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Chapter 2

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Chapter 2. Multicultural Therapeutic Communication. Developing Cultural Communication. Define culture Define cultural communication Promote multicultural communication Knowledgeable of beliefs, values Develop techniques Recognize barriers. Barriers to Therapeutic Cultural Communication.

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Chapter 2

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  1. Chapter 2 Multicultural Therapeutic Communication

  2. Developing Cultural Communication • Define culture • Define cultural communication • Promote multicultural communication • Knowledgeable of beliefs, values • Develop techniques • Recognize barriers

  3. Barriers to Therapeutic Cultural Communication • Lack of knowledge • Fear, distrust • Racism • Bias, prejudice, ethnocentrism • Stereotyping

  4. Barriers • Healthcare rituals • Language • Perceptions, expectations

  5. Therapeutic Response • Approach client slowly, respectfully • Create culturally comfortable environment • Listen to client, observe culture • Validate, ask questions • Recognize nonverbal gestures, mannerisms

  6. Purnnel’s Cultural Domains • Body language, content, comfort zone • Role extended family, principle caregiver • Pain, expectations, focus on health care • Practitioner perception, gender • Use of prayer, meaning of life

  7. Cultural Diversity Manifestations • Low-context communication • High-context communication • Care giving structure, HIPAA • Time focus • Religion versus race, physical appearance

  8. Examples of Cultures • Caucasian, Western • African American, Western • Black, African or Caribbean • Asian • Native American, South Sea Island • Hispanic and Latino

  9. Religion-Based Cultures • Judaism • Sabbath, kosher food, Passover • Hinduism and Buddhism • Vegetarian, fasting, modesty • Muslim • Non-pork, daily prayers, decisions

  10. Medical Interpreters • Cultural broker, cultural facilitator • Legal use of interpreters • Best use of interpreters • Role of clients, physicians, health professionals

  11. User Guidelines for Interpreter • Introduce interpreter • Be brief yet complete • Discuss confidentiality • Allow time for client, interpreter to think • Be sensitive of cultural differences • Continued use of same interpreter

  12. Therapeutic Response • Assess if interpreter is needed • Discuss causes of illness: if, how treated • Ascertain use of holistic or folk medicine • Continue use of holistic or folk medicine, if possible

  13. Western Medicine • Bacterial, viral cause • Diagnosis by • Scientific tests • Observation of client symptoms • Treatment by • Surgery • Medications

  14. Holistic Medicine • Personal accountability for one’s health • Body’s ability to heal itself • Balance of mind, body, spirit with environment • Treatment modalities • Acupuncture, biofeedback • Folk medicine, meditation, yoga

  15. Oriental Medicine • Body balance of energy, opposing states • Practiced in home, religious settings • Home remedy medications • Unlikely to share folk medicine usages • Treatment modalities

  16. Folk Medicine • Home remedy medication handed down • Some harmless, others dangerous • Practiced in homes, religious settings • Treatment modalities • Prayer, use of holy water, oil • Wear charms, bracelets • May not share treatments tried

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