Decolonising practice & clinical yarning

Question 1

what is culture

Answer 1

• each of us holds many cultural identities
• culture is ubiquitous: ever present and pervasive

Question 2

what is the identity map and what does it include?

Answer 2

• if we assume our way is the right way we can make people feel judged
• we want to stay curious and respectful

Question 3

what does it mean to hear voices?

Answer 3

• in the medical model it is called hallucinations
• seen as a sign of mental illness

Question 4

what is colonisation?

Answer 4

• not just about taking land, it also involved taking control of knowledge

Question 5

what is cognitive imperialism?

Answer 5

• the idea that Western way of knowing are superior to all others

Question 6

how do western knowledge dominate systems & institutions?

Answer 6

• healthcare - how illness is defined
• education - what is taught
• social policies - who is supported

Question 7

what is decolonisation?

Answer 7

• de-linking of knowledge and thought from Western Eurocentric logic

Question 8

what is the difference between corporate values and indigenous values?

Answer 8

• indigenous values are more about spirituality than science, this also relates to world views

Question 9

what does decolonising mean for the individual?

Answer 9

• ongoing process, asks each of us to reflect deeply on our position

Question 10

what are the cultural practices in biomedical consultations?

Answer 10

• mainstream biomedical healthcare consultations typically began establishing clinical focus
• this often limits relational activities to greeting, getting the patient seated

Question 11

what does the clinical yarning model include?

Answer 11

• social, diagnostic, management

Question 12

what is the aim of social yarn?

Answer 12

• aims to develop the relationship and trust with the patient/client
• make the patient feel comfortable

Question 13

what is the aim of diagnostic yarn?

Answer 13

• facilitate patients health story
• interpret story through health knowledge lens

Question 14

what is the aim of management yarn?

Answer 14

• explains health information in a way that makes sense to the patients
• to develop a management plan together

Question 15

what are the implications?

Answer 15

• fundamental changes to taken for granted ways of communicating in necessary to make healthcare safe and equitable for everyone

Question 16

summary of culturally safe practice

Answer 16

• focuses on creating environments where people feel respected
• centres the experience of the client
• requires self awareness and reflection on ones own cultural lens

Question 17

summary of decolonising

Answer 17

• involves challenging and dismantle the dominance of Western, colonial system of knowledge
• questions and transforms the structures and systems that reproduce colonial powers

Question 18

what is the value of reflection?

Answer 18

reflection provides us space to hold things up to the light and examine it