HOW ETHNICITY AND CULTURE INFLUENCE HUMAN BEHAVIOR The Adult Brain Presented by: Richard G. Dudley, Jr. M.D.
Presentation Overview <ul><li>Defining the Terms and Jargon </li></ul><ul><li>Adult Brain  </li></ul><ul><li>How Ethnicity...
Defining Terms <ul><li>Ethnicity </li></ul><ul><li>Culture </li></ul><ul><li>Ethno-Cultural Group </li></ul><ul><ul><li>Gr...
The Adult Brain <ul><li>Development of Frontal Lobe </li></ul><ul><li>Functions of Frontal Lobe </li></ul><ul><ul><li>High...
How Ethnicity & Culture Influence Human Behavior: Lessons Learned from the Behavioral Sciences (1 of 2) <ul><li>Structure ...
How Ethnicity & Culture Influence Human Behavior: Lessons Learned from the Behavioral Sciences (2 of 2) <ul><li>E-C Issues...
How Ethnicity & Culture Influence Human Behavior: Applications to Health & Human Services <ul><li>Knowledge Base </li></ul...
Becoming Ethno-Culturally Competent <ul><li>Exploration of & Reflection - oneself </li></ul><ul><ul><li>“ How does my ethn...
Panel PRESENTTION AND DISCUSSION <ul><li>WITH </li></ul><ul><li>LFP GRADUATION PROJECTS </li></ul>
Graduating Projects <ul><li>Homeboy MHETAS Project –  Los Angeles, CA </li></ul><ul><li>Off The Streets –  Cincinnati, OH ...
CLOSING SUMMARY AND  THANK YOU The Adult Brain Richard G. Dudley, Jr. M.D.
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The Adult Brain: How Ethnicity & Culture Influence Mental Health

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Presentation by Richard G. Dudley, M.D. at the 2010 RWJF LFP Annual Meeting in St. Paul, MN

Ethnicity and culture have wide-ranging impact on human behavior. Understanding that impact is crucial to meaningful communication and the ability to appreciate the concerns of persons from different backgrounds. The adult brain is imprinted with many experiences that form one’s identity and influence one’s decisions. One’s community of origin forms the basis of language and culture whether one comes from another country or from an inner-city neighborhood. A person’s response to prison, poverty, or mental illness will be shaped by ethno-cultural background.

We will focus on how ethnicity and culture influence human behavior, and how to integrate that understanding into the design and delivery of accessible human service programs. Participants and graduates will compare experiences where ethno-cultural differences intersect with the justice system, homeless services, and employment opportunities. We will discuss strategies to create health and social service programs staffed with persons who are ethno-culturally competent, responsive, and respectful.

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  • The Adult Brain: How Ethnicity & Culture Influence Mental Health

    1. 1. HOW ETHNICITY AND CULTURE INFLUENCE HUMAN BEHAVIOR The Adult Brain Presented by: Richard G. Dudley, Jr. M.D.
    2. 2. Presentation Overview <ul><li>Defining the Terms and Jargon </li></ul><ul><li>Adult Brain </li></ul><ul><li>How Ethnicity & Culture Influence Human Behavior </li></ul><ul><li>Becoming Ethno –Culturally Competent </li></ul><ul><li>Panel Participation and Discussion </li></ul><ul><li>Summary & Closing Discussion </li></ul>
    3. 3. Defining Terms <ul><li>Ethnicity </li></ul><ul><li>Culture </li></ul><ul><li>Ethno-Cultural Group </li></ul><ul><ul><li>Group diversity/sub groups </li></ul></ul><ul><ul><li>Evolution of culture over time/experience </li></ul></ul><ul><li>Ethno-Cultural Group Identification </li></ul><ul><ul><li>Totally immersed </li></ul></ul><ul><ul><li>Mixed </li></ul></ul><ul><ul><li>Assimilated </li></ul></ul><ul><li>Other Cultural Sub-Groups </li></ul><ul><ul><li>Drug Culture </li></ul></ul><ul><ul><li>Gang Culture </li></ul></ul><ul><ul><li>Prison Culture </li></ul></ul><ul><ul><li>Gay or Lesbian Culture </li></ul></ul>
    4. 4. The Adult Brain <ul><li>Development of Frontal Lobe </li></ul><ul><li>Functions of Frontal Lobe </li></ul><ul><ul><li>High level, complex motor activity </li></ul></ul><ul><ul><li>Abstract thinking </li></ul></ul><ul><ul><li>Reasoning </li></ul></ul><ul><ul><li>Judgment </li></ul></ul><ul><li>Adult Reasoning & Decision-Making </li></ul><ul><ul><li>Experienced & other hypothetical options </li></ul></ul><ul><ul><li>Weigh pros & con </li></ul></ul><ul><ul><li>Select & implement best option </li></ul></ul><ul><li>Psychiatric Disorders the Compromise Functions </li></ul><ul><ul><li>Psychological trauma </li></ul></ul><ul><ul><li>Substance abuse & addiction </li></ul></ul><ul><ul><li>Major mood disorders </li></ul></ul><ul><ul><li>Psychotic disorders </li></ul></ul><ul><ul><li>Mental retardation </li></ul></ul><ul><ul><li>Other major mental illness </li></ul></ul><ul><li>Other Medical Problems that Compromise Function </li></ul><ul><ul><li>Physical trauma to the brain </li></ul></ul><ul><ul><li>Infections </li></ul></ul><ul><ul><li>Toxins </li></ul></ul><ul><ul><li>Neoplasm </li></ul></ul><ul><ul><li>dementia </li></ul></ul>
    5. 5. How Ethnicity & Culture Influence Human Behavior: Lessons Learned from the Behavioral Sciences (1 of 2) <ul><li>Structure & Functioning of Different </li></ul><ul><li>E-C Groups </li></ul><ul><ul><li>“ Family” structure & functioning </li></ul></ul><ul><ul><li>Things most highly valued </li></ul></ul><ul><ul><li>Sense of self in relationship to others </li></ul></ul><ul><ul><li>Locus of control </li></ul></ul><ul><ul><li>Sense of the spiritual </li></ul></ul><ul><ul><li>Customs, traditions & rituals </li></ul></ul><ul><ul><li>Ethnicity & biological determinants </li></ul></ul><ul><li>Communication </li></ul><ul><ul><li>Language & meaning of terms used </li></ul></ul><ul><ul><li>Body language & personal space </li></ul></ul><ul><ul><li>What may be told to whom </li></ul></ul><ul><ul><li>Psychological defenses </li></ul></ul><ul><li>Expressions of Distress </li></ul><ul><ul><li>Forms of expression </li></ul></ul><ul><ul><li>Meanings of each expression </li></ul></ul>
    6. 6. How Ethnicity & Culture Influence Human Behavior: Lessons Learned from the Behavioral Sciences (2 of 2) <ul><li>E-C Issues & Adult Decision-Making </li></ul><ul><ul><li>Perception of the problem </li></ul></ul><ul><ul><li>Options available </li></ul></ul><ul><ul><li>Weighing of the options </li></ul></ul><ul><ul><li>Planning a strategy </li></ul></ul><ul><li>Treatment Strategies </li></ul><ul><ul><li>Ethnicity, biology & medication management </li></ul></ul><ul><ul><li>The “Helper” </li></ul></ul><ul><ul><li>Design & accessibility of services </li></ul></ul>
    7. 7. How Ethnicity & Culture Influence Human Behavior: Applications to Health & Human Services <ul><li>Knowledge Base </li></ul><ul><ul><li>Structure & functioning of client’s E-C group </li></ul></ul><ul><ul><li>The extent such applies to a specific client </li></ul></ul><ul><ul><li>The client’s membership on other sub-groups </li></ul></ul><ul><li>Communications </li></ul><ul><ul><li>Language & the meaning of terms used </li></ul></ul><ul><ul><li>Body language & personal space </li></ul></ul><ul><ul><li>What may be told to whom </li></ul></ul><ul><ul><li>Psychological defenses </li></ul></ul><ul><li>Problem Identification </li></ul><ul><ul><li>Issues that might impact on adult brain functions </li></ul></ul><ul><ul><li>Competency to participate in program as designed </li></ul></ul><ul><ul><li>Client’s perception of problems to be addressed </li></ul></ul><ul><li>Intervention Strategies </li></ul><ul><ul><li>Client’s assessment of options </li></ul></ul><ul><ul><li>Client’s capacity to participate in intervention </li></ul></ul><ul><ul><li>Client’s belief about who can be the “Helper” </li></ul></ul><ul><ul><li>Design & accessibility of services </li></ul></ul><ul><ul><li>Ethnicity, biology & medication management </li></ul></ul>
    8. 8. Becoming Ethno-Culturally Competent <ul><li>Exploration of & Reflection - oneself </li></ul><ul><ul><li>“ How does my ethnicity & culture impact on my behavior?” </li></ul></ul><ul><li>The Use of Educators/Translators </li></ul><ul><li>Learning From Clients </li></ul><ul><ul><li>Asking clients to education and/or translate </li></ul></ul><ul><ul><li>Client participation in program development </li></ul></ul><ul><li>Developing Cross-cultural Communication Skills </li></ul><ul><ul><li>Learning the language v using the language </li></ul></ul><ul><ul><li>Communication styles </li></ul></ul><ul><ul><li>What can be shared with whom & how </li></ul></ul><ul><li>Reaching Across Cultures </li></ul><ul><ul><li>Provider’s responsibility </li></ul></ul><ul><ul><li>Identification of and addressing problems </li></ul></ul><ul><ul><li>Clients who can’t </li></ul></ul><ul><li>Race/Racism and Being Ethno-centric </li></ul><ul><ul><li>Racist presumptions </li></ul></ul><ul><ul><li>The normative standard </li></ul></ul><ul><li>False Assumptions about Ethno-Cultural Sameness </li></ul><ul><ul><li>Diversity within ethno-cultural groups </li></ul></ul><ul><ul><li>Internalized racism </li></ul></ul><ul><li>Is the work of becoming competent ever done? </li></ul>
    9. 9. Panel PRESENTTION AND DISCUSSION <ul><li>WITH </li></ul><ul><li>LFP GRADUATION PROJECTS </li></ul>
    10. 10. Graduating Projects <ul><li>Homeboy MHETAS Project – Los Angeles, CA </li></ul><ul><li>Off The Streets – Cincinnati, OH </li></ul><ul><li>Project Against Sexual Assault of Indigenous Farm-workers – Portland, OR </li></ul><ul><li>Community Correctional Healthcare Reentry Center – Washington, DC </li></ul><ul><li>Metro Denver Crisis Triage Project – Denver, CO </li></ul>
    11. 11. CLOSING SUMMARY AND THANK YOU The Adult Brain Richard G. Dudley, Jr. M.D.

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