This document discusses culturally-informed approaches to psychotherapy. It introduces three central processes - communal, contemplative, and empowerment - and asks how each can be strengthened in practice. Specifically, it asks how connectedness, awareness, and transformative action can be facilitated for clients. The document advocates for a "culturally syntonic" approach that is attuned, harmonious and resonant with clients' cultural contexts and expressions. It argues that psychological practice should reflect sociocultural and psychocultural processes to enhance engagement and effectiveness.
Spiritual Intelligence: The ability to behave with wisdom and compassion, while maintaining inner and outer peace regardless of the situation.
Spiritual Intelligence must show up in our actions an our behaviors.
Equallyokedtarians - A Social Psychology Research Project - Liberal Arts and ...BillyTODonohue
EQUALLYOKEDTARIANS - A SocPsy Research Project - Liberal Arts and Humanities .
Key Words: Unequally yoked, Unequallyoked, Unequally-yoked, equally yoked, egalitarianistic, true equality, introduction to social psychology, sociology, violation of social mores, social science, deviancy, mating, deviancies, statistics, abnormalacies, sexual perversions, data base, psychopathology, pairing off, sociopathology, Violation of Social Mores, Engagement, biostatistics, Equally-yoked, Equallyoked Couples, Equallyoked, Equallyokedtarian, Equallyokedtarians, Equallyokedtarianism, Coupling up, Pairing-Off, Coupleships, Mate Selection, Dyadic Relationships, Premartial Pairing, Civil Identity, Intimacy and Mating, Pre-engagement, Courting, Courtship, Spouses, Dyads, Dyadic Psychology, Social Mores, Marriage, Family, and Child Psychology, Biopsychosociocultural Medicine, Clinical Sociology, Social Psychiatry, Psychotherapy, Psychosocial Health, Marriage and Family Therapy, Sociocultural Anthropology, Human Ecology.
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Spiritual Intelligence: The ability to behave with wisdom and compassion, while maintaining inner and outer peace regardless of the situation.
Spiritual Intelligence must show up in our actions an our behaviors.
Equallyokedtarians - A Social Psychology Research Project - Liberal Arts and ...BillyTODonohue
EQUALLYOKEDTARIANS - A SocPsy Research Project - Liberal Arts and Humanities .
Key Words: Unequally yoked, Unequallyoked, Unequally-yoked, equally yoked, egalitarianistic, true equality, introduction to social psychology, sociology, violation of social mores, social science, deviancy, mating, deviancies, statistics, abnormalacies, sexual perversions, data base, psychopathology, pairing off, sociopathology, Violation of Social Mores, Engagement, biostatistics, Equally-yoked, Equallyoked Couples, Equallyoked, Equallyokedtarian, Equallyokedtarians, Equallyokedtarianism, Coupling up, Pairing-Off, Coupleships, Mate Selection, Dyadic Relationships, Premartial Pairing, Civil Identity, Intimacy and Mating, Pre-engagement, Courting, Courtship, Spouses, Dyads, Dyadic Psychology, Social Mores, Marriage, Family, and Child Psychology, Biopsychosociocultural Medicine, Clinical Sociology, Social Psychiatry, Psychotherapy, Psychosocial Health, Marriage and Family Therapy, Sociocultural Anthropology, Human Ecology.
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Cross Cultural Communication Barriers Free Essay Example. Cross-cultural communication Essay Example | Topics and Well Written .... Cross Cultural Communication. Cross Cultural Communication. The Lewis Model and the Differences .... (PDF) Understanding cross-cultural communication. 101-Cross cultural communication. Sample essay on cross cultural management. ≫ Cross-Cultural Communication in Professional Level Free Essay Sample .... (PDF) Cross-Cultural Communication. Cross-Cultural Communication Strategies. Cross Cultural Essay | PDF | Nonverbal Communication | Negotiation. Essay The Discourse Analysis | Cross Cultural Communication | Stereotypes. Essay barriers in cross cultural communications. Short Essay on Importance of Intercultural Awareness in the Workplace .... Cross Cultural Communication – College Essay Example | StudyHippo.com. Cross cultural communication Essay Example | Topics and Well Written .... Cross Cultural Management Essay | Essay on Cross Cultural Management .... Cross Cultural Perspectives on Business - PHDessay.com. Cross-Cultural Communication | Essay Sample for Free. ⇉Avoiding Misunderstanding in Cross-Cultural Communication Essay .... Read «Cross-Cultural Communication» Essay Sample for Free at .... Essay barriers in cross cultural communication in 2021 | Cross cultural .... 'cross cultural communication' on SlideShare. Cross Cultural Communication Term Paper Example | Topics and Well .... Custom Academic Paper Writing Services - intercultural communication .... ≫ My Service Learning Experience in Cross Cultural Communication Free .... Cross-Cultural Communication and Understanding. Tips for Successful Cross Cultural Communication.docx | Conversation .... Cross-cultural Communication Research Paper Example | Topics and Well .... Research on communication(Cross cultural and Corporate).
Cross Cultural Communication Barriers Free Essay Example. Cross-cultural communication Essay Example | Topics and Well Written .... Cross Cultural Communication. Cross Cultural Communication. The Lewis Model and the Differences .... (PDF) Understanding cross-cultural communication. 101-Cross cultural communication. Sample essay on cross cultural management. ≫ Cross-Cultural Communication in Professional Level Free Essay Sample .... (PDF) Cross-Cultural Communication. Cross-Cultural Communication Strategies. Cross Cultural Essay | PDF | Nonverbal Communication | Negotiation. Essay The Discourse Analysis | Cross Cultural Communication | Stereotypes. Essay barriers in cross cultural communications. Short Essay on Importance of Intercultural Awareness in the Workplace .... Cross Cultural Communication – College Essay Example | StudyHippo.com. Cross cultural communication Essay Example | Topics and Well Written .... Cross Cultural Management Essay | Essay on Cross Cultural Management .... Cross Cultural Perspectives on Business - PHDessay.com. Cross-Cultural Communication | Essay Sample for Free. ⇉Avoiding Misunderstanding in Cross-Cultural Communication Essay .... Read «Cross-Cultural Communication» Essay Sample for Free at .... Essay barriers in cross cultural communication in 2021 | Cross cultural .... 'cross cultural communication' on SlideShare. Cross Cultural Communication Term Paper Example | Topics and Well .... Custom Academic Paper Writing Services - intercultural communication .... ≫ My Service Learning Experience in Cross Cultural Communication Free .... Cross-Cultural Communication and Understanding. Tips for Successful Cross Cultural Communication.docx | Conversation .... Cross-cultural Communication Research Paper Example | Topics and Well .... Research on communication(Cross cultural and
S o c i a l J u s t i c e Words such as culture, race,.docxjeffsrosalyn
S o c i a l J u s t i c e
Words such as culture, race, and ethnicity are extremely prevalent in counseling today. Counseling
does not exist in a vacuum. We may sometimes feel that what is happening in the outside world is
shut out of the counseling room, but it is not and has never been. Counseling and therapy exists to
serve the needs of the people within our societies. We have all read, wrote, and heard about the
importance of advocating for our clients. For many people, counseling provides the only safe space
they may ever experience. Therefore, it is our privilege and duty to serve our clients.
Many clinicians believe that counseling should hold a neutral position. However, I beg to differ. First,
the most basic fact is that we all share in the human experience which connects us, whether we
choose to acknowledge this fact or not. The therapeutic process is also built on our abilities as
counselors to connect and empathize with our clients. This concept was illustrated with the creation
of Rogerian and existential therapies. Social factors affect all individuals and as such directly
influences therapy as neither clients nor therapists checks their value systems at the door at the start
of the sessions. Secondly, how do we help clients make sense of their experiences if they are
unable to process all of their experiences in therapy? We all experience our worlds through our
environments, relationships that we build, and stories that we create to make sense of our worlds.
Therapy helps us to examine our stories and make healthy changes accordingly. And lastly,
psychology and counseling, which is still heavily based on the medical model, has difficulties
incorporating client experiences which are largely internal and individualistic. Many of the theories
that are utilized are western, male-Eurocentric based and some of the diagnoses that are available
do not fully facilitate the cultural experiences of the clients.
Counseling has a long history of being heavily influenced by the dominant white male culture. The
models and theories were created around a particular cultural and racial identity and was not
inclusive of minority groups. Hence, the creation of multicultural groups to help counseling become
more inclusive and also to help counselors meet clients where they are socially, culturally, and
racially. An important recognition about counseling is that it possesses an inherent power dynamic
that may appear threatening to minority groups who are already uncomfortable with the counseling
process. Adding the fears and social stigmas about therapy and mental health only highlights groups
of people who critically need mental health services but are instead left underserved or unserved
because our profession and practices do not meet these clients where they are.
The ironic things that I have learnt about counselors are that our profession trains us to deal with
trauma and difficult conversations with clients .
Structural racism in schools creates harm for students of color—especially black and brown young men. Their resistance is read as “behavior problems;” they are labeled “angry,” “defiant” or “under-achieving.” Efforts both to discipline and support these young people focus interventions on individuals (e.g. suspension, anger management classes). Scant attention is paid to the ways that adult school staff participate in structural racism and harm the young people we pledge to serve. This workshop highlights one effort to enlist teachers in the struggle to transform our schools to more effectively love, teach and reach our students of color.
View the video here: https://www.youtube.com/watch?v=gCMCNReYnYs
Earn counseling CEUs here: https://www.allceus.com/member/cart/index/product/id/684/c/
Assumption 1: Counselors will not be able to sustain culturally responsive treatment without the organization's commitment to it.
Assumption 2: An understanding of race, ethnicity, and culture (including one's own) is necessary to appreciate the diversity of human dynamics and to treat all clients effectively
Assumption 3: Incorporating cultural competence into treatment improves therapeutic decision-making and offers alternate ways to define and plan a treatment program that is firmly directed toward progress and recovery
Assumption 4: Consideration of culture is important at all levels of operation—individual, programmatic, and organizational
Assumption 5: Culturally congruent interventions cannot be successfully applied when generated outside a community or without community participation.
Assumption 6: Public advocacy of culturally responsive practices can increase trust among the community, agency, and staff.
RESPONSE 1·Respond to at least two colleagues by expanding.docxinfantkimber
RESPONSE 1
·
Respond
to at least two colleagues by expanding on their posts with an explanation of the bicultural conflict and tension, experienced by both the social work intern and Helen, as a result of their ethnic and racial identities.
·
Then, explain how you, as a social worker, might address Helen and her family’s bicultural socialization needs, given what your colleague described.
Colleague 1: Lea
Introduction
In order to provide competent and effective care, the social worker must be able to adapt and personalize treatment to the individual. When working with individuals from different ethnocultural backgrounds, a balance between cultural sensitivity and empirically proven methodology must be found and utilized (Bernal, Jiminez-Chafey, and Rodriguez, 2009). In the case of The Petrakis Family (Plummer, Makris, and Brocksen, 2014), the social worker is faced with providing services to Helen Petrakis taking into account her Greek heritage, culture and belief systems.
Helen’s Cultural Influences:
For Helen, family is “everything.” She reports the social work intern a number of identifiers of her ethnic identity. She states that she is Greek and practices the Greek Orthodox religion. From there she expresses her cultural practices by explaining that she, as the mother, is the primary caregiver to her husband, her children, and her mother-in-law. In addition to caring for the family, she also holds down a full-time job and cooks and cleans. She also relates to the intern that she and her husband support their adult children because they do not believe in taking money from them. Helen does not seem to think this is anything other than “how things are done.”
Intern’s Perception of Helen
The Intern appears to be surprised by the many roles that Helen plays in her family. She states that she understands why Helen would be showing symptoms of being overwhelmed. Though we are not informed of the cultural background of the social work intern, it is made clear that she is surprised by the cultural practices related by Helen. She is most likely a “modern” woman subscribing to the Anglo-based norms, values, and customs of the ethnic minority. It might be assumed that the intern was raised in a society where children are not supported by their parents indefinitely, working women share family responsibilities with their partners, and aging parents are cared for in retirement homes, or by in-home care. Those values held by Helen and her family are devalued by the dominant culture (the intern), therefore a “deficiency formulation” between the intern and Helen that may affect the efficacy of services provided to Helen (Robbins, Chatterjee, and Canda, 2012).
Dual Perspective Model
The social work intern will have to address Helen’s issues in a way that is in line with her cultural and ethnic identity while alleviating the stress and anxiety she is experiencing. In this case, the social work intern can utilize the Dual Perspective model to assist ...
2018 update (minor revisions) of the Person-Environment-and-Culture-Emergence (PEaCE) meta-theoretical framework grounded in a psychoecocultural approach to understanding human behavior. Developed by Shelly P. Harrell.
For description and earlier versions see:
Harrell, S.P. (2018). Being human together: Positive relationships in the context of diversity, culture, and collective well-being. In M.A. Warren and S.I. Donaldson (Eds.), Toward a Positive Psychology of Relationships: New Directions in Theory and Research (pp. 247-284 ). Santa Barbara, CA: Praeger.
Harrell, S.P. (2015). Culture, wellness and world PEaCE: An introduction to person-environment-and-culture-emergence theory. Community Psychology in Global Context, 1(1), 16-49.
Psychoecocultural Flexibility: A More Explicit Culture- and Context- Consciou...Shelly Harrell
Presented at the Annual Conference of the Association for Behavioral and Cognitive Therapies in the Symposium "Incorporating Contextual, Sociopolitical, and Culture-Based Cues in Mindfulness and Acceptance-Based Therapies" (November, 2017)
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Communal, Contemplative, and Empowerment Processes: Culturally-Syntonic Practice for "PEaCE" with Diverse Clients
1. Communal, Contemplative,
and Empowerment Processes:
Culturally-Syntonic Practice for
“PEaCE” with Diverse Clients
Shelly P. Harrell, Ph.D.
California Psychological Association
Annual Convention
Irvine, CA
April 16, 2016
2. How do we meaningfully integrate
culture and context into
psychotherapy conceptualization
and intervention?
A Longstanding Challenge for Mental
Health Practitioners…
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
2
3. Culture and Professional Practice
APA Ethical Principles for Psychologists
APA Evidence-based Practice for
Psychologists
APA Multicultural Guidelines
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
3
4. Multicultural Psychology 101
1. Terminology (Race, Ethnicity, and Culture)
2. The “Culture” of Psychology
3. Research Methodology and Culture
4. Dynamics of Difference
5. Racial and Ethnic Identity
6. Racial, Ethnic, Cultural Socialization
7. Sociopolitical and Sociohistorical Context
8. Immigration, Refugee, Colonization, Genocide, and Slavery Experiences
9. Acculturation, Assimilation, Biculturation, Alienation
10. Collectivism, Communalism, and the Interdependent Self
11. Worldview and Culture
12. Indigenous Psychologies
13. Intersectionality and Ecological Niche
14. Implicit bias
15. Stereotypes, Prejudice, Discrimination and Oppression
16. Stereotype Threat research
17. Racism-related Stress: episodic life events, chronic, microaggressions, vicarious, transgenerational
18. The Physical and Mental Health Effects of Racism
19. Internalized Racism and Colorism
20. White Privilege
21. Intergroup Relations and the Dynamics of Difference
22. Liberation Psychology and the role of Social Justice in Psychotherapeutic Interventions
23. Critical Consciousness
24. Language and Psychotherapy
25. EBPP and Cultural Diversity
26. Culture and Theoretical Orientation
27. Culturally-Adapted and Culturally-Centered Interventions
Copyright 2016. Shelly P. Harrell, Ph.D. All
Rights Reserved
4
5. We know culture is important but
what should we actually DO with it in
our work?
How has your awareness and
knowledge of culture specifically
impacted how you practice?
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
5
6. INTENTION
Provide opportunities to feel and experience
the dynamics of cultural diversity
Provide ways of thinking about the meaningful
integration of culture into our work
Culturally-Syntonic Practice
Provide conceptual and intervention tools for
the meaningful integration of culture in our
work
PEaCE Theory
Communal, Contemplative, and Empowerment
Processes
Provide illustrative examples for us to apply the
tools in our work
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
6
7. Three Culturally-Informed Change Processes
Asking questions about three central processes can help us
organize the integration of culture into psychological practice:
Communal Processes (Allies/Alliances)
-How are we strengthening connectedness to others, community, nature,
Spirit, values, culture, a cause, etc. (something bigger than self)?
Contemplative Processes (Awareness)
-How are we enhancing experiential awareness and critical consciousness
of “what is” about self, others, our circumstances, and the world?
Empowerment Processes (Action)
-How are we facilitating creative, committed, liberatory, and/or
transformative action (personally, relationally, and collectively)?
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
7
8. How did I arrive at these three
processes?
This talk is an invitation into my
professional journey that landed
me in these three culturally-
informed change processes and
guiding questions
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
8
9. A Starting Place
We are all
AT THE SAME TIME
Like ALL others
Like SOME others
Like NO others
(paraphrased and extended from Murray & Kluckhohn)
9
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
10. ALL OTHERS Our Common Humanity
SOME OTHERS Our Groups
NO OTHERS Our Unique Individuality
10
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
11. “Some” Others
Group Level of Analysis
Where culture lives
Where power and privilege dynamics are
manifested
“Some” others includes:
Like MANY others Majority Group
Like FEW others Minority Group
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
11
12. The “Some Others” Challenge
It is a human challenge that shows up in our
therapy rooms with each client we see
It is the challenge of holding similarity and
difference in our hearts and minds
simultaneously
It is about the ongoing and moment-to-moment
dance of connection and disconnection
It is the ultimate challenge to humanity to live in
the world with each other and the greatest
failings of humanity has been our inability to do
this.
These macro-level failings in the form of genocide,
slavery, colonialism, and oppression live in our
historical and recent collective memory and are
triggered in our micro-level relationships. 12
13. Why is the “Some Others” part so
difficult?
Why will students openly share many human
vulnerabilities in the service of their professional
development but bristle and lash out when this area
of the human condition is touched?
Why do professors who teach this material get so
much push back and demeaning, accusing, insulting
treatment from some students?
We have to be willing to be disliked and get poor
evaluations simply by virtue of the material we teach
Why do we collude with our clients’ avoidance of
exploring race and culture while more readily
recognizing the need to help our clients confront
other areas avoidance in their lives?
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
13
14. All human encounter is an opportunity to
participate in healing the collective damage of how
difference has been managed in our human history
and the damage that it continues to do
Each encounter confronts us simultaneously with
the human challenge of difference, otherness, and
disconnection and the human need for similarity
and affirmation, visibility, and connection
Part of the challenge is to recognize that all human
encounters include not only opportunities for
healing but the inevitable ways that we participate
in the triggering of the pain and shame of our
human history
What do we do with the “some others” challenge
in our interactions our clients, our students, our
colleagues?Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
14
15. A Brief Introduction
Teaching and training therapists and students
about culture, ethnicity, and race for over 25 years
Consultant for Museum of Tolerance
CSPP- Former Director of the Multicultural-Community
emphasis on the LA campus and co-developed the
pioneering Intercultural Laboratory class over 20 years
ago
Professor at Pepperdine where I have taught Cross-
Cultural Counseling and Multicultural Psychotherapy
Research: racism-related stress, culture and well-
being
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
15
16. The Three Processes and Questions Again
Communal Processes (Allies/Alliances)
-How are we strengthening connectedness to others, community, nature,
Spirit, values, culture, a cause, etc. (something bigger than self)?
Contemplative Processes (Awareness)
-How are we enhancing experiential awareness and critical consciousness
of “what is” about self, others , our circumstances, and the world?
Empowerment Processes (Action)
-How are we facilitating creative, committed, liberatory, and/or
transformative action (personally, relationally, and collectively)?
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
16
17. Continuing the Journey
How can I best train therapists to
integrate culture meaningfully in their
professional practice?
Central premise: The person is
inseparable from culture and context
The dilemma: We don’t have many
theories of human behavior that
EXPLICITLY include culture in a central
role in psychological processes
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
17
18. Terminology for Incorporating Culture
Culturally-Sensitive
Culturally-Appropriate
Culturally-Relevant
Culturally-Intentional
Culturally-Adaptive
Culturally-Alert
Culturally-Responsive
Culturally-Congruent
Culturally-Competent
Culturally-Centered
Culturally-Infused
Cultural Humility
Cultural Attunement (Falicov)
Cultural Resonance (Trimble)
Culturally-Syntonic Practice (Harrell, 2008)
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
18
19. Why Culturally “Syntonic”?
Syn – with or together
From the Greek “suntonos”-- in harmony with – Collins English Dictionary
Emotionally in harmony with one’s environment -Collins English
Dictionary
Normally responsive and adaptive to the social or
interpersonal environment -Merriam Webster’s Medical Dictionary
In emotional equilibrium and responsive to the environment
–YourDictionary.com
Describes somebody who is normally attuned to the
environment; used to describe behavior that does not
conflict with somebody’s basic attitudes and beliefs –Microsoft Encarta
College Dictionary
Characterized by a high degree of emotional responsiveness
to the environment; Of or relating to two oscillating circuits
having the same resonant frequency -American Heritage Dictionary
19
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
20. Culturally-Syntonic Practice
(Harrell, 2008/2011)
Psychological practice characterized by relational,
behavioral, and experiential processes
that reflect attunement, harmony, and
resonance
with relevant dimensions of collective cultural
contexts (sociocultural processes) and their
individual expressions (psychocultural
processes)
such that engagement with, and the
effectiveness of, interventions is enhanced and
optimized.
20
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
21. Common but Non-Culturally
Syntonic Approaches to
Considering Culture
Cultural Categorization (The Cookbook)
Asian client = significance of shame
If I can label you then I can treat you
Cultural Difference
“You’re Black and I’m White”
Who is this for, the therapist or the client?
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
21
22. Culturally-Syntonic Practice Strategies
Three approaches:
Culturally-Adapted - Start with presumably
universal constructs, strategies and methods
and then make cultural adaptations
Culturally-Specific – Start with the specific
ecological culture and design strategies that
emerge from constructs relevant to the target
group (e.g., NTU Psychotherapy)
Culturally-Centered - Start with constructs,
strategies and methods that emerge from
multicultural considerations (e.g., cultural
identity) and then integrate culturally-syntonic
processes as appropriate
22
Copyright 2016. Shelly P. Harrell, Ph.D. All Rights Reserved
23. Helpful Frameworks for
Culturally-Syntonic Practice
Diversity Principles and Orienting stances
(Harrell and Bond, 2006)
Contextualized Understanding
Informed Compassion
Empowered Humility
Dynamics of difference (5 Ds)
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
23
24. 5 Ds of Difference (Harrell, 1995)
Ways we attempt to resolve the anxiety
and cognitive dissonance that difference
creates
Distancing
Denial
Defensiveness
Devaluaing
Discovery
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
24
25. So…
What is CULTURE anyway?
25
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
26. Culture is…
The multiple organizing systems of meaning and living in the
world that
consist of patterns of being, believing, bonding, belonging,
behaving, and becoming which provide the foundational
frames for developing worldviews, interpreting reality, and
acting in the world
for a group of people who share common ancestry, social
location, group identity, or defining experiential contexts; but
for whom, as individuals or intersectional subgroups,
elements of a particular cultural system may be embraced,
internalized, and expressed differentially.
emerge and transform through cumulative and adaptation-
oriented person-environment transactions over time
are maintained and transmitted through collective memory,
narrative, and socialization processes
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
26
27. Culture is…
The patterns, rhythms, and ways of:
Being (identity, self, and experiential processes)
Believing (values, meanings, and worldview)
Bonding (attachment and relational processes)
Belonging (community and group processes)
Behaving (actions, agency, daily living)
Becoming (transformation and healing)
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
27
28. Culture is…
Manifested in:
language, communication styles, emotional
expression, interpersonal behaviors, social
roles, ideas of health and illness, health and
healing practices, institutional structures,
organizational policies and practices,
ideologies, aesthetics, customs and normative
behaviors, rituals, symbols, and physical
artifacts.
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
28
29. Culture is…
embedded in social and institutional contexts,
internalized as patterns of meaning and identity,
expressed through actions and relationships in
the context of power dynamics at multiple LOA,
and
interactive with co-existing cultural systems that
reflect the multiple dimensions of human diversity
that carry culture.
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
29
30. Culture is…
“What everybody knows that everybody else knows”
Culture is LIVED and not always easily
articulated by members of the culture-carrying
group
Cultural socialization is about transmitting
“norms” so it is not something that is distinct
from daily life
“Tell me about your culture” may not always
yield complete or sufficient data.
Often only recognized in contrast which is why
“minority” groups may be more aware of culture.
Copyright 2016. Shelly P. Harrell, Ph.D. All
Rights Reserved
30
31. We are exposed to and internalize multiple
cultural influences which intersect in particular
ways and are woven into
Identity
Narratives
Memory
Behaviors
Preferences
31
The Integrative and Foundational
Role of Culture
Copyright 2016. Shelly P. Harrell, Ph.D.
All Rights Reserved
32. Culture, Power, & Privilege
Some ways of being, believing, bonding,
belonging, behaving, and becoming are
more valued than others
We need to be aware of the
internalization of dominant cultural
narratives of what is acceptable,
desirable, healthy, “normal”
Impact on the non-dominant group
Impact on the dominant group
Implications for therapy
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
32
33. CORE IDEA: Cultural-Infusion
Culture is infused all elements of the
multiple systems involved in human
functioning:
-BIO: Genetic, physiological, neurological,
biochemical
-PSYCHO: Mental, emotional, behavioral,
identity, meaning-making processes
-RELATIONAL: Close interpersonal relationships
-SOCIO: Group and community social contexts
-ECOLOGICAL: Institutions, organizations,
environments, settings, macrosystem contextsCopyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
33
34. Need a Theory!
The influence of culture in all of these
aspect of human functioning has
tremendous empirical support
However, there is no general psychological
theory that EXPLICITLY names culture as a
central feature of psychological
functioning
This makes it easy to marginalize it or
consider it an “add-on”
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
34
35. Where is Culture in Psychological
Theory?
On the margins
Consideration of culture as an “add-on”
inevitably privileges the dominant status
quo and existing structures of power
and inequality that maintain
asymmetries in health and wellness
Collusion with the dynamics of
oppression in contemporary
psychological theory and practice occurs
primarily through omission
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
35
38. PEaCE Theory (Harrell, 2015)
An meta-theoretical framework that
understands human experience as emerging
from the ongoing and complex transactions
within and between three interconnected
complex systems:
biopsychorelational (person),
socioecological (environment),
and multicultural (culture).
38
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
40. The overarching objective of PEaCE
Theory is to contribute to an ever-
increasing holistic and complex
understanding of the interconnected
elements of interacting systems that can
provide direction toward creating a
world that optimizes individual,
relational, and collective wellness
This requires a culture- and context-
conscious psychology.
40
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
41. Foundations of PEaCE Theory
PEaCE Theory extends the person-environment
interaction foundations of field theory (Lewin),
bioecological systems theory (Bronfenbrenner), and
biopsychosocial theory (Engel) to EXPLICITLY include
culture.
PEaCE theory is based on the proposition that all of
human experience occurs at the intersection of
persons, environments, and culture, and that culture
is infused into all subsystems of both persons and
environments.
A goal of developing the theory is to fully capture the
dynamic process of the person as a living multi-
system that is embedded in and interdependent with
multiple cultural and ecological systems. 41
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
43. Overview of the PEaCE Transactional
Wellness Framework
Individual and Collective Wellness Outcomes emerge from
the dynamic and ongoing transactions in the Person-
Environment-and-Culture-Emergence (PEaCE)
Transactional Field where multidimensional Person
Processes, multilevel Environmental Processes, and the
intersectional dynamics of Cultural Process are
continuously interacting. PEaCE transactions can be
neutral, pathogenic, or wellness promoting with respect to
their contribution to the emergence of positive and
negative outcomes for persons, relationships, groups,
communities, and institutions.
43
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
44. PEaCE Theory Basics
Multidimensional/Multilevel Complex
Systems: Person, Environment, & Culture
Interconnectedness within and between
Systems- Persons, Environments, and
Culture are inseparable
Dynamic Transactional Processes
Cultural Infusion
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
44
45. Two Cultural Infusion Processes
Psychocultural Processes
o Reflect the transactions between culture and the multiple and
interconnected biopsychorelational systems of the person
o The unique ways that cultural systems are internalized and expressed
by the individual person
o The intentional choices that individuals makes regarding adopting and
participating in particular cultural values, customs, behaviors, etc.
o The meaning of culture to the individual
Sociocultural Processes
o Reflect the transactions between culture and the multiple ecological
contexts within which we develop, live, and change
o The shared core elements of the cultural worldview, beliefs, customs,
etc.
o General and commonly expressed cultural characteristics: Material
culture, Social culture, Symbolic Culture, and Ideological Culture
o Manifestations of culture that emerge from a group’s cultural context
o The essential elements of a culture’s way of life passed down from
generation to generation
45
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
47. Culture is carried by collective entities that
reflect multiple dimensions of human
diversity
These dimensions of diversity can be
demographically-based (e.g., ethnicity,
religion) or experientially-based (e.g.,
occupation, defining life experience) and are
frequently intersectional (e.g., African
American race and ethnicity)
47
Multiple Dimensions of Cultural
Systems and Processes
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
48. Primary Macrocultural Collective Entities
Deeply embedded in the functioning of persons and
contexts
Transmitted within family and community socialization
processes
Cultural elements of privileged macrocultural entities
are woven into the dominant cultural narratives of
society (e.g., generational trends, heteronormativity,
ideology of white supremacy)
EXAMPLES: Nationality, Ethnicity, Religion, “Race”
Microcultural Collective Entities
Function within particular sociocultural communities
Exposure typically occurs after childhood and outside
of the family socialization context
Immersion in these entities may be voluntary
EXAMPLES: Military culture, Alcoholics Anonymous,
Gay male cultureCopyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
48
49. INTERSECTIONALITY
Individuals are exposed to and
internalize multiple cultural
influences which intersect in
particular ways to create
identity, meanings, and
behavior
Culture is always expressed
intersectionally
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
49
50. The PEaCE Transactional Field
A way of thinking about the constant and ongoing
transactions between the interconnected Person,
Environment, and Cultural systems
It is in this dynamic “field” where lived experience is
co-created and human agency is activated, and where
person, environment, and culture can be understood as
mutually constituting the other.
Transactional processes in the field determine the
emergence of individual, relational and collective
wellness outcomes. Outcomes are NEVER the product
of one system independent of the others
50
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
52. Person-Environment-and-Culture Fit
Refers to the qualities of the interaction and degree of
compatibility of co-occuring elements of
Biopsychorelational processes and characteristics of the
PERSON
Salient aspects of CULTURE
The historically-influenced and currently manifested demands
and resources of the social and physical ENVIRONMENT at
multiple ecological levels of contextualization
It is reflected in the degree to which person-
environment-and-culture transactions “bring out the
best” in individuals, relationships, and settings. When
there is optimal Person-Environment-Culture Fit, the
functioning and well-being of persons, contexts, and
cultural communities are enhanced.
The nature and quality of Person-Environment-Culture
Fit shifts as change occurs within persons and contexts.52
53. Person-Environment-Culture Fit as
Congruence, Complementarity,
and Optimal Challenge
Person-Environment-Culture Fit is conceptualized as
the degree of congruence, complementarity, or
optimal challenge experienced between salient, co-
occuring aspects of persons, environments, and
cultural dynamics
CONGRUENCE refers to experiencing co-occuring elements of Persons-
in-Culture-in-Context transactions as being consistent with each other
through shared core characteristics
COMPLEMENTARITY refers to experiencing different elements of
Persons-in-Culture-in-Context Transactions as in balance or as
supplementing each other such that they co-exist in ways that are
mutually enhancing
Optimal CHALLENGE refers to growth-promoting tensions between
different elements of such that their co-occurrence motivates optimal
development and functioning 53
54. All PEaCE-Informed Interventions
(e.g., psychotherapeutic,
preventive, psychoeducational,
etc.) are concerned with
optimizing Person-Environment-
Culture Fit.
55. Activity in the PEaCE Transactional Field:
Person-in-Culture-in-Context Transactions
Neutral Transactions
Everyday transactions that neither significantly increase nor
decrease the likelihood of positive or negative wellness
outcomes
Pathogenic Transactions
Decrease the likelihood that the positive wellness outcomes
of resilience, wellbeing, thriving, and optimal functioning will
emerge
Increase the likelihood that the negative wellness outcomes
of distress, dysfunction, disorder, and disease will emerge
Wellness-Promoting Transactions
Increase the likelihood that the positive wellness outcomes of
resilience, wellbeing, thriving, and optimal functioning will
emerge
Decrease the likelihood that the negative wellness outcomes
of distress, dysfunction, disorder, and disease will emergeCopyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
55
56. So now that we have a theory what
do we do with it?
Apply it and Test it!!!!
Measuring Pathogenic Transactions
Oppression and Racism-Related Stress
Measuring Positive Well-Being Outcomes
Multidimensional Well-Being Assessment
Collective, Transcendent, Transformational
R & R Project
“Resilience and Reconnection” Stress Management
Group Intervention
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
56
57. Wellness and Oppression
➢ Oppression refers to systemic processes that result in
asymmetries such that a dominant group has greater
accesses to values societal resources such as health, safety,
education, employment, esteem, status, political
representation, etc.
➢ Wellness is threatened by multiple oppressions (racism,
sexism, classism, heterosexism, etc.) and all forms of
violence (structural, cultural, interpersonal), each of which
are intolerant of human diversity, perpetuate social
asymmetries, and compromise the freedom of persons to
live with dignity and self-determination.
➢ Dysfunctional and oppressive contexts can
➢ impede functioning and well-being,
➢ compromise or confuse personal and collective identity,
➢ and suppress or misdirect health-promoting behaviors.
57
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
58. Racism as a form of Oppression
(Harrell, 2000)
A system of dominance , power, and privilege
based on racial group designations rooted in the
historical oppression of a group defined or
perceived by dominant-group members as inferior,
deviant, or undesirable
Occurs in circumstances where members of the
dominant group create or accept societal privilege
by maintaining structures, ideology, values, and
behaviors that have the intent or effect of leaving
nondominant group members relatively excluded
from power, esteem, status, safety, and/or equal
access to societal resources.
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
58
59. Racism-Related Stress (Harrell, 2000)
Particular type of Pathogenic Person-in-
Culture-in-Context Transaction
Six dimensions of racism-related stress
(measured by the RaLES; Harrell, 1997)
Racism-related life events
Vicarious racism experiences
Daily racism microstressors (e.g.,
microaggressions)
Chronic racism-related stress
Collective racism experiences
Transgenerational transmission of racism trauma
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
59
60. Internalized Oppression
When a member of an oppressed group
believes and/or acts out the stereotypes
created about their group (internalized
racism, homophobia, sexism, etc.).
Colorism is an example
Critical consideration when working with
historically oppressed and marginalized
groups
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
60
61. Oppression and Context
Oppressive Contexts:
affects conditions of living and access to
societal resources
determines exposure to particular
societal, sociocultural, and community
narratives that define self, acceptable
roles, as well as appropriate thoughts,
feelings, and behaviors
impacts options for support and coping
influences opportunities for affirmation
and validation of self and community
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
61
62. PEaCE and Culturally-Syntonic Practice
PEaCE Theory provides a foundation for
developing and implementing interventions
grounded in an understanding of health and
well-being as manifestations of the ongoing
transactions within and between
interconnected biopsychorelational (PERSON),
socioecological (ENVIRONMENT), and
multicultural (CULTURE) processes.
Personal, relational, and collective
transformation are maximized when ALL of
these processes are part of the
conceptualization and intervention planning.
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
62
63. Interventions informed by PEaCE
Theory focus on creating,
facilitating, and nurturing
Wellness-Promoting
Person-In-Culture-In-Context
Transactions
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
63
64. PEaCE-informed Intervention:
The Therapeutic Relationship
The interplay of interpersonal processes and
sociopolitical dynamics are expressed in the
therapeutic relationship
Exploring how macro-level constructs are
played out in the therapeutic relationship
Barriers include
Benevolence from a position of privilege that
directly or indirectly communicates one’s
acceptance of their superiority
Dynamics of silencing and invisibility
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
64
65. What Promotes Wellness?
Psychology is rooted in Ancient Greek and
Western European philosophical ideas about
health and the good life.
What about the rest of the world????
From a PEaCE perspective, culture (patterns,
rhythms, and ways of being, believing, bonding,
belonging, behaving, and becoming) is an
essential in the emergence of wellness
We need to look beyond a single cultural frame
of reference if we are to understand how to
participate in wellness, healing, and
transformation of culturally diverse peoples
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
65
66. Influences from Diverse Cultural Worldviews
➢ African Influences
➢ Ubuntu (spiritually-infused interconnectedness and interdependence)
➢ African Centered Psychology, Communalism
➢ Extended Self (Nobles), Community of Self (Akbar), Optimal Psychology (Myers)
➢ Native American Influences
➢ The Medicine Wheel, The Four Directions, The Talking Circle
➢ Native American Psychology- Cultural Soul Wounds (Duran), Boarding School Syndrome
➢ Latin American Influences
➢ Cultural borderlands (Anzaldua)
➢ Latino Psychology: Personalismo, Espiritismo, Dignidad
➢ Post-Colonial Syndrome (Comas-Diaz)
➢ Liberation Psychology (Martin-Baro, Freire)
➢ Asian Influences
➢ Asian Psychology: Interdependent Self, Collectivism, Morita Therapy, jeong, etc.
➢ Indian Psychology:Oneness and non-duality, Consciousness and Self (Paranjpe and Rao)
➢ Buddhist Psychology (Kornfield; Hanh; Brach): Lovingkindness, Compassion, Enlightenment,
Mindfulness
➢ Middle Eastern Influences:
➢ Sufi Psychology: Transformation of the Heart; Centrality of and closeness with the
Divine; Expression of strong emotion through poetry
➢ Honor-based social self, emphasis on interpersonal relationships
66
67. Common Themes Emerging From Culturally-
Diverse Healing & Transformation Practices
CONNECTEDNESS of persons, nature, and spirit
Mind-Body-Spirit interconnectedness
Interconnectedness of persons, nature, and spirit
Centrality of community
COMMITMENT to a centering belief system
Values-centered, awareness of “what matters most”
Practices are connected to beliefs and values
CONSCIOUSNESS enhancing technologies
Methods of intensifying the connection of individuals and communities
to deeply held values and beliefs
Methods of deepening or expanding experiential awareness of our
internal and/or lived experience, as well as our interconnectedness
Strengthening connection to spiritual phenomena
67
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
68. PII Wellness-Promoting Transactions
Culturally-Syntonic
-Communal Processes
-Contemplative Processes
-Empowering Processes
COMMON THEMES ACROSS DIVERSE CULTURES:
“Connectedness”, “Consciousness”, “Commitment”
Indigenous Psychologies, Culture, and Context
Health and Healing in Diverse Cultures
68
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
69. Communal, Contemplative, and
Empowerment Processes
Communal
Strengthening Connection and Relationship
Contemplative
Enhancing experiential awareness and critical
consciousness
Empowerment
Transforming awareness and insight into action in the
context of power dynamics within interpersonal and
sociopolitical relationships
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
69
71. Communal Processes
The most basic and necessary conditions
for optimal health and well-being lie in the
harmoniousness of our relationships with
others, with community, with nature, and
with the transcendent.
Healthy communal and relational
functioning is viewed as necessary for the
optimal functioning of individuals and
society.
An appreciation of the interdependent
nature of all living systems must inform
how wellness is defined and promoted.
71
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
72. Oppression and Connection
Oppression and exploitation in
any system signifies severe
relational dysfunction and
disconnectedness
Oppression threatens the
wellness of all human, ecological,
and institutional systems.
72
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
73. Ubuntu Ethic of Interconnectedness
South African spiritual and ethical principle
“I am because we are, and therefore,
because we are I am.”
Ubuntu reflects the relational nature of our humanness.
From an Ubuntu (African-centered) perspective, the
essence of human existence is “in relationship” (to
others, to community, to place, to nature, to
transcendent experience).
Spiritually-infused harmony and interconnectedness as
the essence of our humanity
The essence of being human as a spiritually-infused
interconnectedness and interdependence such that the
foundation for living optimally and manifesting our
highest humanity comes from the nature of our
relationships with others in the context of being in
community.Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
73
74. Some Communal Processes
Affirmative Humanization
Promoting Healing and Growth
Alliances (HGAs)
Macrocultural Belonging
Microcultural Belonging
Giving Testimony and Bearing Witness
Copyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
74
75. Affirmative Humanization (“AH”)
Affirmative Humanization involves attunement through
the nonverbal connecting and verbal expressions that:
Affirm the humanity and dignity of the client;
Convey acceptance of the imperfections of being human;
Demonstrate care and empathy in the identification and
validation of dehumanization and invisibility experiences
and processes;
Establish a safe environment for taking off the protective
and defensive “masks” we wear;
Encourage the client to allow themselves to be “seen”;
Provide strong reinforcement for emotional,
interpersonal, and sociopolitical risks taken, and
Communicate that therapist sees the humanity and value
of the client
75
76. Giving Testimony & Bearing Witness
The helping professional is a facilitator of the
client’s process of giving the testimony of their
lived experience, telling their story, and expressing
their experiential truths both within and outside of
the helping relationship and intervention process
The helping professional bears witness to the
client’s Person-in-Culture-in-Context experiences by
the willingness to be emotionally and relationally
present (listening with heart, mind, eyes, ears &
spirit) during the client’s sharing. The process of
bearing witness is a “connected” witnessing rather
than a dispassionate observing. 76
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Ph.D. All Rights Reserved
77. Some PEaCE-Informed Areas for
Assessment
History and current contact with
members of salient cultural
identity groups
Opportunities for affirmation and
validation of sociocultural
experience
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77
78. Case Vignette #1: Communal Processes
Maribel is a 52 year-old Latina of Mexican
descent presenting with depression, guilt, and
self-loathing. During the past year she has
begun the process of ending a 31-year
marriage with her white American,
conservative Christian husband and has fallen
in love with a Mexican American woman who
has been comfortably out as a lesbian for her
entire adult life. Maribel is the mother of two
adult children, one of whom is a Pastor.
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78
79. The PII Approach to
Contemplative Processes
Contemplative Processes can be thought of as
encompassing a culturally-diverse group of
meditative and consciousness strategies for
deepening and expanding experiential and
critical awareness by bearing witness to one’s
own experience, both internally and in the
world.
79
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Ph.D. All Rights Reserved
80. Contemplative Practice in PII
Contemplative Practice Involves Culture, Context, and Liberation
“Culture” because there are diverse contemplative practices in
many cultural and religious traditions and the resonance and
effectiveness of any meditative or contemplative approach is a
function of its congruence with language, rhythms, values, beliefs,
and cultural worldview
“Context” because contemplative practices such as meditation,
like all human behavior, occurs in multiple ecological contexts and
these must be understood to maximize the potential effectiveness
of any particular meditative or contemplative practice
“Liberation” because the meaningful core of all contemplative
practices is freedom in the context of the challenges and
boundaries of the human condition such that the effectiveness of
the practice is enhanced when it remains connected to this
ultimate purpose of liberation
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80
81. “Meditation for Liberation”
Meditation is a type of Contemplative Practice that
occurs within the context of larger values-centered,
transformative and liberatory purposes with the
intention of being manifestated in how we live
individually, relationally, and collectively.
(Harrell, 2013/14)
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81
82. Thich Nhat Hanh on Meditation
“Meditation is not to escape from society,
but to come back to ourselves and see what
is going on. Once there is seeing, there must
be acting.”
82
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Ph.D. All Rights Reserved
83. “FOCUS and FLOW”
= Seeing + Acting
Focus = Connected and Conscious “Seeing”
CONSCIOUS and integrated awareness
through the intentional regulation of attention,
emotion, and physiological processes
(Engaged Consciousness)
Flow = Connected and Congruent “Acting”
Active, committed, and relational ENGAGEMENT
with life motivated and informed by the process and
content of focusing (Conscious Engagement) 83
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Ph.D. All Rights Reserved
84. “Where your focus goes,
your energy flows.”
FOCUS = Connected and Conscious Awareness
Increase inner, other, and outer awareness
Increase connectedness to purpose, values, identities,
strengths
Identify culturally-syntonic and values-congruent
commitments, activities, and relationships
Develop strategies for expression of purpose, values, identity,
strengths
FLOW = Connected and Congruent Action
Release what gets in the way and create space for full
experiencing and immersion in valued life contexts
Engage in activities that promote physical, psychological,
relational, collective, and transcendent wellness
Full expression of strengths and passions
84
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Ph.D. All Rights Reserved
85. from contemplativemind.org
Contemplative practices are practical, radical, and transformative,
developing capacities for deep concentration and quieting the
mind in the midst of the action and distraction that fills everyday
life.
This state of calm centeredness is an aid to exploration of
meaning, purpose and values.
Contemplative Practices cultivate a critical, first-person focus,
sometimes with direct experience as the object, while at other
times concentrating on complex ideas or situations.
Incorporated into daily life, they act as a reminder to connect to
what we find most meaningful.
Contemplative practices can help develop greater empathy and
communication skills, improve focus and attention, reduce stress
and enhance creativity, supporting a loving and compassionate
approach to life.
Center from Contemplative Mind in SocietyCopyright 2016. Shelly P. Harrell,
Ph.D. All Rights Reserved
85
87. Copyright 2016. Shelly P. Harrell, Ph.D. All
Rights Reserved
87
Stillness Practices
Meditation
Quieting the Mind
Silence
Centering
Creative Practices
Contemplative Arts
Improvisation
Music and Singing
Journaling
Generative Practices
Meditation
Lectio Divina
Visualization
Beholding
Loving-Kindness
Relational Practices
Council Circle
Dialogue
Deep Listening
Storytelling
Ritual/Cyclical Practices
-Ceremonies and Rituals
based in Spiritual or
Cultural Traditions
-Establishing a
Sacred/Personal Space
-Retreats
88. “The struggle has always been inner,
and is played out in outer terrains.
Awareness of our situation must
come before inner changes, which in
turn comes before changes in
society.”
-Gloria Anzaldua
88
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Ph.D. All Rights Reserved
The Interplay Between
Inner and Outer Experience
89. What does it mean
to be aware
of “your situation”?
-Understanding self-in-culture-in-context
-Consciousness of oneself as a culturally and
socio-politically embedded being
-Ongoing interaction between internal and
external processes
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Ph.D. All Rights Reserved
89
90. Case Vignette #2
Bobby is a 32 year-old college-educated African
American heterosexual man presenting with racing
thoughts, difficulty concentrating, psychomotor
agitation, and general anxiety about job
performance in his position as a criminal defense
attorney. As part of your work with him, you
attempt to teach him mindfulness. He becomes
frustrated with the process and rejects your
attempts.
What are you thinking?
How might you handle this?
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Ph.D. All Rights Reserved
90
91. Empowerment Processes
Empowering Practices are the “action” implications of Communal
and Contemplative Practices
Expression of contemplative and communal processes through action in the world
Recommended after or concurrent with Communal and
Contemplative because of risk of distortions in messages of power
out of the context of connection
What does it mean to be empowered?
“Empowered” means to have the inspiration, commitment, and
resources (internal and external) to turn cognitions, motivations,
and values into action through conscious and connected
engagement with self, others, and society.
Being empowered is activation of individual and collective agency;
the capacity to mobilize and actualize vital energy and resources
to move toward a desired result.
Being empowered can be expressed individually, relationally, or
collectively.
An empowered person will:
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Ph.D. All Rights Reserved
91
92. About Power
What is Power?
Ability/capacity to do or act; capability of doing or accomplishing
something; exercise of one’s authority; energy and power are often
cited as synonyms
The ability to define someone else’s reality and get them to accept it
as if it were their own (Akbar; Karenga)
Expressions and Manifestations of Power
From Riger (1993)
Power Over – act ON others, control and dominate
Power To – act TOWARD something, pursue goals and
opportunities
Power From – act AWAY FROM something, resistance
Power Of - act GUIDED BY deeply held principles that are actively and
openly expressed and are often accompanied by social justice actions
Satyagraha – Power of Truth (Gandhi); mobilization of inner
resources to pursue higher truths
Power With- act WITH others, capacity to build groups, bring people
together , create community
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92
93. Peace-Informed Assessment of
Empowerment Processes
Voice and Visibility at Multiple Levels of Analysis
Intrapersonal
Interpersonal/Relational
Intragroup
Intergroup
Political
Exploration of collective memory and trauma (e.g.,
racial trauma)
Exploration of internalized oppression and
adoption of dominant cultural narratives
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Ph.D. All Rights Reserved
93
94. An “R&R” Group Activity
– One word to describe a strength that you bring to
your personal and professional endeavors.
– One word to describe something in the natural
world with which you feel strongly connected or
identified (e.g., color, flower, tree, animal, part of nature,
a place etc.)
– Choose One of the following words:
Illuminating Affirming Manifesting Mobilizing
Expressing Igniting Revealing Amplifying
Creating Radiating Liberating Engaging
– One word to describe a central value in your life
that guides your decisions and ways of living or a
word that represents a vision that you have for
our world.
95. Your “R&R” Name
FIRST NAME:
_________ (a strength/positive characteristic)
MIDDLE NAME:
_________ (your identification/connection)
HYPHENATED LAST NAME:
___________(action word) - _________(value/vision)
96. Some Ways to Use the
“What’s In A Name” Activity
• List three things you can do today to live your R&R
name
• Share (write about) a time in your life when you felt
or lived your R&R name
• Something you did yesterday that was an expression
of your R&R name
• A goal that you will work toward that emerges from
your R&R name
• Draw a crest or mandala to symbolize your name
97. Rise and Introduce Yourself
“I AM” …
FIRST NAME:
_________ (your strength)
MIDDLE NAME:
_________ (your identification/connection)
HYPHENATED LAST NAME:
___________(action word) - _______(value/vision)
98. Case Vignette #3
Ella is 19 years old and was born in Ethiopia. She has
been living in the United States since she was 12 years
old. During your fourth session she discloses her
experience of female genital mutilation (female
circumcision). She shares her memory of it being a
common community ritual that her mother wanted for
her. She wants to have a “normal” relationship but fears
no man will want her. She presents with social anxiety.
What issues and questions come up for you?
What are your ideas about important elements of this
case?
How might exploring empowerment processes aid in
working with this client?
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Ph.D. All Rights Reserved
98
99. The Three Processes…
Communal Processes (Allies/Alliances)
-How are we strengthening connectedness to others, community,
nature, Spirit, values, culture, a cause, etc. (something bigger than
self)?
Contemplative Processes (Awareness)
-How are we enhancing experiential awareness and critical
consciousness of “what is” about self, others, and the world?
Empowerment Processes (Action)
-How are we facilitating creative, committed, liberatory, and/or
transformative action (personally, relationally, and collectively)?
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99
100. Applying the Questions
Can ask these questions within any
theoretical orientation or psychotherapeutic
approach
The questions provide an organizing
framework to assess elements that are
important to understanding cultural
dimensions of human experience
The questions help to guide choice and
implementation of interventions
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101. The Four Things
Cultural Socialization and Identity
Dimensions of Exposure
Patterns of Being, Believing, Bonding, Belonging,
Behaving, Becoming
Sociocultural and Intersectional Identities
Macrocultural and Microcultural Belonging
Composition of settings
Opportunities for affirmation and validation
Dynamics of Difference (in the client’s life, in the
therapeutic relationship, in the therapist’s life)
Sociopolitical/Sociohistorical Considerations
Oppression / Psychology of liberation
Social location, power, and privilege
Collective/Historical trauma and memory
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101
102. What have we covered?
Person as inseparable from culture and
context
Approaches to integrating culture
Culturally-Syntonic Practice
Need for theories and frameworks that
explicitly name culture
PEaCE Meta-Theoretical Framework
Culture, Health, and Healing in Cultural
Context
Three Culturally-Informed Change Processes
Applications
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Ph.D. All Rights Reserved
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