THE POWER OF OUR STORIES: A participatory conference on culture July 16, 2013 Ko`olau Ballroom Framing Statements of Poka Laenui (plaenui@hawaiianperspectives.org) Executive Director, Hale Na`au Pono Borrowing from bits and pieces of HNP’s Training materials Inasmuch as spiritual development is the supreme end of human existence and the highest expression thereof, it is the duty of man to serve that end with all his strength and resources. Since culture is the highest social and historical expression of that spiritual development, it is the duty of man to preserve, practice and foster culture by every means within his power. Portion of the Preamble, American Declaration on the Rights and Duties of Man Organization of American States, Res. XXX 1948, Rev. 1965 Definitions: CULTURE The philosophy, ideas, behavior patterns, customs, beliefs, values, skills, arts, religions, preferences and prejudices of a people. CULTURAL DIVERSITY The rich combining of cultural characteristics among and between people, coloring the community and world environment with a panorama of choices. CULTURAL COMPETENCE The ability of individuals and systems to respond respectfully and effectively to people of all cultures in a manner that recognizes, affirms, and values the worth of individuals, families and communities and protects and preserves the dignity of each. Why practice cultural diversity and competency? It just happens to be a matter of: a) Accessibility: Accessibility is far more than merely removal of architectural or physical design barriers. True accessibility means to remove all barriers, to the extent possible, whether they be political, economic, educational, cultural, religious, sex biased, etc. In this case, we take a look at removal of cultural barriers for those who come from cultural patterns outside of Western norms. 1 b) Appropriateness of service; In the field of mental health, we have seen repeated countless number of times where the failure of honoring the culture of a client can become disastrous to the plan for recovery. c) Quality of service such that a diagnosis, treatment plan, and outcome measures give appropriate consideration to the cultural patterns of the person served otherwise we end up with crap, wrapped up in nice words and fine reports. d) Human Rights, especially to equal treatment which are to be accorded to all individuals and groups, irrespective of their cultural differences; e) Expanding diversity of cultural patterns requiring service providers to be more attuned to the development of practices which responds to such expanding diversity; (compare in the last 10 years, the explosion of cultural changes, in ethnicity, in generational changes, in new appreciation for sexual orientations and developing rights) f) Continually challenging service provider’s tendency toward an ethnocentric approach to their field of practice; and, g) People’s right to choose, such that clients are given choices of treatment forms from among practitioners who are respectful, understanding, and honoring of other peoples’ cultures. What are some of the cultural patterns that impact our practice? There are three primary areas to begin this search. They can be found by following the first three golden rules: First is within the institutionalized Golden Rule 1) He who has the gold systems we operate. These cultural patterns rules. emerge from the legal, financial, and traditional history of the bureaucracy we have inherited. They are found reflected in contractual arrangements between service providers and HMO, insurance companies, or responsible governmental agencies. They are also reflected in the service providers’ professional standards, in the legal requirements, or in the guidelines of accrediting organizations. These patterns are also found in the servicing agency themselves, including the history of such agency’s development, the policies developed by its governing board, or the practices within the agency. The agency’s name or mission statement may be very informative, or it could be misleading. What is the organization “Teach or America”? What was the Peace Corp really about? There are times when, in order to make effective and long term improvements in culturally competent service, changes must be made with those who hold the gold. An example of bringing about cultural diversity at this level is in an agency’s selection of members of its board of directors. A board may give consideration to the selection of its incoming members based upon the community it serves and the changing cultural patterns within that community. It may want to consider new directions to take and the new cultural perspectives it will have to have reflected in its membership as it moves in such directions. 2 The staff an agency selects will also tell you of the cultural direction of that agency, whether in line staff or in leadership positions. Staff selection should take into consideration the same concerns as its selection of the board members. These considerations should not over shadow the rules regarding basic qualifications and experience as well as the prohibitions of County, State, and Federal discriminatory practices or the constraints of fiscal and program limitations. But the very elevation of academic credentials above the community involvement and grass roots connection can be indicative of the organizational prejudice or cultural preference. Other examples may be found in how the organization designs its programs, how it amends its practices to comport to a culturally diverse form of service, how it names its buildings and services, how it identifies its celebrations and observations, and how it relates with the community and the variety of cultural nests within the community. One could also look at how a service organization advocates at the legislature or within government agencies to obtain a reading on its cultural directions. The second place to find cultural Golden Rule 2) Do unto others as patterns is with the individual service you would have them do unto you. provider. Each service provider carries a cultural baggage founded upon one’s early experience with one’s family, one’s eating habits, appreciation of beauty, philosophical/religious beliefs, level and type of education, life experiences, expectations, etc. One’s introspection, alone or with another, may help to confront, expose, and identify such patterns, elevating as much as possible these cultural patterns from a subconscious to a conscious level. By “knowing thyself”, the practitioner will be able to reach a higher level of conscious application of culturally competent practice, appreciating one’s own service to person served in the light of understanding one’s self. This kind of introspection can occur at one’s initial hiring as part of an orientation into the organization. It may also be included as part of an annual review, as the organization considers its own cultural sensitivity. Or it can be done at a conference, or in a dark corner, or when confronted by a client. The third place to find cultural patterns Golden Rule 3) Do unto others as affecting service delivery to a client or patient they would have you do unto them. is with the people being served. Their cultural patterns should be understood and used in all aspects of service to them from their initial interview and assessment to the development of treatment plans to outcome measurements. Customers must be understood from a comprehensive rather than a singular approach. A customer is more than an individual. A customer is a member of a family. He may be isolated or unified with the family at the present time, but the family should be considered an important aspect of understanding the cultural patterns which impact the person served. He may be of a particular religion, have strong political views on current issues, follows a sport with abandonment. 3 Below, let’s take a look at the paths upon which cultures are rooted? A: Creation Stories: Book of Genesis, the Old Testament – an approach common to the major monotheistic religions of the Jews, Christians, and Islam. From the orient, especially the influence of China, the concept of Wu chi and Tai Chi, from Daoism Hawaiian and other people of the Pacific – Kumulipo Indic – Mahabharata , the Sanskrit Story out of India, the story of the Humanity. ETC. B: The levels of cultures: Surface – “accommodations, folklore, survey” Internalized- Subconscious Kungkung’s story of Poi, Pua’s Eye surgery Deep Culture – DIE – OLA paradigms, Yin – Yang, “Se la vie”, “Que Sera Sera” C: Distinctions between Religion and Culture: How Buddhism changes according to cultures – Tibetan expression with its strong influence of Lamaism (taken from Mongolia) within Buddhism, How Christianity differ from its practice in Catholic El Salvador as opposed to Episcopalians in S. Africa, or Hawaiian Pentecostals. D: Generational changes while remaining within the same ethnicity: Japanese, Chinese and Puerto Ricans in Hawaii as compared with the cultures (and languages) of those recently arrived from those respective homelands. Hawaiian Culture and the changes of that culture along the generations. E: Culture and Class – Economic, Social, Educational Culture of the Homeless, of the Poor, of the Middle Income, of the Rich; Culture along the Social plane, along the educational plane, F: Ethnicity - Race defined “cultures”Hawaiian, Chinese, Japanese, Haole, English, American, Black, Spanish, G: Cultures affected by “geography and society” African, Afro-American, Afro-American mixed with Native Americans, Southern Afro-American v. Northern Afro-American, H: Others – The drug culture, the political culture of Hawaii, Gambling culture, the Underworld, Cops, Military, Culture of the “disabled,” Cultures around sexual orientations and liberations 4 Another Frame - Deep Culture Perspective: There are cultural codes in the collective sub-conscious of all societies which defines within that society what is right and wrong, what is moral and natural, what forms of behavior is appropriate in given circumstances. These codes derive from the myths and legends, from the deep national memories, from the environmental conditions, from the internal conflicts and from a multitude of other processes which have taken place over long periods of time in a society. These codes are generally unwritten. They do not form a constitutive document or are in some explicit statement. They are generally unspoken. But they are so ingrained in a society that they become the driving force of the society. You can oftentimes see them in the routines and habits of people, in the fears and pleasures of a people, in their dreams and expectations and the systems of reasoning. These codes create the deep culture of a society. The deep culture lies at the foundation of a society. Sitting immediately upon that deep culture is a wide social system including economic relations, health care, families, shelter and clothing practices, food and eating customs, education forms and environmental attitudes. A political system develops upon and protects the social system and a security, usually police or military system upon that, protecting, of course, the political system. Let’s examine the Hawaii society from the perspective of this ‘deep culture” optic. The culture which governs the formal systems of Hawaii: Education, Economics, Governance, Bureaucracy, Environment, Judiciary and Law, Medicine, Social Services, D-Domination (Superiority, Power, Financial Wealth, Title) I – Individualism (Singularity, Extracting from the whole, Seeing the tree but not the forest, Myopia, compartmentalization, silo-sization) E- Exclusion (Rejecting the Other, Intolerance) The culture which governs the informal systems of Hawaii: Families, friends, local neighboring, school during recess, O - `Olu`olu (compatible, comfortable, easy-going, respectful, kind and gentle) L – Lokahi (Group consciousness, Long term views) A – Aloha (Inclusive, loving and kind relationships, kokua, concern for all others) 5 Another Frame: The ABC Triangle Attitudes, Behavior and Conditions The five Golden Rules Review and Summary: I: He who has the gold rules, II: Do unto others as you would have them do unto you, III: Do unto others as they would have you do unto them, IV: Help others do for themselves, V: Transcend the differences between self and others. 6