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Cultural Considerations in Cases with Indian Clients

Rebecca Faino

Dr. Deborah Jones

Ethics & Multicultural Issues in Psychology

January 24, 2022

Case Study Overview

Because her parents won't let her date, Gwen, a 19-year-old

woman, seeks help from a therapist. As a result of her

parents being Indian, dating is often discouraged in India,

where her family comes from. Her parents are already

talking about finding Gwen a life partner, and they don't

think she should have an input on the topic. Lack of

motivation, insomnia, and a lack of appetite have been

Gwen’s latest complaints. She has also been feeling tired all

the time.

Case Study Bias

When I say that the major objective of the treatment is to

help her develop autonomy and make her voice heard

inside the family, there is a cultural contradiction. Gwen’s

lack of assertiveness in the family is my biggest concern.

Gwen seemed to have lost faith in my capacity to assist her,

and I don't know why.

Main Points of Cultural

Difference

(your name) Gwen

• Individualist • Collectivist

• Belief in equality

within the family

• Respect for the

authority of the

head of the family

• Goals seek self-

achievement

• Goals must

coincide with family

values

Best Practice for Working With Indian

Clients

Examining the philosophical foundations of a culture is

one way to achieve intercultural responsiveness

(Achenbach, 2017).

The family is highly respected in Indian culture for its

position of dominance.

Having the support of her family is critical to Gwen’s

decision-making process.

In therapy, Gwen’s collective thought should not be

disputed, rather it should be included into the process.

Best Practice for Working With Indian

Clients

Analysis of cultural relevance in psychotherapy serves as

another key method for developing intercultural

responsibility (Davis et al., 2018).

Because I don't comprehend Gwen’s needs, the cultural

differences between us are crucial.

Gwen’s health may be jeopardized if she does not have

enough cultural competency.

Rather than criticizing Gwen’s respect for authority, one

should discuss her respect for her family.

Best Practice for Working With Indian

Clients

Only by adapting healthcare procedures to meet the

cultural requirements of clients can we attain multicultural

responsiveness (Achenbach, 2017).

I have to keep in mind Gwen’s desire to please her family.

In order to attend Gwen, I'll have to adopt culturally

suitable strategies.

If you want to include Gwen, you'll need to set objectives

that are consistent with her beliefs.

Conclusion

 The whole diagnostic and therapeutic procedure might be

jeopardized by cultural disparities between the practitioner and

the patient.

 Cultural differences may be addressed in a variety of ways by a

clinical psychologist, such as:

 Assumptions about culture should be examined.

 Look at the role that culture plays in the healthcare setting.

 Consider cultural factors while making clinical decisions.

 Only cultural responsiveness can adequately deal with Gwen’s

situation.

References

 Achenbach, T. M. (2017). Future directions for clinical

research, services, and training: Evidence-based assessment

across informants, cultures, and dimensional

hierarchies. Journal of Clinical Child & Adolescent

Psychology, 46(1), 159-169.

 Davis, D. E., DeBlaere, C., Owen, J., Hook, J. N., Rivera, D. P.,

Choe, E., ... & Placeres, V. (2018). The multicultural orientation

framework: A narrative review. Psychotherapy, 55(1), 89.

 Huey Jr, S. J., & Tilley, J. L. (2018). Effects of mental health

interventions with Asian Americans: A review and meta-

analysis. Journal of consulting and clinical psychology, 86(11),

915.