Understanding Intersectionality

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Questions and Answers

Intersectionality is best described as:

  • The study of individual differences in isolation from societal influences.
  • A method for categorizing people based on singular characteristics.
  • A framework for understanding how various aspects of a person's identity intersect and contribute to unique experiences of oppression and privilege. (correct)
  • The practice of separating personal identities for the sake of social harmony.

Which of the following is an accurate example of how intersectionality can affect an individual's experiences?

  • A Black woman facing discrimination due to both her race and gender. (correct)
  • A wealthy man experiencing advantages due to his gender alone.
  • A person's opportunities being determined solely by their socioeconomic status.
  • A white person benefiting solely from their ethnicity.

What concept did Kimberlé Crenshaw coin in 1989 to address the limitations of considering social categories in isolation?

  • Identity Politics
  • Cultural Relativism
  • Social Stratification
  • Intersectionality (correct)

Why is cultural competence important in healthcare?

<p>It helps healthcare providers offer care that aligns with patients' diverse values, beliefs, and behaviors. (D)</p> Signup and view all the answers

Which of the following is a key component of cultural competence in healthcare?

<p>Recognizing how one's own values and biases influence clinical encounters. (D)</p> Signup and view all the answers

What does the LEARN model provide for healthcare professionals?

<p>A structured approach to enhance cross-cultural interactions. (C)</p> Signup and view all the answers

In the LEARN model, what does the 'Acknowledge' step involve?

<p>Recognizing differences and similarities between the patient's viewpoint and medical recommendations. (B)</p> Signup and view all the answers

Why should healthcare practitioners avoid generalising or stereotyping cross-cultural encounters?

<p>To acknowledge that diversity exists within ethnic and cultural groups as much as between groups. (C)</p> Signup and view all the answers

What is the primary goal of trauma-informed care?

<p>To understand how trauma affects an individual's life and provide support accordingly. (A)</p> Signup and view all the answers

Which of the following is a core principle of trauma-informed care?

<p>Ensuring emotional and physical safety for individuals. (C)</p> Signup and view all the answers

According to the principles of trauma-informed care, which action should a healthcare provider prioritize?

<p>Creating a predictable and respectful environment. (B)</p> Signup and view all the answers

How does trauma-informed care shift the focus in healthcare?

<p>From 'What's wrong with you?' to 'What happened to you?' (D)</p> Signup and view all the answers

What is the potential impact of adopting trauma-informed practices in healthcare?

<p>Improved patient engagement, adherence, and health outcomes. (D)</p> Signup and view all the answers

Which of the following best describes LGBTQ+ inclusion?

<p>Fostering values and behaviors that demonstrate inclusion across all diverse groups. (C)</p> Signup and view all the answers

Why is LGBTQ+ inclusion important in healthcare?

<p>To ensure LGBTQ+ individuals feel welcome and able to disclose information. (C)</p> Signup and view all the answers

What does the term 'cisgender' mean?

<p>A person whose gender identity corresponds with their assigned sex at birth. (D)</p> Signup and view all the answers

What is the best approach to use with people regarding gender and identity?

<p>Use a person-centered approach that acknowledges the complexity of lived experiences. (A)</p> Signup and view all the answers

What does the acronym AFAB mean?

<p>Assigned Female At Birth (C)</p> Signup and view all the answers

According to the social model of disability, 'disability' results from:

<p>The interaction between people with impairments and societal barriers. (C)</p> Signup and view all the answers

What is the main emphasis of the social model of disability?

<p>Adapting society to enable participation for people living with impairments. (A)</p> Signup and view all the answers

Flashcards

What is Intersectionality?

Aspects of identity intersect, creating unique experiences of discrimination/privilege.

Cultural Competence

Ability to provide care aligning with diverse values, beliefs, and behaviors.

Self-Reflection

Examine own biases and assumptions.

Cultural Understanding

Gain knowledge of cultures, beliefs, values, and health practices.

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Context

Recognise influence of social, historical, and political situations on health.

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Communication

Use effective verbal/non-verbal skills for diverse cultures.

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Collaboration

Work jointly to create culturally appropriate care plans.

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LEARN Model

Listen, Explain, Acknowledge, Recommend, Negotiate for cross-cultural understanding.

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CALD

Communities with diverse languages, ethnic backgrounds, and traditions.

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Trauma-Informed Care

Services that don't re-traumatise; embrace hope. Recognise unique experiences.

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Core Principles of Trauma-Informed Care

Emotional and physical safety, trust, choice, collaboration, empowerment, and respect.

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Trauma-Informed Approach

Focuses on 'What happened to you?' approach.

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LGBTQ+ Inclusivity

Heterosexual and cisgender assumptions harm LGBTQ+ well-being.

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Sex Characteristics

Refers to the sex determined at birth.

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Endosex

When innate sex characteristics align with conventional standards.

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Intersex

Refers to individuals with differing anatomical, chromosomal, and hormonal traits.

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Gender Identity

Sense of being man, woman, both, neither, etc.

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Gender Expression

How one publicly chooses to express gender.

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Sexual Orientation

A person's sexual and romantic attraction to others.

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Biphobia

Negative beliefs, prejudice or discrimination against bisexuals.

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Study Notes

  • Identities influence our interactions and how the world interacts with each of us
  • Focusing solely on perceived aspects of identity can lead to oversimplification and obscure important aspects of experience

Aspects of Identity

  • Include Aboriginality, gender, sex, sexual orientation, and gender identity
  • Also include ethnicity, colour, nationality, and refugee or asylum seeker background
  • Covers migration or visa status, language, religion, and ability
  • Extends to age, mental health, socioeconomic status, and housing status
  • Includes geographic location, medical record, and criminal record

Intersectionality

  • Everyone belongs to multiple categories with overlapping identities
  • These influence development, relationships, opportunities, and worldviews
  • Refers to how different aspects of identity expose individuals to overlapping discrimination and marginalisation
  • Inequality and exclusion arise from societal attitudes, systems, and structures
  • Includes sexism, racism, homophobia, biphobia, and transphobia
  • Covers intersex discrimination, ableism, ageism, and stigma

Intersectionality Video Key Points

  • Intersectionality is the interconnected nature of social categorizations creating overlapping discrimination or disadvantage
  • The term was coined in 1989 by Kimberlé Crenshaw to address limitations of considering social categories in isolation
  • Black women's experiences require examining both race and gender, not independently
  • An intersectional lens is important in research, policy-making, and social justice work to address complexities of individual experiences

Additional Resources on Intersectionality

  • The Asian Art Museum provides resources for students
  • Students can explore their unique identities and understand intersectionality through artists' experiences
  • Compass for SBC discusses how intersectionality expands understanding of social oppression
  • Teach Justice offers resources on gender, respect, violence, and power
  • Aims to educate young people on the impact of gender-based violence through an intersectional perspective

Cultural Competence in Healthcare

  • Australia's population is culturally diverse needing culturally competent healthcare practices
  • Cultural competence is ability to align care with patients' diverse values, beliefs, and behaviours
  • It enhances patient-provider interactions, improves health outcomes and patient satisfaction
  • Healthcare practitioners must recognize influences on encounters and how cultural background impacts health behaviours
  • Mutual understanding leads to effective and culturally safe care

Queensland Health's Five Cross-Cultural Capabilities

  • Self-Reflection encourages practitioners to examine cultural backgrounds, biases, and assumptions
  • Cultural Understanding involves gaining knowledge about beliefs, values, and health practices
  • Context recognizes the influence of social, historical, and political factors on health
  • Communication emphasizes effective verbal and non-verbal skills tailored to diverse cultural contexts
  • Collaboration focuses on working jointly with patients, families, and communities
  • This is to develop and implement care plans that are culturally appropriate and acceptable

Cross-Cultural Communication Models and Advancements

  • The LEARN model enhances interactions through listening, explaining, acknowledging differences, recommending treatments, and negotiating plans
  • Healthcare organizations increasingly recognize the importance of cultural competence training
  • Cross-Cultural Health Care Program developed training modules to assist healthcare professionals
  • Aims to build skills that support the delivery of culturally respectful and appropriate services

Cultural Competence: Key Elements

  • Develop cultural competence to provide effective and respectful care in a multicultural society
  • Embrace self-reflection, cultural understanding, contextual awareness, effective communication, and collaboration
  • Ensure healthcare services are inclusive and responsive to diverse needs

LEARN Model

  • Developed in 1983, it is a framework for cross-cultural communication
  • Listen: Assess patient's understanding and bring curiosity to promote trust
  • Explain: Convey perceptions of the health condition, considering cultural background
  • Acknowledge: Respectfully discuss differences and find common ground
  • Recommend: Develop a treatment plan for the patient and their family
  • Negotiate: Agree on a treatment plan that incorporates culturally relevant approaches

Culturally Safe Communication: Practice Points

  • Identify cultural differences and stay self-aware of biases
  • Use trained interpreters instead of family members
  • Understand differences in communication styles
  • Consider silences: they may indicate discomfort
  • Build trust for empowerment and optimal care
  • Longer visits with the same interpreter can build trust
  • Tailor treatment plans involving family and community
  • Stay attuned to tone, body language, and nonverbal cues in high-context communication
  • Recognize diversity within cultural groups
  • Assess literacy levels and adjust written materials

Cultural Capability Model Application

  • Apply learned content about intersectionality and cross-cultural care to the cultural capability model for culturally safe care

'Culturally and Linguistically Diverse' (CALD)

  • A broad term for communities with diverse languages, ethnic backgrounds, nationalities, traditions, societal structures, and religions
  • The ABS defines CALD as people born overseas, excluding those from main English-speaking countries
  • Main English-speaking countries include Australia, Canada, the UK, and the USA
  • The definition aims to describe communities, not determine an individual's status, and diversity cannot be summarised by one measure

Trauma-Informed Care

  • Trauma-informed services do not re-traumatise and embrace hope
  • Trauma survivors are seen as unique individuals managing abnormal situations
  • Significant number of people living with mental health conditions experienced trauma
  • Trauma may be a factor for people in distress and can have lifelong impacts
  • Trauma can impact the person, their emotions, and relationships
  • Is defined by an experience's impact on the individual rather than by the event itself

Core Trauma-Informed Principles

  • Safety - emotional and physical
  • Trust - service sensitivity to needs
  • Choice - opportunities for selection
  • Collaboration - 'doing with' rather than 'doing to'
  • Empowerment - is a key focus
  • Respect for Diversity

Trauma-Informed Approaches

  • Do not distinguish “symptoms" from the impact of trauma
  • Recognize that "symptoms" are often responses to trauma

Interpreters: Communication Tips

  • Ensure understanding between all parties
  • Speak directly to the client, not the interpreter
  • Use a triangular position for in-person communication
  • Introduce yourself to the interpreter
  • Use short ideas and simple language
  • Maintain eye contact and be aware of body language

Trauma-Informed Care Focus

  • Shifts from "What's wrong with you?" to "What happened to you?"
  • Acknowledges the need for a complete picture of a patient's life situation
  • Improves engagement, adherence, health outcomes, and wellness
  • Reduces avoidable care and excess costs

Trauma Informed Care: Broad Approach

  • Informed by philosophy, values, evidence, and lived experience
  • Culturally safe and inclusive of diversity

Guiding Principles of Trauma-Informed Care

  • Understanding trauma and its impact on well-being
  • Promoting physical, psychological, and emotional safety
  • Supporting consumer control, choice, and autonomy
  • Ensuring cultural competence and respect for diversity
  • Fostering safe and healing relationships
  • Sharing power and governance
  • Recovery is possible
  • Integrating care and communication

LGBTQ+ Considerations

  • Assumptions about heterosexuality and cisgender status harm LGBTQ+ people
  • Lack of inclusive language leads to clients not disclosing their identity or refraining from seeking help
  • Stigma and discrimination towards LGBTQ+ people result in negative outcomes
  • Competent use of language and inclusive communication helps LGBTQ+ people feel welcome

LGBTQ+ Inclusion

  • Is about behaviors and values, providing awareness, and demonstrating inclusion across diverse groups
  • It is not about beliefs, changing personal views, valuing one diverse group over another, tolerating damaging behaviors, or forcing people to come out

LGBTQ+ Inclusion Importance

  • Sexual orientation and gender identity apply to all and are at the core of who we are
  • Some feel the need to hide this aspect of themselves

Key LGBTQ+ Definitions

  • Sex characteristics: biological attributes assigned at birth
  • Endosex: meeting male and female body conventions
  • Intersex: differing anatomical, chromosomal, and hormonal attributes, with at least 40 variations
  • Sex: made at birth of male or female based on external anatomical characteristics, but not always binary
  • Gender/gender identity: sense of being a man, woman, non-binary, agender, genderqueer, or genderfluid, or a combination

Concepts and Terminology

  • Gender expression refers to how a person chooses to present their gender publicly
  • Cisgender/cis describes aligning with gender assigned at birth
  • Deadname is the former name, but shouldn't be used
  • Dysphoria is distress from misgendering or an incongruent gender and body connection
  • Gender affirmation is the process right for living as their defined gender and society recognising this

Gender and Sexuality

  • Gender binary consists of male and female, and non-binary genders are non-male or female
  • Gender euphoria is the experience of comfort and celebration related to a trans person with internal sense of self
  • Gender fluid describes shifting or changing gender
  • Gender pronouns express gender identity publicly
  • Genderqueer may not conform to norms and may be expressed as other than woman or man including gender neutral and androgynous

Societal Recognition

  • Gender questioning involves uncertainty about identity
  • Non-binary identities exist within, outside of, or between the male and female spectrum
  • Sistergirl/Brotherboy terms are used for trans people within Indigenous communities

Transgender Terminology

  • Transgender encompasses people whose gender identity doesn't match their assigned sex
  • Sexual orientation relates to attraction, separate from gender identity
  • Can include heterosexual, lesbian, gay, bisexual and asexual

Aromantic and Asexual

  • Aromantic refers to one who does not experience romantic attraction
  • Asexual reflects little to no sexual attraction, while still experiencing romantic attraction
  • Bisexual individuals are attracted to both same and different genders
  • Gay is a man attracted to men, or a woman attracted to women
  • Heterosexuals attracted to the opposite gender

Contemporary Terminology

  • Lesbian is a woman attracted to women
  • Pansexual attraction isn't restricted by gender
  • Queer describes a range of sexual orientations and gender identities
  • QTPOC is Queer and Trans People of Colour

Societal attitudes and issues

  • Biphobia refers to negative beliefs, prejudice and/or discrimination against bisexual people
  • Cisgenderism and cisnormativity relate to discriminatory views based on the idea that gender assigned at birth is fixed

Societal Systems

  • Heterosexism privileges heteronormative beliefs, values and practice
  • Homonormativity privileges certain people within the queer community
  • Homophobia and transphobia relate to negative ideas towards same-sex attracted people and trans people
  • Misgendering involves using language that does not match their gender identity

Transgender Statistics

  • They experience high rates of verbal abuse, violence, and depression
  • Inclusion can improve well-being
  • Chosen name and high levels of social support are key factors

Language Guide

  • Be supportive with name and pronoun changes and respect the individual's lead

Being An Ally: What to do and What not to do

  • Be informed via training, friends, or publications
  • Be visible
  • Be a part of the solution
  • Set inclusive tones at meetings
  • The correct them
  • Leave it alone

Inappropriate Questions

  • Questions about genitals or surgical status
  • The use of backhanded compliments

LGBTQ+ Dos and Don'ts

  • Be aware of when and why to use certain verbiage

LGBTQ+ In terms of the NAYS

  • Do not ask questions about genitals or surgery

Tips for Being an Ally

  • Stay informed, visible, and part of the solution
  • Promote inclusive terminology

Concepts

  • Conclusion
  • With understanding people's language, bodies, and relationships, these things can make an organisation inclusive

Term

  • Neurodiversity is natural human neurological variation, not a deficit
  • Neurodiversity includes ASD, ADHD, Tourette's, and Dyslexia
  • Differences in thinking, learning, and behaving are not deficits
  • Neurodiversity promotes equality and inclusion of "neurological minorities."
  • The phrase "Neurodiversity is a state of nature to be respected."
  • Variations include Dyspraxia and Dyslexia
  • Autistic spectrum (ASD) and Tourette's syndrome

Dyspraxia Key Points

  • Also known as Phonological Disorder
  • Speech sounds are not appropriate for the individual's age and dialect
  • Some forms involve inconsistent errors, difficulty sequencing sounds, and vowel distortions

Dyslexia & ADHD Key Points

  • Described in the DSM V as Specific Learning Disorder
  • Persistent difficulties in learning and using academic skills
  • Can be described as Attention-Deficit/Hyperactivity Disorder
  • A persistent pattern of inattention and/or hyperactivity-impulsivity

Dyscalculia & Autism Spectrum

  • Described in the DSM V as Specific Learning Disorder
  • Diagnosed if there are persistent difficulties in learning and using academic skills, with onset during the developmental period
  • The essential diagnostic features of autism spectrum disorder are persistent deficits in reciprocal social communication

Tourette's Syndrome

  • Described in the DSM V as Tourette's Disorder
  • Tourette's disorder is characterised by stereotypical but nonrhythmic motor movements and vocalisations
  • The vocal tics can be socially offensive, such as loud grunting or barking noises or shouted words, which may be obscenities

strengths-based discourse

  • Neurodiversity includes multiple traits, both strengths and challenges
  • This can be depending on the neurodiverse variation and its intensity

Strengths in Variation

  • Dyspraxia includes creativity, strategic thinking, determination, and motivation
  • Dyslexia includes visual processing, spatial knowledge, and creativity
  • ADHD includes creativity, innovation, inventiveness, and leadership
  • Dyscalculia includes creativity, intuitive thinking, and problem-solving
  • Autism Spectrum includes high intelligence, visual thinking, pattern identification, and detailed focus

Neurodiversity Advocacy

  • Encourages inclusive, nonjudgmental language
  • Many organisations prefer person-first language
  • The autistic community prefers identity-first language
  • Ask directly about a person’s preferred language and how they want to be addressed

Valued Knowledge

  • Knowledge about neurodiversity and respectful language is important for clinicians
  • Main points could be deficited to valuing the gifts of needs

The Big Picture

  • Neurodiversity includes all neurotypes even those we consider 'the norm'
  • Neurodiversity accessibility should also be included

Key Points

  • There should be sensitivity, cultural awareness, and strength placed perspectives
  • It requires moving beyond 'awareness' and towards 'acceptance
  • A 'culture of understanding
  • "Sensory, Cultural, and Approach

Language & Communication

  • The way we use language and communicate can help foster culturally safe care for neurodiverse people
  • The goal is to be inclusive and accepting of people no matter their neurodiverse issues

Social Acceptance

  • According to the social model of disability, 'disability' is socially constructed

Medical vs. Social

  • In a medical model, "disability" is a health condition while social is a result of the interaction with people living with impairments and barriers.
  • The social model seeks to change society in order to accommodate people living with impairment; it does not seek to change persons with impairment
  • People with disabilities are people with rights.
  • Impairment is a medical condition that leads to disability while disability is a barrier.

Invisible Disabilities

  • Relate to a talk that shows why we lack the understanding needed when someone has an invisible disability
  • This all can result in frustration on sides if one doesn't understand the others situation
  • The horizontals show the right steps one must take by educating, policies, and dialogue.

Key Elements

  • The three key elements are as follows: Lack of Accommodations, The Emotional Toll, and Advocacy for Awareness and Inclusion
  • By learning these key definitions one can start to learn how to react appropriately

Understanding Perspectives

  • The conclusion is "ensure that everyone, regardless of the visibility of their disability, receives the respect and support they deserve."

Definition Terminology

  • Gender Identity: A person's internal sense of being a man, woman, both, or neither
  • Gender Expression/Role: The way a person acts, dresses, speaks and behaves to show their gender as feminine, masculine, both, or neither
  • Birth Sex: The sex (male or female) assigned to a child at birth, based on a child's genitalia
  • Transgender: People whose gender identity is not the same as the sex they were assigned at birth
  • Gender Non-Conforming: People who express their gender differently than what is culturally expected of them

More Detail On Transgender

  • Transgender also encompasses gender affirming process
  • This also encompasses a medical way and can often improve mental health and the wellbeing of a person
  • Both Transgender man and woman also exist and relate to a variety of things depending
  • Trans and term abbreviations are key to keep up as well

Orientation

  • Transgender people can be any type depending, and use gender
  • Do not call someone things or use labels with bad terms

Different Intellects

  • Individuals with different ways of thinking and their unique perspectives are necessary for society to move forward.
  • The videos and sources show that these people can create innovations.
  • Those in power need to implement lessons learned.

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