Beck discusses issues related to a topic sensitively and compassionately that many might find challenging. 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). To fully WebLA-based artist Sam Durant made headline news in the summer of 2017 when his piece, Scaffold (2017), was exhibited at the Walker Art Centers sculpture park in Minneapolis, Minnesota and was subsequently protested by the Dakota community as a crime of historical violence and racial traumatization.Scaffold was originally installed in 2012 in Published online by Cambridge University Press: The ideas proposed by the authors should also appeal to therapists from non-Western cultures. Skerven et al. Qualitative responses indicated that the culturally adapted ACT was feasible and acceptable. This can indeed increase the risks mentioned above. The authors discourage unnecessary adaptations to standard DBT supported by It is, however, envisaged that therapists shared the same cultural values as the client, might be mindful of these norms, and possibly delivered therapy in Arabic some vital aspects of cultural adaptation. (Reference Memon, Taylor, Mohebati, Sundin, Cooper, Scanlon and Visser2016) describe factors affecting the relationship between service users and healthcare providers, e.g. It's a controversial topic, one that activists and celebrities like Adrienne Keene and Jesse Williams have helped bring into the national spotlight. 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. The review focuses on seven case studies of cultural adaptations of CBT for social anxiety disorder (SAD) for a culturally diverse population published separately. 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. Their distress is compounded by views of their family at home and members of their community in their host country. The authors emphasize some of the salient features of military culture: the organizational structure of the military and its branches, a timeline of major wars and operations, the ranking hierarchy, and its language that should be considered in adapting therapy for this group. Climbing the totem pole. This area merits further research. 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. 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. Note Therefore, it makes sense to adapt CBT when working with diverse populations. There is a need for more research in culture free aspects of CBT and to test these ideas across cultures. This article emphasizes the role of mental health services and accreditation bodies. Cultural Appreciation is appreciating another culture in an effort to broaden their perspective and connect with others cross-culturally, while cultural appropriation is taking one aspect of a culture that is not their own, such as culturally distinct items, aesthetics, or spiritual practices, and mimics it without consent, permission, or any Nevertheless, third wave therapies should be culturally adapted and tested. This approach is supported by the World Health Organization (WHO) as depicted in mhGAP (WHO, 2015), which promotes scaling up of evidence-based interventions and emphasizes the role of lay counsellors in delivering these interventions directly to the community members. It must also be emphasized that some elements of adaptation are universal, such as adapting to the language needs of the service users. The idea of getting down to the nitty-gritty came from the 18th century English slave trade, when nitty-gritty referred to the worthless debris left at the ships bottom compartment after slaves had been evacuatedand evolved to include the slaves themselves. 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). 2022. 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). However, the full potential of culturally adapted interventions will not be realized until and unless access to CBT is improved. client initiated therapist self-disclosure (TSD). 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. 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. McConocha, Erin The critical incident analysis model consists of a five-stage process: (1) account of the incident, (2) initial responses to the incident, (3) issues and dilemmas highlighted by this incident, (4) learning and (5) outcomes. and Flaskerud and Strehlow (Reference Flaskerud and Strehlow2008) suggest that apparent apathy and neglect of this highly marginalized, traumatized and disadvantaged population might be due to our belief in individual responsibility, free will and self-determination. Kenneth Fung has reported high levels of acceptance of ACT while working with the Cambodian community in Toronto (Fung, Reference Fung2015). The principles of CBT underpinned the intervention, with elements of DBT, CFT and ACT. Sclare, Irene Many authors have pointed to the uniqueness of military culture as being different from civilian culture, based on routines, structures, hierarchies and the dress codes, among many other attributes (Hall, Reference Hall2011; Reger et al., Reference Reger, Etherage, Reger and Gregory2008; Soeters et al., Reference Soeters, Winslow, Weibull and Caforio2006). First, DBT emphasizes client expectations, attributions, values, roles, beliefs, coping styles, and The first article discusses the need for service change to improve access to culturally adapted therapy (Beck and Naz, Reference Beck and Naz2019). 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. Cognitive behavioural therapy (CBT) in its current form might not be acceptable to service users from a variety of backgrounds. 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Didactic adaptations focused on improving engagement and included the use of audiovisual material. Finally, this special issue publishes seven articles (f) on issues related to service delivery, practice, training and supervision when working with a diverse population. Deighton, Jessica This review did not require ethics committee approval. substance use disorders. WebThe authors also suggest that culturally attuned enhancements that preserve and complement core principles and functions of DBT may improve treatment outcomes and We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Adaptation of CBT for service users from a variety of cultures and sub-cultures can be seen as an extension of this process. All these patients had a strict religious upbringing and had dysfunctional beliefs underpinned by their cultural and religious values. The treatment outcomes were generally promising in all cases, reporting a significant decrease of SAD symptoms, which were maintained over time. These authors start by highlighting the need to recognize a military culture in therapeutic encounters. View all Google Scholar citations This work encourages us to discuss the clients religious and cultural beliefs and to engage the client as experts not only in their problems but also in their culture and religion. 2021. While the authors mention elements of cultural adaptation of the manual, no systematic attempts were made to adapt the manual culturally. 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. Several attempts have been made at adapting third wave therapies (Cheng and Merrick, Reference Cheng and Merrick2017; Fuchs et al., Reference Fuchs, Lee, Roemer and Orsillo2013; Mercado and Hinojosa, Reference Mercado and Hinojosa2017; Ramaiya et al., Reference Ramaiya, Fiorillo, Regmi, Robins and Kohrt2017). Ghazala Mir and colleagues have very thoughtfully incorporated religious concepts in this intervention, such as self-compassion, hope and taking responsibility for ones actions, and have addressed misconceptions around religious teachings. Hakim et al. Stone and Arroll report a qualitative study to explore the experiences of therapists trained in CBT in Tanzania. Schema Therapy emphasizes the need for creating a warm therapistclient relationship as a pre-requisite for schema healing. The ethical considerations of counselling psychologists working with trauma: is there a risk of vicarious traumatisation? Brooks identifies some of the challenges that refugees, asylum seekers and survivors of torture may present with. The authors describe the process of cultural adaptation in some detail, e.g. Rodak, Terri We know that racism creates an inherently invalidating environment. Scotton, Isabela Lamante There is evidence to suggest that DBT is an effective treatment (Mndez-Bustos et al., Reference Mndez-Bustos, Calati, Rubio-Ramrez, Oli, Courtet and Lopez-Castroman2019; Panos et al., Reference Panos, Jackson, Hasan and Panos2014). They also discuss the sub-cultures within the army, based on religion, race or gender, etc. Key elements of 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. Sufism, an equivalent of mindfulness in Islam, might be more acceptable for Muslim clients and is worth exploring in this context. There is a need to adapt CBT for this group using a systematic approach. Third wave therapies are good examples of integration of CBT with another model of therapy. Therefore, there is a need to build robust evidence to convince funders, policy makers and service managers. Currently, the IASP (Improving Access to Structures Psychotherapies) CBT Training Program in Ontario, Canada, is incorporating culturally adapted CBT practices. } Ho, Pin-Cheng It is possible that people presenting with biological symptoms of depression and anxiety attend the modern health facilities, while those with predominantly psychological symptoms or those with a spiritual model of illness, attend faith or religious healers (Naeem, Reference Naeem2013; Naeem et al., Reference Naeem, Phiri, Munshi, Rathod, Ayub, Gobbi and Kingdon2015a). The UNESCO (United Nations Educational, Scientific and Cultural Organization) universal declaration on cultural diversity defines culture as the set of distinctive spiritual, material, intellectual and emotional features of society or a social group, and that it encompasses, in addition to art and literature, lifestyles, ways of living together, value systems, traditions and beliefs (UNESCO, 2001). However, there is lack of evidence supporting this approach with culturally Does clienttherapist gender matching influence therapy course or outcome in psychotherapy? This population is at an increased risk of emotional and mental health problems. They describe the critical elements of the adapted intervention using case summaries. 2022. Other authors have suggested the idea that neutral places in the community might improve access to services and engagement with the BME communities (Beck and Naz, Reference Beck and Naz2019; Kada, Reference Kada2019). 11. use of popular teachings and poems of Rumi, culturally familiar, non-technical language and video material from popular Turkish media and culturally syntonic translation of the therapy material. Chan, Ngan Yin These authors suggest that young children cannot be treated without considering attachment patterns, the broader family system and cultural variables. These ideas have significant implications for equity in terms of service provision. This brief manualized intervention can be delivered in four sessions and might be applicable across cultures. DBT is an evidence-based practice (Linehan, 2014), and research reflects mindfulness and acceptance-based therapies to indicate some clinical promise with The authors argue that holding on to the Politeness Plural linguistic schema may reinforce emotional distancing and might compromise schema healing. This special issue addresses a variety of problems, populations and psychotherapies. 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 also discuss the integration of ACT and compassion-focused therapy (CFT) in helping this population. Therefore, practical measures to improve access and providing training in culturally adapted therapy might be the most practical way forward. Singh, Anneesa D. Cultural appropriation is the adoption of certain elements from another culture without the consent of people who belong to that culture. It makes common sense that experienced health professionals regardless of their background can offer extra advantages to their service users if they transition to the IAPT. Hudson, Jennifer L. A simple definition of cultural appropriation is the idea of someone adopting something from a culture that is not their own. 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. Day, Crispin James, Kirsty Farrelly, Maria People of African-Caribbean origin in the UK have a higher incidence of schizophrenia (Fearon et al., Reference Fearon, Kirkbride, Morgan, Dazzan, Morgan, Lloyd and Murray2006), and are less likely to receive psychological therapies (Morgan et al., Reference Morgan, Dazzan, Morgan, Jones, Harrison, Leff and Fearon2006). Both the cultural adaptation of CBT that focuses on differences across cultures and a universalist approach focusing on similarities across cultures merit further investigation. Li, Shirley Xin 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). In some non-Western cultures, these expressions are accompanied by a set of gestures, for example, lowering of eyes or head (Cultural Atlas, 2019). Most importantly, this definition does not limit culture to race, religion or (Reference Skerven, Whicker and LeMaire2019) report adaptation of DBT to address the needs of service users with diverse gender identities and sexual orientations who have experienced sexual stigma.
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