COUNSELING ACROSS CULTURES Professional counselors will be increasingly confronted with challenges that will affect their practice. Cultures are often seen through the lenses of race/ethnicity, gender, sexual orientation, socioeconomic status, religion/spirituality, nationality, language preference, ability status, and age. The rise in global population may underscore the impact of the increase in cultural diversity 3. THE NATURE OF COUNSELING ACROSS CULTURES 1. 2. 3. 4. 5. 6. Culture refers to any group of people who identify or associate with one another on the basis of some common purpose, need, or similarity of background. Cultural differences are real and they influence all human interactions. All counseling is cross cultural in nature as both client and counselor bring their unique personal history and cultures (e.g., gender, social class, religion, language, etc.) into the counseling process. Cross cultural counseling places an emphasis on human diversity in all its many forms. Culturally competent counselors develop awareness, knowledge, and skills to effectively interact with clients from culturally diverse backgrounds. Culturally competent counselors are globally literate human beings who need to be aware of topical political and socioeconomic challenges and issues across the globe. CROSS-CULTURAL COMPETENCIES AND OBJECTIVES I. Counselor Awareness of Own Cultural Values and Biases A. Attitudes and Beliefs 1. Culturally skilled counselors have moved from being culturally unaware to being aware and sensitive to their own cultural heritage and to valuing and respecting differences. 2. Culturally skilled counselors are aware of how their own cultural backgrounds and experiences and attitudes, values, and biases influence psychological processes. 3. Culturally skilled counselors are able to recognize the limits of their competencies and expertise. 4. Culturally skilled counselors are comfortable with differences that exist between themselves and clients in terms of race, ethnicity, culture, and beliefs. C. Skills 1. Culturally skilled counselors seek out educational, consultative, and training experience to improve their understanding and effectiveness in working with culturally different populations. Being able to recognize the limits of their competencies, they (a) seek consultation, (b) seek further training or education, (c) refer out to more qualified individuals or resources (d) engage in a combination of these. 2. Culturally skilled counselors are constantly seeking to understand themselves as racial and cultural beings and are actively seeking a nonracist identity. II. Counselor Awareness of Client as Worldview A. Attitudes and Beliefs 1. 2. 1. 2. 2. Culturally skilled counselors have specific knowledge about their own racial and cultural heritage and how it personally and professionally affects their definitions of normality-abnormality and the process of counseling. Culturally skilled counselors possess knowledge and understanding about how oppression, racism, discrimination, and stereotyping affects them personally and in their work. This allows them to Culturally skilled counselors are aware of their negative emotional reactions toward other racial and ethnic groups that may prove detrimental to their clients in counseling. They are willing to contrast their own beliefs and attitudes with those of their culturally different clients in a nonjudgmental fashion. Culturally skilled counselors are aware of their stereotypes and preconceived notions that they may hold toward other racial and ethnic minority groups. B. Knowledge B. Knowledge 1. acknowledge their own racist attitudes, beliefs, and feelings. Although this standard applies to all groups, for White counselors it may mean that they understand how they may have directly or indirectly benefited from individual, institutional, and cultural racism (White identity development models). Culturally skilled counselors possess knowledge about their social impact on others. They are knowledgeable about communication style differences, how their style may clash or foster the counseling process with minority clients, and how to anticipate the impact it may have on others. 3. Culturally skilled counselors possess specific knowledge and information about the particular group they are working with. They are aware of the life experiences, cultural heritage, and historical background of their culturally different clients. This particular competency is strongly linked to the minority identity development models available in the literature. Culturally skilled counselors understand how race, culture, ethnicity, and so forth may affect personality formation, vocational choices, manifestation of psychological disorders, help-seeking behavior, and the appropriateness or inappropriateness of counseling approaches. Culturally skilled counselors understand and have knowledge about sociopolitical influences that impinge upon the life of racial and ethnic minorities. Immigration 1 COUNSELLING issues, poverty, racism, stereotyping, and powerlessness all leave major scars that may influence the counseling process. C. Skills 1. Culturally skilled counselors should familiarize themselves with relevant research and the latest findings regarding mental health and mental disorders of various ethnic and racial groups. They should actively seek out educational experiences that foster their knowledge, understanding, and cross-cultural skills. 2. Culturally skilled counselors become actively involved with minority individuals outside of the counseling setting (community events, social and political functions, celebrations, friendships, neighborhood groups, and so forth) so that their perspective of minorities is more than an academic or helping exercise. III. Culturally Appropriate Intervention Strategies 1. 2. 3. 4. A. Attitudes and Beliefs 1. 2. 3. Culturally skilled counselors respect clientsà religious and/or spiritual beliefs and values, including attributions and taboos, because they affect worldview, psychosocial functioning, and expressions of distress. Culturally skilled counselors respect indigenous helping practices and respect minority community intrinsic help-giving networks. Culturally skilled counselors value bilingualism and do not view another language as an impediment to counseling (monolingualism may be the culprit). 5. B. Knowledge 1. 2. 3. 4. 5. C. Skills Culturally skilled counselors have a clear and explicit knowledge and understanding of the generic characteristics of counseling and therapy (culture bound, class bound, and monolingual) and how they may clash with the cultural values of various minority groups. Culturally skilled counselors are aware of institutional barriers that prevent minorities from using mental health services. Culturally skilled counselors have knowledge of the potential bias in assessment instruments and use procedures and interpret findings keeping in mind the cultural and linguistic characteristics of the clients. Culturally skilled counselors have knowledge of minority family structures, hierarchies, values, and beliefs. They are knowledgeable about the community characteristics and the resources in the community as well as the family. Culturally skilled counselors should be aware of relevant discriminatory practices at the social and community level that may be affecting the psychological welfare of the population being served. 6. 7. Culturally skilled counselors are able to engage in a variety of verbal and nonverbal helping responses. They are able to send and receive both verbal and nonverbal messages accurately and appropriately. They are not tied down to only one method or approach to helping but recognize that helping styles and approaches may be culture bound. When they sense that their helping style is limited and potentially inappropriate, they can anticipate and ameliorate its negative impact. Culturally skilled counselors are able to exercise institutional intervention skills on behalf of their clients. They can help clients determine whether a problem stems from racism or bias in others (the concept of health paranoia) so that clients do not inappropriately personalize problems. Culturally skilled counselors are not averse to seeking consultation with traditional healers and religious and spiritual leaders and practitioners in the treatment of culturally different clients when appropriate. Culturally skilled counselors take responsibility for interacting in the language requested by the client and, if not feasible, make appropriate referral. A serious problem arises when the linguistic skills of a counselor do not match the language of the client. This being the case, counselors should (a) seek a translator with cultural knowledge and appropriate professional background and (b) refer to a knowledgeable and competent bilingual counselor. Culturally skilled counselors have training and expertise in the use of traditional assessment and testing instruments. They not only understand the technical aspects of the instruments but are also aware of the cultural limitations. This allows them to use test instruments for the welfare of the diverse clients. Culturally skilled counselors should attend to as well as work to eliminate biases, prejudices, and discriminatory practices. They should be cognizant of sociopolitical contexts in conducting evaluation and providing interventions and should develop sensitivity to issues of oppression, sexism, elitism, and racism. Culturally skilled counselors take responsibility in educating their clients to the processes of psychological intervention, such as goals, expectations, legal rights, and the counselor as orientation. CONCEPTUAL FRAMEWORK Foundational Knowledge of Traditional Counseling Theory and Practice It is important to have an understanding of traditional counseling theory and practice when developing cross – cultural counseling competency. Despite criticisms of Western European and North American theories, they still contribute to cultural awareness in counseling. 2 COUNSELLING Incorporating the traditions of counseling practice developed by pioneers such as Freud, Adler, Rogers, Perls, and Ellis into culturally diverse concepts and approaches is crucial. Ethical Knowledge and Aspirations It is crucial for counselors to possess cross-cultural competence by having knowledge of ethical standards and the ability to conduct counseling interventions within an ethical framework. The American Counseling Association's ethical standards require counselors to actively attempt to understand the diverse cultural backgrounds of their clients. The best practice in counseling is placing ethics at the forefront of all professional activity. Counselors who aspire to high ethical standards are culturally competent in their practice. Cross Cultural Counseling Theoretical Knowledge Counselors must possess knowledge of diverse ideas on helping and human development alongside traditional counseling theory to provide effective services in a cross-cultural context. Sue et al. (1996) proposed a metatheoretical perspective that suggests counselors should use theoretical approaches that reflect the helping traditions of diverse cultures. Cross Cultural Encounters To attain cross cultural competency, one must possess working knowledge and information about diverse groups of people, including their histories, customs, and values. The acquisition of such knowledge should involve personal encounters with individuals from diverse cultural backgrounds, which may challenge one's assumptions and stereotypes. It is important to approach such encounters with an open mind and to view people as individuals within a cultural context. Cross Cultural Counseling Skill Development “Such skill development should be based on the following premises. First, cultural diversity is real and should not be ignored in counseling interactions. Second, cultural differences are just that—differences. They are not reflections of ignorance, deficiencies, or pathological deviations. This suggests having the ability to meet clients where they are, despite obvious cultural differences between counselor and client. Third, when working with clients from culturally diverse groups, it is important to avoid stereotypes and a monolithic perspective. It is crucial that counselors consider clients as individuals within a cultural context.” as what cultural differences may affect their relationship with the client and what cultural blind spots they may have. It's important to understand one's own cultural strengths and limitations in order to provide effective counseling. Self-Awareness Counselor self-awareness is crucial to culturally competent counseling practice. Counselors must explore how their cultural background has influenced their psychosocial development and assess their own process of cultural identity development. They should evaluate their attitudes and beliefs about people from different cultural backgrounds and consider how these may impact counseling effectiveness. Self-exploration leads to self-awareness, which is essential in developing personal attitudes and beliefs to guide culturally competent counseling practice. Culturally competent counselors are sensitive to cultural group differences because they are aware of their own identity as cultural beings. Self-Awareness: Global Literacy Becoming a globally literate human being is important for self-awareness. This involves accumulating knowledge about the world and being open to cultural diversity. A globally literate person has a knowledge of cultural variations in history, domestic/international travel experience, and is knowledgeable about current national and international events. Culturally competent counseling requires global literacy. Self-Awareness: Social Justice The concept of a globally literate lifestyle includes a commitment to social justice, which ensures that individuals receive what is due from society and that resources are distributed equitably. Counselors who promote social justice seek to challenge inherent inequities in social systems and oppose discrimination and oppression. Cross culturally competent counselors possess self-awareness and knowledge of their clients' cultural dynamics while promoting mental health and social justice at both the individual and systems level. The CHALLENGE OF THE CROSS-CULTURAL COUNSELING ENCOUNTER Two possible outcomes of a cross-cultural encounter Cross Cultural Counseling Skill Development When it comes to developing culturally competent counseling skills, it's important to have a diverse and integrative approach. Counselors should be aware of their own cultural biases and seek to understand their clients' cultures in order to better serve them. To do this, counselors should ask themselves questions such a. Incompetence on the part of the counselor Unintended cultural disregard or worse, cultural disrespect Cultural insensitivity b. Cross-cultural competence on the part of the counselor 3 COUNSELLING Working alliance Respect and validation of the client’s culture Two Critical Issues to Consider When Entering a cross Cultural Encounter a. Cultural Characteristics of Counseling cultural differences b. Socio-political nature of counseling Power and privilege differences between the counselor and client COUNSELING WITH CULTURE IN MIND a. Cultural Identity Development Cultural identity refers to an individual’s sense of belonging to a cultural group and the part of one’s personality that is attributable to membership in that group. b. Intersectionality Cultural identity development must be understood from an intersectionality perspective. Intersectionality refers to the convergence and interactions of the multiple dimensions that comprise cultural identity, which in turn have an effect on an individual’s personality and worldview. LANGUAGE PREFERENCE Language is an important aspect in all counseling interactions Language is culture Verbal and nonverbal language Culturally competent counseling, therefore, must be based on an appreciation of and sensitivity to possible language differences between counselor and client. HELP-SEEKING ATTITUDES AND BEHAVIOR Counselors must recognize the fact that there is great variability among cultural groups with respect to helpseeking attitudes and behaviors. Not all cultural groups traditionally value or understand the nature of formal counseling as a source of help. It might be necessary, therefore, to step outside the confines of the traditional helping setting to offer counseling services. A culturally competent counselor may need to think creatively in terms of how he or she provides services to clients for whom the counseling process might be a totally alien experience. INVOLVING IMPORTANT OTHERS IN THE COUNSELING PROCESS Immediate and extended kinship networks must be considered as primary sources for promoting mental health and well-being among many cultural groups. Such networks may include immediate and extended family, friends, or community cultural resources. Within these support networks can be found hierarchical structures and cultural roles that promote a collective unity among groups of people. This collective unity provides the basis for a worldview that emphasizes communalism rather than individualism. Kinship and other collective support networks are crucial in providing resolution to both situational and developmental problems related to educational work, or personal-social issues. In many instances, the supportive dynamics of these indigenous networks may keep an individual from needing to seek outside decision-making or problemresolution assistance. Culturally competent counseling practice, therefore, must include an understanding of and appreciation for the role of collective dynamics in mental health and well-being. As appropriate, counselors should find ways in which to make use of the kinship system and involve important others in the counseling process. GENDER-ROLE SOCIALIZATION Perceptions of the roles of men and women vary across cultures. These gender perceptions have the potential to influence the expectations considered normal for male and female development. Such expectations, therefore, can account for fundamental differences in personality development for men and women. When necessary, gender-role socialization and its effect on development should be considered an important concept in culturally competent counseling. Counselors may need to consider how gender-based differences are manifested in decision making and problem resolution among men and women across cultural groups. While this list of concepts is by no means exhaustive, it provides key points of reflection for understanding the importance of counseling with culture in mind. Although the relevance of these concepts may vary across clients, a working knowledge of them and how they may impact the helping process should frame the context of competent counseling intervention in a cross-cultural encounter. Understanding concepts such as these will go far in helping counselors minimize the cultural distance often inherent in a cross-cultural encounter SUMMARY Guidelines for Culturally Competent Counseling This chapter emphasizes the significance of crosscultural counseling in light of global demographic changes. It stresses the need for counselors to develop awareness, knowledge, and skills to effectively engage with clients from diverse cultural backgrounds. The approach suggested involves recognizing both human similarities and differences, viewing each client as a 4 COUNSELLING unique individual, and considering universal developmental challenges. The guidelines provided aim to facilitate a strong working alliance between counselors and clients in cross-cultural encounters. clients when they are faced with such challenges is the basis for social justice. Consider Cultural Factors in any Counseling Interaction Immersing oneself in the cultural realities of every client will benefit the counseling relationship as this will promote a sense of cultural validation on the part of the client. It is important to remember that cultural differences are just that—differences, and not pathological deviations or deficiencies. Consider Cultural Privilege and “Cultural Baggage” Recognizing the often-unearned privileges one might enjoy in society based on skin color, gender, religion, nationality, sexuality, etc., one should be careful not to impose one’s personal mindset, attitudes, or values when helping a client explore options to deal with issues or challenges. In addition, considering one’s preconceived notions and prejudicial assumptions about people who are “different” as “cultural baggage, ” it is imperative to examine the origins of this “baggage” and acknowledge its existence and the potential impact it may have on the cross cultural counseling encounter and beyond. Examine and Evaluate the Relevance of One’s Theoretical Orientation Considering how issues of culture may impact a theoretical approach to counseling, one should objectively look at how personality is manifested within the cultural realities of clients in order to develop an integrative theoretical approach to practice. Avoid Stereotypes and Adopting a Monolithic Perspective Avoiding the pitfall of assuming that all people from a cultural group share the same reality will lead to approaching culturally diverse clients in a genuine as opposed to stereotypical manner. While people from a cultural group may share similar characteristics, each person is a unique human being. It is, therefore, necessary to always consider the individual within a cultural context. Be Willing to Learn About Other Cultures Letting clients tell their story is critically important, particularly when they are discussing cultural issues with which one may be unfamiliar. Never be afraid to say to a client whose cultural background is different from one’s own, “I do not understand, can you help me learn?” Make a Commitment to Advocacy and Social Justice Recognizing that client issues are often reactions to or symptoms of deep-seated problems in social environments entails challenging systemic barriers to mental health and well-being. Advocating for one’s 5