Finally, the authors argue that more resources are required to understand and address the barriers to accessing mental health services for BME service users. Case studies in this review were reported from the USA and Japan. In particular, it was possible to engage service users in family intervention for psychosis with and without biological family members. for this article. Aminihajibashi, Samira They suggest more empirical research in this field. 2021. As the author rightly points out, the dearth of CBT studies in this area is troubling. James, Kirsty 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. At its core, DBT helps people build four major skills: mindfulness. Clark, Kirsty A. Understanding military culture becomes even more critical for civilian mental health professionals who are providing help to military personnel or veterans. As homosexuality is considered a sin in Islam, it might be worth exploring the link between the concept of sin and associated shame in this context. Understanding ACT, DBT, and FAP: Similarities and Differences However, it is yet to be determined how sustainable these therapies are in the long term. This case report describes the application of CBT in dealing with family accommodation (defined as how relatives, in particular parents, may assist in compulsive rituals, provide reassurance or modify their routines to alleviate or avoid the distress experienced by the obsessive-compulsive child). First, DBT emphasizes client expectations, attributions, values, roles, beliefs, coping styles, and The next step should be a large scale evaluation of the manualized form of this intervention. WebThis case study suggests that a cultural adaptation of a 17-session DBT skills group use contributed to symptom reduction of depression and anxiety in a Latina adult clientand The assertion that the expression of social anxiety is influenced by social and cultural factors (Hofmann et al., Reference Hofmann, Asnaani and Hinton2010) has common sense appeal. When working with refugees, these therapists have to face multiple barriers, such as language, religion and culture. Three papers discuss the issues of gender and sexuality when using CBT, while another three papers focus on refugees, asylum seekers and the homeless, and two papers describe the application of CBT with religious populations. We are becoming more mindful of the need to equal rights of all members of society, and to all societies and cultures and sub-cultures. Bertie, Lizl-Antoinette The attitudes towards LGBTQ+ in Muslim countries have been influenced by religion and Islamic jurisprudence, as well their social, political and cultural history. The prevalence rates of mental health difficulties among UASC are understandably higher than among children seeking asylum with their families, or children who are not from refugee or asylum-seeking backgrounds. Does clienttherapist gender matching influence therapy course or outcome in psychotherapy? Authors describe a staged process of culturally adapting CBT that takes into account stakeholders opinions and experiences to develop guidelines that can be used to adapt CBT for clients from a non-Western background culturally. How dysfunctional are the dysfunctional attitudes in another culture? The term cultural appropriation, is by far a familiar one. Similarly, their suggestion in adapting CBT is also in line with other papers in this issue. 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. They provide best practice guidelines for BME and White therapists, as well as service managers to enable them to work more effectively with service users from different ethnic and cultural backgrounds, for example to consider the current socio-political context. A systematic review of interventions for treating depression in Muslim patients reported that many studies do not distinguish between beliefs and values that are religious and those that are cultural, and that most of the evidence was methodologically weak or included assertions made without qualification (Walpole et al., Reference Walpole, McMillan, House, Cottrell and Mir2013). The first article discusses the need for service change to improve access to culturally adapted therapy (Beck and Naz, Reference Beck and Naz2019). This paper describes the development of a culturally adapted intervention and outlines a psychological skills group for unaccompanied asylum-seeking children (UASC). WebDialectical behavior therapy (DBT) has become the treatment of choice for complex clinical disorders. Therefore, for CBT to stay in the system, it has to evolve, to adapt and even integrate other systems of therapies, in order to address the demands of people with a variety of needs. What Is Cultural Appropriation It was the very definition of cultural appropriation: when a dominant group of people adopt the customs, practices and ideas of another group of people, often Therefore, there is a need to build robust evidence to convince funders, policy makers and service managers. interpersonal effectiveness. These authors have touched on a highly sensitive issue in a very skilful, diligent and empathic manner. This paper addresses issues above and beyond cultural adaptation of interventions and provides insights into the racial, political and health systems related issues, and most importantly the conflicts these issues can cause among therapists. The White Science of Meditation The original Beckian CBT model has been adapted over the years to help service users with anxiety, PTSD, OCD and psychosis. Finally, there are seven papers on issues related to service delivery, practice and training and supervision when working with a diverse population. The belief that not being a pious person is associated with depression or anxiety is also common among other religious groups (Mir et al., Reference Mir, Ghani, Meer and Hussain2019; Naeem et al., Reference Naeem, Phiri, Munshi, Rathod, Ayub, Gobbi and Kingdon2015a). Building an evidence base through high-quality research will further strengthen their argument. Haddock, Gillian They also discuss the sub-cultures within the army, based on religion, race or gender, etc. Close this message to accept cookies or find out how to manage your cookie settings. Most importantly, he provides practical guidance on how to do this: the appropriate time to make such enquiries, co-developing a genogram, carefully phrasing questions and use of information gathered to guide treatment. DBTACES in a multicultural community mental health The authors advise that a schema therapist needs to remain inquisitive of potential maladaptive or/and internalized dysfunctional coping mechanisms of inter-relating that are masked by the use of the Politeness Plural linguistic schema. Here, I briefly summarize and discuss the papers in this special issue. They gathered information at multiple points using a variety of methods. Werntz, Alexandra They discuss two themes (therapist effects and process) in detail, as they believe these to be particularly relevant to the clinical application of the therapy in this context. Don'ts of Cultural Appropriation 2021. Didactic adaptations focused on improving engagement and included the use of audiovisual material. This population is at an increased risk of emotional and mental health problems. Cultural considerations in dialectical behavior therapy There is a need to improve knowledge of evidence-based therapies through popular electronic and social media, as well as teaching and training health workers. All these patients had a strict religious upbringing and had dysfunctional beliefs underpinned by their cultural and religious values. One paper discusses the application of dialectical behaviour therapy (DBT) with LGBTQ service users (Skerven et al., Reference Skerven, Whicker and LeMaire2019), another describes a case series of vaginismus therapy in Tunisia (Zgueb et al., Reference Zgueb, Ouali, Achour, Jomli and Nacef2019), while the third paper reports use of behaviour therapy when working with gender and sexual minorities in the context of Islamic culture (Langroudi and Skinta, Reference Langroudi and Skinta2019). As language can be a barrier, authors provide some guidance on training interpreters. Therapists focused on cultural factors during assessment and engagement, shared learning, communication, coping skills and endings. Additionally, they have to adjust to the differences in the expression of love, lust and romance. Psychological interventions, therefore, can play a vital role in engaging these clients. Ethical travel tips: How to avoid cultural appropriation when The authors describe culturally adapted techniques they used to make therapy compatible with the local cultural context. This area merits further research. 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They describe their experience of successfully training therapists in delivering culturally adapted BA, which supports Muslim service users who choose to use positive religious coping as a resource for health. The Atlantic 12 Culturally Appropriative Words and Phrases This issue can be addressed in future research. They offer practical advice on discussing these issues. Gooding, Patricia Dialectical behavior therapy (DBT) is an evidence-based treatment that is principle-driven, rendering it well-suited for adaptations across cultural contexts. This article conducts a systematic review of the literature to determine the nature and extent of cultural adaptations of DBT to date. Web1.12K subscribers. This Ca-CBTp was found to be feasible and acceptable as well as effective in a pilot RCT (Rathod et al., Reference Rathod, Phiri, Harris, Underwood, Thagadur, Padmanabi and Kingdon2013). Chan, Joey Wing Yan Weaver, Timothy Cultural appropriation | Definition, History, Types, & Examples The suggestion that individual variations and environmental factors shape stress response might apply to groups of individuals (Ellis et al., Reference Ellis, Jackson and Boyce2006). This can indeed increase the risks mentioned above. The adaptations were made at structural and didactic levels. This interesting article provides food for thought for every therapist. The authors have used a variety of approaches to describe their experiences of working with people from diverse backgrounds. Key elements of The ethical considerations of counselling psychologists working with trauma: is there a risk of vicarious traumatisation? Cultural Appropriation Their original study consisted of individual in-depth face-to-face interviews with patients with psychosis (n = 15) and focused groups with lay members (n = 52), CBT therapists (n = 22) and mental health practitioners (n = 25). The authors provide their perspectives on the terms race, culture and ethnicity and share their understanding of these terms for CBT therapists. Has data issue: false This declaration asserts that cultural pluralism pre-supposes respect for human rights. The authors describe the process of cultural adaptation in some detail, e.g. Tanzania, like many other low- and middle-income countries, has a long tradition of faith healers (Li, Reference Li2011). Arun, whites would never claim cultural appropriation. Three papers (d) focus on refugees, asylum seekers and the homeless. Wing, Yun Kwok Peter Phiri and colleagues present findings from a sub-analysis of a qualitative study to culturally adapt CBT for psychosis for people of Afro-Caribbean and South Asian background (Rathod et al., Reference Rathod, Kingdon, Phiri and Gobbi2010). Cultural and sub-cultural background also influence beliefs about wellbeing, causes of illness and its cure, help-seeking behaviours, healing systems and even the healers (Altweck et al., Reference Altweck, Marshall, Ferenczi and Lefringhausen2015; Bhugra, Reference Bhugra2006; Bhugra and Bhui, Reference Bhugra and Bhui1998; Hagmayer and Engelmann, Reference Hagmayer and Engelmann2014). In addition to describing the culturally adapted CBT techniques, the authors highlight the issues of gender discrimination and female sexuality in Muslim countries (Gouda and Potrafke, Reference Gouda and Potrafke2016). We know that racism creates an inherently invalidating environment. WebCultural appropriation takes place when members of a majority group adopt cultural elements of a minority group in an exploitative, disrespectful, or stereotypical way. When working cross-culturally, many consider a universalist approach to help focus on the similarities across cultures, rather than emphasizing differences (Beck, Reference Beck2016). Andrew Beck starts by presenting evidence that experience of racism can be a cumulative risk factor for developing mental health problems. Kada suggests adaptations both at the individual therapist level (to make therapy acceptable) and at the service level (to improve access and engagement). The author encourages therapists working with BME service users to develop skills to discuss their race, ethnicity, religion and experiences of racism with their service users. Therapy was adapted using qualitative methods while maintaining the theoretical underpinning of BA and was found to be feasible and acceptable (Mir et al., Reference Mir, Meer, Cottrell, McMillan, House and Kanter2015). Yarrum, Jynna The third article discusses issues of race, cthnicity and culture in CBT to support therapists and service managers to deliver culturally competent therapy (Naz et al., Reference Naz, Gregory and Bahu2019). There is a need for further research on a model developed by these authors, which has been tried elsewhere (Baillie et al., Reference Baillie, Harrop, Hopewell-Kelly, Stephens, Byrne and Nelson2014; CFHI, 2018). Stallard, Paul Stigma and discrimination based on sexual orientation or gender identity have a severe impact on the mental health of LGBTQ+ people (Meyer, Reference Meyer2003). Such a slippery verb, appropriate, from the Latin ad Kil, Hali Orthodox Jews and Muslims (Kada, Reference Kada2019; Mir et al., Reference Mir, Ghani, Meer and Hussain2019). The authors describe dealing with religious and cultural beliefs, and the role played by the family, engaging family members in therapy, dealing with shame and guilt, and local practices, such as magic rituals. A collaborative approach might not be acceptable across cultures. They describe some examples from their work to show how the services can better understand the needs of minority populations. The Use of Dialectical Behavioral Therapy with the and Military personnel share a common bond, feeling of unity and a sense of purpose and direction. Self-practice, self-reflection (Chigwedere et al., Reference Chigwedere, Thwaites, Fitzmaurice and Donohoe2019) and the critical incident analysis model can be useful tools for these therapists. 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 These results indicated that the level of distinctiveness threat experienced increases the perception of cultural appropriation. Figure: Detailed depiction of the study designs and categories of cultural appropriation. This implies that interventions adapted for religious groups should take into consideration the cultural factors as well. Farrelly, Maria In some non-Western cultures, these expressions are accompanied by a set of gestures, for example, lowering of eyes or head (Cultural Atlas, 2019). They discuss the barriers in access to CBT, such as stigma and racism (mistrust of services and service providers), therapists level of awareness (gender, religion and rituals), the religious beliefs (depression occurring only in those who are not genuinely religious) as well as the level of religiosity (Orthodox, Liberal, Conservative and Reform, non-affiliated or secular Jews). View all Google Scholar citations The t-v (tu-vos) distinctions are common around the globe and expressed in a variety of forms. Homoerotic themes were prevalent in poetry and other literary genres written in major languages of the Muslim world from the eighth century into the modern era (El-Rouayheb, Reference El-Rouayheb2005). This paper describes the authors experience of delivering training in culturally sensitive CBT, thoughtful commentary on race relations in England, and improving access to CBT for BME clients. This small-scale study offers in-depth insights based on the experience of front-line workers. Susana Castaos-Cervantes (Castaos-Cervantes, Reference Castaos-Cervantes2019) describes the preliminary efficacy of a brief cognitive behavioural group therapy group intervention tailored to Mexican homeless girls. This intervention was planned around three key themes: physical health needs, emotional wellbeing, and resilience-building. No Comments have been published for this article. The authors discuss the impact of minority stress, shame and migration stress in this group. Murray and colleagues (Reference Murray, Haroz, Pullmann, Dorsey, Kane, Augustinavicius and Bolton2019) present data from two previously conducted RCTs (Bolton et al., Reference Bolton, Lee, Haroz, Murray, Dorsey, Robinson and Bass2014; Weiss et al., Reference Weiss, Murray, Zangana, Mahmooth, Kaysen, Dorsey and Bolton2015) in which they tested a modular, multi-problem, transdiagnostic manual using the common elements treatment approach (CETA). 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. and Structural adaptations included changes in the language. Brown, June client initiated therapist self-disclosure (TSD). There is, however, a need to confirm the effectiveness of culturally adapted family interventions through fully powered RCTs. The authors concluded that if applied thoughtfully, CBT can be used for patients in Saudi Arabia. For sexual minorities, minority stress has been implicated as an increased risk of emotional and mental health disorders. Cultural adaptations of CBT: a summary and discussion University of Toronto and Centre for Addiction and Mental Health, Toronto, Canada, Volume 12: Special Issue: Cultural Adaptations of CBT, https://doi.org/10.1017/S1754470X19000278, Reference Stone, Beck, Hashempour and Thwaites, Reference Tam, Wong, Chow, Ng, Ng, Cheung and Mak, Reference Altweck, Marshall, Ferenczi and Lefringhausen, Reference Berry, Day, Mulligan, Seed, Degnan and Edge, Reference Kolonia, Tsartsara and Giakoumaki, Reference Murray, Haroz, Pullmann, Dorsey, Kane, Augustinavicius and Bolton, Reference Perry, Gardener, Oliver, Ta and zen, Reference Zwiebach, Lannert, Sherrill, McSweeney, Sprang, Goodnight and Rauch, Reference Zgueb, Ouali, Achour, Jomli and Nacef, Reference Chessell, Brady, Akbar, Stevens and Young, Reference Hakim, Thompson and Coleman-Oluwabusola, Reference Phiri, Rathod, Gobbi, Carr and Kingdon, Reference Gureje, Nortje, Makanjuola, Oladeji, Seedat and Jenkins, Reference Hwang, Myers, Chiu, Mak, Butner, Fujimoto and Miranda, Reference Edge, Degnan, Cotterill, Berry, Baker, Drake and Abel, Reference Fearon, Kirkbride, Morgan, Dazzan, Morgan, Lloyd and Murray, Reference Morgan, Dazzan, Morgan, Jones, Harrison, Leff and Fearon, Reference Pharoah, Mari, Rathbone and Wong, Reference Li, Zhang, Luo, Liu, Liu, Lin and Naeem, Reference Naeem, Habib, Gul, Khalid, Saeed, Farooq and Kingdon, Reference Naeem, Saeed, Irfan, Kiran, Mehmood, Gul and Kingdon, Reference Rathod, Kingdon, Phiri and Gobbi, Reference Rathod, Phiri, Harris, Underwood, Thagadur, Padmanabi and Kingdon, Reference Bolton, Lee, Haroz, Murray, Dorsey, Robinson and Bass, Reference Weiss, Murray, Zangana, Mahmooth, Kaysen, Dorsey and Bolton, Reference Bonilla-Escobar, Fandio-Losada, Martnez-Buitrago, Santaella-Tenorio, Tobn-Garca, Muoz-Morales and Bolton, Reference Patel, Weiss, Chowdhary, Naik, Pednekar, Chatterjee and Kirkwood, Reference Rahman, Hamdani, Awan, Bryant, Dawson, Khan and Ommeren, Reference Rathod, Pinninti, Irfan, Gorczynski, Rathod, Gega and Naeem, Reference Ramaiya, Fiorillo, Regmi, Robins and Kohrt, Reference Sue, Zane, Nagayama Hall and Berger, Reference Naeem, Phiri, Munshi, Rathod, Ayub, Gobbi and Kingdon, Reference Kayrouz, Dear, Kayrouz, Karin, Gandy and Titov, Reference Reger, Etherage, Reger and Gregory, Reference Soeters, Winslow, Weibull and Caforio, Reference Hoge, Castro, Messer, McGurk, Cotting and Koffman, Reference Stevelink, Malcolm, Mason, Jenkins, Sundin and Fear, Reference Spoont, Sayer, Thuras, Erbes and Winston, Reference Linehan, Armstrong, Suarez, Allmon and Heard, Reference Mndez-Bustos, Calati, Rubio-Ramrez, Oli, Courtet and Lopez-Castroman, Reference Panos, Jackson, Hasan and Panos, Reference Hawton, Witt, Taylor Salisbury, Arensman, Gunnell, Hazell and van Heeringen, Reference Ismail, Wright, Rhodes and Small, Reference Shea, Cachelin, Gutierrez, Wang and Phimphasone, Reference Shabtai, Pirutinsky, Rosmarin, Ben-Avie, Ives and Loewenthal, Reference McEvoy, Williamson, Kada, Frazer, Dhliwayo and Gask, Reference Mir, Meer, Cottrell, McMillan, House and Kanter, Reference Walpole, McMillan, House, Cottrell and Mir, Reference Memon, Taylor, Mohebati, Sundin, Cooper, Scanlon and Visser, Reference Baillie, Harrop, Hopewell-Kelly, Stephens, Byrne and Nelson, Reference ODonnell, Dorsey, Gong, Ostermann, Whetten, Cohen and Whetten, Reference Woods-Jaeger, Kava, Akiba, Lucid and Dorsey, Reference Chigwedere, Thwaites, Fitzmaurice and Donohoe, Reference Sodeke-Gregson, Holttum and Billings, Reference Goldfried, Burckell and Eubanks-Carter, Online CBT is effective in overcoming cultural and language barriers in patients with depression, Engaging minority ethnic communities to improve access to palliative care: barriers and strategies, Transcultural Cognitive Behaviour Therapy for Anxiety and Depression: A Practical Guide, Psychotherapy for ethnic minorities: issues, context and practice.
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