Baskin-Sommers, Arielle Chan, Ngan Yin This declaration asserts that cultural pluralism pre-supposes respect for human rights. Stallard, Paul 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 It must also be emphasized that some elements of adaptation are universal, such as adapting to the language needs of the service users. Raphael Kada (Kada, Reference Kada2019) describes his experience of providing CBT for the Jewish community. There is at least some evidence that people from some non-Western culture are less likely to self disclose (Chen, Reference Chen1995; Yoo, Reference Yoo2012). However, they claim that in this case, the cultural context and the broader family system were not the primary factors in the development and maintenance of the problem. Pratt, Daniel 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. It is heartening to see this field grow over the past decade to the extent that it found its place in a special edition of a highly prestigious journal. These are commendable efforts. Here, I briefly summarize and discuss the papers in this special issue. Family-based cognitive behavioural therapy was offered over 4 months with a successful treatment outcome. Close this message to accept cookies or find out how to manage your cookie settings. 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). The authors examined the fidelity and flexibility of treatment elements. Developmental considerations included focusing on concrete concepts, using simplified language, vocabulary, and age-appropriate activities. They describe the critical elements of the adapted intervention using case summaries. This declaration asserts that cultural pluralism pre-supposes respect for human rights. Furthermore, individuals might vary in their level of acculturation and religiosity, and this should be taken into consideration (Joseph and DiDuca, Reference Joseph and DiDuca2007). There is (a) one systematic review of CBT for social anxiety among the culturally diverse population (Jankowska, Reference Jankowska2019). and 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. Finally, two papers describe the importance of self-reflection, self-practice and supervision (Brooks, Reference Brooks2019) and therapist self-disclosure (Phiri et al., Reference Phiri, Rathod, Gobbi, Carr and Kingdon2019). Wang, Katie The authors provide case 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). 2022. 2021. 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. Not all the LAMICs are the same, with wide variations in terms of the level of education, resources and availability of trained therapists. Estrada, Suzanne Revue Canadienne de Psychiatrie, Interventions for treating depression in Muslim patients: a systematic review, A culturally adapted depression intervention for African American adults experiencing depression: Oh Happy Day, Community-based mental health treatments for survivors of torture and militant attacks in Southern Iraq: a randomized control trial, The art and skill of delivering culturally responsive trauma-focused cognitive behavioral therapy in Tanzania and Kenya, Psychological Trauma: Theory, Research, Practice and Policy. These enhancements are drawn from the clinical work and experience of intensively trained bilingual DBT therapists. Therapists often do not discuss service users experiences of racism. Homelessness is often triggered by violence, trauma and adversity in childhood that makes the homeless culture attractive in giving status and acceptance to these individuals (Ravenhill, Reference Ravenhill2008). Lisk, Stephen Family intervention reduces hospital admission, encourage compliance with medication, improves general social impairment and the levels of expressed emotion within the family (Pharoah et al., Reference Pharoah, Mari, Rathbone and Wong2010), and therefore is recommended by NICE (NICE, 2014). In particular, it was possible to engage service users in family intervention for psychosis with and without biological family members. This paper highlights a gap and provides the way forward in working with a highly stigmatized group. 2021. Nitty gritty. WebDialectical behavior therapy (DBT) has become the treatment of choice for complex clinical disorders. This special issue publishes papers on both adaptation and integration of therapies to fulfil the needs of groups with complex needs and from different cultures and sub-cultures. It is defined as situations where a person associated with one group uses cultural elements from While literature reports perceived barriers to accessing mental health services among BME communities (Memon et al., Reference Memon, Taylor, Mohebati, Sundin, Cooper, Scanlon and Visser2016), not many models of improving access to psychological services for the BME group exist. 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). Scheer, Jillian R. As language can be a barrier, authors provide some guidance on training interpreters. This paper describes the use of CBT with four patients with vaginismus in Tunisia. They describe their efforts in adapting therapy for their service users on an individual level, barriers to access to IAPT services and lack of training for therapists from majority ethnic backgrounds. The over-arching theme of the paper is the engagement of the BME community in a collaborative manner while addressing stigma and with an emphasis on services being flexible in order to engage BME communities. Neufeld, Carmem Beatriz Key elements of Other notable examples of adaptation include: engagement (games, demonstrations, metaphors), use of interpreters to address the language needs of the group, and considering physical health needs at the start of the intervention. 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. It is therefore surprising that only limited literature is available on the adaptation of psychotherapy with military personnel (Miller, Reference Miller2010; Spoont et al., Reference Spoont, Sayer, Thuras, Erbes and Winston2003). 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. Bains, Anmol Culture, religion and spirituality influence the belief systems of people, including beliefs about illness, its causes and treatment (Cinnirella and Loewenthal, Reference Cinnirella and Loewenthal1999; Ismail et al., Reference Ismail, Wright, Rhodes and Small2005; Razali et al., Reference Razali, Khan and Hasanah1996). Deighton, Jessica It can be described as the act by a member of a relatively dominant culture of taking a traditional cultural expression and repurposing it in a different context, without authorization, acknowledgement and/or compensation, in a way that causes harm to the traditional cultural expression holder (s). Case studies in this review were reported from the USA and Japan. 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). DBT combined techniques from behaviour therapy and Zen Buddhism (Reddy and Vijay, Reference Reddy and Vijay2017) and was developed to help suicidal behaviours among borderline personality disorder service users (Linehan et al., Reference Linehan, Armstrong, Suarez, Allmon and Heard1991). While frameworks in the past were based on therapists personal experience, these authors have described a systematic approach to culturally adapt CBT that is based on evidence and has been tested through RCTs. The treatment outcomes were generally promising in all cases, reporting a significant decrease of SAD symptoms, which were maintained over time. In terms of the mode of delivery, a group approach was considered more suitable to provide peer support and normalization for the UASC. 2021. 2022. Huggett, Charlotte This will require establishing trust and partnership with the community. While some therapists might be less interested in these topics, others might not explore these areas due to their anxieties around race relations. This paper, therefore, is a welcome addition to the existing literature in the area. Similarly, researchers do not record information concerning participants sexual orientation (Bowen and Boehmer, Reference Bowen and Boehmer2007). 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. Psychological interventions, therefore, can play a vital role in engaging these clients. The British Journal of Medical Psychology, Mexican American womens perspectives on a culturally adapted cognitive-behavioral therapy guided self-help program for binge eating, Compassion satisfaction, burnout, and secondary traumatic stress in UK therapists who work with adult trauma clients, Practical psychotherapy: adaptation of dialectical behavior therapy by a VA Medical Center, The prevalence of mental health disorders in (ex-)military personnel with a physical impairment: a systematic review, Cognitive behaviour therapy training in a developing country: a pilot study in Tanzania, The case for cultural competency in psychotherapeutic interventions, Answering questions regarding the future directions of behavior therapy, Qualitative analysis of dysfunctional attitudes in Chinese persons suffering from depression, Mental health care for people who identify as lesbian, gay, bisexual, transgender, and (or) queer, Canadian Journal of Psychiatry. Total loading time: 0 CBT involves exploration and attempts to modify core beliefs. Climbing the totem pole. There is no agreed definition. 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. Future research must focus on systematically adapting CBT that can be tested through fully powered trials and evaluated for cost-effectiveness. and The original Beckian CBT model has been adapted over the years to help service users with anxiety, PTSD, OCD and psychosis. DBT is an evidence-based practice (Linehan, 2014), and research reflects mindfulness and acceptance-based therapies to indicate some clinical promise with Barletta, Janana Bianca These authors pioneered cultural adaptation of a CBT-based family intervention for psychosis for African-Caribbean people in England, and found it to be feasible and acceptable (Edge et al., Reference Edge, Degnan, Cotterill, Berry, Baker, Drake and Abel2018a,b). Memon et al. WebMaybe the differences would be that FAP makes a greater emphasis in the disclosing of therapists reactions as a way to evoke and reinforce clients desirable actions, while DBT and Finally, there are seven papers on issues related to service delivery, practice and training and supervision when working with a diverse population. The fifth study reports findings from a qualitative study of therapists experience of CBT training in Tanzania (Stone and Warren, Reference Stone and Warren2011). (Reference Hakim, Thompson and Coleman-Oluwabusola2019) explored the experience of four IAPT low-intensity Psychological Wellbeing Practitioners (PWP) who had previously worked as BME Community Mental Health Workers (CMHW). The finding that behavioural techniques need few adjustments and are almost culture free has been previously reported (Naeem et al., Reference Naeem, Gobbi, Ayub and Kingdon2010). Only limited literature is available on CBT with Arab clients (Kayrouz et al., Reference Kayrouz, Dear, Kayrouz, Karin, Gandy and Titov2018). Web1.12K subscribers. Cultural appropriation, defined Culture refers to the traditions, customs, beliefs, and practices of any given ethnic, racial, or religious group. The ethical considerations of counselling psychologists working with trauma: is there a risk of vicarious traumatisation? The authors have used a variety of approaches to describe their experiences of working with people from diverse backgrounds. 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). 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. However, mindfulness might not be acceptable to everyone from outside the West due to religious or cultural reasons. 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. and Weaver, Timothy Rebessi, Isabela Pizzarro 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. and As the author rightly points out, the dearth of CBT studies in this area is troubling. DBT is especially suited for cultural adaptations in several ways. These authors describe an evidence-based framework that has evolved over a decade. Currently, a quantitative evaluation is underway. This special edition, therefore, is a welcome addition to a fast-growing area in CBT research and practice: the cultural adaptation of CBT. They also discuss the sub-cultures within the army, based on religion, race or gender, etc. Military personnel share a common bond, feeling of unity and a sense of purpose and direction. Read Chan, Joey Wing Yan As far as I know, this is the first paper to address TSD in a cultural context. Three papers (d) focus on refugees, asylum seekers and the homeless. 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. Sclare, Irene WebCultural appropriation is a murky concept. The number of Muslims migrating to Europe and North America has increased over the last decade. Andrew Beck starts by presenting evidence that experience of racism can be a cumulative risk factor for developing mental health problems. Structural adaptations included changes in the language. Authors believe combining these two paradigms can help LGBTQ+ service users in effectively interacting with this population. Hakim et al. substance use disorders. Strategies for reducing secondary or vicarious trauma: do they work? 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 effects persisted on follow-up. Where does cultural appropriation come from? 2022. It tells us that the items and beliefs we hold dear and sacred This information can then be used to enhance therapeutic alliance and inform formulation and treatment. Core beliefs, underlying assumptions and even the content of automatic thoughts vary across cultures (Sahin and Sahin, Reference Sahin and Sahin1992; Tam et al., Reference Tam, Wong, Chow, Ng, Ng, Cheung and Mak2007). https://medicinehealth.leeds.ac.uk/downloads/download/131/results_and_resources_for_addressing_depression_in_muslim_communities, https://doi.org/10.1017/S1754470X1800017X, https://doi.org/10.1097/PRA.0000000000000119, https://doi.org/10.1136/bmjspcare-2014-000653.28, https://www.routledge.com/Transcultural-Cognitive-Behaviour-Therapy-for-Anxiety-and-Depression-A/Beck/p/book/9781138890480, https://doi.org/10.1017/S1754470X18000223, https://doi.org/10.1017/S1754470X18000016, https://doi.org/10.1017/S1754470X18000156, https://doi.org/10.1111/j.1600-0447.2005.00712.x, https://doi.org/10.1111/j.1752-0118.1998.tb00385.x, https://doi.org/10.1093/brief-treatment/mhj001, https://doi.org/10.1371/journal.pmed.1001757, https://doi.org/10.1371/journal.pone.0208483, https://doi.org/10.1007/s10552-007-0115-1, https://doi.org/10.1017/S1754470X19000023, https://doi.org/10.1017/S1754470X18000272, https://www.cfhi-fcass.ca/WhatWeDo/extra/improvement-projects/Cohorts/2010EXTRACompetitionResults/project6, https://doi.org/10.1017/S1754470X19000114, https://culturalatlas.sbs.com.au/chinese-culture/greetings, http://www.ncbi.nlm.nih.gov/books/NBK525363/, https://www.ncbi.nlm.nih.gov/books/NBK525366/, https://www.press.uchicago.edu/ucp/books/book/chicago/B/bo3613572.html, https://doi.org/10.1017/S0033291706008774, https://doi.org/10.3109/01612849009006520, https://doi.org/10.1080/01612840802319688, https://doi.org/10.1016/j.cbpra.2011.12.004, https://doi.org/10.1016/j.ecosys.2016.04.002, https://doi.org/10.1016/S2215-0366(15)00013-9, https://doi.org/10.1017/S1754470X18000296, https://doi.org/10.1080/00981389.2010.513914, https://doi.org/10.1002/14651858.CD012189, https://doi.org/10.1176/appi.ps.201400358, https://www.vox.com/science-and-health/2019/3/29/18264703/mindfulness-meditation-buddhism-david-forbes, https://doi.org/10.1017/S1754470X18000211, https://doi.org/10.1080/13674670601050295, https://doi.org/10.1017/S1754470X18000120, https://doi.org/10.1080/16506073.2018.1445124, https://doi.org/10.1017/S1754470X18000260, https://journals.sagepub.com/doi/full/10.1177/1363461515598949, https://doi.org/10.1017/S1754470X18000302, https://doi.org/10.4172/2471-9919.1000108, https://doi.org/10.1017/S1754470X19000096, https://doi.org/10.1186/s12888-017-1290-6, https://doi.org/10.1186/s12913-017-2509-4, https://doi.org/10.1136/bmjopen-2016-012337, https://doi.org/10.1037/0033-2909.129.5.674, https://doi.org/10.1017/S1754470X19000059, https://doi.org/10.1016/j.jad.2015.03.060, https://doi.org/10.1017/S1754470X18000144, https://doi.org/10.1017/S1352465814000332, https://doi.org/10.3109/09540261.2015.1067598, https://doi.org/10.1016/j.schres.2015.02.015, https://doi.org/10.1017/S1754470X19000060, https://doi.org/10.1016/S1077-7229(96)80017-4, https://doi.org/10.1016/S0140-6736(10)61508-5, https://doi.org/10.1017/S1754470X18000041, https://doi.org/10.1002/14651858.CD000088.pub2, https://doi.org/10.1017/S1754470X19000102, https://doi.org/10.1016/j.cbpra.2016.12.005, https://doi.org/10.1017/S1352465810000378, https://doi.org/10.1016/j.schres.2012.11.007, https://doi.org/10.1017/S1754470X18000247, https://doi.org/10.1111/j.1600-0447.1996.tb09854.x, https://doi.org/10.4103/IJPSYM.IJPSYM_132_17, https://doi.org/10.1080/08995600701753144, https://doi.org/10.1080/13674676.2014.902923, https://doi.org/10.1016/0272-7358(89)90006-8, https://doi.org/10.1007/978-3-319-21933-2_7, https://doi.org/10.1017/S1754470X18000235, https://www150.statcan.gc.ca/n1/pub/82-624-x/2014001/article/14121-eng.htm, https://doi.org/10.1136/oemed-2014-102207, https://doi.org/10.1017/S1754470X19000084, https://doi.org/10.1017/S1754470X18000181, https://doi.org/10.1017/S1754470X11000080, https://doi.org/10.1146/annurev.psych.60.110707.163651, https://www.economist.com/international/2013/05/04/minds-unmade, https://www.economist.com/open-future/2018/06/06/how-homosexuality-became-a-crime-in-the-middle-east, https://trendspost.com/depictions-of-jesus-around-the-world/, http://portal.unesco.org/en/ev.php-URL_ID=13649&URL_DO=DO_TOPIC&URL_SECTION=-471.html, https://doi.org/10.1016/j.jad.2012.06.035, https://doi.org/10.1186/s12888-015-0622-7, http://www.who.int/mental_health/mhgap/en/, https://doi.org/10.1017/S1754470X18000119, https://doi.org/10.1017/S1754470X18000132. 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). WebCultural appropriation is the act of adopting elements of an outside, often minority culture, including knowledge, practices, and symbols, without understanding or respecting the original culture and context. Gooding, Patricia Gender and sexual minorities (GSM) are over-represented in the migrating population. They describe some examples from their work to show how the services can better understand the needs of minority populations. 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. Most importantly, a focus on the implementation of adapted CBT, service development and improving access to adapted CBT is required, which can only happen with building the evidence base and advocacy for the right to evidence-based care. The lay counsellors, under supervision, demonstrated high levels of fidelity to the intervention. Rhodes, Jean E. 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. Collectively, papers in this special issue provide us with sufficient evidence that cultural considerations play a vital role when using CBT, offer practical suggestions for improving cultural competence and most importantly, can catalyse future research. The debate over cultural appropriation has been around for decades. They gathered information at multiple points using a variety of methods. 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).
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