A Posture of Reciprocity: A Practical Approach to Collaboration Between Professionals and Parents of Culturally Diverse Backgrounds

The current emphasis on developing culturally responsive services for families of children with disabilities from culturally diverse backgrounds informs the need for professional self-awareness whereby professionals learn to recognize not only the cultural specificity of personal values and beliefs but also of their professional practice. We describe an approach, the posture of reciprocity, that enables professionals to acquire this level of cultural awareness. Examples to illustrate applications of the posture are provided.     

Cultural safety in Muslim aged care: Taking the bull by the horns

ABSTRACT

Cultural safety is critical to providing holistic, person-centred care. Where “deep” or core cultural elements are primarily shaped and influenced by religion, it becomes important to recognise and understand the religious values and traditions in planning, designing, and delivering care. Such an approach is significantly important for communities essentially identified by their faith, such as the Muslim community. Muslims living in the West face challenges owing to their minority status and these are increasing in the current geopolitical context. These challenges contribute to individual Muslims and their families feeling vulnerable within an aged-care system that is mostly unfamiliar, and often confusing and frightening to them. This article attempts to make a case for cultural safety in the context of Muslim aged care. It does not offer an answer or a definite solution to the cultural risks Muslims may face in care settings. Rather, the article seeks to explore avenues for creating an environment of cultural safety without delving specifically into culturally safe care practices. It is only possible to offer culturally safe care when the environment in which care is to be delivered is respectful and supportive.     

An analysis of the concept of cool and its marketing implications

Cool has become the favoured language of popular culture. This paper examines the roots of cool and its evolution with reference to its relevance to marketers. In particular, the work of Bourdieu and the concepts of cultural capital and cultural intermediaries are drawn on. The importance of talking to cultural intermediaries led Seagram to carry out a research programme that examines the process of adoption of alcoholic drinks and ways of reaching ‘style leaders’. Given the problem of recruiting and researching ‘style leaders’, the research employed specialist recruiters and moderators and a combination of direct and indirect questioning. Copyright © 2002 Henry Stewart Publications.     

Parenting in Hawaii: Three cultural groups at the beach

This study shows systematic differences in parenting behaviour across three cultural groups in Hawaii. Japanese-, Caucasian- and Hawaiian-American parents (N =149) are observed as they interact with their young children at the beach. The observed families come to the beach in different groupings. Hawaiian groups are the largest, many consisting of five or more people. Most Japanese families resemble the ‘typical’ nuclear family: two parents and one or two children. More Caucasian and Hawaiian parents come to the beach alone with their children than do Japanese-American parents. Parents in the three groups spend their time differently. Japanese-American parents focus almost exclusively on their children. They play with, watch or take care of them for most of the observed time. They rarely engage in solitary activities, such as reading or sunbathing, or in social activities, such as talking with each other. Caucasian parents engage in solitary activities more frequently. They encourage children to entertain and care for themselves. Hawaiian parents interact extensively with other adults, and Hawaiian children play among themselves without prompting. The Hawaiian parents interact less frequently with their children than do parents in the other groups. These findings are discussed in terms of cultural differences in views of the parenting role, the range of people socializing children and childrearing emphases on independence vs dependence, aloneness vs social involvement and innovation vs imitation.     

Enhancing the Responsiveness of Family-Based CBT Through Culturally Informed Case Conceptualization and Treatment Planning

Family-based CBT has been shown to be effective in controlled settings for an array of youth mental health difficulties, yet disparities in treatment engagement and outcomes across culturally diverse groups remain. In practice, cultural minority families are less likely to reap the demonstrated benefits of supported programs. Although there have been tremendous advances in case conceptualization, leading models have largely ignored cultural factors, contributing to observed disparities. The present paper reviews recent advances in science-informed case conceptualization and highlights how such advances nonetheless have failed to provide guidance on systematically incorporating cultural formulation into assessment and treatment planning. We then build upon Christon et al. (2015) useful 5-stage model of science-based case conceptualization in an effort to move the field toward culturally informed case conceptualization. We highlight how leveraging cultural assessment—such as with the use of the Cultural Formulation Interview (CFI)—can facilitate the incorporation of cultural factors into each of the five stages of science-based case conceptualization. A case example is utilized to illustrate key opportunities for strategically incorporating relevant information gleaned from the CFI into culturally responsive care with youth and families.     

Breaking ground,hitting ground: A Sure Start rapid response service for parents and their under fours

This paper describes a project aimed at taking an under fours' counselling and parent support service into a neighbourhood characterized by particularly high levels of deprivation and ethnic diversity. Referrals to the local CAMHS showed a high level of disturbance in school aged children and adolescents in this area. However, children under 4 years were strikingly under-represented in referral statistics, suggesting the need to make our service more accessible to this group. The project took the form of a once-weekly clinic run in a community centre. Differences in ways of engaging and working with the families in order to make the service accessible and ‘user friendly’ are described. So, too, is a protocol developed in order to support the worker in thinking through the many anxiety raising situations to be responded to in dealing with severely deprived families living in extremely stressful situations. Three clinical examples illustrate that a major value of this initiative was in increasing the worker's understanding of ethnic and cultural differences and of how to work with them. The service also helped to promote good liaison between statutory and voluntary agencies. The project was established initially under the auspices of Sure Start, a government sponsored scheme for enriching developmental opportunities of under fours and their parents in deprived areas. After running for 18 months, it will be funded through mainstream resources, as an example of the kind of innovative work with hard to reach populations encouraged by the guidelines given in the new National Service Framework for Children in England.     

The Cultural Adaptation of a Transition Program for Latino Families of Youth with Autism Spectrum Disorder

During the transition to adulthood, effective and culturally relevant supports are critical for families of youth with autism spectrum disorder (ASD). There is a dearth of documented program development and research on supports for Spanish-speaking Latino families during this life stage. The present work describes the cultural adaptation process of an evidence-based transition program for Latino families of youth with ASD. A model of the actions necessary to meaningfully conduct a cultural adaptation in this context is described. After implementing the culturally adapted program titled Juntos en la Transición with five Spanish-speaking families, parents reported high social validity of the program through surveys and interviews. The cultural adaptation process followed in this work is important for the further development of programs that address the transition needs of Latino youth with ASD and their families. Our impressions may also be useful to those who aim to develop culturally sensitive and ecologically valid multifamily group intervention programs for families from cultural and linguistic minority groups.     

Discrimination and adolescents' academic and socioemotional adjustment: The moderating roles of family and peer cultural socialisation

Racial discrimination has detrimental effects on ethnic minority adolescents' development. Guided by the integrative model of minority children's competencies and the bioecological model, the current study examined how family and peer cultural socialization independently and conjointly buffered the detrimental effects of discrimination on ethnic minority adolescents' academic and socio emotional adjustment. Using short-term longitudinal data from 245 eighth graders (87% Latinx, 51% female), results suggested that the moderating roles of cultural socialisation operated differently for academic and socioemotional outcomes. Specifically, the three-way interaction results indicated that family and peer cultural socializations appeared to be protective for adolescents' school engagement in the face of discrimination. The significant two-way interaction results revealed that both peer and family cultural socialisation tended to be protective-reactive for socioemotional outcomes, wherein the benefits of cultural socialisation were realised under low-risk but not high-risk conditions for depressive symptoms. Our study provides a nuanced understanding of the moderating roles of cultural socialisation in the links between discrimination and adolescents' well-being, and it highlights the importance of considering cultural socialisation from multiple contexts in examining ethnic minority adolescents' adjustment.     

A Community‐Responsive Adaptation to Reach and Engage Latino Families Affected by Maternal Depression

As family researchers and practitioners seek to improve the quality and accessibility of mental health services for immigrant families, they have turned to culturally adapted interventions. Although many advancements have been made in adapting interventions for such families, we have yet to understand how the adaptation can ensure that the intervention is reaching families identified to be in greatest need within a local system of care and community. We argue that reaching, engaging, and understanding the needs of families entails a collaborative approach with multiple community partners to ensure that adaptations to intervention content and delivery are responsive to the sociocultural trajectory of families within a community. We describe a cultural adaptation framework that is responsive to the unique opportunities and challenges of identifying and recruiting vulnerable families through community partnerships, and of addressing the needs of families by incorporating multiple community perspectives. Specifically, we apply these principles to the cultural adaptation of an intervention originally developed for low‐income African American and White families facing maternal depression. The new intervention, Fortalezas Familiares (Family Strengths), was targeted to Latino immigrant families whose mothers were in treatment for depression in mental health and primary care clinics. We conclude with key recommendations and directions for how family researchers and practitioners can design the cultural adaptation of interventions to be responsive to the practices, preferences, and needs of underserved communities, including families and service providers.     

An exploration of the experience of Christian counsellors in their work with both Christian and non‐Christian clients,with particular reference to aspects of cultural transition

Aim: This study explores the experience of Christian counsellors working in both Christian and secular settings, paying particular attention to the possibility of regarding their development as a form of cultural transition. Method: Heuristic methodology was used, interviewing 22 counsellors with varying churchmanship (i.e. Christian tradition/denomination) and counselling training. Findings/Discussion: A spectrum of experiences with both Christian and non‐Christian clients emerged. The level of overtness of the counsellors’ faith with these clients varied considerably. Parallels with the experience of these counsellors and that of immigrants in terms of cultural transition are discussed. Conclusions: The experience of Christian counsellors differs with respect to the level of Christian influence (i.e. Christian or secular input) in training, supervision and work context. Those with higher secular influence have less difficulty working with clients with different belief systems and values. Implications: Christian counsellors need to be more reflexive with respect to the effect of their own value systems when working with clients, particularly if they work mostly in a Christian context. Trainers need to be aware of cultural transition aspects in the development of counsellors who have a Christian faith.     

Traditional Beliefs Concerning Health and Illness Among Members of the Circassian Community in Israel

Objective: To understand the cultural context of illness in a homogeneous ethnic community, the Circassians. This is the first study of health perceptions and beliefs among Circassians. The Circassians arrived in Palestine from the Caucasus Mountain region more than a century ago. They constitute an endogamous group, whose members live in relative cultural isolation in two small villages in northern Israel, preserving their language and traditions. Design: Twenty-one elderly community members (men and women) were interviewed using open-ended interviews. Results: It was found that kutze (internal bodily resilience) is the central health-related concept and as such constitutes the main building block of a healthy and resilient community. Conclusions: By focusing on this specific community, the relationships between health beliefs and social organization were explored. Our findings highlight the need for the development of treatment approaches and/or health education that are deeply embedded in the cultural context, with special emphasis on the group's value infrastructure, life habits and health-related beliefs when studying various ethnic populations.     

Toward Holistic,Compassionate, Professional Care: Using a Cultural Lens to Examine the Practice of Contemporary Psychotherapy in the West*

The author describes work undertaken in New Delhi with two young Indian women and their families from 1995 to 1999. Both presented with depression and suicidal ideation. One was severely cerebral palsied, the other was diagnosed with endogenous depression. As an integrative therapist, the author looks at her work from several perspectives. The debates highlighted here focus on the optimal usefulness of each of these perspectives in different situations, both the benefits and the limits and the very limits of contemporary psychotherapy itself. The author uses a cultural lens to explore the use of the self of the therapist and issues around boundaries, continuity, ethics, and compassion in psychotherapy.*Part of this work has been published in N. Hutnik (1999). An unusual intervention: Disability and abuse. Psychological Foundations - The Journa1, 1, 81–84, and is reproduced here with the permission of Psychological Foundations, New Delhi.**My heartfelt thanks are offered to Reenee Singh, friend of many years and very competent family therapist, who offered me her comments on an earlier draft of this paper.     

Translating Dispositional Resistance to Change to the Culture Level: Developing a Cultural Framework of Change Orientations

A fundamental societal challenge is to balance the desire for growth, development, and progress on the one hand and the need for stability and maintenance of the status quo on the other. To better understand how societies deal with this challenge we employ the personality trait of dispositional resistance to change to conceptualize and empirically establish the concept of cultural change orientation. With data from individuals in 27 countries (N = 6487), we identify three culture‐level change orientation dimensions (routine seeking, affective reactance, and cultural rigidity) and interpret their meaning through their relationships with established cultural frameworks (e.g. GLOBE, Hofstede, Inglehart, and Schwartz). We thus propose a new culture‐level framework and test hypotheses about relationships between change orientation dimensions and national indexes of economic, technological, social, and environmental change. Our findings demonstrate meaningful differential relationships between the three change orientation dimensions and these societal outcomes. Copyright © 2018 European Association of Personality Psychology     

Externalizing behaviours of Turkish-Dutch and Moroccan-Dutch youth: The role of parental cultural socialization

The present study examines whether perceived parental cultural socialization (e.g., encouraging cultural practices, traditions, language and cultural pride) is negatively associated with externalizing problem behaviours (e.g., fighting, expression of anger, lying and stealing) among Turkish-Dutch (n = 143) and Moroccan-Dutch (n = 164) youth (age 14–18), with ethnic in-group connectedness as a mediator. The results show that Turkish-Dutch youth, who report more cultural socialization efforts by their parents, are less likely to exhibit externalizing behaviours, because of their increased connectedness to the ethnic in-group. For Moroccan-Dutch youth, however, in-group connectedness is lower and we find no indirect effect of perceived parental cultural socialization on externalizing behaviours. We conclude that Turkish-Dutch youth seem to reap mental health benefits from what they perceive as their parents’ cultural socialization efforts. Thus, it is important to study ethnic differences in parental cultural socialization to enhance youth development across diverse youth populations in Europe.     

What Can We Learn from the Study of Mexican‐Origin Families in the United States?

Mexican‐origin families are a large and rapidly increasing subgroup of the U.S. population, but they remain underrepresented in family scholarship. This paper introduces a special section of four papers on Mexican‐origin families designed to contribute to the advancement of research on how cultural, family, and gender socialization processes unfold across key developmental periods and life transitions in this cultural context. Two longitudinal studies of Mexican‐origin families provided the data for these four papers: (a) The Juntos Project, an 8‐year longitudinal study of mothers, fathers, and adolescent sibling pairs in 246 Mexican‐origin families; and (b) The Supporting MAMI Project, a study following 204 adolescent mothers and their mother figures from the third trimester of pregnancy through their young children's 5th birthdays. In this introductory paper, we highlight four themes, including (a) differential acculturation and reciprocal socialization, (b) interdependence in families, (c) the intersection of culture and gender, and (d) methodological issues. We end with suggestions for future research.     

Perceived cultural distance and acculturation among exchange students in Russia

The relations of perceived cultural distance, personality, acculturation orientations and outcomes were studied among exchange students (N = 187) in Russia who came from various countries in Asia, sub‐Saharan Africa, Latin America and the former Soviet Union. The hypothesis was supported that a larger perceived cultural distance between mainstream and immigrant culture is associated with less psychological (homesickness and stress) and sociocultural (behaviour with Russian students and behaviour with co‐nationals) adjustment. The statistical relations between perceived cultural distance, personality and sociocultural adjustment were much stronger for host domain behaviour than for home domain behaviour. Adjustment was higher for participants with more cultural empathy, openmindedness and flexibility. Adjustment showed statistically stronger associations with cultural distance than with acculturation orientations. It is concluded that cultural distance may be more salient than acculturation orientations in studies of heterogeneous groups of immigrants. Copyright © 2008 John Wiley & Sons, Ltd.     

Attitudes to cosmetic surgery among ethnic minority groups in Britain: Cultural mistrust,adherence to traditional cultural values,and ethnic identity salience as protective factors

Previous work has suggested that ethnic minority women have more negative attitudes to cosmetic surgery than British Whites, but reasons for this are not fully understood. To overcome this dearth in the literature, the present study asked 250 British Asian and 250 African Caribbean university students to complete measures of attitudes to cosmetic surgery, cultural mistrust, adherence to traditional cultural values, ethnic identity salience, self‐esteem, and demographics. Preliminary analyses showed that there were significant between‐group differences only on cultural mistrust and self‐esteem, although effect sizes were small (d values = .21–.37). Further analyses showed that more negative attitudes to cosmetic surgery were associated with greater cultural mistrust, stronger adherence to traditional values, and stronger ethnic identity salience, although these relationships were weaker for African Caribbean women than for British Asians. These results are discussed in relation to perceptions of cosmetic surgery among ethnic minority women.     

From equality and inclusion to cultural pluralism – Evolution and effects of cultural diversity perspectives in schools*

Schools are a major context for academic and socio-emotional development, but also an important acculturative context. This is notably the case in adolescence, which is a critical period for the development of a social and ethnic identity, as well as moral reasoning and intergroup attitudes. How schools approach cultural diversity issues is therefore likely to affect these developmental and acculturative processes and adaptation outcomes. In the present article, the manifestation and effects of the most prominent approaches to cultural diversity, namely those guided by a perspective of equality and inclusion, and those guided by a perspective of cultural pluralism, are reviewed and compared in the context of multi-ethnic schools. The aim is to explore when and how the potential of cultural diversity can best flourish, enhancing the academic and socio-emotional development of culturally diverse students.     

Evaluation of a Safe Sleep Training for Home Visitors and Their Clients

Sleep-related deaths are a common preventable cause of death, and such deaths occur disproportionately in families of color. Home visitors provide families with education about infant safe sleep guidelines; however, families face many barriers to engaging in safe sleep practices. This study evaluated the efficacy of a program to train home visitors to talk to clients about infant safe sleep using Motivational Interviewing and cultural sensitivity. We examined the effects of the intervention on home visitors’ (n?=?23) knowledge, MI skill use, and cultural sensitivity using a single group pre-post design. We also examined home visiting clients’ (n?=?78) knowledge, attitudes, and behaviors using a quasi-experimental design. Home visitors were primarily female (97%), had a college degree (86%), and were primarily white (50%) or African American (43%). The home visiting clients were all female and were primarily African American (43%) and Caucasian (36%). Most clients (59%) earned less than 30,000 dollars per year. Home visitors showed significant improvement in MI skill use and cultural sensitivity from pre- to post-test. Regarding client outcomes, our results indicate a significant group by time interaction when predicting changes in client knowledge such that the treatment group showed larger gains than the control group. There were no significant differences between groups when predicting changes in client attitudes or behavior. MI may be an effective technique for home visitors to help increase families’ safe sleep knowledge. Additional research is needed to examine whether such training can translate to changes in families’ safe sleep behavior.