Role of Socialization
Teaching to conform to societies standards
Gender similarities hypothesis
Everyone is more alike than we think
Gender identity vs. expression
Identity: How you feel
Expression: How you express yourself
Genderqueer
Non binary
Intersectionality
Ways that social statuses interact and result in differing experiences with oppression and privilege
Basic history of intersectionality
Crenshaw first named intersectionality in 1989
Disconnect between who they seek to serve
Social identities are inextricable from one another
Analysis of power and privilege
with an emphasis on social
justice
Maslow’s hierarchy of needs
One must address one’s basic needs before addressing higher needs (happiness)
Health disparities
Higher risk to illness, injury, disability, or mortality based on group status
Healthcare disparities
Difference in health coverage, access, and quality of care due to group status
Interpersonal and structural causes of health and health care disparities
Interpersonal: Discrimination, violence, interactions between individuals
Structural: Governing process, economic and social polices that affect pay, working conditions, etc.
Allostatic load
The physiological cost of chronic stress
Community-based participatory research
Approach to research with collaboration on research projects that created more understanding of economic complexities
Immigrant paradox
The longer someone is in the US, the higher the risk of mental disorder
Pros and cons of diagnosis; DSM’s attempts to be more culturally inclusive
Pros:
Cons: Doesn’t account for multiple cultures, symptoms present differently across cultures
Prevalence
Proportion of a population who have a specific characteristic in a given time period
Incidence
Number of new cases
Lifetime Incidence
Number of people diagnosed in a lifetime
In what ways is talk therapy culturally biased?
Psychology is taught through a Eurowestern lens, lacks inclusivity, and fails to represent other cultures
Gender differences in mental illness
Women: Internalize disorders, silence themselves
Men: Externalize disorders
Elements of multicultural competence
awareness, knowledge, skills
What we know about cultural matching
Clients show some preference towards racially-matched therapists, but outcomes do not clearly support this
Goals of social justice counseling
Aim for equal access and opportunity
Reduce institutional disparities
Consider micro, meso, and macro levels in assessment, treatment, and diagnosis
Broaden counselor role to include advocacy, consultation, change agent, etc.