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Letter to the Editor
Cultural humility: A skill to develop in clinical training
Humildad cultural: una habilidad que desarrollar en la formación clínica
William Tamayo-Agudeloa,b
a Centro de Habilidades Cognitivas (CHC), Universidad Cooperativa de Colombia, Medellín, Colombia
b Division of Psychiatry, University College London, Londres, United Kingdom
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Due to the multiple physical&#44; economic and emotional effects derived from the confinement for the new pandemic&#44; mental health professionals will soon &#40;if not already&#41; focus their efforts on the care of a growing group of people with psychological and psychiatric support needs&#46; To provide this support&#44; we are obliged to look at the skills mental health professionals need to develop and strengthen in terms of their training in assessment&#44; diagnosis and intervention&#46; In psychology training&#44; the skills for clinical interviews&#44; applying psychological tests to support the clinical diagnosis&#44; formulating cases following one of the various theoretical approaches&#44; and diagnosing based on the ICD-11 and DSM-5 criteria are the essentials&#46; Some of these skills need to be adjusted to current conditions&#46; For example&#44; training in conducting clinical interviews through video calls&#44; the ability to carry out immediate interventions at a distance&#44; in situations where the person being assessed manifests behaviours that put their life or that of others at risk&#59; the adaptation of tests for online application&#44; with the respective understanding of the new source of variation&#44; and introduction of measurement error when interpreting the results&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Added to all that&#44; one aspect of training&#44; which&#44; in my opinion&#44; we need to start talking about with trainees in psychological and psychiatric assessment and intervention&#44; is cultural humility&#46; The humility of the therapist as a virtue<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> is increasingly being highlighted as one of the fundamental skills for the success of psychological interventions<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a>&#46; Recent theoretical approaches<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> propose that humility has three constituent elements&#58; openness&#44; precise self-assessment&#44; and orientation towards others&#46; Additionally&#44; three types have been proposed&#58; relational&#44; cultural and intellectual&#46; The first&#44; concerning humility in relationships with others&#59; the second&#44; focused on manifest humility towards cultural beliefs and difference&#59; and the third&#44; in relation to the points of view and ideas of others&#46; Training in any one of these aspects should have repercussions on the other two&#46; I particularly focus on cultural humility&#44; as I believe it is necessary to educate trainees about the importance of inclusion and integration of the cultural differences we have in our country as a central part of the assessment and intervention processes&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Cultural humility is defined as&#44; &#8220;ability to maintain an interpersonal stance that is other-oriented &#40;or open to the other&#41; in relation to aspects of cultural identity that are most important to the client &#40;or supervisee&#41;&#8221;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a>&#46; One of the most deeply rooted prejudices in our clinical disciplines is that the mechanisms that underlie disorders respond to general elements&#44; and sensitivity to cultural factors is of little relevance in the analysis of cases&#46; Even despite the repeated call to recognise Colombia as a country of regions&#44; clinical training processes seem to show a tendency towards cultural homogenisation&#44; assuming that each trainee can transfer knowledge to their particular culture &#40;if they come from another region of the country&#41; or that&#44; when practising their profession&#44; they will only assess people from the region they are studying in&#44; putting aside&#44; as collateral&#44; the chance they might have to assess someone from outside that region&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Among the many shortcomings that have become apparent during the pandemic&#44; two of the main ones are the differences in access to healthcare and behaviours in response to the social measures applied to slow down contagion&#46; We have often witnessed media reprimands directed at different areas of the country for not abiding by national decrees&#44; or for the apparent lack of group insight to follow the recommendations of physical distancing&#44; hand washing and face masks&#46; However&#44; interventions by representatives of the health authorities seldom refer to the particularities of each region in terms of their cultural practices in hygiene&#44; community life and clothing&#46; Similarly&#44; when asked for their opinion on the matter&#44; many healthcare professionals speak only in general terms&#44; and more than a few of us have felt a touch of disapproval towards the cultural practices of many of our fellow citizens&#46; This does not mean that certain group behaviours may or may not be justified&#44; it means that our views need to be run through a bigger sieve guided by cultural humility to interpret regional conditions&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Cultural humility means being open to the perspective of the other in terms of their beliefs and what their cultural diversity means to him or her&#46; So&#44; this means that first of all&#44; we have to stop ourselves from making evaluative judgements in our assessments and interventions without first understanding the particularities of those involved&#46; Many trainees in clinical training will have to support processes in another region of the country with cultural differences from the one in which they were trained&#46; If they are not given help and guidance to develop cultural humility&#44; they are likely to simply repeat the cycle of imposition and criticism that is so common in our context&#44; and they will lack the skills necessary to carry out satisfactory and beneficial interventions for their clients or patients&#46;</p></span>"
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                          "autores" => array:1 [
                            0 => "H&#46; Nissen-Lie"
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                        "paginaInicial" => "187"
                        "paginaFinal" => "195"
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                    ]
                  ]
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                            2 => "J&#46; Owen"
                            3 => "E&#46;L&#46; Worthington Jr"
                            4 => "S&#46;O&#46; Utsey"
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                        "fecha" => "2013"
                        "volumen" => "60"
                        "paginaInicial" => "353"
                        "paginaFinal" => "366"
                        "link" => array:1 [
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23647387"
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Article information
ISSN: 25303120
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