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Presentation by Richard G. Dudley, M.D. at the 2010 RWJF LFP Annual Meeting in St. Paul, MN Ethnicity and culture have wide-ranging impact on human behavior. Understanding that impact is crucial to meaningful communication and the ability to appreciate the concerns of persons from different backgrounds. The adult brain is imprinted with many experiences that form one’s identity and influence one’s decisions. One’s community of origin forms the basis of language and culture whether one comes from another country or from an inner-city neighborhood. A person’s response to prison, poverty, or mental illness will be shaped by ethno-cultural background. We will focus on how ethnicity and culture influence human behavior, and how to integrate that understanding into the design and delivery of accessible human service programs. Participants and graduates will compare experiences where ethno-cultural differences intersect with the justice system, homeless services, and employment opportunities. We will discuss strategies to create health and social service programs staffed with persons who are ethno-culturally competent, responsive, and respectful.
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HOW ETHNICITY AND CULTURE INFLUENCE HUMAN BEHAVIOR
The Adult Brain
Presented by:
Richard G. Dudley, Jr. M.D.
Presentation Overview
Defining the Terms and Jargon
Adult Brain
How Ethnicity & Culture Influence Human Behavior
Becoming Ethno –Culturally Competent
Panel Participation and Discussion
Summary & Closing Discussion
Defining Terms
EthnicityCultureEthno-Cultural Group
Group diversity/sub groups Evolution of culture over time/experience
Ethno-Cultural Group Identification Totally immersed Mixed Assimilated
Other Cultural Sub-Groups Drug Culture Gang Culture Prison Culture Gay or Lesbian Culture
The Adult Brain
Development of Frontal Lobe Functions of Frontal Lobe
High level, complex motor activity
Abstract thinking Reasoning Judgment
Adult Reasoning & Decision-Making Experienced & other
hypothetical options Weigh pros & con Select & implement best option
Psychiatric Disorders the Compromise Functions Psychological trauma Substance abuse & addiction Major mood disorders Psychotic disorders Mental retardation Other major mental illness
Other Medical Problems that Compromise Function Physical trauma to the brain Infections Toxins Neoplasm dementia
How Ethnicity & Culture Influence Human Behavior:
Lessons Learned from the Behavioral Sciences (1 of 2)
Structure & Functioning of Different E-C Groups
“Family” structure & functioning Things most highly valued Sense of self in relationship to others Locus of control Sense of the spiritual Customs, traditions & rituals Ethnicity & biological determinants
Communication Language & meaning of terms used Body language & personal space What may be told to whom Psychological defenses
Expressions of Distress Forms of expression Meanings of each expression
How Ethnicity & Culture Influence Human Behavior:
Lessons Learned from the Behavioral Sciences (2 of 2)
E-C Issues & Adult Decision-Making Perception of the problem Options available Weighing of the options Planning a strategy
Treatment Strategies Ethnicity, biology & medication management The “Helper” Design & accessibility of services
How Ethnicity & Culture Influence Human Behavior:
Applications to Health & Human Services
Knowledge Base Structure & functioning of client’s E-C group The extent such applies to a specific client The client’s membership on other sub-groups
Communications Language & the meaning of terms used Body language & personal space What may be told to whom Psychological defenses
Problem Identification Issues that might impact on adult brain functions Competency to participate in program as designed Client’s perception of problems to be addressed
Intervention Strategies Client’s assessment of options Client’s capacity to participate in intervention Client’s belief about who can be the “Helper” Design & accessibility of services Ethnicity, biology & medication management
Becoming Ethno-Culturally Competent
Exploration of & Reflection - oneself “How does my ethnicity & culture
impact on my behavior?” The Use of Educators/Translators Learning From Clients
Asking clients to education and/or translate
Client participation in program development
Developing Cross-cultural Communication Skills Learning the language v using the
language Communication styles What can be shared with whom &
how
Reaching Across Cultures Provider’s responsibility Identification of and addressing
problems Clients who can’t
Race/Racism and Being Ethno-centric Racist presumptions The normative standard
False Assumptions about Ethno-Cultural Sameness Diversity within ethno-cultural
groups Internalized racism
Is the work of becoming competent ever done?
Panel PRESENTTION AND DISCUSSION
WITHLFP GRADUATION PROJECTS
Graduating Projects
Homeboy MHETAS Project – Los Angeles, CA
Off The Streets – Cincinnati, OH
Project Against Sexual Assault of Indigenous Farm-workers – Portland, OR
Community Correctional Healthcare Reentry Center – Washington, DC
Metro Denver Crisis Triage Project – Denver, CO
CLOSING SUMMARYAND
THANK YOU
The Adult Brain
Richard G. Dudley, Jr. M.D.
