Through taking this course, Culture and Ethics in OT, during the spring of 2023, I was able to broaden my understanding of what culture is for myself and others while expanding on my previous knowledge of what I learned from completing the CASC minor at Dominican. Taking this course provided me with the opportunity to reflect deeply on subjects covered while interacting with my classmates to further expand my point of view. During this course, I was able to immerse myself in materials related to cultural humility, implicit biases, systemic barriers resulting in racial injustice, imposter syndrome, and delve deeper into analyzing and deconstructing ethical dilemmas. Through taking this course, I was even presented with the chance to interview a close friend of mine utilizing motivational interviewing techniques and active listening to diversify my perspective of what culture means to another individual through first-hand experiences and narrative accounts.
When thinking of my culture, I have always found it difficult to develop an all encompassing, uncomplicated description. It is through this course that I have been able to uncover the uniqueness behind my own identity and recognize various aspects of myself such as my ethnicity, my beliefs, and the geographic location in which I have grown up and how they have shaped my entire life. One of the most influential aspects of my cultural identity revolves around me identifying as Colombian, Japanese, and White. Growing up, I was taught various aspects of my ethnic identities, and, although I was born in the U.S. which is distant from my ethnic origin, my upbringing has still involved principal pieces of these backgrounds. For example, tradition is something that has played a vital role in my life and it has shaped my engagement in occupations while impacting me psychosocially. With my ethnic identities, I have learned to value living in and coming from a multigenerational household even though this is not seen as the norm in Western culture. It has taught me to value togetherness while benefiting my overall wellbeing. With this value toward family and my ethnic culture, I found going to college and living away from family to be very difficult because it deprived me of specific traditional meals cooking by my family members and a social household environment. Through this class and completing the CASC minor at Dominican, I have learned how the geographic location in which I have grown up and my family’s socioeconomic status have served as a privilege to me, especially since it has provided me with ample opportunities to thrive in my education and extracurriculars. At the same time, this course urged me to reflect deeply on my upbringing and realize that where I grew up also resulted in assimilation to Western culture, the abandonment of specific languages and traditions, and feeling like an outsider. Ultimately, this class taught me to value each of my lived experiences and pieces of my identity as they have impacted my life and shaped me into who I am.
This semester, I feel that I have been able to become more aware of my own implicit biases, critically conscious of diverse cultures, open to other perspectives, and practice concepts of cultural humility. This course made me come to the realization that things are always changing and new resources and materials are always becoming available for us to view and reflect on. It allowed me to take the time to further develop my knowledge and see how I have changed as a human being. One area that I feel that I have been able to broaden my perspective on the most is implicit bias. In the area of implicit bias, I have come to realize how susceptible we are all to it and how invaluable it is for us to remain conscious of our responses to others and how we interact with people. In my level I fieldwork experiences, I have found myself applying these concepts of cultural humility in order to tune into my own implicit biases and gain a better understanding of clients, their experiences, and values. According to Wells et al. (2016), it is extremely important that we reflect on our willingness to engage with others and become self aware within our plans for change. Self-awareness is seen as one of the “most difficult characteristics to attain”, so it is important that we reflect constantly and remain conscious of the fact that we are all life long learners (Wells et al., 2016, p. 166). As I continue to grow and graduate from Dominican, I hope to proceed with expanding my knowledge base on these topics and continue to apply what I have learned within my future OT practice. I plan to develop and improve my knowledge by gathering information about diverse populations while submerging myself in interactions with people from diverse backgrounds to broaden my perspective of various cultures and identifying overlap in cultures through critical self-reflection (Wells et al., 2016).
Within the OT profession, it is important that we promote inclusivity and a sense of belonging for all of our clients. Hitch et al. (2014) emphasize how “belonging is a sense of connectedness to other people, places, cultures, communities, and times. It is the context within which occupations occur, and a person may experience multiple belongings at the same time” (p. 242). With relationships with other people, places, groups being essential to belonging, it is important that we center our interventions and interactions with our clients around this (Hitch et al., 2014). We can encourage group sessions with multiple clients in order for them to establish connections with one another and gain a sense of belonging, especially since research shows that belonging often occurs in group settings (Hitch et al., 2014). At the same time, we can also conduct interventions in areas outside of a clinical setting by going on outings with our clients to areas that have value and meaning to them when appropriate. This can allow for them to feel more comfort and a sense of community while engaging in OT intervention. As healthcare practitioners in the OT profession, it is important that we recognize the diverse and unique cultures behind each of our clients and how we can open the door to discovering a sense of belonging within our interactions and interventions with our clients. Healthcare services that involve cultural humility, enlightened consciousness, and cross cultural exchange can allow for better services for our clients and support them in achieving a higher sense of wellbeing. As a future OT, I hope to incorporate my own therapeutic use of self and collaborative work with my clients and colleagues into my practice in order to foster a heightened sense of community between individuals with various cultural identities and values.
References:
Hitch, D., Pépin, G., & Stagnitti, K. (2014). In the Footsteps of Wilcock, Part One: The Evolution of Doing, Being, Becoming, and Belonging, Occupational Therapy In Health Care, 28:3, 231-246, DOI: 10.3109/07380577.2014.898114
Wells, S. A., Black, R. M., & Gupta, J. (2016). Culture and occupation: Effectiveness for occupational therapy practice, education, and research. AOTA Press, The American Occupational Therapy Association, Inc.