Embracing Diversity and Bridging Differences in Pediatric Occupational Therapy Practice

Vocabulary flashcards covering key concepts, models, and term definitions from Chapter 4 on diversity, equity, inclusion, cultural humility, and bridging differences in pediatric occupational therapy practice.

Diversity

Unique attributes, values, and beliefs of an individual when compared with a group, or the many ways in which people differ within a group.

Equity

An approach acknowledging that opportunities are not equally accessible due to individual differences and social structures, striving to correct imbalances by providing different support to grant equal access.

Inclusion

The practice of recognizing diversity and specifically valuing the uniqueness of beliefs, values, and attributes of others in a way that creates belonging and engagement.

Bias

Prejudicial attitudes toward and stereotypical beliefs about a particular social group or members therein.

Explicit bias

Prejudicial attitudes and stereotypical beliefs about a social group that are intentional and purposeful.

Implicit bias

Prejudicial beliefs and actions that operate at an unconscious level.

Cultural humility

The ability to maintain an interpersonal stance that is open to the other regarding cultural identity, requiring ongoing self-evaluation, learning, and partnering to address power differentials and systemic bias.

Cultural sensitivity

Being aware of others' cultural beliefs and practices and one's own cultural position, encompassing knowledge, consideration, understanding, respect, and tailoring approach to client needs.

Cultural safety

A practice framework focused on critiquing existing systems and structures, reflecting on provider power differentials, and intentionally shifting power to the client.

Decolonization of health care

Partnership with and empowerment of Indigenous communities in decision-making while questioning Western assumptions about knowledge, human beings, and occupation.

Occupational justice

The fulfillment of the right for all people to engage in the occupations they need to survive, define as meaningful, and that contribute positively to their well-being and community.

Capabilities approach

A quality-of-life and well-being framework that focuses on an individual's choice and practical opportunities to engage in valued activities in chosen ways.

Microaggressions

Small acts or remarks—whether intended or unintended—that insult or mistreat someone based on identity, accumulating over time to cause emotional harm.

Microinvalidations

Subtle acts or remarks that attempt to dismiss, minimize, or deny the lived experiences of members of marginalized groups.

Microinsults

Insensitive or rude comments that convey subtle snubs and imply negative judgment regarding a person's identity or capability.

Microassaults

Explicit, deliberate, and intentional discriminatory actions or verbal statements.

Bridging differences

Attempting to connect with another based on a recognition of shared humanity while valuing the differences each brings to the interaction.

Ableism

The notion that certain bodies are 'normal,' appropriate, and desirable, upholding as natural the inequitable opportunities and advantages given to those with usual bodies.

White savior complex

A practice where White individuals 'help' non-White people in a manner that promotes differences, exploits the experience, and reinforces power dynamics.

Four-step process for correcting mistakes

The procedure for addressing interpersonal errors in practice: 1) Acknowledge the error, 2) Apologize sincerely or make amends, 3) Ask how to correct things, and 4) Affirm or commit not to make the mistake again.

Equality (as illustrated in Figure 4.1)

Assumes everyone benefits from the same support.

Equity (as illustrated in Figure 4.1)

Gives different support to grant same access.

Occupational Justice (as illustrated in Figure 4.1)

Removes barriers to access.

Behavioral Competence Trajectories (Figure 4.7)

Illustrates how early intervention during sensitive periods (infancy, early childhood) or an increase in protective factors shifts a child's developmental trajectory toward optimum potential.