2012
DOI: 10.1007/s10730-012-9200-2
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The Promise and Paradox of Cultural Competence

Abstract: Cultural competence has become a ubiquitous and unquestioned aspect of professional formation in medicine. It has been linked to efforts to eliminate race-based health disparities and to train more compassionate and sensitive providers. In this article, I question whether the field of cultural competence lives up to its promise. I argue that it does not because it fails to grapple with the ways that race and racism work in U.S. society today. Unless we change our theoretical apparatus for dealing with diversit… Show more

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Cited by 24 publications
(18 citation statements)
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“…Essentialism perceives culture as monolithic, static, and inflexible. Applications of cultural competence in this mould usually focus on issues of access to the neglect of critical analyses of the impact of social location and power structures on minorities (Hester, 2012). They also rely on the production and propagation of generalizations and the making of grand summary statements about non-white cultures (Furlong & Wight, 2011).…”
Section: A Contested Sitementioning
confidence: 99%
See 2 more Smart Citations
“…Essentialism perceives culture as monolithic, static, and inflexible. Applications of cultural competence in this mould usually focus on issues of access to the neglect of critical analyses of the impact of social location and power structures on minorities (Hester, 2012). They also rely on the production and propagation of generalizations and the making of grand summary statements about non-white cultures (Furlong & Wight, 2011).…”
Section: A Contested Sitementioning
confidence: 99%
“…Cultural competence fails to acknowledge the sociopolitical mechanisms and institutional processes that produce and perpetuate ethno-racial injustices as a consequence of cultural differences when compared to the dominant white culture (Hester, 2012; Ortega & Faller, 2011). Cultural competence often focuses attention on promoting productive cross-cultural practice than interrogating sociopolitical and othering processes that exist in both the wider society and social work practice (Nadan et al., 2016).…”
Section: A Contested Sitementioning
confidence: 99%
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“…Reflexivity has been described as self-awareness of one's own cultural values (Reich & Reich, 2006, p. 54), cultural humility (Hester, 2012), and the ability to 'hold difference and alterity' (Kirmayer, 2013, pp. 367-368).…”
Section: Reflexivitymentioning
confidence: 99%
“…However, the very terms 'inclusivity' and 'diversity' are not neutralthey imply a dominant group (of white, heterosexual, middle-class women) into which 'other' groups can be absorbed . Similar criticisms have been laid against the field of cultural competence (Hester, 2012). This discourse further obscured the systemic inequalities and norms that still shape the construction of breast cancer services.…”
Section: Resultsmentioning
confidence: 93%