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12.1 Introduction to the Ethics of Multicultural Counseling

Multicultural practice is a cornerstone of ethical counseling, requiring counselors to navigate the complexities of diverse cultural identities, values, and worldviews. Understanding and respecting the unique experiences of clients from various backgrounds is essential to providing effective and ethical care. In this section, we introduce fundamental concepts and terminology in multicultural counseling, laying the groundwork for exploring the ethical challenges and responsibilities counselors face in this area. By developing ethically-minded cultural competence and sensitivity, counselors can uphold ethical standards while fostering meaningful and inclusive therapeutic relationships.

Before exploring ethical dilemmas in multicultural counseling, it is important to review key terms related to the topic.

Cultural Awareness: Being aware of one’s cultural beliefs and others within one’s culture and context (Crethar & Winterowd, 2012).

Cultural Diversity: Spectrum of differences existing among groups of people with unique cultural backgrounds (Diller, 2011).

Cultural Diversity Competence: A counselor’s level of awareness, knowledge and skills to effectively practice multicultural counseling when providing services to diverse clients (Sue & Sue, 2013).

Cultural Empathy: A counselor’s ability to acknowledge a diverse client’s worldview in spite of their own personal biases or understanding of the worldview (Pedersen et al., 2008).

Cultural Pluralism: Recognising the complexity of cultural diversity, valuing the different beliefs and values (Lee & Park, 2013).

Cultural Racism: An individual’s display of superiority based on the belief that one group’s history, way of life, religion, values, and traditions are superior to others leading to unequal distribution of power to be justified a priori (Sue, 2005).

Cultural Tunnel Vision: A counselor’s understanding of the worldview based on a very limited set of cultural experiences, cultural assumptions and failure to evaluate other viewpoints, as well as little attempt to understand and accept the behavior of others (Corey et al., 2015).

Culture: A broad concept that encompasses shared social behavior, institutions, norms, knowledge, customs, language and material objects, usually associated with specific region or location, shaped by religion, environmental conditions or historical experiences (Definition of Culture – NCI Dictionary of Cancer Terms – NCI, 2011).

Culture-Centered Counseling: Sequential development of multicultural awareness, knowledge, comprehension to skills and application in clinical practice (Pedersen, 2000).

Diversity: Individual differences on a number of variables increasing vulnerability to discrimination based on the differences  (Welfel, 2013).

Globally Literate Counselors: A counselor’s cultural curiosity driven attempt to engage in new cultural experiences promoting mutual respect and understanding (Lee, 2013b).

Ethnicity: A term that refers to the social and cultural characteristics, backgrounds, or experiences shared by a group of people. These include language, religion, beliefs, values, and behaviors that are often handed down from one generation to the next. Some conditions or diseases, such as cancer, may be more common in certain ethnic groups than in others (Definition of Ethnicity – NCI Dictionary of Cancer Terms – NCI, 2011).

Implicit Bias:  Negative evaluation of a person on the basis of irrelevant characteristics like race or gender, occurring outside of one’s conscious awareness (FitzGerald, 2017). Therefore a counselor’s implicit bias drives unintentional discrimination as it is outside of one’s conscious awareness.

Microaggressions: Persistent verbal, behavioral, and environmental assaults, insults, and invalidations that often occur subtly and are difficult to identify (Choudhuri et al., 2012).

Minority: A part of a population thought of as differing from the rest of the population in some characteristics and often subjected to differential treatment (Definition of MINORITY, 2024).

Multiculturalism: “An ideology refers to the acceptance of different cultures in a society and also to the active support of these culture differences by both the majority members and minority group members” ( Schalk-Soekar et al., 2004, p. 534).

Multicultural Counseling: Integrating the understanding of the complex social and cultural background of each client when counseling clients from different cultural backgrounds including integrating culture in treatment planning (Lee, 1999).

Oppression: A series of institutional attitudes, beliefs, and behavior that increases entitlement for one group and discriminates against another person or group (Christopher et al., 2012).

Intersectionality: The idea that all forms of oppression overlap, and that no one kind of oppression is more or less impactful, dangerous, better or worse than another (Christopher et al., 2012).

Racism: Pattern of behavior that favors access to opportunities and privileges to members of specific racial or cultural groups denying access to opportunities or privileges to members of other racial or cultural groups operating on individual, interpersonal, and institutional levels, and can occur intentionally or unintentionally (Ridley, 2005).

Social Justice Work in Counseling: Empowering clients to advocate their needs and taking on the role of an advocate for the client when needed to address inequalities or injustices encountered by the client in community or society at large (Toporek et al., 2009).

Stereotypes: Generalizations about individuals (identified as belonging to a specific group) that are often oversimplified and uncritical, influencing a counselor’s view of a client  (Corey et al., 2015).

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Ethical Practice in Co-Occurring Substance Use Disorder and Mental Health Counseling Copyright © by Tom Hegblom; Zaibunnisa Ahmed; London Fischer; Lauren Roelike; and Ericka Webb. All Rights Reserved.