F.10 · Ethics

Cultural humility and responsiveness

Explore examples of asking about a family’s greeting preferences and the materials familiar to a learner. Review how individual input and reflection on assumptions guide supervisor-approved adaptations while preserving the target skill and clear data definitions.

Task F.10: Engage in cultural humility and responsiveness

Useful foundations: F.1: Core principles of RBT ethics

The rule

Use the individual’s stated preferences and circumstances when considering an adaptation.

Ask the family about their values and preferences. Seek input respectfully, preserve the learner’s dignity and keep clinical changes within the agreed plan.

Key terms
Cultural humility
Ongoing willingness to examine assumptions and learn from the individual’s own preferences and context.

What to look for

DistinctionLook forHow to decide
Humility and inputThe learner or family describes their own preferencesAsk the person about their own experience and preferences.
Use individual preferencesAn assumption based on identity or group membershipCheck the actual person’s wishes and circumstances.
Respectful adaptationA meaningful mismatch with materials or routinesCollaborate on an approved change that preserves the target skill.

Worked examples

Ask the individual

Ask about greeting preferences

A teaching activity uses handshakes as the only acceptable greeting. A caregiver explains that their family prefers a spoken greeting without physical contact. The RBT had assumed everyone would want the handshake target.

Relevant facts

  • The family has provided a specific preference.
  • The target’s physical form may not fit that preference.

Listen, document the input and ask the supervisor to review an appropriate greeting target.

Family preference → clinical review of response form

Acknowledge this family’s stated preference and discuss it with the supervisor. The supervisor can preserve the communication purpose while considering a suitable greeting form.

Practical adaptation

Change the materials through the plan

A sorting program uses pictures of foods unfamiliar to a learner’s household. The caregiver offers examples of foods the learner regularly encounters. The skill target is sorting by a defined visual feature.

Relevant facts

  • Material familiarity may affect access to the task.
  • The underlying sorting relation can potentially be preserved.

Bring the suggested materials to the supervisor for an approved adaptation.

Relevant household examples + unchanged skill relation → proposed material revision

Ask about the learner’s actual experience and discuss suitable materials with the supervisor. Obtain approval for changes to assessment items or scoring, and document any changes when interpreting comparisons.

What changes the answer?

Keep a family’s cultural background the same; change the source of your conclusion.

  • The RBT is considering a greeting preference.

The family directly describes its preference.

Use that individual input in planning discussions.

It concerns the people receiving services.

The RBT assumes a preference from a group stereotype.

Ask the person respectfully about their preference.

The individual’s stated choice supplies the relevant information.

Use the person’s own input to guide the decision.

Remember

  • Ask, listen and examine your assumptions.
  • Adapt collaboratively while preserving clear skill and data definitions.
Sources for this topic

Reviewed 2026-09-30 · F.10 version 3.