This paper explores therapists' perceptions of their assessment and treatment of new immigrant families from two very distinct populations: the former Soviet Union and Ethiopia. Some 145 professionals, approximately 70 per cent of those who treat new immigrants in the northern part of Israel, were questioned about various aspects of their assessment and treatment process. The differences between therapists and client families regarding the client's similarity to or difference from the majority culture are discussed. Of particular concern is whether therapists favour personal rather than contextual formulations of client problems. The results indicate that the wider the gap between the cultural background of the therapist and the immigrant families, the more sensitive and contextual the therapist's assessment and intervention choices.
IntroductionIn 47 years of existence Israel has absorbed more than half of its population in immigrants. More recently, between 1989 and 1994, following major political and social changes in the former Soviet Union, approximately 500,000 Soviet immigrants or about 150,000 families arrived in Israel. These immigrants brought with them a culture that has been strongly influenced by the seventy years of Soviet rule. Within the last ten years, in two short clandestine air-lifts, approximately 50,000 Ethiopian Jews emigrated to Israel and today constitute a significant minority in the country. Ethiopian Jews are black and are racially distinct from other Israelis. Culturally they are inexperienced with modern technology.Absorption of these two dissimilar groups into Israeli society highlights the need for cultural sensitivity on the part of the therapists who treat culturally different clients. Recognition of the importance of a School of Social Work and The Center for Research and Study of the Family, University of Haifa, Mount Carmel, Haifa 31905, Israel.
24Amith Ben-David ethnicity and culture as systemic components for understanding family functioning has been under-emphasized in the marriage and family therapy literature until recently (Preli and Bernard, 1993). Most of the family therapy literature provides descriptions of family organization, values, and traditional interaction patterns for ethnic minorities, migrant families, and their children (see, for example, McGoldrick et al., 1982;Lau, 1984;McGoldrick, 1988;Montalvo and Gutierrez, 1988;Saba et al., 1990;Landau-Stanton, 1990;Turner, 1991; Watts-Jones, 1992). Other sources empathized with the recent focus on training of culturally sensitive therapists (Falicov, 1988;Hardy, 1990;Karrer, 1990;Preli and Bernard, 1993). Yet another body of literature deals with clinical issues in the treatment of culturally different families (see, for example, Baptiste, 1990;Wieselberg, 1992;Berg and Jaya, 1993). However, little empirical research in multicultural family therapy, specifically, has been published.The present study focuses on therapists' differential perceptions of treatment as a function of cultural background and presenting prob...