Patient Therapist Relationships example essay topic

Multicultural Counseling After reading the many articles on the notion of diagnosis and counseling with multicultural / ethnic patients, it has come to my attention that this focus is solely based on stereotypical attitudes. Sure, it can be said that it is important for a therapist to have a background of the patient's heritage and culture, but doesn't this necessarily mean that the outlook of the therapist will be put in a box by doing so? I think multicultural competency is a ridiculous way to improve patient-therapist relationships because of several reasons. First off, generalities and race-centralism's only hinder, not improve, the inner workings of a therapy session. Second, there is no real way to test for competency of multicultural issues. So the question of competency cannot be tested and thus should be removed from the criteria of abilities of a therapist.

Third, these types of attachments in the learning of diagnosis and therapy only add to stereotypical and racist behavior. A superior kind of therapeutic relationship depends on both an emotional bond with the therapist and a rational and functioning connection. Both concepts have relevance for multicultural clinical work. I agree that it is important that a therapist explore the ethnic / multicultural background of a patient if and only if the betterment of the patient depends on it. This means that whatever the problem with the patient, it must be of a direct relationship to the culture and race in which the patient takes part. If multicultural competency is a requirement, then therapist will just be forced to have a bias.

This bias will be formed in the "classroom" in which multicultural competency takes place. If therapists are taught certain things about certain races, they have no choice but to implement these issues into their practice. I think the implementation of any sort of knowledge is absolutely dependent on the patient and what is the nature of their illness. If there is a model for competency involving multicultural issues, the therapist, especially, is forced to look at the information taught to's / he in the study for the competency.

After going through the process of understanding multicultural issues (however this is possible) and having passed the "exam" that tells them that they are multi culturally competent, a strange occurrence will take place when putting these studies into practical use in the therapy environment. Let's say that therapist Dr. Harry Potter has a new patient coming in for the first time today. Her name is Janet Lee. Already by having been a part of society for 40 some years, Potter makes the assumption that Lee is a Chinese name; therefore his new patient is Chinese. Potter then puts on his therapists' hat and thinks back to what he learned in his competency class about Chinese patients. He remembers what he learned of their relationships with their parents, their understandings of the US and how they feel about therapy.

Now Janet walks in. They began conversing. Janet begins to feel uncomfortable because Potter seems to be referring to ideas that are completely new to her. It turns out that she was not only born and raised in the US but her family migrated 100's of year ago and no longer having any Chinese traditions. On the subject of the DSM, I believe that the system that we now have is inadequate for our purposes. Although this existing system is both thorough and wide-ranging, and is efficient shorthand for the signs and symptoms of people likely to show up at a psychiatrist or psychologist's office, a DSM diagnosis fails to ascertain the root of the sickness accountable for those signs and symptoms.

For example, a diagnosis of General Anxiety Disorder tells us that the person has been extremely uneasy and worried most of the time for at least six months, cannot control the worry, and so forth; the diagnosis does not, however, actually name the illness of the mind / brain that is responsible for these indications of the illness. The purpose for any diagnosis is not to tell another therapist (or the patient) what the indications of the illness are; the purpose for the diagnosis is to identify the illness. Signs and symptoms only lead to a diagnosis; they themselves cannot be the diagnosis. Putting together the indications of an illness and giving this syndrome a name does not establish the nature of the illness.

Neither will that identify the cause of the illness. So, it is absolutely crucial that psychiatrists / psychologists be concern with the diagnostic system; because the system plays an important role in the therapy they provide for their patients..