Section One

Module 5: The Columns-and-Rows Problem

  • Why is it so difficult to describe a culture?

  • After working with the material in this module, readers will be able to

    • describe the out-group homogeneity bias

    • explain why attempting to name specific fixed cultures as a focus of our learning can be a problematic approach to client-centered, culturally and individually appropriate practice

    • explain why attempting to name specific group characteristics as a focus of our learning can be a problematic approach to client-centered, culturally and individually appropriate practice

As you approach this final module in Section One, you might have noticed that none of our modules have titles of the form “African American Culture,” “Providing Effective Services to the LGBTQIA+ Community,” or “What Speech-Language Pathologists Need to Know about Muslim Clients.” Why not? Without such materials, how can we learn about groups, individuals, cultures, and identities, much less satisfy the cultural and identity-based requirements presented in Modules 3 and 4?

The absence of such modules does not mean that these and many other group-based characteristics and individual identities are not important. In fact, this website does not include such sections or modules precisely because of the critical importance of everything about all of these characteristics and identities. Let’s consider what that means and how else we might think of culture and identity in our clinical service delivery and professional practice.

Defining the Columns: What is a Culture?

Start by imagining a situation in which you might be looking for precisely the kind of information named in the introduction to this module. Perhaps you are not Muslim, you have a new client who is Muslim, and you recognize that you need information if you are to work with this person appropriately. Then imagine that you have another new client; this person is from Chile, and you are not, so you are looking for information about Chilean culture. A third new client is a gay man; you are not a gay man, so you are seeking information about how to work with gay men appropriately. These pursuits are admirable, but keep the cultures in these examples in mind: Muslim, Chilean, and gay.

Now imagine a different, admittedly improbable, situation: You are living and working on Mars, and you have been asked to write a short article for your hospital’s newsletter that describes the values, preferences, beliefs, behaviors, and speech-language characteristics of a group that you think of as your home culture, or one of your home cultures, from when you lived on Earth. Which culture would you select? Depending on your background, you might start by thinking about “American” culture. But “American” includes a lot of people! Describing all the values, preferences, behaviors, and other details for all of “American” culture would be impossible in one newsletter article. You might narrow to “African American,” or “New Englander,” or “Buddhist Americans” as your culture, if you are African American, or a New Englander, or Buddhist.

What would happen as you started to write such an article? Let’s assume you are a New Englander writing about the cultural aspects that are characteristic of New England. In this example, you are a speech-language pathologist who works at a hospital, which makes you highly educated and financially stable; additionally, you might be a Black cisgender heterosexual vegetarian woman who grew up in Montpelier, Vermont. Do most New Englanders share all of these characteristics with you? No; many of your identifying characteristics are your personal identities, or represent the other groups or subgroups that you belong to, in addition to or within “New Englander.”

To be able to write about New England culture, therefore, you would have to write either very generally or very specifically. If you write generally, you could mention some general tendencies, describe some ranges of possibilities, and clarify that many New Englanders differ from this general description. The resulting article might not describe you at all, even though the original assignment was to write about your own culture. Alternatively, if you write specifically, you might start by clarifying that your article reflects only your own experiences and identities. In this case, your article would fit you but would represent only a distinct subset of New Englanders.

The problem you will have run across, as you tried to write about one of your own cultures, is that no single label adequately captures our full sense of our complete cultural backgrounds and important individual identities. Morgan’s (1996) model used multiple dimensions, including race, religion, national origin, native language, sexual orientation, and so on, for precisely this reason; many individual dimensions must be combined to describe a complete person. Selecting any one dimension, or only a few of them, provides only a small part of any person’s sense of who they are, or only a small part of their culture and of their many identities.

In my own case, to take another example, someone else might describe me as part of “White American” culture. That label is accurate, as far as it goes. If I were assigned to write about the culture that shaped my view of the world, however, or the culture that makes me feel from some people, from a place, from a time, and also in the group, with a coherent sense of what the group is for (our 16 Questions matrix, from Module 2), my article would have to be closer to “Semi-Retired White American Women Speech-Language Pathology Professors Who Grew Up in Northern California and Have Lived and Worked in Georgia for Decades, Whose Grandparents Were Migrant Farmworkers, and Who Love and Admire Their Grown Children Who Happily Use the Word Queer to Describe Themselves.” “White American” is a group, in other words, and I do belong to it, but there is very little I could write about White American culture for my hospital newsletter on Mars that would be true about me and also true about all other people who might be described as White Americans.

Let’s return to your three new clients here on Earth: We had described them as Muslim, Chilean, and gay. Focus on one or more of those cultural labels that you would say does not describe you or is not one of your cultures. (If you happen to be Muslim, Chilean, and gay, then think about any culture that is not you.)

Do you see what happened, as we thought about the richness and complexities and details of our own cultures, as compared with how we had collapsed and oversimplified other cultures? If you are not from Chile, were you assuming that “Chilean” could be viewed as one group, even though you know that “New Englander” and “White American Women” are complex, multifaceted groups? If you are not Muslim, were you prepared to be satisfied with isolated facts like “do not eat pork” when you could talk for days about the foods that matter in your own tradition, who prepares them, when, how, and why?

Anthropologists, sociologists, psychologists, political scientists, and other researchers have long known that people tend to use broader categories with fewer details to describe other groups and tend to use narrower categories and more details to describe themselves. This tendency is known as the “out-group homogeneity bias” (Park & Rothbart, 1982) or the tendency to assume that groups other than our own are relatively homogeneous, even as we recognize the substantial and important variation that exists within our own groups. In other words, most people qualify, limit, and add extra nuance to their descriptions and labels for their own cultures and collapse details, depend on isolated details, and depend on generalities to describe other groups.

These complexities reflect the Columns part of the Columns-and-Rows Problem. Imagine a hypothetical table or spreadsheet of cultural information, organized with a column for each culture. The problem we have been considering is how to label the columns, and it is a complicated problem that does not have a good solution. With broader or more general column labels (e.g., “Asian American” or “White” or “gay”), the table will be unable to capture the many important within-group differences that will be combined within each broadly defined column. With a column for every possible subgroup, however, the spreadsheet would be unworkably large, with an infinite number of columns. As quickly becomes obvious when we try to reduce everything we ourselves care about to one simple label, human cultures and identities cannot be fully respected and also reduced to a finite list of column labels.

Your Turn

Many cultural resources for speech-language pathologists are organized using a system that is essentially what this section has referred to as “columns.” Some well-respected textbooks, for example, include chapters about African American, Asian and Pacific American, Middle Eastern, and other large cultural groups (indeed, you might find Battle’s classic 2012 textbook to be very useful in some situations). ASHA journals often publish articles focused on the needs of clients from a particular cultural background (and again, you might find those articles useful in some circumstances). Cultural-issues course syllabi suggested by ASHA, similarly, suggest one or two class meetings about African American, Asian, Native American, and a few other cultures or labels (https://www.asha.org/practice/multicultural/faculty/cdinmd/ ). One explanation for using such a “column by column” or “culture by culture” approach might be that most ASHA-certified speech-language pathologists in the U.S. are monolingual English-speaking White women; from this point of view, the logic could be that most speech-language pathologists already understand monolingual English-speaking White culture and need to learn about other cultures, or need columns about other cultures. Critique everything about this explanation and the approach it leads to.

Defining the Rows: What are the Relevant Characteristics?

Now imagine, for the moment, that you have somehow managed to solve the Columns part of the Columns-and-Rows Problem for yourself. It took some time, but you have developed a reasonable number of columns for your spreadsheet, listing each culture for which you are seeking information. Your columns might not meet anyone’s definition of perfection, and might not represent the columns anyone else would want, but you have identified the columns that you would like to fill.

Your next task would be to decide on the rows for your spreadsheet: What kind of information do you want your spreadsheet to capture about each of the cultures you have listed?

Remember, again, some of the many definitions of culture from Module 1:

  • the beliefs and behaviors that link a group of people

  • a group’s values, and the actions and artifacts that result from those values

  • the recognized rules and unrecognized assumptions that control a group’s preferences, routines, and choices.

What will happen as you start trying to create rows to capture every relevant belief, behavior, value, action, rule, and assumption for each culture in your spreadsheet?

Think again about your own culture or cultures, and start trying to list the row labels you would need to describe your culture and to organize information that compares your culture(s) with other cultures. You might start with rows for such large categories as religious beliefs or dietary practices.

But what would happen when you started trying to fill in the information for those rows? “Dietary practices” covers a huge amount of territory!

Let’s try subdividing. Instead of a row for “dietary practices,” we might think in terms of ages, with rows for “Foods Considered Appropriate for Infants,” “Foods in Schools,” “Teen-agers’ Typical Diet,” and “Typical Adult Foods.”

But are you already recognizing the complexities for these rows? “Foods in Schools” includes everything from the spinach and rice dish that my preschoolers absolutely loved at their Montessori-style preschool, to brown-bagged bologna sandwiches on white bread, to debates about vending machines in middle schools. Maybe a row for every level of school? Think about the relationships between food and other aspects of culture, too: What if some families in the culture are vegan, but pig roasts are a typical celebratory event? Does information about typical adult foods belong under foods, or is it actually part of religious practices? Does every culture need a row about pig roasts? Or does food need to be described in terms of the physical availability of healthy foods in some neighborhoods, or in other ways that food interacts with politics and economics, not with religion?

Similar problems emerge for more abstract values, assumptions, or tendencies. Imagine, for example, a row labeled “Decision-making within the household.” A culture might be described generally as one in which men tend to serve as the head of the household and make most of the decisions for the household. But such a description needs to be questioned and subdivided, as our foods examples was: What about households without any men or with more than one man? What does “tend to make most decisions” mean? We would again need an enormous number of rows, including one for “Who makes the decision about how many books to read to the 5-year-old child at bedtime in this culture for the specific circumstance of a man-woman marriage, when neither of these two adults works outside the home in the evenings, while the two children are aged 3 and 5 years, and if the younger child is ill and is fighting taking their medicine tonight even though they are usually good about it?”

Obviously, the same problems that had complicated our attempts to identify appropriate columns are complicating our attempts to label the rows.

In the end, in trying to list the features of a culture, we have two choices. We can fall back on generalities that do not capture the nuances of that culture, do not apply to every person, and will not help us understand the distinctive elements of that culture. Alternatively, we can attempt to capture each nuance and all complexities, a task that would require an infinite number of rows. As we had realized in considering our spreadsheet’s columns, using a smaller number of more general rows would make the spreadsheet less useful, but using a larger number of more specific rows would make the spreadsheet impossibly large. We realize, in the end, that there is no straightforward way to list meaningful details about human beings in columns and rows.


Stereotypes, Compoundedness, and Dynamism

Are the previous paragraphs making you question the practicality of a columns-and-rows approach to cultures? Good! That was one of the messages.

But again, let’s imagine that somehow you have been able to solve the design questions. The arguments in the previous paragraphs claimed primarily that it would be difficult to list appropriate columns and appropriate rows, or impossible to create a list of columns and rows that would be appropriate for everyone. Still, let’s imagine you have been able to do so, for yourself. Imagine you have a spreadsheet, a book, or a searchable database that literally or metaphorically lists the cultures you are interested in across the top and lists the characteristics or information you are interested in as a series of rows. Now it would be time to start filling in each cell. What might happen?

Ideally, you could use such an exercise to find and learn information that would help you work appropriately with people from cultures that differ from your own. If you had a row for childcare roles or a row for grandparents, for example, and a column for African American families, you might find the information that “Black grandparents play instrumental roles in childrearing and child care.” If you had a row for “views of older people,” and were using “Chinese” as a column, you might search for relevant information and find that “in Chinese culture elders are viewed as a source of wisdom and spirituality, and they are respected to the extent that questioning their authority is considered offensive.”

Is such information useful to you in your practice? It might be. If you had previously assumed that grandparents would not be involved in the planning or provision of speech therapy for your child clients, because of what you have experienced so far during your journey through your life, then knowing that Black grandparents are often involved in caring for children could change your practice with Black families for the better. Similarly, if your only experiences with older people so far in your life had led you to assume that young adults in a family are free to question their parents’ or grandparents’ view or decisions, then this information might help you approach a Chinese or Chinese American family in a way they will perceive as more respectful.

But think for a moment about how the information in these two cells has helped you, or even how an entire chapter about any particular culture might help you. Do you know how exactly to work with any particular Black family, now that you know that some, many, or even most Black grandparents are engaged in childrearing and childcare tasks for the grandchildren? Do you have specific actionable insights into the dynamics of the particular Chinese American family in your clinic this morning, if you have learned that most Chinese families traditionally defer to their elders’ authority? Probably not! Why not? And how will you find out, for the specific families you are working with?

To find out if a particular child’s grandparents drive them to speech therapy, or do their language and literacy homework with them, or are otherwise engaged in caring for that child, we must ask or observe that particular family. To understand how the generations of any family interact with each other, we must watch them or ask them. Memorizing a fact from a cell, or looking up the information that will fit at the juncture of a column that names a culture and a row that names a topic, can never tell us how to work with any specific family. It might give us an initial assumption, and it might give us a better initial assumption than we could have come up with solely from our own limited experiences. The problem is that it might also be much closer to perpetuating a stereotype or a prejudice (see Module 9), and much further from being able to work appropriately with a real client, than we often want to believe.

Client-centered, culturally and individually appropriate speech-language pathology depends much more on our awareness of the dimensions and of the continua, and our readiness and willingness to accept that people might occupy any point along any of those continua, than it does on our knowledge of a purported fact from one cell at the intersection of one column and one row. If we continue with childrearing practices and relationships between generations, for example, it helps us to be aware that childrearing practices can vary between and within groups. It helps us to know about a range of childrearing practices. And it helps us to know that childrearing practices will vary along several dimensions, including those described by Hofstede (2011): Some families will be more or less authoritarian with their children, more or less structured or flexible in their beliefs and routines, more or less focused on the child’s development as an individual or on the child’s emerging ability to serve the group’s needs, and so on. It shapes our practice to know that federal law and professional ethics require us to incorporate every family’s and every client’s cultures and needs into our work. But we cannot possibly look up in a chart or in a chapter ahead of time where any particular client, or any particular family, will fall along the many relevant dimensions or what they will need us to do on the particular morning that they appear in our offices.

Overall, considering the Columns-and-Rows Problem reminds us that the benefit of learning about cultures comes not from memorizing purported facts about groups but from being primed to observe enough dimensions, ask enough questions, and accept a wide range of answers. We do not start by memorizing charts and making assumptions about people; we start by developing the breadth of background knowledge and the generalizable skills that we need, to be able to tailor our actions to each client’s and each family’s needs.

In ASHA’s and the CLAS Standards’ words, we are better prepared to recognize, respect, and respond to our clients’ needs when we are better prepared to recognize, respect, and respond to all the dimensions and to the full range of possibilities along every dimension, not when we have memorized an oversimplified generality from a set of columns and rows.

Your Turn

If this module has convinced you that the Columns-and-Rows Problem is a problem, try making any part of the counterargument. What benefit could there be to naming the columns (identifying the cultures), naming the rows (identifying the characteristics to be addressed), and/or filling in the cells (describing each culture)?

Part of your reaction to considering the Columns-and-Rows Problem might have been to disagree with it, or to recognize that you would like to know more about some general tendencies for a culture that you can name. If so, you might want to read parts of Battle’s (2012) classic textbook, or search at ASHA’s website for information about the culture you have in mind. Read and then critique any clinical recommendations you find, using the information discussed throughout this website as the basis for your critique.

This section referred to the possibility that memorizing one feature of one culture could be akin to memorizing or even perpetuating a stereotype or a prejudice. Sociologists and others have differentiated among three relevant terms (see more in Module 9):

  • stereotype: a fixed belief that oversimplifies another group

  • prejudice: a stereotype that serves the purpose of maintaining a perceived difference in ranking between two or more groups

  • discrimination: actions, or the results of actions, that are based on a prejudice and that result in the members of one group having a distinct advantage over members of another group

If it feels emotionally safe for you to do so, discuss some examples of stereotypes, prejudices, and discrimination that you can relate in some way to the Columns-and-Rows Problem. (If this question does not feel emotionally safe for you, your next step is completely up to you; don’t feel the need to explain to anyone else why you really just can’t deal with this question at the moment.)

As Crenshaw (1989) originally noted for Black women, and as many other scholars have noted since then, all real people occupy spaces that combine several culturally-defined columns or rows. Moreover, as Crenshaw also described, such combinations are not additive in simple ways; they are multiplicative, exponential, and unpredictable (many later researchers and authors have demonstrated the same thing; see Ching et al., 2018). Being a Black woman, or a Muslim Black woman, or a tall older Muslim Black woman attorney, cannot be captured by simply combining the information from each column, because those characteristics compound and influence each other in complicated ways. Lives also change over time: The Muslim Black woman attorney who has lived in Florida for 20 years could meet and marry a rich Native Alaskan novelist and move to Alaska to be near her new wife’s aging Native Alaskan parents. If she then has a stroke and you are her speech-language pathologist in Alaska, none of the columns or rows on any hypothetical spreadsheet will provide you with the details you need about her current beliefs, behaviors, or goals. Think about the cultural and identity-based compoundedness and dynamism in your own life. What has changed about you over time, or what would people not know about you if they knew only a few column labels?

Highlight Questions for Module 5

What is the out-group homogeneity bias? Discuss some of the complexities or nuances of your own cultures that you know from the inside but that might be overlooked or collapsed by people from other groups.

Explain how structuring our attempts to learn about culturally appropriate practice in terms of a few “cultures” can lead to something that might be described as “repeating stereotypes” about the members of those groups.

Explain why attempting to create a finite list of important group characteristics, as a focus of our learning, can be a problematic approach to culturally appropriate practice.

This module assumed that the “Columns-and-Rows Problem” is a problem. Which aspects of a “columns and rows” attempt to understand cultures do you find genuinely problematic (if any), and which aspects of it do you perceive as potentially positive or useful (if any)?

One response to the Columns-and-Rows Problem might be to avoid focusing on cultural characteristics at all. We might organize our work in a way that does not spend any time thinking about cultures or cultural backgrounds, perhaps using the logic that all people are people or that all people will benefit from high-quality clinical services (see Module 25). Where is the line, for you, between the error of ignoring critical differences between cultures and the error of spending too much time or energy focusing unnecessarily on the differences across cultures? Which aspects of your journey so far in your life, or which of your answers to a 16 Questions matrix about this issue, influence your answer?