culture counts: variations in cultural value systems and it’s impact on recovery presented by...
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Culture Counts: Variations in Cultural Value Systems and it’s Impact on Recovery
Presented by Gayathri Ramprasad, MBA, CPS
Founder & President, ASHA Internationalwww.myasha.org
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Culture Counts: Variations in Cultural Value Systems and it’s Impact on Recovery
Learning Objectives: Explore concepts of culture, cultural legacies, social
inheritance, and power distance index East vs. West: Explore variations in cultural value systems and
its impact on recovery Learn 3 steps to create culturally-responsive, person-
centered, recovery-oriented, holistic systems of care
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Culture Counts: Variations in Cultural Value Systems and it’s Impact on Recovery
Culture: Culture is a shared, learned, symbolic system of values, beliefs and attitudes that shapes and influences perception and behavior – an abstract "mental blueprint" or "mental code."
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Culture Counts: Variations in Cultural Value Systems and it’s Impact on Recovery
Cultural Legacies: Cultural legacies are powerful forces. They have deep roots and long lives. They persist, generation after generation, virtually intact, even as the economic, social, scientific and demographic conditions that spawned them have vanished, and they play such a role in directing attitudes and behavior that we cannot make sense of our world without them. These attitudes and behaviors are passed on from generation to generation through social inheritance.
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Culture Counts: Variations in Cultural Value Systems and it’s Impact on Recovery
Culture impacts overall wellbeing: Culture is central to recovery. A person’s cultural legacy influences how they perceive mental illness and how much stigma they attach to it. Culture also influences whether or not a person seeks help, when and where they seek help, their social supports and coping skills.
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Culture Counts: Variations in Cultural Value Systems and it’s Impact on Recovery
East vs. West: A Cross-Cultural PerspectiveEastern (agricultural) Systems:
Traditional Society ValuesWestern (industrialized) Systems:
Modern Society ValuesFamily/group oriented Individual oriented
Extended family Nuclear/blended family
Multiple parenting Primary relationship: Marital bond
Emphasis on interpersonal relationship & harmony
Emphasis on self-fulfillment and self-development
Well-defined family member’s roles Flexible family member’s roles
SOURCE: Asian American & Pacific Islander Outreach Resource Manual, NAMI
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Culture Counts: Variations in Cultural Value Systems and it’s Impact on Recovery
East vs. West: A Cross-Cultural PerspectiveEastern (agricultural) Systems:
Traditional Society ValuesWestern (industrialized) Systems:
Modern Society ValuesStatus & relationships determined
by age and role in familyStatus achieved by individual’s efforts
Favoritism toward males Increasing opportunities for females
Authoritarian orientation Democratic orientation
Suppression of emotions Expression of emotions
Fatalism/Karma Personal control over environment
SOURCE: Asian American & Pacific Islander Outreach Resource Manual, NAMI
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Culture Counts: Variations in Cultural Value Systems and it’s Impact on Recovery
East vs. West: A Cross-Cultural PerspectiveEastern (agricultural) Systems:
Traditional Society ValuesWestern (industrialized) Systems:
Modern Society ValuesHarmony with nature Mastery over nature
Cooperative orientation Competitive orientation
Spiritualism Materialism, consumerism
Superstitions Science
Past, present and future orientation Present, future orientation
SOURCE: Asian American & Pacific Islander Outreach Resource Manual, NAMI
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Culture Counts: Variations in Cultural Value Systems and it’s Impact on Recovery
East Vs. WestMental Health: A Cross-Cultural perspective
Medical Model vs. Medico-Religious, Supernatural or Personal Weakness Model Mental/Emotional Symptoms vs. Somatization of Symptoms Treatment is based on science vs. science, spirit and superstition Treatment team is comprised of mental health professionals vs. mental health
professionals, shamans, priests, etc. Decisions about treatment are made by the patient vs. the patient and their family
(depending on the Power Distance Index of the individual within the family)
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Culture Counts: Variations in Cultural Value Systems and it’s Impact on Recovery
Power Distance Index (PDI) Power Distance Index is a measure of attitudes toward hierarchy, specifically with how much a particular culture values and respects authority.
SOURCE: Hofstede’s Dimensions
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Physician
Psychiatrist
Son
Daughter
Social Worker Therapist
Father/Husband(Men in the Family)
Mother(Women in the Family)
PRP
Power Distance Index & It’s Impact on Mental Health
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Culture Counts: Variations in Cultural Value Systems and it’s Impact on Recovery
State of Mental Health – East vs. West A Look at Key Indicators
SOURCE: Time Asia
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Culture Counts: Variations in Cultural Value Systems and it’s Impact on Recovery
3 Steps to Create Culturally-Responsive, Person-Centered, Recovery-Oriented, Holistic Systems of Care:
1. Skills Training: Engage in ongoing cultural competency training to develop the necessary skills to design and implement effective cross-cultural interventions
2. Capacity Building: Invest in culturally-responsive research & development, programs and services, promote training &recruitment of linguistically and culturally-responsive providers and peers
3. Inclusion: Include patients, families and community members in the design and delivery of linguistically, culturally-responsive services
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Culture Counts: Variations in Cultural Value Systems and it’s Impact on Recovery
RESOURCES: USPRA’s Principles of Multicultural Psychiatric Rehabilitation Services http://
knol.google.com/k/uspra-staff/principles-of-multicultural-psychiatric/9hcd4qaqyqq0/6#Capacity
National Center for Cultural Competence http://nccc.georgetown.edu/ NAMI Multicultural Action Center http://www.nami.org/Template.cfm?Section=Multicultural_Support&Template=/
TaggedPage/TaggedPageDisplay.cfm&TPLID=56&ContentID=25443 Cultural Competency in mental Health Peer-run Programs & Self-Help Groups: A Tool to
Assess & Enhance Your Services http://www.consumerstar.org/pubs/SC-Cultural_Competency_in_Mental_Health_Tool.pdf
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Culture Counts: Variations in Cultural Value Systems and it’s Impact on Recovery
RESOURCES: Strategies for Building Multicultural Competence in Mental Health and
Educational Settings by Madonna G. Constantine Interviewing Clients across Cultures: A Practitioner's Guide by Lisa
Aronson Fontes, PhD Crazy Like Us: The Globalization of the American Psyche by Ethan Watters Standing in the Shadows: Understanding and Overcoming Depression in Black
Men by John Head Willow Weep for Me: A Black Woman’s Journey through Depression by Meri
Nana-Ama Danquah
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I Wish you wellness!
~ Gayathri Ramprasad, MBA, CPSFounder & President, ASHA International
Phone: 971 340 7190E-mail: [email protected]
Websites: www.myahsa.org, www.mindbeautiful.com