The authors used thematic analysis to further elaborate on critical elements of this theme and how this could impact on (a) therapists reaction towards TSD, (b) the therapeutic alliance, and ultimately (c) the outcomes of therapy. The authors concluded that CBT can be an acceptable and effective treatment for culturally diverse SAD sufferers with modest modifications, and that applying them increases the treatment compliance and its outcomes, although they issue caution based on the quality of reporting and multiple methodological issues. Human societies are evolving at a fast pace. Most importantly, this definition does not limit culture to race, religion or Wang, Katie What Is Cultural Appropriation? | Britannica Nitty gritty. The second article describes an evaluation of the transition from the Black, Asian and minority ethnic (BME) community mental health worker to the IAPT low-intensity psychological wellbeing practitioner (Hakim et al., Reference Hakim, Thompson and Coleman-Oluwabusola2019). This area merits further research. Werntz, Alexandra Authors suggest that there can be significant benefits for services to provide IAPT training to people already providing culturally specific services. It is not common practice to report participants cultural or religious background in CBT research. Lisk, Stephen Brooks identifies some of the challenges that refugees, asylum seekers and survivors of torture may present with. The success of therapy was attributed to the culturally specific modifications. As language can be a barrier, authors provide some guidance on training interpreters. The debate over cultural appropriation has been around for decades. However, this will require a two-pronged approach: improving race relations at a national level and working closely with the accreditation bodies and service providers through canvassing, and emphasizing the role social factors play in the management of emotional and mental health problems. (PDF) Culturally Adapted Dialectical Behavior Therapy in Most adaptations involved modifications to language, metaphors, methods, and context. Conclusions: Culturally adapted DBT has been implemented and accepted among several racial, ethnic, and cultural groups, although there is insufficient evidence to determine whether culturally adapted DBT is more efficacious than nonadapted DBT. 2022. These are commendable efforts. and This paper describes the use of CBT with four patients with vaginismus in Tunisia. The authors point out that the NICE guidelines do not look at the suitability of cultural adaptations of CBT or how services could be best organized to meet the needs of BME populations. Stigma and discrimination based on sexual orientation or gender identity have a severe impact on the mental health of LGBTQ+ people (Meyer, Reference Meyer2003). Here, I briefly summarize and discuss the papers in this special issue. Currently, the IASP (Improving Access to Structures Psychotherapies) CBT Training Program in Ontario, Canada, is incorporating culturally adapted CBT practices. Neufeld, Carmem Beatriz They have presented a succinct rationale for the use of ACT and CFT to help Muslim GSM who might migrate to the West to avoid harsh treatment, but might feel trapped due to their experience of racism and anti-Islamic feelings in their host societies. The subculture of homelessness has been described as the culture of individuals who are homeless and share similar beliefs, values, norms, behaviours, social structures, and a common economic situation, all in response to a comparable living environment (Flaskerud and Strehlow, Reference Flaskerud and Strehlow2008). This one and half-hour part two online training was designed to provide an overview of the culturally adapted Dialectical Behavior Therapy (DBT) for Hispanic Future research must focus on systematically adapting CBT that can be tested through fully powered trials and evaluated for cost-effectiveness. WebThis chapter will discuss culturally specific enhancements of DBT for use with monolingual Spanish-speaking Latinos in community mental health settings. The attitudes towards LGBTQ+ in Muslim countries have been influenced by religion and Islamic jurisprudence, as well their social, political and cultural history. This paper, therefore, is a welcome addition to the existing literature in the area. Clark, Kirsty A. Acceptance and commitment therapy (ACT) is a trans-diagnostic intervention that has been tried both in the West and outside the West. Cultural considerations in dialectical behavior therapy. - APA Kil, Hali To fully understand its consequences, though, we need to make sure we have a working definition of culture itself. Even when the participants background is reported, a broader term such as White, Asian or Black is used, ignoring variations among these groups. I have tried to divide these articles according to the broader themes, although most articles will fit in more than one thematic area. Kenneth Fung has reported high levels of acceptance of ACT while working with the Cambodian community in Toronto (Fung, Reference Fung2015). However, prejudice towards this community worsened in the Islamic world, possibly due to the European laws during the colonial period and the rise of Islamist fundamentalism in the 1980s (The Economist, 2018). Therefore, practical measures to improve access and providing training in culturally adapted therapy might be the most practical way forward. Culture can influence religions, such as a blue-eyed Jesus in Europe and an Indian-looking Jesus in South Asia (Trendpost, 2015). In this article, Michelle Brooks emphasizes the need for the reflective practice, self-practice and critical incident analysis model when working with service users with complex needs, such as refugees, asylum seekers and survivors of torture attending the IAPT (Improving Access to Psychological Therapies) programme. CBT involves exploration and attempts to modify core beliefs. The review focuses on seven case studies of cultural adaptations of CBT for social anxiety disorder (SAD) for a culturally diverse population published separately. There is a need to consider ways to deliver these interventions without putting extra demands on health systems while taking into consideration the available resource. One paper describes a practice protocol for dissociative symptoms (Chessell et al., Reference Chessell, Brady, Akbar, Stevens and Young2019), another describes the use of CBT with asylum seekers (King and Said, Reference King and Said2019), and the third paper describes CBT with Mexican homeless girls (Castaos-Cervantes, Reference Castaos-Cervantes2019). The authors describe the mother of a 14-year-old female patient who carried out almost all the compulsive behaviours and rituals for her child. There are multiple arguments in favour of adapting CBT for people from a diverse background (Sue et al., Reference Sue, Zane, Nagayama Hall and Berger2009). This information can then be used to enhance therapeutic alliance and inform formulation and treatment. Brooks uses a case example to further elaborate the model and emphasize the need for further research in this area. What Does Cultural Appropriation Really Mean? - New York Times interpersonal effectiveness. They propose further investigation in this area. They also discuss the integration of ACT and compassion-focused therapy (CFT) in helping this population. While lower prevalence rates of SAD are reported from some non-Western cultures (Hofmann et al., Reference Hofmann, Asnaani and Hinton2010), these might be due to individuals seeking help from practitioners of traditional, complementary and alternative medicine (Gureje et al., Reference Gureje, Nortje, Makanjuola, Oladeji, Seedat and Jenkins2015). The protocol is discussed from the perspective of working with a refugee and asylum seeker population. Climbing the totem pole. Developed by Linehan Culturally Adapted Dialectical Behavior Therapy in an Developmental considerations included focusing on concrete concepts, using simplified language, vocabulary, and age-appropriate activities. A transdiagnostic community-based mental health treatment for comorbid disorders: development and outcomes of a randomized controlled trial among Burmese refugees in Thailand, A randomized controlled trial of a transdiagnostic cognitive-behavioral intervention for Afro-descendants survivors of systemic violence in Colombia, The lack of cancer surveillance data on sexual minorities and strategies for change, Differences in self-disclosure patterns among Americans versus Chinese: a comparative study, Cultural adaptation of dialectical behavior therapy for a Chinese international student with eating disorder and depression, Self-practice/self-reflection as an alternative to personal training-therapy in cognitive behavioural therapy training: a qualitative analysis, Religious and ethnic group influences on beliefs about mental illness: a qualitative interview study, The stress response systems: universality and adaptive individual differences, Incidence of schizophrenia and other psychoses in ethnic minority groups: results from the MRC AESOP Study, Matching client and therapist ethnicity, language, and gender: a review of research, Using mindfulness- and acceptance-based treatments with clients from nondominant cultural and/or marginalized backgrounds: clinical considerations, meta-analysis findings, and introduction to the special series. Engaging local mental health professionals can play a vital role in this regard to understand the ground realities, rather than taking a public health approach. Religious beliefs about causes and treatment of epilepsy, The Dimensions of Religiosity Scale: 20-item self-report measure of religious preoccupation, guidance, conviction, and emotional involvement, Formulation and treatment: integrating religion and spirituality in clinical practice, Child and Adolescent Psychiatric Clinics of North America, Meta-analysis of the efficacy and acceptability of cognitive-behavioural therapy for Arab adult populations experiencing anxiety, depression or post-traumatic stress disorder. Globalization also means rapid mobilization of people across national boundaries. Only limited literature is available on CBT with Arab clients (Kayrouz et al., Reference Kayrouz, Dear, Kayrouz, Karin, Gandy and Titov2018). Weaver, Timothy Cognitive-behavioral treatment of chronically parasuicidal borderline patients, Improving access to mental health care in an Orthodox Jewish community: a critical reflection upon the accommodation of otherness, Perceived barriers to accessing mental health services among black and minority ethnic (BME) communities: a qualitative study in Southeast England, Culturally adapted dialectical behavior therapy in an underserved community mental health setting: a latina adult case study, Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence, Psychotherapy with military personnel: lessons learned, challenges ahead, International Journal of Emergency Mental Health, Adapted behavioural activation for the treatment of depression in Muslims, First episode psychosis and ethnicity: initial findings from the AESOP study, Using cognitive behaviour therapy with South Asian Muslims: findings from the culturally sensitive CBT project, An evidence-based framework for cultural adaptation of cognitive behaviour therapy: process, methodology and foci of adaptation, World Cultural Psychiatry Research Review, Treating unresolved grief and posttraumatic stress symptoms in orphaned children in Tanzania: group-based trauma-focused cognitive behavioral therapy, Cognitive behavioral therapy with Latinos, Meta-analysis and systematic review assessing the efficacy of dialectical behavior therapy (DBT), The effectiveness of a lay health worker led intervention for depressive and anxiety disorders in primary care: the MANAS cluster randomized trial in Goa, India, Effect of a multicomponent behavioral intervention in adults impaired by psychological distress in a conflict-affected area of Pakistan: a randomized clinical trial, A cultural adaptation of dialectical behavior therapy in Nepal, Developing culturally sensitive cognitive behaviour therapy for psychosis for ethnic minority patients by exploration and incorporation of service users and health professionals views and opinions, Cognitive behaviour therapy for psychosis can be adapted for minority ethnic groups: a randomised controlled trial, Belief in supernatural causes of mental illness among Malay patients: impact on treatment, Empirical reality of dialectical behavioral therapy in borderline personality, Civilian psychologists in an army culture: the ethical challenge of cultural competence, Culturally competent adaptation of cognitive-behavioural therapy for psychosis: cases of Orthodox Jewish patients with messianic delusions.
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