2022
DOI: 10.15453/2168-6408.1955
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Client-Centered Practice when Professional and Social Power are Uncoupled: The Experiences of Therapists from Marginalized Groups

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Cited by 3 publications
(4 citation statements)
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“…When learners are not members of dominant groups, they may hold little social power in encounters with oppressively hostile patients. 64 Our findings related to the power dynamics and norms of physician culture underscore how students in our study experienced, responded to, and were changed by mistreatment stimulates compelling questions that we believe the medical education community needs to consider when developing responses to incidents of mistreatment that commit to antiracism, antisexism, patient care, and learner care.…”
Section: Discussionmentioning
confidence: 60%
See 1 more Smart Citation
“…When learners are not members of dominant groups, they may hold little social power in encounters with oppressively hostile patients. 64 Our findings related to the power dynamics and norms of physician culture underscore how students in our study experienced, responded to, and were changed by mistreatment stimulates compelling questions that we believe the medical education community needs to consider when developing responses to incidents of mistreatment that commit to antiracism, antisexism, patient care, and learner care.…”
Section: Discussionmentioning
confidence: 60%
“…63 However, initiatives that focus primarily on critical reflections on social, professional, and personal power can implicitly reinforce individual-level solutions. 64 Institutional initiatives to enhance individual responses (curricula that help learners and clinical educators recognize and respond to mistreatment) should coexist with institutional culture change efforts, including improved efforts to monitor and respond to the learning and workplace climate and increase leadership diversity. 57 Such efforts should consider incidents of mistreatment of all members in a health care team.…”
Section: Discussionmentioning
confidence: 99%
“…This may include incorporating culturally relevant examples, metaphors, and idioms into therapeutic dialogue, as well as seeking feedback from adolescent clients and their families about their communication preferences and cultural expectations. Furthermore, therapists should be mindful of the potential for language and communication to perpetuate stereotypes or marginalize certain cultural groups (Beagan et al, 2022). It is essential to avoid making assumptions based on language or cultural background and instead approach each client with curiosity, openness, and respect.…”
Section: Ethical Considerations and Challengesmentioning
confidence: 99%
“…We can learn to ask the hard questions, like whose worldviews are embedded in our assessments and conceptual models, whose knowledges and ways of knowing are valued and taken up, who is seen as a helper and who as in need of help, who is seen as authoritative and embodying leadership? When examined critically, even core concepts like client-centeredness and enablement betray their roots in privileged, dominant worldviews and experiences (Beagan et al, 2022c; Emery-Whittington, 2021; Gibson, 2020; Grenier, 2020; Hunter & Pride, 2021). We can use institutional mechanisms to transform curricula, support racialized colleagues, and advance racialized colleagues into positions of power and leadership.…”
Section: Making Changementioning
confidence: 99%