Deck 8: Bias in Service Delivery

Question 1

Which term refers to communication that exclude, negate, or nullify psychological thoughts, feelings, or experiential reality of people of color?

A)Macroaggression
B)Microinsult
C)Microassault
D)Microvalidation

Answer 1

Microvalidation

Question 2

Explain the strategy of training paraprofessionals to address the need for providers of color. What are the benefits and the challenges of this strategy? What might make this strategy more effective?

Answer 2

Answers will vary.

Question 3

Tong describes the Chinese American psyche as having changed as a result of a survival reaction to Western culture. He compares this to iatrogenesis, which is defined as

A)physical or mental health diagnoses resulting from changing family dynamics.
B)changes in culture due to acculturative stress.
C)the shift of strengths in an individual or culture.
D)pathology resulting from medical or psychological intervention.

Answer 3

pathology resulting from medical or psychological intervention.

Question 4

Which of the following is NOT identified by Gaw as having a major impact on the diagnoses of clients of color?

A)Language barriers
B)How help is sought out
C)Traditional problem-solving methods
D)How the origin of the problem is understood

Question 5

The Minnesota Multiphasic Personality Inventory (MMPI)was originally administered without regard to race or ethnicity, but was first questioned because

A)it was normed to White subjects exclusively.
B)it was not offered in other languages.
C)scores were significantly different between men and women.
D)it did not have a Black-White scale that adjusted African American score to be compared to White scores.

Question 6

The use of indigenous paraprofessionals was a strategy to increase the number of Providers of Color. Which of the following best describes the individuals that were trained in these positions?

A)Bilingual nonclinical staff
B)Students of Color
C)Community leaders
D)Community teachers and youth workers

Question 7

Cultural differences impacting the assessment process tend to result in which of the following?

A)The use of alternative assessment tools
B)Overpathologizing of clients of color
C)Underpathologizing of clients of color
D)Increased usage of the MMPI

Question 8

Given the cultural relativity of mental health diagnosis, it is of primary importance to

A)use a culturally sensitive diagnosis tool.
B)engage other family and community members in the diagnosis process.
C)consult a provider of color from the same ethnic group to discuss the symptoms in relation to cultural expectations.
D)ensure agreement that the behaviors are outside of culturally acceptable beliefs.

Question 9

Discuss the impact of social and political attitudes on the diagnosis of clients of color and the general characterization of communities of color, providing specific examples.

Question 10

What trends have been found related to suicide in communities of color? Describe the cultural and situations factors which help account for these trends.

Question 11

Which of the following statements accurately describes the studies on the impact of social, political, and racial attitudes?

A)Teachers' attitudes about their students' intellect had no impact on their treatment of them.
B)Clients who have extreme political views were regularly rated as having more severe disordered symptoms.
C)Mentally healthy men and women were described in similar terms.
D)White clients were more likely to receive custodial care and medications than were African Americans clients.

Question 12

Describe the three types of microaggressions and provide an example of a statement or action that is representative of each.

Question 13

Which of the following statements best describes the difference between traditional healers as opposed to Western providers?

A)Traditional healers address the physical, spiritual, and mental well-being individually.
B)Traditional healing is circular in nature.
C)Traditional healing focuses most of its attention on cognitive change.
D)Traditional healers are passive in their interventions, guiding the individual in taking the primary role of responsibility for the healing process.

Question 14

Discuss the advantages and potential challenges of using traditional healers in treatment with clients of color.

Question 15

Which of the following is a culture-specific syndrome that appears only among members of a single cultural group?

A)Schizophrenia
B)Substance abuse
C)Hallucinations
D)Ataque

Question 16

Which of the following statements about the cultural aspects of mental health service delivery is FALSE?

A)Research has shown that African Americans and Latinos/as have similar or better mental health than Whites.
B)Current mental health theory is defined in terms of dominant Northern European values.
C)Current models of helping portray clients of color in a positive light.
D)Mental health practices are inadequate for the needs of non-White populations.

Question 17

Describe the ways in which the development of a deficit or cultural inferiority theory may occur in the social sciences. In what other ways have bias impacted research of ethnically diverse groups?

Question 18

Microaggression is particularly insidious because

A)the perpetrator does not believe he or she is being racist.
B)the victim is unable to defend themselves against it.
C)it can be invisible to the victim and the perpetrator.
D)victims become overly sensitive to small comments and actions.

Question 19

Which of the following is NOT a major barrier to attracting students of color to psychology training programs?

A)Cost of the program
B)Underrepresentation of faculty of color
C)Complex application procedures
D)Little to no curriculum related to cross-cultural service provision