COUNSELING LATINO/LATINA AN CHILDREN BRIE Enedina SarcIa-Vazquez Luis A • Vazquez ~ory Bradford Ivey C§) 2004 Introduction The statistics on Latino/as have consistently shown increases in the population. At present Latinos comprise 32.5 million or 12 percent of the population as a whole. By 2050 Latinos/as will comprise 98 million and in fact Latinos are now the largest minority group among all ethnic groups. In addition, Latinos/as are a young population with the average age hovering in the mid-twenty year range (26.6 - median age, US Department of Education, 2003). Therefore it is not surprising that the school age population is also highly comprised of Latino/a children and adolescents, making up about 16 percent of all children under 18 years of age (Department of Education). Among children in public schools, 39% of children are from minority backgrounds and of these 44% are Latino/a. Given these statistics and the need to have culturally competent counselors and psychologists, the video "Counseling LatinofLatina Children and Adolescents: Brief Interventions" was developed. This workbook provides a guide in working with issues that children, from Latino/a backgrounds, might present with in counseling. Key to working with Latinos/as in general but also with children and adolescents are the notions of acculturation, ethnic identity and worldview. It is important to identify whether the child/adolescent as well as the family are acculturated to Western culture, given that school can be the first place where a student begins the acculturation process. Is the child/adolescent highly acculturated to Western culture, to their own culture or both? Areas that have been correlated with acculturation include, language familiarity use and preference, oral language and literacy skills in English and Spanish, generational status, traditions followed and cultural exposure such as radio, TV and newspapers. In this technology driven society, it may also be helpful to determine website preferences (Latina. com, univsion.com, etc.). At times students may not be highly acculturated to their own culture but may still highly identify with their ethnicity. As a result, ethnic identity becomes highly important to assess. Along with cultural identification, at some point it may be necessary to determine whether the child/adolescent feels discrimination, another important dimension of ethnic identity. Finally, ethnic/social interactions need to be assessed and the role these interactions play in the child's/adolescent's life at school, in the community and at home. Assessment of worldview is important because it provides information on how the child/adolescent and family sees the world. Worldview tells the counselor/psychologist how the client and their family relate to the environment, how they deal with relationships, faith, values, moral development, loyalty beliefs, among other areas. It is important to determine how competition and cooperation are seen and their views with regard to collectivism and individualism This video is for educational purposes and the goal is to present vignettes of possible issues that children and adolescents from Latino backgrounds may present with; therefore, child actors were used. The issues demonstrated are not issues that the child actors are experiencing. 2 How to Use This Guide This guide presents supplemental information on the issues depicted in the various vignettes. Questions are provided within each vignette description to help spur discussion for effective assessment and counseling with Latino/a children and adolescents are provided. The following general questions, modified for the situation, can be asked prior to viewing the video, while viewing the video or after the video segments. The vignettes can be used individually or as a group . ./ Is the issue presented developmental? Is the presenting problem consistent with typical childhood problems? ./ What should have been done first? ./ What should the counselor/psychologist do next? ./ Would there be a better approach in handling the situation/ The questions can also be used for essays, assignments and items for comprehensive exams. As assignment questions, can be used as topic areas for research. For comprehensive exams students can be asked how their theoretical orientation can be applied to the children' s/adolescents' issues presented in these vignettes. What consultation interventions could be developed with the students? Vignette 1 Racial Harassment Ineffective Example ~ary Bradford Ivey Angelique Sessions In this vignette, the student and the parents are worried because the student is experiencing racial harassment from a peer at school. Mary, the counselor, in effect ignores the student's feelings and has Angelique come up with ideas on how she can handle a situation like this. The student's idea is to ignore the racial comments from the peer and the counselor agrees that this might be a way to handle a situation like this because "kids will tease again and again". The counselor does not offer help nor support. In this vignette we see things that the counselor has done appropriately. She begins the session in a friendly manner, checking to see how the student is doing. The counselor also checks on the family. However, the session worsens once the student presents the issue she is battling with and the counselor proceeds to place responsibility for the problem on the child and "blames the victim". Racial harassment hurts everyone. Students may feel racially harassed because of their phenotypic features (skin color, hair texture, facial features) or language of origin. Students who have accents may be labeled "ESL" by peers even if they speak English proficiently. Whole school activities when the problem is pervasive would be warranted. 3 Questions to Consider ./ ./ ./ What would be better ways of addressing the student's concern? Are there things that could be done at the school level to help address racial harassment? How do you define racial harassment? Vignette 2 More Effective Example Racial Harassment Mary Bradford Ivey Angelique Sessions Clearly in this vignette the counselor's techniques are more consistent with best practices. In addition, she uses effective micro-counseling techniques such as encouragers, paraphrasing, listening and attention. The counselor is sympathetic toward Angelique and does not dismiss her negative experiences with the peer at school. By asking Angelique to identify what she and her friends did at the time of the harassing incident, she does not blame the victim nor make her responsible for her own solutions. Instead the counselor creates links to cultural supports and the family and the positive aspects of cultural traditions. The notion of ''familismo'' can be an important aspect in the Latino culture. However, the extent to which "familismo" is integral to the Latino family will depend on the family's acculturation to Western culture and original culture. In identifying strengths in the family culture, Mary discovers that the child serves as a translator for the grandmother. This suggests the notion of the extended family that has been linked to Latinos, that the grandmother does not speak English well and that Angelique speaks at least some Spanish. While identifying language use and preference can be determined during the clinical interview, the counseling session can provide an opportunity to add to the clinical interview data gathered earlier. Although it is preferable to assess acculturation at the clinical interview stage, interviews with children even some adolescents may not yield all the information, during the clinical interview, necessary to make a clear determination of the child's/adolescent's level or type of acculturation. Assessment of acculturation, therefore, can be refined as rapport is strengthened throughout the counseling sessions. An important practice would be to continually check how acculturation is moderating the behaviors related to the presenting problem. In some Latino families, teachers and other school personnel may be invited to attend important family functions such as Quniceafieras (an elaborate coming of age party that occurs on Latinas' 15th birthday). Angelique mentions her cousin's Quniccafiera but had it been Angelique's the counselor/psychologist may have been invited to the event. The counselor/psychologist's training related to dual relationships may come into play if indeed the family makes a gesture in having the counselor/psychologist attend. The family may not understand the notion of dual relations 4 but it is highly likely that boundaries will not be violated if the counselor/psychologist attends the event. In fact it may be more critical for the counselor to attend to further establish the counselor/client relationship. Questions to Consider Acculturation o How is acculturation moderating the session? ./ Cultural supports o What are the cultural strengths and supports that the child/adolescent brings to the session? ./ Micro-counseling techniques o How can micro-skills already learned be used with Latino/a children and adolescents? Will any modifications be required? ./ School system action o How can the school assist in bringing a positive solution to the child' s/adolescent' s problem? ./ Other o What other positive techniques were employed in general? Or with the Latino/a child/adolescent? o What other techniques can be used to help with the student's presenting problem? o What additional information do you need to develop an effective treatment plan? v" Vignette 3 Angelique's Parents Comment on the Session Rosario and Scott Sessions In this vignette the parents have an opportunity to discuss their feelings and perspectives on the session. The purpose of this session is to help the counselor/psychologist to normalize counseling with the Latino/a child/adolescent. The literature has consistently emphasized that Latinos/as do not seek therapy. It has been said that Latino parents may not want their children to see a therapist or a psychologist because only "crazy" people need psychologists. If this occurs, it may be due to lack of academic training, where parents with limited educational experiences do not fully understand the dimensions of counseling. More importantly, though, it may be due to the parents adjusting to the fact that something may be wrong with their child. Parents' view of disability varies across cultures but all parents feel the sting when discovering that their child may not be perfect. Again in this session the parents are able to see that every day experiences can present difficulty for the child/adolescent. The parents see that the counselor/psychologist can provide effective intervention without labeling the child. In addition, the strengths perspective lets the parent know that everyone is working together to help their child have a positive experience in school. On the other hand, if a parent does have problems 5 with their sonlldaughter seeing a counselor/psychologist, the information provides a glimpse of the parents' view of school personnel and may shed light on the parents' acculturation. In this case the counselor/psychologist needs to reassure the parent and a cultural mediator may be needed if the counselor/psychologist does not fully understand the family's culture. It may not be to the child's/adolescent's advantage to have the parents observe a counseling session. However, it may be advantageous to include the parents in a counseling session with their son/daughter. If this approach is used both the child/adolescent and parents need to know the purpose for moving into a family rather than an individual session. Questions to Consider ,/ How can you help support Latino parents who do not feel integrated into the school community? ,/ How can you normalize the need for counseling? ,/ How can you help parents adjust to the idea of disability or non-normalcy? Vignette 4 Acculturation Introduction Luis A. Vazquez A brief introduction to acculturation is offered. The introduction sets the tone for the following vignette. Vignette 5 Acculturation Enedina Garcia-Vazquez Paloma Nava As stated earlier, it is important to assess acculturation to help develop an effective treatment plan. In this vignette Paloma is concerned that her friends mispronounce her name. In the past, the concern with names was usually established at the teacher level and many Latino students saw their names Anglicized to make pronunciation easier for the teacher. In essence students had one name in school and one name at home. What would you do if the teacher was mis-pronouncing or Anglicizing a child's name? Paloma's situation is a bit different. She has peers that know how to pronounce her name but are teasing her by translated her name to English. Indeed a "paloma" is a pigeon in English. The accurate, albeit insensitive, translation of her name demonstrates that some of her peers may be bilingual. This information provides a glimpse at what her fiend's and Paloma's language use might be, which helps with the assessment of acculturation. On the other hand, the session might have been more 6 effective if strategies to address the concern with her name could have been developed. In addition, the counselor/psychologist could have asked about her feelings. The use of more micro-skills could also enhance the session. The counselor/psychologist used Spanish to establish rapport and also to determine what Paloma's language use and preference might be. In actuality, Paloma speaks quite a bit of Spanish to her parents and extended family. However, she chose to stay with English throughout the session. Other areas assessed were related to music and TV shows preferences. It was obvious that differences between Paloma's and her parent's preferences exist. Paloma started her acculturation to Western culture in Kindergarten and she is now in the eighth grade. However, she has maintained many of her cultural traditions. Although her parents have lived in the United States for many years they have maintained many cultural traditions and rules. What are the types of acculturation? What is Paloma's acculturation? ~ Unacculturated - an individual who is acculturated to their first culture but not to the Western/European/Anglo culture ~ Bicultural - An individual who holds cultural traits from the first and Western culture ~ Acculturated - An individual who holds mainly or only the traits of the Western culture with few or no traits from the first culture Paloma is bi-cultural. She still upholds many of the family's Latino cultural traits but is adding the Western traits she is learning in school and through the media. Sex role expectations are another consideration that need to be addressed with Latino/a students. More traditional Latinos/as may have stereotypic roles for boys and girls. These can influence the acculturation process. In Paloma's case, later in the vignette but not shown in this video, Paloma is also trying to balance differences between her parents' , her peers' and the school's sex role expectations. Questions to Consider ./ Ethnic Identity o How can you integrate assessment of ethnic identity? o What questions would you ask? o What is the bridge between acculturation and ethnic identity? o What do you think Paloma's and her parents' ethnic identity is? o What is the importance of knowing an individual's ethnic identity? o How would you use ethnic identity in assessment? In intervention? ./ Acculturation o What other questions might you ask to further determine Paloma's and her parents' acculturation? o What is the importance of knowing this information? o How will you work with differences in acculturation between Paloma and her parents? o What is the importance of acculturation in academic and psychological assessments? In intervention? ,; Micro-skills o How would you integrate the micro-skills in this session? 7 o o What is the importance in knowing how Paloma feels? Would you need to modify the micro-skills in order to work with Latino youth? . Vignette 6 Translation Issues Introduction Luis A. Vazquez Use of translators is controversial. The counselor/psychologist needs to remember that the translator is an agent of the professional and not of the client. Vignette 7 Use of Translators Ineffective Example Mary B. Ivey. Luis A. Vazquez. Joseph Medina In this vignette, the counselor/psychologist has asked the child to translate. When this occurs a cultural rule is violated: the child is empowered above the parent and parent/child boundaries are crossed. Unless there is a life or death situation, the child should not be the individual translating for the professional. In addition, the child's proficiency level has not been established and the counselor/psychologist has to trust that the child is translating appropriately. This was a positive reason for the meeting however, when problems are to be discussed it is to the child's advantage to allow him/her to translate. Careful examination of the transcript for this session shows that the child made many grammatical errors. The essence of the conversation was captured. Again, the reason for the meeting was positive and nothing was damaged. However, any miscommunication may have resulted in a much worse scenario. What if the parent had misunderstood the notion of special classes for gifted students? If the child were to be considered for special education placement the parents' rights and regulations would need to be explained in a language understood by the parents. Who would be the most capable of confirming that the parents gave informed consent? Other problems associated with this session include long statements made by the counselor/psychologist, which toward the end even frustrated her. The following are items to consider when using a translator. . ~ Translators must be proficient in English and Spanish. ~ A child should not be used to translate and pulling another school employee from their job without appropriate training is unacceptable ~ Prepare the translator before the meeting. Familiarize the translator with the language of the session, especially psychological teITIlSthat may be used in the 8 session. This gives the translator an opportunity to figure out the appropriate translation to these terms prior to the meeting. ~ Discuss issues of confidentiality. A relative should not translate for the counselor/psychologist. A relative can be used when the parent insists on bringing his or her own translator. ~ Emphasize to the translator to translate verbatim and not provide any interpretation. » Debrief with the translator. Answer any question the individual might have and again reinforce the importance of confidentiality. ~ Translators should be paid for their services. A more effective example is shown in the vignette that follows. TRANSCRIPTION Parent: Counselor: Parent: Counselor: Parent: Child: Parent: Counselor: Parent: Child: Parent: Child: Counselor: Parent: Child: Counselor: Child: Parent: Hola Senora Ivey (Hello Mrs. Ivey). Hola Senor Vazquez. Please sit down. Con mucho gusto (glad to meet you). You know I am unable to speak Spanish and I was wondering if your son could translate today? (,Mi'jo que esta diciendo ella? (What is she saying?) La senora esta diciendo, si ella puede usar yo para dijir que ella esta diciendo a ti. (She is saying if she can use I to tell what she is saying.) [Muy bien! Ok, now Jose do you think your father, your dad, understands what this meeting is about today, what we are meeting for? (,Mi'jo que esta diciendo? (What is she saying?) Ella esta preguntando si tu sabes porque estamos aqui, en esta (She is asking if you know why we are here, in this) Oh, pues le puedes decir yo no se y tu mama iva a venir pero no pudo porque tenia que cuidar los nifios. (Oh, well tell her I don't know and your mother was going to come but she couldn't because she had to take care of the children.) He doesn't know why and my mom couldn't come because she had to take care of my brothers and sisters. OK well we understand your mom couldn't come today. We wish that she could be here too and hope that the family is doing well (,Que esta diciendo? (What is she saying?) Ella esta diciendo que ella entiende porque mi mama no puede estar aqui. (She is saying that she understands why my mom couldn't be here.) Would you like to tell your dad Jose how well you are doing in school, what's happening in school that brought us here for this meeting? Ella esta diciendo si yo puedo dejir a ti si tu sabes porque yo estoy hacienda muy bien clia escueia y nomas eso es porque estamos aqui Dile a la senora que tu eres muy inteligente 9 Child: Counselor: Parent: Child: Parent: Child: Counselor: Parent: Child: Parent: Counselor: Child: Counselor: Parent: Child: Parent: Child: Parent: Counselor: Parent: Child: Parent: He says to tell you that I am very smart Yes and that's exactly what we are going to be talking about today which is that you are doing so well we want to put you in a special program that is called the gifted and talented program for students that are academically excelling in school. Maybe you could tell him about that. Ella habla mucho verdad? (She speaks a lot, right?) Si (giggle). Ella esta dijiendo que ellos quieren ponermi en una lugar para nifios que estan muy inteligente en la escuela (Yes, she is saying that they want to put me in a place for kids who are very intelligent in school) Si? Muy bien pero no son c1ases especiales? (,Le puedes decir si estas son clases especiales? (Yes? Very good but are these classes special? Can you tell her if these are special classes?) Are these special classes? Yes they are special classes for very talented students and we think you have a lot of strengths and talents and we think you could do even better in school with additional help, with additional training, with some very bright students No entiendo 10 que esta diciendo. (,Me puedes decir? (I don't understand what she's saying. Can you tell me?) Ella esta diciendo si yo estoy muy fuerte con todos mis matematicas, y todos mis (She is saying if I am very strong in mathematics, and all of my) Eso es porque tu eres bien bueno en la escuela. EI sabe mucho What is he saying? He is saying that I am very good in school. Yes he is very good in school. What are you doing at home to enrich his background; he seems to be so talented. I'm just wondering the different things that he is doing at home to make his environment so enriched (,Mi 'jo? (Son?) Yo no se que ella esta diciendo porque yo estoy muy chiquito para entienda que ella esta diciendo (I don't know what she is saying because I am too little to understand what she is saying) Dile que te 10 esplique en otra manera, que 10 diga otra vez (Tell her to explain it to you in another way, to say it again) Can you say it again but in a different way? Porque dile que no entendiste.(Because, tell her, you didn't understand) You didn't understand. Let's talk about the different things you do at home to make the environment or the home life, how do you say it, just to make things better for you for him at home, the kinds of activities you do at home to make it an enriched, fulfilling, urn, urn urn .... , so special that he has become so talented. What is happening at home that makes him so special? What are you doing as a parent? (,Le entendistes? (Did you understand?) Si. Ella esta diciendo que cosas estas haciendo en la casa para ser yo muy bueno nino en la escuela? (Yes. She is saying what things are you doing at home so that I am very good child at school?) Dile que tocamos musica 10 Child: Parent: Child: Parent: Child; Counselor: We play music Que jugamos soccer We play soccer Dile tarnbien que cuando no estoy trabajando tu y yo vamos en bicicIetas When he is not working we go ride bike rides So it sounds like you do some really fun things at home, you do music ... Vignette 8 Use of Translators More Effective Example Luis A. Vazquez, Mary B. Ivey, Enedina Garcia-Vazquez This more effective example of the use of a translator demonstrates the points made earlier. It is important to highlight other essential items in using a translator effecti vely. First, the physical set-up of the interview emphasizes that the interactions should take place between the counselor/psychologist and the client, in this case the parent. The translator sits behind and to the side of the counselor/psychologist so that eye contact (when culturally appropriate) is maintained between the counselor/psychologist and the client. The flow in the conversation is maintained when short phrases are used. It is important in the training of the translator that the counselor/psychologist keeps in mind him/herself that short phrases are most effective. Long phrases challenge the translator to remember everything that the counselor/psychologist is saying. It will be important to let the parent or client know that short statements should be used in the session. ./ ./ ./ ./ Questions to Consider In what other situations can a translator be used? Who pays for the translator? Who are the best candidates to serve as translators? How do translators, language vs. hard of hearing, differ? Vignette 9 Support Systems and Language Use Introduction Mary B. Ivey Mary offers a brief introduction into the use of the Family Tree, a technique traditionally used to assess for support systems. The Family Tree is also used in the next vignette to assess for language use among the members of the child's support system. 11 Vignette 10 Support Systems and Language Use Enedina Garcia-Vazquez Roberto Nava To begin the activity, a tree needs to be drawn so that the branches can be used to map out the support systems that the child has. If the child is uncomfortable drawing or if time is short, it may be advantageous to have a tree already drawn for the child. The initial activity in this vignette centered on support people in the family but branching out into the community will help determine the resources the child/adolescent has in all of his or her support systems. Also, by assessing whom the child/adolescent sees in his or her support system will give the counselor/psychologist an understanding on how "family" is defined for the child/adolescent. Research conducted with Latinos has indicated that Latinos hail from an extended family perspective; however, this may not be true in all Latino families. Thus an activity such as the Family Tree provides the counselor/psychologist with a way to determine if the extended family is an integral part of the particular student's life. If the child/adolescent does not volunteer this information, the counselor/psychologist can use the Family Tree to ask questions about involvement of extended family in the child's/adolescent's life. A more difficult question to ask is how the child/adolescent helps others in his/her family. Younger children, more likely, will not be able to answer the question. However, older children can give a sense of their participation in the family. In this vignette, the counselor/psychologist uses Spanish, to assess receptive and expressive proficiency in English and Spanish. Typically, the client leads the direction in terms of which language to be used. However, when assessing for proficiency the counselor/psychologist can take the lead. Also, as the child writes the names or titles for the family members, the counselor/psychologist can assess for literacy skills. In this vignette, the counselor uses paraphrasing and encouragement. These and other micro-skills can be used in English or in Spanish. Micro-skills are still effective regardless of the language used. Another important consideration to remember is to monitor non-verbal behaviors. When the counselor/psychologist asks about Roberto's sister, he smiles and gives the impression that he had not thought about the sister as a resource. Questions to Consider ./ In what other ways can a counselor/psychologist use the Family Tree technique? ./ How can the Family Tree technique be modified to use with a younger child? Older child? Adolescent? ./ How can the Family Tree be used to assess for generational status? Acculturation? Ethnic Identity? Worldview? 12 Vignette 11 Machismo and the Acting Out Child Introduction Mary B. Ivey Mary provides a brief introduction to the following vignette in which Luis works with a male adolescent that has been fighting. In addition, Luis takes the opportunity to reframe the notion of machismo. . Vignette 12 Machismo and the Acting Out Child Luis A. Vazquez David Bernal In this vignette, David has come in because he has been caught fighting with another boy. The counselor/psychologist uses the current view of a traditional notion of Latino maleness called machismo. The counselor/psychologist re-defines machismo and puts it in its original context of caretaker. The original definition of macho was related to the caretaking role men held in a traditional relationship. Initially Latinos' responsibility was to take care of the family by working outside the home and protecting his family. Women's roles centered on taking care of the home and the children. The roles were more egalitarian although influenced by sex role expectations. Over the years, machismo has been defined as male characteristics related to physical strength, aggressiveness and lack of emotional response. In addition, males seen as macho are described as insensitive to feminism, holding stereotyped beliefs related to women's roles. In this vignette, David is exercising his strength and courage with aggression towards others. Perhaps if he does not act this way he will feel that he is not a macho, not masculine enough. However, when the counselor/psychologist ref-frames machismo, David is able to see how caring for others does not make him less of a man but more of a man. The direct approach that the counselor/psychologist uses works with this adolescent who comes across as tough. Yet, a sensitive side is seen when he tells of how he takes care of his sister. "Marianismo", the female version, in which women take on a more submissive, caretaking, martyr-like role may also influence the Latino family. Learn more about machismo and Marianismo, two concepts traditionally linked to Latinos/as. Questions to Consider ./ Is re-framing machismo the best approach to take with this "tough" adolescent? ./ Would it be more important to work on having David stop trying to be a macho? ./ What effect will this have on the family, or father most specifically? 13 if ./ if Given that David takes care of his sister, are there fears that he will become more "macho" as currently defined in the media? To what extent does machismo influence acculturation? What do you know about "Marianismo"? How can "Marianismo" affect the Latino family? Vignette 13 The Acting Out Child No Cultural Issues Presented Luis A. Vazquez David Bernal Just because a child or adolescent hails from a Latino background does not mean that they will be presenting with issues that are culturally loaded. There are times when developmental issues are most prominent or the most salient presenting issue for the child/adolescent. Some times acculturation and ethnic identity do not influence the presenting problem as seen in this vignette. To make this determination, the counselor/psychologist needs to assess for level or type of acculturation and ethnic identity and then proceed to the presenting issue. David is having trouble in school with fighting. The counselor/psychologist effectively uses the interpersonal process approach to work through the presenting problem. Although cultural issues are not prominent in this session, the counselor/psychologist still addresses the family's role or support in David's life. Just because family involvement is assessed does not mean that cultural issues will be part of the presenting problem. Debriefing The video "Counseling Latino/Latina Children and Adolescents: Brief Interventions" provides a few suggestions. In some cases the suggestions work with children and adolescents from various Latino backgrounds including but not limited to those from Mexican-, Puerto Rican-, and Cuban-American backgrounds. By the same token some of these suggestions will not be appropriate for all children/adolescents from Latino backgrounds. The over-riding principles are acculturation, ethnic identity and worldview. In addition, not all Latino/a children and adolescents will speak Spanish. However, lack of proficiency in Spanish will not curtail strong identification with the culture of origin. The litmus test is to determine how acculturation, ethnic identity and worldview interface with the counseling techniques taught by most counseling and psychology programs. 14 References Department of Education. (2003). National Center for Education Statistics. Status and trends in the education of Hispanics (NCBS 2003-008), by Charmaine L1agas. Project Officer: Thomas D. Snyder. Washington, DC: 2003. u.s. 15
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