The value of curiosity and naiveté for the cross-cultural psychotherapist.

Therapists today face a dramatic increase in the cultural diversity of their client populations. Cultural literacy, long the dominant model for preparing to do cross-cultural therapy, advocates study of the prospective client's history and culture. This model, however, poses logistical problems, emphasizes scholarship over the experiential and phenomenological, and risks seeing clients as their culture and not as themselves. In this essay, we argue that teaching culture alone can obscure therapists' view of human diversity. To balance the cognitive model of preparation, a process-oriented approach is considered, whereby the therapists' attitudes of cultural naiveté and respectful curiosity are given equal importance to knowledge and skill. We begin from a concern with clients' vulnerability in the power distribution that inevitably exists in therapy, especially with immigrant and marginalized populations. The use of acculturation narratives, which the therapist explores with naiveté and curiosity, helps clients to find their voices.

Social workers training primary care physicians: essential psychosocial principles.

The growth of primary care medicine is opening new roles for the social worker in medical education to provide instruction and to design curricula that include the psychosocial dimensions of medical practice. This article describes a family-oriented, community-based medical residency program in which the social work faculty plays a prominent role in the education of young physicians. The relevance of core social work principles to medicine and how they are introduced into the teaching and precepting of medical residents are discussed.