In clinical interviewing, culture is not a peripheral concern—it often shapes how experiences, symptoms, and strengths are expressed. When interviewers and participants come from different cultural backgrounds, the task extends beyond asking questions to creating a space where participants feel understood without distortion or assumption.
Cultural differences in language, beliefs, and social norms can influence how questions are interpreted and how responses are shared. In these situations, interviewers may feel pressure to appear knowledgeable or culturally fluent. Yet, acknowledging uncertainty can be one of the most effective ways to build trust.
The Professional Strength of “I Don’t Know”
Admitting limited familiarity with a participant’s cultural context is not a failure of professionalism. On the contrary, it demonstrates respect for the participant’s lived experience. Questions such as “I’m not familiar with that tradition—could you tell me more about how it shapes your experience?” position the participant as the expert and invite more accurate, meaningful dialogue.
Beyond Checklist-Based Cultural Competence
Cultural competence is often described in terms of accumulated knowledge—learning customs, terminology, or traditions. While preparation is important, true cultural understanding emerges through curiosity, listening, and openness. Approaching the interview as a learner rather than an authority allows participants to define what is relevant within their own cultural framework.
“Cultural understanding begins when the interviewer is willing to listen without assuming expertise.”
Dr. Rhonda Karg Tweet
Practical Language That Signals Openness
Simple, respectful phrases can foster collaboration, such as:
“That’s not something I’ve encountered before. Would you be willing to explain what it means to you?”
“I want to make sure I understand—could you tell me more about how your community approaches this?”
“Please let me know if I use an incorrect term; I’m still learning.”
These statements encourage clarity, reduce misunderstandings, and help participants feel seen and respected.
Shared Understanding Through Humility
Acknowledging what we do not know benefits both interviewer and participant. It reduces assumptions, deepens trust, and often reveals insights that might otherwise be overlooked. Cultural sensitivity is not achieved in isolation—it is built collaboratively, through dialogue and mutual respect.
By embracing humility and curiosity, clinical interviewers create stronger connections and more accurate data. In doing so, they help ensure that cultural context enhances, rather than obscures, understanding.
Contact us at SCID Institute to learn how we prepare clinical interviewers to engage participants from diverse cultural backgrounds with humility, clarity, and ethical rigor. Schedule a consultation to discover how the SCID® and our SCID Experts can streamline your research while improving data quality and consistency.




