Transcript Chapter 8

Chapter 8:
Culture, Ethnicity, and
Spirituality
Copyright © 2012, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
Many Faces of Culture
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Multifaceted term; which can refer to many
groups
Gender, age, socioeconomic status
Membership in social or sport groups
Organizational environments
Employment status
Mental or physical disability
Political affiliation
Education level
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Cultural Heritage
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Behaviors passed on to future generations
Core component of ethnicity
Heritage consistency
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Acculturation
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Acceptance of values and traditions of the
host country
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Assimilation
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Gradual process of developing a new cultural
identity
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Cultural Awareness
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Initial step toward effective interaction among
individuals from different cultures.
Involves one’s own awareness of culture,
including prejudices and biases towards other
cultures.
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Aspects of Communication
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Language
Space
Time orientation
Vary among different cultures
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Secondary Characteristics of
Cultural Diversity
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Socioeconomic status
Occupation
Education
Gender issues
Geographic place of residence
Length of time absent from the country of
origin
Sexual orientation
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Subcultures
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Exist in each major culture
Members develop new values that they honor
more than the values of their dominant
culture
Poverty is often a characteristic
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Cultural Diversity
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Primary characteristics
Secondary characteristics
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May have more powerful effect on individual’s
cultural identity
Nurses avoid generalization or stereotyping on
the basis of minimal information about the
individual or culture
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Common Prejudices and Biases
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Racism
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Sexism
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The belief that members of one race are superior
to those of other races
The belief that members of one sex are superior
to those of the other sex
Heterosexism
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The belief that everyone is or should be
heterosexual and that heterosexuality is best,
normal, and superior
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Common Prejudices and Biases,
cont’d.
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Ageism
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Ethnocentrism
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The belief that members of one age-group are
superior to those of other ages
The belief that one’s own cultural, ethnic, or
professional group is superior to that of others
Xenophobia
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The morbid fear of strangers and those who are
not of one’s own ethic group
Copyright © 2012, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
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Culture and Mental Illness
Culture determines:
 What behavior is normal/what is abnormal
 What beliefs are acceptable/what are not
 Concepts of mental health/mental illness
 Acceptability of various treatment modalities
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Cultural Competence
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Requires a respect for diversity
Understanding of attitudes, beliefs, behaviors,
practices, and communication patterns of multiple
cultures and their languages
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Spirituality
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Influenced by culture, life experiences
Helps connect people to each other, the
community, the world
Along with religion and faith, may be
experienced and expressed in a variety of
ways
Includes core beliefs about people, the divine,
and relations between them
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Major Spiritual Issues
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Loss
Fear
Death
Abandonment
Alienation
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