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Moving from Cultural Competence to Antiracism

192 Comments

We’ve all heard about cultural competence in clinical practice. And while it’s important, it’s also not enough.

So today, Thema Bryant-Davis, PhD will get into some first steps in becoming an antiracist practitioner.

 

 

Click here for full transcript
Dr. Bryant-Davis: So, it’s important to know that white therapists can be anti-racist therapists. What I mean by that, as opposed to just cultural competence – cultural competence is often about like, “Have you learned some information about different communities, do you have some sense of your own identity?” But to have an anti-racist stance is more active, it is more intentional, and some directories or mental health networks have started educating communities of color to tell them that it’s a small percentage of psychologists and mental health professionals that are ethnic minority. So as they’re looking for therapists – and you can even have an ethnic minority therapist who does not have that consciousness around being actively anti-racist – so, what these networks are recommending to people when they call to look for a therapist is to ask them, “What are your thoughts about the impact of racism on mental health? What are your thoughts about the impact of white supremacy on mental health?” as a taste test. If the answer is, “I believe people are people,” well then there you have your answer that this is not someone who is going to be able to acknowledge and engage with you because they’re not even willing to acknowledge that it exists and that it has an impact. It’s important to be able to communicate awareness and compassion that these events are happening, and that oppression is a reality now. That historical piece is helpful to know and it is very important to be able to not go into victim-blaming. So when we go in to try to defend and explain people who have said or done harmful things, then it lets the client know, “This is someone who is not really safe for me, they’re not really for me,” and it what it requires from us – and when I say “from us” I mean whenever you’re a part of the majority group – is to release my defensiveness because our usual tendency is to connect with the person we see as a reflection of ourselves. Because if the mom did something bad, then maybe that means I do something bad, so that I need to make it okay. And so, the example that comes to me from my own experience is around working with clients with disabilities as an able-bodied person. I was teaching multicultural psychology, and I had a guest presenter who uses a wheelchair and she was talking about coming across the campus at a place where I used to teach and the invisibility of systematically everyone refusing to look at her. As she came across the campus, no one would look at her. So in my “able-bodiedness”, what my instant defensive instinct, which I didn’t speak on but what came to my mind, was I know what that is because I have done it, in terms of trying not to stare looking away, without ever taking into consideration what would it feel like if everyone does that, if everyone is averting their gaze? Again, that difference between intention and impact – even if you did not intend to be rude or mean, that it is an erasure, and so to be able to sit with that. What I would say for white clinicians, when an ethnic minority client is describing an experience, your instinct may be to try to figure out how they could be interpreting it incorrectly because we want to believe that things are fair and right. Maybe I would do that or maybe my cousin would do that, and we’re not bad people, but instead to really sit with, “What is it this person is saying and what might it be like to have that experience?” and then to respond with that support. I want to say, actually, that that can be very therapeutic and healing in a way that hits on another level than them hearing it from me. What I mean by that is when I’ve had rape survivors who were raped by a man had a male therapist tell them how wrong that was of what happened to them, it registers in another way because this person in some ways they identify with that group. So instead of feeling powerless, like, “Oh I won’t be able to help my ethnic minority clients,” instead, with humility because people have talked about now not just cultural competence but cultural humility which is, “I don’t know everything,” and a continuous learning and an openness and a recognition. So, with humility and compassion, this could really be a therapeutic moment, it could really be healing.

 

What are your biggest takeaways from what you just heard? Please let us know by leaving a comment below.

If you found this helpful, here are a few more resources you might be interested in:

Working with the Trauma of Racism

When Staying Neutral Isn’t the Best Approach

The Same Pandemic, Vastly Different Experiences

 

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192 Comments

  1. Richard Gurekas, Psychology, CA says

    thank you for this perspective

    Reply
  2. Gerilyn Gruzwalski, Other, Novi, MI, USA says

    Thank you!

    Reply
  3. Brenda Durdle, Psychology, CA says

    Great. Timely for me. Thank you.

    Reply
  4. Barbara Caspy, Social Work, Las Vegas, NV, USA says

    Thank you for this insightful presentation! The most important learning I got was that it’s actually not helpful to try to explain to a person who is feeling hurt or discriminated against by others, what possible positive intentions those people may have had rather than how they’re interpreting their actions. It’s better to just compassionately listen and show understanding for their feelings.

    Reply
  5. Anonymous, Chiropractor, GB says

    Firstly the statement that had the biggest impact on me is that to look away as an individual is seemingly insignificant, but to be the person who notices that everyone looks away has a significant impact.
    And secondly that humility is simply admitting that you don’t know everything, but combined with compassion it can still help people.

    Reply
  6. Kate Lynch, Stress Management, Brooklyn , NY, USA says

    This is so insightful and helpful, and in the spirit of cultural humility, I would like to follow Dr. Bryant-Davis. I wonder why you haven’t featured her more often in this space, on other topics as well. Please post her info?

    Reply
    • Kathy Lessuck, Occupational Therapy, Providence, RI, USA says

      Kathy Lessuck, Occupational Therapy Assistant, Providence, RI

      Thank you for this description and defining difference between cultural competence and anti-racism. There are many places for white folks to learn and understand the history and continued issues of white supremacy culture and its devastating effects on Black folks and people of color in personal, institutional and systemic aspects of US culture. As a white women who has been actively fighting racism in my personal life, as an activist and in my work place for many years I can tell you that I can still make unintentional but still harmful comments because we have all been raised in this soup of white supremacy where “whiteness” is the normative value.
      Some of the groups where white folks can learn how to practice anti-racism are organizations like Showing Up for Racial Justice (SURJ), the Catalyst Project and Training for Change. We can also be in real relationships with Black folks and read and learn. As practitioners in health and wellness spaces, we especially need to break the role of supporting white supremacy and racism to be in real and healing relationships with our clients.

      Reply
  7. Kate Ly, Stress Management, Brooklyn , NY, USA says

    This is so insightful and helpful, and in the spirit of cultural humility, I would like to follow Dr. Bryant-Davis. I wonder why you haven’t featured her more often in this space, on other topics as well. Please post her info?

    Reply
  8. Rhonda Lieberman-Lapan, Psychotherapy, Silver Spring, MD, USA says

    i am grateful for that clip in these challenging times. Being active, having cultural humility as well as compassion, no victim blaming and releasing defensiveness (the hardest part for me) are my take aways. good to ask: what might it be like for me to live in that person’s shoes, skin, head, heart.

    thanks.

    Reply
  9. Caroline Jamieson, Social Work, NZ says

    Absolutely correct.. My whiteness need not be a barrier as long as i can see my own biases from my own upbringing education and place of privilege. Always place myself in anothers space to gain a view other than my own. If at any point feel defensive know i need to pause and review my thinking. Humility love and a desire for equality for all must take precedence. ” I” must take a back seat if im to be of use to another.

    Reply
  10. sian peer, Teacher, GB says

    I think this is such an important topic for discussion. Cultural Competence became the tick list approach to service delivery throughout the 80s and 90s without the deep conversation needed to address and give voice to underlying attitudes. There are still very little fora where the majority group is enabled to discuss race, difference, or have the opportunity to reflect on the roots of their ideas, assumptions and privilege. My experience with this type of group work revealed clumsy language use, outdated terminology and stereotyping due to limited opportunities for exploration or interaction. Those ideas become internalized for fear of exposing limited understandings. Process driven change has allowed this blindness to continue, the idea of institutionalised racism emerged in response to that yet we still have no systematic ways of encouraging anyone to really dig deep. I really like the concept of “averting eyes” as a metaphor for not tackling this.

    Reply
  11. Meira S, Social Work, USA says

    I am glad you are giving this attention. I like what you said. The time for people are people has frankly always been over. I love this.

    Reply
  12. Lynne Randall, Psychotherapy, Nashua, NH, USA says

    What resonated for me was he importance of being curious about the other individual’s experience… what was that like for you? …what did that mean for you?…. instead of responding with defensiveness of “well, I’m sure that wasn’t intended.” The issue is what is the others experience, how does it leave them feeling about themselves and how can we be more alert to those possibilities so that we don’t in unconscious or default or automatic responses replicate those painful experiences that cause people to feel unseen, devalued, somehow less than, etc.
    Those of us who are white have very , very little understanding of what it is like to live as a person of color in our culture….we expect civility, acknowledgement because that is what is so often afforded to us… it is hard to imagine our black friend being overlooked in the retail setting or the restaurant because that is not our experience. What is that like-to live a lifetime experiencing repeated episodes of being minimized, discounted, to feel unsafe? Of course, it impacts one’s mental health. I can only hope we can continue to learn how to bring healing.

    Reply
  13. Jill Kelley, Coach, Fond du Lac, WI, USA says

    Thank you, Thema, for naming what is necessary in addressing the impact of racism on mental health. ~ Jill Kelley

    Reply
  14. Ananda Bode, Clergy, Albuquerque , NM, USA says

    When I initiated work as a chaplain, and also as I had emvarked on education, it was necessary to work within fields of cultural competence. I appreciate recognizing that we all hold within ourselves intrinsic biases, but that we can also actively work on maintaining the main objective to listen, validate, and support others as they undergo support for their mental health. And absolutely racism and our social constructs of systemic racsim have a significant impact on mental health. It is vital to listen and explore our clients’ experiences but it is also absolutely necessary to explore our own personal reactions so that we can best serve those who come seeking support.

    Reply
  15. Elise Laviolette, Psychotherapy, CA says

    This is a beautiful invitation for us to sit more comfortably in the realm of impact versus intention. To allow ourselves to bare witness to the erosion of self that can happen with the repeated (dare I say relentless) impact of all the “isms”. It allows us to move out of the space of the self-esteem that is taken for granted because it is artificially bolstered by privilege and therefore never really challenged. To me, an anti-racism stance opens the door for conversations about loss, pain, frustration, demoralization, dehumanization, shame, and so much more. And, of course, we can also be witness to a depth of resilience, strength and authenticity that is of the unshakeable kind because it is forged in the fire of a society that remains unfair and unequal.

    Reply
    • Ananda Bode, Clergy, Albuquerque , NM, USA says

      What you say regarding “isms” is eloquent–especially how you allow conversations to be able to focus on loss, dehumanization, etc–all significant feelings when healing from trauma. Thank you so much for your perspective!

      Reply
  16. Susan Horton, Another Field, Fort Worth, TX, USA says

    Thanks for creating awareness of cultural competency in a time where people are craving understanding to help others to feel understood. It’s easy to have the sentiment but without more examples of what people experience it’s still all abstract. This is empowering information.

    Reply
  17. Elaine Cochrane, Clergy, CA says

    I was very much touched by the intention and impact discussion. Thank you for this information. I see that even though our intention may not have been to dismiss or hurt if these things happen the client or person is not helped . I appreciate these insightful videos thank you

    Reply
  18. Antoinette Clarke, Social Work, CA says

    Thanks for this, I really apprecited your thoughts

    Reply
  19. Louise Sparrow, Another Field, CA says

    I have been craving this kind of information and direction. Thank you.

    Reply
  20. Pam, Marriage/Family Therapy, USA says

    I think this is a very insightful and important video. For those of us who thought that “seeing people as people, regardless of race”, was a good, fair and helpful thing to do, now can see how blind this is. Thank you!

    Reply
  21. maria heinl, Counseling, GB says

    Thank you so much. Such clear, straight forward way to deal with challenging diversity and what I like mot was the warmth and deep feeling it came from this video.

    Reply
  22. Sharon Fisher, Social Work, Philadelphia, PA, USA says

    I really appreciate the beginning question of taking the time to reflect on what answer I would give that would be concise and relvant on how White supremacy and entitlement impact mental health. I also like the distinction between cultural humility and cultural competence.

    Reply
  23. Pat Harris, Social Work, USA says

    Thank you Dr. Bryant-Davis for this extraordinary learning experience. I so appreciate your words, examples, and reflective wisdom. My thoughts about intention and impact will forever hold a wider scope.

    Reply
  24. Yumiko N, Counseling, CA says

    These are wise and very helpful advice for me both as a client and as a counsellor. I can’t agree more with the importance of therapists’ dropping their defence and actively taking anti-racism/discrimination stance, in order to help their clients heal from their racism/discrimination based trauma.

    Reply
  25. Dr Oonagh Davies, Psychology, GB says

    Thank you so much for this, so clear and helpful, I really appreciated the concrete examples, and the comparison between intent and action for the person in the wheelchair. Also really interesting to think about the difference between being culturally competent vs anti-racist. Has activated me and helps me think how I want to do and understand more, and strive for an anti-racist stance, anti-oppressive practice in my work as a child psychologist in the uk, thank you. More please!

    Reply
  26. Anonymous, Counseling, Olympia, WA, USA says

    Ask therapist what impact does racism have on mental health? Is a good question to ask.

    Reply
  27. Mercedes Rojo, Counseling, Philadelphia, PA, USA says

    Thank you so much. This is such an important and sensitive issue that as therapists we need to be aware so as to respond appropriately and justly. I have found myself in situations in which I had to address racism with a client, and it was received with either resistance, fight back, or, “but I’m not racist’ responses. Although I have lived in the US for 50+ years, I am originally from Spain, and I have at times been told that I just did not know and understand the issues because I was not a native american. But I do know the history, and I also know what racism and prejudice looks like, and I have seen the hurt in a person’s eyes as she/he shared the pain. I believe that education is essential. However, there is more than education that we need. We need to come to the realization and firm belief that we are all ONE – in our humanity and with the whole creation — Without that, I am not sure that we will get there soon. And then, what do we have? Those of us who believe in this oneness, we have to keep trying… one person at a time– and in this country, we have to use our VOTE to make changes… Thanks again,
    Mercedes, Philadelphia, PA

    Reply
  28. Susan Knier, Occupational Therapy says

    Dr. Bryant-Davis, thank you for giving concrete examples. I appreciate your suggestion to sit with the experience in you, and to imagine and sit with what life might be like for the other. We need to bare witness, and not turn away.

    Reply
  29. Marlene Driscoll, Counseling, Culver City, CA, USA says

    Very helpful and wise. Thank you.

    Reply
  30. Kelly N, Other, Seattle, WA, USA says

    Thema you just rocked my world and you can bet I have spent the morning sharing your wisdom.

    Please put together a program. I (and I suspect many of us) am hungry for more incredible insight that we can use right now personally and professionally.

    If this isnt a deep dive and pivot moment I don’t know what will be. I feel so many of us are beyond ready to understand ourselves and racial issues in new ways that bring about real change that can clean these deep wounds.

    New languaging, new ways of seeing into our unconscious identifications and how it plays out – the actual impact vs intention. Brilliant.

    Thank you for showing us the doorway to cultural humility!!

    I didnt recognize it but Ive been hungry for new ways of understanding my relationship to race and other race.

    Thank you NICAMB and Thema

    Reply
  31. Amanda Geffner, Psychotherapy, USA says

    It was very helpful to hear the example of Bryant-Davis’ experience hearing a disabled person’s story- the way we as helpers may identify with the problem behavior and defensively want to neutralize it and make the speaker wrong vs how healing it can be when the therapist sits with, tries to understand and acknowledge the experience presented by a client

    Reply
  32. Harold says

    Good ideas. Thanks

    Reply
  33. Alexis Sorbara, Marriage/Family Therapy, DALLAS, TX, USA says

    Thank you for this. Antiracism and cultural humility need to be more integrated into graduate programs across the nation.

    Reply
  34. E Hirner, Counseling, Saluda, VA, USA says

    Most poignant takeaways for me were the cultural humbleness and the idea of watching the desire to be defensive and what does that mean. To avoid that/ keep it in check and simply acknowledge their experience and how wrong it was- “sit with it.”

    Reply
  35. Katie Veit, Social Work, Nashville, TN, USA says

    Dr. Bryant-Davis,

    This spoke to me like no other resource has thus far, during this current climate. I am going to share this with my students.

    Thank you!

    -Katie Veit

    Reply
  36. Anonymous says

    Clear distinctions and well put.

    Reply
  37. M, Teacher, WI, USA says

    I love the addition of the phrase ‘cultural humility’ to the conversation (and the emphasis on continuous learning.) These practices (consider what it would be like if everyone…did that; notice the defensive reaction ‘We don’t mean it’ and distinguish between that and the result of the behavior) will now hopefully become a daily intention for me.

    Reply
  38. Daniel Stone, Psychotherapy, CA says

    This is excellent, Thema. Thank you.

    Reply
  39. Monica Tweet, Physical Therapy, Portland , OR, USA says

    Thank you Dr. Bryant- Davis for taking the time to share this incredibly valuable and necessary information. I empathetically and intellectually related to the examples you gave. I am a physical therapist certified and specializing in craniosacral therapy and somatoemotional release. I work with a diverse population and sometimes on a multidisciplinary team. I am not a counselor, yet I can immediately begin to apply what I learned listening to you today. The information you provided facilitates my ability to begin moving beyond cultural competence and sensitivity toward being an antiracist practitioner. There will always be more for me to learn. I can start today, both professionally and personally, applying changes in my thoughts and words to embody cultural humility, provide a safer space for clients and community in an antiracist manner. Thank you. I have been finding ways to educate myself, yet know I still make mistakes. I would like to continue learning more.

    Reply
  40. Mary, Psychotherapy, USA says

    Thank you. I felt your example of disabled invidividuals’ experience of invisibility was an example experience that was relatable (I am a sister of 2 brothers who are disabled and have worked with clients who have described this experience).

    Reply
  41. Sylvia Fleck, Social Work, Philadelphia, PA, USA says

    Thank you, Thema Bryant-Davis. As a white person working with an ethnically diverse population, I found this very helpful. I can recognize how I have reacted defensively in the past and how, despite my empathy, my response was invalidating the other’s experience.

    Reply
  42. Natasha Allain, Another Field, CA says

    Thank you, Dr. Bryant-Davis, for sharing from your education and experience. As I was listening to this video, not only was I listening for how I can be an anti-racist practitioner, but i was also listening for how I can teach my students to be anti-racist as well. The things that really stuck out to me were:

    1) cultural competence vs. cultural humility. This really hit my heart center

    2) how I can educate myself around the impacts of racism on mental health and how I want to answer the question, “what are your thoughts on the impact of racism on mental health”. This brings forwards another question, which is “what kind of a practitioner do I want to be?”

    3) do not go into victimhood, instead create safe space to listen and hear my client’s experience. And, if I affirm that such racist/harmful experiences are NOT okay, and are deeply impactful and traumatic, I could be offering the space for healing. Being aware that my skin colour matters and has an impact on my client’s healing journey is showing that I am a safe(r) practitioner to work with

    4) the difference between intention and impact

    Reply
  43. Kate Holaday, Counseling, Kalamazoo, MI, USA says

    Thank you, Dr. Bryant-Davis, for your clear, straightforward, and penetrating explanations and examples. As a white person with good intentions, I am glad to be guided to “see” my impacts on all levels, including those I had perhaps sensed but not really fully realized or examined. One take-away: if I find myself feeling defensive, that’s a cue to take a closer look!

    Reply
  44. Ana Cikara, Psychotherapy, FL, USA says

    I would love to see NICABM providing more resources such as this to enhance therapy skills around the effects of systemic racism and addressing racial injustice. I respect this institute a lot and have found it very helpful, but also see an area for growth in this domain. Whether it be separate resources such as this or addressed more directly as a factor in other trainings provided. This video was helpful and I wish to see more from such a quality institute. Thank you for all that you do!

    Reply
  45. Leslie Darrell, Another Field, Yarmouth, ME, USA says

    Dr. Bryant-Davis’s words are wonderfully accessible, and profound. In this brief video she provides suggestions that I can reinforce with myself-and my clients – immediately. My traditional academic training as a speech language pathologist included these principles – but not in the context of our racially fractured society of June 2020. I am a holistic practitioner certified in energy healing using methods that reduce trauma, anxiety, PTSD and the blocks of a broken system. It is humbling, exciting and challenging to learn skills needed to be a mindful Antiracist practitioner. Thank you! I look forward to deepening my knowledge, hands on awareness and collaborate with both multiethnic, and white clients to bring antiracist change in my corner of the world.
    Leslie Darrell
    Yarmouth, Maine

    Reply
  46. Anonymous, Counseling, Noblesville, IN, USA says

    She addresses this in the video by describing the initial response to want to defend your position. It’s common to want to do that because of course your intent is not to discriminate. However by defending it you’re sending a message that the experience of the person in the wheel chair is not valid. It’s not just one person passing and not looking, it was the collective experience of moving through campus and over and over again, people would not look at her.

    Reply
  47. Janet S R, USA says

    I feel so lonely at this time with my family, neighbours, coworkers and good friends that do not see the harm in what is happening in our world. It’s not about politics anymore. It’s about what you believe in the core of your being. Some people don’t question why they support who they support. Is it because people are too afraid that maybe what they think is right, isn’t right at all? Blaming and shaming and refusing To take responsibility and see the others point of view is not a conductive way of bringing people together for the common good unless you are wanting your own gain. Freedom has its own consequences too.
    I hope I’m making sense here. So many burdens on my mind. Why don’t people think about both sides of a coin??

    Thx for the video,
    Janet

    Reply
  48. Colleen Gunning, Psychotherapy, Plymouth, MN, USA says

    Thank you Dr. Bryant-Davis, discrimination does extend beyond skin color and ethnicity. I appreciate your message. Thank you NICABM for posting this message. I live near Minneapolis, MN, and it’s been heart-breaking to see the destruction and arrests of peaceful protesters who just want to be seen and heard. It’s been eye-opening to hear from some of the people being interviewed by local news talk about how they are discriminated against on a regular basis by people in authority roles like police officers and state patrol officers. The provoking behavior, in their words, is based on the fact that they have brown skin. I read “White Privilege: Unpacking the Invisible Knapsack” by Peggy McIntosh when I was doing my masters in social work, and I never forgot some of the comments she made like, “Why are most band-aids the color of white- skinned people?” It may seem like a small thing, but what I wonder “what if I were a person of color and didn’t see much in my environment that reminded me that I was seen and heard by customer service staff, manufacturers, decision-makers, i.e. anyone who couldn’t relate to me and my ethnicity, and who none-the-less impact my daily life?” I would feel disenfranchised, too and would not feel that my life mattered in the bigger community that I live in. I will read Peggy’s paper again. I realize that the statement on someone’s face mask honoring George Floyd, “We can’t breathe”, is a serious and heartfelt statement that we who have White privilege and insensitivities must pay attention to, and use for change in our personal, work and community lives. I realize I need to make some changes in my attitude and sensitivity toward people of color in my own community, too.
    Colleen, LICSW
    Plymouth, MN

    Reply
  49. Thomas Grinley, Other, NH, USA says

    I have had some really good training in cultural competence and have touched on some of the ideas raised here but it still points out, yet again, that as a privileged white male I need to go the extra step

    Reply
  50. Phillip Evans MS MFT BC-TMH, Marriage/Family Therapy, CA, USA says

    Thank you Dr Bryant-Davis! I’m actively looking engage with my colleagues (including supervisees) around the concept of moving beyond an awareness as a clinician with cultural competence & cultural humility to an awareness, a practice of being an anti-racist clinician. I am on the look out for quality trainings and CE courses to supplement and encourage further growth. Again, thank you.

    Reply
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