Reflexivity, on the other hand, calls on researchers to explore their own personal beliefs in order to be more aware of potential judgements that can occur during data collection and analysis. Cultural incompetence is then framed as being due to a lack of knowledge about the ‘other.’ In short, the goal of cultural competency is to learn about the other person’s culture rather than reflect on one’s own background. They found that in many frequently used competency measures, whiteness was understood and represented as the norm. The shortcomings of this practice, however, have been identified by researchers who reviewed frequently used cultural competency measures. Cultural competency is a tool for leveling imbalanced patient-provider power dynamics.
It is important to know the differences between cultural humility and closely related concepts like cultural competency and reflexivity. Cultural humility is distinct from cultural competency and reflexivity. A person cannot begin to understand the makeup and context of another person’s life without being aware and reflective of their own background and situation first.
Because the overall purpose of practicing cultural humility is to be aware of one’s own values and beliefs, it is important to understand that those notions come from the combination of cultures that people experience in their everyday lives. For example, a person’s family or home culture will likely have distinctly different qualities and behavioral expectations than their work culture, school culture, or social group culture. Though the term “culture” is often used when describing different ethnic or religious affiliations, most people experience and participate in different cultures just by moving through their daily lives. We move between several different cultures – often without even thinking about it. Here are three things to know about cultural humility: 1. The concept, however, carries meaning for any clinical researcher or social advocate who is studying and/or working with someone different from themselves – in terms of race, ethnicity, gender, religion, sexual orientation, socioeconomic status, or geographic location – in any cultural context and in any part of the world. The National Institutes of Health (NIH) defines cultural humility as “a lifelong process of self-reflection and self-critique whereby the individual not only learns about another’s culture, but one starts with an examination of her/his own beliefs and cultural identities.” The term was first coined in 1998 by healthcare professionals Melanie Tervalon and Jann Murray-García, who originally described cultural humility as a tool to educate physicians to work with culturally, ethnically, and racially diverse populations in the United States. To be humble is to demonstrate “humility,” which is commonly defined as “freedom from pride or arrogance.” What, then, might it mean to practice “cultural humility,” a phrase often seen in areas related to mental health care and social advocacy? Most people are familiar with the concept of being humble. Episode 67: Leading with Cultural Humility: A Conversation with Sherrye Willis, Coordinator Grantee.
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