Multicultural Competence : Cognitive Behavioral Therapy

The decision between the Therapist and Latino client is a remarkable example of the importance of being sensitize and culturally competent. The therapist appeared to have inadvertently added to the client’s stress which potentially negatively affect the worker-client relationship as well as the intervention process. My initial response to the dialog was that of confusion. Although I tried to empathize with the counselor’s method of getting the young lady to take responsibility for her actions. I totally disagreed with his lack of insensitivity to the client’s indirect message. The young lady was trying to convey her feelings about her experiences as a Latino woman. He did not take inconsideration that although humans often have similar stories.

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)

Because multicultural counseling can have a myriad of people with different personalities and backgrounds, many ethical procedures cannot address all the circumstances that a counselor could come across. According to Diller (2011) it is critical when preparing to work with clients of a particular ethnic group by doing research into the group’s history, culture, and health issues (p. 320). This would include not only academic, professional, or web searches, but travel,

Below, I will discuss the results of a multicultural self-assessment that I took. I will describe a time in which I felt “other”. I will then proceed to explain my personal feelings regarding each. I will discuss a course of action I plan to take as a result of the multicultural assessment. I will develop a counseling identity statement. Finally, I will explain why multicultural awareness and cultural competency are important in the field of counseling.

There is no doubt that the counsellor needs to be aware of the complexity of culture (Pedersen & Ivey, 1993). Culture results from the interaction of a number of variables including ethnographic, demographic, socio-economic, and relational factors. Within a culture, people develop patterns of behaviours based on a number of assumptions they have learned either directly, observationally or vicariously (Mitchell & Krumboltz, 1996). People also develop a cultural identity by

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

Cultural competence as it pertains to counseling is a vital skill to possess in today’s ever-changing society. Counseling is a high demand profession which involves interaction with person from all walks of life and all types of backgrounds. As we become more sensitive to cultural diversity around us, we must make an effort to understand those who are different from us. The lesbian, gay, bisexual and transgender or LGBT community has come to the forefront of our social consciousness with much media attention given to the issue of marriage equality in many states.

In the beginning of the course I had very little knowledge about the theories in multicultural counseling. I knew that it was centrally focused around social justice and equality but I didn’t know there were theories that pertained to specific ethnic minorities. I also learned that there isn’t a one size fits all theory. What I learned was that each model needs to be unique to the client and very well rounded; it should include a specific goal(s), describe the process, “have both aspects of cognition and emotion, and include justice and equity as well.” (Jun 2010) I have learned that as a multicultural counselor you have to be very aware and mindful of your thoughts and actions. I learned that there is a lot that is integrated into multicultural counseling and it isn’t cut and dry. There are varieties of concepts, such as being aware of oppression, continuous self-reflection, awareness of impact that a multicultural counselor can have on an individual, etc. (Jun, 2010)

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.

from the context of the personal culture of the client (Sue, Arrendondo & McDavis, 1994; Sue &

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.

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.