Abstract
There are several unique contexts that behavioral health professionals (BHPs) become involved when they enter work within a medical setting. The navigation of certain cultural norms and dynamics of social location is an area that deserves particular attention as the implications of these areas extend across the BHP’s participation in the medical environment. From their work with healthcare providers, clinicians, patients, and families, BHPs are tasked with navigating privilege and/or disadvantage that will be a result of their intersectionality. This chapter will discuss the sociocultural norms and values that are often present in the medical context and how they can be challenging for BHPs. A specific emphasis will be placed on the experience of those BHPs whose identity is of a historically marginalized group in Western society.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Bean, R. A., Davis, S. D., & Davey, M. P. (Eds.). (2014). Clinical supervision activities for increasing competence and self awareness. Wiley: Hoboken, NJ.
Bernard, J. M., & Goodyear, R. K. (2009). Fundamentals of clinical supervision (4th ed.). Upper Saddle River, NJ: Merrill.
Brott, P. E., & Myers, J. E. (1999). Development of professional school counselor identity. Professional School Counseling, 2, 339–348.
Caldwell, K. L., & Galiardi, S. (2014). Increasing awareness of multicultural issues in therapy and supervision. In R. A. Bean, S. D. Davis, & M. P. Davey (Eds.), Clinical supervision activities for increasing competence and self-awareness (pp. 151–157). Hoboken, NJ: Wiley.
Cook, R. M., McKibben, W. B., & Wind, S. A. (2018). Supervisee perception of power in clinical supervision: The power dynamics in supervision scale. Training and Education in Professional Psychology, 12, 188–195. https://doi.org/10.1037/tep0000201
Cropper, A. (2000). Mentoring as an inclusive device for the excluded: Black students’ experience of a mentoring scheme. Social Work Education, 19, 597–607. https://doi.org/10.1080/02615470020002326
Eliason, M., Dibble, S., & Robertson, P. (2011). Lesbian, gay, bisexual, and transgender (LGBT) physicians’ experiences in the workplace. Journal of Homosexuality, 58, 1355–1371. https://doi.org/10.1080/00918369.2011.614902
Erickson, R. J., & Ritter, C. (2001). Emotional labor, burnout, and inauthenticity: Does gender matter?. Social Psychology Quarterly, 146–163.
Goffman, E. (1978). The presentation of self in everyday life (p. 56). London: Harmondsworth.
Granados, R., & Lopez, J. (1999). Student-run support organizations for under-represented graduate students: Goals, creation, implementation, and assessment. Peabody Journal of Education, 74, 135–149. https://doi.org/10.1207/s15327930pje7402_11
Green, M., & Dekkers, T. (2010). Attending to power and diversity in supervision: An exploration of supervisee learning outcomes and satisfaction with supervision. Journal of Feminist Family Therapy, 22, 293–312. https://doi.org/10.1080/08952833.2010.528703
Harlow, R. (2003). “Race doesn’t matter, but”: The effect of race on professors’ experiences and emotion management in the undergraduate college classroom. Social Psychology Quarterly, 66, 348–363. https://doi.org/10.2307/151983
Henderson, M. M., Simon, K. A., & Henicheck, J. (2018). The relationship between sexuality–professional identity integration and leadership in the workplace. Psychology of Sexual Orientation and Gender Diversity, 5, 338–351. https://doi.org/10.1037/sgd0000277
Hochschild, A. R. (1979). Emotion work, feeling rules, and social structure. American journal of sociology, 85(3), 551–575.
Hochschild, A. (1983). The managed heart. Berkeley, CA: University of California.
Hodgson, J., Lamson, A., Mendenhall, T., & Crane, D. R. (Eds.). (2014). Medical family therapy: Advanced applications. New York, NY: Springer.
Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington, D.C.: Interprofessional Education Collaborative.
Janss, R., Rispens, S., Segers, M., & Jehn, K. A. (2012). What is happening under the surface? Power, conflict and the performance of medical teams. Medical Education, 46, 838–849. https://doi.org/10.1111/j.1365-2923.2012.04322
Lewis, P. (2005). Suppression or expression: An exploration of emotion management in a special care baby unit. Work, Employment, and Society, 19, 565–581. https://doi.org/10.1177/0950017005055673
Lovell, B., Lee, R. T., & Brotheridge, C. M. (2009). Gender differences in the application of communication skills, emotional labor, stress-coping and well-being among physicians. Archives: The International Journal of Medicine, 2(3), 273–279.
Mcdaniel, S. H., Doherty, W. J., & Hepworth, J. (2014). Medical family therapy and integrated care (2nd ed.). Washington, D.C.: American Psychological Association.
McQueen, A. C. (2004). Emotional intelligence in nursing work. Journal of Advanced Nursing, 47, 101–108. https://doi.org/10.1111/j.1365-2648.2004.03069.x
Parsons, T. (1951). Illness and the role of the physician: a sociological perspective. American Journal of orthopsychiatry, 21(3), 452.
Robinson, C. (1999). Developing a mentoring program: A graduate student’s reflection of change. Peabody Journal of Education, 74, 119–134. https://doi.org/10.1207/s15327930pje7402_10
Rosette, A. S., & Dumas, T. L. (2007). The hair dilemma: Conform to mainstream expectations or emphasize racial identity. Duke Journal of Gender Law & Policy, 14(1), 407–421. Retrieved from http://search.ebscohost.com.catalog.llu.edu/login.aspx?direct=true&db=sih&AN=24495718&site=ehost-live&scope=site
Simon, R. W., & Nath, L. E. (2004). Gender and emotion in the United States: Do men and women differ in self-reports of feelings and expressive behavior? American journal of sociology, 109(5), 1137–1176.
Stryker, S. (1992). Identity theory. In E. Borgatta & M. Borgatta (Eds.), Encyclopedia of sociology (pp. 871–876). New York, NY: Macmillan.
Tajfel, H., & Turner, J. C. (1986). The social identity theory of intergroup behavior. In S. Worchel & L. W. Austin (Eds.), Psychology of intergroup relations (pp. 7–24). Chicago: Nelson-Hall.
Ten Hoeve, Y., Jansen, G., & Roodbol, P. (2014). The nursing profession: Public image, self-concept and professional identity a discussion paper. Journal of Advanced Nursing, 70, 295–309. https://doi.org/10.1111/jan.12177
US Department of Health and Human Services. (2017). Sex, Race, and Ethnic Diversity of US, Health Occupations (2011–2015). Rockville, MD: National Center for Health Workforce Analysis.
Watts-Jones, D., Ali, R., Alfaro, J., & Frederick, A. (2007). The role of a mentoring group for family therapy trainees and therapists of color. Family Process, 46, 437–450. https://doi.org/10.1111/j.1545-5300.2007.00224.x
Zimmerman, M., & Hill, S. (2006). Health care as a gendered system. In J. Chafetz (Ed.), Handbook of the sociology of gender (pp. 483–518). Boston, MA: Kluwer Academic.
Resources
AHRQ Health Literacy Universal Precautions Toolkit. https://www.ahrq.gov/professionals/qualitypatient-safety/quality-resources/tools/literacy-toolkit/index.html
Behavioral Health Equity. https://www.samhsa.gov/behavioral-health-equity
Cultural Competency assessments/quizzes. https://guides.lib.uiowa.edu/c.php?g=131924&p=864758
Culturally Effective Care Toolkit. https://www.aap.org/en-us/professional-resources/practice-transformation/managingpatients/Pages/effective-care.aspx
Georgetown University National Center for Cultural Competence Self-Assessments. https://nccc.georgetown.edu/assessments/
Glossary of Terms Related to Gender. https://www.hrc.org/resources/glossary-of-terms
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 American Family Therapy Academy
About this chapter
Cite this chapter
Williams-Reade, J., Huelett, B., Zubatsky, M. (2020). Making Sense of Sociocultural Context of Medicine and Identity Development. In: Zubatsky, M., Williams-Reade, J. (eds) Self of the Therapist in Medical Settings. AFTA SpringerBriefs in Family Therapy. Springer, Cham. https://doi.org/10.1007/978-3-030-39271-0_4
Download citation
DOI: https://doi.org/10.1007/978-3-030-39271-0_4
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-39270-3
Online ISBN: 978-3-030-39271-0
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)