WEBVTT 00:00:06.516 --> 00:00:09.626 [ Music ] 00:00:10.126 --> 00:00:11.446 >> One word to describe cultural humility 00:00:11.516 --> 00:00:13.496 for me is love actually. 00:00:13.596 --> 00:00:16.276 >> If I had to encapsulate cultural humility, 00:00:16.276 --> 00:00:17.896 the whole concepts of cultural humility, 00:00:18.406 --> 00:00:21.066 it doesn't do it justice, but the word 00:00:21.066 --> 00:00:22.066 that I think of is essence. 00:00:22.066 --> 00:00:23.766 Escuchar. 00:00:24.176 --> 00:00:25.126 >> Being. 00:00:25.126 --> 00:00:25.496 >> You. 00:00:25.546 --> 00:00:26.596 >> Opening. 00:00:26.596 --> 00:00:27.426 >> Receive. 00:00:27.646 --> 00:00:28.716 >> Compassion. 00:00:28.786 --> 00:00:29.876 >> Love. 00:00:29.876 --> 00:00:33.106 >> The principles of cultural humility offer one more 00:00:33.106 --> 00:00:36.666 framework to contribute to what has got 00:00:36.666 --> 00:00:38.316 to be our ultimate goal, yes. 00:00:38.736 --> 00:00:42.156 Our ultimate goal is that there will be a sense of equity, 00:00:42.156 --> 00:00:46.466 a sense of equality and a kind of respect 00:00:46.466 --> 00:00:49.516 that we are driving forward. 00:00:49.516 --> 00:01:28.566 [ Music ] 00:01:29.066 --> 00:01:35.436 >> Cultural humility is a multidimensional concept. 00:01:35.436 --> 00:01:40.216 And certainly Melanie Tervalon 00:01:40.326 --> 00:01:46.476 and I conceptualized three dimensions. 00:01:46.696 --> 00:01:49.426 >> The first is lifelong learning 00:01:49.936 --> 00:01:51.336 and critical self- reflection. 00:01:51.336 --> 00:01:53.916 And in that critical self-reflection it is the 00:01:53.916 --> 00:01:58.346 understanding of how each of us, every singe one of us, 00:01:58.496 --> 00:02:02.746 is a complicated, multidimensional human being. 00:02:02.976 --> 00:02:05.586 Each of us comes with our own histories and stories, 00:02:05.586 --> 00:02:07.176 our heritage, our point of view. 00:02:07.756 --> 00:02:08.895 You are looking at me now. 00:02:09.446 --> 00:02:10.806 I am very fair skinned. 00:02:10.976 --> 00:02:12.846 When I was a little girl my hair was blond. 00:02:13.066 --> 00:02:14.316 My eyes are blue. 00:02:15.036 --> 00:02:18.166 People often tried to call me anything but African-American. 00:02:18.166 --> 00:02:20.766 I have a history. 00:02:21.456 --> 00:02:23.906 My identity is rooted in that history. 00:02:24.346 --> 00:02:27.546 My parents gave me the knowledge of my own social identity, 00:02:27.546 --> 00:02:30.176 and my own experience in life has created that. 00:02:30.526 --> 00:02:32.156 I get to say who I am. 00:02:32.466 --> 00:02:36.226 >> The second tenet after self-reflection 00:02:36.226 --> 00:02:42.116 and ongoing lifelong learning and development is this notion 00:02:42.116 --> 00:02:45.776 that we must mitigate the power imbalances, to recognize 00:02:46.116 --> 00:02:48.026 and mitigate the power imbalances 00:02:48.086 --> 00:02:53.326 that are inherent often in our clinician patient 00:02:53.326 --> 00:03:00.006 or clinician client for service provider community dynamics. 00:03:00.116 --> 00:03:03.106 >> And then finally the piece that I would offer that Jann 00:03:03.106 --> 00:03:07.846 and I feel people often either don't read or don't like. 00:03:07.846 --> 00:03:11.856 And the institution has to model these principles as well. 00:03:12.516 --> 00:03:39.956 [ Music ] 00:03:40.456 --> 00:03:42.986 >> An African-American nurse caring 00:03:42.986 --> 00:03:46.246 for a middle aged Latino woman several hours 00:03:46.246 --> 00:03:48.606 after the patient had undergone surgery. 00:03:49.396 --> 00:03:50.656 >> A Latino physician 00:03:50.656 --> 00:03:53.226 on a consult service approached the bedside 00:03:53.606 --> 00:03:56.656 and noted the moaning patient commented to the nurse 00:03:56.736 --> 00:03:58.856 that the patient appeared to be in a great deal 00:03:59.206 --> 00:04:00.776 of post- operative pain. 00:04:01.266 --> 00:04:04.596 >> The nurse summarily dismissed his perception informing him 00:04:04.806 --> 00:04:07.356 that she took a course in nursing school in cross- 00:04:07.356 --> 00:04:10.706 cultural medicine and knew that Hispanic patients over- 00:04:10.796 --> 00:04:12.456 express the pain that they are feeling. 00:04:13.046 --> 00:04:15.846 The Latino physician had a difficult time influencing the 00:04:15.846 --> 00:04:18.136 perspective of this nurse who focused 00:04:18.136 --> 00:04:20.536 on her self-proclaimed cultural expertise. 00:04:21.546 --> 00:04:25.556 >> It was curious to this Latino physician who first 00:04:25.556 --> 00:04:27.516 of all was Latino, not like all -- 00:04:27.816 --> 00:04:30.596 in his case not like all Mexican-Americans, 00:04:31.076 --> 00:04:34.926 know everything there is to know about Mexican-American patients. 00:04:34.926 --> 00:04:35.866 That wasn't it. 00:04:35.916 --> 00:04:39.106 But he might have been a resource 00:04:39.296 --> 00:04:42.326 for that African-American nurse in that moment 00:04:43.096 --> 00:04:46.116 that she didn't feel like she needed, again, 00:04:46.116 --> 00:04:49.736 because she had bought into this notion of competence, 00:04:49.736 --> 00:04:50.946 of cultural competence. 00:04:51.066 --> 00:04:53.116 >> The distinction between cultural humility 00:04:53.116 --> 00:04:57.726 and cultural competence was that we were in a process 00:04:57.726 --> 00:05:00.786 and a relationship that had many other layers to it, 00:05:01.116 --> 00:05:05.576 and that we were less comfortable with even the term 00:05:05.576 --> 00:05:09.606 of competence in a way that I think people understand well. 00:05:09.606 --> 00:05:12.546 And that it implies especially for people who are providers 00:05:12.546 --> 00:05:14.006 and are trained in academia 00:05:14.456 --> 00:05:17.276 that you are then all knowing and all powerful. 00:05:17.726 --> 00:05:21.156 And we felt like that was not what was happening for us 00:05:21.186 --> 00:05:24.026 as we were learning from community and understanding 00:05:24.356 --> 00:05:28.736 in a very practical way how families were coming 00:05:28.736 --> 00:05:29.976 to the hospital and feeling 00:05:29.976 --> 00:05:33.686 as if they really were not being heard from their own heritage 00:05:33.686 --> 00:05:37.636 in history, and how that impacted what they came 00:05:37.636 --> 00:05:42.136 to the hospital with that we didn't know anything about, 00:05:42.626 --> 00:05:44.086 hadn't even a clue about. 00:05:44.226 --> 00:05:47.066 For us this is part of the humility piece of it, 00:05:47.406 --> 00:05:48.896 getting to understand that. 00:05:50.126 --> 00:05:53.076 Not trying to humiliate you, not trying to make you feel bad, 00:05:54.116 --> 00:05:58.016 trying to help us all understand that life is like this. 00:05:58.016 --> 00:06:01.656 And that in a certain sense you're really happy 00:06:01.656 --> 00:06:02.416 about not knowing. 00:06:04.116 --> 00:06:06.686 >> In April of 1992 in the wake 00:06:06.686 --> 00:06:09.916 of the Los Angeles riots following the initial not guilty 00:06:09.916 --> 00:06:13.206 verdict of the police officers accused of beating Mr. King, 00:06:14.596 --> 00:06:17.706 the Children's Hospital open community was compelled to meet 00:06:17.866 --> 00:06:20.716 in a series of highly charged sessions to expose 00:06:20.776 --> 00:06:23.656 and critique our own patterns of institutional racism, 00:06:23.656 --> 00:06:25.686 injustice and inequity. 00:06:26.406 --> 00:06:29.166 >> My name is Dr. Melanie Tervalon, and I am Direct 00:06:29.166 --> 00:06:32.336 of Multicultural Affairs here at Children's Hospital Oakland. 00:06:32.596 --> 00:06:34.256 >> I want to thank everybody for coming 00:06:34.436 --> 00:06:38.156 to what is a celebration for me of this year. 00:06:38.286 --> 00:06:41.206 >> Jann and I had the good fortune really to be together 00:06:41.206 --> 00:06:44.226 in the same place when this work was evolving. 00:06:44.466 --> 00:06:47.666 Jann and I while we were several years difference 00:06:47.666 --> 00:06:50.956 in age are both African-American women. 00:06:50.956 --> 00:06:54.836 And we were both raised by women who were teachers. 00:06:55.846 --> 00:06:59.986 And we come out of that -- and fathers who were working men, 00:07:00.806 --> 00:07:03.346 who come out of that southern tradition 00:07:04.196 --> 00:07:08.566 and who participated fully in the civil rights movement 00:07:08.566 --> 00:07:11.596 in a way that meant that they made sacrifices 00:07:11.836 --> 00:07:14.356 and their children made sacrifices, and they taught us 00:07:14.356 --> 00:07:17.616 about those sacrifices and raised us each in ways 00:07:17.616 --> 00:07:19.806 to understand that we were here to serve. 00:07:20.516 --> 00:07:34.556 [ Music ] 00:07:35.056 --> 00:07:35.596 >> Patty. 00:07:35.596 --> 00:07:36.056 >> Hey. 00:07:36.056 --> 00:07:36.346 >> How you doing? 00:07:36.346 --> 00:07:38.136 >> How are you? 00:07:38.136 --> 00:07:38.786 >> It's good to see you. 00:07:38.786 --> 00:07:40.496 >> It's so good to see you. 00:07:40.496 --> 00:07:42.106 It's been a long time. 00:07:42.106 --> 00:07:42.636 >> I know, yeah. 00:07:42.636 --> 00:07:43.686 >> How have you been? 00:07:43.686 --> 00:07:44.846 >> Pretty good. 00:07:44.846 --> 00:07:46.596 >> Good. Thank you for having me. 00:07:46.756 --> 00:07:49.376 >> I'm invested in children and in that population 00:07:49.376 --> 00:07:51.506 because I've been there for so, so long. 00:07:51.506 --> 00:07:52.256 >> Since we were residents. 00:07:52.516 --> 00:07:56.006 >> And I'm seeing like second generation of my families now. 00:07:56.146 --> 00:07:58.976 >> The multicultural curriculum program really started 00:07:58.976 --> 00:08:02.636 in about 91- 92 as a pilot. 00:08:03.146 --> 00:08:07.546 >> When was Rodney King, I thought that was 90 -- 00:08:08.116 --> 00:08:10.506 >> It was provoked in 92. 00:08:10.506 --> 00:08:11.376 >> 92, yes. 00:08:11.416 --> 00:08:15.946 >> The Rodney King incident that people saw all 00:08:15.946 --> 00:08:20.476 over the world really at Children's meant that we started 00:08:20.476 --> 00:08:23.626 to talk again about what we called our own private 00:08:23.626 --> 00:08:24.426 Rodney Kings. 00:08:24.686 --> 00:08:27.946 The circumstances where families felt 00:08:27.946 --> 00:08:31.376 as if they were not being taken care of in a respectful way. 00:08:32.186 --> 00:08:35.066 That was a big part of our work, being certain 00:08:35.066 --> 00:08:37.905 that we were living up to the principles 00:08:37.966 --> 00:08:39.746 that had clearly been established 00:08:39.746 --> 00:08:41.566 through the conversations already in the hospital. 00:08:42.035 --> 00:08:45.466 That given the composition of the faculty at Children's 00:08:45.946 --> 00:08:48.166 and given the composition of the patients we were taking care 00:08:48.226 --> 00:08:50.556 of that the faculty could really not teach about the issues 00:08:50.556 --> 00:08:54.306 of culture and race and difference in time and the like. 00:08:54.306 --> 00:08:57.586 And so we spent a lot of time working with community groups 00:08:57.586 --> 00:09:00.356 and families to actually come in and teach. 00:09:00.606 --> 00:09:03.236 >> When I think of the two terms, cultural competency 00:09:03.406 --> 00:09:07.426 versus cultural humility, for me cultural competency implies kind 00:09:07.426 --> 00:09:09.606 of a subject, a topic, you know. 00:09:09.606 --> 00:09:12.516 And people do feel like I need to know this or not, 00:09:12.516 --> 00:09:14.906 and if I don't know this I'm not smart or whatever. 00:09:14.906 --> 00:09:17.556 Whereas for me cultural humility is a philosophy, 00:09:17.646 --> 00:09:21.526 it's an approach, it is a tool, you know. 00:09:21.526 --> 00:09:25.556 So it's not something to be I'm going to master it or not. 00:09:25.746 --> 00:09:29.376 It's my approach, it's how I will handle the situation. 00:09:29.376 --> 00:09:30.966 >> Last year I was the coordinator 00:09:30.966 --> 00:09:34.636 of the student support team which are the meetings 00:09:34.636 --> 00:09:36.906 that families have with teachers 00:09:36.906 --> 00:09:38.216 when their kids are having trouble. 00:09:39.076 --> 00:09:46.546 And it was quite interesting to just try to navigate that, 00:09:47.096 --> 00:09:50.266 those meetings in a way that worked 00:09:50.266 --> 00:09:52.396 with the principles of cultural humility. 00:09:53.006 --> 00:09:55.616 Just to really try to say 00:09:55.616 --> 00:10:00.096 to my colleagues let's hear what this parent is experiencing 00:10:00.866 --> 00:10:03.796 and what this parent hears about from their child. 00:10:05.046 --> 00:10:08.756 And let's try to talk about that as a starting point rather than, 00:10:08.826 --> 00:10:10.196 you know, your kid is XYZ. 00:10:10.326 --> 00:10:14.476 >> One of the things that helped me out a lot to be able 00:10:14.476 --> 00:10:17.756 to also kind of make peace with not knowing is 00:10:17.756 --> 00:10:22.416 that for a long time I mistook not knowing 00:10:22.416 --> 00:10:24.176 for lack of intelligence. 00:10:24.176 --> 00:10:26.656 And a dear friend of mine pointed out to me once 00:10:26.656 --> 00:10:29.836 when I was having a conversation about this, he said it's not 00:10:29.836 --> 00:10:33.356 that you're not intelligent, it's that your fount 00:10:33.356 --> 00:10:36.466 of knowledge in this particular area you don't have it. 00:10:36.856 --> 00:10:38.766 So it doesn't take away from your intelligence 00:10:38.766 --> 00:10:40.656 by any stretch of the imagination. 00:10:40.656 --> 00:10:42.966 You don't know because no one has told you 00:10:42.966 --> 00:10:44.546 or you haven't asked that question. 00:10:45.626 --> 00:10:48.386 And it allowed me to be able to ask a million questions 00:10:48.386 --> 00:10:51.796 because now I didn't feel like I was saying to the world 00:10:51.796 --> 00:10:53.266 or to the person or to the patient 00:10:53.266 --> 00:10:55.836 or to the community I'm stupid. 00:10:55.836 --> 00:10:57.516 I was happy just saying I just don't know. 00:10:57.516 --> 00:10:58.956 And the same way with the fount of knowledge 00:10:58.956 --> 00:11:00.336 with medicine there's no way 00:11:00.336 --> 00:11:02.476 for you know something unless you learn about it. 00:11:02.726 --> 00:11:04.896 But in no way, shape or form does it take away 00:11:04.896 --> 00:11:05.546 your intelligence. 00:11:05.546 --> 00:11:09.346 So once I could distinguish the difference I was comfortable 00:11:09.346 --> 00:11:10.286 with not knowing anymore. 00:11:10.926 --> 00:11:13.596 >> The article gets written but not published right away 00:11:14.036 --> 00:11:16.116 about what we learned from all 00:11:16.116 --> 00:11:17.666 of this work working with communities. 00:11:17.666 --> 00:11:19.466 And this is the cultural humility piece 00:11:19.466 --> 00:11:22.586 that people have now used in many venues, 00:11:22.586 --> 00:11:25.236 not just in medicine but in education. 00:11:25.546 --> 00:11:30.146 Many nonprofit organizations use the cultural humility principles 00:11:30.146 --> 00:11:30.536 in their work. 00:11:30.976 --> 00:11:32.236 The principles are not just 00:11:32.236 --> 00:11:34.566 about individual activity and behavior. 00:11:35.036 --> 00:11:38.276 Institutions have got to be self-reflective. 00:11:38.486 --> 00:11:41.886 Lifelong learners have to really believe that the communities 00:11:41.886 --> 00:11:45.066 that are being served really do know what they want 00:11:45.066 --> 00:11:47.506 and what they need, right, and they're in the best position 00:11:47.506 --> 00:11:48.766 to let us know what that is. 00:11:49.516 --> 00:11:55.966 [ Music ] 00:11:56.466 --> 00:12:00.626 >> People living in poverty have the least access to power 00:12:00.626 --> 00:12:03.386 to change the structure of policies of poverty, 00:12:03.806 --> 00:12:06.246 and are often denied effective solutions 00:12:06.246 --> 00:12:08.796 to combat the violations to their human rights. 00:12:09.286 --> 00:12:11.506 And I care about this issue 00:12:11.506 --> 00:12:15.296 because my brother is an innocent man with special needs 00:12:15.556 --> 00:12:18.986 who has been held in what I call modern day slavery 00:12:19.616 --> 00:12:23.226 for two years now for a crime that he did not commit. 00:12:23.226 --> 00:12:24.696 And I come to you because the 00:12:24.806 --> 00:12:26.476 so called justice system is not designed 00:12:26.556 --> 00:12:27.476 to benefit my community. 00:12:27.476 --> 00:12:31.956 And I can hear the voice of the oppressed that echo, no, 00:12:32.236 --> 00:12:33.526 you don't deserve to have rights. 00:12:34.296 --> 00:12:38.016 Just us. You don't have a history, just us. 00:12:38.016 --> 00:12:40.636 You don't have the strength to control your mind, just us. 00:12:41.246 --> 00:12:43.126 You don't remember what the fight is about. 00:12:43.626 --> 00:12:44.096 Just us. 00:12:44.776 --> 00:12:48.706 >> There are these moments that grab everybody's attention 00:12:48.706 --> 00:12:49.966 that we can take advantage of. 00:12:49.966 --> 00:12:53.656 And I think the Rodney King, more of the response 00:12:53.656 --> 00:12:57.386 to Rodney King, is what inspired a lot of conversation and a lot 00:12:57.386 --> 00:13:00.816 of soul searching and a lot of people seeking ways 00:13:00.816 --> 00:13:02.836 that we could have these conversations 00:13:03.176 --> 00:13:04.456 with better result. 00:13:05.236 --> 00:13:07.136 And then it fades. 00:13:08.516 --> 00:13:16.576 [ Music ] 00:13:17.076 --> 00:13:20.076 >> The three police officers facing felony criminal charges 00:13:20.276 --> 00:13:21.886 were among a group of 15 00:13:21.886 --> 00:13:25.206 who stopped a 25 year old Black man last Saturday night, 00:13:25.556 --> 00:13:27.506 then beat him, kicked him and clubbed him. 00:13:27.506 --> 00:13:31.336 >> At WHAT Radio host Mary Mason fielded scores of calls 00:13:31.426 --> 00:13:33.686 from members of the Black community angered 00:13:33.686 --> 00:13:38.926 by the verdict, shocked by the violence that followed. 00:13:39.396 --> 00:13:41.716 >> We need love and respect for one another. 00:13:41.716 --> 00:13:42.016 We need [inaudible]. 00:13:44.266 --> 00:13:48.066 >> In 2010 Arizona passed a law that authorized local police 00:13:48.626 --> 00:13:51.856 to check the immigration status of anyone of whom they suspect 00:13:51.936 --> 00:13:54.266 of being an illegal immigrant to the United States. 00:13:55.176 --> 00:13:57.766 Who has the right to call another human being illegal? 00:13:58.666 --> 00:14:01.426 Most of these illegals are the ones working in the fields, 00:14:01.876 --> 00:14:05.326 cleaning homes, landscaping at jobs that have the right 00:14:05.526 --> 00:14:06.846 to pay lower than minimum wage. 00:14:07.466 --> 00:14:10.396 >> There are things that are difficult to hear, 00:14:10.486 --> 00:14:13.056 and there are things that are just plain hard to see. 00:14:13.636 --> 00:14:16.516 So how it is a fish doesn't see water. 00:14:16.516 --> 00:14:19.416 It's very hard when you benefit 00:14:19.846 --> 00:14:23.976 from great privilege to see it as that. 00:14:24.666 --> 00:14:28.796 And I would say it takes constant reminding. 00:14:29.186 --> 00:14:32.666 And I certainly don't see it all the time. 00:14:32.666 --> 00:14:35.936 And each time I'm reminded of it I'm reminded 00:14:35.936 --> 00:14:37.076 that I'm reminded of it. 00:14:37.346 --> 00:14:40.646 That why do I have to be reminded of it, oh but I do. 00:14:41.646 --> 00:14:44.606 >> I heard the white woman behind us say you foreigners 00:14:44.646 --> 00:14:45.376 have no manners. 00:14:46.506 --> 00:14:49.436 My initial reaction was anger and confusion. 00:14:50.486 --> 00:14:52.216 Anger because I felt discriminated 00:14:52.786 --> 00:14:53.476 against and judged. 00:14:53.666 --> 00:14:57.336 Confusion because she was an older woman, so hadn't she been 00:14:57.336 --> 00:14:59.586 around long enough to know that she is not a native 00:14:59.586 --> 00:15:00.606 of this country either? 00:15:02.136 --> 00:15:04.796 We are constantly bombarded by subliminal messages 00:15:05.026 --> 00:15:06.456 that light skin is superior. 00:15:06.916 --> 00:15:09.506 Immigration policy is continuously debated 00:15:09.506 --> 00:15:12.076 in the White House, while brown men are hoping 00:15:12.076 --> 00:15:14.306 to land a side job outside of Home Depot. 00:15:14.946 --> 00:15:17.686 >> How does cultural humility come to life 00:15:17.686 --> 00:15:19.386 at Berkeley Media Studies Group? 00:15:19.736 --> 00:15:21.766 I have to credit Tony Borbone [phonetic]. 00:15:22.456 --> 00:15:24.706 Bony Borbone, may he rest in peace, 00:15:24.706 --> 00:15:28.516 was a violence prevention advocate par excellence 00:15:28.726 --> 00:15:33.736 who I met early in our years in working on violence prevention 00:15:33.736 --> 00:15:38.706 when we first started the Berkeley Media Studies Group. 00:15:38.886 --> 00:15:46.426 And Tony just confronted me and said you live in California, 00:15:46.856 --> 00:15:48.616 how many of your staff speak Spanish? 00:15:49.866 --> 00:15:53.446 And I had to say none. 00:15:53.716 --> 00:15:58.426 And Tony in I was going to say loving, 00:15:58.426 --> 00:16:01.826 it wasn't in a loving way, it was in a confrontational way. 00:16:01.826 --> 00:16:06.106 I mean we grew to love each other and each other's work 00:16:06.106 --> 00:16:08.166 and had great respect for each other I think 00:16:09.536 --> 00:16:11.176 as our relationship blossomed. 00:16:11.176 --> 00:16:18.546 But he had no fear about saying what was important. 00:16:19.516 --> 00:16:59.766 [ Music ] 00:17:00.266 --> 00:17:02.626 >> It's really important to show up. 00:17:03.166 --> 00:17:06.596 Take the time from your life and show that you care 00:17:06.596 --> 00:17:09.366 about the community and be there. 00:17:09.445 --> 00:17:13.106 So the workers were participating in actions 00:17:13.266 --> 00:17:16.406 to bring pressure on a poultry market owner 00:17:16.406 --> 00:17:17.996 who owed her workers wages. 00:17:18.506 --> 00:17:20.636 The workers were going out with picket signs, 00:17:20.636 --> 00:17:22.486 and I went with them, too. 00:17:22.486 --> 00:17:24.386 In that way I felt nervous. 00:17:25.036 --> 00:17:27.215 You do kind of feel exposed. 00:17:27.215 --> 00:17:30.126 You're in the environment that's very different from some 00:17:30.686 --> 00:17:31.976 of the other things that I'd done. 00:17:32.516 --> 00:17:37.556 [ Music ] 00:17:38.056 --> 00:17:39.646 So when we had these meetings everybody 00:17:39.646 --> 00:17:41.886 on the project was really experienced 00:17:41.886 --> 00:17:44.066 in doing community research. 00:17:44.496 --> 00:17:45.766 But there's a dynamic. 00:17:45.766 --> 00:17:47.816 When you're in a professional culture you're used 00:17:47.866 --> 00:17:52.096 to participating in meetings and trying to get in your word. 00:17:52.096 --> 00:17:53.496 And then on top of all 00:17:53.666 --> 00:17:56.536 that we're conducting all these in English. 00:17:56.536 --> 00:17:57.906 And so the other two staff 00:17:58.226 --> 00:18:01.436 from the Chinese Progressive Association were interpreting 00:18:01.436 --> 00:18:05.426 for the non-English speaking staff member. 00:18:05.426 --> 00:18:08.076 And so they're not fully able to participate. 00:18:08.226 --> 00:18:11.536 And then everything is happening so fast, people are talking 00:18:11.536 --> 00:18:13.016 over each other, that for the non- 00:18:13.016 --> 00:18:16.386 English speaking staff member it was hard for her to sort 00:18:16.386 --> 00:18:18.416 of get a word in edgewise. 00:18:19.586 --> 00:18:22.166 We did reflect on this and people noticed it. 00:18:22.166 --> 00:18:26.226 Then we started to conduct the meetings in Chinese. 00:18:26.266 --> 00:18:28.306 And then all the English speakers wore the headsets 00:18:28.446 --> 00:18:30.556 with simultaneous interpretation. 00:18:30.556 --> 00:18:32.396 >> The native English speakers were quieter, 00:18:32.686 --> 00:18:34.496 and that changed the dynamics a lot. 00:18:34.496 --> 00:18:37.066 But the workers were still quiet. 00:18:37.536 --> 00:18:40.746 In terms of cultural humility we were really challenged 00:18:40.746 --> 00:18:42.696 to think I think a little bit more deeply 00:18:42.696 --> 00:18:46.666 about what culture is and how it doesn't mean thinking 00:18:46.666 --> 00:18:51.126 about a list of traits that you can ascribe to people. 00:18:51.446 --> 00:18:56.216 But that it's actually that it involves you 00:18:56.216 --> 00:18:59.796 and your assumptions and how you project your assumptions 00:18:59.796 --> 00:19:04.526 onto somebody else versus what is their actual experience 00:19:04.526 --> 00:19:05.726 of who they actually are. 00:19:06.516 --> 00:19:28.796 [ Music ] 00:19:29.296 --> 00:19:30.736 >> I first heard about cultural humility 00:19:30.816 --> 00:19:33.336 when I was a graduate student in the master's program here 00:19:33.336 --> 00:19:34.356 at San Francisco State. 00:19:34.356 --> 00:19:37.306 But I feel like I first understood cultural humility 00:19:37.306 --> 00:19:39.016 as a concept a lot earlier in my life. 00:19:39.486 --> 00:19:42.626 It came from a place of invisibility, a place of kind 00:19:42.746 --> 00:19:44.526 of suppressing who I was as a woman of color 00:19:44.526 --> 00:19:48.686 and now has completely transformed as an educator, 00:19:48.686 --> 00:19:50.706 realizing who I am, where I stand 00:19:50.706 --> 00:19:52.296 in the classroom, what my privilege is. 00:19:52.786 --> 00:19:55.836 But also what my voice means in the world 00:19:55.836 --> 00:19:57.356 and what it means as an educator. 00:19:57.356 --> 00:20:00.956 It came from trying to fit in, to do whatever I could 00:20:01.086 --> 00:20:02.856 to be Indian at home and not out in the world. 00:20:03.126 --> 00:20:09.726 And not express that, and it's become this marker of identity 00:20:09.726 --> 00:20:10.996 that I knew was always there 00:20:10.996 --> 00:20:12.976 that I could never really express growing up. 00:20:12.976 --> 00:20:16.216 And now it's saying who that person is 00:20:16.216 --> 00:20:20.526 and acknowledging both my own power and privilege in I've got 00:20:20.526 --> 00:20:21.766 to check myself kind of way. 00:20:22.186 --> 00:20:25.126 In the same respect it's also saying I am a woman of color, 00:20:25.126 --> 00:20:28.246 I have something important to say and here I am. 00:20:28.336 --> 00:20:30.936 >> I think as long as power and privilege exists 00:20:30.936 --> 00:20:34.476 in society we will always being struggling with being too humble 00:20:34.646 --> 00:20:36.496 as women of color, as women who come 00:20:36.496 --> 00:20:38.236 from working class backgrounds, as women who come 00:20:38.236 --> 00:20:39.756 from low income backgrounds 00:20:40.496 --> 00:20:42.306 or under resourced backgrounds, right? 00:20:42.306 --> 00:20:43.596 As long as there's power and privilege 00:20:43.746 --> 00:20:46.236 in society I know I will always be struggling with that, 00:20:46.236 --> 00:20:48.286 and I struggle with that on a daily basis. 00:20:49.516 --> 00:21:05.546 [ Music ] 00:21:06.046 --> 00:21:07.606 >> I examined [inaudible] here 00:21:07.606 --> 00:21:10.486 to see how inclusive our current policies 00:21:10.486 --> 00:21:13.236 and programming are toward transgender students. 00:21:13.236 --> 00:21:16.406 >> And I was just reflecting 00:21:16.996 --> 00:21:19.356 about how it's actually very relevant 00:21:19.886 --> 00:21:24.086 to the topic this evening of cultural humility 00:21:24.086 --> 00:21:27.316 because we're talking like transgender culture 00:21:27.596 --> 00:21:30.836 or peer culture at [inaudible] and how it's respected or not. 00:21:31.106 --> 00:21:31.436 >> Right. 00:21:31.556 --> 00:21:36.516 >> And how like the institution can be culturally relevant 00:21:36.846 --> 00:21:41.436 or humble or respectful of the experience of transgenders 00:21:41.436 --> 00:21:43.226 when they come to this place. 00:21:43.226 --> 00:21:45.726 >> The health educators that I work 00:21:45.726 --> 00:21:47.686 with are all transgender females. 00:21:48.336 --> 00:21:52.516 And literally the second day of my job I walked into a meeting, 00:21:52.516 --> 00:21:55.306 and it was a committee advisory board 00:21:55.796 --> 00:21:57.656 of all transgender females. 00:21:57.836 --> 00:21:59.306 And I was so uncomfortable 00:21:59.306 --> 00:22:01.626 but at the same time they made me feel so comfortable. 00:22:01.626 --> 00:22:07.326 They started asking me questions like they noticed, and they were 00:22:07.406 --> 00:22:09.486 like so where are you from, you know? 00:22:09.486 --> 00:22:10.686 And I was like I'm Iranian. 00:22:10.686 --> 00:22:13.036 Oh, we know this Middle Eastern transgender girl, 00:22:13.036 --> 00:22:14.506 do you know her? 00:22:14.506 --> 00:22:15.806 And I was like no. 00:22:15.896 --> 00:22:21.426 So my definition of cultural humility is to be open 00:22:22.006 --> 00:22:25.436 to learning all the time. 00:22:25.626 --> 00:22:30.056 So what I want from you guys is to go around, introduce yourself 00:22:30.056 --> 00:22:33.066 and tell us what cultural humility means to you. 00:22:33.066 --> 00:22:35.026 >> I first became passionate about cultural humility 00:22:35.466 --> 00:22:37.986 as an undergraduate student I was interning 00:22:37.986 --> 00:22:39.046 with an organization. 00:22:39.476 --> 00:22:43.606 And they were holding a cultural competency training 00:22:43.606 --> 00:22:45.776 for Pacific Islanders and working 00:22:45.776 --> 00:22:47.016 with Pacific Islander communities. 00:22:47.366 --> 00:22:50.326 And as a biracial Pacific Islander woman I was really 00:22:50.326 --> 00:22:54.476 excited and anxious to attend the training and to really learn 00:22:54.476 --> 00:22:56.976 about the material that was going to be sort of discussed 00:22:57.306 --> 00:22:59.856 and how others were going to learn, myself included, 00:23:00.506 --> 00:23:03.896 about Pacific Island culture and working with Pacific Islanders 00:23:03.896 --> 00:23:06.316 around health issues that were important to the community. 00:23:06.786 --> 00:23:10.546 And I think after attending the training I realized there was a 00:23:10.546 --> 00:23:13.646 sense of achievement and completion 00:23:13.646 --> 00:23:15.406 for those who participated. 00:23:15.406 --> 00:23:19.486 And I then was introduced to cultural humility 00:23:19.486 --> 00:23:20.896 as an undergraduate student in the class, 00:23:21.326 --> 00:23:22.656 just so happened around the same time. 00:23:22.656 --> 00:23:26.786 And I realized that a sense of achievement and accomplishment 00:23:26.786 --> 00:23:30.186 and competence and understanding sort of limits your learning. 00:23:30.436 --> 00:23:33.796 >> I can't really tell you what cultural humility means to me. 00:23:33.796 --> 00:23:37.096 I feel like I practice it and that's how I know. 00:23:37.096 --> 00:23:40.206 The one thing that I think about 00:23:40.206 --> 00:23:44.396 or that I can practice is cultural humility is -- 00:23:44.396 --> 00:23:47.536 Poder hablar el idioma en el que soy 00:23:47.536 --> 00:23:50.476 en el que me puedo expresar mejor, y 00:23:50.476 --> 00:23:52.369 El idioma donde encuentro palabras 00:23:52.389 --> 00:23:54.759 de poder contarle a alguien 00:23:54.759 --> 00:23:56.976 exactamente como me estoy sintiendo. 00:23:56.976 --> 00:23:59.696 >> Coming from a background in science and coming 00:23:59.696 --> 00:24:04.186 into public health and not ever hearing cultural humility 00:24:04.186 --> 00:24:06.526 in the sciences was very telling for me. 00:24:07.396 --> 00:24:11.006 Because culture is something that's emphasized, 00:24:11.006 --> 00:24:13.996 it's not something that's talked about in a relevant way. 00:24:14.496 --> 00:24:18.536 There have always been very clear barriers present 00:24:18.666 --> 00:24:20.896 for particular minorities in science. 00:24:21.176 --> 00:24:22.946 You can see it when you're in the science classes. 00:24:22.946 --> 00:24:25.616 You can see it when you're in study groups. 00:24:25.926 --> 00:24:28.096 You can see it when you're looking at your professors. 00:24:28.616 --> 00:24:31.066 And I'm not just talking about racial minorities. 00:24:31.066 --> 00:24:33.856 I'm talking about a lot of under represented minorities 00:24:33.856 --> 00:24:36.596 in the sciences, like race is a factor 00:24:36.906 --> 00:24:39.286 but gender, sexual orientation. 00:24:39.286 --> 00:24:43.426 >> I learned cultural humility in two places, 00:24:43.896 --> 00:24:47.046 by my own culture being Cambodian and Southeast Asian. 00:24:47.636 --> 00:24:50.406 Not knowing anything about it my folks roasting me 00:24:50.406 --> 00:24:52.356 about I'm not speaking well. 00:24:52.976 --> 00:24:57.496 And then after going to college and learning about it 00:24:57.496 --> 00:25:00.136 in anthropology and interviewing my parents 00:25:00.786 --> 00:25:03.586 about their experience it opened my eyes. 00:25:03.976 --> 00:25:09.416 >> One of the things that I have learned in the past couple 00:25:09.496 --> 00:25:13.236 of years I want to say is just listening to what I'm saying. 00:25:13.236 --> 00:25:15.726 And I mean like seriously listening to what I'm saying. 00:25:16.486 --> 00:25:19.616 And one of the things that I have learned to listen to is 00:25:19.616 --> 00:25:25.276 when I say I, I believe this, I do this, and listen how 00:25:25.276 --> 00:25:27.806 that is very different from the we. 00:25:27.806 --> 00:25:32.166 We I hear a lot in the news, we Americans, right? 00:25:32.646 --> 00:25:36.226 Like we, who is the we speaking about. 00:25:36.386 --> 00:25:39.676 It's to think about and listen to when we use the I and the we. 00:25:39.676 --> 00:25:43.206 >> Growing up I was like always interested in culture 00:25:43.206 --> 00:25:46.766 and other religions and just really learning about things 00:25:46.926 --> 00:25:48.136 from other backgrounds. 00:25:48.506 --> 00:25:53.386 And so I just figured that made my culturally humble 00:25:53.946 --> 00:25:55.986 because I had an interest. 00:25:55.986 --> 00:26:00.546 And so after studying a year in West Africa I came back like, 00:26:00.546 --> 00:26:03.516 oh my God, I don't know anything, I don't know anything 00:26:03.516 --> 00:26:06.786 about Black people, I don't know anything about Africans. 00:26:06.786 --> 00:26:08.676 I mean it just list shifted my world. 00:26:12.586 --> 00:26:18.796 >> Peace. I think when I am sitting in a place of humility 00:26:19.366 --> 00:26:24.766 that there's a quiet and a spaciousness and an okayness 00:26:25.336 --> 00:26:29.926 and ease that is just close to peace with being 00:26:29.926 --> 00:26:32.836 with another person that I can imagine. 00:26:34.856 --> 00:26:36.116 >> If I have to think about it 00:26:36.116 --> 00:26:40.896 as a road then I think I would think about I would think 00:26:40.936 --> 00:26:43.396 about it as a road that spirals. 00:26:47.866 --> 00:26:51.916 And a spiral actually doesn't -- to me in a dance context, 00:26:52.216 --> 00:26:55.056 a spiral that comes up has to come down as well. 00:26:55.056 --> 00:26:56.176 It's sort of a continuous loop. 00:26:57.526 --> 00:27:01.786 And along the continuous loop many things happen 00:27:01.786 --> 00:27:04.166 and many forces may change the shape of it 00:27:05.046 --> 00:27:07.056 or the depth and reach of it. 00:27:07.446 --> 00:27:10.356 >> Cultural humility is definitely a journey for me, 00:27:10.356 --> 00:27:12.416 and it's definitely a journey that I know there's going 00:27:12.416 --> 00:27:14.516 to be come challenges and I'm ready for those. 00:27:15.206 --> 00:27:19.146 And I know every challenge I'm going to learn from. 00:27:19.486 --> 00:27:24.686 And I think it's a process that I have to go through every day 00:27:24.876 --> 00:27:26.416 and that I'm okay with going through. 00:27:26.416 --> 00:27:28.456 And it actually makes me stronger and smarter 00:27:28.856 --> 00:27:33.606 and I hope wiser than I was yesterday. 00:27:34.516 --> 00:29:21.500 [ Music ]