Multicultural Training for Undergraduates: Developing Knowledge and Awareness

Documenting Race and Gender Biases in Pain Assessment and a Novel Intervention Designed to Reduce Biases

Disparities in pain care are well-documented such that women and people of color have their pain undertreated and underestimated compared to men and White people. One of the contributors of the undertreatment of pain for people of color and women may be the inaccurate assessment of pain. Understanding the pain assessment process is an important step in evaluating the magnitude of and intervening on pain disparities in care. In the current work, we focus on documenting intersectional race and gender biases in pain assessment and present the results of a novel intervention for reducing these biases. Across 3 studies (N = 532) and a mini meta-analysis using real videotaped people in pain as stimuli, we demonstrate that observers disproportionately underestimated women of color's pain compared to all other groups (men of color, White women, and White men). In study 3 (N = 232), we show that a novel intervention focused on behavioral skill building (ie, practice and immediate feedback) significantly reduced observers' pain assessment biases toward marginalized groups compared to all other types of trainings (raising awareness of societal biases, raising awareness of self-biases, and a control condition). While it is an open question as to how long this type of intervention lasts, behavioral skills building around assessing marginalized people's pain more accurately is a promising training tool for health care professionals. PERSPECTIVE: This article demonstrates the underestimation of pain among people of color and women. We also found support that a novel intervention reduced observers' pain assessment biases toward marginalized groups. This could be used in medical education or clinical care to reduce intersectional pain care disparities.

Make It Personal: A Qualitative Investigation of White Counselors’ Multicultural Awareness Development

In this qualitative research study, we explored the multicultural awareness development of 12 multiculturally adept non-Latino White counselors. Using a grounded theory approach, we found that early personal experience with diversity was the most important contributing factor in developing understanding and empathy for oppression among White counselors. This factor appeared to lay the foundation for an ongoing personal initiative to develop multicultural awareness. Subsequently, counselors tried to maximize what they could learn from their culturally diverse clients, work environments, coursework, supervision, and mentoring opportunities. Their personal initiative also inspired them to persevere despite the difficult emotions and conflict inherent in this developmental process. Results suggest the need to incorporate personally transformative experiences in counselor training and to prepare counselors for the emotional challenges of multicultural awareness development.

Evaluating the Effectiveness of an Undergraduate Multicultural Course

The American Psychological Association (APA) recently revised their Guidelines for the undergraduate psychology major in 2013. In this updated version diversity is included in the broad goal of ethical and social responsibility in a diverse world. Indicators associated with this goal include student awareness of prejudice within themselves and others, sensitivity to issues of power, privilege and discrimination, and knowledge of cultural diversity. Previous researchers have discussed the conditions necessary and processes by which intercultural learning and prejudice reduction occur. The current study utilized a measure of multicultural competence to assess the effectiveness of a semester-long undergraduate multicultural course. The results indicated the multicultural course was more effective than a personality course in increasing multicultural knowledge but had no impact on multicultural awareness. The discussion focused on the conditions that may have influenced the results.

Experiential versus rational training: a comparison of student attitudes toward homosexuality

Based on Epstein's (1994a) cognitive-experiential self-theory, two new training interventions were designed to teach students about gay, lesbian and bisexual issues. The efficacy of these theoretically based interventions was assessed in a short-term (7-week, three occasion) longitudinal study. Fifty undergraduate psychology students were randomly assigned to one of three treatment groups: Rational Training, Experiential Training, or Control Group. A residualized change score procedure was used to analyze change in levels of sexual prejudice and affect across the three types of measurement (pre-test, post-test, and follow-up). A 3 (Rational Training, Experiential Training, Control Group) x 2 (Low Sexual Prejudice, High Sexual Prejudice) MANOVA revealed that after the training, participants in the Experiential Group (affective training) had more accepting attitudes toward homosexuality compared to the Control Group. In addition, participants in the Experiential Group experienced more positive affect compared to the Rational and Control Groups and experienced more negative affect compared to the Rational Group. Findings are discussed and suggestions for future research are provided.