What are the five stages of minority identity development
stage 1: conformity
stage 2: dissonance
stage 3: resistance immersion
stage 4: introspection
stage 5: synergistic
explain stage 1: conformity
role models are coming from the dominant group - we often see things like internalized racism (belief in the dominant cultures belief systems and believing it about yourself)
huge opportunity for distress
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What are the five stages of minority identity development
stage 1: conformity
stage 2: dissonance
stage 3: resistance immersion
stage 4: introspection
stage 5: synergistic
explain stage 1: conformity
role models are coming from the dominant group - we often see things like internalized racism (belief in the dominant cultures belief systems and believing it about yourself)
huge opportunity for distress
explain stage 2: dissonance
we begin to question the dominant group values - I dont think those stereotypes and those beliefs about me and my minority group are accurate
explain stage 3: resistance-immersion:
shift in thinking towards aligning with the minority groups beliefs, letting fo of internalized racism
explain stage 4: introspection
developing flexibility to establish their identity without feeling like they need to follow every cultural norm
explain stage 5: synergistic
we feel self-fulfilled based on our own definition of who we are and what we value without having to categorically agree with the values of either the dominant group or the minority group - can take values from both groups
what are the five stages of white american identity development
contact
disintegration
reintegration
pseudo-independence
autonomy
explain the contact stage
People will say things like “I dont see color” - denial of the experiences that people might have as racial beings, and the meanings that are imparted by our culture
explain the disintegration stage
start to acknowledge that prejudice and discrimination exist, but struggle to understand their role in perpetuating it.
often involves emotional conflict
explain the reintegration phase
white individuals experience retreat into their comfort zones, often responding defensively to the discomfort they felt in the previous stage
they may seek to reaffirm their whiteness and adopt an us-versus-them mentality
explain the pseudo-independence stage
becoming more interested in cultural differences, engage in learning about racism, desire to be tolerant
explain the autonomy stage
respect and appreciate minority cultures, actively seek to understand their own identity as white people and how it intersects with issues of power and privilege
What are the six stages of sexual orientation identity development
confusion
comparison
tolerance
acceptance
pride
synthesis
explain the confusion stage of sexual orientation identity development
somebody is questioning their sexual orientation
can be distressing if the sexual orientation they are considering is stigmatizing for a minority group
explain the comparison stage of sexual orientation identity development
accept the possibility of belonging to a sexual minority
explain the tolerance phase of sexual orientation identity development
recognizing that this is their identity as a sexual minority
explain the acceptance phase of sexual orientation identity development
people start to increase contact with other sexual minorities, engage in LGBTQ culture
explain the pride phase of sexual orientation identity development
somebody can stand and say they are proud to be the way they are, no part of me wishes that I was heterosexual
explain the synthesis stage of sexual orientation identity development
this is when you want to reach out to people who are heterosexual to help them understand your culture
define intersectionality
the way multiple aspects of a persons identity (race, age, gender, etc.) intersect to create a unique experience of living for an individual
What is the addressing framework?
framework created to recognize and analyze key aspects of identity that influence people's lived experiences, privileges, and disadvantages. Each letter in the acronym represents an aspect of identity that impacts people's experiences of power, privilege, and oppression.
What does ADDRESSING stand for
Age
Developmental and acquired disabilities
Religion
Ethnicity
Socioeconomic Status
Sexual orientation
Indigenous heritage
National origin
Gender
explain age
Set of cultural norms and beliefs that each generation has, we often see ageism as we progress. People who are older face discrimination in the workplace and other domains of life. Aging can be a form of distress.
explain developmental and acquired disabilities
How members of a group based on their disability status may have a different set of distresses. Developmental disabilities (autism or intellectual) and acquired disabilities (such as those from accidents, illnesses, or aging.)
explain religion
often shapes individuals beliefs and values, they influence how people view themselves and their relationships with others, and their understanding of life's purpose. Can create distress if someone feels like they are not living in accordance with their faith or if their religious identity clashes with dominant societal norms
explain ethnicity
Experiences of racial or ethnic discrimination can profoundly affect mental health. For example, people from marginalized racial groups may experience systemic inequities that lead to higher levels of stress, anxiety, and depression
explain socioeconomic status
Includes factors like income, education, occupation, and wealth, which determine how individuals experience opportunities and challenges in life. Those from lower socioeconomic backgrounds may face significant stressors related to financial insecurity and discrimination based on their economic position.
explain sexual orientation
Refers to a person’s emotional, romantic, or sexual attraction to others. For LGBTQ+ individuals, their sexual orientation can impact how they experience acceptance or discrimination from family, peers, or society. Challenges such as internalized homophobia, rejection, and the struggle for visibility
explain indigenous heritage
explain national origin
explain gender
describe the difference between collectivistic and individualistic worldviews
Collectivistic: Define our personhood, what it means to be a person in relation to other people, interwoven and connected to relationships with others. I define myself in relation to others. Emphasis on interdependence and working together, sharing resources, maintaining social harmony, prioritizing communication.
Individualistic: define people based on our own attributes
Less of an emphasis on sharing resources and interdependence and more emphasis on things like individual success, competition.
The dominant culture in the US is individualistic
explain the difference between ethnocentric and ethnorelative perspective
Ethnocentric: the idea that ones own culture is superior to others
view their cultural norms as the standard or “correct” way of living
Ethnorelative: the ability to recognize, appreciate, and understand cultural differences without judging them by the standards of ones own culture
Explain cultural competence
A set of congruent behaviors, attitudes and policies that reflect an understanding of how cultural and sociopolitical influences shape individuals world views and related health behaviors. (congruent means being true to yourself) Genuinely believe that culture matters, culture influences and shapes how we experience the world and distress.
explain cultural destructiveness
We are actively engaged in values and behaviors that are destructive to other cultures.
Ex: conversion therapy, practice of trying to convert people in the LGBTQ+ community. Someone engaging in this kind of therapy is engaging in cultural destructiveness.
explain cultural incapacity
A belief in a paternalistic way of looking at minority cultures. Maybe you are not actively trying to be discriminatory but you believe in the hierarchy that some cultures are better than others.
explain cultural blindness
Culture makes no difference and that the dominant culture is universally acceptable.
explain cultural-precompetence
Desire to provide equitable and fair treatment, but not having the resources to know how to proceed. They have the values, and genuine attitude, but they just don't have the congruent behaviors and policies
describe the therapeutic relationship in multicultural therapy
Recognize clients expectation for the therapist role in their relationship
Are they a fellow traveler? Are they an expert?
Therapists will enter the therapy trying to understand what role the client thinks they are going to play.
Respond according to clients needs
Work towards cultural congruence in worldviews, to find a way to match a bridge with the worldviews that the client and therapist are coming into therapy with. Work together in the therapeutic relationship.
explain interethnic transference
to the unconscious or conscious reactions a client has toward a therapist based on the therapist's perceived ethnic or cultural identity. These reactions are shaped by the client's past experiences, societal stereotypes, and personal biases related to ethnicity or race.
can play a positive, negative or neutral role in the therapeutic relationsship
explain intra-ethnic transference
(How client reacts to therapist of the same ethnicity)
Views therapist as omniscient or omnipotent, traitor (betrayal of culture)
Could view the therapist as all knowing, assuming they know exactly what they are saying and experiencing because the therapist shares the same identity
This can bring pitfalls to the client assuming that the therapist knows things that they maybe don’t only because they are part of the same culture.
Auto racism is holding racist viewpoints because they have internalized the racism themselves.
explain interethnic countertransference
This occurs when a therapist and client come from different ethnic or cultural backgrounds, and the therapist's reactions are influenced by those differences. These reactions can be unconscious and may reflect biases, stereotypes, or discomfort about cultural differences.
explain intra-ethnic countertransference
This occurs when a therapist and client share the same ethnic or cultural background, and the therapist's reactions are shaped by their own lived experiences within that cultural identity. This dynamic is often more subtle, as shared cultural identity can create a sense of familiarity, but it also introduces unique challenges.
Overidentification→ really seeing your experience from the patient's point of view can cloud your judgment and can impact you if you see yourself in that person too much.
shared victimization; distancing; survivors guilt (I have entered a different status and feel bad leaving behind some of my culture), cultural myopia (can’t see clearly)
What is the evidence base for multicultural therapy?
What are some characteristics of culturally competent therapists?
Define co-counseling.