Training in Cultural Competence

21 Limitations of the Multicultural Approach to Psychotherapy with Diverse Clients

Charles Negy

I. Minority Clients' Race or Ethnicity Is Necessarily Related to the Presenting Problem 440

II. Non-White Cultures Arc Infallible 441

III. Race and Ethnicity Are Stronger Predictors of Behavior Than

Social Class 443

IV. In a Multicultural Therapy Situation. Therapists Arc White and Clients are Non-White Minorities 444

V. Racism and Prejudice Are Unique Characteristics of White Therapists 445

VI. Psychology Is Irrelevant to "Minorities'' 447

VII. Conclusion 448

References 450

22 Responding to the Challenge: Preparing Mental Health Professionals for the New Millennium

George K Hong, Margaret Coma, and Marvel Soriano

I. Demographic Trends of the United States 455

II. F.tic and Emic Approaches to Multicultural Clinical Services 458

A. The Etic versus Emic Debate 458

B. Limitations of the Etic and Emic Approaches 458

C. An Integrated Etic-Emic Approach 460

III. Commonalities among Diversities 461

A. Asian Americans 462

B. Hispanic Americans 464

C. General Considerations 466

IV. Specific Multicultural Curriculum and Training Issues 468

A. The Cultural Competence Continuum 468

B. Three Domains of Multicultural Competence 471

C. Lifelong Professional Development 474

V. Concluding Remarks 475 References 476

Index 477

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