Culturally Sensitive Interventions: A Literature Review

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

The DSM-5s' inclusion of the Cultural Formation Interview (CFI) has positive cultural care implications as it expanded cultural considerations and enabled greater provision of more individualised care by reducing racial and ethnic disparities in treatment (Halter, Rolin-Kenny, Dzurec, and Cox, 2013). “The CFI follows a person-centered approach to cultural assessment designed to avoid stereotyping, in that each individual’s cultural knowledge affects how he or she interprets illness experience and guides how he or she seeks help” (APA, 2013, p.

A therapist will face problems, issues and client troubles everyday. The professional must understand how their client relates to the world around them. These feelings and ideas affect how the client sees the problem and how they respond to their situation. Their actions, in turn, have bearing on individual thoughts, needs, and emotions. The therapist must be aware of the client's history, values, and culture in order to provide effective therapy. This paper will outline and provide information as to the importance of cultural competence and diversity in family therapy.

Cultural diversity and other therapies to practice such as the amalgamation of complementary and alternative medicine was the core learning purpose of this unit. Equipped with the awareness and understanding of this information, the clinician provides care by placing emphasizes on the holistic individual by evaluating the environment, psychosocial and lifestyle influences. As a result, the integration of a comprehensive cultural assessment is essential in all facet of mental health and mental illness. Therefore, the clinician must examine his/her personal beliefs about cultures in order to be proficient in providing care to individuals in a culturally diverse world.

Some of the issues a therapist can confront when using Behavioral Therapy (BT) are the emphasis in the expression of emotions structure of the therapy based on behavior, and the direct approach in treatment”, (Murdock, 2013, p.269), which is well tolerated by the Feminist Movement (in part), Asian origin populator, African Americans, American Indian and Alaskan Natives, but not for other groups. However, any of those populations present challenges in therapy. For example, the homework represents a problem for Asians, the collaboration in treatment depends on the reliability of the counselor for African Americans, who like the problem focused approach, but they expect formalism and respect for hierarchy, as well as the Latin-American group. American Indians and Alaskan Natives are present-oriented, but they dislike the goal future oriented of the

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.

Culturally competent care can best be understood by considering the recommendations of McGoldrick who said that culture and subculture has a history and background of experience that affects the product of that culture far more than it may realize. Family therapy generally focuses on the patterns and thought behavior of the different members within that family construct, but McGoldrick took a step backwards and said that ethnicity defined family behavior and that, to understand individual and family, one first had to understand and dialogue with that specific culture (McGoldrick, M., Pearce, J. and Giordano, 1982).

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.

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

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

When considering the significance and use of Cognitive Behavior Therapy within therapeutic practice (as with any other modality used) it is necessary to consider the impact/context within todays multi-cultural society. Awareness of Multiculturalism provides a fourth dimension to the three traditional helping orientations psychodynamic, existential-humanistic and cognitive. All learning occurs and identities are formed within a persons cultural context. Cultural identity is dynamic and ever changing in todays society. Understanding the cultural and

CACREP Standard: Section II, 2.e. addresses counselors’ role in developing cultural self-awareness promoting cultural social justice, advocacy and conflict resolution, and other culturally supported behaviors that promote optimal wellness and growth of the human spirit, mind, and body. Previously, counseling was viewed as a “whites only” form of treatment with most research done on white or European descendants. Non-European descendants failed to believe counseling would benefit them or it was frown upon by their culture and communities. Counseling was viewed as ineffective for those of non-dominate culture. Culturally

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).

While gender and ethnicity may be the more apparent cultural features other things are important also, which include sexual orientation, spiritual or religious practices, political aspects, and general philosophy of life are all cultural elements that need to be incorporated into interventions and treatment options” (Cummins et al., 2012, p.237). In addition, it is important for the social worker to have cultural knowledge because it is necessary for selecting the appropriate intervention and treatment methods for that client. Furthermore, the appropriate multidimensional assessment provides the social worker with the internal culture of the client such as cognitive abilities or limitations, emotional health, and emotional responses and