Concept

Parang sa una merong parang nag seseminar na nagtatalk about cultural competence
tas cultural humility then transition sa nurse and patient how the nurse embodies
cultural competence and humility

African american male come to therapy suggestion of wife their marriage is in trouble he
coudlnt show up but his experience
i was working with an african-american male who had come to therapy at the
suggestion of his wife their marriage was in trouble he wasn't really able to show up be
present they had children she was really doing all of the work and he would go on these
sort of episodes where he would just leave and she didn't know where he went and then
he'd come back when in his own time and there were intermittent moments of
interpersonal violence it was just a really tough case and if we think about the layers of
this person's experience in terms of demographics male african american lower class
straight employed able-bodied but his experience also had a lot to do with his childhood
and where he grew up and the experiences that he had and the violence that he had
experienced as a kid which had translated into his teens and continued into adulthood
with just some really unfortunate situations that are sustained through systemic racism
and elitism and a bunch of other isms right so how can a person like that be helped by a
theory that was created by some white guy in the 1930s right how does freud have
anything to do with this person who has a drastic drastically different experience on the
one hand they have nothing in common really right and if we take psychoanalysis as it
is as it was created by freud
there might be some pieces of that theory that don't really apply that weren't really
helpful for my client's experience however the principle of psychoanalytic thought which
is still very relevant today is this idea that the things that have happened in our past
matter in the present the things that are living unconsciously in our mental world matter
because they affect how we view
the present at a very basic level that's what ferdian thought introduced and began the
field of counseling as we know it today so if i take that principle from freudian analytic
theory and we bring it into the present day with a man who looks and lives and loves
very differently than freud it still makes sense so i i tend to use a psychodynamic
framework which has its roots in
Psychoanalysis so when i worked with this client i was very very cognizant of trying to
bring to light for him through our work together how his past was playing out in his
present how unconscious mechanisms that had to do with violence what it meant to be
attached to somebody what love meant what what we did with anger all of those
lessons were living unconsciously in his nervous system and my primary goal s to help
bring that to the surface so
that he could make connections to understand why he was leaving the house when he
was leaving the house to understand why his propensity for anger was so automatic
and instinctual
and at the very foundation of our work is that heart of psychoanaly analytic theory
which is the idea that the unconscious matters and if we can bring it into our conscious
life then we can make changes that we maybe couldn't on your kids does that mean i
apply everything from freud to my client no absolutely not because i need to be
culturally conscious but that doesn't mean that the whole theory doesn't matter so part
of the challenge as a counselor for me especially when i'm working with people who
look and live and love differently than the theorists who created the theoriesI need to be
the one to filter that through and see what is most helpful and in this case it was helpful
and bringing the unconscious into the conscious is actually a
fundamental part of trauma work and continues to be something that i use every single
time i see a client

Characters:
1. Alex - A cultural competence trainer
2. Taylor - A participant eager to learn
3. Jordan - A participant with some cultural awareness
4. Carmen - A participant resistant to change

Scene 1: Introductions

(Alex stands at the front of the room, welcoming participants.)

Alex: Welcome, everyone! Today, we're diving into the world of cultural competence
and humility. Let's start by introducing ourselves. Share a bit about your background
and any experiences you've had with different cultures.

Taylor: (enthusiastically) Hi, I'm Taylor. I've always been fascinated by different
cultures, and I'm excited to learn more today.

Jordan: Hey, I'm Jordan. I've traveled a bit and interacted with diverse communities.
I think I have some cultural awareness, but there's always more to learn.

Carmen: (reluctantly) Carmen. I'm here, but I don't see why this is necessary. We
should focus on our work, not these touchy-feely topics.

Scene 2: Exploring Cultural Competence

(Alex leads a discussion on the importance of cultural competence.)

Alex: Cultural competence is crucial in our interconnected world. It's about

understanding, respecting, and valuing different cultures. Let's discuss why it
matters in our personal and professional lives.
Taylor: (raising hand) I think cultural competence helps us build stronger
connections with people from diverse backgrounds. It enhances communication
and empathy.

Jordan: Absolutely, Taylor. It also promotes inclusivity and helps avoid

misunderstandings. It's an essential skill in any workplace.

Carmen: (crossing arms) I still don't see how this benefits us. It sounds like a lot of
unnecessary effort.

Scene 3: The Iceberg Model

(Alex introduces the Iceberg Model, illustrating visible and invisible aspects of
culture.)

Alex: Imagine culture as an iceberg. The visible part represents behaviors and
customs, while the invisible part includes values, beliefs, and communication styles.
Let's explore these layers together.

Taylor: (nodding) So, if we only focus on the visible, we might miss the deeper
aspects of someone's culture.

Jordan: (smiling) It's like realizing there's more to a person than meets the eye.
Understanding the invisible layers helps us connect on a deeper level.

Carmen: (thoughtful) I guess I never thought about it that way.

Scene 4: Cultural Humility

(Alex introduces the concept of cultural humility.)

Alex: Now, let's talk about cultural humility – the ability to maintain an openness to
learning and challenging our own cultural biases. It's about recognizing that we're
always learning.

Taylor: (reflecting) So, it's not just about knowledge but also being open to growth
and acknowledging our own biases.

Jordan: (nodding) It's a journey, not a destination. We need to be humble in our

approach to different cultures.

Carmen: (softly) I can see how that could be valuable. Maybe I've been too quick to
judge in the past.
Scene 5: Reflecting and Moving Forward

(Alex encourages participants to reflect on their own cultural competence journey.)

Alex: Take a moment to think about how you can apply cultural competence and
humility in your life and work. Let's share our insights.

Taylor: I'm going to be more mindful of my assumptions and actively seek to

understand others.

Jordan: I'll continue expanding my cultural knowledge and sharing it with my team to
foster a more inclusive environment.

Carmen: I suppose I could start by being more open-minded. Maybe there's

something valuable in these cultural insights.

(As the role play concludes, the participants leave with a newfound appreciation for
cultural competence and humility, ready to apply these principles in their lives.)