VI. Self-awareness: Becoming
aware of
your own worldview (Adapted from Buhin et al. 2004)
1. Learning About Your Own
Culture
2. Understanding Your Personal Worldview
3. Appreciating Your Own Multiple Identities
4. Acknowledging assumptions and biases.
5. Accepting Responsibility and Tolerating Ambiguity
6. Recognizing Limits of Your Competence
1. Learning About Your Own Culture
According to Tervalon and Murray-Garcia, cultural
self-awareness requires a
life-long commitment to self-evaluation and critique (14). Before
entering into
a client-caregiver relationship, the individual must become aware of
her/his
cultural and historical background. By recognizing the different
influences
from his/her cultural background, the individual will be able to
recognize the
different influences in the client’s background and will be more likely
to
engage in a sensitive, therapeutic relationship.
Exercise #1:
Adapted from http://www.leron-line.com/Cultural_Self_Assessment.htm
Think of yourself as a cultural being whose life
has been influenced by
various historical, social, political, economic, and geographical
circumstances. This exercise will help you become aware of your
historical,
ethnic and cultural background.
- Where
were you born?
- When were
you born?
- Where
did you grow up?
- Where
did your parents grow up?
- Where
did your grandparents grow up?
- Where
did your great grandparents grow up?
- What
is your earliest memory as a family?
- What
is your earliest school memory?
- As
a family, what events did you celebrate?
- Have
you
traveled or moved as a child?
- Have
you
traveled or moved as an adult?
- Recall
on
international event that happened before you turned 18. Try to answer
the
following: Who was involved, what was the event, where did it happen,
how did
it happen, and why did it happen?
- Recall
an
event that happened in the country where you were born, before you
turned 18.
Try to answer the following: Who was involved, what was the event,
where did it
happen, how did it happen, and why did it happen?
- What
is
your earliest recollection as a member of a group?
- What
was
your first job?
- As an
adult, what events or holidays do you currently celebrate?
2. Understanding Your Own
Worldview
Since our perceptions are shaped by our view of
the world, the caregiver
needs to examine and understand how she/he sees the world.
One’s worldview is learned through
socialization, from childhood to adulthood, and constantly reinforced
by the
culture in which we live. It is the taken-for-granted view of “the way
things
are” and most of the time unquestioned and invisible.
“To understand worldviews, therefore, we must
examine the beliefs/belief
systems and the social values that they contain.” (LeBaron, M. 2003).
An
example of a belief system was Social Darwinism which held that life is
a
struggle for survival and dominance, and the most competent and
hard-working
individuals will be most successful, while the incompetent and inferior
will be
the least successful.
What is your worldview?
One Western worldview is “I am
the captain of my soul,”
which is in contrast to the
worldview of “God will provide”
which other cultures hold.
When one is blind to his own
culture, he will not be able to
see the differences in values between cultures. This could lead to
cultural
destructiveness, cultural imposition and cultural pain. This stems from
cultural ignorance of one’s own and other’s cultural identities, due to
intentional or unintentional isolation or separation. This leads to
dehumanizing others with different values than one’s own. The greater
the
difference, the more negative the evaluation of the other culture (16)
The manner of
their living is very barbarous, because they do not eat at fixed times,
but as
often as they please. Amerigo Vespucci, when he discovered America.
Exercise
#2: How do you view the following?
Aspects of
Worldview
|
What is your
worldview?
|
Time
|
(Time is money?)
|
Space between you and the
next person
|
(When do you start feeling
uncomfortable?)
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Relationships
|
(Work relationships vs.
personal relationships)
|
Technology
|
( How do you see
technology?)
|
Religion or spirituality
|
(What about religion?)
|
Honesty
|
(Tell the truth no matter
what.)
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3. Appreciating
Your
Own
Multiple Identities
We all live within and identify with multiple identities.
Most of us can claim different identities related to gender, age,
religion,
ethnicity, socioeconomic status, profession, national origin,
educational
level, etc.
When working with
clients from other cultures, the caregiver
should examine differences and similarities between herself/himself and
the
client. The caregiver takes into account “issues
related to diversity, marginalization,
and vulnerability due to culture, race, gender, and sexual orientation
(National Academy of
Nursing
expert panel, 1990.)
By recognizing one’s multiple
identities, one is less likely to stereotype
others based on minimal information about another person’s historical,
social,
and cultural backgrounds.
What are the shared
identities between two 30-year-old men,
one is a 30-year-old nurse who works
full-time, goes to school in the evenings to work on his master’s
degree and
raises three children and another 30-year-old man who works at two jobs
and
raises three children?
Exercise # 3. “I
am_."
Take a blank
sheet of paper and write the numbers 1-10 on
the left hand column. Complete the statement “I am______” using the
first words
that come to mind.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
What were your
first 5 answers? When did you start to slow
down in writing your answers?
What were the last 3 answers? Do
you feel that your list
accurately captures your multiple identities?
4.
Acknowledging
assumptions and biases
ANA Code of Ethics: Nurse provides care with respect to the
inherent worth of the individual. “The nurse establishes relationships
and
provides care with respect to human needs and values, and without
prejudice.”(Provision
1.1, 1.2. ANA Code of Ethics.) (17)
“Culturally
skilled counselors
possess knowledge and
understanding about how oppression, racism, discrimination, and
stereotyping
affect them personally and in their work. This allows them to
acknowledge their
own racist attitudes, beliefs, and feelings” (18)
Caregivers are
expected to be
aware of their own cultural
identifications in order to control their personal biases that
interfere with
the therapeutic relationship. Self-awareness involves not only
examining one’s
culture, but also examining perceptions and assumptions about the
client’s
culture.
Through a self-reflective
assessment of their personal values,
attitudes, and assumptions about other cultures, and articulating these
assumptions and attitudes, the caregiver will gain the ability to sort
out or
“bracket” the influences of their own cultural background in order to
provide
respectful and unbiased care. (20)
Exercise # 4: Answer
the following questions:
- What racial group do
you identify with?
- What ethnic group(s)
do you identify with?
- What socioeconomic
class do you identify with?
- What is your
earliest memory of belonging in a group (other than your family)?
- What is your
earliest memory of being excluded from a group?
- What is your
earliest memory of excluding someone from a group?
Exercise 5: Adapted
from Luckman (1999)
How do you relate to
various groups of people in society?
Please answer honestly, not as you think might be socially or
professionally
desirable. Please do not record your
answers for this exercise.
Level of response:
- I feel I can
genuinely try to help this person without prejudice.
- Even though I do not
agree with this person, I feel I can accept this person as he is and
comfortable enough to listen to him/her.
- I do not feel that I
have the background knowledge or experience to help this person.
- I feel uncomfortable
taking care of this person.
- I feel biased and
prejudiced against this person.
Individual
|
Your Response
|
Iranian immigrant
|
|
Child abuser
|
|
Mexican American
|
|
Elderly person with
dementia
|
|
Prostitute
|
|
Methodist minister
|
|
Gay/lesbian
|
|
Unmarried expectant teen
|
|
White Anglo-saxon American
|
|
Amputee
|
|
Anorexic teenager
|
|
Morbidly obese man in his
30s
|
|
Norwegian
|
|
Person with AIDS
|
|
Person with cancer
|
|
Person who does not speak
English
|
|
5. Accepting
Responsibility and Tolerating Ambiguity
Caregivers accept responsibility for the continuous process
of becoming “aware of their own assumptions about human behavior,
values,
biases, preconceived notions, personal limitations, and so forth” (Sue
et al.,
1998, p.38).
Tolerating ambiguity
means the caregiver keeps her certainty
that “her way is the right way” in check, and will attempt to
understand the
issues about a client’s supposed “non-compliance” with prescribed
treatment.
Accepting responsibility means the caregiver will not assume that a
failed
outcome to treatment stems solely from the client’s “non-compliance”
with
prescribed therapy.
Ethnocentrism is defined as the tendency of
human beings “to think that their ways of
thinking, acting,
believing are the only right, proper, and natural ways” and that
beliefs,
values and practices that differ from one’s own are wrong.” (Purnell 1998).
Unexplored
assumptions about our biases and preconceived
ideas about others will “blind” us to our ethnocentric behaviors and
attitudes.
Leininger refers to cultural imposition and cultural pain as
consequences of ethnocentrism
(2)
Ethnocentrism is not an
acceptable attitude in health and
social care because it deters from relationship building between the
professional and the patient (23).
Exercise 6: (Adapted
from Luckmann 1999)
Indicate the degree to which you agree to the following
statements:
- People are
responsible for their own actions.
- The outcome of
events is beyond our control.
- It is dishonest to
give vague and tentative answers.
- It is best to avoid
direct and honest answers in order not to hurt or embarrass someone.
- Intelligent,
efficient people use time wisely and are always punctual.
- Being punctual to
work or meetings is not as important as spending time with family or
close friends.
- Stoicism is the
appropriate way to grieve.
- Loudly crying and
moaning is the appropriate way to grieve.
- The best way to gain
information is to ask direct questions.
- It is rude and
intrusive to ask direct questions.
- It is proper to call
people by their first names to show that you are friendly.
- It is disrespectful
to call people by their first names unless they give you permission to
do so.
- It is rude not to
look at a person who is speaking to you.
- It is rude to engage
in direct eye contact with persons of higher status.
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