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Cultural Continua

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on 17 February 2014

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Transcript of Cultural Continua

1- Family Constellation
Large families may provide support network. Small families are more independent in decision-making, but may have less support.
Who is the decision maker in the family? Can extended family member provide support to other family members? Can suggested interventions be shared with several family members?
3- Time
Time is given vs. time is measured.
can tell your client that your next meeting is going to be at 2.15pm on Friday. On Friday around 2.45 you can start worried about your client and think about the worst scenario. Surprise: Your client can show up at 2.50 with a big smile on his face and tell you how he is exited about to start the session.
Cultural Continua
Families that come from the same culture can be at different points in continua.
Each family member can be at different points in continua.
Families and individuals can change their position in continua over the time.
2- Interdependence- Individuality
Expression of self vs. contributing to the function of the family

your client is coming from a culture that value interdependence, getting the toddler out of diapers through toilet training would be less important than taking the child to a family wedding without worrying that he will be wet.
4- Tradition- Technology
Tradition, ritual vs. new
want to suggest a new AAC device to your client. But if your client is in the traditional side of the continua, It may take time for you to make him agree about the benefits of new technology.
5- Nurturance-Independence
Continuous close care vs. care when it is needed
You suggest mom to encourage the child to eat by himself, dress by himself etc. Mom thinks if she let this to happen she will be considered as an irresponsible mom in her culture.
6- Ownership
Individual ownership vs. sharing with others.
Your little client- 4 years old boy refused to share his toys with other children during the group therapy. Even he tried to hurt other kids in order to protect his toys. After the session you wanted to talk with mother. Surprise: Individual ownership is very important in his family.
7- Rights-Responsibilities
Equal rights and responsibilities vs. differentiated rights and responsibilities.
asked your client’s parent to play games to support vocabulary development at home. Father might say ‘This is my wife’s responsibility.’ I am working and she is taking care of the children.
8- Harmony-Control
Synchrony vs. control
You may think family does not cooperate to support child for early intervention and denying the child's problem. If the family is in the harmony side of the continua, they may find all home centered activities as a treat to their harmony and peace at home.
Socioeconomic Factors
Socioeconomic status
Personal efficacy
Selen Gunduz
AHSL 4344
Spring 2014
Small family
Time is measured
Ownership of individual
Equal rights and responsibilities
Big family
Time is given
Ownership of family or community
Differentiated rights and responsibilities
Gathering Information from the Family
Family structure
Primary caregiver(s)
Child rearing practices (feeding, sleeping, discipline)
Perception of health, disability, intervention
Interaction styles

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