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Cross Cultural Competency, Diversity, & Awareness: Ethical Boundaries
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On the last track we discussed Collins’ five psychological sets of culturally different clients. These five sets were the Problem-Solving Set, the Consistency Set, the Identification Set, the Economic Set, and the Authority Set. On this track we will discuss counselor credibility for culturally different clients. As you are well aware, credibility, which elicits the problem-solving, consistency, and identification sets in clients discussed on the previous track, can be defined as the constellation of characteristics that make certain individuals appear worthy of belief, capable, entitled to confidence, and reliable. I have found that there are three components of credibility. These three components of credibility are expertise, trustworthiness, and belief similarity. When Akemi, (a-kem’-e) age 32, an Asian American, came to me because she was having difficulties coping with her emotions, I knew I would need to handle her case differently than I would the case of a white client. Akemi stated, "It’s hard for me to talk about these issues. My parents and friends … they wouldn’t understand … if they ever found out I was coming here for help …." Akemi trailed off. #1 - Expertise #2 - Trustworthiness Deshawn (Deh-Shawn’), age 27 African-American, was referred to me for counseling after he became violent at a basketball game and punched a player on the opposing team in the face. When his white coach, Dave, tried to calm him down, Deshawn threatened to punch the coach, too. In counseling, however, Deshawn was not open to talking with me at first. I stated, "I sense some major hesitations. It seems you are having difficulty discussing your concerns with me." As you can see from this scene with Deshawn, clients of a different culture are likely to constantly test therapists regarding issues of confidentiality. Deshawn was testing me by discussing my relationship with his coach. By admitting that I did know his coach but clarifying that we were only acquaintances, I gained a little trust from Deshawn. However, I had to earn it. #3 - Belief Similarity Do you have a client... of a different culture like Akemi who is not benefiting from counseling because she does not believe you are an expert and thus does not believe you have credibility? Or is your culturally different client more like Deshawn, who simply does not believe you have credibility because he does not trust you? Or does your culturally different client simply not share the same beliefs as you in addition to not sharing the same race? On this track we have discussed three components of counselor credibility. These three components of counselor credibility were expertise, trustworthiness, and belief similarity. On the next track we will discuss methods of counseling a culturally different client who is depressed and angry. Peer-Reviewed Journal Article References:
Atkinson, D. R., & Matsushita, Y. J. (1991). Japanese-American acculturation, counseling style, counselor ethnicity, and perceived counselor credibility. Journal of Counseling Psychology, 38(4), 473–478. Ramos-Sánchez, L., Atkinson, D. R., & Fraga, E. D. (1999). Mexican Americans' bilingual ability, counselor bilingualism cues, counselor ethnicity, and perceived counselor credibility. Journal of Counseling Psychology, 46(1), 125–131. Ruelas, S. R., Atkinson, D. R., & Ramos-Sanchez, L. (1998). Counselor helping model, participant ethnicity and acculturation level, and perceived counselor credibility. Journal of Counseling Psychology, 45(1), 98–103. Tormala, T. T., Patel, S. G., Soukup, E. E., & Clarke, A. V. (2018). Developing measurable cultural competence and cultural humility: An application of the cultural formulation. Training and Education in Professional Psychology, 12(1), 54–61. Trevino, A. Y., Tao, K. W., & Van Epps, J. J. (2021). Windows of cultural opportunity: A thematic analysis of how cultural conversations occur in psychotherapy. Psychotherapy, 58(2), 263–274. Tummala-Narra, P., Claudius, M., Letendre, P. J., Sarbu, E., Teran, V., & Villalba, W. (2018). Psychoanalytic psychologists’ conceptualizations of cultural competence in psychotherapy. Psychoanalytic Psychology, 35(1), 46–59. Online Continuing Education QUESTION 2 |
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