Abstract
Culture plays a key role in defining the predisposing, precipitating, perpetuating, and protective factors of illness etiology, which in turn drive treatment planning. Cultural humility is a concept by which providers can become more aware of the unique cultures of patients and communities, shifting away from a limited definition of culture as a finite body of ethnographic information to be mastered. This concept provides a framework for providers to develop empathy skills by continuously reflecting on their own biases, recognizing power dynamics and developing respectful partnerships with their patients and communities, which helps address the structural inequities that potentiate illness and impact recovery. The options, challenges, and limitations of teaching clinicians to practice cultural humility are explored, with some suggestions for curricular components.
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References
Colby, S., & Ortman, J. (2014). Projections of the size and composition of the U.S. population: 2014 to 2060 (pp. 25–1143). Suitland: U.S. Census Bureau.
Ring, J. M., & Ring, J. M. (2008). Curriculum for culturally responsive health care: The step-by-step guide for cultural competence training. New York: Radcliffe Publishing.
Institute of Medicine. (2013). Leveraging culture to address health inequalities: examples from native communities: Workshop summary. Washington, DC: The National Academies Press.
Cabán-Alemán, C. (2017). Cultural humility. In J. Tse & S. Y. Volpp (Eds.), A case-based approach to public psychiatry (pp. 29–36). New York: Oxford University Press.
Substance Abuse and Mental Health Services Administration. (2016). Cultural competence. Retrieved January 29, 2019, from https://www.samhsa.gov/capt/applying-strategic-prevention/cultural-competence
Tervalon, M. M. (1998). Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education. Journal of Health Care for the Poor and Underserved, 9(2), 117–125.
Comas-Díaz, L. L. (1991). Ethnocultural transference and countertransference in the therapeutic dyad. The American Journal of Orthopsychiatry, 61(3), 392–402.
Betancourt, J. R., Green, A. R., Camillo, J. E., & Ananeh-Firempong, O. (1974). Defining cultural competence: A practical framework for addressing racial/ethnic disparities in health and health care. Public Health Reports, 118(4), 293–302.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.
American Psychiatric Association. (2013). Cultural formulation. In American Psychiatric Association, Diagnostic and statistical manual of mental disorders (5th ed., pp. 749–759). Arlington: American Psychiatric Publishing.
US Department of Health and Human Services. National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care. Retrieved January 29, 2019, from https://www.thinkculturalhealth.hhs.gov/assets/pdfs/EnhancedNationalCLASStandards.pdf
Accreditation Council for Graduate Medical Education. (2017). Common program requirements. Retrieved January 29, 2019, from https://www.acgme.org/What-We-Do/Accreditation/Common-Program-Requirements
Chang, E. S., Simon, M., & Dong, X. (2012). Integrating cultural humility into health care professional education and training. Advances in Health Sciences Education: Theory and Practice, 17(2), 269–278.
Simmons, R., Chernett, N., Yuen, E., & Toth-Cohen, S. (2012). Teaching cultural humility and competence: a multi-disciplinary course for public health and health services students. College of population health lectures, presentations, workshops. Retrieved January 29, 2019, from https://jdc.jefferson.edu/hplectures/26
Juarez, J. A. (2006). Bridging the gap: A curriculum to teach residents cultural humility. Family Medicine, 38(2), 97–102.
Schuessler, J. B. (2012). Reflective journaling and development of cultural humility in students. Nursing Education Perspectives, 33(2), 96–99.
Hailey, D., Miller, A., & Yenawine, P. (2015). Understanding visual literacy: The visual thinking strategies approach. In D. M. Baylen & A. D’Alba (Eds.), Essentials of teaching and integrating visual and media literacy (pp. 49–73). Cham: Springer.
Klugman, C. M., Peel, J., & Beckmann-Mendez, D. (2011). Art rounds: Teaching interprofessional students visual thinking strategies at one school. Academic Medicine, 86(10), 1266–1271.
Reilly, J. M. (2005). Visual thinking strategies: A new role for art in medical education. Family Medicine, 37(4), 250–252.
Metzl, J. M., & Hansen, H. (2014). Structural competency: Theorizing a new medical engagement with stigma and inequality. Social Science & Medicine, 103, 126–133.
Carpenter-Song, E., Norquest Schwallie, M., & Longhofer, J. (2007). Cultural competence reexamined: Critique and directions for the future. Psychiatric Services, 58(10), 1362–1365.
Hansen, H. H. (2018). From cultural to structural competency: Training psychiatry residents to act on social determinants of health and institutional racism. JAMA Psychiatry, 75(2), 117–118.
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Cabán-Alemán, C., King, J., Padilla, A., Tse, J. (2019). Teaching Cultural Humility: Understanding Others by Reflecting on Ourselves. In: Foster, A.E., Yaseen, Z.S. (eds) Teaching Empathy in Healthcare. Springer, Cham. https://doi.org/10.1007/978-3-030-29876-0_11
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DOI: https://doi.org/10.1007/978-3-030-29876-0_11
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