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Understanding Diverse Identities: Cultural Influences and Values

This training explores the impact of culture on patient care and HIV work with Native Peoples. Participants will learn to identify and dispel myths, understand the concept of overlapping identities, and apply the Rainbow Identity Principle. The session covers topics such as multiple values influenced by culture, family, and spirituality, as well as the challenges faced by health professionals in culturally diverse settings. Through interactive elements, participants will navigate complex identity layers and gain insights into racial, ethnic, and community distinctions. Delve into the historical and modern-day effects of cultural contact and ethical considerations in providing healthcare services to diverse populations.

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Understanding Diverse Identities: Cultural Influences and Values

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  1. Cultural … Influences Values & Identities

  2. Objective Participants will be able to: • Identify & dispel myths • Explain the concept of multiple, overlapping identities • Identify differences between Traditional Tribal & Contemporary Urban Values • Apply the Rainbow Identity Principle to HIV work with Native Peoples (Native Americans, Alaskan Natives & Native Hawaiians)

  3. Culture Influences Often impact: • Patient/client participation • Patient care • Prevention strategies • Service utilization Sacred Path Cards

  4. Cultural Influences Health care professionals: • Generally receive little or no training in cultural diversity • Are taught to pay attention to particular details (usually disease specific or system deficiencies) • Learn to make assumptions

  5. Race and Culture General American belief that “appearance” tells you: • WHO … someone is, and • WHAT … is important to them

  6. Race and Ethnicity Gender Community identification or membership Location Labels & names ? Interactive Elements People are multi-faceted Multiple identities Overlapping identities Cultural Influences

  7. Values • All people have values • Influenced by: • Culture • Family • Spirituality/Religion • City • Community • Social Network • Work Environment

  8. Values • Assume that my values are universal • Translates into • One Right Way • My Way or the Highway • “Different from” does not mean: • Worse then, or • Better than • Culturally Deprived ?

  9. Some non-Indian providers see themselves in the Rescuer Role: Health Care Social Services Native People: Don’t need to be rescued Don’t see being Indian as a “misfortune” Skilled interpreters of the silent language Dynamic Tension

  10. Value Orientations

  11. Value Conflicts • Live Urban centers • Traditional culture was forbidden • Homes w/ two or more cultural traditions • “Caught in the crossroads” • Trying to live up to multiple value systems

  12. Exploring Identity • Distinct from making assumptions • Leads to understanding • May require worker accommodation/s • Identifies prominent or current key spheres of influence/s Sacred Path Cards

  13. Exploring Identity • Wide range of Native experiences • Personal experience of being Native • Can influence/shape • Ways of participation • Desire • Comfort level

  14. Racial Distinctions Based on physical traits Skin color Hair texture Eye shape Body shape ? Used as basis to deny: Equal access Opportunity Resources Involvement Exploring Identity

  15. Ethnicity Cultural heritage Customs or practices Language Food Shared history Beliefs & attitudes Ceremonies Values Exploring Identity

  16. Emphasized individualism Grounded in Christian experience Assimilation of other ethnic groups to the dominant culture Resulted in: Unconscious & explicit destruction of: non-white non-European non-Christian Ignorance of value & contributions of other cultures to own General American Society

  17. Result of Native Contact w/ Europeans • Wiped out 90% of American Indian populations • Govt. policy has sought to eliminate • Culture/traditions • Language • Spirituality • Family/social systems

  18. Result of Native Contact w/ Europeans • Many modern day issues stem from or can be traced back to historical events • STDs • Poverty • Substance Use/Abuse

  19. Identity What is it?

  20. Self Identity Who I think I am (internal) Identity

  21. Self Identity Perceived Identity Who I think I am (internal) Who you think I am (non-verbal) Identity

  22. Self Identity Perceived Identity Disclosed Identity Who I think I am (internal) Who you think I am (non-verbal) Who I tell you I am (Verbal) Identity

  23. Race Ethnicity Culture Community Family Where you live Education Relationships Challenges Opportunities Differing levels of importance Changing or shifting over time Impact of stress or crisis or need Identity is a function of many influences:

  24. Potential Spheres of Influence

  25. All spheres of a person’s identity • Integral to understanding who that person is • What’s important to them • Demonstrating respect

  26. Red Orange Yellow Green Blue Indigo Violet A rainbow isn’t really a rainbow unless you can see all the colors Same is true w/ human beings RAINBOW Identity Principle

  27. RAINBOW Identity Principle Exercises

  28. Native Peoples … be they Native Americans, Alaskan Natives or Native Hawaiians … are not all alike …

  29. Native Americans • 540 federally recognized Tribes • 2.5 million N.A.s (2000) • Live/work: • Reservations • Rural areas • Urban centers & cities • 66% reside in 10 states

  30. Native Hawaiians • 25% of Hawaii Population • 280,000 N.H.s (2000) • Live/work: • Rural areas • Urban centers & cities

  31. To be effective providers of HIV services: Be aware of: • Multiple spheres of identify • Overlapping identities • Current impact of influences • Hidden, lost or forgotten aspects

  32. To be effective providers of HIV services: Be aware of: • Impact of language and pause time • Client Value Systems • Value conflicts • One approach yields Bell Shaped Curve Results

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