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The Talking Therapist

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

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.

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

But not every facet of it, as Buque, a fourth-year doctoral student in TC���s new  was reminded last year, when she began counseling a client of Mexican descent.

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

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

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

In 2014, Buque was one of six TC 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���s ambulatory clinics ��� obstetrics/gynecology, cardiology, pediatrics ��� 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 ���extracting and using cultural information to help people navigate therapy��� ��� work that sometimes takes her out of her comfort zone. ���As a counseling psychologist, you���re taught to strive for neutrality,��� she says, ���but with Latinas/os, you must engage in personal small talk. Otherwise they won���t come back.���

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

���I didn���t think I���d ever get the opportunity to be trained like this,��� she says. ���I take pride in being Latina, and now I���m serving my own community.��� ��� Joe Levine

Published Wednesday, Dec 21, 2016