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PSYC FPX 4900 Assessment 3 Comprehensive Case Presentation


Capella University

PSYC FPX 4900 Psychology Capstone Project

Prof. Name



The case study centers on Elena, an elderly Hispanic woman residing with her granddaughter, Lucia. This case underscores the implications of cultural disparities, language barriers, and resultant healthcare challenges encountered by individuals like Elena.

Case Study of Elena

Elena’s scenario underscores the importance of Hispanic cultural values, language impediments, and the healthcare hurdles stemming from cultural distinctions.

Cultural Differences

Various facets of cultural distinctions, such as obstacles in communication, healthcare inequalities, and anticipations concerning professional conduct, are illuminated in the case study.

Case Study

Upon observing Elena’s deteriorating health, Lucia expresses concern, citing Elena’s increasing forgetfulness. Despite Elena’s reluctance, Lucia arranges a medical appointment for her without consent.

Case Study Continued

Elena, proficient in limited English, hesitantly attends the doctor’s visit. The physician, presuming Elena’s hearing impairment due to her age and ethnicity, adopts a loud tone. Eventually, the doctor exclusively engages with Lucia, disregarding Elena’s presence.

The Ethics Code of Conduct

The Ethics Code of Conduct, established by the American Psychological Association (APA), furnishes guidelines for professional conduct. Elena’s case exemplifies multiple violations of these ethical norms.

Cultural Issues

Theoretical frameworks such as Relational-Cultural and Socio-Cultural theories provide insights into the influence of culture on individuals’ lives and relationships. Cultural protocols underscore the necessity of cultural proficiency among mental health practitioners.

Professional Behaviors

Professionals must anticipate and overcome barriers when aiding clients from diverse backgrounds. Culturally competent care necessitates awareness, comprehension, skills, encounters, and a willingness to comprehend and respect cultural variances.

Case Study Solutions

Proposed remedies encompass pre-appointment inquiries, family deliberations, furnishing consent forms in appropriate languages, and permitting patients to consult privately with the doctor.


Addressing language barriers, enhancing cultural proficiency among medical personnel, and employing models like ADDRESSING can augment healthcare provision in multicultural contexts. Given the evolving nature of cultural diversity, continual adaptation and sensitivity are imperative.


American Psychological Association. (2010). Ethical principles of psychologists and code of conduct. Retrieved from

Bennett, M.J. (1986). A developmental approach to training for intercultural sensitivity. International Journal of Intercultural Relations, 10(2), 179-195.

Campinha-Bacote, J., & Munoz, C. (2001). Addressing the linguistic and cultural needs of case management clients.

Di Stefano, G., Cataldo, E., & Laghetti, C. (2019). The client-oriented model of cultural competence in healthcare organizations. International Journal of Healthcare Management, 12(3), 189–196.

Frey, L. L. (2013). Relational-cultural therapy: Theory, research, and application to counseling competencies. Professional Psychology: Research and Practice, 44(3), 177-185. Doi:10.1037/a0033121

Fong, E. H., Catagnus, R. M., Brodhead, M. T., Quigley, S., & Field, S. (2016). Developing the Cultural Awareness Skills of Behavior Analysts. Behavior analysis in practice, 9(1), 84-94. doi:10.1007/s40617-016-0111-6

PSYC FPX 4900 Assessment 3 Comprehensive Case Presentation

Hays, P.A. (2016). Addressing cultural complexities in practice: Assessment, diagnosis, and therapy (Third ed). Washington, DC: American Psychological Association.


Moffett, L. A., Becker, C.-L. J., & Patton, R. G. (2014). Fostering the ethical sensitivity of beginning clinicians. Training and Education in Professional Psychology, 8(4), 229–235.

National Institutes of Health (NIH) communications-public-liaison/clear-communication/cultural- respect

Seegobin, W., Canning, S., & Bufford, R. K. (2016). Ethics and multicultural contexts: Understandings and applications. Journal of Psychology and Christianity, 35(4), 296-309. Retrieved from

PSYC FPX 4900 Assessment 3 Comprehensive Case Presentation

Sue, S., Zane, N., Nagayama Hall, G. C., & Berger, L. K. (2009). The case for cultural competency in psychotherapeutic interventions. Annual review of psychology, 60, 525-548.

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