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Chapter Two:

                         Culturally Effective
                              Helping



©2013, Brooks/Cole Cengage Learning
What is Culture?


                Culture – “That complex whole which includes
                knowledge, beliefs, arts, laws, morals, customs,
                and capabilities acquired by a person as a member
                of society. It is a way of life of a group of people,
                the configuration of all the more or less stereotyped
                patterns of learned behavior which are handed
                down from one generation to the next through the
                means of language and imitation” (Adler 1997).

©2013, Brooks/Cole Cengage Learning
Four Attributes of Effective Multiculutral
                    Crisis Intervention
                                      (Kiselica, 1998)



                Knowledge of one’s own cultural biases.

                Basic knowledge about a variety of cultures.

                Willingness and ability to use skills and
                techniques that better match the culture of the
                client in crisis.

                Experience in counseling and crisis
                intervention with clients of a different culture.
©2013, Brooks/Cole Cengage Learning
Ten Culturally Biased Assumptions
                                      (Pederson, 1987)




            There is a universal measure of “normal” behavior.
            Individuals, rather than groups, are the foundation of all
            societies.
            Definitions of presenting problems are limited by
            professional disciplines.
            Western culture relies on abstract thinking.
            Independence is valued over dependence.
            Professional Counseling is better than natural support
            systems.
©2013, Brooks/Cole Cengage Learning
Ten Culturally Biased
                                  Assumptions Cont.
                                       (Pederson, 1987)



            Linear causality is more accurate than circular
            causality.
            Individuals need to change to fit the system.
            The client’s history does not affect the current
            situation.
            Interventionists are aware of ALL of their biases.

                      ALL TEN ASSUPMPTIONS ARE FLAWED!
©2013, Brooks/Cole Cengage Learning
Multicultural View of
                                       Crisis Intervention

                Universal vs. Focused
                          Universal View examines racial and ethnic
                          minorities, as well as special populations.
                          Focused View examines only “visible and
                          racial ethnic minorities.”

                Etic vs. Emic
                          Etic – one dimensional or linear lens
                          Emic – gestalt or circular lens
©2013, Brooks/Cole Cengage Learning
Worldviews


                What is the client’s world view?
                          Self-concept, sense of well-being, emotional
                          control, and relational and attributional styles


                Opposing Views
                          Individualism vs. Collectivism
                          High-Content vs. Low-Content
                          High-Uncertainty vs. Low-Uncertainty
©2013, Brooks/Cole Cengage Learning
Multicultural perspectives
                            in Crisis Intervention

                Victims of a crisis base their ability to overcome the
                trauma by relying on their own set of cultural
                survival skills.
                          May be significantly different from the cultural skills
                          of the crisis worker.


                Not recognizing the client’s worldview may lead the
                crisis worker to make grievous errors in
                assessment and treatment of crisis intervention.
©2013, Brooks/Cole Cengage Learning
Individualism Vs. Collectivism


                      Individualism                  Collectivism
         Centralizes the personal and            Assumes that the individual is
         peripheralizes the social group.        simply a component of the larger
         Prefer low-context direct               social group.
         communication.                          Prefer high-context indirect
         Prefer a confrontation and              communication.
         arbitration approach to conflict        Prefer an accommodation
         resolution.                             approach to conflict resolution.



                No difference regarding one’s “sense of family obligation.”
©2013, Brooks/Cole Cengage Learning
High-Content Vs. Low-Content


                    High-Content
                                                Low-Content
             Self-image and worth are
             defined in reference to a      Self-image and worth are
             group.                         defined in individual terms.
             Information is expressed       Information is expressed
             implicitly and non-verbally.   explicitly.
             May become embarrassed         Does not like the use of
             when talking directly about    stories, proverbs, metaphors,
             the crisis event.              etc. as a method of
                                            communication.

©2013, Brooks/Cole Cengage Learning
High-Uncertainty Vs.
                                Low-Uncertainty

                 High-Uncertainty         Low-Uncertainty
             Abides by a broad range     Abides by a more laid-
             of rigid rules,             back attitude of
             regulations, and            acceptance of the
             procedures that cover a     situation and gratitude
             multitude of situations.    for survival.
                                             “I’m alive, that’s all that
                                             matters, I’ll figure the
                                             rest out later.”

©2013, Brooks/Cole Cengage Learning
Social Locations

                What is your identity?                  Employee
                               Mother                   Musician
                               Wife                     Recovering Alcoholic
                               Daughter                 Alumni of Indiana
                               Sister                   University
                               Friend                   Member of Junior
                                                        Auxiliary
                               Athlete
                               Raised in a small town
                               Lives in an urban area

                               Catholic
©2013, Brooks/Cole Cengage Learning
Social Location Models

                 RESPECTFUL
                           Religious/Spiritual
                           Economic class
                           Sexual identity
                           Psychological development
                           Ethnic/racial
                           Chronological age
                           Traumatic threats
                           Family
                           Unique physical issues
                           Language/location of residence
©2013, Brooks/Cole Cengage Learning
Social Location Models Cont.

                ADDRESSING
                   Age
                   Development
                   Disability
                   Religion
                   Ethnicity
                   Social class
                   Sexual orientation
                   Indigenous heritage
                   National orientation
                   Gender

      For a complete list, include geographic location, living area (urban,
      suburban, rural), occupation, education, and marital/partner status.
©2013, Brooks/Cole Cengage Learning
Social Locations Graph

                Ecology – the living environment in which the
                intervention occurs.




©2013, Brooks/Cole Cengage Learning
Shortcomings of a Multiculturalist
                  Approach to Crisis Intervention


                Lack of consensus on key terms.
                          Ethnicity
                          Race
                          Ethnic and racial identity
                          Culture

                Inaccurate assumption that current theories of
                counseling, psychotherapy, and crisis
                intervention are inherently biased and
                oppressive.

©2013, Brooks/Cole Cengage Learning
Shortcomings Cont.


                Much of the literature on multicultural
                competencies has not been peer reviewed or is
                not based on empirical research.

                False acceptance of the division between
                collectivist and individualist cultures.


©2013, Brooks/Cole Cengage Learning
Characteristics of Effective
                          Multicultural Counselors

                 Empathic
                 Caring
                 Demonstrates positive regard
                 Advocates

                 Genuine belief that humans are more alike
                 than they are different
©2013, Brooks/Cole Cengage Learning
Effective Strategies of
                      Multicultural Crisis Intervention
        Do’s
                  Examine and understand the client’s worldview.
                  Use alternative roles that are appealing to the client.
                  Assist the client in utilizing culturally indigenous support systems.
                  Take your time to fully triage the situation.
                  If possible, normalize the reaction to a traumatic event.
                  Empower the client.
        Don’ts
                  Impose personal values and expectations onto the client.
                  Stereotype the client, client behaviors, or culture.
                  Force unimodal counseling approaches upon the client.
                  Interfere with long-held issues ingrained in the client.



©2013, Brooks/Cole Cengage Learning
Obstacles to Effective Multicultural Crisis
                  Intervention

                Language Barriers
                          Confidentiality
                          Translators
                                      Family member vs. professional translator


                Religion/Spirituality
                          often mistakenly avoided by the crisis worker
                                      Religion, spirituality, and faith are often a large part of the
                                      crisis response.
                          Do NOT merely suggest the client consult with their
                          religious/spiritual leader as a means to abdicate your
                          responsibility as a crisis worker.

©2013, Brooks/Cole Cengage Learning
Obstacles Cont.

                Social Support System
                          May not be used in a linear way.
                          “Family” may not be limited to those living in the house of the
                          client.
                          Using professional services may be taboo in some cultures.
                Occupation
                          Many crisis workers often mistakenly fail to address this
                          significant social location.
                Rural Geographic Locale
                          Typically lack resources and do not have the population to
                          warrant federal aid.
                          May be suspicious of professional service workers from other
                          communities.
©2013, Brooks/Cole Cengage Learning
More Obstacles

             definition of “help”
                       may differ between the crisis worker and the client.

             Who’s turf is it?
                       Cultural differences are exacerbated when an “outsider”
                       crisis worker enters the “turf” of the client.
                                  “Outsider” could mean from a different geographic
                                  region, state, county, or even town.
                                  Crisis workers need to be aware of the cultural subtleties.




©2013, Brooks/Cole Cengage Learning
The Dilemma of Local Consultation


                     Local leaders know the infrastructure of the
                     community.

                     Using local leaders may provide a model of
                     cooperation for community members.

                     Local leaders may have their own agendas rather
                     than maintaining objectivity.

                     Non-local crisis workers should not attempt to
                     address social injustices ingrained in the community.


©2013, Brooks/Cole Cengage Learning
Who Receives Services?

                People most likely to receive services are:
                          YAVIS
                            Young
                            Attractive
                            Verbal
                            Intelligent
                            Socially well connected

                People most likely NOT to receive services are:
                    Low-income, elderly, limited-education, and ethnic
                    minorities

©2013, Brooks/Cole Cengage Learning

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2 culturally effective helping

  • 1. Chapter Two: Culturally Effective Helping ©2013, Brooks/Cole Cengage Learning
  • 2. What is Culture? Culture – “That complex whole which includes knowledge, beliefs, arts, laws, morals, customs, and capabilities acquired by a person as a member of society. It is a way of life of a group of people, the configuration of all the more or less stereotyped patterns of learned behavior which are handed down from one generation to the next through the means of language and imitation” (Adler 1997). ©2013, Brooks/Cole Cengage Learning
  • 3. Four Attributes of Effective Multiculutral Crisis Intervention (Kiselica, 1998) Knowledge of one’s own cultural biases. Basic knowledge about a variety of cultures. Willingness and ability to use skills and techniques that better match the culture of the client in crisis. Experience in counseling and crisis intervention with clients of a different culture. ©2013, Brooks/Cole Cengage Learning
  • 4. Ten Culturally Biased Assumptions (Pederson, 1987) There is a universal measure of “normal” behavior. Individuals, rather than groups, are the foundation of all societies. Definitions of presenting problems are limited by professional disciplines. Western culture relies on abstract thinking. Independence is valued over dependence. Professional Counseling is better than natural support systems. ©2013, Brooks/Cole Cengage Learning
  • 5. Ten Culturally Biased Assumptions Cont. (Pederson, 1987) Linear causality is more accurate than circular causality. Individuals need to change to fit the system. The client’s history does not affect the current situation. Interventionists are aware of ALL of their biases. ALL TEN ASSUPMPTIONS ARE FLAWED! ©2013, Brooks/Cole Cengage Learning
  • 6. Multicultural View of Crisis Intervention Universal vs. Focused Universal View examines racial and ethnic minorities, as well as special populations. Focused View examines only “visible and racial ethnic minorities.” Etic vs. Emic Etic – one dimensional or linear lens Emic – gestalt or circular lens ©2013, Brooks/Cole Cengage Learning
  • 7. Worldviews What is the client’s world view? Self-concept, sense of well-being, emotional control, and relational and attributional styles Opposing Views Individualism vs. Collectivism High-Content vs. Low-Content High-Uncertainty vs. Low-Uncertainty ©2013, Brooks/Cole Cengage Learning
  • 8. Multicultural perspectives in Crisis Intervention Victims of a crisis base their ability to overcome the trauma by relying on their own set of cultural survival skills. May be significantly different from the cultural skills of the crisis worker. Not recognizing the client’s worldview may lead the crisis worker to make grievous errors in assessment and treatment of crisis intervention. ©2013, Brooks/Cole Cengage Learning
  • 9. Individualism Vs. Collectivism Individualism Collectivism Centralizes the personal and Assumes that the individual is peripheralizes the social group. simply a component of the larger Prefer low-context direct social group. communication. Prefer high-context indirect Prefer a confrontation and communication. arbitration approach to conflict Prefer an accommodation resolution. approach to conflict resolution. No difference regarding one’s “sense of family obligation.” ©2013, Brooks/Cole Cengage Learning
  • 10. High-Content Vs. Low-Content High-Content Low-Content Self-image and worth are defined in reference to a Self-image and worth are group. defined in individual terms. Information is expressed Information is expressed implicitly and non-verbally. explicitly. May become embarrassed Does not like the use of when talking directly about stories, proverbs, metaphors, the crisis event. etc. as a method of communication. ©2013, Brooks/Cole Cengage Learning
  • 11. High-Uncertainty Vs. Low-Uncertainty High-Uncertainty Low-Uncertainty Abides by a broad range Abides by a more laid- of rigid rules, back attitude of regulations, and acceptance of the procedures that cover a situation and gratitude multitude of situations. for survival. “I’m alive, that’s all that matters, I’ll figure the rest out later.” ©2013, Brooks/Cole Cengage Learning
  • 12. Social Locations What is your identity? Employee Mother Musician Wife Recovering Alcoholic Daughter Alumni of Indiana Sister University Friend Member of Junior Auxiliary Athlete Raised in a small town Lives in an urban area Catholic ©2013, Brooks/Cole Cengage Learning
  • 13. Social Location Models RESPECTFUL Religious/Spiritual Economic class Sexual identity Psychological development Ethnic/racial Chronological age Traumatic threats Family Unique physical issues Language/location of residence ©2013, Brooks/Cole Cengage Learning
  • 14. Social Location Models Cont. ADDRESSING Age Development Disability Religion Ethnicity Social class Sexual orientation Indigenous heritage National orientation Gender For a complete list, include geographic location, living area (urban, suburban, rural), occupation, education, and marital/partner status. ©2013, Brooks/Cole Cengage Learning
  • 15. Social Locations Graph Ecology – the living environment in which the intervention occurs. ©2013, Brooks/Cole Cengage Learning
  • 16. Shortcomings of a Multiculturalist Approach to Crisis Intervention Lack of consensus on key terms. Ethnicity Race Ethnic and racial identity Culture Inaccurate assumption that current theories of counseling, psychotherapy, and crisis intervention are inherently biased and oppressive. ©2013, Brooks/Cole Cengage Learning
  • 17. Shortcomings Cont. Much of the literature on multicultural competencies has not been peer reviewed or is not based on empirical research. False acceptance of the division between collectivist and individualist cultures. ©2013, Brooks/Cole Cengage Learning
  • 18. Characteristics of Effective Multicultural Counselors Empathic Caring Demonstrates positive regard Advocates Genuine belief that humans are more alike than they are different ©2013, Brooks/Cole Cengage Learning
  • 19. Effective Strategies of Multicultural Crisis Intervention Do’s Examine and understand the client’s worldview. Use alternative roles that are appealing to the client. Assist the client in utilizing culturally indigenous support systems. Take your time to fully triage the situation. If possible, normalize the reaction to a traumatic event. Empower the client. Don’ts Impose personal values and expectations onto the client. Stereotype the client, client behaviors, or culture. Force unimodal counseling approaches upon the client. Interfere with long-held issues ingrained in the client. ©2013, Brooks/Cole Cengage Learning
  • 20. Obstacles to Effective Multicultural Crisis Intervention Language Barriers Confidentiality Translators Family member vs. professional translator Religion/Spirituality often mistakenly avoided by the crisis worker Religion, spirituality, and faith are often a large part of the crisis response. Do NOT merely suggest the client consult with their religious/spiritual leader as a means to abdicate your responsibility as a crisis worker. ©2013, Brooks/Cole Cengage Learning
  • 21. Obstacles Cont. Social Support System May not be used in a linear way. “Family” may not be limited to those living in the house of the client. Using professional services may be taboo in some cultures. Occupation Many crisis workers often mistakenly fail to address this significant social location. Rural Geographic Locale Typically lack resources and do not have the population to warrant federal aid. May be suspicious of professional service workers from other communities. ©2013, Brooks/Cole Cengage Learning
  • 22. More Obstacles definition of “help” may differ between the crisis worker and the client. Who’s turf is it? Cultural differences are exacerbated when an “outsider” crisis worker enters the “turf” of the client. “Outsider” could mean from a different geographic region, state, county, or even town. Crisis workers need to be aware of the cultural subtleties. ©2013, Brooks/Cole Cengage Learning
  • 23. The Dilemma of Local Consultation Local leaders know the infrastructure of the community. Using local leaders may provide a model of cooperation for community members. Local leaders may have their own agendas rather than maintaining objectivity. Non-local crisis workers should not attempt to address social injustices ingrained in the community. ©2013, Brooks/Cole Cengage Learning
  • 24. Who Receives Services? People most likely to receive services are: YAVIS Young Attractive Verbal Intelligent Socially well connected People most likely NOT to receive services are: Low-income, elderly, limited-education, and ethnic minorities ©2013, Brooks/Cole Cengage Learning