1 00:00:06,516 --> 00:00:09,626 [ Music ] 2 00:00:10,126 --> 00:00:11,446 >> One word to describe cultural humility 3 00:00:11,516 --> 00:00:13,496 for me is love actually. 4 00:00:13,596 --> 00:00:16,276 >> If I had to encapsulate cultural humility, 5 00:00:16,276 --> 00:00:17,896 the whole concepts of cultural humility, 6 00:00:18,406 --> 00:00:21,066 it doesn't do it justice, but the word 7 00:00:21,066 --> 00:00:22,066 that I think of is essence. 8 00:00:22,066 --> 00:00:23,766 Escuchar. 9 00:00:24,176 --> 00:00:25,126 >> Being. 10 00:00:25,126 --> 00:00:25,496 >> You. 11 00:00:25,546 --> 00:00:26,596 >> Opening. 12 00:00:26,596 --> 00:00:27,426 >> Receive. 13 00:00:27,646 --> 00:00:28,716 >> Compassion. 14 00:00:28,786 --> 00:00:29,876 >> Love. 15 00:00:29,876 --> 00:00:33,106 >> The principles of cultural humility offer one more 16 00:00:33,106 --> 00:00:36,666 framework to contribute to what has got 17 00:00:36,666 --> 00:00:38,316 to be our ultimate goal, yes. 18 00:00:38,736 --> 00:00:42,156 Our ultimate goal is that there will be a sense of equity, 19 00:00:42,156 --> 00:00:46,466 a sense of equality and a kind of respect 20 00:00:46,466 --> 00:00:49,516 that we are driving forward. 21 00:00:49,516 --> 00:01:28,566 [ Music ] 22 00:01:29,066 --> 00:01:35,436 >> Cultural humility is a multidimensional concept. 23 00:01:35,436 --> 00:01:40,216 And certainly Melanie Tervalon 24 00:01:40,326 --> 00:01:46,476 and I conceptualized three dimensions. 25 00:01:46,696 --> 00:01:49,426 >> The first is lifelong learning 26 00:01:49,936 --> 00:01:51,336 and critical self- reflection. 27 00:01:51,336 --> 00:01:53,916 And in that critical self-reflection it is the 28 00:01:53,916 --> 00:01:58,346 understanding of how each of us, every singe one of us, 29 00:01:58,496 --> 00:02:02,746 is a complicated, multidimensional human being. 30 00:02:02,976 --> 00:02:05,586 Each of us comes with our own histories and stories, 31 00:02:05,586 --> 00:02:07,176 our heritage, our point of view. 32 00:02:07,756 --> 00:02:08,895 You are looking at me now. 33 00:02:09,446 --> 00:02:10,806 I am very fair skinned. 34 00:02:10,976 --> 00:02:12,846 When I was a little girl my hair was blond. 35 00:02:13,066 --> 00:02:14,316 My eyes are blue. 36 00:02:15,036 --> 00:02:18,166 People often tried to call me anything but African-American. 37 00:02:18,166 --> 00:02:20,766 I have a history. 38 00:02:21,456 --> 00:02:23,906 My identity is rooted in that history. 39 00:02:24,346 --> 00:02:27,546 My parents gave me the knowledge of my own social identity, 40 00:02:27,546 --> 00:02:30,176 and my own experience in life has created that. 41 00:02:30,526 --> 00:02:32,156 I get to say who I am. 42 00:02:32,466 --> 00:02:36,226 >> The second tenet after self-reflection 43 00:02:36,226 --> 00:02:42,116 and ongoing lifelong learning and development is this notion 44 00:02:42,116 --> 00:02:45,776 that we must mitigate the power imbalances, to recognize 45 00:02:46,116 --> 00:02:48,026 and mitigate the power imbalances 46 00:02:48,086 --> 00:02:53,326 that are inherent often in our clinician patient 47 00:02:53,326 --> 00:03:00,006 or clinician client for service provider community dynamics. 48 00:03:00,116 --> 00:03:03,106 >> And then finally the piece that I would offer that Jann 49 00:03:03,106 --> 00:03:07,846 and I feel people often either don't read or don't like. 50 00:03:07,846 --> 00:03:11,856 And the institution has to model these principles as well. 51 00:03:12,516 --> 00:03:39,956 [ Music ] 52 00:03:40,456 --> 00:03:42,986 >> An African-American nurse caring 53 00:03:42,986 --> 00:03:46,246 for a middle aged Latino woman several hours 54 00:03:46,246 --> 00:03:48,606 after the patient had undergone surgery. 55 00:03:49,396 --> 00:03:50,656 >> A Latino physician 56 00:03:50,656 --> 00:03:53,226 on a consult service approached the bedside 57 00:03:53,606 --> 00:03:56,656 and noted the moaning patient commented to the nurse 58 00:03:56,736 --> 00:03:58,856 that the patient appeared to be in a great deal 59 00:03:59,206 --> 00:04:00,776 of post- operative pain. 60 00:04:01,266 --> 00:04:04,596 >> The nurse summarily dismissed his perception informing him 61 00:04:04,806 --> 00:04:07,356 that she took a course in nursing school in cross- 62 00:04:07,356 --> 00:04:10,706 cultural medicine and knew that Hispanic patients over- 63 00:04:10,796 --> 00:04:12,456 express the pain that they are feeling. 64 00:04:13,046 --> 00:04:15,846 The Latino physician had a difficult time influencing the 65 00:04:15,846 --> 00:04:18,136 perspective of this nurse who focused 66 00:04:18,136 --> 00:04:20,536 on her self-proclaimed cultural expertise. 67 00:04:21,546 --> 00:04:25,556 >> It was curious to this Latino physician who first 68 00:04:25,556 --> 00:04:27,516 of all was Latino, not like all -- 69 00:04:27,816 --> 00:04:30,596 in his case not like all Mexican-Americans, 70 00:04:31,076 --> 00:04:34,926 know everything there is to know about Mexican-American patients. 71 00:04:34,926 --> 00:04:35,866 That wasn't it. 72 00:04:35,916 --> 00:04:39,106 But he might have been a resource 73 00:04:39,296 --> 00:04:42,326 for that African-American nurse in that moment 74 00:04:43,096 --> 00:04:46,116 that she didn't feel like she needed, again, 75 00:04:46,116 --> 00:04:49,736 because she had bought into this notion of competence, 76 00:04:49,736 --> 00:04:50,946 of cultural competence. 77 00:04:51,066 --> 00:04:53,116 >> The distinction between cultural humility 78 00:04:53,116 --> 00:04:57,726 and cultural competence was that we were in a process 79 00:04:57,726 --> 00:05:00,786 and a relationship that had many other layers to it, 80 00:05:01,116 --> 00:05:05,576 and that we were less comfortable with even the term 81 00:05:05,576 --> 00:05:09,606 of competence in a way that I think people understand well. 82 00:05:09,606 --> 00:05:12,546 And that it implies especially for people who are providers 83 00:05:12,546 --> 00:05:14,006 and are trained in academia 84 00:05:14,456 --> 00:05:17,276 that you are then all knowing and all powerful. 85 00:05:17,726 --> 00:05:21,156 And we felt like that was not what was happening for us 86 00:05:21,186 --> 00:05:24,026 as we were learning from community and understanding 87 00:05:24,356 --> 00:05:28,736 in a very practical way how families were coming 88 00:05:28,736 --> 00:05:29,976 to the hospital and feeling 89 00:05:29,976 --> 00:05:33,686 as if they really were not being heard from their own heritage 90 00:05:33,686 --> 00:05:37,636 in history, and how that impacted what they came 91 00:05:37,636 --> 00:05:42,136 to the hospital with that we didn't know anything about, 92 00:05:42,626 --> 00:05:44,086 hadn't even a clue about. 93 00:05:44,226 --> 00:05:47,066 For us this is part of the humility piece of it, 94 00:05:47,406 --> 00:05:48,896 getting to understand that. 95 00:05:50,126 --> 00:05:53,076 Not trying to humiliate you, not trying to make you feel bad, 96 00:05:54,116 --> 00:05:58,016 trying to help us all understand that life is like this. 97 00:05:58,016 --> 00:06:01,656 And that in a certain sense you're really happy 98 00:06:01,656 --> 00:06:02,416 about not knowing. 99 00:06:04,116 --> 00:06:06,686 >> In April of 1992 in the wake 100 00:06:06,686 --> 00:06:09,916 of the Los Angeles riots following the initial not guilty 101 00:06:09,916 --> 00:06:13,206 verdict of the police officers accused of beating Mr. King, 102 00:06:14,596 --> 00:06:17,706 the Children's Hospital open community was compelled to meet 103 00:06:17,866 --> 00:06:20,716 in a series of highly charged sessions to expose 104 00:06:20,776 --> 00:06:23,656 and critique our own patterns of institutional racism, 105 00:06:23,656 --> 00:06:25,686 injustice and inequity. 106 00:06:26,406 --> 00:06:29,166 >> My name is Dr. Melanie Tervalon, and I am Direct 107 00:06:29,166 --> 00:06:32,336 of Multicultural Affairs here at Children's Hospital Oakland. 108 00:06:32,596 --> 00:06:34,256 >> I want to thank everybody for coming 109 00:06:34,436 --> 00:06:38,156 to what is a celebration for me of this year. 110 00:06:38,286 --> 00:06:41,206 >> Jann and I had the good fortune really to be together 111 00:06:41,206 --> 00:06:44,226 in the same place when this work was evolving. 112 00:06:44,466 --> 00:06:47,666 Jann and I while we were several years difference 113 00:06:47,666 --> 00:06:50,956 in age are both African-American women. 114 00:06:50,956 --> 00:06:54,836 And we were both raised by women who were teachers. 115 00:06:55,846 --> 00:06:59,986 And we come out of that -- and fathers who were working men, 116 00:07:00,806 --> 00:07:03,346 who come out of that southern tradition 117 00:07:04,196 --> 00:07:08,566 and who participated fully in the civil rights movement 118 00:07:08,566 --> 00:07:11,596 in a way that meant that they made sacrifices 119 00:07:11,836 --> 00:07:14,356 and their children made sacrifices, and they taught us 120 00:07:14,356 --> 00:07:17,616 about those sacrifices and raised us each in ways 121 00:07:17,616 --> 00:07:19,806 to understand that we were here to serve. 122 00:07:20,516 --> 00:07:34,556 [ Music ] 123 00:07:35,056 --> 00:07:35,596 >> Patty. 124 00:07:35,596 --> 00:07:36,056 >> Hey. 125 00:07:36,056 --> 00:07:36,346 >> How you doing? 126 00:07:36,346 --> 00:07:38,136 >> How are you? 127 00:07:38,136 --> 00:07:38,786 >> It's good to see you. 128 00:07:38,786 --> 00:07:40,496 >> It's so good to see you. 129 00:07:40,496 --> 00:07:42,106 It's been a long time. 130 00:07:42,106 --> 00:07:42,636 >> I know, yeah. 131 00:07:42,636 --> 00:07:43,686 >> How have you been? 132 00:07:43,686 --> 00:07:44,846 >> Pretty good. 133 00:07:44,846 --> 00:07:46,596 >> Good. Thank you for having me. 134 00:07:46,756 --> 00:07:49,376 >> I'm invested in children and in that population 135 00:07:49,376 --> 00:07:51,506 because I've been there for so, so long. 136 00:07:51,506 --> 00:07:52,256 >> Since we were residents. 137 00:07:52,516 --> 00:07:56,006 >> And I'm seeing like second generation of my families now. 138 00:07:56,146 --> 00:07:58,976 >> The multicultural curriculum program really started 139 00:07:58,976 --> 00:08:02,636 in about 91- 92 as a pilot. 140 00:08:03,146 --> 00:08:07,546 >> When was Rodney King, I thought that was 90 -- 141 00:08:08,116 --> 00:08:10,506 >> It was provoked in 92. 142 00:08:10,506 --> 00:08:11,376 >> 92, yes. 143 00:08:11,416 --> 00:08:15,946 >> The Rodney King incident that people saw all 144 00:08:15,946 --> 00:08:20,476 over the world really at Children's meant that we started 145 00:08:20,476 --> 00:08:23,626 to talk again about what we called our own private 146 00:08:23,626 --> 00:08:24,426 Rodney Kings. 147 00:08:24,686 --> 00:08:27,946 The circumstances where families felt 148 00:08:27,946 --> 00:08:31,376 as if they were not being taken care of in a respectful way. 149 00:08:32,186 --> 00:08:35,066 That was a big part of our work, being certain 150 00:08:35,066 --> 00:08:37,905 that we were living up to the principles 151 00:08:37,966 --> 00:08:39,746 that had clearly been established 152 00:08:39,746 --> 00:08:41,566 through the conversations already in the hospital. 153 00:08:42,035 --> 00:08:45,466 That given the composition of the faculty at Children's 154 00:08:45,946 --> 00:08:48,166 and given the composition of the patients we were taking care 155 00:08:48,226 --> 00:08:50,556 of that the faculty could really not teach about the issues 156 00:08:50,556 --> 00:08:54,306 of culture and race and difference in time and the like. 157 00:08:54,306 --> 00:08:57,586 And so we spent a lot of time working with community groups 158 00:08:57,586 --> 00:09:00,356 and families to actually come in and teach. 159 00:09:00,606 --> 00:09:03,236 >> When I think of the two terms, cultural competency 160 00:09:03,406 --> 00:09:07,426 versus cultural humility, for me cultural competency implies kind 161 00:09:07,426 --> 00:09:09,606 of a subject, a topic, you know. 162 00:09:09,606 --> 00:09:12,516 And people do feel like I need to know this or not, 163 00:09:12,516 --> 00:09:14,906 and if I don't know this I'm not smart or whatever. 164 00:09:14,906 --> 00:09:17,556 Whereas for me cultural humility is a philosophy, 165 00:09:17,646 --> 00:09:21,526 it's an approach, it is a tool, you know. 166 00:09:21,526 --> 00:09:25,556 So it's not something to be I'm going to master it or not. 167 00:09:25,746 --> 00:09:29,376 It's my approach, it's how I will handle the situation. 168 00:09:29,376 --> 00:09:30,966 >> Last year I was the coordinator 169 00:09:30,966 --> 00:09:34,636 of the student support team which are the meetings 170 00:09:34,636 --> 00:09:36,906 that families have with teachers 171 00:09:36,906 --> 00:09:38,216 when their kids are having trouble. 172 00:09:39,076 --> 00:09:46,546 And it was quite interesting to just try to navigate that, 173 00:09:47,096 --> 00:09:50,266 those meetings in a way that worked 174 00:09:50,266 --> 00:09:52,396 with the principles of cultural humility. 175 00:09:53,006 --> 00:09:55,616 Just to really try to say 176 00:09:55,616 --> 00:10:00,096 to my colleagues let's hear what this parent is experiencing 177 00:10:00,866 --> 00:10:03,796 and what this parent hears about from their child. 178 00:10:05,046 --> 00:10:08,756 And let's try to talk about that as a starting point rather than, 179 00:10:08,826 --> 00:10:10,196 you know, your kid is XYZ. 180 00:10:10,326 --> 00:10:14,476 >> One of the things that helped me out a lot to be able 181 00:10:14,476 --> 00:10:17,756 to also kind of make peace with not knowing is 182 00:10:17,756 --> 00:10:22,416 that for a long time I mistook not knowing 183 00:10:22,416 --> 00:10:24,176 for lack of intelligence. 184 00:10:24,176 --> 00:10:26,656 And a dear friend of mine pointed out to me once 185 00:10:26,656 --> 00:10:29,836 when I was having a conversation about this, he said it's not 186 00:10:29,836 --> 00:10:33,356 that you're not intelligent, it's that your fount 187 00:10:33,356 --> 00:10:36,466 of knowledge in this particular area you don't have it. 188 00:10:36,856 --> 00:10:38,766 So it doesn't take away from your intelligence 189 00:10:38,766 --> 00:10:40,656 by any stretch of the imagination. 190 00:10:40,656 --> 00:10:42,966 You don't know because no one has told you 191 00:10:42,966 --> 00:10:44,546 or you haven't asked that question. 192 00:10:45,626 --> 00:10:48,386 And it allowed me to be able to ask a million questions 193 00:10:48,386 --> 00:10:51,796 because now I didn't feel like I was saying to the world 194 00:10:51,796 --> 00:10:53,266 or to the person or to the patient 195 00:10:53,266 --> 00:10:55,836 or to the community I'm stupid. 196 00:10:55,836 --> 00:10:57,516 I was happy just saying I just don't know. 197 00:10:57,516 --> 00:10:58,956 And the same way with the fount of knowledge 198 00:10:58,956 --> 00:11:00,336 with medicine there's no way 199 00:11:00,336 --> 00:11:02,476 for you know something unless you learn about it. 200 00:11:02,726 --> 00:11:04,896 But in no way, shape or form does it take away 201 00:11:04,896 --> 00:11:05,546 your intelligence. 202 00:11:05,546 --> 00:11:09,346 So once I could distinguish the difference I was comfortable 203 00:11:09,346 --> 00:11:10,286 with not knowing anymore. 204 00:11:10,926 --> 00:11:13,596 >> The article gets written but not published right away 205 00:11:14,036 --> 00:11:16,116 about what we learned from all 206 00:11:16,116 --> 00:11:17,666 of this work working with communities. 207 00:11:17,666 --> 00:11:19,466 And this is the cultural humility piece 208 00:11:19,466 --> 00:11:22,586 that people have now used in many venues, 209 00:11:22,586 --> 00:11:25,236 not just in medicine but in education. 210 00:11:25,546 --> 00:11:30,146 Many nonprofit organizations use the cultural humility principles 211 00:11:30,146 --> 00:11:30,536 in their work. 212 00:11:30,976 --> 00:11:32,236 The principles are not just 213 00:11:32,236 --> 00:11:34,566 about individual activity and behavior. 214 00:11:35,036 --> 00:11:38,276 Institutions have got to be self-reflective. 215 00:11:38,486 --> 00:11:41,886 Lifelong learners have to really believe that the communities 216 00:11:41,886 --> 00:11:45,066 that are being served really do know what they want 217 00:11:45,066 --> 00:11:47,506 and what they need, right, and they're in the best position 218 00:11:47,506 --> 00:11:48,766 to let us know what that is. 219 00:11:49,516 --> 00:11:55,966 [ Music ] 220 00:11:56,466 --> 00:12:00,626 >> People living in poverty have the least access to power 221 00:12:00,626 --> 00:12:03,386 to change the structure of policies of poverty, 222 00:12:03,806 --> 00:12:06,246 and are often denied effective solutions 223 00:12:06,246 --> 00:12:08,796 to combat the violations to their human rights. 224 00:12:09,286 --> 00:12:11,506 And I care about this issue 225 00:12:11,506 --> 00:12:15,296 because my brother is an innocent man with special needs 226 00:12:15,556 --> 00:12:18,986 who has been held in what I call modern day slavery 227 00:12:19,616 --> 00:12:23,226 for two years now for a crime that he did not commit. 228 00:12:23,226 --> 00:12:24,696 And I come to you because the 229 00:12:24,806 --> 00:12:26,476 so called justice system is not designed 230 00:12:26,556 --> 00:12:27,476 to benefit my community. 231 00:12:27,476 --> 00:12:31,956 And I can hear the voice of the oppressed that echo, no, 232 00:12:32,236 --> 00:12:33,526 you don't deserve to have rights. 233 00:12:34,296 --> 00:12:38,016 Just us. You don't have a history, just us. 234 00:12:38,016 --> 00:12:40,636 You don't have the strength to control your mind, just us. 235 00:12:41,246 --> 00:12:43,126 You don't remember what the fight is about. 236 00:12:43,626 --> 00:12:44,096 Just us. 237 00:12:44,776 --> 00:12:48,706 >> There are these moments that grab everybody's attention 238 00:12:48,706 --> 00:12:49,966 that we can take advantage of. 239 00:12:49,966 --> 00:12:53,656 And I think the Rodney King, more of the response 240 00:12:53,656 --> 00:12:57,386 to Rodney King, is what inspired a lot of conversation and a lot 241 00:12:57,386 --> 00:13:00,816 of soul searching and a lot of people seeking ways 242 00:13:00,816 --> 00:13:02,836 that we could have these conversations 243 00:13:03,176 --> 00:13:04,456 with better result. 244 00:13:05,236 --> 00:13:07,136 And then it fades. 245 00:13:08,516 --> 00:13:16,576 [ Music ] 246 00:13:17,076 --> 00:13:20,076 >> The three police officers facing felony criminal charges 247 00:13:20,276 --> 00:13:21,886 were among a group of 15 248 00:13:21,886 --> 00:13:25,206 who stopped a 25 year old Black man last Saturday night, 249 00:13:25,556 --> 00:13:27,506 then beat him, kicked him and clubbed him. 250 00:13:27,506 --> 00:13:31,336 >> At WHAT Radio host Mary Mason fielded scores of calls 251 00:13:31,426 --> 00:13:33,686 from members of the Black community angered 252 00:13:33,686 --> 00:13:38,926 by the verdict, shocked by the violence that followed. 253 00:13:39,396 --> 00:13:41,716 >> We need love and respect for one another. 254 00:13:41,716 --> 00:13:42,016 We need [inaudible]. 255 00:13:44,266 --> 00:13:48,066 >> In 2010 Arizona passed a law that authorized local police 256 00:13:48,626 --> 00:13:51,856 to check the immigration status of anyone of whom they suspect 257 00:13:51,936 --> 00:13:54,266 of being an illegal immigrant to the United States. 258 00:13:55,176 --> 00:13:57,766 Who has the right to call another human being illegal? 259 00:13:58,666 --> 00:14:01,426 Most of these illegals are the ones working in the fields, 260 00:14:01,876 --> 00:14:05,326 cleaning homes, landscaping at jobs that have the right 261 00:14:05,526 --> 00:14:06,846 to pay lower than minimum wage. 262 00:14:07,466 --> 00:14:10,396 >> There are things that are difficult to hear, 263 00:14:10,486 --> 00:14:13,056 and there are things that are just plain hard to see. 264 00:14:13,636 --> 00:14:16,516 So how it is a fish doesn't see water. 265 00:14:16,516 --> 00:14:19,416 It's very hard when you benefit 266 00:14:19,846 --> 00:14:23,976 from great privilege to see it as that. 267 00:14:24,666 --> 00:14:28,796 And I would say it takes constant reminding. 268 00:14:29,186 --> 00:14:32,666 And I certainly don't see it all the time. 269 00:14:32,666 --> 00:14:35,936 And each time I'm reminded of it I'm reminded 270 00:14:35,936 --> 00:14:37,076 that I'm reminded of it. 271 00:14:37,346 --> 00:14:40,646 That why do I have to be reminded of it, oh but I do. 272 00:14:41,646 --> 00:14:44,606 >> I heard the white woman behind us say you foreigners 273 00:14:44,646 --> 00:14:45,376 have no manners. 274 00:14:46,506 --> 00:14:49,436 My initial reaction was anger and confusion. 275 00:14:50,486 --> 00:14:52,216 Anger because I felt discriminated 276 00:14:52,786 --> 00:14:53,476 against and judged. 277 00:14:53,666 --> 00:14:57,336 Confusion because she was an older woman, so hadn't she been 278 00:14:57,336 --> 00:14:59,586 around long enough to know that she is not a native 279 00:14:59,586 --> 00:15:00,606 of this country either? 280 00:15:02,136 --> 00:15:04,796 We are constantly bombarded by subliminal messages 281 00:15:05,026 --> 00:15:06,456 that light skin is superior. 282 00:15:06,916 --> 00:15:09,506 Immigration policy is continuously debated 283 00:15:09,506 --> 00:15:12,076 in the White House, while brown men are hoping 284 00:15:12,076 --> 00:15:14,306 to land a side job outside of Home Depot. 285 00:15:14,946 --> 00:15:17,686 >> How does cultural humility come to life 286 00:15:17,686 --> 00:15:19,386 at Berkeley Media Studies Group? 287 00:15:19,736 --> 00:15:21,766 I have to credit Tony Borbone [phonetic]. 288 00:15:22,456 --> 00:15:24,706 Bony Borbone, may he rest in peace, 289 00:15:24,706 --> 00:15:28,516 was a violence prevention advocate par excellence 290 00:15:28,726 --> 00:15:33,736 who I met early in our years in working on violence prevention 291 00:15:33,736 --> 00:15:38,706 when we first started the Berkeley Media Studies Group. 292 00:15:38,886 --> 00:15:46,426 And Tony just confronted me and said you live in California, 293 00:15:46,856 --> 00:15:48,616 how many of your staff speak Spanish? 294 00:15:49,866 --> 00:15:53,446 And I had to say none. 295 00:15:53,716 --> 00:15:58,426 And Tony in I was going to say loving, 296 00:15:58,426 --> 00:16:01,826 it wasn't in a loving way, it was in a confrontational way. 297 00:16:01,826 --> 00:16:06,106 I mean we grew to love each other and each other's work 298 00:16:06,106 --> 00:16:08,166 and had great respect for each other I think 299 00:16:09,536 --> 00:16:11,176 as our relationship blossomed. 300 00:16:11,176 --> 00:16:18,546 But he had no fear about saying what was important. 301 00:16:19,516 --> 00:16:59,766 [ Music ] 302 00:17:00,266 --> 00:17:02,626 >> It's really important to show up. 303 00:17:03,166 --> 00:17:06,596 Take the time from your life and show that you care 304 00:17:06,596 --> 00:17:09,366 about the community and be there. 305 00:17:09,445 --> 00:17:13,106 So the workers were participating in actions 306 00:17:13,266 --> 00:17:16,406 to bring pressure on a poultry market owner 307 00:17:16,406 --> 00:17:17,996 who owed her workers wages. 308 00:17:18,506 --> 00:17:20,636 The workers were going out with picket signs, 309 00:17:20,636 --> 00:17:22,486 and I went with them, too. 310 00:17:22,486 --> 00:17:24,386 In that way I felt nervous. 311 00:17:25,036 --> 00:17:27,215 You do kind of feel exposed. 312 00:17:27,215 --> 00:17:30,126 You're in the environment that's very different from some 313 00:17:30,686 --> 00:17:31,976 of the other things that I'd done. 314 00:17:32,516 --> 00:17:37,556 [ Music ] 315 00:17:38,056 --> 00:17:39,646 So when we had these meetings everybody 316 00:17:39,646 --> 00:17:41,886 on the project was really experienced 317 00:17:41,886 --> 00:17:44,066 in doing community research. 318 00:17:44,496 --> 00:17:45,766 But there's a dynamic. 319 00:17:45,766 --> 00:17:47,816 When you're in a professional culture you're used 320 00:17:47,866 --> 00:17:52,096 to participating in meetings and trying to get in your word. 321 00:17:52,096 --> 00:17:53,496 And then on top of all 322 00:17:53,666 --> 00:17:56,536 that we're conducting all these in English. 323 00:17:56,536 --> 00:17:57,906 And so the other two staff 324 00:17:58,226 --> 00:18:01,436 from the Chinese Progressive Association were interpreting 325 00:18:01,436 --> 00:18:05,426 for the non-English speaking staff member. 326 00:18:05,426 --> 00:18:08,076 And so they're not fully able to participate. 327 00:18:08,226 --> 00:18:11,536 And then everything is happening so fast, people are talking 328 00:18:11,536 --> 00:18:13,016 over each other, that for the non- 329 00:18:13,016 --> 00:18:16,386 English speaking staff member it was hard for her to sort 330 00:18:16,386 --> 00:18:18,416 of get a word in edgewise. 331 00:18:19,586 --> 00:18:22,166 We did reflect on this and people noticed it. 332 00:18:22,166 --> 00:18:26,226 Then we started to conduct the meetings in Chinese. 333 00:18:26,266 --> 00:18:28,306 And then all the English speakers wore the headsets 334 00:18:28,446 --> 00:18:30,556 with simultaneous interpretation. 335 00:18:30,556 --> 00:18:32,396 >> The native English speakers were quieter, 336 00:18:32,686 --> 00:18:34,496 and that changed the dynamics a lot. 337 00:18:34,496 --> 00:18:37,066 But the workers were still quiet. 338 00:18:37,536 --> 00:18:40,746 In terms of cultural humility we were really challenged 339 00:18:40,746 --> 00:18:42,696 to think I think a little bit more deeply 340 00:18:42,696 --> 00:18:46,666 about what culture is and how it doesn't mean thinking 341 00:18:46,666 --> 00:18:51,126 about a list of traits that you can ascribe to people. 342 00:18:51,446 --> 00:18:56,216 But that it's actually that it involves you 343 00:18:56,216 --> 00:18:59,796 and your assumptions and how you project your assumptions 344 00:18:59,796 --> 00:19:04,526 onto somebody else versus what is their actual experience 345 00:19:04,526 --> 00:19:05,726 of who they actually are. 346 00:19:06,516 --> 00:19:28,796 [ Music ] 347 00:19:29,296 --> 00:19:30,736 >> I first heard about cultural humility 348 00:19:30,816 --> 00:19:33,336 when I was a graduate student in the master's program here 349 00:19:33,336 --> 00:19:34,356 at San Francisco State. 350 00:19:34,356 --> 00:19:37,306 But I feel like I first understood cultural humility 351 00:19:37,306 --> 00:19:39,016 as a concept a lot earlier in my life. 352 00:19:39,486 --> 00:19:42,626 It came from a place of invisibility, a place of kind 353 00:19:42,746 --> 00:19:44,526 of suppressing who I was as a woman of color 354 00:19:44,526 --> 00:19:48,686 and now has completely transformed as an educator, 355 00:19:48,686 --> 00:19:50,706 realizing who I am, where I stand 356 00:19:50,706 --> 00:19:52,296 in the classroom, what my privilege is. 357 00:19:52,786 --> 00:19:55,836 But also what my voice means in the world 358 00:19:55,836 --> 00:19:57,356 and what it means as an educator. 359 00:19:57,356 --> 00:20:00,956 It came from trying to fit in, to do whatever I could 360 00:20:01,086 --> 00:20:02,856 to be Indian at home and not out in the world. 361 00:20:03,126 --> 00:20:09,726 And not express that, and it's become this marker of identity 362 00:20:09,726 --> 00:20:10,996 that I knew was always there 363 00:20:10,996 --> 00:20:12,976 that I could never really express growing up. 364 00:20:12,976 --> 00:20:16,216 And now it's saying who that person is 365 00:20:16,216 --> 00:20:20,526 and acknowledging both my own power and privilege in I've got 366 00:20:20,526 --> 00:20:21,766 to check myself kind of way. 367 00:20:22,186 --> 00:20:25,126 In the same respect it's also saying I am a woman of color, 368 00:20:25,126 --> 00:20:28,246 I have something important to say and here I am. 369 00:20:28,336 --> 00:20:30,936 >> I think as long as power and privilege exists 370 00:20:30,936 --> 00:20:34,476 in society we will always being struggling with being too humble 371 00:20:34,646 --> 00:20:36,496 as women of color, as women who come 372 00:20:36,496 --> 00:20:38,236 from working class backgrounds, as women who come 373 00:20:38,236 --> 00:20:39,756 from low income backgrounds 374 00:20:40,496 --> 00:20:42,306 or under resourced backgrounds, right? 375 00:20:42,306 --> 00:20:43,596 As long as there's power and privilege 376 00:20:43,746 --> 00:20:46,236 in society I know I will always be struggling with that, 377 00:20:46,236 --> 00:20:48,286 and I struggle with that on a daily basis. 378 00:20:49,516 --> 00:21:05,546 [ Music ] 379 00:21:06,046 --> 00:21:07,606 >> I examined [inaudible] here 380 00:21:07,606 --> 00:21:10,486 to see how inclusive our current policies 381 00:21:10,486 --> 00:21:13,236 and programming are toward transgender students. 382 00:21:13,236 --> 00:21:16,406 >> And I was just reflecting 383 00:21:16,996 --> 00:21:19,356 about how it's actually very relevant 384 00:21:19,886 --> 00:21:24,086 to the topic this evening of cultural humility 385 00:21:24,086 --> 00:21:27,316 because we're talking like transgender culture 386 00:21:27,596 --> 00:21:30,836 or peer culture at [inaudible] and how it's respected or not. 387 00:21:31,106 --> 00:21:31,436 >> Right. 388 00:21:31,556 --> 00:21:36,516 >> And how like the institution can be culturally relevant 389 00:21:36,846 --> 00:21:41,436 or humble or respectful of the experience of transgenders 390 00:21:41,436 --> 00:21:43,226 when they come to this place. 391 00:21:43,226 --> 00:21:45,726 >> The health educators that I work 392 00:21:45,726 --> 00:21:47,686 with are all transgender females. 393 00:21:48,336 --> 00:21:52,516 And literally the second day of my job I walked into a meeting, 394 00:21:52,516 --> 00:21:55,306 and it was a committee advisory board 395 00:21:55,796 --> 00:21:57,656 of all transgender females. 396 00:21:57,836 --> 00:21:59,306 And I was so uncomfortable 397 00:21:59,306 --> 00:22:01,626 but at the same time they made me feel so comfortable. 398 00:22:01,626 --> 00:22:07,326 They started asking me questions like they noticed, and they were 399 00:22:07,406 --> 00:22:09,486 like so where are you from, you know? 400 00:22:09,486 --> 00:22:10,686 And I was like I'm Iranian. 401 00:22:10,686 --> 00:22:13,036 Oh, we know this Middle Eastern transgender girl, 402 00:22:13,036 --> 00:22:14,506 do you know her? 403 00:22:14,506 --> 00:22:15,806 And I was like no. 404 00:22:15,896 --> 00:22:21,426 So my definition of cultural humility is to be open 405 00:22:22,006 --> 00:22:25,436 to learning all the time. 406 00:22:25,626 --> 00:22:30,056 So what I want from you guys is to go around, introduce yourself 407 00:22:30,056 --> 00:22:33,066 and tell us what cultural humility means to you. 408 00:22:33,066 --> 00:22:35,026 >> I first became passionate about cultural humility 409 00:22:35,466 --> 00:22:37,986 as an undergraduate student I was interning 410 00:22:37,986 --> 00:22:39,046 with an organization. 411 00:22:39,476 --> 00:22:43,606 And they were holding a cultural competency training 412 00:22:43,606 --> 00:22:45,776 for Pacific Islanders and working 413 00:22:45,776 --> 00:22:47,016 with Pacific Islander communities. 414 00:22:47,366 --> 00:22:50,326 And as a biracial Pacific Islander woman I was really 415 00:22:50,326 --> 00:22:54,476 excited and anxious to attend the training and to really learn 416 00:22:54,476 --> 00:22:56,976 about the material that was going to be sort of discussed 417 00:22:57,306 --> 00:22:59,856 and how others were going to learn, myself included, 418 00:23:00,506 --> 00:23:03,896 about Pacific Island culture and working with Pacific Islanders 419 00:23:03,896 --> 00:23:06,316 around health issues that were important to the community. 420 00:23:06,786 --> 00:23:10,546 And I think after attending the training I realized there was a 421 00:23:10,546 --> 00:23:13,646 sense of achievement and completion 422 00:23:13,646 --> 00:23:15,406 for those who participated. 423 00:23:15,406 --> 00:23:19,486 And I then was introduced to cultural humility 424 00:23:19,486 --> 00:23:20,896 as an undergraduate student in the class, 425 00:23:21,326 --> 00:23:22,656 just so happened around the same time. 426 00:23:22,656 --> 00:23:26,786 And I realized that a sense of achievement and accomplishment 427 00:23:26,786 --> 00:23:30,186 and competence and understanding sort of limits your learning. 428 00:23:30,436 --> 00:23:33,796 >> I can't really tell you what cultural humility means to me. 429 00:23:33,796 --> 00:23:37,096 I feel like I practice it and that's how I know. 430 00:23:37,096 --> 00:23:40,206 The one thing that I think about 431 00:23:40,206 --> 00:23:44,396 or that I can practice is cultural humility is -- 432 00:23:44,396 --> 00:23:47,536 Poder hablar el idioma en el que soy 433 00:23:47,536 --> 00:23:50,476 en el que me puedo expresar mejor, y 434 00:23:50,476 --> 00:23:52,369 El idioma donde encuentro palabras 435 00:23:52,389 --> 00:23:54,759 de poder contarle a alguien 436 00:23:54,759 --> 00:23:56,976 exactamente como me estoy sintiendo. 437 00:23:56,976 --> 00:23:59,696 >> Coming from a background in science and coming 438 00:23:59,696 --> 00:24:04,186 into public health and not ever hearing cultural humility 439 00:24:04,186 --> 00:24:06,526 in the sciences was very telling for me. 440 00:24:07,396 --> 00:24:11,006 Because culture is something that's emphasized, 441 00:24:11,006 --> 00:24:13,996 it's not something that's talked about in a relevant way. 442 00:24:14,496 --> 00:24:18,536 There have always been very clear barriers present 443 00:24:18,666 --> 00:24:20,896 for particular minorities in science. 444 00:24:21,176 --> 00:24:22,946 You can see it when you're in the science classes. 445 00:24:22,946 --> 00:24:25,616 You can see it when you're in study groups. 446 00:24:25,926 --> 00:24:28,096 You can see it when you're looking at your professors. 447 00:24:28,616 --> 00:24:31,066 And I'm not just talking about racial minorities. 448 00:24:31,066 --> 00:24:33,856 I'm talking about a lot of under represented minorities 449 00:24:33,856 --> 00:24:36,596 in the sciences, like race is a factor 450 00:24:36,906 --> 00:24:39,286 but gender, sexual orientation. 451 00:24:39,286 --> 00:24:43,426 >> I learned cultural humility in two places, 452 00:24:43,896 --> 00:24:47,046 by my own culture being Cambodian and Southeast Asian. 453 00:24:47,636 --> 00:24:50,406 Not knowing anything about it my folks roasting me 454 00:24:50,406 --> 00:24:52,356 about I'm not speaking well. 455 00:24:52,976 --> 00:24:57,496 And then after going to college and learning about it 456 00:24:57,496 --> 00:25:00,136 in anthropology and interviewing my parents 457 00:25:00,786 --> 00:25:03,586 about their experience it opened my eyes. 458 00:25:03,976 --> 00:25:09,416 >> One of the things that I have learned in the past couple 459 00:25:09,496 --> 00:25:13,236 of years I want to say is just listening to what I'm saying. 460 00:25:13,236 --> 00:25:15,726 And I mean like seriously listening to what I'm saying. 461 00:25:16,486 --> 00:25:19,616 And one of the things that I have learned to listen to is 462 00:25:19,616 --> 00:25:25,276 when I say I, I believe this, I do this, and listen how 463 00:25:25,276 --> 00:25:27,806 that is very different from the we. 464 00:25:27,806 --> 00:25:32,166 We I hear a lot in the news, we Americans, right? 465 00:25:32,646 --> 00:25:36,226 Like we, who is the we speaking about. 466 00:25:36,386 --> 00:25:39,676 It's to think about and listen to when we use the I and the we. 467 00:25:39,676 --> 00:25:43,206 >> Growing up I was like always interested in culture 468 00:25:43,206 --> 00:25:46,766 and other religions and just really learning about things 469 00:25:46,926 --> 00:25:48,136 from other backgrounds. 470 00:25:48,506 --> 00:25:53,386 And so I just figured that made my culturally humble 471 00:25:53,946 --> 00:25:55,986 because I had an interest. 472 00:25:55,986 --> 00:26:00,546 And so after studying a year in West Africa I came back like, 473 00:26:00,546 --> 00:26:03,516 oh my God, I don't know anything, I don't know anything 474 00:26:03,516 --> 00:26:06,786 about Black people, I don't know anything about Africans. 475 00:26:06,786 --> 00:26:08,676 I mean it just list shifted my world. 476 00:26:12,586 --> 00:26:18,796 >> Peace. I think when I am sitting in a place of humility 477 00:26:19,366 --> 00:26:24,766 that there's a quiet and a spaciousness and an okayness 478 00:26:25,336 --> 00:26:29,926 and ease that is just close to peace with being 479 00:26:29,926 --> 00:26:32,836 with another person that I can imagine. 480 00:26:34,856 --> 00:26:36,116 >> If I have to think about it 481 00:26:36,116 --> 00:26:40,896 as a road then I think I would think about I would think 482 00:26:40,936 --> 00:26:43,396 about it as a road that spirals. 483 00:26:47,866 --> 00:26:51,916 And a spiral actually doesn't -- to me in a dance context, 484 00:26:52,216 --> 00:26:55,056 a spiral that comes up has to come down as well. 485 00:26:55,056 --> 00:26:56,176 It's sort of a continuous loop. 486 00:26:57,526 --> 00:27:01,786 And along the continuous loop many things happen 487 00:27:01,786 --> 00:27:04,166 and many forces may change the shape of it 488 00:27:05,046 --> 00:27:07,056 or the depth and reach of it. 489 00:27:07,446 --> 00:27:10,356 >> Cultural humility is definitely a journey for me, 490 00:27:10,356 --> 00:27:12,416 and it's definitely a journey that I know there's going 491 00:27:12,416 --> 00:27:14,516 to be come challenges and I'm ready for those. 492 00:27:15,206 --> 00:27:19,146 And I know every challenge I'm going to learn from. 493 00:27:19,486 --> 00:27:24,686 And I think it's a process that I have to go through every day 494 00:27:24,876 --> 00:27:26,416 and that I'm okay with going through. 495 00:27:26,416 --> 00:27:28,456 And it actually makes me stronger and smarter 496 00:27:28,856 --> 00:27:33,606 and I hope wiser than I was yesterday. 497 00:27:34,516 --> 00:29:21,500 [ Music ]