講演情報
[SY-99-04](De)constructing the cultural other: professional responses to cultural diversity in mental healthcare interactions
*Norma Lynn Day-Vines1 (1. Johns Hopkins University (United States of America))
キーワード：
Broaching、Multicultural Counseling、Race、ethnicity、and culture
In general, mental health providers (MHP) talk with relative ease about depression, anxiety, grief and loss, relationships, etc. MHP's experience far more difficulty discussing the contextual dimensions of race, ethnicity, and culture (REC) with clients (Day-Vines et al., 2013; 2021; 2022). In societies that have experienced explosive demographic shifts in the population, the MHP's ability to address clients' sociopolitical, sociocultural, and sociohistorical realities is critical, and has been shown to increase provider credibility, the likelihood of returning for follow-up sessions, and client satisfaction. A spate of previous research has demonstrated that the MHP's difficulty exploring issues of race and representation can lead to cultural concealment, therapeutic ruptures, and premature termination (Drinane et al., 2018).
The MHP's openness to explore clients' REC concerns has been codified as the broaching construct (Day-Vines et al., 2007; 2020; 2024). Essentially, broaching refers to the MHP’s effort to: (a) initiate or respond to racial, ethnic, and cultural stimuli that arises during treatment, (b) translate the client’s REC realities into meaningful counseling practice, (c) promote client empowerment, coping, problem-solving, resilience, and more effective functioning.
Most research on the broaching construct has examined MHP's self-reported perceptions of their broaching ability. Far less attention has been devoted to clients' perceptions of their MHP's ability to explore their REC concerns. This study examined the validity of the Broaching Attitudes and Behavior Survey - Client Version, a self-report measure that examined ethnic minority clients' perceptions of their therapists ability to discuss REC issues during treatment. Group differences are discussed along with implications for theory, research and practice.
The MHP's openness to explore clients' REC concerns has been codified as the broaching construct (Day-Vines et al., 2007; 2020; 2024). Essentially, broaching refers to the MHP’s effort to: (a) initiate or respond to racial, ethnic, and cultural stimuli that arises during treatment, (b) translate the client’s REC realities into meaningful counseling practice, (c) promote client empowerment, coping, problem-solving, resilience, and more effective functioning.
Most research on the broaching construct has examined MHP's self-reported perceptions of their broaching ability. Far less attention has been devoted to clients' perceptions of their MHP's ability to explore their REC concerns. This study examined the validity of the Broaching Attitudes and Behavior Survey - Client Version, a self-report measure that examined ethnic minority clients' perceptions of their therapists ability to discuss REC issues during treatment. Group differences are discussed along with implications for theory, research and practice.