting those problems with healthier behaviors (Santisteban, et al., 2003). The counselor needs to allow the family time to change their behaviors. For example: A Hispanic family has come into counseling because their son is disruptive. This disruptive behavior is disrupting the family’s functioning.
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).
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.
Multicultural group counseling takes place when a counselor and/or clients are from differing cultural, race, and/or ethnicity groups. Due to the significant demographic changes that are occurring in the United States, multiculturalism is becoming increasingly important. When acting as a multicultural group counselor, it is important to modify techniques to reflect the cultural differences of the client, be prepared to deal with difficulties during the counseling process, and understand the way culturally diverse people conceptualize their problems as well how they resolve them (Gladding, 2012). In order to be an effective multicultural counselor, it is important that one is aware of their cultural heritage, understands how their cultural background affects their attitudes, values, and beliefs, recognizes the limitations of their multicultural expertise and/or competency, and identify the root of their discomfort with different clients (Gladding, 2012). One can implement these through three key aspects Gladding (2012) outlined in his book and effective leadership skills.
In a multicultural counseling perspective there are four key approaches when counseling individuals, (a) multicultural awareness of culturally learned assumptions about self and others leading to accurate assessments of clients, (b) multicultural knowledge of information, (c) multicultural skills and interventions, that are appropriate treating clients, and (d) individuals are from a variety of backgrounds, demographic status, and affiliation of cultures. The three-stage approach, will direct the counselor towards levels of multicultural competence in therapy by providing a successful outcome in the recovery process. When conducting a psychotherapy session with a client the counselor should be able to demonstrate skills, when exploring the client’s cultural background. Counselors should also be able to focus on the essential skills and pattern behaviors, when identifying cultural differences. Counseling a minority from a different culture counselors’ must be able to identify their own personal behaviors. These behaviors are crucial when counseling these individuals. First, a counselor must be able to sense the clients’ viewpoint or issue in some way. Secondly, a counselor should be specific when asking a question rather than being unclear and confusing.
After reading the many articles on the notion of diagnosis and counseling with multicultural/ethnic patients, it has come to my attention that this focus is solely based on stereotypical attitudes. Sure, it can be said that it is important for a therapist to have a background of the patient’s heritage and culture, but doesn’t this necessarily mean that the outlook of the therapist will be put in a box by doing so? I think multicultural competency is a ridiculous way to improve patient-therapist relationships because of several reasons. First off, generalities and race-centralisms only hinder, not improve, the inner workings of a therapy session. Second, there is no real way to test
Multicultural counseling are counselors who understand that the client with different cultural background from themselves will have different views and that could effect their treatment. Multicultural are aware of the different cultures and the differences in groups meaning not everyone in the same group thinks the same. MCTs advocates to enhance the traditional counseling role by teaching and consulting plans that relates to culture and roles in the healing process. They also are aware of the balance between individualism and collectivism when it comes to assessing, diagnosing and creating a treatment plan for the client (Sue & Sue, 2016).