Hmong In Vietnam

Cultural implications were evaluated from the Hmong perspective, using the book “The Spirit Catches You and You Fall Down.” The assessment was based on the Hmong people and followed the Geiger and Davidhizar’s transcultural assessment model. Five areas were focused on in particular from their model: Environmental Control, Social Organization, Communication, Space, and Time Orientation. The result reaffirmed that there is a huge cultural divide that caused many errors in the care of young Lia Lee, including many miscommunications that could have been prevented. I briefly touch on the importance of cultural awareness in the health care industry and why it is important to be sensitive to the culture of others.

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

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.

Unfortunately, Vietnamese Americans make up only a small percent of the total American Population today. There are many stereotypes associated with the Vietnamese, but the truth is, we really know very little about their culture. After the Viet Nam War, many Vietnamese citizens immigrated to the United States to escape political Prosecution and poverty. Faced with a variety of obstacles and

Native people are recognized to be at augmented risk for scarcity, with distinctive unemployment rates on suspicions being about 32%. They are the most poor of the racial or ethnic groups outside of an explicit and small subpopulation of Asian settlers, the Hmong. American Indians are at amplified risk for troubles of ill treatment and reliance, having an alcoholism death rate in 1992 that was 6.1 times the rate for the whole U.S population (Hagedorn, 1977).). Disasters, suicides, and murders, often linked with drinking or drug use, are extremely present among Native Americans. Obviously, Native peoples are inhabitants at risk for numerous troubles.

Although many people may not be aware of the Secret War, it was a war that greatly affected the Hmong people and changed their lives forever.

Life after the vietnam war was and is still today terrible because of not only laos and vietnam but because of the americans who abandoned them. A lot of hmong people moved to minnesota, 10% of the population in saint paul is hmong. Hmong people who stayed in Laos are still being killed today for what happened almost 50 years ago. life in Thailand is no longer a safe refuge for the hmong

Due to various socio-cultural factors that impede First Nations/Native Americans’ usage of mental health programs and services, their particular needs and characteristics will influence the way assessments, goal setting, and interventions will be utilized when working with a First Nations client. For example, Grayshield, et al., (2015), discuss the historical trauma that Native Americans/First Nations populations have experienced here in the United States. This includes prohibiting Native Americans/First Nation individuals from speaking their language and practicing their spiritual and cultural traditions. Historical trauma also includes the impact of Native Americans/First Nations children being sent to boarding schools and away from their families and cultural traditions. By forcing Native Americans/First Nations communities to assimilate, this caused trauma their mental health and that can also be seen in present time.

Since Bobby is Hispanic, comes from a poor upbringing, did not finish his education, and is unable to hold a job as an adult; treatment must be dealt with according to his ethics and culture. Information found under the APA Guidelines, Policy Statements, and Resolutions the discussion of proper procedure in ethnic background treatment and diversity (APA, 2010). The recommendation of a Hispanic psychologist will only assist in allowing Bobby to open up to treatment. The cultural similarities will assist in Bobby understanding that his parent’s life style was not appropriate; and if he continues on the same path he will not change the cycle that has caused him so much pain. Any language difference would be more accommodated with a Hispanic psychologist (APA, 2010). At this time Bobby has been able to correspond on an pragmatic level of English that was understandable. The treatment plan laid out for Bobby under Research and Evaluation allows for civil commitment. This will give Bobby time to gain control of the substance abuse and take control of the trauma from his past. The Hispanic intervention will allow for a more comforting environment. This part is important because Bobby suffered from abuse and neglect from his parents (Zalta, et al., 2014). His desire was to please his mother, no matter her requests. Although he now understands that instead of his parent’s protection he was abused and left

Until this day, there are little to no information or recognition of the Hmong as an ally with the Americans during the war. The Hmong’s were not acknowledged during the war by the U.S. government until the 1990s. The veterans that helped the former Hmong General Vang Pao want recognition from the U.S. government (Hays). People would say that when the soldiers died, kids would replace and help fight along with the Americans and when the kids died, the elderly's would replace them. Helms said, “Vang Pao has been forced to use 13 and 14-year-old children to replace his casualties (Weiner).” Today, most Americans know nothing about the Secret War. The war was a classified operation that was meant to be like it never happened. The Hmong in the United

In 1975, the ‘Fall of the Saigon’ marked the end of the Vietnam War, which prompted the first of two main waves of Vietnamese emigration towards the US. The first wave included Vietnamese who had helped the US in the war and “feared reprisals by the Communist party.” (Povell)

Traditionally, a common Hmong’s custom is that a soul can separate from its body and a shaman possesses power to control spiritual forces. Therefore, a shaman is capable of healing illnesses at the spiritual level. The Hmong have a belief that ancestral spirits, including the spirits of shamans are reincarnated into the same family tree. The Hmong’s believe in their Shaman more than western doctors. They prefer to perform their treatment by hosting their rituals to save and cure their sicknesses. Unfortunately, the major problem that Hmong refugees encounter upon arrival to this country is conflict with the US medical system. This conflict arises from misunderstanding and mistrust from both health professionals and refugees patients. As a

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.

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.