Journal of Ethnographic & Qualitative Research 2020, Vol. 14, 199–215 ISSN: 1935-3308 An Immersion Experience in China: Cultivating Cultural Humility Among Social Work Students David Luciano Johnson C. Smith University The present study describes a six-week study abroad experience in which two graduate and 12 undergraduate students from Johnson C. Smith University attended Guangdong Baiyun University in China. The purpose of this present study was to better understand how Chinese language immersion programs can develop cultural humility in students. Drawing from both ethnographic and phenomenological approaches to data collection and analysis, we observed the daily interactions of the participants with Guangdong Baiyun University faculty in order to capture the cultural dynamics of the program. Using thematic analysis, results indicated that participants experienced empowerment in learning Chinese holistic practices, life transforming experiences through language immersion, internalization of Chinese values, and recognition of themselves as global citizens. Using the Cultural Humility Model, these findings suggest that Chinese language immersion programs may enable social work students to acquire the skills necessary to more effectively work with Asian populations in an effort to promote global cooperation in an interdependent world. M any migrant and refugee populations throughout the world are relocating due to civil wars, famine, and other natural disasters. Hence, the profession of social work has become more global in scope and there is a strong need to help social work students in undergraduate and graduate programs to develop a culturally humble and culturally competent assessment framework so that they are better able to assist Asian populations and other migrant populations throughout the globe (Voss, Bolton, Horst-Friedrich, Dente, Ingersoll, & Bartholomew, 2017; Yochay, 2017). As Small, Bonit, and Niklova (2015) explain, displaced families experience a host of challenges and social David Luciano, Ph.D., is Associate Professor of Social Work and Research Methods at Johnson C. Smith University, in Charlotte, North Carolina. Correspondence regarding this article should be sent to dluciano@jcsu.edu. workers are frequently employed in order to assist these families with their social displacement so that they can become better acculturated in the United States. This type of intervention requires that social work students become more global and eclectic in their orientation and that they must be able to develop the practice skills necessary in order to assist with problems such as post-traumatic stress disorder, immigration trauma, and acculturative stress. Hines, Cohen, Nguyen, Drabble, and Han Tran (2010) argue similarly that social workers must develop skills in order to become more both proactive and culturally humble when working with culturally diverse families. As globalization breaks down boundaries that separate countries and cultures, social workers encounter problems associated with forced migration, oppression, and human rights abuses (Kahn & Sussman, 2015). This result requires social work students to become more 200 culturally proficient by learning about immigrant and refugee populations who are arriving to the United States. Much research in international social work suggests that students studying psychology and social work should travel abroad to a different country, immersing themselves in the cultural nuances of that particular place (Bell & Anscombe, 2013; Guo, Marshall, Glasser, & Spillers, 2016; Hines, Cohen, Tran, Lee, & Van Phu, 2015). As a result, social work students must acquire the necessary skills in areas of intercultural competence. Intercultural competence comes with learning a new language and performing psychosocial assessments with ethnically diverse populations in need of mental health treatment (Niculescu & Bazgan, 2017). In other words, a psychosocial assessment requires that practitioners adopt a humble approach when collecting information regarding the client’s social history and cultural background in order to understand how the client’s cultural background shapes their experience when working with different social systems (Niculescu & Bazgan, 2017). The Council on Social Work Education (CSWE) is the accrediting body for undergraduate and graduate social work programs in the United States. The CSWE now mandates that social work students be properly trained in assessment and clinical skills that focus on working with culturally diverse populations who may suffer from refugee trauma and post-traumatic stress disorder. Hence, the CSWE social work curriculum is designed to train social work students to acquire a human behavior and macropractice orientation that will help refugee and migrant populations with such issues as language and cultural immersion. Further, social work students have an ethical responsibility to engage in global leadership roles and participate in venues that help alleviate human suffering all over the world (Guo et al., 2016; Hines et al., 2010). This responsibility is echoed by the CSWE which indicates: “Social workers recognize the global interconnections of oppression and are knowledgeable about theories of justice and strategies to promote human and civil rights” (CSWE, 2015). Exchange programs are one way to achieve the goals of our accrediting body which include helping our students gain cultural competence and sensitivity through a global cultural exchange program. Luciano Global exchange and study abroad programs are becoming more popular in most colleges and universities in the United States and abroad. There is a growing recognition that students not only in social work and psychology but also in such majors as economics, business, and STEM fields (science, technology, engineering, and math) need to have a global understanding of social service delivery systems and market trends in a highly interdependent world. This type of global training is vital for most students due to the benefits in social media (e.g., Google, Facebook, Instagram, Twitter, Skype, and We Chat) and the latest advances in communication platforms and other forms of internet technology (Cotten & Thompson, 2017). In other words, students who are proficient in internet technology are better informed and are more likely to understand the needs of ethnically diverse populations. Such students are in a better position to help migrant and marginalized populations receive the proper mental health treatment or resources that they need in order to improve their economic situation. Thus, exchange programs in which students spend a significant amount of time abroad learning about language and culture can be instrumental in helping students to become more culturally competent and sensitive towards migrant populations. This student orientation is a major goal that is required by the CSWE so that social work students can be fully equipped in their future professional practice (Fisher & Grettenberger, 2015). In the present study, I conducted an ethnography and participated in a cross-cultural partnership with two master’s level social work graduate students in order to promote the social work model in China at Guangdong Baiyun University in Guangzhou, China. The purpose of this global education model was to help Guangdong Baiyun University and its faculty learn how social workers in the Charlotte, North Carolina area work with mentally ill and elderly populations. This global education partnership was strictly between Johnson C. Smith University in Charlotte North Carolina and the Guangdong Baiyun University (the host university in China). While Queens University and the University of North Carolina at Charlotte also participated in the study abroad experience, these schools were not a direct recipient An Immersion Experience in China of the Fulbright grant. The global education initiative was funded by the Fulbright-Hays grant in an effort to provide international social work, language training, and fieldwork experience for both master’s level social workers and undergraduate students who are interested in working with Asian populations. The aim of this global education model was to promote global cooperation and language instruction among the students and to expose the students to a variety of cultural activities that would acclimate them to the Chinese model of cooperation. In order to accomplish the goals of this language immersion experience, participants were provided with various textbooks that covered Chinese language instruction, Chinese poetry, Chinese history, and the mechanics of Chinese language and grammar. The curriculum for the program also covered significant Chinese values, such as filial virtue, on which Chinese culture is based. Zhang and Qiliang (2007) explain that filial virtue comes out of Confucianism and “means having a love and a strong appreciation for the elderly” (p. 19). Confucius, the great thinker and moral reformer in China, taught about love, peace, benevolence, and living in harmony with nature. Confucius also taught that respecting and taking care of elderly family members is an obligation (Zhang & Qiliang, 2007). Unlike in the United States, where youth culture is glamorized and ageism is often practiced, the elderly in China are treated with respect and taking care of one’s parents is regarded as one of the most important cultural traditions among Chinese people since the elderly have more experience dealing with life’s challenges than the younger generation (Zhang, 2005; Zhang & Qiliang, 2007). This cultural reciprocity provides a strong support system for elderly Chinese who require additional support. The cultural reciprocity also encourages people to be loyal and grateful to elderly parents (Zhang & Qiliang, 2007). Filial virtue also fits well with social work models such as the cultural humility model and the ecological systems perspective (Bronfenbrenner, 2005; Ortega & Coulbourn Faller, 2011; Shorkey, Garcia, & Windsor, 2010). Filial virtue is based on loyalty, love, and respect for an individual’s elders and ancestors. Filial virtue is based on the notion that an individual’s ancestors and elderly still live vicariously through 201 that individual and the ancestors are better able to help that individual deal with major obstacles in daily living (Zhang, 2005; Zhang & Qiliang, 2007). The ecological systems perspective is a framework that combines systems theory and examines how an individual interacts with their external environment. In social work, the objective is to help people find ways of meeting their needs and achieving a goodness of fit with their environment so that they are able to connect with needed resources and improve their capacity to cope with negative environmental stressors (Bronfenbrenner, 2005). Filial virtue also has a similar connection with the cultural humility model since it is believed that elderly people have the wisdom and experience in order to guide the younger and future generations. Cultural humility as a theory also believes that the elderly should be appreciated in society since they often provide the younger generation with life lessons, rites of passage, knowledge, and experience that can help the younger generation find inner harmony and peace in a precarious world (Ortega & Coulbourn Faller, 2011; Tervalon & Murray-Garcia, 1998). Lessons on Buddhism, China’s oldest religion, were also included in the curriculum. The Chinese people rely heavily on Buddhism as a way of life. When early Buddhist scriptures were translated into Chinese during the early Han Dynasty (206 BC-220 AD), the scriptures needed to blend with Chinese Taoism, Confucian beliefs, family values, universal laws, and terminology (Zhang & Qiliang, 2007). Since that time, Buddhism has played a major role in the daily thoughts, habits, and meditation practices of the Chinese people. The philosophy of Buddhism emphasizes equanimity, peace, harmony with the universe, and love for an individual’s fellow human beings (McArthur, 2010; Zhang & Qiliang, 2007). As part of the curriculum, the students and Chinese faculty conducted tea preparation and traditional Chinese tea ceremonies during class as well as extracurricular trips. During these tea ceremonies, the students and myself learned how the tea is carefully prepared and served. According to the Chinese folk healers and Chinese medicine enthusiasts, Chinese tea can be helpful to all people around the world and the health benefits are many (Zhang & Qiliang, 2007). The art and value of Chinese tea 202 on culture and the Chinese diet are highly beneficial. During the practice of serving Chinese tea, there is a spirit of cultural humility, peace, and tranquility. Tea often brings families and diverse cultures together, especially during a meal. Tea also helps to burn fat, maintain a good immune system, rids the body of of harmful toxins, and helps to maintain healthy cholesterol (Zhang & Qiliang, 2007). The Benefits of Cross-Cultural Collaboration Research on study abroad opportunities consistently supports the value of cross-cultural experiences (Cotten & Thompson, 2017; Fisher & Grettenberger, 2015). Short and longterm experiences abroad offer educational opportunities that can provide students with important skills necessary for negotiating in the global marketplace (Cotten & Thompson, 2017; Guo et al., 2016; Fisher & Grettenberger, 2015). As Braskamp, Braskamp, and Merrill (2009) explain, global cultural exchange programs prepare students and faculty in all fields of study for intercultural sensitivity and global citizenship. For social work students, as outlined by the CSWE, such understanding is crucial (Cotten & Thompson, 2017; Fisher & Grettenberger, 2015; Guo et al., 2016). The benefits of international immersion for educators and students in social work are numerous. For example, social work students learn how assessments, clinical interventions, and other forms of social work practice are conducted in other countries (Greenfield, Davis, & Fedor, 2012; Hines et al., 2010; Voss et al., 2017). Faculty learn more about the culture of research as well as how research and evidence-based practices are evaluated elsewhere. Through collaborations with those individuals outside the United States, faculty learn how to improve their teaching pedagogy. According to Gardner, Katagari, Parsons, Lee, and Thevannoor (2012), the growing nature of the social work profession means universities should take a more global approach. In doing so, social work practitioners, scholars, students, and academics can develop a crosscultural and comparative lens through which they can assess social problems, providing a larger arsenal of tools in order to help those individuals in need (Gardner et al., 2012). Kahn Luciano and Sussman (2015) provide further support for globalization, arguing that clinicians are in a better position to assess and treat clients who may be marginalized and oppressed due to their cultural context, personal situation, and poverty (Kahn & Sussman, 2015). The cross-cultural paradigm shift benefits everyone by helping diverse populations achieve self-determination (Greenfield, Davis, & Fedor, 2012; Voss et al., 2017). Conducting research across diverse geopolitical and global contexts provides the profession with the ability to examine issues of culture, race, language, clinical and holistic interventions, and other theoretical perspectives from a global perspective (Voss et al., 2017). Furthermore, collaboration between social work and mental health practitioners helps promote social justice in oppressed populations who may not have a voice in the global agenda (Engelbrecht et al., 2016). The reported benefits of these international and global research projects include the re-evaluation of specific country data, the development of new and exciting insights, and a deeper understanding of global issues (Gray, 2008; Guo et al., 2016; Voss et al., 2017). These benefits and research outcomes may never be discovered by conducting research in a single nation (Gray & Webb, 2014; Guo et al., 2016; Kahn & Sussman, 2015). Partnerships between universities on opposite sides of the world are one way to create opportunities for enhancing global knowledge and providing research opportunities designed to benefit those individuals of association in the workplace. Johnson C. Smith University’s agreement with Guangdong Baiyun University in Guangzhou, China is an example of such a partnership and represents a new trend in global education. Through these programs, students from diverse backgrounds participate in either international social work, online learning, or global studies. Most importantly, study abroad programs provide a curriculum through which we as faculty can assess our students on the 10 Core Education Policy and Accreditation Standards developed by the CSWE (CSWE, 2015). In other words, we as educators can determine student competencies and practice behaviors as they engage in international social work (Voss et al., 2017). This type of global initiative is necessary given the trends in An Immersion Experience in China globalization, cross-cultural initiatives, and internet technology. Cultural Humility Model The cultural humility model is a multidimensional model that was first developed by Tervalon and Murray-Garcia in 1998 as a way of infusing multiculturalism into their work as medical health care professionals. The cultural humility model is viewed as a more effective framework that is designed for all diverse populations regardless of their cultural experiences in the United States or abroad (Fisher-Borne, Montana Cain, & Martin, 2015; Tervalon & Murray-Garcia, 1998). Replacing the idea of cultural competence, cultural humility is seen as a more useful approach that is based on various principles such as lifelong learning, self-reflection, compassion, equity, and inner peace (Ortega & Coulbourn Faller, 2011; Tervalon & Murray-Garcia, 1998). Tervalon and Murray-Garcia (1998) believed that medical and other health care professionals were not being properly trained in order to work with diverse and oppressed populations since they had very little understanding of the clients’ cultural background and language differences (Tervalon & Murray-Garcia, 1998). Recently, the social work profession and other scholars have used the cultural humility model in working with marginalized and diverse populations. More specifically, this framework has been successfully used by social workers who work with Latino and other immigrant populations in the field of child welfare, mental health, and immigration services (Ortega & Coulbourn Faller, 2011). Similarities exist between Latino and Chinese populations as well as other Asian groups (Chung, 2013; Falicov, 2014). These similarities warrant considering the cultural humility model in social work settings with Chinese populations. As Chung (2013) notes, Chinese culture places high value on family, culture, filial virtue, respect, and taking care of elderly family members. In the cultural humility model, family members work together in order to cope with social oppression and resolve social problems. The model promotes the use of social support networks, client empowerment, and interdependence, including spiritual beliefs and a shared close-knit culture (Congress & Gonzalez, 2013; Furman & Negi, 2010; Ortega & Coulbourn Faller, 2011). Similar 203 to Chinese culture, Latino culture and spiritual practices focus on humility, peace, spirituality, prayer, faith, and reciprocity (Congress & Gonzalez, 2013; Furman & Negi, 2010; Ortega & Coulbourn Faller, 2011). Although the cultural competence model has long been considered among social workers as a suitable model for working with diverse populations, the cultural humility model may be a better conceptual model for cultural ethnography. As several researchers note, the cultural competence model is more aggressive in its approach and it is not designed for working with populations in a global context (Fisher-Borne et al., 2015; Ortega & Coulbourn Faller, 2011). Jani, Pierce, Ortiz, and Sowbel (2011) provide the following warning: “[R]elying on cultural competence as a conceptual guide, social workers have neglected to pursue a transformative agenda and have defaulted to positions on practice that inadvertently reinforce the status quo” (p. 296). Instead, Fisher-Borne et al. (2015) note that the cultural humility model is more relaxed in its approach and less confrontational when compared with the cultural competence model. The cultural humility model promotes an environment of inclusion for marginalized populations, groups normally excluded from social policy-making in the political arena (Ortega & Coulbourn Faller, 2011). The humble and nonjudgmental tenets are highly beneficial since they engage clients and their families in the agency’s treatment plan (Falicov, 2014; Ortega & Coulbourn Faller, 2011). Fisher-Borne et al. (2015) argue that the cultural humility model provides a supportive environment for the client. Using a supportive approach, the clinician or therapist is better able to help the client in order to gain insight into the client’s unconscious processes and knowledge of self as it relates to their external environment. This approach will enhance the client’s engagement in the treatment process and builds on the therapeutic alliance (Fisher-Borne et al., 2015). Method The present study was designed to explore the ways in which a study abroad program might contribute to the cultural enrichment necessary for today’s social work practitioners. This present study included two broad research questions: (1) What benefits for social 204 Luciano work students and faculty are achieved through cross-cultural collaboration? and (2) Is the cultural humility model an effective tool for social workers working with Asian populations locally and globally? These research questions will allow for the development of a better paradigm regarding this type of cross-cultural collaboration. Ethnography and phenomenological designs were used in order to explore the data obtained through narratives, daily interviews, small focus groups, and personal observations, allowing all participants to share their experiences (Padgett, 2017). In order to understand and assess the experiences of the participants, I used a phenomenological approach. I chose a phenomenological approach since the aim of this present study was to understand the participants’ personal and shared experiences in relation to how they learned the Chinese language and how they were also able to interact and coalesce with the Chinese language faculty and student mentees. This approach is frequently used by qualitative researchers in order to better assess the lived experiences of participants as they deal with social problems (Choy-Brown, Stanhope, Tiderington, & Padgett, 2016; Holton & Walsh, 2017). In addition, an ethnographic approach was used since ethnography is a rich method that could be used in order to capture the cultural backgrounds and ethnic traditions of the participants and how these characteristics blended well with the Chinese context on a daily basis. Research Participants Participants in this present study included a convenience sample of members of the China Group Fulbright-Hays project who took part in a six-week study abroad program. Criteria for participation in the present study included being at least 18 years of age and a member of the aforementioned group. The members of the China Group consisted of two master’s level social work students (who were in China for only 18 days) and 12 undergraduate students from Johnson C. Smith University, the University of North Carolina at Charlotte (UNCC), and Queens University. All of these universities and colleges are based in Charlotte, North Carolina. Johnson C. Smith is a privately funded Historically Black College/University (HBCU). Queens University is a privately funded Predominantly White Institution (PWI), and University of North Carolina at Charlotte (UNCC) is a PWI and publicly funded university. The median age of participants was 21 and consisted of the 12 undergraduate students, largely college sophomores. Students’ majors included business and finance, graphic design, psychology, social work, English, and international studies. As the researcher, I also considered myself to be a participant-observer in the present study. My personal experience as a faculty member participating in the Fulbright-Hays China Group study abroad program was as a professor of social work and research methods. I was responsible for supervising and mentoring Table 1 Participant Demographics Pseudonym Gender Race/Ethnicity Joanna F Black Margaret F Black Heather F Black Catherine F Latina Millie F Black Rosemary F Black Charlotte F Black Nancy * F Black Jessica* F Black Tom M Black Andrew M White Black Harry M Asian John M White Steven M White * Master’s level graduate social work student Age 21 20 22 21 22 20 21 50 51 21 21 21 21 20 Major Communications HBCU Int. Relations HBCU Business PWI Media PWI Political Science PWI Business PWI Business PWI Social Work HBCU Social Work HBCU Graphic Arts HBCU Economics PWI Accounting PWI Media PWI Film/Video HBCU An Immersion Experience in China both graduate and undergraduate students who were selected to participate in this present study abroad program. My role was to also promote the cultural humility model as a theoretical model that would help to advance the social work mission in China. Data Collection and Analysis Brief interviews were conducted with the students using a focus group format during which students were asked about the cultural activities in which they participated inside and outside of the classroom. These interviews were usually conducted during breaks, informal meetings, trips, and other cultural activities. Data also included written notes, pictures, audio recordings, and video recordings from excursions. Specifically, students were immersed in the Chinese language, culture, and ethnic traditions; their experiences were assessed through the narratives collected from student and faculty participants. Field trips, in-class role plays, and other cultural activities provided some experiential learning of Chinese language and culture. The collective experiences among the respondents provided insight into the importance of this study abroad opportunity for its participants. The cultural activities, group role plays, and open-ended interviews promoted the student’s self-reflection and also promoted the integrity and authenticity of the findings. Self- reflection is a social work method that forces the student learner to examine his or her behavior during their field internship or social work practice experience (Hepworth, Rooney, Rooney, & StromGottfried, 2017). This self-reflection forces the student to step back and analyze what he or she did correctly or incorrectly in a fieldwork or practice situation based on the feedback of the teacher, supervisor, or field instructor. Hence, self-reflection is a social work technique that is used in order for the social worker to become a more culturally competent and effective practitioner (Hepworth et al., 2017). Yalom (2005), Corey (2016), and other scholars (Shulman, Rozen-Zvi, Almog, Fennig, & Shavit, 2017) have discussed the effectiveness of the group process when working with younger students and older adults. Group process is a method that is used when conducting or working in therapy groups in order to 205 ensure that the rules of the group are observed. The group process is supposed to promote communication and cooperation among the group members in order to achieve the goals of that particular group. In group therapy, the group process promotes cohesion and unity among the group members and is supposed to promote congeniality, respect, and fellowship (Corey, 2016; Yalom 2005). Thus, by having the right group process, students are better able to share their collective experiences, become more introspective, and achieve the particular goals of the group (Corey, 2016; Yalom, 2005). Corey and other group scholars have also explored how the group process has a valuable therapeutic effect. In essence, a shared active engagement through the group process while participating in diverse cultural activities tends to promote the authenticity of the experience and to validate, in a holistic way, the feelings of the participants (Corey, 2016; Shulman et al., 2017; Yalom, 2005). In other words, the manner in which the group process was utilized in the language immersion program provided an excellent platform where both undergraduate and master’s level social work students talked about their shared experiences during class and in small group settings. As a result of these group interactions, the participant’s stories and themes became richer and had more profound meanings. Thematic content analysis was used in order to ascertain common themes in the narratives and focus groups (Smith, Padgett, Choy-Brown, & Henwood, 2015). Specifically, thematic analysis was used in order to generate codes attached to similar topics within the transcripts for data reduction and review the codes and quotes in order to identify themes across the transcripts. Finally, thematic content analysis was used in order to identify both positive and transformational themes, ensuring that they comprehensively and accurately represented the data. Internal Validity and Trustworthiness Triangulation of data was used as a method in order to enhance the internal validity of the present study. In triangulation, researchers use multiple approaches in order to collect the data so that it can be compiled and evaluated appropriately. In this present study, data consisted of 206 notes, observational logs, interviews, and journals I kept while there as a participant-observer. Student data came from required personal logs, journals, and reflection papers in which the students recounted their experiences and their interactions inside and outside of the classroom. Triangulation also involves the application and analysis of multiple sources of data by the use of peer-debriefing and collaboration with other qualitative researchers. Peer debriefing was employed in this study and the findings and interpretations of the interviews were compared to the narratives articulated by the participants at the end of the summer immersion program. In order to further assure the trustworthiness of the findings, additional triangulation and peer debriefing methods were used. I consistently met with three independent reviewers who hold a wealth of qualitative research experience. They examined my findings and made sure that my coding schema, thematic analysis, and interviews were consistent with the data. This peer-review and debriefing process allowed me to consistently articulate and explore unique aspects of both the interviews and the cultural immersion experience with the participants. This triangulation process also enabled me to better assess consistencies in the interpretations of the themes as well as the reflections of the data. This debriefing process also provided greater clarity and insights into the unique aspects of the data that I may not have interpreted in the initial analysis. This process of peer-debriefing and metacognition allowed for confirmation of the findings. I also kept a written reflective journal of the present study which captured my internal dialogue and my perceptions during each of the interviews and my meetings with peers. Last, in order to provide further credibility and to distinguish each participant as an individual, a demographic table was added that included pseudonyms. In order to ensure that the data management strategies promoted the internal validity of the present study, interviews were collected and transcribed by two additional independent reviewers. After transcription, the data was compiled and collected in order to assess the main themes by the two independent reviewers separately (different in time, space, and location). Each independent reviewer examined the data separately in order to provide rigor and Luciano structure in this present analysis. Further, the independent reviewers worked separately in order to assure that our individual interpretations of the data did not influence each other. The reviewers then convened in order to examine the results of the analysis. Consistent and major themes were identified by the two independent reviewers and were then again compared to the original data. In order to increase the trustworthiness and fidelity of the study, I engaged with the participants in the China Group for 18 days. In addition to the language instruction classes, which occurred Monday through Friday from 9 a.m. to 5 p.m., we also engaged in weekend trips and cultural activities. These activities included making dumplings, singing, dancing, Karaoke, and pottery making. During the classroom lessons, I and the participants engaged in interactive class exercises, learning activities, and role plays. The experience involved contact with the students for eight or more hours per day and included breakfast, lunch, and dinner, as well as day, evening, and weekend trips to different cultural venues. Such language immersion and extracurricular activities have been shown to promote higher self-reflection and self-awareness among students in study abroad programs (Bell & Anscombe, 2013; Cotten & Thompson, 2017; Kahn & Sussman, 2015). It is in this cultural context and didactic interactions between myself and the participants where various themes emerged. Furthermore, given the frequency of contacts with the students during trips, visits to the malls, museums, and other cultural venues, I and the students developed a close camaraderie and healthy relational bonds. These settings provided a safe environment where the participants felt more comfortable divulging their interpretations and sharing their own experiences. Such interactions promoted the internal validity of the study. Results The Chinese culture and history proved to be a catalyst that enhanced the students learning from a cultural and holistic framework. The students were mesmerized by the beauty of China and its older cities as well as the people who were warm and friendly. This experience was transformational and life changing for the students since they were able to reflect on future travel and contact with Asian populations. Most An Immersion Experience in China importantly, from a practice or social work perspective, the students felt empowered to think more broadly about health care practices, family values, and mental health services as well as how these aspects are intertwined with the Chinese model. These factors helped to shape the students’ cultural worldview and enabled them to think outside of the box when solving social problems. From the analysis of the students’ narratives and consistent responses, four major themes emerged, including (1) educational empowerment regarding Chinese holistic practices, (2) life transforming experience through language and cultural immersion, (3) students’ internalization of the Chinese cultural and family values, and (4) recognition of oneself as a global citizen through cultural humility. It was these four themes that resonated with the students and which allowed them to achieve a greater insight regarding the Chinese culture. Educational Empowerment Regarding Chinese Holistic Practices The depth and richness of this study abroad opportunity is apparent in the increased selfawareness among the students’ vis à vis with the Chinese culture and their increased confidence in providing culturally competent practice. In essence, through this higher education language immersion experience, students felt empowered to use alternative social work methods in order to meet the needs of diverse cultures. Hence, the students developed an appreciation for Chinese holistic practices and how these alternative remedies can help people cope with social stressors and mental illness. They were also afforded the opportunity to interact with a culture they do not normally interact with in the United States. Most importantly, self-reflection became a valuable learning tool, enhancing students’ awareness and providing a cognitive shift in their thinking. One master’s level social work student observed: As a result of this study abroad opportunity, we were able to see cross-cultural similarities that exist among the Chinese people as well as their different perceptions of mental illness. The Chinese view mental illness to occur as a result of a lack of balance between an individual’s internal energy, or Chi, and his/her inability to achieve 207 inner peace with nature and the environment. Hence, while mental illness is common in China, the Chinese are more adept with applying more holistic and alternative ways to deal with such social ills. These holistic practices include working with a traditional herbalist or Chinese healer, a warm bath, meditation, herbal teas and home remedies. Such alternative approaches taught us that there are more methods to use when helping families and individuals to cope with mental illness. As the previous quote illustrates, educational empowerment was one of the primary themes that emerged as a key component of the cultural humility model and study abroad movement. As the students began to understand the cross-cultural similarities in the issues that people in China encountered, they also began to learn about alternative and more holistic ways to address them. Hence, all of the undergraduate students and the two master’s level social work students learned about teas, Chinese medicine, humility, the concept of filial piety and Chinese history. All students felt empowered by these lessons and talked about how they plan to apply some of these concepts into their daily living and practice with Asian and multiethnic clients. The students were also fascinated in learning how other holistic treatments promote the psychological and emotional well-being of clients in China. In essence, the theme of educational empowerment resonated with all of the students since they were able to become more aware of how Chinese medicine, herbal teas, and models of self-care can be used in tandem with eclectic interventions in social work practice. Most of the students remarked that they were impressed with how some of the Chinese teas and herbal remedies can be used in order to cleanse the body from harmful toxins or negative energy. The students were also impressed with seeing how the elderly value and use Tai Chi every morning in order to promote good physical health and blood circulation. All of the students realized that daily meditation, harmony with nature, and body movement through Tai Chi can help people who may suffer from addictions, physical problems, or other forms of psychopathology. This finding was impactful 208 and allowed the students to better reflect on their own diet and daily exercise regimen. The master’s level social work students consistently spoke about how this experience will prepare them for clinical social work in an international arena where they are better able to advance the mission of social work and effectuate change globally. This feeling was reflected in the students recognizing the need or advantage of learning a foreign language and having a better understanding of Chinese mental health practices. One student shared a common sentiment: We feel empowered in knowing how much Chinese families believe in Chinese teas, herbal medicine, and consulting with Chinese folk-healers to cope with their daily problems or mental health issues. This collaboration with natural folk healers is a holistic model of practice that can also include the medical model of treatment like the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders). The students expressed their desire to return to China again and work in a social work agency so that they are better able to learn how mental health assessments are performed with the young and elderly population. This cultural insight was valuable and allowed the students to see how the use of natural folk healers and the Chinese family work as a collective unit help to solve social problems. Thus, the students gained a genuine appreciation for how Chinese herbs and folk remedies help the Chinese people to have balance in their lives so that they are better able to cope with social and mental health issues. This simplicity and formula for Chinese daily living allowed the students to self-reflect on how they need to also use these supplements and natural teas to promote their own psychological well-being in America. Life Transforming Experience Through Language and Cultural Immersion Prior to this study abroad experience, the students believed that oppression and the experience of racism is exclusive to them in the United States. This belief presents a narrow worldview. However, this trip to China allowed the both the HBCU and PWI students to transform their thinking. The African American students Luciano were able to see that Chinese people also experience racism and social oppression given the limited freedoms allowed under the Chinese government. For instance, students fully understood the history and massacre at Tiananmen Square and how this commonality of experience resonates with the struggle for civil rights in the United States. This finding was significant because the students became more politically aware on a global level. The cultural humility model helped in this process because students were able to see how being humble and transparent is a major tenet of Chinese Buddhism and culture. The students were able to understand why the Chinese people are defensive towards outsiders given the prior history of cultural oppression and economic exploitation of the Chinese government by foreign powers. Learning about the Chinese language and history, allowed the students to become more empathic regarding the more difficult side of Chinese history. Most of the students agreed that learning the Chinese language was a powerful tool that allowed them to have a better connection with the Chinese people. For example, one student mentioned in her reflective journal: By learning the Chinese language, we were able to immerse ourselves and embrace the Chinese culture and its beautiful people in their totality. Learning a foreign language adds to the richness of this study abroad experience and also puts all of us in a better position to do international work in the future. The students at the predominantly White university (PWI) at first felt that, given China’s history of foreign invasions and occupation by European and other world powers, the Chinese people were very rigid, unfriendly, and suspicious of foreigners. Further, the students from the PWI at first perceived that the Chinese people were shallow, self-absorbed, and, most importantly, did not seek or appreciate contact or friendships with Europeans and other cultures. This perception changed dramatically during class trips, extracurricular activities, and visits to the cultural museums. As a result of their cultural immersion experiences such as the daily interactions with the Chinese student mentees, the students began to observe that the Chinese students, faculty, and other local populations near the university were An Immersion Experience in China very friendly, humble, and curious about these students who came from America. The students at the PWI also observed how the Chinese youth and other populations were very intrigued and curious about them. There were also opportunities for traditional dragon dances and other ceremonies at the Guangdong University gymnasium university that bolstered the students’ appreciation of Chinese culture, legends, and traditional folk tales. One student from a PWI observed: After coming into personal contact with the Chinese culture and the people, we realize that the Chinese people are very warm and friendly just like some Americans who appreciate diversity. The Chinese students are fascinated and impressed with the American culture. As a member of the China group, we learned that cultivating friendships is also important to the Chinese and they are genuinely invested in making sure that our stay in China is a pleasant experience. Most of the PWI students were in agreement that this contact with the Chinese people and the visits to the Great Wall and other cultural venues were transformational and made them culturally humble when interacting with local Chinese students, faculty, and other individuals with whom they came in contact. The visits to the local malls and other restaurants also enhanced the students’ worldview in terms of Chinese fashion, cultural trends, and popular music when contrasted with the American culture. Students in China and America also loved to shop in malls and to obtain the latest clothing and shoes that enabled them to look and dress well for success. In essence, both the Chinese and American students enjoyed the benefits of modern trends and clothing styles that allowed them to appear fashionable and in sync with popular culture, hip hop, and music. Students’ Internalization of Chinese Cultural Values Another major finding of this study relates to how the students internalized the experience. Students clearly learned from each other and the shared trips to different cultural venues allowed the students to develop strong relational bonds with the Chinese faculty and the 209 Chinese student mentees. The faculty and students were available to help the students with assignments both in and out of class such as role plays and other group activities. The group activities were conducted in task groups that covered such topics as poetry, opera, Kung-Fu, and Chinese drama. The Chinese faculty taught the students through interactive videos and role plays that were designed to involve all of the participants in lively discussions and class exercises that increased our interest in these subjects. By using this type of didactic instruction, the Chinese language faculty created the right educational platform for the students’ internalization of Chinese values to occur. This relationship building allowed the students to internalize the positive attributes of the Chinese culture. In addition, working interdependently in order to learn the language became an integral part of this cultural learning. Hence, the positive camaraderie among the students and faculty enabled them to share their own cultural experiences, and the students were able to achieve a much greater insight on how these experiences can be further internalized through a Chinese cultural lens. For instance, during the Chinese cultural nights and dragon dance ceremonies, the students learned that being a part of the Chinese culture means that everyone is free to express themselves freely and to interact with others as a healthy form of coexistence. The students felt that we all exist as one China group and our success in learning and cooperation is the key to our future happiness and growth in our future professions or careers. Hence, the China experience taught us to work together interdependently so that we are in a better position to serve others who are either less fortunate or who may not be in our same social situation. One cultural activity that served as a powerful warm-up tool for the students was the Dragon Boat Festival ceremony. The Dragon Boat Festival honors one of China’s greatest poets, Qu Yuan, and the celebration includes eating rice dumplings and performing a dragon dance (Zhang & Qiliang, 2007). This activity provided students with a shared, collective emotional experience: an opportunity to see how fellowship and cultural humility are key ingredients that can help the students to plan their future goals through a Chinese model. Finally, the close bonds that developed among the students 210 helped solidify the value inherent in working in order to solve future social problems in China and the United States. One student from a PWI institution explained: It was a true joy for some of us White students to dress up in dragon costumes since this allowed us to understand the powerful meaning that the dragon has for the Chinese people. Dressing up as a dragon and dancing in the gym with other Chinese students allowed us to see the significance of the Chinese dragon as a model of resiliency and strength. We also understand how the dragon and the Chinese lunar calendar is a guiding force to promote camaraderie and fellowship with others. We all felt such a closeness with my fellow students and the Chinese students in this cultural immersion program. This appreciation of symbols, cultural tools, and the Chinese calendar was also transformational for the students. The daily lessons and Chinese stories that were learned not only reflected on Chinese folklore and certain legends but it also allowed the students to understand the meaning of these Chinese symbols. In essence, most of the students appreciated these symbols as cultural gifts that can be integrated into their own daily living. The Chinese dragon for example is a symbol of resiliency and strength and most of the students identified with how this dragon symbol can be used as a guiding force in order to accomplish their own educational and future career goals. Recognition of Oneself as a Global Citizen Through Cultural Humility Students were able to see the advantages of being a global citizen. This finding was a major one since students understood that learning a foreign language is a valuable tool that can help them make a stronger connection to Chinese culture. Although learning Cantonese, Mandarin, or different Chinese dialects is a significant challenge, most of the students were eager to master the language. One of the consistent themes that the undergraduate and social work graduate students articulated was a cultural experience that humbled them. Not only did the students realize that their experiences of racial and gender-based oppression in Luciano the United States are not unique but they also realized that a culturally humble approach in social work practice is a better treatment modality when compared with the aggressive culturally competent models that are not designed for working with Asian populations. Thus, this cross-cultural experience provided the participants with a global awareness and a better understanding of their place in this world. The students’ experiences were reflected in the culturally rich and powerful narratives that came from the graduate and undergraduate students. One African American student from an HBCU described his experience as follows: As an African American student from a financially disadvantaged background, I never imagined that I would have the finances to travel to the Far East or to China. This experienced changed our lives. As a group we were always curious about learning the Chinese culture. And given this study abroad opportunity, we were able to live, feel, and experience up close the Chinese people and their rich culture personally. All of the students echoed similar sentiments about how they would not have been able to afford this trip to China given their limited finances if it were not paid for by the Fulbright-Hayes grant. Hence, the students felt that this study abroad opportunity was not only rich from a cultural standpoint but also from a financial standpoint; it was a once in a lifetime opportunity that they will never forget. Being in such a fortunate position also allowed the students to feel a sense of privilege and to understand their civic responsibility of giving back to low income and poverty-stricken communities who need vital social resources. The participants developed a greater appreciation of the Chinese culture and their culture back in the United States. Their day-to-day interactions during classroom instruction and cultural trips increased their appreciation of their own culture, especially the access to Instagram, Facebook, Google, and YouTube. These forms of social media are not readily available in a strict culture like China. The students had to learn how to function in a Communist country that is highly suspicious of these forms and other social media platforms. Another challenge for the students related to the sleeping arrangements. Most of the students missed sleeping on An Immersion Experience in China a comfortable mattress since they had to sleep on a thin, uncomfortable, futon-like mattress at the dorms at Guangdong Baiyun University. Learning about colonialism and the oppression of the Chinese people also made the students more aware of the social, political, and economic realities that affect the daily lives of the hardworking Chinese people. Hence, the social inequality that was apparent, especially during the cultural trips to low income rural areas, heightened their awareness and became a major theme in the students’ responses. The juxtaposition between the lives of Chinese people living in poverty versus the healthy family lifestyles of the wealthier people who lived in the more stylish urban cities was obvious to the students. This type of experiential learning through travel and contact with new people in urban and rural settings also provided the students with a greater curiosity to study and learn more. All of the students agreed that their visit to the Great Wall of China was so impactful that they would like to know more about Chinese history and the foreign powers that conquered China. The students also reflected empathically about the many lives lost during the building of this enormous structure. These affective experiences and contacts with various historical sites promoted student learning and curiosity regarding Chinese history. Another observation made was on the students’ reflections about their campus life at their dormitories and the university. The students enjoyed the peace, beauty, and the serenity of the college campus at Guangdong Baiyun University. Although there was a lot of construction and renovations going on, the students felt that this campus reminded them very much of their college campus back home. Most of the students became acclimated to their dorms and the classrooms, eventually feeling safe and secure. The findings of this present study suggest that the more contact the students had with various ethnic tea ceremonies and traditions, restaurants, historical museums, and educational settings, the more comfortable they felt with China as a second or temporary home. Furthermore, the findings also suggest that young adults crave new and challenging global experiences with diverse individuals in order to promote their cognitive thinking and psychological well-being. As students are able to learn more 211 about China and the history of other Asian cultures in a study abroad setting, their worldview begins to expand and grow (Fisher & Grettenberger, 2015). In other words, the students’ ethnocentric or previous paradigms for looking at other cultures throughout the globe begins to change for the better (Cotten & Thompson, 2017; Harper, 2018). The students participated in cross-cultural music experiences that enhanced their learning about Chinese and American hip hop music. On most of these long bus trips to the cities and the countryside, the students bonded through entertainment and singing. The Chinese student mentees, who were mostly females, would sing passionate Chinese love songs while the American students would take turns and sing current hip-hop songs. This type of cultural entertainment was reciprocal and engaging since most of us were required to sing even if we were not good singers. The Chinese students also followed along and tried to sing American songs despite their heavy Chinese accents. We all laughed about it and no one felt offended or embarrassed. During some of the Chinese dancing and performing arts ceremonies on Karaoke nights and entertainment functions, the American students tried to emulate the Chinese dancers while the Chinese students and faculty tried to dance to classic American disco and hip-hop music. These enjoyable cultural activities, combined with the challenging heat and humidity in China, created conditions that promoted group solidarity and a shared purpose among the students. This type of cultural exploration was powerful. The students developed a genuine interest in and awareness of the social, political, and economic conditions of the Chinese people as well as the financial hardships that they experience daily. Most of the students observed and found it hard to believe the Chinese people work so hard for long hours and meager wages. Also, the local tour guides provided anecdotal lessons that matched what the students were learning in class, which students compared to the ease of their lives at home, increasing their appreciation of American culture. The students also mentioned the enjoyment of shopping at the malls and markets, noting how these experiences were both educational and fun. Students learned how to barter and make deals with the local merchants, bargaining in Chinese for 212 Luciano lower prices (which is a very common practice in China). These types of negotiations required the assistance of the Chinese student mentees and faculty who often served as translators of Cantonese, Mandarin, and other dialects, further cementing the bond between the groups. The Chinese students and faculty helped the American students find better deals, surpassing the language barrier that existed with the local merchants. All of these experiences created a protective and cohesive whole where the students and faculty, young and old, toured the malls and ate together in order to make sure we were all safe and functioned as a team. The effects of such group cohesion were that everyone was a proud member of the China Group and an ambassador of the United States’ culture. Most importantly, this cultural immersion program and study abroad experience allowed us all to “live in the moment” since our stay was limited. In addition, a feeling of functioning in the collective was enhanced because of these shared group experiences; the feeling of functioning also supported the idea that the cultural humility model does work with other cultures. The students took care of each other and relational bonds were clearly strengthened through all of the opportunities we experienced together. Discussion The purpose of the present study was to explore how a study abroad program contributes to the cultural enrichment of social work practitioners who aspire to work with Chinese and Asian populations in the future. Moreover, the cross-cultural partnerships between the Johnson C. Smith University and Guangdong Baiyun University provided a powerful educational platform that promoted the students’ educational development and transformation. Further, the cultural humility model served as the conceptual framework that helped in bridging the gap between the students from the United States and the Chinese students and faculty at the Guangdong Baiyun University. The cultural humility model addresses how various modalities and practices can provide effective interventions that transcend language, culture, and race. Moreover, since the model is not aggressive in its approach, the Chinese faculty and students in China felt more comfortable in working with the model to enhance the quality of life of its students, faculty and participants in the study. It will hopefully continue to serve as the capstone for future projects. The findings of this study have implications from a programmatic standpoint (Cotten & Thompson, 2017; Fisher & Grettenberger, 2015). Changes in law, social policies, and human rights are necessary in order to advance the true Table 2 Summary of Themes Consistent with the Ethos of Social Work Major Themes Educational empowerment regarding Chinese holistic practices. Life transforming experience through language and cultural immersion. Students’ internalization of Chinese cultural values and health care practices. Recognition of oneself as a global citizen through cultural humility. Summation of Narratives Learning about Chinese holistic practices enhanced our knowledge in providing culturally competent services with Asian populations. Our visits to the local villages and the many tourist attractions in China allowed us to become more aware of the massive poverty in China. We loved visiting the Great Wall of China. We now understand how the great wall protected China from foreign powers. We understand that it is better to be humble when working with Asian populations in an effort to achieve a healthy form of cooperation. We realize that filial virtue means respecting and valuing the elderly. Researcher’s Summation of Themes We all experienced a cognitive shift as we became familiar with the nuances of the Chinese language. The group and individual selfreflections that we conducted in class helped us to increase our understanding of cultural humility. We have a better understanding of Chinese history and why China chose to close itself off to foreign powers given its history of colonization. This study abroad experience helped us to see the world differently. We were able to see that poverty and racial discrimination also occur in other countries as well not just the United States. An Immersion Experience in China mission of social work in an effort to help oppressed people all over the world (Engelbrecht et al., 2016; Fisher & Grettenberger, 2015; Guo et al., 2016). Social workers can become the catalyst for this type of social change in an effort to address the needs of all individuals on a global scale (Fisher-Borne et al., 2015; Harper, 2018). Thus, the findings of this study show how impactful study abroad and language immersion programs can be in preparing students for employment in the 21st century culture of innovation and social change. The results of this study support the claim made by a broad range of previous researchers (Cotten & Thompson, 2017; Fisher & Grettenberger, 2015; Guo et al., 2016; Hines et al., 2010) that developing global partnerships should be a key component of social work training in the United States. Hence, there is a need for social work programs to develop these kinds of global partnerships and these partnerships should be a part of social work training in the United States. This present study advances the social work and psychology literature. We were able to see how providing a study abroad opportunity for low income and multi-ethnic students allowed them to change their world view in preparation for future practice with Chinese and Asian populations. Hence, students learned firsthand that by having the necessary language skills and cultural lens will better prepare them in their future careers as clinicians who can help shape the professional landscape of social work practice. The present study also promotes a better cross-cultural paradigm for working with migrant and marginalized populations who deserve better treatment. The present study shows that being culturally humble and proficient in an international arena is a necessity in a world that is full of political turmoil and constant change. Furthermore, given the migration trends happening all over the world, we are no longer working with homogenous populations. Thus, as more and more Asian groups and refugees are migrating to the United States, the profession needs more study abroad programs in order to expose social work students to diverse populations and to see how these individuals, families, and groups function in their own cultural environments. Such programs will better prepare social work and social science students to practice effectively in the United States and in a global context (Cotten & Thompson, 2017; 213 Fisher-Borne et al., 2015; Fisher & Grettenberger, 2015). Study abroad programs provide a geopolitical context that is a gold mine for new discoveries and possibilities, the goals of which can help solve social and mental health problems all over the world (Cotten & Thompson, 2017; Fisher & Grettenberger, 2015). As social work practitioners, we need to examine more closely what makes social work practice in China unique. We need to explore how holistic models of practice that are a part of diverse cultures can bridge the gap and improve the lives of individuals who may be traumatized, hurt, or exploited in their own native country. Such lessons and cultural practices are important to share if we want to build a better global community with less conflict. From a clinical perspective, exposing social work and social science students to study abroad experiences provides them with the tools and the arsenals that will help them in their field or professional practice (Bell & Anscombe, 2013; Cotten & Thompson, 2017; Fisher & Grettenberger, 2015). Limitations and Future Research One limitation of this present study is the small sample size which was limited to those individuals participating in the Fulbright-Hays study abroad project. Thus, the sample was based on a convenience sample of the 14 students who were selected to participate in the China Group study abroad program. Another limitation is the amount of time I was able to spend with the participants. Since the undergraduate Chinese language students from Johnson C. Smith University, University of North Carolina at Charlotte (UNCC), and Queens University arrived weeks earlier, I was not able to fully assess the students’ experiences or to make observations of their initial experiences. Hence, although data existed prior to my arrival, I was unable to ask the students specific questions early on, questions that may have provided additional data about their experiences and the transformations that took place. However, student observations, self-reflection journals, field notes, and personal narratives provided data that was rich and powerful. Moreover, the cultural humility model provided a cross-cultural lens that transformed the students’ thinking about the Chinese language and culture. Future research should focus on 214 the applicability of the cultural humility model to other cultures for those individuals working in the social work field. The limitations of the cultural competence model are well known throughout the field and it has been perceived by social work scholars as too intimidating for those individuals whose native language is not English (Jani et al., 2011). The cultural humility model is more flexible and provides a better fit and cultural lens that is more suitable when working with Asian populations. It is my hope that this present study not only shares the benefits of one short-term study abroad experience for students in general but also for those practitioners who are working to evolve the theory and practice of social work. These experiences not only transform the lives of our students and ourselves but they have potential to help transform social and government institutions as it relates to health care, poverty, marginalization, and oppression (Engelbrecht et al., 2016; Hines et al., 2010; Voss et al., 2017). The study abroad program at the Johnson C. Smith University took these 14 students to China in order for them to learn about how globalization has a powerful transforming effect on the lives of undergraduate and graduate level social workers who are interested in working in a global arena. The present study provides a description of that rich experience and a culturally humble framework that serves as a model to promote cooperation, collaboration, and social change. 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