“I know it can also be part of her personality, her character structure, or her temperament. I also know that her somatic complaints may be part of a whole separate pathology, possibly Somatization Disorder, bordering on overvalued ideas, or obsession/compulsion and even psychosis. But which is it? And given the strong cultural component, how do I tease out the difference?” Georgina added. Here are three components that are missing in cultural competency, as it is being taught and practiced today.
n this current article, I will describe three more factors, illustrating the lies of cultural competency. And in subsequent articles, I will further outline: (1) What is missing about cultural competency; and (2) What cultural competency is and/or what it could be. Below are three additional factors illustrating the lies about cultural competency:
This paragraph introduced the first article of this series, entitled, The Lies About Cultural Competency: 2 Main Reasons, in which I explained that Cultural Competency is: (1) Misconceived; and (2) Misleading. In this current article, I will outline 2 additional points, illustrating the current lies about cultural competency. In subsequent articles, I will describe: (1) What is missing about cultural competency; and (2) What cultural competency really is and/or what it could be.
A bio-psycho-social formulation is known more than practiced, but it is at least known by enough clinicians. However, adding the component “cultural” is less known, less accepted, less understood, and also less practiced. There are several reasons why this is the case, and one of the reasons is related to how culture in medicine, generally, and in psychiatry and mental health, in particular, has been portrayed, explained, or operationalized. This has to do with the type of reaction the term “cultural competency” has generated, including the way it has been ridiculed by many, though most would not want to admit to this.