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Showing Revision 3 created 11/16/2017 by Alice Gates.

  1. [ Music ]

  2. >> One word to describe
    cultural humility
  3. for me is love actually.
  4. >> If I had to encapsulate
    cultural humility,
  5. the whole concepts
    of cultural humility,
  6. it doesn't do it
    justice, but the word
  7. that I think of is essence.
  8. Escuchar.
  9. >> Being.
  10. >> You.
  11. >> Opening.
  12. >> Receive.
  13. >> Compassion.
  14. >> Love.
  15. >> The principles of cultural
    humility offer one more
  16. framework to contribute
    to what has got
  17. to be our ultimate goal, yes.
  18. Our ultimate goal is that there
    will be a sense of equity,
  19. a sense of equality
    and a kind of respect
  20. that we are driving forward.
  21. [ Music ]
  22. >> Cultural humility is a
    multidimensional concept.
  23. And certainly Melanie Tervalon
  24. and I conceptualized
    three dimensions.
  25. >> The first is lifelong
    learning
  26. and critical self- reflection.
  27. And in that critical
    self-reflection it is the
  28. understanding of how each of
    us, every singe one of us,
  29. is a complicated,
    multidimensional human being.
  30. Each of us comes with our
    own histories and stories,
  31. our heritage, our point of view.
  32. You are looking at me now.
  33. I am very fair skinned.
  34. When I was a little
    girl my hair was blond.
  35. My eyes are blue.
  36. People often tried to call me
    anything but African-American.
  37. I have a history.
  38. My identity is rooted
    in that history.
  39. My parents gave me the knowledge
    of my own social identity,
  40. and my own experience in
    life has created that.
  41. I get to say who I am.
  42. >> The second tenet
    after self-reflection
  43. and ongoing lifelong learning
    and development is this notion
  44. that we must mitigate the
    power imbalances, to recognize
  45. and mitigate the
    power imbalances
  46. that are inherent often
    in our clinician patient
  47. or clinician client for service
    provider community dynamics.
  48. >> And then finally the piece
    that I would offer that Jann
  49. and I feel people often either
    don't read or don't like.
  50. And the institution has to
    model these principles as well.
  51. [ Music ]
  52. >> An African-American
    nurse caring
  53. for a middle aged Latino
    woman several hours
  54. after the patient had
    undergone surgery.
  55. >> A Latino physician
  56. on a consult service
    approached the bedside
  57. and noted the moaning
    patient commented to the nurse
  58. that the patient appeared
    to be in a great deal
  59. of post- operative pain.
  60. >> The nurse summarily dismissed
    his perception informing him
  61. that she took a course in
    nursing school in cross-
  62. cultural medicine and knew
    that Hispanic patients over-
  63. express the pain that
    they are feeling.
  64. The Latino physician had a
    difficult time influencing the
  65. perspective of this
    nurse who focused
  66. on her self-proclaimed
    cultural expertise.
  67. >> It was curious to this
    Latino physician who first
  68. of all was Latino,
    not like all --
  69. in his case not like
    all Mexican-Americans,
  70. know everything there is to know
    about Mexican-American patients.
  71. That wasn't it.
  72. But he might have
    been a resource
  73. for that African-American
    nurse in that moment
  74. that she didn't feel
    like she needed, again,
  75. because she had bought into
    this notion of competence,
  76. of cultural competence.
  77. >> The distinction
    between cultural humility
  78. and cultural competence was
    that we were in a process
  79. and a relationship that had
    many other layers to it,
  80. and that we were less
    comfortable with even the term
  81. of competence in a way that I
    think people understand well.
  82. And that it implies especially
    for people who are providers
  83. and are trained in academia
  84. that you are then all
    knowing and all powerful.
  85. And we felt like that was
    not what was happening for us
  86. as we were learning from
    community and understanding
  87. in a very practical way
    how families were coming
  88. to the hospital and feeling
  89. as if they really were not being
    heard from their own heritage
  90. in history, and how that
    impacted what they came
  91. to the hospital with that we
    didn't know anything about,
  92. hadn't even a clue about.
  93. For us this is part of
    the humility piece of it,
  94. getting to understand that.
  95. Not trying to humiliate you,
    not trying to make you feel bad,
  96. trying to help us all understand
    that life is like this.
  97. And that in a certain
    sense you're really happy
  98. about not knowing.
  99. >> In April of 1992 in the wake
  100. of the Los Angeles riots
    following the initial not guilty
  101. verdict of the police officers
    accused of beating Mr. King,
  102. the Children's Hospital open
    community was compelled to meet
  103. in a series of highly
    charged sessions to expose
  104. and critique our own patterns
    of institutional racism,
  105. injustice and inequity.
  106. >> My name is Dr. Melanie
    Tervalon, and I am Direct
  107. of Multicultural Affairs here
    at Children's Hospital Oakland.
  108. >> I want to thank
    everybody for coming
  109. to what is a celebration
    for me of this year.
  110. >> Jann and I had the good
    fortune really to be together
  111. in the same place when
    this work was evolving.
  112. Jann and I while we were
    several years difference
  113. in age are both African-American
    women.
  114. And we were both raised by
    women who were teachers.
  115. And we come out of that -- and
    fathers who were working men,
  116. who come out of that
    southern tradition
  117. and who participated fully
    in the civil rights movement
  118. in a way that meant that
    they made sacrifices
  119. and their children made
    sacrifices, and they taught us
  120. about those sacrifices
    and raised us each in ways
  121. to understand that we
    were here to serve.
  122. [ Music ]
  123. >> Patty.
  124. >> Hey.
  125. >> How you doing?
  126. >> How are you?
  127. >> It's good to see you.
  128. >> It's so good to see you.
  129. It's been a long time.
  130. >> I know, yeah.
  131. >> How have you been?
  132. >> Pretty good.
  133. >> Good. Thank you
    for having me.
  134. >> I'm invested in children
    and in that population
  135. because I've been
    there for so, so long.
  136. >> Since we were residents.
  137. >> And I'm seeing like second
    generation of my families now.
  138. >> The multicultural curriculum
    program really started
  139. in about 91- 92 as a pilot.
  140. >> When was Rodney King,
    I thought that was 90 --
  141. >> It was provoked in 92.
  142. >> 92, yes.
  143. >> The Rodney King
    incident that people saw all
  144. over the world really at
    Children's meant that we started
  145. to talk again about what
    we called our own private
  146. Rodney Kings.
  147. The circumstances
    where families felt
  148. as if they were not being taken
    care of in a respectful way.
  149. That was a big part of
    our work, being certain
  150. that we were living
    up to the principles
  151. that had clearly
    been established
  152. through the conversations
    already in the hospital.
  153. That given the composition
    of the faculty at Children's
  154. and given the composition of
    the patients we were taking care
  155. of that the faculty could really
    not teach about the issues
  156. of culture and race and
    difference in time and the like.
  157. And so we spent a lot of time
    working with community groups
  158. and families to actually
    come in and teach.
  159. >> When I think of the two
    terms, cultural competency
  160. versus cultural humility, for me
    cultural competency implies kind
  161. of a subject, a topic, you know.
  162. And people do feel like I
    need to know this or not,
  163. and if I don't know this
    I'm not smart or whatever.
  164. Whereas for me cultural
    humility is a philosophy,
  165. it's an approach, it
    is a tool, you know.
  166. So it's not something to be
    I'm going to master it or not.
  167. It's my approach, it's how
    I will handle the situation.
  168. >> Last year I was
    the coordinator
  169. of the student support
    team which are the meetings
  170. that families have with teachers
  171. when their kids are
    having trouble.
  172. And it was quite interesting
    to just try to navigate that,
  173. those meetings in
    a way that worked
  174. with the principles
    of cultural humility.
  175. Just to really try to say
  176. to my colleagues let's hear
    what this parent is experiencing
  177. and what this parent hears
    about from their child.
  178. And let's try to talk about that
    as a starting point rather than,
  179. you know, your kid is XYZ.
  180. >> One of the things that
    helped me out a lot to be able
  181. to also kind of make
    peace with not knowing is
  182. that for a long time
    I mistook not knowing
  183. for lack of intelligence.
  184. And a dear friend of mine
    pointed out to me once
  185. when I was having a conversation
    about this, he said it's not
  186. that you're not intelligent,
    it's that your fount
  187. of knowledge in this particular
    area you don't have it.
  188. So it doesn't take away
    from your intelligence
  189. by any stretch of
    the imagination.
  190. You don't know because
    no one has told you
  191. or you haven't asked
    that question.
  192. And it allowed me to be able
    to ask a million questions
  193. because now I didn't feel
    like I was saying to the world
  194. or to the person
    or to the patient
  195. or to the community I'm stupid.
  196. I was happy just saying
    I just don't know.
  197. And the same way with
    the fount of knowledge
  198. with medicine there's no way
  199. for you know something
    unless you learn about it.
  200. But in no way, shape or
    form does it take away
  201. your intelligence.
  202. So once I could distinguish the
    difference I was comfortable
  203. with not knowing anymore.
  204. >> The article gets written
    but not published right away
  205. about what we learned from all
  206. of this work working
    with communities.
  207. And this is the cultural
    humility piece
  208. that people have now
    used in many venues,
  209. not just in medicine
    but in education.
  210. Many nonprofit organizations use
    the cultural humility principles
  211. in their work.
  212. The principles are not just
  213. about individual
    activity and behavior.
  214. Institutions have got
    to be self-reflective.
  215. Lifelong learners have to really
    believe that the communities
  216. that are being served really
    do know what they want
  217. and what they need, right, and
    they're in the best position
  218. to let us know what that is.
  219. [ Music ]
  220. >> People living in poverty
    have the least access to power
  221. to change the structure
    of policies of poverty,
  222. and are often denied
    effective solutions
  223. to combat the violations
    to their human rights.
  224. And I care about this issue
  225. because my brother is an
    innocent man with special needs
  226. who has been held in what
    I call modern day slavery
  227. for two years now for a
    crime that he did not commit.
  228. And I come to you because the
  229. so called justice
    system is not designed
  230. to benefit my community.
  231. And I can hear the voice of
    the oppressed that echo, no,
  232. you don't deserve
    to have rights.
  233. Just us. You don't have
    a history, just us.
  234. You don't have the strength
    to control your mind, just us.
  235. You don't remember what
    the fight is about.
  236. Just us.
  237. >> There are these moments
    that grab everybody's attention
  238. that we can take advantage of.
  239. And I think the Rodney
    King, more of the response
  240. to Rodney King, is what inspired
    a lot of conversation and a lot
  241. of soul searching and a
    lot of people seeking ways
  242. that we could have
    these conversations
  243. with better result.
  244. And then it fades.
  245. [ Music ]
  246. >> The three police officers
    facing felony criminal charges
  247. were among a group of 15
  248. who stopped a 25 year old
    Black man last Saturday night,
  249. then beat him, kicked
    him and clubbed him.
  250. >> At WHAT Radio host Mary
    Mason fielded scores of calls
  251. from members of the
    Black community angered
  252. by the verdict, shocked by
    the violence that followed.
  253. >> We need love and
    respect for one another.
  254. We need [inaudible].
  255. >> In 2010 Arizona passed a law
    that authorized local police
  256. to check the immigration status
    of anyone of whom they suspect
  257. of being an illegal immigrant
    to the United States.
  258. Who has the right to call
    another human being illegal?
  259. Most of these illegals are the
    ones working in the fields,
  260. cleaning homes, landscaping
    at jobs that have the right
  261. to pay lower than minimum wage.
  262. >> There are things that
    are difficult to hear,
  263. and there are things that
    are just plain hard to see.
  264. So how it is a fish
    doesn't see water.
  265. It's very hard when you benefit
  266. from great privilege
    to see it as that.
  267. And I would say it takes
    constant reminding.
  268. And I certainly don't
    see it all the time.
  269. And each time I'm
    reminded of it I'm reminded
  270. that I'm reminded of it.
  271. That why do I have to be
    reminded of it, oh but I do.
  272. >> I heard the white woman
    behind us say you foreigners
  273. have no manners.
  274. My initial reaction was
    anger and confusion.
  275. Anger because I felt
    discriminated
  276. against and judged.
  277. Confusion because she was an
    older woman, so hadn't she been
  278. around long enough to know
    that she is not a native
  279. of this country either?
  280. We are constantly bombarded
    by subliminal messages
  281. that light skin is superior.
  282. Immigration policy is
    continuously debated
  283. in the White House, while
    brown men are hoping
  284. to land a side job
    outside of Home Depot.
  285. >> How does cultural
    humility come to life
  286. at Berkeley Media Studies Group?
  287. I have to credit Tony
    Borbone [phonetic].
  288. Bony Borbone, may
    he rest in peace,
  289. was a violence prevention
    advocate par excellence
  290. who I met early in our years in
    working on violence prevention
  291. when we first started the
    Berkeley Media Studies Group.
  292. And Tony just confronted me and
    said you live in California,
  293. how many of your
    staff speak Spanish?
  294. And I had to say none.
  295. And Tony in I was
    going to say loving,
  296. it wasn't in a loving way, it
    was in a confrontational way.
  297. I mean we grew to love each
    other and each other's work
  298. and had great respect
    for each other I think
  299. as our relationship blossomed.
  300. But he had no fear about
    saying what was important.
  301. [ Music ]
  302. >> It's really important
    to show up.
  303. Take the time from your
    life and show that you care
  304. about the community
    and be there.
  305. So the workers were
    participating in actions
  306. to bring pressure on
    a poultry market owner
  307. who owed her workers wages.
  308. The workers were going
    out with picket signs,
  309. and I went with them, too.
  310. In that way I felt nervous.
  311. You do kind of feel exposed.
  312. You're in the environment
    that's very different from some
  313. of the other things
    that I'd done.
  314. [ Music ]
  315. So when we had these
    meetings everybody
  316. on the project was
    really experienced
  317. in doing community research.
  318. But there's a dynamic.
  319. When you're in a
    professional culture you're used
  320. to participating in meetings
    and trying to get in your word.
  321. And then on top of all
  322. that we're conducting
    all these in English.
  323. And so the other two staff
  324. from the Chinese Progressive
    Association were interpreting
  325. for the non-English
    speaking staff member.
  326. And so they're not fully
    able to participate.
  327. And then everything is happening
    so fast, people are talking
  328. over each other,
    that for the non-
  329. English speaking staff member
    it was hard for her to sort
  330. of get a word in edgewise.
  331. We did reflect on this
    and people noticed it.
  332. Then we started to conduct
    the meetings in Chinese.
  333. And then all the English
    speakers wore the headsets
  334. with simultaneous
    interpretation.
  335. >> The native English
    speakers were quieter,
  336. and that changed
    the dynamics a lot.
  337. But the workers were
    still quiet.
  338. In terms of cultural humility
    we were really challenged
  339. to think I think a
    little bit more deeply
  340. about what culture is and
    how it doesn't mean thinking
  341. about a list of traits that
    you can ascribe to people.
  342. But that it's actually
    that it involves you
  343. and your assumptions and how
    you project your assumptions
  344. onto somebody else versus what
    is their actual experience
  345. of who they actually are.
  346. [ Music ]
  347. >> I first heard about
    cultural humility
  348. when I was a graduate student
    in the master's program here
  349. at San Francisco State.
  350. But I feel like I first
    understood cultural humility
  351. as a concept a lot
    earlier in my life.
  352. It came from a place of
    invisibility, a place of kind
  353. of suppressing who I
    was as a woman of color
  354. and now has completely
    transformed as an educator,
  355. realizing who I am,
    where I stand
  356. in the classroom,
    what my privilege is.
  357. But also what my voice
    means in the world
  358. and what it means
    as an educator.
  359. It came from trying to fit
    in, to do whatever I could
  360. to be Indian at home and
    not out in the world.
  361. And not express that, and it's
    become this marker of identity
  362. that I knew was always there
  363. that I could never
    really express growing up.
  364. And now it's saying
    who that person is
  365. and acknowledging both my own
    power and privilege in I've got
  366. to check myself kind of way.
  367. In the same respect it's also
    saying I am a woman of color,
  368. I have something important
    to say and here I am.
  369. >> I think as long as
    power and privilege exists
  370. in society we will always being
    struggling with being too humble
  371. as women of color,
    as women who come
  372. from working class
    backgrounds, as women who come
  373. from low income backgrounds
  374. or under resourced
    backgrounds, right?
  375. As long as there's
    power and privilege
  376. in society I know I will
    always be struggling with that,
  377. and I struggle with
    that on a daily basis.
  378. [ Music ]
  379. >> I examined [inaudible] here
  380. to see how inclusive
    our current policies
  381. and programming are toward
    transgender students.
  382. >> And I was just reflecting
  383. about how it's actually
    very relevant
  384. to the topic this evening
    of cultural humility
  385. because we're talking
    like transgender culture
  386. or peer culture at [inaudible]
    and how it's respected or not.
  387. >> Right.
  388. >> And how like the institution
    can be culturally relevant
  389. or humble or respectful of
    the experience of transgenders
  390. when they come to this place.
  391. >> The health educators
    that I work
  392. with are all transgender
    females.
  393. And literally the second day of
    my job I walked into a meeting,
  394. and it was a committee
    advisory board
  395. of all transgender females.
  396. And I was so uncomfortable
  397. but at the same time they
    made me feel so comfortable.
  398. They started asking me questions
    like they noticed, and they were
  399. like so where are
    you from, you know?
  400. And I was like I'm Iranian.
  401. Oh, we know this Middle
    Eastern transgender girl,
  402. do you know her?
  403. And I was like no.
  404. So my definition of cultural
    humility is to be open
  405. to learning all the time.
  406. So what I want from you guys is
    to go around, introduce yourself
  407. and tell us what cultural
    humility means to you.
  408. >> I first became passionate
    about cultural humility
  409. as an undergraduate
    student I was interning
  410. with an organization.
  411. And they were holding a
    cultural competency training
  412. for Pacific Islanders
    and working
  413. with Pacific Islander
    communities.
  414. And as a biracial Pacific
    Islander woman I was really
  415. excited and anxious to attend
    the training and to really learn
  416. about the material that was
    going to be sort of discussed
  417. and how others were going
    to learn, myself included,
  418. about Pacific Island culture and
    working with Pacific Islanders
  419. around health issues that were
    important to the community.
  420. And I think after attending the
    training I realized there was a
  421. sense of achievement
    and completion
  422. for those who participated.
  423. And I then was introduced
    to cultural humility
  424. as an undergraduate
    student in the class,
  425. just so happened
    around the same time.
  426. And I realized that a sense of
    achievement and accomplishment
  427. and competence and understanding
    sort of limits your learning.
  428. >> I can't really tell you what
    cultural humility means to me.
  429. I feel like I practice
    it and that's how I know.
  430. The one thing that I think about
  431. or that I can practice is
    cultural humility is --
  432. Poder hablar el idioma en el que soy
  433. en el que me puedo expresar mejor, y
  434. El idioma donde encuentro palabras
  435. de poder contarle a alguien
  436. exactamente como me estoy sintiendo.
  437. >> Coming from a background
    in science and coming
  438. into public health and not
    ever hearing cultural humility
  439. in the sciences was
    very telling for me.
  440. Because culture is
    something that's emphasized,
  441. it's not something that's
    talked about in a relevant way.
  442. There have always been
    very clear barriers present
  443. for particular minorities
    in science.
  444. You can see it when you're
    in the science classes.
  445. You can see it when
    you're in study groups.
  446. You can see it when you're
    looking at your professors.
  447. And I'm not just talking
    about racial minorities.
  448. I'm talking about a lot of
    under represented minorities
  449. in the sciences,
    like race is a factor
  450. but gender, sexual orientation.
  451. >> I learned cultural
    humility in two places,
  452. by my own culture being
    Cambodian and Southeast Asian.
  453. Not knowing anything about
    it my folks roasting me
  454. about I'm not speaking well.
  455. And then after going to
    college and learning about it
  456. in anthropology and
    interviewing my parents
  457. about their experience
    it opened my eyes.
  458. >> One of the things that I
    have learned in the past couple
  459. of years I want to say is just
    listening to what I'm saying.
  460. And I mean like seriously
    listening to what I'm saying.
  461. And one of the things that I
    have learned to listen to is
  462. when I say I, I believe this,
    I do this, and listen how
  463. that is very different
    from the we.
  464. We I hear a lot in the
    news, we Americans, right?
  465. Like we, who is the
    we speaking about.
  466. It's to think about and listen
    to when we use the I and the we.
  467. >> Growing up I was like
    always interested in culture
  468. and other religions and just
    really learning about things
  469. from other backgrounds.
  470. And so I just figured that
    made my culturally humble
  471. because I had an interest.
  472. And so after studying a year in
    West Africa I came back like,
  473. oh my God, I don't know
    anything, I don't know anything
  474. about Black people, I don't
    know anything about Africans.
  475. I mean it just list
    shifted my world.
  476. >> Peace. I think when I am
    sitting in a place of humility
  477. that there's a quiet and a
    spaciousness and an okayness
  478. and ease that is just
    close to peace with being
  479. with another person
    that I can imagine.
  480. >> If I have to think about it
  481. as a road then I think I would
    think about I would think
  482. about it as a road that spirals.
  483. And a spiral actually doesn't
    -- to me in a dance context,
  484. a spiral that comes up
    has to come down as well.
  485. It's sort of a continuous loop.
  486. And along the continuous
    loop many things happen
  487. and many forces may
    change the shape of it
  488. or the depth and reach of it.
  489. >> Cultural humility is
    definitely a journey for me,
  490. and it's definitely a journey
    that I know there's going
  491. to be come challenges
    and I'm ready for those.
  492. And I know every challenge
    I'm going to learn from.
  493. And I think it's a process that
    I have to go through every day
  494. and that I'm okay
    with going through.
  495. And it actually makes
    me stronger and smarter
  496. and I hope wiser
    than I was yesterday.
  497. [ Music ]