Presentation on theme: "Culturally Competent Play Therapy with the Mexican Child and Family"— Presentation transcript:
1Culturally Competent Play Therapy with the Mexican Child and Family Roberto Robles, LCSW
2Learning ObjectivesHow to engage the Spanish speaking Mexican child and the familyIdentify ways to treat the Mexican child and family by using culturally appropriate gamesUnderstand the different ways to use the traditional games and Historia de la Loteria/Lotto Story in a therapeutic manner
3Cultural InventoryWhat messages are you conveying when the family enters yourWaiting room?Office?Fills out your forms?Return a phone call?
4Common Practice Usually there is sensitivity to the Language needsLeafletsBrochuresVideosForms in SpanishWhat about once they enter the office?
5Assessment Issues What kinds of questions do you ask? Immigration ReligionTreatment approachesDiscipline
6Some Games Used in therapy CandylandTherapeutic gamesThe Talking, Feeling and Doing GameAvailable in SpanishDoesn’t take into account cultureOnly two bilingual therapeutic games that can be used by Spanish-speaking or bilingual children and their parents.
7Games to Use with Mexican Children La LoteriaJuego de la Oca (Game of the Goose)Sierpientes y Escaleras (Snakes and Ladders)Historia de la Loteria/Lotto Story
8Narrative Therapy developed by Michael White and David Epston Implies listening to the child and family’s story about their problemsTold once or more than onceLanguage can shape events into narratives of hope
9Narrative TherapyProblems arise when a person is stuck in a story that makes him or her unhappyNarrative therapy is a search for events which disprove some erroneous beliefsA new story can liberate the person from the shackles of the problem
10Narrative Ideas People are the experts Views problems as separate from peopleEmphasis on the storyAllows for the telling and retelling of stories
11Narrative TherapyChildren and some adults naturally externalize problemsDoing this separates the child from their problemsIt directs the focus away from the child as a problem and onto the child-problem relationship
12Narrative Therapy“The problem in the problem, the person is not the problem”
13La Loteria in Mexico Colonial Spanish card game Arrived in Mexico during the last half of 18th centuryFirst played in a parlor by social eliteStill widely played
14How it can be played Up to six people and one caller Caller pulls individual cards from a bag or handEach player selects at least one game cardThree or four in a row wins
15Another traditional way to play Players place bets on the picture on their game card which they feel the caller will next pull from the bagThis version is played at carnivals in MexicoCaller has a bowl of oversized dice that have the pictures on each side instead of dots or numbers
16In Oaxaca Poetic verses are shouted out I’m the ___and I’ve arrived although you can’t see me; I haven’t come to borrow, not even to eat.
17Riddles and Rhymes Acertos y Rimas El sombrero de los reyesThe hat of kingsPara el sol y para el aguaFor the sun and water
18Riddles and Rhymes Acertos y Rimas El que por la boca muereOne that dies by the mouthEl que con la cola picaThe one that picks with its behind
19Riddles and Rhymes Acertos y Rimas La guía de los marinerosThe sailors guideEl farol de enamoradosThe lantern of lovers
20Riddles and Rhymes Acertos y Rimas Al que todos van a ver cuando tienen que comerWhere all go when they have hungerEl que le cantó a San Pedro no le volverá a cantarHe that sang to St. Peter will not return to sing again
21Riddles and Rhymes Acertos y Rimas Pórtate bien cuatito si no te lleva el coloraditoBehave yourself so that the little red one doesn’t carry you offAl pasar por el panteón, me encontréWhile passing the graveyard, I found
22Riddles and Rhymes Acertos y Rimas La herramienta del borracho.The tool of the drunk.¿Por qué le corres cobarde trayendo tan buen puñal?Why are you running like a coward when you are carrying such a good dagger?
23Riddles and Rhymes Arcetos y Rimas La cobija de los pobresThe blanket of the poorTanto va al aguaWhere the water goes
24La Loteria--in clinical setting Winner tells a story about himself/herself or a family member or just a story using each of the cards--four in a rowWinner identifies the feelings that they have when they see or think about the imageExcellent alternative to the Thematic Apperception Test (TAT)
25La Loteria--in clinical setting 1 on 1 Display all cards on floor or tableHave child select five cards--develop a storyTurn them upside down and have them select five--have them do the same--develop a storyPlace all face up--have child place emotion peg on topGo fish game with two decks--if there is a match tell the story
32Four years of treatment Card numbers 14, 11, 40, 19, 1, 10, 44A little girl it was her birthday and she was sick and her parents brought her candy and ice cream. They went to the store only to find out they were out of money. She could not pay for the little girl’s party and the little girl thought every one in the world hated her so she did not get anything [for her party]
33Juego de la Oca (game of the Goose) Some say it dates back to 1471 in Germany, others say in 1587 in Italy, a copy was sent to King Philip II of Spain, very popular in 1700’s in FranceWhen it arrived in Mexico some of the images were changed to reflect the cultureEl CharroLa China poblanaLa Pirámide
34Sierpientes y Escaleras Originated in India, game is HinduIt was used to teach children about the religion where good squares allow a player to ascend higher in the league of life whereas, evil will reduce a player back through reincarnation to the lower tiers of lifeRewards good deeds-up ladderConsequences for misdeeds-down the snake
37State’s Latino BirthsBeginning in July of 2001, more than half of all California babies were LatinoAccording to a UCLA study of birth recordsTyche Hendricks, Chronicle Thursday, February 6, 2003
38Cultural Competence It is a life long process Refers to the process by which individuals and systems respond respectfully and effectively to people of all cultures, languages, classes, races, ethnic backgrounds, religions, and other diversity factors in a manner that recognizes, affirms, and values the worth of individuals, families, and communities and protects and preserves the dignity of eachNASW Standards for Cultural Competence in Social Work Practice 2001
39More on cultural competence Is the integration and transformation of knowledge about individuals and groups of people into specific standards, policies, practices, and attitudes used in appropriate cultural settings to increase the quality of services, thereby producing better outcomes (Davis & Donald, 1997)NASW Standards for Cultural Competence in Social Work Practice 2001
40It conveys the Attitude That one is respecting a person’sImmigration statusmigration statuscolonizationacculturation experiencesdiverse heritagesU.S. Department of Health and Human Services, SAMHSA, CMHS