Page 124 - JSOM Fall 2022
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of organizational politics and power structures that must   the world or orient oneself and one’s praxis (application of
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            be considered.  Sociocultural knowledge is primarily “lo­  KSAs). 7,12–14  Cultural competency  training, for  example, too
            cated” in Tier 3.                                often becomes a “cultural cookbook” – a way of stereotyping
                                                             a community down to a fixed set of beliefs, values, and ways
          Many civilian health and performance professionals contracted   to engage with its members that are distilled into a checklist
          to work as embedded practitioners are formally trained in the   of what to do and not to do. 13–16  This has very little utility
          first tier of competencies and hired based on requisite degrees   in dynamic social groups. For this reason, we argue for an
          and certifications intended to represent foundational knowl­  expanded approach to equipping embedded professionals to
          edge. Some professionals are offered military­oriented training   engage with social environments rather than specific instal­
          opportunities to acquire Tier 2 knowledge prior to, or upon   lations, branches, career fields, or military culture in general.
          initial onboarding to work with specific programs or initia­
          tives. Working within communities as an integrated embedded   Why Is Sociocultural Knowledge Important?
          practitioner, rather than simply as a co­located professional,   The importance of sociocultural knowledge and understand­
          requires an overlay of professional knowledge (Tier 1) and so­  ing culture is hardly a new concept for the US military, which
          ciocultural knowledge of the community (Tiers 2 and 3) to   has demonstrated cycles of interest in the subject (as well as in
          integrate service delivery (Figure 1). Despite being in uniform,   anthropologists themselves) for over seventy years. 17–21  Former
          even newer military health and performance professionals will   Secretary of Defense James Mattis highlighted the need for this
          have to learn how to integrate into a variety of operational   knowledge stating:
          cultures and contexts that differ from that of the MTF and the
          medical context/community. For this reason, professions that   “If Marines want to be prepared for the next fight, they
          primarily work with communities may incorporate the addi­  are going to have to prepare themselves to adjust rapidly
          tional tiers into their formal training. Embedded practitioners   to whatever culture they are going into. We are always
          fall into the category of community­engaged professions such   operating in other people’s cultures. We’ve got to be able
          as social workers, community health workers, community or­  to adapt to those cultures and make certain that we do
          ganizers, sociologists, and anthropologists who are expected   not create problems.” 22
          to operationalize sociocultural knowledge to various extents
          in order to do their jobs. For the purpose of this article and   The kind of preparation Mattis is referring to far exceeds the
          due to the authors’ experience in anthropology and commu­  “area studies’’ approach to “cultural competence training” of­
          nity health, this article highlights a more anthropological lens   ten associated with preparing professionals to cross cultural
          of acquiring sociocultural knowledge.              boundaries. Preparing to adjust to different cultures rapidly
                                                             requires training that focuses on what Fosher and Macken­
          What Is Sociocultural Knowledge?                   zie have referred to as “culture general” or the approach to
          Sociocultural knowledge incorporates a vast array of inter­  advancing generalizable culture concepts and skills that are
          related  and  nuanced  rules  and  practices,  both  written  and   transferable across contexts to learn, understand, and apply
          unwritten, which govern activity and interaction between sub­  sociocultural knowledge. 5,22  It is one thing, for example, to
          jects in a given social context (primarily Tier 3). These rules   learn how a service branch organizes their ranks and desig­
          can often be experienced unevenly and carry different mean­  nates these ranks with associated symbols, customs, and cour­
          ings depending on who one is talking to. Thus, sociocultural   tesies. It is another to understand how rank governs social
          knowledge allows an individual to understand appropriate   interactions and the explicit as well as implicit rules of being
          behavior in one space, with one set of people, and to also un­  members within that social organization or hierarchy. It is one
          derstand why that same behavior would be inappropriate in a   thing to know what a rank is, for example, but the real value
          different space, with a different group of people.  comes in knowing what that rank means in a variety of social
                                                             contexts.
          Sociocultural knowledge is not limited to rules of behavior but
          must also include an understanding of systems of hierarchy   Mattis’ statement applies as much to embedded professionals
          both visible (rank) and invisible (authority), group dynamics   (both civilian and military) preparing to work within a unit
          and intergroup dynamics, impacts of the built environment on   community as it can to servicemembers preparing to interact
          social interactions, and a multitude of other considerations.   with coalition forces, adversaries, and civilians from different
          Which  of  these  considerations  are  most  impactful  can  vary   cultures. Somewhat like servicemembers entering another cul­
          from place to place and time to time and can make sociocul­  ture, embedded work requires embedded professionals to en­
          tural knowledge feel elusive. However, recognizing what to   gage with and integrate their work into communities that have
          look for and understanding how to utilize that knowledge are   their own multidimensional and dynamic cultures. The frus­
          possible with training and practice.               tration that emerges from teaching “military culture” or “mil­
                                                             itary cultural competence training” for civilians in particular is
          Each community has its own social environment that is made   that these efforts often rely on broad comparisons between the
          visible through sociocultural practices. Understanding the ele­  military and civilians or between service branches and do not
          ments of the social environment and how they are interrelated   teach cultural competence. In other words, they do not prepare
          can be thought of as “social­cultural knowledge” or what is   professionals to develop “the ability to quickly and accurately
          commonly referred to as “culture.” Current views of culture,   comprehend, then appropriately and effectively act, in a cul-
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          especially by fields that do not explicitly study culture, often   turally complex environment to achieve the desired effect.”
          oversimplify the concept. Although a variety of worthwhile   Instead, learners are often trained to rely on static tropes, or
          cultural competence models exist, they are often framed as   cultures as a “checklist” of dos and don’ts that do not prepare
          a tool to employ or as a means of culturally signaling good   them to gain and continue to develop a nuanced understanding
          intent to others rather than as a lens through which to view   of the community and operational context in question.


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