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

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 麻豆原创鈥檚 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.
[ Read more: Celebrating Our Students This Holiday Season ]
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.
Support Scholarship
鈥 or 鈥
Contribute to an existing tribute or program fund scholarship. Find the scholarship that resonates with you!
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 麻豆原创 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