Articles Similaires
Speech-language therapy practices are never neutral. Our assessment tools, developmental norms, and intervention models are rooted in Western, individualistic frameworks that may not fit every child or family we meet.
Our Practices Are Culturally Situated
Evidence-based practice reflects the values of the culture that produced the evidence. In many Western contexts, autonomy, verbal expression, and self-advocacy are prized.
In other cultures, listening, observation, and social harmony take precedence. Recognizing this is the first step toward cultural humility.
Individualism vs. Collectivism
Individualistic cultures promote verbal engagement and assertiveness.
Collectivist cultures encourage observation, respect, and learning through participation in group activities rather than direct instruction.
| Dimension | Individualistic cultures | Collectivist cultures |
|---|---|---|
| Interaction pattern | Adult–child talk-based | Peer-focused, observational |
| Play style | Symbolic, verbal | Practical, role-based |
| Valued skills | Verbal expression, autonomy | Listening, observation, respect |
| Social value | “Speak up” | “Listen and learn” |
Cultural Examples
- Inuit and Maya communities: adults rarely address infants directly; communication develops through observation until the child speaks.
- Guinea: children learn through play with peers — communication emerges from community.
- Congo: a parent viewed Lingala as “vulgar” — a reflection of language hierarchy and migration history.
Clinical Implications
Diverse doesn’t mean disordered. We must avoid pathologizing behaviors that reflect cultural norms.
Every observation, question, and milestone must be interpreted through the lens of the child’s linguistic and cultural environment.
From Cultural Competence to Cultural Humility
Cultural competence is knowledge. Cultural humility is a mindset.
It means we:
- ask before assuming,
- listen before labeling,
- learn before advising,
- share decision-making with families.
Cultural humility acknowledges that we are learners, not experts, in someone else’s culture.
Conclusion
Our professional frameworks reflect our cultural origins. True inclusivity starts when we recognize these biases and remain open to continuous learning.
→ Learn more: Assessing Multilingual Children: Tools and Strategies for Inclusive Practice