5/6/15 - naadac

5/6/15

1

Cultural Humility: Clients in the Five Current Generations

Presented by Ryan Paul Carruthers, MHR, MAC, LADC, LMHP, CPC

May 7, 2015

Misti Storie, MS, NCC

Director of Training & Professional Development

NAADAC, the Association for Addiction Professionals

www.naadac.org

[email protected]

Produced By NAADAC, the Association for Addiction Professionals

www.naadac.org/webinars


www.naadac.org/fivegenerations Cost to Watch: Free CE Hours Available: 2 CEs CE Certificate for NAADAC Members: Free CE Certificate for Non-members: $25

To obtain a CE Certificate for the time you spent watching this webinar:

1.  Watch this entire webinar.

2.  Pass the online CE quiz, which is posted at

www.naadac.org/fivegenerations

3.  If applicable, submit payment for CE certificate or join NAADAC.

4.  A CE certificate will be emailed to you within 21 days of submitting the quiz.

CE Certificate

5/6/15

2

Using GoToWebinar – (Live Participants Only)

§  Control Panel

§  Asking Questions

§  Audio (phone preferred)

§  Polling Questions

Webinar Learning Objectives

Identify each of the five current generations in the United States.

Explain the impact of generational identification on other aspects of culture.

Describe how generational differences impact views on substance use, including marijuana.

1 32

Ryan Paul Carruthers, MHR, MAC, LADC, LMHP, CPC Behavioral Health Therapist Charles Drew Health Center Omaha, Nebraska 402-320-0948 [email protected]

Webinar Presenter

Survey Question #1 To which generation do you belong?

5/6/15

3

5/6/15

4

- Justice Potter Stewart

“I know it when I see it…” – Supreme Court Justice, on an obscenity case

5/6/15

5

Culture: “The deposit of knowledge, experience, beliefs, values, attitudes, meanings, hierarchies, religion, notions of time, roles, spatial relations, concepts of the universe, and material objects and possessions acquired by a group of people in the course of generations through individual and group striving”

Samovar & Porter (2003)

“Culture is to be studied not so much as a system of kinship, or a collection of artifacts, or as a corpus of myths, but as sense-making, as a reality constructed and displayed by those whose existence is embedded in a particular set of webs [of meaning].”

Pacanowsky & O’Donnell-Trujillo (1982) “Culture is simply a way of talking about collective identities”

Kuper (1999)

“The term culture usually is reserved to refer to the systems of knowledge used by relatively large numbers of people” [i.e., national groups]

Gudykunst & Kim (2003)

“Culture is synonymous with civilization, and therefore only the civilized have culture. . . Culture, as a guidance system, leads us to notice important differences between humans and other phenomena that get directed”

Freilich (1989)

5/6/15

6

“Culture is . . . clearly derived from what people do. . . It is this complex of ongoing activity that establishes and portrays structure of organization”

Blumer (1969)

“The culture of everyday life is a culture of concrete practices which embody and perform differences. These embodied differences are a site of struggle between the measured individuals that constitute social discipline, and the popularity-produced differences that fill and extend the spaces and power of the people”

Fiske (1992)

“The culture of a people consists not only of its concrete creations—tools, buildings, and so on are its “material culture”—but of all the patterns of interaction, all the formal and informal rules of behavior which have become traditional in the relations between social groups”

Martin (1970)

“The term culture is multi-discursive; it can be mobilized in a number of different discourses. This means you cannot import a fixed definition into any and every context and expect it to make sense.”

O’Sullivan et al. (1983)

‘Culture ... is that complex whole which includes knowledge, belief, art, morals, law, custom, and any other capabilities and habits acquired by man as a member of society.’

Tyler (1870)

‘Culture consists of the derivatives of experience, more or less organized, learned or created by the individuals of a population, including those images or encodements and their interpretations (meanings) transmitted from past generations, from contemporaries, or formed by individuals themselves.’

Schwartz (1992)

5/6/15

7

‘[Culture] is the collective programming of the mind which distinguishes the members of one group or category of people from another.’

Hofstede (1994)

‘... the set of attitudes, values, beliefs, and behaviors shared by a group of people, but different for each individual, communicated from one generation to the next.’

Matsumoto (1996)

Convoluted, Ambiguous, Misunderstood Primarily from a Macro or Group Perspective

Sociological Anthropological NOT Psychological

The individual is lost in: Stereotypes Pre-conceived notions Oversimplification “A Box”

Time for a New Conceptualization

Current Definitions

Working definition of culture, on a micro level: “The lens through which we see the world.”

Conceptualization includes both Inputs and Outputs of culture. Inputs generally help create culture

Demographic (Race, Ethnicity, Outputs are generally created by culture

Cognitive, Emotive, and Behavioral (Clothing, Food, Music)

Carruthers Definition of Culture

Inputs Are

predictive of

Culture “the lens”

Is predictive

of Outputs

Typically Demographic and Categorical in Nature

Race

Ethnicity

Gender

Religion of Your Childhood

Socio-economic Status of Your Childhood

Urban/Rural/Suburban Environment of Childhood

Country/Region of Childhood

Etc., Etc., Etc.

AND Generation

Inputs that create “the lens”

5/6/15

8

Manifestations of Culture:

Dress

Music

Food

Traditions

Values

Parenting Style (with your children)

Use of and Comfort With Technology

We will show how generation affects these.

Outputs that are created by “the lens”

Humility: a modest or low view of one's own importance; humbleness. (Oxford)

Generational Humility:

Not placing VALUE Judgments on issues surrounding Generation

Cultural Humility

“A generation can be defined as a group of people born roughly within a twenty year time period during the same era in history.”

Conrington & Marshall, 2004

Generations

“As is the generation of leaves, so too of men: at one time the wind shakes the leaves to the ground but then the flourishing woods gives birth and the season of spring comes into existence; so it is with the generations of men, which alternately come forth and pass away.”

Homer, lliad, Sixth Book

Consists of approximately a 20-year span

Start/End Dates are not all Precise…

Has a unique set of values

Reacts to the generation before them

Looks at their generation as the standard

Looks at the next generation skeptically

Cuspers show a blended set of characteristics

Each Generation

1901-1945 (Actually Two or Three Generations Combined) Traditionalists

1946-1964 Baby Boomers

1965-1981 Generation X

1982-1994 Millennials

1995-? Nexters

Generational Timeline (Approx.)

5/6/15

9

U.S. Population

316,200,000 in 2013

NEXTERS 20%

MILLENNIALS 27%

GEN Xers 20%

BABY BOOMERS

24%

TRADITIONALISTS 9%

“A generational identity is a state of mind shaped by many events and influences. Only you can define what generation you fit into.”

Lancaster & Stillman, 2003

Survey Question #2 Do you think that a generation gap is a significant issue culturally speaking?

5/6/15

10

5/6/15

11

5/6/15

12

Survey Question #3 Do you think that a Generation Gap is a significant issue and/or potential barrier within the therapeutic relationship?

Traditionalists

Today this is two or three generations that have been lumped into a single category.

AKA = Veterans, G.I. Gen., Silent, Greatest Generation

Current Ages = 70+

WWI

Suffrage

Prohibition

Great Depression

New Deal

WWII

KKK

Korean War

Significant Events

Around the Radio

On the Farm

Detroit

Pearl Harbor

Europe

Hiroshima/Nagasaki

Korea

Significant Places

Radio

Automobile

Refrigeration

Airplane

Nuclear Bomb

Science and Technology

G.I. Joe

Teddy Roosevelt

Franklin Roosevelt

Jesse Owens

Heroes

5/6/15

13

Duty, Honor, Country

Sacrifice

God Fearing

Patient, Loyal, Respectful

Attitudes/Values

Bob Hope

Dr. Seuss

Will Rogers

John Wayne

Shirley Temple

“Soundies”

Popular Culture

Drugs Taboo

“Pure” Alcoholic

Smallest Generation Currently in Treatment Setting

“I think there’s an age of understanding and there’s a reason why there are no old drug addicts: It either kills you or you get out.” - Brad Pitt

Drug Use Trends

Physical Health Management

Grief (Outliving Everyone)

“I never thought I would live this long”

Facing Mortality

Isolation

Finding Enjoyable, Meaningful Activities

Skeptical of any Non-M.D. Helper

Current Issues in Treatment

Boomers

The most socially influential generation in modern American history.

AKA = Baby Boomers

Current Ages = 51-69

5/6/15

14

5/6/15

15

End of WWII (Fathers came home)

Korean War (as children)

The Draft

Vietnam War (as combatants)

Cold War

Civil Rights Movement

Sexual Liberation Movement

Moon Landing

Assassinations

Significant Events

In Front of the TV Vietnam Canada Kent State Woodstock

Washington, D. C. Memphis, TN and Dallas, TX In front of the TV Moon Cuba

Significant Places

Television (Color)

Satellites and Manned Rockets

Airline Industry

Records


MLK

The Kennedy’s (JFK, Jackie, and RFK)

Buzz Aldrine and Niel Armstrong

Mohamad Ali

Ed Sullivan

Not Communists

Anti-Heroes (Malcolm X)

Heroes

5/6/15

16

Idealistic/Optimistic

Challenge Status Quo

Activists

Civil Rights for All

Anti-Government Sentiments

Work Ethic

Attitudes/Values

Music influential

Television (Major Chanels)

Counter-culture Hippies… “drug, sex, rock ‘n roll…” Bikers…

Popular Culture

Liberal Usage During 60’s-70’s

Hallucinogens & Marijuana

Heroin Usage During Vietnam War, Then Returned

Prescription Drug Usage (and abuse?) Increases with Age

Trends of them Returning to Drug Use after Retirement

Believe Strongly in Legal System to Enforce Laws

Marijuana Prohibition

Drug Use Trends

Retire or Not Retire, That is the Question

Facing Mortality

Parenting Grown Children

Skeptical of Younger Helpers


Generation X

A “sandwich” generation, lumped between the two most powerful generations in American history.

AKA = The Lost Generation, Prozac Generation, Latch-Key Generation, Lost Generation, Generation MTV


5/6/15

17

End of Cold War

War on Drugs

Gulf War

Recession

AIDS discovered

Breakdown of Traditional Family

Race Riots

Significant Events

East Germany

Los Angeles

Waco, TX

Kuwait

Jail

Abortion Clinic

“A galaxy far, far away…”

In front of the Cable Box

White Bronco

Significant Places

5/6/15

18

Microwave (and their dinners) VCR/Cable TV Video Games (Atari) Home Computer Scud Missiles

Test Tubes DNA’s Discovery AIDS Discovery Heart Transplant 8 Track & Cassette Tape


Anti-Heroes

Luke Skywalker

Bill Clinton

Mario and Luigi

Michael Jordan

Michael Jackson

Kurt Cobain

Tupac Shakur

Heroes

Skeptical

Cautious

Independent

Self-Reliant

Resourceful

Disengaged

Most Medicated (Psycho-actively)

Most Incarcerated (War on Drugs)

Most Suicides

Least Educated

Attitudes/Values

RAP Music

Metal Music

Grunge Music

Cliques and Labels

Popular Culture

Grew up hearing of the “Crack Epidemic”

Had “War on Drugs” fought against them

D.A.R.E. as children (scare tactics)

“Try Anything” Addicts

Marijuana = Cracked down on

Witnessed Marijuana’s Medicalization

Drug Use Trends

Returning to School (Make up most non-traditional college students)

Parenting Young Adult Children (Many still at Home)

Working Several Jobs

Sandwich Generation (Taking Care of Parents and Children)


5/6/15

19

Millennials

The most technologically influential generation in American history.

AKA = Me Generation, Echo Boom, Gen Y


5/6/15

20

Any millennials Know This Picture?

Columbine Shooting

Y2K

September 11, 2001

War on Terrorism

2008 Presidential Election

Significant Events

In front of the Video Game

World Wide Web

Littleton, CO

Ground Zero

Iraq/Afghanistan

Significant Places

Advanced Video Games (Nintendo and Playstation)

Internet (AOL)

Cell Phone (Only for calls)

PC’s and Mac’s

CD’s

24 Hour news cycle


Tiger Woods

Eminem

Barack Obama

J.K. Rowling

Heroes

Selfish

Safety First

Optimistic/Idealistic

Activists

Empowered/Confident

Appreciate Diversity

Team Players

Value Intelligence

Attitudes/Values

5/6/15

21

Self-esteem-based (12th place ribbons)

Racial boundaries blurred

Ebonics language influx

School violence

Terrorism-influence

Popular Culture

Grew up During “Meth Epidemic”

Raves as Adolescents

Grew up with Decriminalized and “Medicinal” Marijuana

Believe strongly in Legalization of Marijuana

Drug Use Trends

Quarterlife Crisis

Creating Themselves and Their Identity

Finding Meaning and Purpose in Life

Educational and Career Questions

Starting Own Family

To Marry or Not to Marry, That is the Question


Nexters

Currently entering workforce, military, and college.

AKA = iNow Generation (Carruthers)

Current Ages = 20 and Younger

Great Recession

Today’s News

Significant Events

Marijuana Store

Significant Places

5/6/15

22

iAnything

Smart Devices (Phones/TVs/Watches)

Advanced Video Games (Xbox One, PS4)

All Information in the Palm of Your Hand Instantaneously


To be Defined in Coming, “formative” years

Heroes

Spoiled…

Constant Interaction with Peers (Facebook, Twitter, Snapchat, etc.)

Attitudes/Values

TMZ

Reality Anything

YouTube Sensations (Bieber and onward)

Popular Culture

Invention of designer drugs (K2, Spice, Incense)

Marijuana legalization will happen with them voting (next 15 years)

Drug Use Trends

Adolescence and Young Adulthood

Social Relationships

Boundary Testing

Skeptical of Older Helpers


5/6/15

23

In the military fighting “War on Terrorism” but don’t have memories of 9/11…

1st Generation to grow-up: “After-Google…”

Instant access to all information instantaneously from your pocket…

Possibilities endless…

Other Points

Five Separate Generations are all clients… The next greatest generation growing up… Baby boomers are beginning to retire…

For The First Time In American History

Case Study: Marijuana •  Traditionalists: Grew up with Scare Tactics – It was Taboo - Made it

Illegal •  Boomers: Used it anyway and said “stop me if you can” today

against legalization •  Gen Xer’s: Were criminalized for using (War on Drugs) then

medicinalized it •  Gen Yer’s: Grew up with it being medicinalized and are legalizing it •  Gen iNow-er’s: Are growing up with it being legalized (if they vote, it

will be legal in 15 years almost everywhere) Other examples include: Race relations, Sexual Orientation Acceptance

Generational Influence

Culture is “the lens through which one sees the world.”

Generation is an important input that helps to create cultural identity/reality.

Generation impacts and is predictive of many of the outputs of culture.

Generational cultural humility means we must be aware of the values inherent in generational judgments and statements, and should avoid these situations in cross-generational interactions.

Never lose site of the individual-level differences even within generation.

Take Home Messages

Ryan Paul Carruthers, MHR, MAC, LADC, LMHP, CPC Behavioral Health Therapist Charles Drew Health Center Omaha, Nebraska 402-320-0948 [email protected]

Thank You! www.naadac.org/fivegenerations

5/6/15

24

Cost to Watch: Free CE Hours Available: 2 CEs CE Certificate for NAADAC Members: Free CE Certificate for Non-members: $25

To obtain a CE Certificate for the time you spent watching this webinar:

1.  Watch this entire webinar.

2.  Pass the online CE quiz, which is posted at

www.naadac.org/fivegenerations

3.  If applicable, submit payment for CE certificate or join NAADAC.

4.  A CE certificate will be emailed to you within 21 days of submitting the quiz.

CE Certificate

3-4:30pm ET (2 CT/1 MT/12 PT)

Evidence-Based Solution-Focused Brief Therapy: Its Effective Use with the Most Challenging Clients

May 21, 2015

2:30-4pm ET (1:30 CT/12:30 MT/11:30 PT)

Counseling African Americans With Substance Use Disorders

June 4, 2015

Upcoming Webinars


3-4:30pm ET (2 CT/1 MT/12 PT)

Improving Retention and Outcomes: The Partners for Change Outcome Management System

June 18, 2015


Free CEs for Members

Levels: Professional Associate Student

www.naadac.org/join

Over 75 CEs of free educational webinars are available. Education

credits are FREE for NAADAC members.

WEBINAR SERIES

In each issue of Advances in Addiction & Recovery, NAADAC's

magazine, one article is eligible for CEs.

MAGAZINE ARTICLES

NAADAC offers face-to-face seminars of varying lengths in the

U.S. and abroad.

FACE-TO-FACE SEMINARS

Earn CEs at home and at your own pace (includes study guide and online examination).

INDEPENDENT STUDY COURSES

NAADAC Annual Conference and Advocacy in Action Conference in Washington, DC in October 9-13, 2015.

CONFERENCES

Demonstrate advanced education in diverse topics with the NAADAC Certificate Programs.

CERTIFICATE PROGRAMS

Contact Us! NAADAC 1001 N. Fairfax Street., Ste. 201 Alexandria, VA 22314 phone: 703.741.7686 / 800.548.0497 fax: 703.741.7698 / 800.377.1136 [email protected] www.naadac.org/education

NAADACorg

Naadac

NAADAC

5/6/15 - naadac

Documents