The necessity of providing culturally appropriate treatment to clients that are racially and culturally different is a challenge of tremendous proportion. Yet, there are practitioners in numerous settings who accept that challenge every day with the clients they counsel and treat, the students they teach, and the novice and experienced professionals whom they supervise. They do so with a commitment to serve and meet the needs of their client popula- tions by using a combination of the training that they have received and the professional and ethical standards that they have sworn to uphold. Most do so with the intent of delivering whatever service they render with a high degree of competency and integrity.
Adding to the burden of meeting the needs of those clients is the necessity to use this plethora of services that are anchored in a code of ethics and professional standards that are the cornerstone of psychology and counseling professions. These standards are carefully choreo- graphed to both provide for the welfare of the consumer and help the professional to do no harm. Unfortunately, these professional codes of conduct are themselves anchored in a cultural value system that is clearly Eurocentric in their orientation, and this reality has a tendency to create potential conflicts when those values stand in opposition to the cultural traditions and values of the clients they are intended to protect and serve. The point that needs to be made here, as it has been in the past, is that the problem is not necessarily in the theoretical constructs but rather in the application of those con- structs to populations they were not normed and standardized on.
Gallardo has done a marvelous job of articulating the range of issues involved in balancing the needs for culturally responsive treatment with the psychology’s ethical standards. In doing so, he acknowledges the complex manner in which cul- ture is understood and how it needs to be broadly applied beyond the domains of race and ethnicity. Additionally, he rightly points out that in many contexts, more salience is placed on clinical responsiveness than on cultural responsiveness, the implication being that the former is more beneficial to the therapeutic outcome than is the latter. He is also insightful in commenting on the fact that many practitioners use the ethical and professional codes as a measure of self-protection rather than as a guide that helps them better meet the needs of their clients. Beyond that, Gallardo clearly articulates the challenges that emerge from factors such as boundary issues, advice giv- ing, and conflicting personal values when attempting to traverse the landscape between the responsiveness of clinical/counseling imperatives and cultural imperatives. For this, his efforts de- serve our commendation.
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