Too often, cultural competence training has led to the inadvertent marginalization of some individuals and groups and the reinforcement of existing stereotypes. This text explores the concept of cultural humility, which offers an exciting way forward for those engaged in the helping professions. In contrast to cultural competence, cultural humility challenges individuals to embark on a lifelong course of self-examination and transformational learning that will enable them to engage more authentically with clients, patients, colleagues, and others. The book traces our understanding of and responses to diversity and inclusion over time with a focus on the United States.
Topics explored include:- Us and Them: The Construction of Categories
- Cultural Competence as an Approach to Understanding Difference
- Transformational Learning Through Cultural Humility
- Fostering Cultural Humility in the Institutional/Organizational Context
- Cultural Humility and the Helping Professional
The book presents examples that illustrate how the concept of cultural humility can be implemented on an institutional level and in the context of individual-level interactions, such as those between a healthcare provider or therapist and a client.
Diversity, Cultural Humility, and the Helping Professions: Building Bridges Across Difference is essential reading for the health professions (nursing, medicine), social work, psychology, art therapy, and other helping professions.
Author(s): Sana Loue
Publisher: Springer
Year: 2022
Language: English
Pages: 197
City: Cham
Preface
Contents
About the Author
About the Contributors
List of Tables
Part I: Foundations
Chapter 1: Us and Them: The Construction of Categories
The Social and Political Context of Categories
Categories and Their Consequences
References
Chapter 2: How We Got to Where We Are: Historical, Systemic, and Institutional Responses to Difference
US Responses to Difference: From Melting Pot to Salad Bowl
The Helping Professions: Historical Responses to Difference
Medicine Under Nazism
Medicine, Public Health, and Minorities in the USA
Social Work and Social Workers and Marginalized Persons
References
Legal References
Cases
Statutes
Legislative History
Chapter 3: Individual-Level Responses to Difference
Introduction
Racism
Bias and Its Impact
The Concept of Microaggressions
Empathy and Compassion
References
Chapter 4: Disparities in Health, Health Care, and Healthcare Access
Introduction
Health Disparities and Diversity
Structural Racism, Health Outcomes, and Healthcare Access
Theoretical Models
References
Legal References
Part II: Current Approaches to Navigating Difference
Chapter 5: Cultural Competence as an Approach to Understanding Difference
Defining Culture
Origins and Definitions of Cultural Competence
The Promise and Pitfalls of Cultural Competence
Promise
Pitfalls
References
Chapter 6: Transformational Learning Through Cultural Humility
Cultural Humility
Cultural Sensitivity
Cultural Safety
References
Part III: The Organizational and Institutional Context
Chapter 7: Diversity in the Legal Context
Overview
The Civil Rights Act of 1964
Title VI
Title VII
Patient Protection and Affordable Care Act
The Rehabilitation Act of 1973
The Americans with Disabilities Act and the Americans with Disabilities Act Amendments Act of 2008
Qualified Person with a Disability
Overview of Title I
Overview of Title III
Combating Bias and Fostering Diversity
Federal and State Conscience Protection Statutes
Provisions and Impact of Conscience Clauses
Case Example: Denial of Care to HIV-Infected Individuals
References
Legal References
Statutes
Regulations
Executive Orders
Cases
Chapter 8: Fostering Cultural Humility in the Institutional Context
Foundations for Cultural Humility at the Institutional Level
Valuing Diversity
Policies, Procedures, and Service Delivery
Policies and Procedures
Service Delivery
Assessment of Organizational/Institutional Culture and Climate
Organizational Dynamics and Cultural Humility
References
Legal References
Part IV: Cultural Humility and the Helping Professional
Chapter 9: Diversity, Cultural Humility, and Professionalism
Introduction
Medicine
Nursing
Social Work, Psychology, and Counseling
Physical Therapy
Fostering Cultural Humility as an Element of Professionalism in the Learning Environment
References
Chapter 10: Cultural Humility and the Helping Professional
Developing Cultural Humility
Strategies to Develop Cultural Humility
Mindfulness Meditation
Writing Approaches
Sociodrama
References
Index
