Rethinking Cultural Competence: Shifting to Cultural Humility
Cultural humility refers to an orientation towards caring for one’s patients that is based on: self-reflexivity and assessment, appreciation of patents’ expertise on the social and cultural context of their lives, openness to establishing power-balanced relationships with patients, and a lifelong dedication to learning.
Racism and Social Determinants of Psychosis
Structural racism is a fundamental cause of inequity within interconnected institutions and the social environments in which we live and develop. This review illustrates how these ethnoracial inequities impact risk for the extended psychosis phenotype.
Anglin D. M. (2023). Racism and Social Determinants of Psychosis. Annual review of clinical psychology, 19, 277–302. https://doi.org/10.1146/annurev-clinpsy-080921-074730
From Womb to Neighborhood: A Racial Analysis of Social Determinants of Psychosis in the United States
The authors offer a hypothesized model linking structural racism with psychosis risk through interwoven intermediary factors based on existing theoretical models and a review of the literature. Neighborhood factors, cumulative trauma and stress, and prenatal and perinatal complications were three key areas selected for review because they reflect social and environmental conditions that may affect psychosis risk through a common pathway shaped by structural racism.
Anglin, D. M., Ereshefsky, S., Klaunig, M. J., Bridgwater, M. A., Niendam, T. A., Ellman, L. M., … van der Ven, E. (2021). From Womb to Neighborhood: A Racial Analysis of Social Determinants of Psychosis in the United States. American Journal of Psychiatry, 178(7), 599–610. https://doi.org/10.1176/appi.ajp.2020.20071091
Beyond Face Value: Evidence for the Universality of Bodily Expressions of Emotion
The present research provides the first evidence that static, fully visible bodily expressions of anger, sadness, and(to a lesser extent) fear are reliably recognized by members of an isolated small-scale traditional society, supporting the universality of these displays.
Witkower, Z., Hill, A. K., Koster, J., & Tracy, J. L. (2021). Beyond Face Value: Evidence for the Universality of Bodily Expressions of Emotion. Affective science, 2(3), 221–229. https://doi.org/10.1007/s42761-021-00052-y
Cultural Humility Versus Cultural Competence: A Critical Distinction in Defining Physician Training Outcomes in Multicultural Education
Cultural humility incorporates a lifelong commitment to self-evaluation and self-critique, to redressing the power imbalances in the patient-physician dynamic, and to developing mutually beneficial, non-paternalistic clinical and advocacy partnerships with communities on behalf of individuals and defined populations.