Native American Counseling Case Study

As individuals, we are diverse based on the background, experience, ability, race, language, etc. which impact the lens through which we view others and ourselves. As diverse individual, we may belong to dominant or non- dominant groups. Thus, either we have power and privilege or we experience discrimination and oppression. Further, we are shelled with diversity, ethnicity, and multiculturalism issues. Counselors have some ethical primary responsibilities to respect the dignity and promote the welfare of the client (A.1.a), “honoring diversity and embracing a multicultural approach in support of the worth, dignity” and “promoting social justice” (Herlihy & Corey, 2014, p. 3)

In my personal opinion and experience, I find that the field of psychology is lacking in diverse cultural competencies as much as the society is diverse in its population. I believe that as with using any theoretical model, the therapists’ cultural knowledge needs to include understanding of the many cultural considerations influencing the effectiveness of treatment when dealing with clients from diverse backgrounds. When servicing the individuals in the family, care and attention needs to be directed towards family and community norms and values around help seeking, secrecy and confidentiality, family roles, child rearing and spiritual practices.

Each client is influenced by race, ethnicity, national origin, life stage, educational level, social class, and sex roles (Ibrahim, 1985). The counsellor must view the identity and development of culturally diverse people in terms of multiple interactive factors rather than a strictly cultural framework (Romero, 1985).

Cultural competency is critical in psychology practice. In the United States, the groups, which considered as cultural and ethnic minorities, are growing in the population (APA, 2003). Culture often influences the content and quality of people’s experience, perception, and response. Thus, it is important for psychologists to be aware of cultural influences on client’s presenting experience(s) (Gardiner & Kosmitzki, 2010). Without a regard for cultural influence, there is a significant risk for the psychologist to misunderstand, misinterpret, and misguide his or her client. Such misunderstanding, misinterpretation, and misguidance are not only unhelpful but can be detrimental for the client (Corey, Corey, & Callanan, 2011; Pope, & Vasquez, 2011).

there is a difference in values and beliefs and that this is ok. They may

1.The role of Native American grandmother can take on different definitions depending on the tribe and their culture. The “grandmother” can be several older fictive kin, or they can be older female relatives, or even simply older women in the tribe (Novak, 2012, p. 191). A grandmother is a respected role taking on the upbringing of their oldest or many grandchildren, additionally even fostering orphans or impoverished children (Weibel-Orlando, 1988, p. 163). This caregiving role eases the burden on younger women, allowing them to help financially or to carry out homemaking tasks. Although some grandparents may relish this role, some have it forced upon them to do unfortunate family circumstances of divorce, drug and alcohol abuse, and death (Novak, 2012, p. 191). According to Weibel-Orlando grandparental roles also play a vital role in the continuity of Native American cultural values, being a “cultural conservator”, and relaying a tribe’s history, rituals, and practices through oral storytelling (pp.250-251).

Rather than interpret behaviors of the Native Americans counselors understand what greatly impacts American Indians in social issues. Native Americans are greatly impacted with Major Health Issues, Employment Issues, Economic Issues, and Family Dynamics.

Native Americans on the reservations are at socially and economically disadvantage compared to persons who reside in metropolitan cities. Life advancement opportunities and individual accountability for better living standards are almost non-existence in many Native American communities. The environment that is around young adolescents are very

Deborah Parker, a former member of the Tulalip tribe’s board of directors, now a speaker and activist for social justice for indigenous women, says that there is no domestic violence education in reservation schools. By not teaching what is happening in these kid’s tribes, the cycle of abuse may continue, and more and more generations of Native women will have to endure the abuse. The cycle will be broken if more people are aware of the issue. First, there was the National Domestic Violence Hotline with additional hotlines focused on certain areas of abuse, now there are hotlines specifically aimed at helping Native American women along with Alaskan Natives. These resources help in many ways, whether it’s just communication and therapy, or helping these women out of their situations if needed.

In the beginning of the course I had very little knowledge about the theories in multicultural counseling. I knew that it was centrally focused around social justice and equality but I didn’t know there were theories that pertained to specific ethnic minorities. I also learned that there isn’t a one size fits all theory. What I learned was that each model needs to be unique to the client and very well rounded; it should include a specific goal(s), describe the process, “have both aspects of cognition and emotion, and include justice and equity as well.” (Jun 2010) I have learned that as a multicultural counselor you have to be very aware and mindful of your thoughts and actions. I learned that there is a lot that is integrated into multicultural counseling and it isn’t cut and dry. There are varieties of concepts, such as being aware of oppression, continuous self-reflection, awareness of impact that a multicultural counselor can have on an individual, etc. (Jun, 2010)

It is important to be aware of one’s limitations, weaknesses and strengths in the delivery of counseling services. Taking into account the cultural values of the client, the support systems and the client’s view of the key parts of his or her makeup (the history of the client) are culture specific (because someone is of the same race does not mean that values will be the same) and does not discount the individual. Sue et al reminds us that multicultural counseling competency looks beyond racial and ethnic minorities and also includes disabilities, sexual orientation, age, and other special populations (Sue, et al, 1992).

The relationship of a counselor to his or her client can be troubled when the two come from different cultural backgrounds. "As counselors incorporate a greater awareness of their clients' culture into their theory and practice, they must realize that, historically, cultural differences have been viewed as deficits (Romero, 1985). Adherence to white cultural values has brought about a naive imposition of narrowly defined criteria for normality on culturally diverse people" (Bolton-Brownlee 1987). The challenge for counselors today is to balance multiculturalism and sensitivity for the client with the need to move the client forward and enable him or her to reach productive life goals. Cultural acceptance cannot be synonymous with complacency.

Multicultural group counseling takes place when a counselor and/or clients are from differing cultural, race, and/or ethnicity groups. Due to the significant demographic changes that are occurring in the United States, multiculturalism is becoming increasingly important. When acting as a multicultural group counselor, it is important to modify techniques to reflect the cultural differences of the client, be prepared to deal with difficulties during the counseling process, and understand the way culturally diverse people conceptualize their problems as well how they resolve them (Gladding, 2012). In order to be an effective multicultural counselor, it is important that one is aware of their cultural heritage, understands how their cultural background affects their attitudes, values, and beliefs, recognizes the limitations of their multicultural expertise and/or competency, and identify the root of their discomfort with different clients (Gladding, 2012). One can implement these through three key aspects Gladding (2012) outlined in his book and effective leadership skills.

In a multicultural counseling perspective there are four key approaches when counseling individuals, (a) multicultural awareness of culturally learned assumptions about self and others leading to accurate assessments of clients, (b) multicultural knowledge of information, (c) multicultural skills and interventions, that are appropriate treating clients, and (d) individuals are from a variety of backgrounds, demographic status, and affiliation of cultures. The three-stage approach, will direct the counselor towards levels of multicultural competence in therapy by providing a successful outcome in the recovery process. When conducting a psychotherapy session with a client the counselor should be able to demonstrate skills, when exploring the client’s cultural background. Counselors should also be able to focus on the essential skills and pattern behaviors, when identifying cultural differences. Counseling a minority from a different culture counselors’ must be able to identify their own personal behaviors. These behaviors are crucial when counseling these individuals. First, a counselor must be able to sense the clients’ viewpoint or issue in some way. Secondly, a counselor should be specific when asking a question rather than being unclear and confusing.

Counselors who are unaware of diverse cultural viewpoints are more than likely to do intentional or unintentional damage when working within communities opposite of their own and with those whose cultures and worldviews differ from theirs. If a counselor is unaware of their own cultural identity, biases, and stereotypes, how then will they know if they are unintentionally causing harm to their clients or build rapport? Cultural self-awareness is relevant because counselors need to know their cultural identity and what they must offer their clients in a therapeutic relationship and to help clients become aware their cultural identities.