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DIVERSITY ISSUES

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Title: DIVERSITY ISSUES Author: Joe Whetstone Last modified by: wsu Created Date: 10/24/2005 7:24:39 PM Document presentation format: On-screen Show (4:3) – PowerPoint PPT presentation

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Title: DIVERSITY ISSUES


1
DIVERSITY ISSUES
  • Carole Madland, Ph.D.

2
Ecosystem Framework
  • Individual
  • Home/family
  • Ethnic culture
  • Proximal social systems
  • Wider social systems

3
Where would prejudice show up?
4
Ethnic Culture
  • Definition Culture is a set of beliefs,
    attitudes, values, and standards of behavior that
    are passed from one generation to the next.
  • Lisa Aronson Fontes

5
Includes
  • Language
  • Worldview
  • Dress
  • Food
  • Styles of communication
  • Notions of wellness

6
  • Healing techniques
  • Childrearing patterns
  • Self identity

7
RACE
  • More social and political than biological
  • Biracial is still not a term used in the U.S.
    Census
  • Think Is your history culture considered
    central to national history?
  • Or does it just merit a day or months special
    treatment?

8
  • People who are not of the dominant racial group
    are reminded daily of their race.
  • White people have the luxury of forgetting about
    their race.

9
Consequences
  • Minorities are slow to trust people in positions
    of authority.
  • The majority doesnt think for example,
    professor who teaches medical sociology includes
    no content about LGBT nor does that content exist
    in any text he is aware of.

10
  • Child may think adults dont care about his or
    her situation because s/he attends a very
    overcrowded, underfunded school with leaky roofs,
    broken toilets. Thus, child does not report abuse
    because s/he does not value herself/himself.

11
  • Ethnic culture can influence help-seeking
    strategies

12
  • Linguistic Misunderstanding A Laotian father
    said answered yes when he was asked it he slept
    with his daughter touched her private parts. He
    was charged. He had answered yes because he
    didnt understand. He went home killed all his
    children himself.

13
BIASES
  • Tremendous cumulative impact biases enter at all
    points from 1st suspicion of abuse to legal
    action
  • Can result in falsely substantiating abuse to
    failure to substantiate when abuse does exist
  • White families tend to receive more supportive
    services minorities receive more punitive
    responses

14
CULTURE SHOCK
  • Anxiety disorientation people feel as they try
    to adjust to a culture that is different from
    their own
  • Distorts almost every aspect of daily life
  • Complicates efforts to obtain accurate
    assessments of parenting
  • Isolation

15
Professional CultureProfessional Ethnocentrism
  • E.G., teenagers become juveniles for probation
    officers
  • Police legal vs. illegal
  • Psychoanalyst unconscious processes shaped by
    childhood influences
  • Social worker view child through systems theory

16
  • Nurses doctors focus on biological

17
Solutions
  • Team approach with different professions giving
    input
  • Supervision by more experienced individuals
  • Clarify your assumptions about the members of the
    group with whom you are working

18
  • Realize that your perceptions may vary
    considerably from the familys
  • Accept that a climate of mistrust exists
  • Understand that mutual stereotypes enter the
    interview room first
  • Be conscious of the power relationships between
    you the family

19
  • When uncommon events occur, consider alternative
    explanations in addition to the obvious ones
  • Accept admit your fallibility
  • When you discover your discriminatory behaviors,
    make changes continue to work

20
  • Explore your setting for structures that foster
    prejudice
  • Cultivate safe collegial relationships which will
    permit discussions of clinical discrimination
  • Be open to learning from the families you treat
  • Saba Rodgers (1990,p. 205)

21
EXERCISES CASE I
  • Child refuses to make eye contact, retreats from
    touch, demonstrates impaired interpersonal
    relations. What might be the cause(s)?

22
  • Answer did you list Asperger Syndrome?

23
CASE II
  • Child has swollen hands and feet. Cries when
    touched in those areas. What might be the
    cause(s)?

24
  • Did you list sickle-cell anemia?

25
CASE III
  • Child has a small, circular scar/red mark about
    the size of the head of a pencil. What might be
    the cause(s)?

26
  • Did you mention ringworm?

27
CASE IV
  • If you were going to explain to a group of
    immigrant parents what they needed to know to
    raise their children in this country, what are
    some of the main points you would make?

28
CASE V
  • A Latino mother made her 7 year old child kneel
    on uncooked rice for 10 minutes because he lied
    to her. How might you respond to this situation?

29
CASE VI
  • Neighbor calls and reports that she saw the
    neighbors child wrapped tightly in a blanket so
    that the child could not move the child was left
    on the bed in this fashion. Is this abuse?

30
  • In some cultures this is acceptable. It is called
    swaddling. Some toddlers will even bring the
    blanket to their mother at naptime to be wrapped.
    As long as a child is not left too long or bound
    too tightly, this would most likely not be child
    abuse.

31
CASE VII
  • Child has colic. (Colic is defined as more than
    three hours of unexplained crying three times a
    week.) Parent gives child gripe water. Is this
    a problem?

32
  • Gripe water is an old herbal remedy containing
    such things as fennel, ginger, dill, or anise.
    Used by older British nannies, in the West
    Indies, Egypt, India, Canada
  • Problem often contains 8 alcohol

33
CASE VII
  • An African-American teen returns from a visit to
    Africa with scars on his face. Is this abuse?

34
  • These are ceremonial scares that can be tied to
    religious beliefs.

35
CASE VIII
  • A young, male, teen Muslim beats himself on his
    back with chains, slaps himself, and beats
    himself with small objects. What might be the
    reason for this?

36
  • Shia Muslims from Iran, Iraq, Syria, Lebanon,
    etc. do this to mourn the martyrdom of the
    grandsons of the prophet Mohammad.

37
CASE IX
  • Child of mother from Dominican Republic has human
    bite marks. What might be the cause/reason for
    this?

38
  • Common in country for mother to bite child it is
    showing affection and can leave marks. Hes so
    good I could just eat him up! Son bites back.
    It is like a game. They see who pulls away first
    due to pain.

39
  • Material from Child Abuse Culture Working with
    Diverse Families by Lisa Aronson Fontes, 2005,
    Guildford Press, New York

40
Interviewing Kids with Autism
  • Remember every autistic child is different.
  • Children will fall all over the autistic spectrum
    from mild to severe

41
Suggestions
  • Schedule interview for first or last appointment
    of the day
  • Consider having it in a familiar place for the
    child
  • Keep language concrete to the point
  • Avoid idioms, metaphors, irony

42
  • Allow for extra processing time
  • Minimize excess stimulation in the room
  • Dont demand eye contact
  • Dont assume nonverbal client doesnt understand
  • Child may have echolalia (repeat what you say or
    others have said)

43
  • Avoid touching them or if you do, warn them
  • Have child wait in quiet place
  • Child can be sensitive to light
  • Dont try to stop reactions to overload or you
    will end up with meltdown

44
  • Children can have high thresholds for pain
  • Children can become transfixed by irrelevant
    stimuli
  • Do not break routine
  • Remember these children have interesting/amazing
    strengths

45
Signs
  • Major delay in language development
  • Not so major avoiding eye contact not liking
    touch
  • Source Sara Gilliuson
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