How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Kate McCoy, M.Ed, NBCC, LPC Your Own ...

Kate McCoy, M.Ed, NBCC, LPC
Kate McCoy, M.Ed, NBCC, LPC, Therapist
Category: Mental Health
Satisfied Customers: 5458
Experience:  Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
54658078
Type Your Mental Health Question Here...
Kate McCoy, M.Ed, NBCC, LPC is online now
A new question is answered every 9 seconds

Hi Kate... What role does a persons culture have on receiving

Resolved Question:

Hi Kate... What role does a person’s culture have on receiving psychological assessment and treatment? Is there any evidence of misuse of assessment instruments, therapy techniques, research results, or any other facet of clinical practice that could have potentially harmful, culture-specific implications?
Submitted: 2 years ago.
Category: Mental Health
Expert:  Kate McCoy, M.Ed, NBCC, LPC replied 2 years ago.

Hello!

 

I will work on your answer and get back to you soon.

 

Thank you,
Kate

Expert:  Kate McCoy, M.Ed, NBCC, LPC replied 2 years ago.

The issue of cultural diversity and therapy has certainly come to the forefront of importance in the last ten years. Part of this is the more universal acceptance of counseling as a medical and health related issue, rather than simply for those who are "emotionally ill".

 

Due to this more general acceptance, larger numbers of people have entered into counseling and are receiving psychological support. And the more this has occurred, the more the previous "one size fits all" approach to counseling has been forced to be re-evaluated. Even CBT, the primary clinical intervention method of counseling has been shown to be limited by cultural values. As a result, emotive and family based techniques have been combined with CBT techniques to make counseling more effective for a diverse population.

 

No matter the approach, some cultures still place stigmas on mental health treatment. Asian cultures, Latino, and some European cultures have strong (and often negative) opinions about psychological assistance. Even men are statistically much more resistant to therapy than women, and some cultures place significant stigmas on anyone who takes medications for a mental health condition.

 

As far as the second part of the question, there is no such thing as a culture fair test or assessment. This fact first surfaced in IQ testing in the early 1900's and still persists today in personality assessments, anxiety scales and measures of social interest.. No single test or assessment can account for variables in how a culture's norms may impact the client.

 

For example: Native Americans frequently test low on social and intelligence issues involving independent thinking and action. Their scores seem to indicate that they are "lazy" compared to many other groups in terms of autonomy, drive and independence. Yet, when interviewed in detail, the examiners discovered that the assessment questions appeared biased because the Native Americans who took the test naturally seemed to minimize group decision making and family values over individual goals because of culture.

 

Even diagnostics are not exempt from cultural issues. Clinically some disorders appear culturally biased. As another example: many cultures discount the western concept of oppositional defiant disorder in children, instead, referring to the disorder as "bad western parenting skills".

 

As far as misuse of assessment tools, a famous example in the U.S. is the MMPI, a test that evaluates abnormal behavior. A psychologist was hired to administer the exam to a group of potential used car salesmen. The test was used to screen for individuals who had the ability to lie without feeling badly about it, yet function well enough as sales people.

 

Group work is notoriously unfair to certain cultures who believe that emotional issues are very private, as well as martial counseling where partners are seen separately. In some cultures, for example Asian cultures, separating a marital couple for any reason is seen as wrong. Yet, both of these therapeutic techniques are widely used.

 

Each individual culture needs to be treated separating, according to their beliefs when treated in a therapeutic, research or assessment situation. It is difficult to impossible to create a tool or technique that can address the diversity of each culture in a fair and non biased manner.

 

Kate

 

Kate McCoy, M.Ed, NBCC, LPC, Therapist
Category: Mental Health
Satisfied Customers: 5458
Experience: Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
Kate McCoy, M.Ed, NBCC, LPC and other Mental Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education