Related Experiment Video
Updated: Mar 10, 2026

07:01
Experimental Paradigm for Measuring the Effects of Self-distancing in Young Children
Published on: March 1, 2019
8.6K
Cultural Distress: An Emerging Paradigm
Christine DeWilde1, Candace W Burton2
11 Virginia Commonwealth University, Richmond, VA, USA.
Summary
Healthcare providers aim for cultural competence, but its absence causes harm. This study introduces cultural distress, a framework to understand patient reactions to culturally insensitive care and guide interventions.
Area of Science:
- Healthcare
- Medical Sociology
- Patient Experience
Background:
- Cultural competence is a key goal in healthcare professions.
- The negative impacts of lacking cultural competence on patient health and healing are not well understood.
- Existing research lacks a framework to define and study patient responses to culturally inadequate care.
Purpose of the Study:
- To propose a novel theoretical framework, cultural distress, to describe patient experiences with culturally insensitive healthcare.
- To provide a model for understanding patient reactions when their cultural needs are not addressed.
- To offer a research guide for identifying interventions that prevent cultural distress.
Main Methods:
- Theoretical framework development.
- Literature review on cultural competence and patient experience.
- Conceptual analysis of patient-provider interactions.
Main Results:
- The cultural distress model conceptualizes negative patient experiences due to unmet cultural needs.
- This framework highlights the psychological and emotional impact on patients.
- It identifies specific patient reactions indicative of cultural distress.
Conclusions:
- The cultural distress model offers a new lens for examining patient responses to healthcare.
- It provides a foundation for future research into culturally competent care.
- Applying this model can lead to the development of targeted interventions to improve patient outcomes and prevent distress.
Related Concept Videos
Self Within Cultural Contexts
269
Cultural frameworks for understanding the self are often categorized into two broad orientations: individualism and collectivism. These paradigms influence how people define themselves, relate to others, and interpret their social worlds. Each orientation offers distinct perspectives on autonomy, responsibility, and the role of the individual within a community.Individualistic CulturesIn individualistic cultures like North America and Western Europe, identity is understood as autonomous and...
269
The Role of Culture
490
Culture plays a crucial role in shaping self-identity and influencing thought and behavior, a foundational interest within social psychology. The multicultural perspective recognizes that individuals do not exist in a vacuum; instead, their experiences, perceptions, and actions are deeply influenced by the intersecting dimensions of their cultural, ethnic, and social group affiliations.Cultural Influence on Self-Identity and Social PerceptionCultural frameworks inform how individuals define...
490
Lazarus's Cognitive Appraisal Theory
2.4K
Cognitive psychologist Richard Lazarus proposed the cognitive-mediational theory of emotions, which emphasizes how individuals' assessments of stressors significantly affect their experience of stress. According to Lazarus, the stress response is determined by a two-step appraisal process: primary appraisal and secondary appraisal. These cognitive appraisals help individuals evaluate the potential impact of a stressor and determine the adequacy of their coping resources.
Primary Appraisal:...
Primary Appraisal:...
2.4K
Psychological and Sociocultural Causes of Schizophrenia
742
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
742
Ethnic Identity within a Larger Culture
363
Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
363
Self-Esteem and Culture
279
Self-esteem, a core psychological construct, is intricately shaped by cultural context and varies significantly between collectivist and individualistic societies. In collectivist cultures such as Japan, self-esteem tends to be flexible, context-sensitive, and influenced by relationships. A Japanese student, for instance, may show restraint in formal settings like school but behave more openly among close friends, reflecting the flexible and dynamic nature of self-concept in such...
279

