MULTICULTURAL INFUSION OF GRADUATE LEVEL COUNSELING COURSES Claire McLean B.A., California State University, Chico, 2004 PROJECT Submitted in partial satisfaction of the requirements for the degree of MASTER OF ARTS in PSYCHOLOGY (Counseling Psychology) at CALIFORNIA STATE UNIVERSITY, SACRAMENTO SPRING 2010 MULTICULTURAL INFUSION OF GRADUATE LEVEL COUNSELING COURSES A Project by Claire McLean Approved by: __________________________________, Committee Chair Marya Endriga, Ph.D. __________________________________, Second Reader Larry Meyers, Ph.D. ____________________________ Date ii Student: Claire McLean I certify that this student has met the requirements for format contained in the University format manual, and that this project is suitable for shelving in the Library and credit is to be awarded for the Project. __________________________, Graduate Coordinator Lisa M. Bohon, Ph.D. Department of Psychology iii ________________ Date Abstract of MULTICULTURAL INFUSION OF GRADUATE LEVEL COUNSELING COURSES by Claire McLean The changing cultural composition in the United States has contributed to the acknowledgment of the need for the counseling profession to develop multicultural perspectives and competencies. However, research shows that current counselor training programs are significantly inadequate in dealing with multicultural issues and preparing students for work with a diverse client base. For therapists to address effectively and appropriately the mental health concerns of their culturally diverse clients, it is essential that they receive sufficient training. This project addresses the need for multicultural infusion into graduate level counseling courses by providing a compendium of multicultural exercises. Current literature was reviewed and experiential activities were chosen based on four inclusion criteria. The compendium was created to guide professors on infusing graduate courses with multiculturalism by incorporating activities that address multicultural issues and topics pertinent to counselor training. _______________________, Committee Chair Marya Endriga, Ph.D. _______________________ Date iv ACKNOWLEDGMENTS As the work on my project comes to an end, so does my graduate school experience. While I sit here and reflect on the last four years, I am overwhelmed with feelings of pride and excitement, but especially with feelings of gratitude. Gratitude for those whose support and encouragement made this entire process possible. I would like to thank Dr. Marya Endriga and Dr. Larry Meyers for the time and effort they put into my project, helping me to accomplish my vision. I truly appreciate the help and support you have given me over the years. I would also like to thank all of my family and friends for believing in me. The endless encouragement, support and love made the last four years possible and I could not have done it without all of you. v TABLE OF CONTENTS Page Acknowledgments..........................................................................................................v List of Tables ............................................................................................................. viii Chapter 1. INTRODUCTION ...................................................................................................1 2. MULTICULTURAL INFUSION LITERATURE REVIEW ...................................4 Diversity of Clients Makes Multicultural Training and Competence Necessary ......................................................................................4 Cultural and Personal Awareness ......................................................................4 Domains of Multicultural Counseling Competencies: Knowledge, Awareness, and Skills ........................................................................................6 Limitations and Levels of Multicultural Competence .....................................10 Reasons for Feelings of Lack of Competence .................................................12 Acknowledgement of the Need for Multicultural Infusion .............................14 Challenges of Multicultural Infusion ...............................................................15 Approaches and Techniques Helpful with Teaching Multiculturalism ...........17 Experiential Activities in the Classroom .........................................................18 3. PURPOSE AND GOAL OF PROJECT ................................................................20 4. METHODS ............................................................................................................22 Researching of Literature .................................................................................22 Development of Compendium .........................................................................27 vi 5. RESULTS ..............................................................................................................30 6. DISCUSSION ........................................................................................................35 Appendix Compendium of Multicultural Exercises for Graduate Level Counseling Courses .....................................................................................................39 References ............................................................................................................................... 85 vii LIST OF TABLES Page 1. Table 1 Primary Resources Used for Project………………….……..………….24 2. Table 2 Knowledge, Awareness and Skills Exercises of the Project Compendium……………………………………………………...…………….32 viii 1 Chapter 1 INTRODUCTION Despite the long history of warnings and recommendations concerning the need to develop a multicultural perspective in the counseling profession and the need to develop multicultural competencies and standards…[there is still a] serious lack and inadequacy of training programs in dealing with racial, ethnic and cultural matters (Sue and Arredondo, 1992, p.477). Today there is an increasing need for multicultural training of mental health counselors with the United States becoming more multiethnic, multilingual, and multicultural than at any other time in history. Currently 65.6% of Americans are White, 12.8% are African American, 4.5% are Asian, .2% are Pacific Islander, 15.4% are Hispanic/Latino, and 1% are American Indian (U.S. Census Bureau, 2008). By the year 2050, it is expected that only 53% of the population will be White, while 25% will be Latino, 14% will be African American, 8% will be Asian Pacific Americans, and 1% will be American Indian (Abreu, Gim-Chung, & Atkinson, 2000). While the demographics of the United States continue to change rapidly, new and different challenges will face counselors in training, counselors, and educators. According to D’Andrea, Daniels, and Heck (1991), the challenges of the changing demographics are rooted in a growing awareness that the United States is quickly being transformed into a country in which the majority of citizens come from a variety of minority groups. It is important to note that while the number of ethnic minority groups increase, clients from these groups tend not to utilize counseling services and if they do, they tend to prematurely terminate counseling services at a higher rate 2 (Abreu et al., 2000; Henricksen and Trusty, 2005). Hill (2003) argues that the underutilization of services may be due to lack of counselor knowledge regarding the worldview of the client, as well as their use of culturally inappropriate approaches and interventions. The change in cultural composition of the United States has required counselor training programs to become more aware and knowledgeable about multicultural issues because trainees are exposed to more culturally diverse clients. It is also imperative for therapists in training to receive sufficient training so that they can effectively address the mental health concerns of our diverse society (Hill, 2003; Neville, Heppner, Louie, Thompson, Brooks, and Baker, 1996). As an answer to the changing demographics of our country and the complexities of working with diverse clients, ethical mandates and American Psychological Association (APA) accreditation criteria have been established to help ensure that counselor trainees receive comprehensive training on research, theories, and practice with various ethnic, racial, and cultural populations (Neville et al., 1996). By increasing the inclusion of diversity in counselor training, future counselors will be better able to recognize values that are inherent to different groups. The purpose of this project is to address the need for multicultural infusion into graduate level counseling courses, by creating a compendium of experiential activities. While most counseling training programs and professors recognize the need for more training on multicultural issues; there appears to be a lack of information available on how to make the necessary changes to curriculum and program structure. This project and the compendium were developed in hopes of providing valuable information and some 3 guidance on how changes can be made and why it is important to the counseling profession. The compendium provides specific ideas and examples of how multicultural issues and topics can be incorporated into various counseling courses. 4 Chapter 2 MULTICULTURAL INFUSION LITERATURE REVIEW Diversity of Clients Makes Multicultural Training and Competence Necessary When examining culture it is important to acknowledge that culture is not only external, but also within a person and it cannot be separated from other learned competencies. Consequently, the development of multicultural awareness is considered not only a professional obligation but it is also an opportunity for counselors to become more adequately trained (Pedersen, 2004). Culture can be broadly defined to include ethnographic, demographic, status, and affiliation variables, which demonstrate that every counseling student can expect to work in multicultural contexts with diverse client populations (Pedersen, 2004). Multicultural training is important and necessary because many clients from different cultural backgrounds tend to express their symptomatology differently. They also tend to function differently within the counseling context, as well as subscribe to different norms and ideas regarding counseling interventions and treatment options (Hill, 2003). Counseling is now considered to be a dynamic and culture bound experience and with counselors providing more and more services to culturally diverse populations, it is imperative that counselor trainees develop multicultural competencies (Hill, 2003). Cultural and Personal Awareness While therapists in training and practicing therapists need to master the basic skills of counseling, they also need to be able to see themselves as part of society, which 5 is made up of individuals with diverse needs and ideas (Henricksen and Trusty, 2005). Multicultural competence may be achieved through education and training, which allows one to understand his or her own culture and the ways in which cultural identities can affect relationships, including the client and therapist relationship (Midgette & Meggert, 1991). Multicultural training is designed to stretch trainees’ awareness and expand their knowledge and range of counseling competencies. When therapists expand their own knowledge and competencies, they are able to work more effectively with their clients (D’Andrea and Daniels, 1991). Midgette and Meggert (1991) explain that the goal of multicultural counseling training is to increase counselor’s “intentionality through increasing the person’s purposive control over the assumptions that guide his or her behavior, attitudes and insight” (p.138). What multicultural counseling training does is allow counselors to understand both the complexities of culture and the ways in which cultural identities affect their relationships with others. Research does in fact show that greater exposure to multicultural training is associated with increased levels of therapy competencies, specifically personal biases, knowledge about and skills working with diverse populations, and awareness of one’s own culture (Neville et al., 1996). With multicultural training, counselor trainees can expect that their awareness of their own and other’s cultural biases will increase by becoming familiar with the research that is available on cross cultural counseling. Counselors can also increase their awareness by learning specific skills that will help them to work more effectively with clients who are culturally 6 different from them. With multicultural training, trainees can gain insight how different cultures define counseling, learn to identify the cultural biases and prejudices that exist in our society, and learn how to “respect cultural diversity across boundaries of nationality, ethnicity, age, gender, socioeconomic status, and other affiliations” (Pedersen, 2000, p.87-88). Domains of Multicultural Counseling Competencies: Knowledge, Awareness and Skills Knowledge, awareness, and skills are the three domains of multicultural counseling competence (Sue, 2001). Arthur and Achenbach (2002) argue that if the focus of multicultural training remains only on the domains of skills and knowledge, students may actually distance themselves from cultural issues by emphasizing the lives of others and then not reflecting on their own lives. This is why knowledge, skills, and awareness are considered valuable to the multicultural training process and why multicultural training programs are based on these three domains. Multicultural education and training promotes an understanding of self, others, and society through awareness, knowledge, and skills (Hill, 2003; Sue & Sue, 2003). Increasing one’s self-awareness is a goal of multicultural training because it can help students to develop competencies in other domains and helps them to translate learning into professional practice. Having students engage in an in-depth assessment of themselves and others, coupled with cultural knowledge and skill development is an effective method for multicultural education. By infusing and integrating course work 7 with experiential learning activities, multicultural issues, and multicultural models; multicultural awareness, knowledge, and skills are promoted (Hill, 2003). Knowledge The first dimension of multicultural competence is knowledge. A culturally competent therapist is one who actively attempts to understand the worldview of culturally different clients, as well as gain knowledge about the cultural group the client identifies with. Therapists should possess knowledge and information specific to the particular cultural group they are working with (Sue, Arredondo, McDavis, 1992). This would include being aware and knowledgeable about the history, experiences, lifestyles, family structures, community and cultural values; and how these areas might affect the lives and mental health of their clients. A culturally competent counselor will also understand the impact of oppression and how politics and racist, sexist and homophobic concepts have influenced the mental health profession (Sue & Sue, 2003). “Although this standard applies to all groups, for White counselors it may mean that they understand how they may have directly or indirectly benefitted from individual…and cultural racism” (Sue et al., 1992, p.482). A therapist should have a clear knowledge and understanding of the generic characteristics of counseling including culture-bound values, class-bound values, and language features of psychological help (Sue, 2001). Culturally skilled therapists will also understand how culture, ethnicity, and race can affect personality, manifestation of psychological disorders, help-seeking behavior, and the appropriateness or inappropriateness of counseling approaches. A knowledgeable 8 therapist will also realize the institutional barriers that might prevent some diverse clients from seeking and using mental health services. Important factors include the languages used, the hours of operation, the location of the agency, the formality or informality of the atmosphere, and the services offered. Culturally competent therapists will also possess knowledge about their social impact on other people. They are knowledgeable about the different styles of communication and how their style may actually clash or facilitate the counseling process with their ethnic minority clients. They are also able to anticipate how the communication differences may impact others (Sue et al., 1992). Awareness Multicultural awareness develops through the process of one’s own assumptions regarding behavior, preconceived notions and personal limitations. Awareness involves understanding one’s personal worldview and recognizing that we are all a product of cultural conditioning (Holcomb-McCoy and Myers, 1999). A culturally competent mental health professional is someone who has become culturally aware and sensitive to his or her own cultural heritage and respecting differences of other cultural groups (Sue et al., 1992). Culturally competent therapists are aware of how their experiences and biases may affect minority clients and the influence it may have on the psychological process. To achieve this level of competence, therapists should actively challenge their assumptions and monitor their biases through supervision and continuing education (Sue & Sue, 2003). Therapists who are culturally competent are more comfortable with differences that exist between themselves and their clients of a different race, gender, 9 sexual orientation, etc. Multiculturally competent therapists will also respect their clients’ religious and spiritual beliefs regarding mental functioning and health. Being multiculturally aware means valuing their client’s indigenous helping practices and respecting minority community intrinsic help-giving networks (Sue et al., 1992). Culturally competent therapists are aware of their limitations in multicultural counseling/training and will refer a client to another therapist when those limitations interfere with their therapeutic abilities. Being aware of one’s sexist, racist and other negative feelings and beliefs and dealing with them in a nondefensive and guilt-free manner is another component of becoming a culturally competent therapist. Skills The third domain of cultural competence is the skills component, which is a therapist’s ability to determine and use culturally appropriate intervention strategies when working with different clients from various cultural groups. This includes learning a variety of both verbal and nonverbal helping styles (Sue, 2001). A therapist should be able to communicate their thoughts and feelings to their clients, but they should also have the ability to read the messages, verbal and nonverbal, from their client. For a therapist to achieve this level of culturally competency they should consider the cultural cues that come up during therapy. In addition, a culturally competent therapist should be aware of his or her limitations and helping styles and the impact that it may have on culturally different clients (Sue & Sue, 2003). For counselors to become more culturally skilled they should 10 become actively involved with minority individuals outside of counseling settings (i.e. friendships, political functions, community events, neighborhood events, etc.), so that the perspective they have regarding minority groups is more than an academic or helping exercise. In addition, culturally skilled therapists are not reluctant to seek consultation with traditional, religious or spiritual leaders and practitioners while creating a treatment plan for their culturally diverse clients (Sue et al., 1992). It is also important for a therapist to be open to environmental interventions rather than becoming trapped into the conventional counselor mode of operation. This would include acting as a resource person, leaving their office to meet a client in their community and supporting indigenous support systems. Culturally skilled therapists will seek out educational and training experiences to enrich their effectiveness and understanding in working with culturally different populations. Counselors who are more culturally skilled are constantly seeking to understand themselves as cultural and racial beings and actively seek a nonracist identity. In addition, culturally skilled therapists will familiarize themselves with relevant and current research on mental health issues of different types of cultural and ethnic groups (Sue and Sue, 2003; Sue et al., 1992). Limitations and Levels of Multicultural Competence Henrick and Trusty (2005) discuss that preparing multiculturally competent counselors is a complex process that “requires pedagogical strategies that permeate counselor education curricula” (p.181). Literature indicates that effective counseling with 11 a diverse client base requires that both students and counselor educators learn and integrate knowledge regarding their own cultures and the cultures that they may serve. If counselors do not gain this knowledge, they will not have the ability to work effectively with their clients who are culturally different and who have different values from those of the majority of society. However, even with the acknowledgment and findings that multicultural training is a necessity; studies have shown that psychology and counselor trainees and therapists both have low levels of multicultural competence and often feel unprepared when working with clients of different cultural backgrounds (Hill, 2003; Arthur and Achenbach, 2002). In 1994, a study of 289 therapists found that very few of the respondents indicated feeling high levels of competence with providing services to clients from various ethnic and cultural groups. When asked if their coursework addressed issues regarding diverse populations, 46.3% of students responded that such material was infrequently covered or never covered (5%), with only 19.7% of respondents indicated that the topics were usually (17%) or always included (2.7%) (Allison, Crawford, Echemendia, Robinson, and Knepp, 1994, p.794). The authors reported that while many of the respondents indicated that the resources within their graduate training programs were limited, over 70% of the respondents indicated that they also received additional training regarding multicultural topics after receiving their degrees. Ducker and Tori (2001) report that several surveys have found that while some graduates of clinical and 12 counseling programs felt competent in working with diverse populations, others do not feel that they are competent to work with clients from diverse groups. In 1999, Holcomb-McCoy and Myers surveyed 150 counselors and found that as a group, most felt that they were multicultural competent. More specifically, this group of counselors reported that they felt most competent with awareness and skills and less competent regarding knowledge and racial identity dimensions. While these counselors perceived themselves to be multiculturally competent, most reported that their multicultural training was less than adequate. The authors pose the question, where and when do counselors acquire their multicultural competence, if not during their training programs? “The results of this study seem to suggest that counselors are acquiring their multicultural competence through postdegree work with culturally different clients rather than through graduate course work” (Holcomb-McCoy and Myers, 1999, p.299). Fouad and Arredondo (2007), however, cite studies that have found that cultured centered education increases student’s self awareness, knowledge and skills in multicultural counseling, and it actually increases their therapeutic competence. Reasons for Feelings of Lack of Competence One reason for the lack of competence felt by both professionals and trainees could be due to the traditional ways in which multiculturalism is taught in the field of counseling and psychology. Sue et al. (1992) note that there is a large body of literature which documents the widespread ineffectiveness of the traditional counseling approaches and techniques when working with minority populations. The apparent reason for the 13 therapeutic ineffectiveness lies in the training that mental health professionals are (or are not) receiving. According to Pope-Davis et al. (2003), a large majority of counseling multicultural courses are taught from a more traditional perspective often focusing on specific minority groups, while ignoring self-evaluation of power and discrimination. Often, psychology/counseling departments simply offer a separate course in multicultural counseling, rather than incorporating multiculturalism awareness into all program courses. It has been argued that this approach does not actually meet the minimum requirement to fulfill the standards for the teaching of cultural competencies that have been set by the APA (Midgette and Meggert, 1991). With the traditional single course offering, the focus tends to begin with the history of the discrimination experienced by minority populations, then focusing on how the history developed discriminatory practices, followed by “cursory exposure to the theories of worldview, identity, and acculturation. This process is usually followed with exposure to the knowledge base of the multicultural competencies and how they are applied to the field of counseling and psychology” (Pope-Davis et al., 2003, p.550). Typically, different activities are interspersed throughout the multicultural curriculum, which often results in superficial knowledge and politically correct responses to the different issues that are discussed. Some suggest that students become well versed on how to talk about diversity issues from an intellectual level of understanding with the somewhat stereotypic views that are presented in the curriculum (Vazquez and Garcia-Vazquez, 2003). Some students walk away from their multicultural psychology experience believing that addressing 14 issues regarding culture is a “politically correct” response in support of minority students, while others may look at it as a waste of time and unnecessary. Other students may feel that what they have learned in the class has made them competent enough to work with minority populations. Vazquez and Garcia-Vazquez (2003) found that most students in the United States who have taken a multicultural course, have not learned enough to actually be competent; rather they have learned enough to develop a false sense of security in practicing with minority populations. Acknowledgment of the Need for Multicultural Infusion According to Fouad and Arredondo (2007), over the past 30 years many universities and programs have been working towards infusing multiculturalism into both counselor education and training. Programs and educators have acknowledged and been working towards multicultural infusion rather than the single course traditional approach to multicultural training. Fouad and Arredondo (2007) explain that culture-centered educational practices are based on two fundamental influences. First is the idea that the best practitioners and educators are products of a culture-centered approach and that students need to be prepared to work and succeed in a culturally competent manner. Many educators, however, are increasingly coming to believe that traditional approaches to multicultural infusion tend to “favor” White, middle class students. These educators also feel that there is a need for new and different strategies and approaches to learning so that students will be better equipped when they graduate and begin to practice. 15 The second influence on the development of culture centered education programs is an increasing sense that institutions of higher learning are responsible for creating an environment that is committed to valuing diversity. While some programs may be reluctant to make effective changes, it is the opinion of many that it is the educators of psychology who have the ethical responsibility to foster the understanding of the complexity of discrimination and power in the teaching of psychology across a variety of disciplines. “To be pedagogically objective, professors must be able to thoroughly understand and apply the multicultural theories in a self-reflective process, as well as teach the students how to understand and experience these theories” (Vazquez and Garcia Vazquez in Pope-Davis et al., 2003, p.549). Hill (2003) argues that the challenge to integrate curricula, both practically and philosophically rests largely with counselor educators. Multicultural competencies, if incorporated appropriately, will “transcend the context of one course and one faculty member” (Hill, 2003, p.47). Challenges of Multicultural Infusion While most parties involved acknowledge the need and obligation for multicultural training, current research and literature has proven, however, that psychology programs and faculty members are often reluctant to make changes to their programs and courses (Stadler, Suh, Cobia, Middleton, and Carney, 2006; Pope-Davis et al., 2003; Hill, 2003; Ducker and Tori, 2001). Reasons for hesitation and unwillingness often include faculty attitudes (i.e. fear of examining and confronting one’s own biases, prejudices and worldview) (Midgette and Meggert, 1991; Hartung, 1996), lack of 16 qualified educators (Midgette and Meggert, 1991; Hill, 2003), confusion as to how to develop multicultural competence on a comprehensive basis (Ponterotto et al., 1995), lack of guidance and direction on how to address multicultural issues in an orderly and comprehensive manner (Ponterotto et al., 1995). Along with reluctant attitudes, there are also many challenges to teaching multicultural counseling courses (Pedersen, 2004). To begin, many students have yet to have much interaction with people from cultural backgrounds different from their own. Therefore, there may be few opportunities for students to get to know culturally different people, let alone opportunities to share personal feelings and experiences. A second reason why teaching courses dealing with culture and diversity can be difficult is that often the concepts are completely new to many of the students. Pedersen (2004) explains that there will likely be few students who have had experiences with the concepts being introduced in such a class. It is important yet challenging to create a safe and inclusive environment for the students so that they feel like they are respected, included, as well as protected (Fouad and Arredondo, 2007). This includes professors getting to know their students as individuals, reminding students to address other students’ viewpoints and ideas rather than to attack them, and making it acceptable to express differing viewpoints. Another challenge for educators is creating a set of “classroom rules”, which might include challenging each other in a respectful manner, speaking from your own experiences, respecting confidentiality, and sharing only what they are comfortable sharing (Fouad and Arredondo, 2007). 17 Approaches and Techniques Helpful with Teaching Multiculturalism While there are challenges to teaching a multicultural course, there are approaches and techniques that make the process less difficult and more appropriate. Experiential learning techniques have been found to be quite effective in helping students to better understand different cultures, clients, and themselves. Research has shown that counselors in training identify experiential activities as the most critical element of the learning process. Vazquez and Garcia-Vazquez (2003) argue that experiential based multicultural education is a definite requirement of multicultural training. They believe that experiential learning is the basis for self-exploration and self-awareness. By being actively engaged in the learning process, students are more likely to understand and remember course material (Alvarez and Miville, 2003). Experiential learning can be used to help raise trainees’ awareness about cultural issues, to challenge their personal ideas about cultural diversity, and to help them develop cultural empathy (Arthur and Achenbach, 2002). However, experiential learning is not intended to imitate someone else’s exact experience; rather the intention is to help trainees develop awareness and accuracy of understanding the viewpoints of others and to move them out of a “culturally encapsulated view of the world” (Arthur and Achenbach, 2002, p.4). Experiential learning (i.e. activities) is considered effective because students are able to experience cultural differences and similarities through the process. By participating in activities, discussions and reflection exercises, students are able to examine their worldview and cognitive structures that influence their experiences. Experiential learning also 18 encourages students to consider how cultural contexts have influenced their behaviors, beliefs, and attitudes and to also reflect on the impact of these influences on their professional role as therapists. It is believed that students need experiences to help them bring feelings, values, and attitudes to the surface. Multicultural activities can help to promote counselor trainees’ self-awareness by demonstrating how thoughts and feelings truly do influence the counseling experience. Experiential learning techniques facilitate students’ experiences of cultural issues in a structured environment with low levels of risk. This allows students to process new information and different feelings that may arise, before working with culturally diverse clients (Arthur and Achenbach, 2002, p.5). Experiential Activities in the Classroom When choosing experiential exercises and activities, educators have a responsibility to select ones that are both useful and appropriate (Arthur and Achenbach, 2002). Multicultural educators should carefully consider the different activities and exercises that are available, focusing on their purpose and connection to the development of multicultural counseling competencies. Because multicultural activities can bring up difficult emotions, it is extremely important that educators not only choose the activities carefully, but they should also always leave time for debriefing. Debriefing allows time for both students and educators to discuss their reactions to the activity, thoughts and feelings that it brought up for them, how they feel it relates to counseling, and allows for students to support one another in their personal discoveries (Pedersen, 2004). When choosing experiential activities, educators should keep the students and their learning 19 needs in mind. Professors should determine if the activity would be both appropriate and effective with the group of students they would be using it with (Arthur and Achenbach, 2002; Pedersen, 2004). 20 Chapter 3 PURPOSE AND GOAL OF PROJECT The goal of the current project is to provide educators and graduate counseling psychology students with a compendium of activities that will aid in the process of developing awareness, skills, knowledge and sensitivity when working with clients of diverse cultural backgrounds. This goal was achieved by expanding on the available multicultural infusion activities for graduate level counseling psychology classes, as well as by developing new activities based on the research findings of multicultural training and infusion. The compendium is a larger effort to infuse multicultural issues into counseling curriculum. Multicultural activities are the focus of this project because research and current literature support experiential learning as an appropriate and effective way to teach multiculturism for counselor trainees (Arthur and Achenbach, 2002; Vazquez and Garcia-Vazquez, 2003). By providing the revised and new activities, professors will have creative and different ways of incorporating multicultural issues into their counseling psychology graduate courses. Many of the cited activities are more than just simulations, structured roleplaying, or exercises; rather they are “experiences” which aim to increase interactive learning with both culturally different people in the classroom and between students and the multicultural community outside of the classroom (Pedersen, 2004). The provided activities will also assist educators in their need for direction and guidance with incorporating multicultural issues into their psychology courses. Infusing multicultural 21 training and activities into all counseling courses will expose trainees to multicultural issues of different counseling scenarios, which in turn will better prepare them to not only be more competent when working with minority groups, but to also develop a better understanding and connection with their clients. The provided activities attempt to be a middle ground for educators: they can be used in various types of counseling courses, bringing multicultural issues into all aspects of counseling, without requiring a complete course overhaul while at the same time providing trainees with the necessary tools and information. 22 Chapter 4 METHODS Researching of Literature The process of researching for this project began with electronic searches, using the California State University, Sacramento Library research portal. Using PsycINFO of EBSCOhost and EUREKA, the following terms were used to search for appropriate and relevant journal articles and books: counseling, counseling and development, counseling courses, counselor education, counselor trainees, cultural competence, cultural educators, experiential learning, multiculturalism, multicultural infusion, multicultural counseling, multicultural counseling preparation, multicultural counseling training, multicultural classroom activities, multicultural learning psychology, pedagogy, teaching multiculturalism, training of counselors, and training programs. These terms were used separately, as well as in conjunction with each other to help narrow the results. Resources for this project were also found by referring to the references of current and relevant journal articles. Again, PsycINFO of EBSCOhost was used to search for the articles and books, using author name, title and date as the search terms. The above mentioned search provided a wide variety of resources, both journal articles and books. As a result of the search, approximately 65 books and journal articles were reviewed and consulted. The pool of information and resources provided was quite diverse with journal articles ranging from multiculturalism in general to multicultural counseling training. There were also many books; some addressing culture and the role it 23 plays in people’s lives to books that provided activities for counseling educators to incorporate in the classroom. After reviewing the resources, many were found to be relevant and applicable, while some were not appropriate for this particular project. More specifically, the majority of books and articles discussing multicultural activities for the classroom focused on elementary and secondary classrooms (K-12). While reviewing the elementary specific resources, there were some activities that could be relevant for graduate level courses, with some modifications. The process of modifying the activities found in the compendium is described below. In addition to the resources mentioned above, experiential activities were gathered through discussions with the project chair, who provided ideas for activities based on many years of experience in multicultural counselor training (M. Endriga, personal communication). Table 1 is representative of the primary resources I found to be both relevant and appropriate to my research and project. These primary resources provided essential information regarding multiculturalism, contained usable and appropriate activities, were specific to graduate counseling courses and curriculum, and discussed the importance of multicultural training of graduate students. While this table is not a complete list of resources that were found and used for this project, it is representative of the articles and books that were primarily used. 24 Table 1 Primary Resources Used for Project Search Terms Multicultural Learning Author, Date and Title Pedersen, P. Book or Journal Article Book Contributions to the Project Provided examples (2004). 110 of appropriate Experiences for experiential Multicultural activities Learning. Multicultural Hill, N.R. Competence and (2003). of multicultural Counselor Trainee Promoting and infusion and celebrating examples of how to multicultural infuse counseling competence in programs counselor trainees. Journal Article Addressed the need 25 Search Terms Author, Date and Title Book or Journal Article Journal Article Contributions to the Project Multicultural Midgette, T. & Counseling and Meggert, S. (1991). challenge of and Instruction Multicultural need for counseling instruction: multicultural A challenge for infusion in faculties in the 21st counseling century. programs Journal Article Examined the Multicultural Arthur, N. & Discussed the Counseling and Achenbach, K. (2002). various aspects of Experiential Developing experiential learning Learning multicultural and provided counseling evidence to support competencies its importance and through experiential value to learning. multicultural counseling training 26 Search Terms Author, Date and Title Multicultural and Roysircar,G., Competence Sandhu,D. & Book or Journal Article Book Contributions to the Project Included examples of possible activities Bibbins,V. (2003). Multicultural Competencies: A guidebook of Practices Multicultural and Schoem,D., Teaching Frankel,L., Zuniga,X. & Lewis,E. (1993). Multicultural Teaching in the University Book Provided examples of possible activities 27 Development of Compendium After reviewing current and pertinent literature about multiculturalism, cultural competency, and graduate level activities, a compendium of multicultural activities for counseling graduate courses was created. The activities were chosen and revised based on a number of criteria. The first criterion for including activities in the compendium was based on the Knowledge, Awareness and Skills Model (KAS) of multiculturalism. As discussed previously knowledge, awareness and skills are three essential components of multicultural training and competency which is why activities needed to “fit” one or more of the KAS Model domains. Each activity was reviewed to determine which domain(s) it addressed and was incorporated in the appropriate section of the compendium. The second criterion for inclusion of activities was that activities must be appropriate for a graduate level counseling course. Activities needed to be both cognitively and academically appropriate to the training level of graduate students. The majority of the activities found in current literature were aimed at younger students (grades K-12). Many of the included activities were revised and reworked to make them more suitable for graduate level counseling students. The third criterion for selecting activities was based on the concepts of appeal and interest. Activities were chosen based on how interesting and relevant graduate level counseling students might find them. I used my own experience and knowledge regarding different types of activities when making the selections and revising the activities. The fourth, and final, criterion was to choose and/or modify activities that were specific to 28 counseling courses. While much of the current literature contained general multicultural infusion activities, I searched for activities that were appropriate to counseling and multiculturalism. Some of the included activities did not require any revisions, while some required modifications to make them relevant to counseling courses. Based on the above mentioned criteria, exercises were selected and restructured so that they addressed the need to increase students’ knowledge of different cultural groups, including historical background and worldviews. In addition, exercises needed to help expand student knowledge regarding how different cultures affect mental health, but also influence the therapeutic process. Exercises were chosen based on the use of selfreflective strategies to increase multicultural awareness among students. With the inclusion criteria in mind, exercises also were chosen based on their ability to increase multicultural awareness and to provide students with opportunities to explore their family history and how it may impact their therapeutic style as a therapist. It was also important that the exercises allow students to examine how their culture and ethnicity influence their identity and give students an opportunity to gain a better understanding that similar behaviors can have different meanings for various cultures. The included exercises also needed to provide opportunities for discussions on multicultural issues and experiences of the students. Some exercises were chosen because they provided an opportunity to track how different cultural groups are portrayed and perceived by society, which will expand students’ cultural awareness. Selected exercises also needed to provide students with an opportunity to examine their abilities with multicultural skills, expose them to topics and 29 issues they have not dealt with before, and give them an opportunity to look at how different cultures view presenting mental health problems. Based on the inclusion criteria, exercises which used roles plays to help students practice their therapeutic skills were also included. As mentioned above, many of the compendium activities needed to be revised so that they were more specific to counseling, multiculturalism and the KAS Model. In addition, activities required modifications to address copyright issues. To address these concerns the general themes, particular steps and objectives were modified creating activities which were more appropriate for the training of counselor graduate students. Additionally, many of the activities were re-formatted with an Objective, Procedure, and Debriefing/Discussion section so that all the activities were structured the same way. Having the activities broken down into the three sections not only made them more cohesive, but also easier for instructors and students to follow. In addition to the above mentioned modifications, the activities were also restructured into a narrative form rather than a step-by-step process, with the source provided. This provides instructors with an opportunity to have a general idea of what the activity consists of and what it entails. Providing the source allows instructors to reference back to the original activity for a more complete guide on how to run the activity in the classroom. 30 Chapter 5 RESULTS A methodical review of current literature on multicultural issues and counseling training programs and an examination of experiential classroom activities resulted in the development of a compendium of exercises appropriate for the training and education of graduate level counseling students. The compendium consists of 22 experiential activities based on the Knowledge, Awareness and Skills model. Four of the exercises address the Knowledge domain, 13 exercises makeup the Awareness domain of the compendium, and five activities complete the Skills domain. While the activities vary in their content and purpose, they were restructured and rewritten so each would have a similar format. By changing the format of the exercises, the compendium became more congruent and applicable. The Knowledge section includes exercises which educate students on multicultural issues through reading of books, case studies, journal articles, as well as watching videos regarding multicultural issues within our society. The exercises in the Awareness domain provide students with opportunities to explore their family history and how it may impact their therapeutic style as a therapist. Some of the exercises address the difficulties of listening to a person’s feelings regarding their culture and retelling those feelings without projecting their own interpretations into it. Exercises in the Awareness domain also examine the sex-role stereotypes in current children’s books and how students and their clients may have been influenced by those stereotypes, also giving 31 students a chance to look at how communication differs amongst the different cultural groups. Many of the exercises in the Awareness section include questions which provide students with an opportunity to discuss personal experiences with culture, values of their culture, and how cultural issues and experiences can influence their therapeutic work. Questions also address differences that may exist when working with clients of diverse backgrounds, the challenges which culturally different groups might face, and how differences and issues can be discussed in a therapeutic setting. The exercises of the Skills section aim to prepare students to listen and pay attention to nonverbal cues of clients and give students an opportunity to reflect on how they would handle multicultural issues and topics that may surface during therapy sessions Other exercises in the Skills section use questionnaires to assess the students’ multicultural skills and knowledge and provide opportunities to discuss how one may go about increasing both their knowledge and skills with working with culturally diverse clients. The exercises also allow students to hear the unspoken self-talk that clients may be thinking but are not verbalizing and as a therapist how they might monitor their own internal dialogue as well. Table 2 provides a complete list of the exercises in the compendium. 32 Table 2 Knowledge, Awareness and Skills Exercises of the Project Compendium KAS Domain Knowledge Exercise Name and Number Exercise #1: Culture Presentations Exercise #2: Guest Speakers Exercise #3: Readings Exercise #4: Multicultural Videos Awareness Exercise #5: Writing Exercise #6: Cultural Genogram Exercise #7: What Other People Say, Feel and Mean Exercise #8: “How Ethnic Am I” Exercise #9: Finding Common Ground in an Argument Exercise #10: Fishbowl Exercise #11: Simulations Exercise #12: Identity Tracking Exercise #13: Analyzing Sexism in Children’s Books 33 KAS Domain Awareness Exercise Name and Number Exercise #14: “What Stands Between Us” Diversity Conversation Flash Cards Exercise #15: Multiple Roles and Multiple Choice Exercise Exercise #16: Concentric Circles Exercise #17: Importance of Key Words In a Transcript Skills Exercise #18: Critical Incidents Exercise #19: Pedersen’s Triad Training Model Exercise #20: A Self-Assessment of Multicultural Awareness, Knowledge, and Skill Exercise: #21: Role Plays 34 KAS Domain Exercise Name and Number Exercise #22: The Interpersonal, Intercultural, Psychopathological (IIP) Questionnaire 35 Chapter 6 DISCUSSION After a thorough review of current literature, it was evident that there was a lack of information available, specifically regarding how to infuse multicultural issues into graduate level counseling curricula. The review of research confirmed the need for experiential activities appropriate for the training of graduate level counseling students. In an attempt to address the need for multicultural infusion, a compendium was created resulting in 22 experiential activities appropriate for graduate level counseling courses based on the Knowledge, Awareness and Skills model. The compendium of activities was developed in an effort to provide instructors with information and ideas on how incorporate multicultural issues and topics to their graduate level counseling courses; giving students an opportunity to expand their knowledge and skills and increase their multicultural awareness. This in turn, will better prepare students for their work with culturally diverse clients and allow them to become more compassionate and effective therapists. A strength of the project was its purpose of contributing to the much needed multicultural infusion of graduate counseling courses. This project provides instructors with ideas and specific examples on how to infuse their courses with multicultural activities which are necessary for the training of their students. In addition, the project applied the Knowledge, Awareness and Skills model of multicultural counselor education as an organizational framework in order for instructors to better match activities to 36 learning goals. Another original contribution was the modification of several of the activities to make them more specifically applicable to graduate level counselor education. After reviewing this project and the methods involved, there are a few limitations which are important to discuss. To begin, it would have been beneficial to have two or three people reviewing the current literature on multiculturalism and selecting the activities for the compendium. Having multiple reviewers with differing views and opinions allows for a wider range of activities and the opportunity to select activities using a consensus and discussion method. By having only one reviewer for this project there is the potential that some exercises were inadvertently overlooked or excluded during the selection process. The number of activities for each of the Knowledge, Awareness and Skills domains might also be considered a limitation of this project. After reviewing the compendium, the activities are not equally dispersed amongst the KAS domains. Perhaps in the future more activities can be added and adjustments can be made to address the need for equal numbers of activities per domain. Another limitation to this project is that it has yet to be “tested” or reviewed by outside sources. Having professors, graduate counseling students and therapists from the community review the compendium of activities would help strengthen the validity of this project. Respondents would have an opportunity to express their opinions regarding the activities; more specifically what they liked/disliked, strengths/limitations to the exercise, changes that could be made, effectiveness of the exercise and appropriateness of the exercise for the target group. 37 Lastly, the way in which the methods of the project were recorded can be considered a limitation. The review of current literature, the specific resources which were excluded, and the exact number and details of the resources consulted and reviewed should have been collected and recorded in a more quantitative manner. This would have contributed to the strength of the project, as well as, made the project methods more easily replicable. Further steps are necessary to address the limitations previously discussed and to enhance the validity of the project. The first step would be for this project to have a “Pilot” run. If I were to pilot this project I would first create a scale for current graduate counseling students to review and rate the activities in the compendium. This would provide feedback from other graduate students, as well as provide an opportunity for students to report which activities they preferred or disliked. To gain a different perspective I might also have students review and rate excluded activities and compare the ratings. The second step in piloting this project would involve multiple counseling instructors utilizing the compendium in their classes. Having instructors use the exercises would be extremely beneficial because they could provide feedback on the value of the exercises, what worked and what didn’t, what they liked, what they would change, and gather responses from students. Similar to the review from graduate students, I would have instructors complete a questionnaire to provide feedback on the process of multicultural infusion and one the particular activities they tried. It would also be important and necessary to continue to review current literature and add new exercises to the compendium. The value of this project will increase with each additional exercise 38 because it will provide instructors with more options and opportunities to incorporate multicultural topics and issues into their classrooms. Another possible future step for this project would be to create a dissemination plan for the compendium. For example, I could publish the compendium making it more readily available to graduate counseling instructors and students. Another option for distribution of the compendium would be to post it on the internet, making it available to an even larger audience. To publish the compendium author permissions and copyright issues (i.e., from the original sources) would need to be examined and addressed. The purpose of this project was to introduce new and different ways multiculturalism can be infused into all counseling psychology graduate courses. This project is unique in that it addresses the needs and gaps of current training programs through the development of a compendium of experiential activities. Currently, there are few strategies and limited resources available that focus on those needs and gaps. My goal was to provide enough information to help make the multicultural infusion process seem less intimidating and more manageable for both educators and students. My hope is that instructors find it useful and valuable to the training process and that students come away feeling better prepared with a greater understanding and appreciation of the role multiculturalism plays in the therapy process. 39 APPENDIX Compendium of Multicultural Exercises for Graduate Level Counseling Courses 40 Table of Contents 1. Knowledge……………………………………………………………………………42 Exercise #1: Culture Presentations ………………..…….………………………43 Exercise #2: Guest Speakers ........……………………………………………….45 Exercise #3: Readings ………………………..………………………………….47 Exercise #4: Multicultural Videos ……………………...……………………….48 2. Awareness…………………………………………………………………………….51 Exercise #5: Writing..............................................................................................52 Exercise #6: Cultural Genogram …………………………..…………………….53 Exercise #7: What Other People Say, Feel and Mean...........................................55 Exercise #8: “How Ethnic Am I”…………………..…………………………....57 Exercise #9: Finding Common Ground in an Argument…………………..…….59 Exercise #10: Fishbowl ..………………………………………………………...61 Exercise #11: Simulations ……………………………………………..………...63 Exercise #12: Identity Tracking …………………………………….…………...65 Exercise #13: Analyzing Sexism in Children’s Books……………...…………...66 41 Exercise #14: “What Stands Between Us” Diversity Conversation Flash Cards ………………………………………………………………………..…...68 Exercise #15: Multiple Roles and Multiple Choice Exercise …………………...69 Exercise #16: Concentric Circles ………………………………………...……...71 Exercise #17: Importance of Key Words In a Transcript ………………..……...73 3. Skills.............................................................................................................................75 Exercise #18: Critical Incidents …….…………………………………………...76 Exercise #19: Pedersen’s Triad Training Model …………………...…………...78 Exercise #20: A Self-Assessment of Multicultural Awareness, Knowledge, and Skill................................................................................................................80 Exercise #21: Role Plays ……………………………...………………………...82 Exercise #22: The Interpersonal, Intercultural, Psychopathological (IIP) Questionnaire ………………………………………………….………………...83 42 Knowledge 43 Exercise #1: Culture Presentations Objective: To increase student knowledge of different cultural groups, with specific attention to the group’s historical background and worldviews and how they may affect the mental health of its members. Also, students will gain insight and knowledge on how they should approach therapy with clients of various cultural backgrounds. Procedure: Assign students a cultural group to research and report on (i.e. Asian Americans, Jewish American, Older Americans, Gay and Lesbians, etc.). Reports should include information on the historical background of the group; description of the group’s worldview (Sue & Sue, 2003), family values, and gender roles; mental health issues; recommendations for culturally sensitive and relevant counseling with the group. Debriefing and Discussion: Students who are not presenting should write down at least two questions, thoughts, and/or observations of the presentation. Instructors should then lead a class discussion, with the other students sharing their questions and thoughts regarding the presentation and the cultural group that was presented. In addition, instructors may want to focus the class discussion on therapy (i.e., how it might be to work with the particular group, what issues that may arise for both the client and therapist, etc.) Source: M. Endriga (personal communication, June 2007) 44 Sue, D. & Sue, D. (2003). Counseling the culturally diverse: Theory and practice. New York: Sage Publications. 45 Exercise #2: Guest Speakers Objective: To expand student’s cultural knowledge and awareness by inviting people from the community to share their own cultural experiences. Pertinent to this exercise is to include therapists who specialize in working with clients of culturally diverse backgrounds; their experience and insight can increase the student’s knowledge not just of culturally diverse people, but how to conduct therapy with them. Procedure: Instructors should invite individuals of various cultures and different backgrounds (i.e. students, instructors, prominent community figures, therapists, etc.) to discuss personal experiences and knowledge of their culture and the culture of others. Having therapists from the community speak is important because they can share their experiences of working with culturally diverse clients (i.e. challenges that arose, issues they may have noticed, client feedback, feelings that may have come up for them, etc.). Debriefing and Discussion: At the end of class or the beginning of the next class, instructors may want to have a class discussion regarding the guest speaker and the topics that were covered. Students should be given the opportunity to share any feelings that may have come up for them. Instructors should encourage students to think about the issues that were discussed and issues they experienced in a therapeutic context. This can give students an opportunity to think about what the guest speakers discussed and how that may be a part of their counseling experience, which allows them to go beyond their own personal reaction and think about it in a therapeutic way. 46 Source: M. Endriga (personal communication, June 2007) 47 Exercise #3: Readings Objective: To increase the multicultural knowledge of students through assigning readings from case studies, narratives, fictional books, journal articles, or text books. Procedure: Instructors can assign readings to do be done in class, which could be followed by a class discussion or readings can be assigned to be completed outside of class. Debriefing and Discussion: After readings, conduct a classroom discussion regarding: feelings that arose, any issues that came up for them while reading the material, new ideas that emerged, what they learned regarding the specific cultural group in the reading. Student’s knowledge can also be expanded by having them keep reflective journals, which can increase their own multicultural awareness and experience. Source: M. Endriga (personal communication, June 2007) 48 Exercise #4: Multicultural Videos Objective: Provides students with firsthand accounts from different multicultural groups and the experiences of individuals who belong to that group. Procedure: Instructors should choose videos that would increase student’s knowledge and awareness of different multicultural groups, as well as increasing their knowledge of how to conduct therapy with individuals from various cultural groups. The following videos are recommended: Color of Fear with Lee Mun Wah “is an insightful, groundbreaking film about the state of race relations in America as seen through the eyes of eight North American men of Asian, European, Latino and African descent” (http://www.stirfryseminars.com/pages/detail/coloroffear_ind.html) Voices (Daniel, Aden, Davidson, and Ellis), “interviews several diverse individuals and how they have experienced their interactions with other people of diversity. The interviews are honest, heartfelt experiences that student are more apt to relate to in the classroom” (Vazquez and Vazquez, 2003, p.550) Issues in Cross-Cultural Counseling, Specifics of Practice for Counseling Latina/os, and Culturally Competent Counseling and Therapy: Live Demonstrations of Innovative Approaches, “the simulated counseling vignettes on these tapes provide case study material that can be analyzed from various points of view, for example the influence of the culture of counseling on the counselor’s 49 style and approach, the client’s sense of ‘right and wrong’ based on a collectivist worldview, socialization differences based on gender, the range of emotions expressed by both counselors and clients, and the exploration of historical factors” (Arredondo and Arciniega, 2001, p.268). Debriefing and Discussion: Depending on what video is chosen, instructors may decide to conduct a classroom discussion on the movie topic, key points, reactions from students, issues that may have come up for them, observations, and how the video relates to their futures as a therapist. Instructors may also want to have students chose a person from the video and write a reflective paper on how it might be to have this person as their client (i.e., what challenges might arise, what types of issues/problems might this client be working on in therapy, what feelings might come up for the student as a therapist, how the student might conduct therapy, etc.). This option would give the students an opportunity to not only think about the multicultural issues brought up during the video, but also allows them to put the video into a therapeutic context. Sources: Arredondo, P. & Arciniega, G. (2001). Strategies and techniques for counselor training based on multicultural counseling competencies. Journal of Multicultural Counseling & Development, 29, 236-273. 50 Vazquez, L.A. & Garcia-Vazquez, E. (2003). Teaching multicultural competence in the counseling curriculum. In Pope-Davis, D.B., Coleman, H.L.K., Ming Liu, W., & Toporek, R.L. (Eds.). Handbook of multicultural competencies in counseling and psychology (p.546-561). Thousand Oaks, Ca: Sage Publications. http://www.stirfryseminars.com/pages/detail/coloroffear_ind.html 51 Awareness 52 Exercise #5: Writing Objective: Using self reflective strategies like journals, personal narratives, and cultural autobiographies to encourage multicultural awareness among students. Procedure: Instructors will have students keep journals, which gives them an opportunity to reflect on class readings, class discussions, and personal experiences. Journals can also provide students with a chance to write personal narratives about their own cultural history and experiences. Instructors may also assign cultural autobiographies, giving students an opportunity to write about their life and experiences with culture. Guidelines and instructions should be provided by instructors, guiding students on the issues and topics that should be reflected and covered. Debriefing and Discussion: Instructors should provide students with feedback and support with their self-reflections recorded in their journals and cultural autobiographies. This can be done with instructor comments on the issues, feelings, and thoughts brought up by the student. Instructors should also allow students an opportunity to discuss their feelings and emotions regarding the exercise and how it was for them to self reflect and write about their personal experiences. Source: M. Endriga (personal communication, June 2007) 53 Exercise #6: Cultural Genogram Objective: Students trace family history with an emphasis on culture, while exploring pride and shame issues connected to their family’s culture. This exercise allows students an opportunity to become more aware of how their family’s history has influenced their life. It also increases their cultural knowledge through their own exploration, as well as the genograms of their classmates. Assists students in discovering and reflecting how different cultural identities can impact the therapeutic style of the counselor and the effectiveness of therapy. Procedure: Students will define their culture(s) of origin and then identify the major principles of their culture of origin. Prime and shame issues should be identified by students through reflecting on personal experiences, interviewing family members, and reviewing reference materials (due to self disclosure and privacy issues, students should be given the option to not complete the pride and shames issues aspect of the exercise). Symbols should be chosen to indicate pride and shame issues, as well as organizing principles. Different colors should signify the different cultural groups that the student identifies with. Students will need to create a key for interpreting the genogram by listing the principles and pride and shame issues and their corresponding symbols. Instructors should encourage students to go back at least 3 generations, if possible. Debriefing and Discussion: Students can be given the opportunity to share their genogram with the class or the instructor. This may be appealing to some so that they 54 may process their feelings and experiences regarding this exercise. However, some students may not feel comfortable researching the genogram or sharing such personal information. Instructors should have an alternative for students who may not want to participate (i.e. read an appropriate book and write a paper that discusses and analyzes the characters and their relationships). Sources: Vazquez, L.A. & Garcia-Vazquez, E. (2003). Teaching multicultural competence in the counseling curriculum. In Pope-Davis, D.B., Coleman, H.L.K., Ming Liu, W., & Toporek, R.L. (Eds.). Handbook of multicultural competencies in counseling and psychology (p.546-561). Thousand Oaks, Ca: Sage Publications. Hardy, K.V. & Laszloffy, T.A. (1995). The cultural genogram: Key to training culturally competent family therapists. Journal of Marital and Family Therapy, 21, 227 237. 55 Exercise #7: What Other People Say, Feel, and Mean Objective: Addresses the issues and difficulties of listening to a person’s feelings and meanings regarding their culture and retelling those feelings without projecting some of their own interpretations. The exercise gives students a chance to practice and become comfortable with the idea that what some people hear and what other people meant can turn out to be two entirely different things. Students have an opportunity to imagine being a therapist, listening to a culturally diverse client and being open and receptive to what the client is expressing about their culture, without their own thoughts and beliefs influencing what they hear. Procedure: The class should be split into two-person groups. One student will be the speaker, one will be the listener. The speaker talks for one minute about their culture and the listener does not interrupt. Once the minute is over, the listener repeats what the speaker has said, felt and meant about their culture. Next, the speaker and listener discuss how accurate the listener was in repeating what they had heard. Finally, the speaker and listener should reverse roles and repeat the exercise process. Debriefing and Discussion: Instructors may decide to have a class discussion after the exercise to talk about the process, how people felt and what students got out of it. Instructors may also want to discuss how people often define their culture broadly (i.e. including ethnicity, age, gender, education, etc.). Instructors can ask students questions that will encourage self reflection and self examination. More specifically, instructors 56 may want to discuss this exercise in terms of therapy with culturally diverse clients (i.e., how might this exercise prepare students to work with culturally diverse clients, did this exercise bring up any ideas or concerns regarding therapy with clients of different cultural backgrounds, what might a therapist need to be aware when “listening” to their client discuss their culture?). Source: Pedersen, P. (2004). 110 Experiences for Multicultural Learning. Washington, D.C.: American Psychological Association. 57 Exercise #8: “How Ethnic Am I” Objective: This exercise allows students of all cultural backgrounds to examine how their culture and ethnicity are important to and influence their identity. “The exercise promotes not only European American self-reflection, but the necessity for populations of color to examine experiences that are similar across ethnic groups as well as unique to their own particular group” (Lewis, 1993, p.328). Procedure: Instructors should have students answer questions similar to those listed below. Procedural options include: instructors can pass out the questions and ask the students to write down their answers, or the instructor can write the questions on a board in front of the class and have students write down their answers. Question options include: What is (are) my cultural background(s)? What are some values I find important and are they similar to those of my family members and/or people of my cultural background? How has society or history influenced the experiences of both my family and myself and have they shaped the values we have? How might these values and my experiences influence my work as a therapist? Debriefing and Discussion: Instructors should lead a classroom discussion, providing students an opportunity to share their responses and reflect on thoughts and feelings that may have come up during the process. The authors suggest discussing how the exercise 58 influenced their perception of the importance of their cultural background and what parallels they might see between their own background and other cultural groups. Instructors can expand the discussion by asking more specific questions regarding therapy and how cultural backgrounds of both the therapist and client influence their experiences. Source: Lewis, E.A. (1993). How ethnic am I? In Schoem, D., Frankel, L., Zuniga, X., & Lewis, E.A. (Eds.). Multicultural teaching in the university (p.328-329). Westport, Connecticut: Praeger 59 Exercise #9: Finding Common Ground in an Argument Objective: This exercise provides students with an opportunity to identify similar values and expectations in arguments across various cultures, even though behaviors may different. Students gain an understanding that similar behaviors can actually have different meanings for various people and cultures. While at the same time, different behaviors can have similar meanings. This can be particularly useful in a therapy setting, allowing students to learn how to find common ground when working with couples, clients from various cultures, etc. This exercise can also provide insight for students who finds themselves working with a couple who is in turmoil and how they might help them to see each other’s perspective, while remaining objective. Procedure: Two students will role play as a couple in therapy and each will discuss their issues for two uninterrupted minutes. After the two minutes, the remaining class members will act as marriage counselors, asking each spouse one question. At the end the of the role play have students discuss what advice or comments were most helpful. Debriefing and Discussion: Instructors should give students (both role players and remaining students) an opportunity to reflect on the exercise and the process of acting like a couple in therapy or as a marriage therapist. Instructors can also facilitate discussions by asking questions about why it is important to establish common ground in managing conflict, why counselors may find it hard to avoid focusing on the behaviors of people in conflict and why does an argument escalate when you do focus on the 60 behaviors? More specifically, instructors may want to have students focus on counseling and how this exercise can translate into everyday practice as a therapist working with people of diverse backgrounds. Source: Pedersen, P. (2004). 110 Experiences for Multicultural Learning. Washington, D.C.: American Psychological Association. 61 Exercise #10: Fishbowl Objective: This exercise gives students an opportunity to both participate in and observe a multicultural discussion. Areas of commonality and difference can be identified and the types of conflict that may arise from those differences. There is also an opportunity for students to self reflect on their experiences and share things about their own culture with classmates. Procedure: Instructors should have students break up into a small group (2-4 students) and a larger group of students (8-10) who observe the smaller group discussing a multicultural issue or topic. Seating arrangements for a fishbowl demonstration typically have the small group sitting in a small circle, with the observing group sitting in a larger circle behind them, in front of a larger classroom. Sample Questions for Fishbowl Discussion: What was it like to grow up______(Jewish, African American, Latino, etc.)? What were some of your first experiences with racism or sexism? What are some of the advantages to being a man or woman? Some of the questions can be more specific to counseling: How do you think being a man or woman influences you as a counselor trainee? What are some difference you notice when working with a client of a different cultural background and do you feel that those differences create difficulties for the therapeutic relationship and process? 62 How might your own cultural experiences influence you as a therapist, influence your therapeutic relationships, and influence your approach to therapy? Debriefing and Discussion: This exercise can be followed by observer comments, questions and answers, as well as a large group discussion. Students should be given the opportunity to discuss their answers and how it felt to share and reflect. Observers should also have a chance to ask questions, reflect on how it felt and reactions they may have had observing the exercise. Instructors may also want to take notes during the exercise and respond to concerns or questions students may have discussed. Professors might also want to have students tailor their discussion to counseling and how these issues might relate. Sources: Schoem, D., Zuniga, X., & Nagda, B.A. (1993). Exploring one’s group background: The fishbowl exercise. In Schoem, D., Frankel, L., Zuniga, X., & Lewis, E.A. (Eds.). Multicultural teaching in the university (p.326-327). Westport, Connecticut: Praeger 63 Exercise #11: Simulations Objective: Students are presented with challenges that marginalized groups are often faced with, so that they may better understand the difficulties that different cultural groups deal with. Procedure: Instructors provide students with examples of challenges that marginalized groups might face (i.e. discrimination; dealing with poverty issues, harassment, etc.). Students can discuss in small groups how these individuals might feel and how, as counselors, they can support and assist them. Also, students may want to address how the different experiences of their culturally diverse clients may impact the work they do with those clients. Examples of simulations include: creating a monthly budget for a family of five on minimum wage or a wheelchair simulation to experience accessibility issues and stereotyping. Debriefing and Discussion: Instructors should give students an opportunity to discuss this exercise (i.e. did they find it helpful, what types of emotions and feelings did it bring up for them, what did they learn, etc.). Instructors may also want to discuss with students how this exercise is related to therapy and realizations it may have brought up for them. Source: Pedersen, P. (2000). Hidden messages in culture-centered counseling: A Triad Training Model. Thousand Oaks, Ca: Sage Publications. 64 Roysircar, G., Sandhu, D., & Bibbins, V. (Ed.). (2003). Multicultural competencies: A guidebook of practices. Alexandria, Va: Association for Multicultural Counseling and Development. 65 Exercise #12: Identity Tracking Objective: To increase student’s awareness of how different cultural groups are portrayed by the media and perceived by society. Also, students will have an opportunity to reflect on how those portrayals may have affected their own perception and opinions of different cultural groups. Procedure: Instructors should randomly assign students a cultural identity and have them track (i.e. keep journals, bring in examples, etc) of how the group’s identity is portrayed in various media sources (i.e. newspaper, television, internet, etc.). Debriefing and Discussion: Instructors should allow students the time to discuss and reflect how they felt about their discoveries. Instructors may lead classroom discussions on points and issues that students bring up and address and support their questions, concerns, and thoughts regarding different cultural groups and how they are portrayed by the media. In addition, instructors may want students to reflect and think about their discoveries and what it means for the therapeutic process (i.e. how has this exercise changed their views; how might the therapeutic process be different for the various cultural groups; etc.). Source: M. Endriga (personal communication, June 2007) 66 Exercise #13: Analyzing Sexism in Children’s Books Objective: Students will examine and analyze sex-role stereotypes in reading material they may have been exposed to as children and that their child clients may be reading. Provides students with an opportunity to think about how they may have been influenced by books as children, but also gives them a chance to examine the messages which are being sent to children they are working with. Procedure: Instructors will determine the age level of the book (i.e. for toddlers, young school aged kids, high school students, etc.) and students will choose a book of their choice. While reading the book, students should be noting the number of men and women in the story; the types of activities characters are participating in; are there any negative comments on the abilities of boys or girls. Also, students should be studying the illustrations of the book, if applicable. Lastly, students should be instructed to note any stereotypes that are present in the story and how stereotypes may have influenced them and may be affecting the children that they are working with. Debriefing and Discussion: In small groups students will discuss their findings and feelings regarding the book and the assignment. Instructors can also restructure this exercise and have students analyze therapeutic children’s books and see if the same issues exist. Instructors may want to lead a classroom discussion addressing some of the common themes found in children’s books and what that may mean for their current clients and what it may have done to shape their own views and beliefs. 67 Source: Tiedt, P.L. & Tiedt, I.M. (1994). Multicultural teaching: A handbook of activities, information, and resources. Boston: Allyn and Bacon 68 Exercise #14: “What Stands Between Us” - Diversity Conversation Flash Cards Objective: To encourage conversations between different cultural groups, by providing thought provoking questions. There are four different categories of cards which include Questions People of Color Would Like To Be Asked, Questions European Americans Would Like To Be Asked, Questions by People of Color for European Americans, and Questions by European Americans for People of Color. Procedure: Students pick a card from an appropriate category and read it aloud. Students who identify as being from the category (e.g., European American) are invited to answer the question. When those students are finished, students from other cultural groups are invited to share their reactions to what they heard, but not “debate” the answers of the other cultural group. The instructor should help facilitate this discussion. Source: http://www.stirfryseminars.com/pages/wsbu_fc.htm 69 Exercise #15: Multiple Roles and Multiple Choice Exercise Objective: This exercise provides students with an opportunity to get to know each other and allows them to explore and discuss similarities they may have, as well as differences. With this exercise, students are able to identify the different aspects of their interpersonal styles, social background and values and beliefs they may have regarding a particular issue. Procedure: Instructors can choose categories from the list below or create their own which is more appropriate for their course. Statements should be read out loud and students will choose a response that is closest to their demographic characteristics, beliefs, behaviors or roles. Students with similar responses will meet together in groups to discuss their responses for approximately 5 to 10 minutes, depending on the length of the class. Some examples of possible questions include: I usually handle conflict by _____. In this class I am concerned that I will_______. I feel_______ when working with clients from diverse cultural backgrounds. I believe that my own culture plays a(n)________ role in my work with clients. Questions should be in multiple choice form, with instructors providing 3-4 responses for students to choose from. 70 Debriefing and Discussion: At the end of the exercise, instructors should leave time for a class discussion. Students should have the opportunity to talk about the exercise, how they liked it, what they learned, and how they felt afterwards. Specific questions instructors may want to ask include: did you observe any patterns along race, gender, or ethnic lines? What topics were addressed that may arise during therapy with clients? How do think exercises like this help you in your training to become a therapist? Source: Zuniga, X. & Myers, P. (1993). Multiple roles and multiple choice exercise. In Schoem, D., Frankel, L., Zuniga, X., & Lewis, E.A. (Eds.). Multicultural teaching in the university (p.316-318). Westport, Connecticut: Praeger. 71 Exercise: #16: Concentric Circles Exercise Objective: This exercise gives students an opportunity to get to know each other with a one on one interaction. Students are able to express their feelings and experiences regarding relevant cultural issues. Procedure: Students sit in two concentric circles, with the inner circle facing the outer circle. Students in the inner circle answer first and speak with the person who is facing them in the outer circle. Then, the student in the outer circle takes a turn to answer the question. After each of the students answer the question, the students in the inner circle move one place to the right. Once students are facing a new partner, instructors ask the second question. This process is repeated until all questions have been answered. Once this is done, students come together in a large group and discuss thoughts, observations, and feelings regarding the exercise. The following are possible topics and questions that would work for a counseling level graduate course, with some questions being more general and some being specific to counseling: Discuss a time in which you were a target/victim of harassment or discrimination and what that was like for you. How do you think your experiences have prepared you to work with clients from a diverse cultural background? How do you think they have hindered you? 72 What are some of your concerns about working with clients with a different racial/cultural background other than our own? What are your plans to address these concerns? What are your thoughts on acknowledging obvious cultural/racial differences between you and your clients? Do you feel that you have the skills to have such a discussion? What cultural/racial group do you feel the most comfortable/capable counseling? Which group do you feel the least comfortable/capable? Debriefing and Discussion: This exercise allows students to focus on how they felt while answering many of the questions. Instructors may want to ask students which questions were hard to answer and which were easy and why they felt that way, what questions they found to be most thought provoking, and what they learned about themselves as a person and as a future therapist. Source: Myers, P., & Zuniga, X. (1993). Concentric circles exercise. In Schoem, D., Frankel, L., Zuniga, X., & Lewis, E.A. (Eds.). Multicultural teaching in the university (p.318 319). Westport, Connecticut: Praeger. 73 Exercise #17: The Importance of Key Words in a Transcript Objective: By identifying key words in a transcript, students can begin to understand the importance of words. Specifically, this exercise can demonstrate how some words can be more important than others, especially in communication across different cultures. This exercise allows students to be exposed to conversations that are typical in therapeutic settings, giving them insight into the issues, topics and styles of communication that clients often have in therapy. Procedure: Instructors will separate students into groups of two to four and provide the groups with a transcript of a therapy session involving therapists and clients from various cultural groups. The groups will identify key words in the transcript and report back to the class the key words they chose and why they thought they were important. Debriefing and Discussion: The instructor will conduct a class discussion on the differences and similarities in the key words that the different groups chose. Instructors may want to ask students the following questions: What do the similarities and differences in students’ key word lists mean and represent? Do different cultures seem to use different key words? Why are key words important, especially in therapy sessions? How might key words influence the therapeutic relationship and/or process? 74 Source: Pedersen, P. (2004). 110 Experiences for Multicultural Learning. Washington, D.C.: American Psychological Association. 75 Skills 76 Exercise #18: Critical Incidents Objective: This exercise prepares students to recognize the potential for positive learning experiences that occur in cross cultural situations and interactions. The exercise can be used to help develop a student’s ability to use different information sources within a cultural context, evaluate a students’ ability to listen and pay attention to nonverbal cues, and clarify students’ awareness of feelings and attitudes and how they may influence people (Roysircar, Sandhu, and Bibbins, 2003, p. 35). Students are given the opportunity to discuss and reflect on different scenarios and how multicultural issues are involved. Procedure: Instructors distribute short descriptions of counseling incidents in which a disagreement occurs in a multicultural context. Instructors can find descriptions in text books and journal articles or they can write their own to make it more specific and appropriate for the class. The descriptions should be shorter than a case study with no right or wrong responses (examples can be found in Pedersen, 2004, p.211-223). Once students read the descriptions, a classroom discussion and/or role play should follow. This provides students with an opportunity to work through the incident, think about how culture is influencing the situation, and how might they handle a similar situation. Debriefing and Discussion: Instructors should allow students an opportunity to reflect on how they may react or what they might say when disagreements or multicultural topics surface during a therapy session. Students will then have a chance to think about how they would feel when dealing with a disagreement or tense situation within a 77 therapeutic setting either between two clients or between a client and themselves. Instructors can provide students with support and insight as to how to potentially deal with those types of situations. Source: Pedersen, P. (2004). 110 Experiences for Multicultural Learning. Washington, D.C.: American Psychological Association. Roysircar, G., Sandhu, D., & Bibbins, V. (Ed.). (2003). Multicultural competencies: A guidebook of practices. Alexandria, Va: Association for Multicultural Counseling and Development. 78 Exercise #19: Pedersen’s Triad Training Model Objective: This exercise provides students with an opportunity to hear the unspoken selftalk that clients from different cultures may be thinking but are not verbalizing to their counselors. The Triad Training model simulates a cross cultural interview between a counselor from one culture and a three person team of a client, procounselor and an anticounselor from a different culture. Procedure: Instructors will distribute transcripts (examples can be found in Pedersen, 2004 and Pedersen, 2000). After reading the transcripts, students will fill in the blanks of what an anticounselor and procounselor might say in that particular situation. In general, the anticounselor acts as the thoughts and attitudes of the client based on their reactions to cultural differences that may threaten the relationship. While the procounselor acts as the positive aspects of the relationship. After each student has written their responses of both the anticounselor and the procounselor, the class will discuss and compare their responses. Instructors may also choose to have students role play the transcripts, giving students a firsthand opportunity to practice what they might say in certain situations. In a typical triad training role play, the client and counselor sit opposite one another and the procounselor and anticounselor sit on either side of, and slightly behind the counselor. During the role play, the anticounselor and procounselor verbalize the thoughts and feelings of the counselor according to their respective roles. 79 Debriefing and Discussion: Instructors should lead a discussion and have students pay close attention to how their responses were both similar and different from those of their classmates. During the discussion instructors may want to ask questions like: How might a counselor respond when hearing the statements from both the anticounselor and procounselor? If a role play was done: o How did the student playing the counselor feel when the comments were made? o How might a client feel? o What would be the importance to therapists monitoring their own and their client’s internal dialogue of anti and pro messages? o How did you feel participating in this exercise? o Do you believe this exercise was beneficial? Sources: Pedersen, P. (2000). A handbook for developing multicultural awareness. Alexandria, Virginia: American Counseling Association. Pedersen, P. (2004). 110 Experiences for Multicultural Learning. Washington, D.C.: American Psychological Association. Roysircar, G., Sandhu, D., & Bibbins, V. (Ed.). (2003). Multicultural competencies: A guidebook of practices. Alexandria, Va: Association for Multicultural Counseling and Development. 80 Exercise #20: A Self-Assessment of Multicultural Awareness, Knowledge, and Skill Objective: To have students examine their abilities to demonstrate their multicultural awareness, knowledge, and skills. The test provides thought provoking questions that would give students an opportunity to self reflect on their multicultural knowledge, awareness and skills (KAS) and exposing them to topics and issues they have not yet thought about. Procedure: Instructors will pass out the self-test to students (examples provided in Pedersen, 2004 and Roysircrar, Sandhu, and Bibbins, 2003). Examples of self-test items include: Which are the cultures you least understand and why? Can you be nonjudgmental toward clients whose beliefs are profoundly different from your own? Can you explain why clients from a minority group might be reluctant to seek out counseling? Students will indicate how well they think they would be able to answer the test questions (based on their own criteria). Students will grade their ability to answer the questions based on the following: A – excellent answer, B – generally good answer, C – acceptable answer and F – if they were unable to answer. At the end of the self assessment test, students will compute a “GPA” by adding up their points (A – 3 points, B – 2 points, C – 1 point, and F – 0) and then dividing the points by the number of questions answered. 81 Debriefing and Discussion: After the self assessment test, instructors should conduct a class discussion. Students should have the opportunity to discuss the process and what they learned about both themselves and culture. Instructors may want to ask questions regarding the students’ accuracy of their own multicultural awareness and knowledge; what students feel the consequences of low multicultural competencies might be (especially for counselor trainees); and how students think they can increase their KAS of multicultural issues. Sources: Pedersen, P. (2004). 110 Experiences for Multicultural Learning. Washington, D.C.: American Psychological Association. Roysircar, G., Sandhu, D., & Bibbins, V. (Ed.). (2003). Multicultural competencies: A guidebook of practices. Alexandria, Va: Association for Multicultural Counseling and Development. 82 Exercise: #21: Role Plays Objective: To have students practice their therapeutic skills by participating in multicultural role plays. Procedure: Students will need to be in small groups and they will role play counseling interactions, which involve multicultural issues and topics; focus on communication among various types of cultural groups; and address difficult and challenging situations which may arise. Instructors will need to provide the students with case studies or vignettes to help guide the students though a role play. Students should alternate their roles as counselors and clients. Debriefing and Discussion: Instructors should allow time for a class discussion/reflection time after the exercise. Student will have the opportunity to discuss how it felt to be both the therapist and the client; comforts/discomforts they may have experienced with each role; fears or expectations they may have about therapy, more specifically therapy with a diverse client base; what the pros and cons are with this particular exercise; etc. Source: Dollarhide, C.T., Smith, A.T., Lemberger, M.E. (2007). Counseling made transparent: Pedagogy for a counseling theories course. Counselor Education and Supervision, 46, 242-253. 83 Exercise #22: The Interpersonal, Intercultural, Psychopathological (IIP) Questionnaire Objective: This exercise provides students with an opportunity to look at the differences in assigning intercultural, interpersonal, or psychopathological attributes to clients. Students can also gain a better understanding of behaviors that can often be considered to be different from conventional norms. This exercise provides students with the insight that people from different cultures will often view presenting problems and issues from different perspectives. More specifically, counseling and clinical students/trainees will realize how they might see the same situation and issues differently from their culturally diverse clients. Furthermore, students have the opportunity to self reflect on their take of issues from the beginning of their training versus the end of their training. It provides student with an opportunity to self reflect and then to return to the topics of the questionnaire towards the end of their training experience. Procedure: Instructors will distribute the IIP Questionnaire to students (110 Experiences for Multicultural Learning, Pedersen, 2004, p.276-278). Example of questions include: “A 22-year-old woman approaches a counselor complaining that she cannot focus on relevant issues. She claims that her thinking has suddenly become ‘diffuse’” (p.278). “A man seeks help in trying to understand his teenage son’s fixation with rock music. It appears that his son has trouble with absenteeism at school” (p. 277). 84 Students complete all sections of the questionnaire and a classroom discussion will follow. Debriefing and Discussion: Instructors need to provide students with an opportunity to discuss the exercise in detail: what did students find helpful; what issues (if any) did this exercise bring up; have students describe what they think intercultural, interpersonal, and psychopathological mean; do students think that people with less training tend to label behaviors as intercultural; do they think that people with more training tend to label behavior as psychopathology; etc. Source: Pedersen, P. (2004). 110 Experiences for Multicultural Learning. Washington, D.C.: American Psychological Association. 85 REFERENCES Abreu, J.M., Gim-Chung, R.H., & Atkinson, D.R. (2000). Multicultural counseling training: Past, present, and future directions. The Counseling Psychologist, 281, 641-656. doi:10.1177/0011000000285003 Allison, K.W., Crawford, I., Echemendia, R., Robinson, L., & Knepp, D. (1994). 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