Exploring dimensions of culturally sensitive clinical styles with latinos

Yuhwa Eva Lu, Kurt C. Organista, Salvador Manzo, Lisa Wong, Jessica Phung

    Research output: Contribution to journalArticle

    Abstract

    This study sought to identify dimensions of culturally sensitive clinical practice by comparing the personal clinical styles of Latino and non-Latino clinicians, and their clinical decisions in respect to Latino immigrant clients. A combination of qualitative and quantitative methods were used. Sixty Latino American clinicians and 47 non-Latino (White) clinicians in Northern California completed the Achieving Styles Inventory (ASI) which yields information on direct, instrumental and relational styles. Demographic data were obtained as well as information on language proficiency and years of clinical experience. Statistical analysis included uses of t-test, ANOVA, and multiple regression analysis and revealed significant differences between the two groups in personal achieving styles within all three domains. There were no significant differences on the demographic variables. Nine clinician members of each ethnic group were interviewed in-depth through non-directive interviewing styles to assess their clinical decision making via use of a case vignette. Content analysis pointed to similarities and differences in proposed assessment and intervention strategies. The Latino group displayed more culturally relevant interpretations. The non-Latino clinicians were more directive and instrumental than the Latinos who put more emphasis on self disclosure, case management, use of Spanish with the client, and crisis intervention. This finding is consistent with both the quantitative data analysis of ASI hypotheses and the expected linguistic/cultural findings of the qualitative content analysis. Bilingual non-Latino White clinicians showed more cultural sensitivity and competence than the monolingual non-Latino clinicians. These findings suggest that linguistic/cultural match and linguistic/cultural compatibility are important in cross-cultural clinical practice.

    Original languageEnglish (US)
    Pages (from-to)45-66
    Number of pages22
    JournalJournal of Ethnic and Cultural Diversity in Social Work
    Volume10
    Issue number2
    DOIs
    StatePublished - Jun 1 2001

    Fingerprint

    Hispanic Americans
    linguistics
    Linguistics
    content analysis
    crisis intervention
    case management
    intervention strategy
    quantitative method
    qualitative method
    statistical analysis
    Demography
    Self Disclosure
    ethnic group
    regression analysis
    Crisis Intervention
    Cultural Competency
    data analysis
    Group
    Equipment and Supplies
    immigrant

    Keywords

    • Clinical cultural competence
    • Clinicians' achieving styles
    • Cultural sensitivity
    • Latino immigrant clients/families
    • Latino vs. non-Latino clinicians
    • Social work practices

    ASJC Scopus subject areas

    • Health(social science)
    • Education

    Cite this

    Exploring dimensions of culturally sensitive clinical styles with latinos. / Lu, Yuhwa Eva; Organista, Kurt C.; Manzo, Salvador; Wong, Lisa; Phung, Jessica.

    In: Journal of Ethnic and Cultural Diversity in Social Work, Vol. 10, No. 2, 01.06.2001, p. 45-66.

    Research output: Contribution to journalArticle

    Lu, Yuhwa Eva ; Organista, Kurt C. ; Manzo, Salvador ; Wong, Lisa ; Phung, Jessica. / Exploring dimensions of culturally sensitive clinical styles with latinos. In: Journal of Ethnic and Cultural Diversity in Social Work. 2001 ; Vol. 10, No. 2. pp. 45-66.
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