Showing posts with label Cultural Competence. Show all posts
Showing posts with label Cultural Competence. Show all posts

Friday, October 20, 2023

Cultural Competence, Cultural Humility, and Intercultural Literacy

Image credit: Lillian H. Hill

By Lilian H. Hill, PhD

The multiplicity of terms related to effective intercultural interactions confirms the need for theory development and educational initiatives to develop people’s skills. Terms that have been used include cultural competence, cultural humility, intercultural literacy, cross-cultural and multicultural interaction, cultural literacy, intercultural competence, and global competence (Schliakhovchuk, 2021). This article examines three related concepts: cultural competence, cultural humility, and intercultural literacy.

Cultural Competence

Cultural competence is defined as the ability to understand one’s own cultural identity, understand and respect the cultural identities of others, and seek to understand how the various cultural realities may differ and intersect to form relationships of mutual respect, dignity, and service to others (Lekas, 2020). Within professional settings, cultural competence involves congruent attitudes, behaviors, and policies that serve intercultural interactions (Arredondo, 2013). To be culturally competent, a person must possess an internal desire to understand the various cultural beliefs and values of others, consider how these values affect life decisions, actions, and goals, and be able to integrate these into interpersonal relationships. For example, the picture above shows several people learning about the Japanese tea ceremony. The term has been used in adult education, teacher preparation, elementary and secondary education, higher education, counseling and psychology, social work, healthcare, and business.

Cultural competence is a large construct with knowledge, skill, behavioral, and attitudinal aspects. Cross et al. (1989) laid the basis for a cultural competence continuum, moving from cultural destructiveness through incapacity, blindness, pre-competence, competence, and cultural proficiency.  

Figure 1: Continuum of Cultural Competence (Cross et al.,1989)

The premise of this continuum is that individuals and organizations reflect various levels of awareness, knowledge, and skills vis-à-vis their relationship with cultural variables.  

Many of the earlier articles on cultural competence appeared to take an essentialist view of culture in which it becomes a list of characteristics to be memorized rather than a dynamic process of complex interactions (Gray & Thomas, 2006). This is illustrated by resources that, reminiscent of a cookbook, provide a cultural overview of specific groups and describe their behaviors and practices with recommendations for appropriate ways of interacting with them (see for example, see Salimbene, 2000). These resources made no allowance for differences within cultural groups. While people espousing cultural competence may have good intentions, the danger is that it can reduce people to a stereotype. Cultural competence also treats cultures as static and fails to recognize the multiplicity of identities a single individual may have. However, some voices challenge the orthodoxy of the cultural competence view rooted in cultural differences. Wear (2003) suggests educators should examine how culture is conceived. She uses Giroux's (2000) concept of "insurgent multiculturalism" which looks beyond the focus on subordinate groups' deficits, to examine the historic, semiotic, and institutional roots of racism. Over the years, a model of the higher levels of "proficiency" has emerged that acknowledges a greater recognition of societal inequities (National Center for Cultural Competence, 2007).

Critiques of Cultural Competence 

A critique of cultural competence is that cultural competence initiatives can stereotype and further marginalize people by assigning culture to people based on visible characteristics. Simplistic views of culture result in over-generalized representations of cultural identities and practices (Singer et al., 2015). Lekas et al. (2020) commented that:

Culture is not stagnant, but a changing system of beliefs and values shaped by our interactions with one another, institutions, media, and technology, and by the socioeconomic determinants of our lives. Yet, the claim that one can become competent in any culture suggests that there is a core set of beliefs and values that remain unchanged and that are shared by all the members of a specific group. This static and totalizing view of culture that connotes a set of immutable ideas embraced by all members of a social group generates a social stereotype. (p. 1)

Given the long-standing diversity of the U.S., it is arrogant and condescending to assume that a single person, institution, or system can become culturally competent in an all-inclusive manner. Everyone has their own intentional and unintentional racist, sexist, classist, and other biases, whether personally acknowledged or suppressed. Despite these biases, “the idea of cultural competency gives us a false sense of exemption from these human flaws in perception” that cause us to mistreat others (Cooks-Campbell, 2022, para. 22). Ignoring diversity does not adequately address people’s multiple identities or individuals whose identity is not immediately visible. 

Cultural Humility

Based on the flaws of cultural competence, some suggest that cultural humility should replace the term as a goal (Lekas, 2020; Tervalon & Murray-Garcia, 1998). Cultural humility is an approach to sociocultural differences that emphasizes intersectionality and understanding one’s implicit biases. This approach cultivates self-awareness and self-reflection, bringing a respectful willingness to learn to interpersonal interactions and attention to power dynamics. Reflecting upon one's culture is often a first step in becoming more aware of one's relationship with those culturally different from oneself (National Center for Cultural Competence, 2007). Self-reflection can be employed to identify how white privilege reinforces and maintains institutionalized racism (Lekas et al., 2020; Tyson, 2007). 

Intercultural Literacy

Intercultural literacy builds on the ideas of cultural competence but, much like cultural humility, adds concepts of critical reflection and self-examination. It also includes responsibility for contributing to constructive change within one’s culture. An interculturally literate person can draw on their background experience to comprehend a second culture, including its symbols and communications. Intercultural literacy requires analyzing dominant cultures as they interact with other cultures in global or cross-cultural partnerships. Intercultural literacy is “the competencies, understandings, attitudes, language proficiencies, participation, and identities necessary for effective cross-cultural engagement” (Heyward, 2002, p. 9). Yelich Biniecki and Stojanović (2023) note that cross-cultural interactions have become a daily experience for people and advocate that in “today’s internationalized work and education environments, developing the competencies, attitudes, and understandings to support cross-cultural encounters should be a priority” (p. 4). Preparation for internationalization is a goal of many higher education institutions (Yelich Biniecki & Stojanović, 2023) and businesses (Shliakhovchuk, 2021). Cross-cultural interactions are now the norm in a world with increased international interconnectedness, advanced communication technologies, frequent travel and migration, scholar and student exchanges, and displacement of populations due to conflict and devastation of natural environments (Schliakhovchuk, 2021). The current labor market requires workers with advanced skills, including soft skills that include communication, collaboration, and teamwork, all requiring the ability to work with others. 

Comparison of Related Concepts

Schliakhovchuk (2021) noted that discussion of international or global interactions emerged in the 1970s. Cultural competence was discussed as early as 1980, with cultural humility following soon after. Cultural literacy was described as early as the late 1980s, and, in the 21st century has become synonymous with “intercultural competence, intercultural literacy, CQ/cultural intelligence, or cultural mindfulness” (p. 234). The health professions intensively discussed cultural competence, and many training opportunities were offered. Over time, the reputation of cultural competence has waned because it assumes an impersonal, objective, and hypothetically superior person who is proficient in dealing with others. In contrast, intercultural literacy assumes more equality and parity among people involved in any intercultural relationship. Not only that, but intercultural literacy allows for self-examination, critical reflection, personal and cultural change, and the possibility of transformative learning.

References

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  • Brandt, D., & Clinton, K. (2002). Limits of the local: Expanding perspectives on literacy as a social practice. Journal of Literacy Practice, 34(3), 337-356
  • Cooks-Campbell, A. (2022, February 14). How cultural humility and cultural competence impact belonging. Retrieved from https://www.betterup.com/blog/cultural-humility-vs-cultural-competence
  • Cross, T., Bazron, B., Dennis, K., & Isaacs, M. (1989). Towards a culturally competent system of care (Vol. 1). Washington, DC: Georgetown University Child Development Center, CASSP Technical Assistance Center.
  • Giroux H. (2000). Insurgent multiculturalism and the promise of pedagogy. In E. M. Duarte & S. Smith (Eds.), Foundational Perspectives in Multicultural Education (pp. 195-212). Longman.
  • Gray, P. D., & Thomas, D. J. (2006). Critical reflections on culture in nursing. Journal of Cultural Diversity, 132(2), 76-82. 
  • Hayes, E., & Colin III, S. A. J. (1994). Racism and sexism in the United States: Fundamental issues. In E. Hayes & S. A. J. Colin III (Eds.), Confronting racism and sexism. New Directions for Adult and Continuing Education, No. 61 (pp. 5-16). Jossey-Bass.
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  • Lekas, H. M., Pahl, K., & Fuller Lewis, C. (2020). Rethinking cultural competence: Shifting to cultural humility. Health Services Insights, 13, 1-4. doi: 10.1177/1178632920970580
  • National Center for Cultural Competence. Georgetown University Center for Child and Human Development. Retrieved February 22, 2008 from http://www11.georgetown.edu/research/gucchd/nccc/
  • Salimbene (2000). What language does your patient hurt in? A practical guide to culturally competent patient care. EMC Paradigm. 
  • Shliakhovchuk, E. After cultural literacy: new models of intercultural competency for life and work in a VUCA world. Educational Review, 73(2), 229-250 doi:10.1080/00131911.2019.1566211
  • Tervalon, M., & Murray-Garcia, J. (1998). Cultural humility versus cultural competence: A critical distinction in defining physician outcomes in multicultural education. Journal of Health Care for the Poor and Underserved, 9(2), 117-125. doi: 10.1353/hpu.2010.0233
  • Tyson, S. Y. (2007). Can cultural competence be achieved without attending to white racism? Issues in Mental Health Nursing, 28: 1341-1344.
  • U. S. Department of Health and Human Services, Office of Minority Health. National Standards for culturally and linguistically appropriate services for healthcare. Retrieved from http://www.omhrc.gov/assets/pdf/checked/finalreport.pdf
  • Wang, W. (2007). Cultural competence of international humanitarian workers. Adult Education Quarterly, 57, 187-204.
  • Wear D. (2003). Insurgent multiculturalism: rethinking how and why we teach culture in medical education. Academic Medicine, 78(6), 549-54. doi: 10.1097/00001888-200306000-00002
  • Yelich Biniecki, S., & Stojanović, M. (2023). Fostering internationalization in adult education graduate programs in the United States: Opportunities for growth. Educational Considerations, 49(2). https://doi.org/10.4148/0146-9282.2364

 

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