Week 5 Discussion2 and responces

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Northwestern University *

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2003

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Psychology

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Feb 20, 2024

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Uploaded by MateDog4056

Week 5 Discussion 2: Family Versus the Individual 8 Unread replies 37 Replies Take any psychological service consistent with your specialization, and select an Asian or Pacific group of your choice for whom the family unit, as opposed to the individual, is the central unit of understanding. Describe what it might take to retool your selected psychological service to work effectively on a family level. What challenges might you encounter, and how might these be resolved? Make certain to root your discussion in a specific Asian or Pacific ethnicity, without broad generalities. Response Guidelines Review the posts of your peers and respond to one, providing feedback and evidence to support your feedback. Your feedback can be in the form of expanding or extrapolating on your peer's post or it can be a constructive argument that includes other viewpoints. Adapting psychological services to work effectively at the family level with Korean American clients requires a clinician with a level of cultural competencies that allows for the understanding that Koreans construct societal norms around the collective unit and that engagements, decisions, and behaviors are influenced overall by family’s entire well-being not just in individuals need. There is an expectation of conformity and interdependency in the family system, which is historically ingrained into the role expectation and obligation dynamic of each individual family member. One would need to shift focus away from the individual needs of a client to a family system orientation, understanding the relationships/cultural expectations and shared beliefs of the family unit as a determining factor in client care. Additionally, understanding that there are several key mental health issues that have been identified empirically within the Korean American communities, such as depression, anxiety, suicide, and loss of self, and providing services that address these issues in a manner that doesn’t negate the family influence/cultural expectations placed upon the individual; all of which can present a significant challenge to the clinician when designing client care plans. As financial instability, perceived discrimination, distress from the acculturation process, and a lack of social support (due to family stigma, judgment , or unwillingness to let their family know their struggles out of shame) each play a factor in rising rates of mental health issues in the Korean American community. Typically, Korean Americans struggle to understand the nature of their mental illness and are apprehensive about working with non-Korean mental health clinicians because of the fear associated with misunderstanding the cultural expectations and role dynamic of the family systems they are a part of and adhere to/experience (Sue & Sue, 2016). Because clinicians may not know what assumptions or stigmas of mental health their patients are experiencing within their family systems a way to counter these challenges will be to utilize a cultural formulation interview process (CFI) in order to assess the client’s family system, the collective and individualistic needs, and to better understand cultural dichotomies from the

client’s perspective (e.g., their views/beliefs of their own mental health issues). Using such a familiar system/CFI process, a clinician can successfully engage clients within that cultural system and family value-oriented dynamic to formulate a care plan that can help them process those needs or at least identify the underlying factors of those needs. This may also include soliciting the client to engage in storytelling, which will allow the clinician to have a broader understanding of how the client views their individual roles within the collective dynamic of the family system. Additionally, approaching the client from a family structure methodology may allow for family-based group therapy or interviewing family members for background/historical context about the client, all of which will add a more inclusive, culturally competent orientation to the therapeutic engagement. Reference: Sue, D. W., & Sue, D. (2016). Counseling the culturally diverse: Theory and practice (7th ed.). Wiley. Vanessa Williams ThursdayFeb 8 at 11:44pm Manage Discussion Entry Hello, I remember doing some research on the Hmong culture last quarter, so I am choosing this group for this discussion. This culture is huge for utilizing a more holistic approach, herbal medicines, rituals, and ceremonies. They are very spiritual and family oriented. If one person is dealing with depression and dealing with suicidal ideations, we would want to immediately protect them from harming themselves or others, and then address the depression. However, offering that initially to the individual could motivate them to harm themselves or you, because they would want to consult the family first and because they aren’t interested in Western medicine. You would need to build that rapport first, with the family before the individual would even consider working with you or letting you in. I would also recommend seeing what interventions, if possible, could be somewhat like something the culture already does so the client can do more of that to help with the presenting issues. Like authors Sue and Sue recommend, researching the culture of the client you are serving will be best when wanting to build that rapport for them to be open to doing the work they need to do (2016). Vanessa, I enjoyed your post and agree with you that part of being culturally competent is including culturally relevant interventions in any therapeutic engagement and oftentimes adapting our methodologies or approaches to client care so that a client’s culture is accurately represented within that plan. I haven’t had much exposure to Hmong culture, and find it very interesting based on the little exposure of your post and doing a few Google searches. When working with culturally diverse clientele, especially ones who value the family structure as

deeply as Asian, Latino, and Pacific communities to I personally have found that a family systems therapeutic modality works best, and to include that approach even when working on individual issues with such clients, as it fosters a reconnection to their cultural identity and allows for a collective orientation to their overall care. Again, really good post. Best, John. S Nicole Perez ThursdayFeb 8 at 9:09pm Manage Discussion Entry For the discussion this week, I have chosen to focus on Asian Americans. Asian Americans place their personal wants and needs secondary to the wants and needs of family (Leong & Lau, 2001). Due to this barrier when facing mental health services, it is critical to place the focus on family, but also reiterate personal needs and wants for stronger mental health. This can be done through solution-based therapy as this focuses on solutions to issues and future goals while aligning with cultural preferences (Sue & Sue, 2016). This is a great tool to use for cultural preferences and understanding as this can be a barrier when working with a client towards successful outcomes. A challenge that may be encountered would include being closed off due to personal beliefs and the continuation of services after initiation (Leong & Lau, 2001). Mental health is viewed differently among different cultures and can be seen as disrespectful or selfish. With the Asian American culture focused on family, mental health services may not be seen as necessary or misunderstood due to perspectives and beliefs. Maintaining services would be highly important to reach the solutions being sought and resolved. References: Nicole, I enjoyed your post and, like you, feel that solution-based therapy can be extremely beneficial when working with Asian Americans, as the cultural strengths of such clients pertain to their resourcefulness and solution-oriented drive as individuals. As a clinician, have you found that culturally diverse clients who are collectively driven oriented as most Asians (just in the way the approach is expectations towards being successful or task completion in general) as a benefit or a detriment to designing care plans that incorporate their cultural/family dynamic needs as well as their individual needs? Personally, sometimes, when working with Asian American clients, I tend to slow/narrow down the client’s overall goals in order for them to have a deeper assessment of themselves instead of simply looking at the overall completion of the goal. Again, good post. Best,

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