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Cultural dilemas in Counselling *pdf
Cultural dilemas in Counselling *pdf
Cultural dilemas 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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Sue, Stanley, & Zane, Nolan. (2009). The Role of Culture and Cultural Techniques in Psychotherapy. Asian American Journal of Psychology(1), 3-14.
Watson, Jeanne C., Goldman, Rhonda N., & Greenberg, Leslie S. (2011). Contrasting Two Clients in Emotion-Foucsed Therapy for Depression 1L The Case of "Tom, "Trapped in the Tunnel". Pragmatic Case Studies in Psychotherapy, 7, 268-304.
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Anderson et al. (2010) viewed the healing setting as shared beliefs between the client and the practitioner about what healing means (p. 148). They state “the setting in which a treatment occurs imbues the process with power and prestige while simultaneously reminding the participants of the predominant cultural beliefs regarding effective care” (p. 148). In this sense, whatever is acceptable treatment within a specific culture is valid so long as patients believe in the treatment. Thus, what happens in...
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During the initial interview with the client a new format is used called the Cultural Case Formulation. This takes into account the cultural identity of the person, their cultural definitions of distress, and cultural stressors. Psychosocial stressors are included which can be unique to each culture and the level that a person identifies with their culture can be taken into account when treatment planning. By assessing a client's cultural identity this may allow the clinician to identify barriers or commonalities between themselves and the
Race and ethnicity can influence a client’s experience of self and others in a variety of ways. A client’s personal race and ethnicity can influence his or her experience within the context of therapy through the set of beliefs he or she brings into the room. This set of beliefs and customs influences how he or she views therapy and whether there is motivation to be there. If the client’s culture does not usually seek therapy for their problems, or even believe in mental illness, it is likely the client will have apprehensions about trusting or speaking to the clinician. If the clinician is not aware of this possibility, the clinician may wonder why the client is in therapy if he or she will not speak or allow rapport to be built. A responsible clinician will take this into consideration.
Heitler, Susan. Ph.D. “8 Reasons to Cheer for Psychotherapy and to Broaden Its Availability.” Psychology Today. N.p. 10 Aug. 2012. Web. 11 Nov. 2013
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Culture has a huge influence on how people view and deal with psychological disorders. Being able to successfully treat someone for a mental illness has largely to do with what they view as normal in their own culture. In Western cultures we think that going to a counselor to talk about our emotions or our individual problems and/or getting some type of drug to help with our mental illness is the best way to overcome and treat it, but in other cultures that may not be the case. In particular Western and Asian cultures vary in the way they deal with psychological disorders. In this paper I am going to discuss how Asian cultures and Western cultures are similar and different in the way they view psychological disorders, the treatments and likelihood of getting treatment, culture bound disorders, and how to overcome the differences in the cultures for optimal treatments.
Roth, A., Fonagy, P. (2005). What works for Whom? A Critical Review of Psychotherapy Research. US: Guilford Press.
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.
In this interview Ben Bagley asks Theresa Han about the difference between Korean and American culture. Theresa is a teenager who recently moved to the United States so she has an excellent perspective for understanding the differences and similarities between these countries.