- Joined
- Jul 10, 2013
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If you had any idea who the physician I was essentially quoting is or what he does, you would feel very foolish right now. Cultural competence is a misnomer. It doesn't exist because of your second statement.
Cultural humility is the response to that misnomer. It is the recognition that no matter how much I try to understand your culture, your heritage, your beliefs, I will never be able to do that fully. Consequently, I actively seek to understand who you are and the context in which your personal culture and cultural spheres have developed while simultaneously realizing the assumptions I make about you and actively expecting to be wrong about things. In other words, it's about being adaptive and dynamic and minimizing assumptions.
Cultural competence assumes a given individual can be assumed to fit into the "box" of his/her presumed culture. Cultural humility adamantly states the opposite.
Nevertheless, someone who is perceived to be from the patient's culture (e.g., due to the color of their skin) is going to be more readily accepted and trusted. S/he will also likely be more naturally "forgiven" for cultural mistakes w/o the pt even realizing s/he is forgiving the physician (since the assumption is made by the pt that the physician is in the "in-group" already).
You seem to be rather interested in semantics. Unfortunately, cultural competence, not humility, is the term used in many secondary prompts.
So according to you, black physicians would not be compatible with white patients, and vice versa, because there is little room for trust and forgiveness due to skin color.