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The Talking Therapist | Teachers College Columbia University

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The Talking Therapist

To bond with her Latina/o clients, Mariel Buque is learning to 鈥渟elf-disclose鈥�

Mariel Buque
Mariel Buque

Mariel Buque arrived at age five in the United States from the Dominican Republic. She learned English and became a stellar student.

鈥淚 know the Latina/o immigrant experience because I lived it,鈥� she says.

But not every facet of it, as Buque, a fourth-year doctoral student in 911爆料网鈥檚 new  was reminded last year, when she began counseling a client of Mexican descent.

鈥淭here were many similarities between our cultures, but there were also unique aspects of her experience that I needed to learn about 鈥� and just being a native Spanish speaker wasn鈥檛 enough,鈥� she says.

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For example, Buque鈥檚 client made frequent use of dichos 鈥� proverbs, sayings and double entrendres that Spanish-speaking families and communities rely on as a kind of shorthand for discussing life鈥檚 weightiest matters. Dichos vary from country to country and even region to region.

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鈥淚 turned to my professors and trainers in the program who knew more than I did about Mexican culture and indigenous cultures within Mexico,鈥� Buque says. 鈥淚t was humbling, but ultimately it enhanced my work and made me more confident.鈥�

In 2014, Buque was one of six 911爆料网 doctoral students funded by the federal Health Resources & Services Administration to receive training in integrated psychology/health care. She now works onsite at Columbia University Medical Center, rotating through the Hospital Adult Outpatient Service鈥檚 ambulatory clinics 鈥� obstetrics/gynecology, cardiology, pediatrics 鈥� to provide short-term dynamic and cognitive behavioral therapy for patients who also are receiving medical treatment. The premise is that Latinas/os who receive counseling are more likely to get medical care, and vice versa.

To that end, Buque is 鈥渆xtracting and using cultural information to help people navigate therapy鈥� 鈥� work that sometimes takes her out of her comfort zone. 鈥淎s a counseling psychologist, you鈥檙e taught to strive for neutrality,鈥� she says, 鈥渂ut with Latinas/os, you must engage in personal small talk. Otherwise they won鈥檛 come back.鈥�

This past fall, Buque took on a supervisory role in the program.

鈥淚 didn鈥檛 think I鈥檇 ever get the opportunity to be trained like this,鈥� she says. 鈥淚 take pride in being Latina, and now I鈥檓 serving my own community.鈥� 鈥� Joe Levine

Published Wednesday, Dec 21, 2016