![]() Zhang Min's case demonstrates why thorough evaluation, including assessment of the client's sociocultural background, is essential for treatment planning. Multidimensional Model for Developing Cultural Competence: Clinical/Program Level The counselor thus developed treatment strategies more suitable to Zhang Min's background. The counselor realized that what she had learned about Asian Americans was not necessarily applicable to Zhang Min and that knowledge of Zhang Min's entire history was necessary to appreciate the influence of culture in her life. Zhang Min first started to drink in high school with her friends. Most men she had dated were Irish Americans, and she socialized in groups in which alcohol consumption was not only accepted but expected. She felt, with the exception of her physical features, that she was more Irish than Chinese-a view accepted by many of her Irish American friends. She stated that she knew more about Irish culture than about Chinese culture. ![]() Zhang Min came to the United States at the age of 8 and grew up in an Irish American neighborhood. She grew up close to the British expatriate community, and her mother was a nurse with the British Army. She admitted that she had been drinking heavily, which she linked to work stress and recent discord with her Irish American spouse.įurther inquiry revealed that Zhang Min's parents, both Chinese, went to school in England and sent her to a British school in Hong Kong. She mentioned missing important deadlines at work and calling in sick at least once a week, and she noted that her coworkers had expressed concern after finding a bottle of wine in her desk. During the evaluation, however, the therapist was surprised to find that Zhang Min was quite forthcoming. The referral noted that Zhang Min was born in Hong Kong, so the therapist expected her to be hesitant to discuss her problems, given the prejudices attached to mental illness and substance abuse in Chinese culture. The counselor who conducted the intake interview had received training in cultural competence and was mindful of cultural factors in evaluating Zhang Min. Zhang Min, a 25-year-old first-generation Chinese woman, was referred to a counselor by her primary care physician because she reported having episodes of depression.
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