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Cultural dilemmas in Counselling *pdf
Cultural dilemmas in Counselling *pdf
Cultural dilemmas in Counselling *pdf
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“They would not be able to help me and I do not need their help anyway” is a common answer given by Korean-Americans when asked why they do not utilize mental health services, such as psychotherapy. This response broadly reflects two of the reasons why Korean-Americans are largely opposed to Western psychotherapy. For one, there is the widespread opinion among the Korean-American population that the psychotherapist or mental health specialist conceives of the problems and solutions using a framework that differs from their cultural beliefs (Kim & Ryu, 2005). In other words, Korean-Americans believe that the therapy could not possibly be advantageous because the therapist would not understand their presenting problem. Another more influential explanation for the sparse participation in Western psychotherapy among Korean-Americans is the idea that their problems do not require outside help. Within the Korean-American culture there is the understanding that problems arise as the result of pal-ja, or “immutable destiny,” and are to be quietly tolerated without seeking outside support or guidance—to solicit the assistance of a psychotherapist is thought to be shameful (Kim & Ryu, 2005, p. 357).
Establishing a good fit between the cultural experiences of the client and the type of treatment provided is important when working with all ethnic clients, but it is especially critical when working with Korean-Americans. This is because of the negative assumptions they hold about psychotherapy (Sue & Zane, 2009). By virtue of the extreme distrust and skepticism that Korean-Americans have towards Western psychotherapy, those voluntarily entering therapy likely consider it their last option and may be ambivalent about their decision (S...
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Culture is a collection of religion, traditions, and beliefs that are passed down from generation to generation. Culture is created and maintained through the repetition of stories and behavior. It is never definite because it is continuously being modified to match current trends, however, historical principles are still relevant. With respect to mental illness, culture is crucial to how people choose to deal with society and the methods used to diagnose and cope with mental illnesses. In Watters’ The Mega-Marketing Depression of Japan, he focuses on how Japan and other cultures define depression, but also displays how the influence of American treatments in eastern countries eventually becomes the international standards. Even though the
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In addition, some clients may want to explore their multiple identities and how they position themselves in a world that is highly influenced by culture. Nonetheless, as I read this question, I realized that there is no right or wrong answer. Similarly, there is no right or wrong reason to come to therapy. Therapy is for the individuals who want help regardless of a reason or problem. It is possible that some clients may not have a problem but that is not for the therapist to judge. Instead, the therapist must remain curious and explore the client’s perception of the problem or problems in order to identify unique outcomes and help build preferred
Psychological distress, acculturation, and help-seeking attitudes were all measured using specific indexes and scales set for the point of interest. The hypotheses of this research was that even within the African American community, one would find disparities in the treatment of psychological issues – just based on the method of acculturation used, and their views on society. There are 4 basic modes of acculturation: traditionalist, assimilationist, integrationist, and marginalist. It is thought that the integrationist acculturation strategy is the best for optimizing and maximizing well-being. Although there is not a difference in the number of African Americans that have mental health problems when compared to European-Americans, the percentage of those who seek professional mental health services due to emotional distress is representatively lower. The rate at which African Americans receive psychological help services is half as much as that of European Americans – there is a need for an explanation of that statistic. The goal of this paper is to determine the reasoning behind the help-seeking disparities in African Americans and the field of psychological health. In order to make health services fair, we must first understand the reasoning behind why or why not one would seek out professional help in the first place. Understanding ethno cultural attitudes and other cultural variables will allow the health care field to better relate and help all people more uniformly and to the best of their needs.
Kleinman, A. 1980. Patients and Healers in the Context of Culture: An Exploration of the Borderland between Anthropology, Medicine, and Psychiatry. University of California Press.
In conclusion, Anderson et al. (2010) discussed the relationship between therapeutic models and the techniques utilized by them. However, the contextual model that they posit in this article is built upon a postmodern philosophy and has numerous flaws. As a result, I reject many of their arguments, at least as they are presented. Despite this, there was some information (albeit modified) from this article that I can incorporate into my own practice as a therapist.
The United States population continues to increase in racial and ethnic diversity, therefore, it is pertinent that mental health professionals tailor their services to the needs of various cultural populations (Constantine, Kindaichi, Arorash, Donnelly, & Jung, 2002). The awareness that ethnic minorities experience negative consequences from being oppressed, resulted in the multicultural competence pedagogy and has helped counselors identify effective strategies to generate social change (Hage, 2003; Vera & Speight, 2003). Social norms that cause these injustices are identified, allowing for ethnic minorities to constitute and embrace empowerment. Moreover, this consciousness helps prevent therapists own bias’ from playing potentially oppressive roles stemming from their own worldview and builds on an understanding of their diverse clients life experiences (Sue & Sue, 2012). Counselors who commit themselves to social justice, value the fairness and equity in treatment and rights for marginalized individuals. According to Sue & Sue (2012), “an enlightened approach that acknowledges potential oppression in the manifestation, diagnosis, etiology, and treatment is best accomplished by taking a social justice approach,” which may be by challenging traditional models of therapy (Kindle Location 2919).
Smith, T. B., Rodríguez, M. D., & Bernal, G. (2011). Culture. In J. C. Norcross (Ed.), Psychotherapy relationships that work (2nd ed.). New York: Oxford University Press.
In this paper, I propose the need for scholars to begin intentional dialogue across disciplines of health, culture, mental health, and education. Discussions include; the connection between the mind and body and the underlying religious and cultural perceptions that drive health and mental health practices; the need to increase our understanding of mental health promotion in education; and exploration of cultural perspectives of mental health in the United States.
The research by Chen and Mak (2008) indicated that culture is one of the reasons for influencing the attitude towards professional help. In order to test the result, they investigated four different cultural groups of people which are European Americans, Chinese Americans, Hong Kong Chinese, and Mainland Chinese. The results shown that European and Chinese Americans are more likely to seek help than Hong Kong and Mainland Chinese. Later, the research conducted by Wilson (2010) analyzed that stress would be one of the factor as well. In his study, he concluded that if the participants with higher level of stress symptoms, they would seek less help from the others. He also demonstrated that young people are holding the negative attitude towards seek help if they are mental illness. However, Fischer and Farina (1995) disagree gave another opinion. They
Cognitive behavioral therapy (CBT) approach have many strengths with working with individuals from another cultural background. Counselors using CBT when working with diverse counselors can help clients examine their values and counselors will understand more clearly how their client feels (Corey, 2017). CBT is suited to treat diverse clients according to Spiegler (2013), he identifies the individualized treatment, focus on the surface of the environment, significance on learning makes CBT effective.
The Western Culture focuses on two methods of healing: chemically engineered compounds and surgical procedures. For instance, in the United States, individuals have the option of antidepressants with or without the aid of cognitive therapy(Selhub 2007) Most individuals choose the quick approach due to its alluring quick fix scheme. These contrasts different from the Eastern Culture’s main focus: the power of the mind and the energy from within: mind, body, and soul. The effects of Eastern Culture’s approach have been proven to be enduring and beneficial to the individuals involved. The Western Culture would greatly