Communication

1
Communication

• Pitfalls
• Tips
• Strategies

2
Worldviews

• Not everyone sees the world the same
• Many programs are designed to force everyone to
  sing the same song

3
Worldviews

• Impacted by primary (biomedical) secondary
  (culture)
• Secondary worldviews trump

4
Pitfalls

• Lack of understanding about cultural influences
  and the relative influence of that culture
• Inaccurate assessment of strengths resources
• e.g. Child Welfare

5
Pitfalls

• Retention of stereotyped images (conscious and
  unconscious)
• Making eye contact with someone older or in a
  position of authority
• e.g. Housing Authority / Income Maintenance

6
Pitfalls

• Use of standard techniques and approaches (there
  is one right way)
• Self reliance focus of HIV prevention programs

7
Pitfalls

• Failure to understand and acknowledge power
  issues
• Providers are trained how to survive within
  institutional structures

• Which results in the development of coping
  mechanisms

8
CARE Model

• C Confrontation or aggression
• A Accommodation Yes is better than No
• R Retreat or withdrawal
• E Empowerment or creativity

9
Pitfalls

• Assuming a mutuality of interests
• Hidden agendas of educational materials

10
Pitfalls

• Failure to see the inter-relationship of multiple
  identities
• Priority given to person identities over extended
  family and community/tribal
• In Company of Wolves SS Boulet

11
Pitfalls

• Failure to identify the clients critical chain
  of needs
• Assuming HIV to be at the top of the chain

12
Pitfalls

• Maintaining the structure of communication that
  is not working (focusing on content)
• Continuing to do the same thing but expecting a
  different result

13
Pitfalls

• Addressing only Primary Worldview issues and
  concerns
• Biomedical focus of HIV treatment and services

14
TIPS

• for
• Building Cross Cultural Competency

15
TIPS

• T Technique effectiveness will vary along a
  bell-shaped curve, as long as you use only one
  approach, intervention or curriculum

16
TIPS

• T Technique effectiveness will vary along a
  bell-shaped curve, as long as you use only one
  approach, intervention or curriculum
• I Integration and assimilation are not the
  goals of all people willingness to integrate
  and assimilate will vary according to an
  individuals perceived stress and level of power

17
TIPS

• T Technique effectiveness will vary along a
  bell-shaped curve, as long as you use only one
  approach, intervention or curriculum
• I Integration and assimilation are not the
  goals of all people willingness to integrate
  and assimilate will vary according to an
  individuals perceived stress and level of power
• P Participation will vary according to Maslows
  Hierarchy of Needs

18
TIPS

• T Technique effectiveness will vary along a
  bell-shaped curve, as long as you use only one
  approach, intervention or curriculum
• I Integration and assimilation are not the
  goals of all people willingness to integrate
  and assimilate will vary according to an
  individuals perceived stress and level of power
• P Participation will vary according to Maslows
  Hierarchy of Needs
• S Sponsorship Ownership

19
Communication

• Building Cross Cultural Competence

20
Communication

• Key factors influencing Cross Cultural
  Communication
• Generational Impacts
• Pause Time
• Information Processing Communication Styles
• Secondary Worldviews

21
Communication

• Eye contact
• Direct Indirect Questions
• YES is better than No
• Declining in NOT the same as NOT wanting or
  needing
• Avoiding Confrontation
• (anger spiritual pollution that can make
  people sick)