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Self-Assessment: Cultural Issues as a Lens in Accessing Clinical Services. Loretta Braxton Ph.D., Durham and the Multicultural & Diversity Committee (2009-2010) VA Psychology Training Council Contact persons: Daryl Fujii Ph.D., Honolulu (Daryl.Fujii@va.gov)
Loretta Braxton Ph.D., Durham
Multicultural & Diversity Committee (2009-2010)
VA Psychology Training Council
Daryl Fujii Ph.D., Honolulu (Daryl.Fujii@va.gov)
Rachael Guerra Ph.D., Palo Alto (Rachael.Guerra@va.gov)
Loretta E. Braxton Ph.D., Durham, (Co-Chair)
Linda R. Mona Ph.D., Long Beach (Co-Chair)
Lenora Brown Ph.D., St. Louis
Daryl Fujii Ph.D., Honolulu
Rachael Guerra Ph.D., Palo Alto
Jamylah Jackson Ph.D., North Texas
Tina Liu-Tom Ph.D., Honolulu
Monica Roy Ph.D., Boston
Miguel Ybarra Ph.D., San Antonio
Jay Morrison Ph.D., San Francisco (Postdoc)
Velma Barrios, Greater Los Angeles (Intern)
“…the population of the United States is racially/ethnically diverse, and that students, research participants, clients and the workforce will be increasingly likely to come from racially/ethnically diverse cultures.”
APA Guidelines on Multicultural Education, Training, Research, Practice, and Organizational Change for Psychologists (2003)
Our job is to offer the best care possible within the context of a fluid standard of care; this is a standard that evolves as we are presented with more, and new, research and information.
Clements & Jones (2006)
"The Zax" is a story about the importance of compromise. There is a North-going Zax and a South-going Zax who meet face-to-face in the Prairie of Prax. The two stubborn Zax refuse to move east, west, or an inch except where they are standing. The Zax become stuck, as they refuse to move around each other declaring to stand there for 59 days or better yet, 59 years! Eventually a highway overpass is built around them. The story ends with the Zax standing in their respective places. “Never budge in the least."
Dr. Seuss (1989)
Racial micro-aggressions are brief and commonplace daily verbal, behavioral, or environmental indignities, whether intentional or unintentional, that communicate hostile, derogatory, or negative racial slights and insults toward people of color.
Sue et al. (2007)
If I declare there is a racial issue at hand, or there isn’t a racial issue at hand, my race will lend me more credibility for either position than a person of color will have.
A 22 year old male comes to your clinic for treatment. He is over six feet tall, weighs two hundred pounds, and is very dark-skinned. The patient is a recovering substance abuser. He is withdrawn and often stares intently at the staff and at other patients. The clinic staff talk about his “scary” stare and the word gets around that he should be “watched as a possible danger.”
Anand & Shipler (1994)
Chris is a 19 year old Caucasian youth who is seriously depressed. The depression is thought to be linked to the sudden death of his father and the increasing responsibility he is expected to shoulder for his mother and five sisters. Chris has attempted suicide.
You are a provider who is self-identified gay. Chris and his mother come to you. They are both very quiet during the visit. Later you learn that Chris and his mother have requested a transfer to another therapist.
Anand & Shipler (1994)
Anand, R. & Shipler, L. K. (1994). Multicultural Case Studies: tools for Training. (2nd ed). National Multicultural Institute, Washington, D.C.
Clements, P & Jones, J (2006). The diversity training handbook (2nd ed). London: Kogan Page.
Cornish, J., Schreier, B., Nadkarni, L., Metzger, L. & Rodolfa, E. (2010). Handbook of multicultural counseling competencies. New Jersey: Wiley.
Dr. Seuss. (1989). The Sneetches and other stories. New York: Random House.
McIntosh, P. (1988). Working Paper 189. White privilege and male privilege: A personal
account of coming to see correspondences through work in women’s studies. Wellesley College, MA.
Nile, L. N. (2008). Developing Diversity Training for the Workplace: A guide for trainers (9th ed).Washington, DC: NMCI Publishers.
Nile, L. N. (1997, May). The silent interview. Workshop conducted at the meeting of the National Multicultural Institute, Washington, D.C.
Rowe, M. P. (2008). Micro-affirmations and micro-inequities. http://web.mit.edu/ombud/publications/micro-affirm-ineq.pdf.
Sue, D.W., Capodilupo, C. M., Torino, G.C., Bucceri, J. M., Holder, A,M. B., Nadal, K. L., Esquilin, M. (2007). Racial microaggressions in everyday life: Implications for clinical practice. American Psychologist, 62, 271-286.
Washington, J. (2009). Advancing our communities: The role of social justice in multicultural psychology. New Orleans:National Multicultural Conference and Summit