Deck 8: Bias in Service Delivery

Question 1

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

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

Answer 1

Community leaders

Question 2

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

Answer 2

Not answered

Question 3

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

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

Answer 3

changes in culture due to acculturative stress.

Question 4

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

Question 5

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

Question 6

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

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

Question 7

Hallucinations is an example of

A) a universal disorder with different content and meaning across cultures.
B) a universal disorder with similar content but different meanings across cultures.
C) a traditional healing mechanism for Native cultures.
D) a disorder with high levels of occurrence in Mexican culture.

Question 8

Which of the following is a common pitfall in hiring Providers of Color:

A) Hiring Providers of Color who have not worked in the local ethnic community
B) Assuming Providers of Color are bilingual
C) Hiring Providers of Color with less regard to experience or skill than would be given to those of a White provider
D) All of these

Question 9

The concept of self-fulfilling prophesy is an example of

A) the effect of political attitudes in mental health diagnosis.
B) the impact of social attitudes on behavior.
C) the differences in expectation of women and men.
D) the outcomes of Clients of Color working with providers from the same ethnic group.

Question 10

Discuss the impact of social and political attitudes on the diagnosis of Clients of Color and the general characterization of Communities of Color, providing specific examples.

Question 11

Microaggression is particularly insidious because

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

Question 12

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

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

Question 13

Communication that conveys insensitivity toward a person's racial heritage is considered a

A) microagression.
B) microinsult.
C) microassault.
D) microivalidation.

Question 14

Which of the following is not a major barrier to attracting Students of Color to psychology training programs?

A) Cost of the program
B) Under representation of Faculty of Color
C) Complex application procedures
D) Little to no curriculum related to cross-cultural service provision

Question 15

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

Question 16

Which of the following is not identified by Gaw as having a major impact on the diagnoses of Clients of Color?

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

Question 17

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

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

Question 18

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

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