Building an evidence base through high-quality research will further strengthen their argument. Deighton, Jessica Both the cultural adaptation of CBT that focuses on differences across cultures and a universalist approach focusing on similarities across cultures merit further investigation. However, therapy was not adapted using a systematic approach. A survey of compassion satisfaction, burnout and secondary traumatic stress of British therapists working with traumatized individuals reported that a higher risk of secondary traumatic stress was predicted in therapists engaging in more individual supervision and self-care activities and those with a personal trauma history (Sodeke-Gregson et al., Reference Sodeke-Gregson, Holttum and Billings2013). (Reference Memon, Taylor, Mohebati, Sundin, Cooper, Scanlon and Visser2016) describe factors affecting the relationship between service users and healthcare providers, e.g. This declaration asserts that cultural pluralism pre-supposes respect for human rights. They suggest that some BME client groups might test their therapist through initiating TSD. There is evidence to suggest that CBT needs to be culturally adapted for the Mexicans (Organista and Muoz, Reference Organista and Muoz1996; Shea et al., Reference Shea, Cachelin, Gutierrez, Wang and Phimphasone2016) and we therefore envisage that adaptation took place at three levels: (1) for broader Mexican culture, (2) for the homeless, and (3) for the youth. I start with a systematic review of CBT for social anxiety across cultures. They describe the critical elements of the adapted intervention using case summaries. I have tried to divide these articles according to the broader themes, although most articles will fit in more than one thematic area. When working with refugees, these therapists have to face multiple barriers, such as language, religion and culture. Brown, June 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). The authors describe the process of cultural adaptation in some detail, e.g. Feature Flags: { Key elements of Gooding, Patricia 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. Therapy was delivered by lay counsellors in Iraq and Thailand to treat trauma victims. and This study reports the results of post-intervention effects of a culturally adapted ACT group. Published online by Cambridge University Press: 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). 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. 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 and Therapist self-disclosure in cognitive-behavior therapy, Gender equality in Muslim-majority countries, The role of global traditional and complementary systems of medicine in treating mental health problems, The importance of understanding military culture, Culturally Responsive Cognitive-Behavioral Therapy: Assessment, Practice, and Supervision, Internalized stigma among sexual minority adults: insights from a social psychological perspective, Cultural aspects in social anxiety and social anxiety disorder, Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care, Culturally adapted cognitive-behavioral therapy for Chinese Americans with depression: a randomized controlled trial. 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. 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. This paper reports the cultural adaptation of ACT for the Turkish-speaking community in England. 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 These authors start by highlighting the need to recognize a military culture in therapeutic encounters. Didactic adaptations focused on improving engagement and included the use of audiovisual material. When working cross-culturally, many consider a universalist approach to help focus on the similarities across cultures, rather than emphasizing differences (Beck, Reference Beck2016). Phiri and colleagues used a systematic approach to culturally adapt CBTp (Rathod et al., Reference Rathod, Kingdon, Phiri and Gobbi2010) in England. 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. 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. For sexual minorities, minority stress has been implicated as an increased risk of emotional and mental health disorders. Hudson, Jennifer L. As far as I know, this is the first paper to address TSD in a cultural context. In terms of the mode of delivery, a group approach was considered more suitable to provide peer support and normalization for the UASC. Singh, Anneesa D. for this article. This paper examines the Greek cultural, linguistic schema of Politeness Plural in the application of a Schema Therapy mode model. The success of therapy was attributed to the culturally specific modifications. The adaptations were made at structural and didactic levels. McQuillin, Samuel D. However, it might be applicable across cultures. These are commendable efforts. 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 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. One example often used to illustrate cultural appropriation is history, experience and traditions. 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). 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. (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). Cognitive behavioural therapy (CBT), like most modern psychotherapies, is underpinned by the European-American values (Hays and Iwamasa, Reference Hays and Iwamasa2006; Naeem et al., Reference Naeem, Phiri, Rathod and Ayub2019; Stone et al., Reference Stone, Beck, Hashempour and Thwaites2018). They argue that family systems, religion and local cultural beliefs should all be taken into consideration when providing culturally adapted CBT. Stallard, Paul It's a controversial topic, one that activists and celebrities like Adrienne Keene and Jesse Williams have helped bring into the national spotlight. As language can be a barrier, authors provide some guidance on training interpreters. Hakim et al. This review did not require ethics committee approval. 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). The protocol is discussed from the perspective of working with a refugee and asylum seeker population. WebIntroduction. These values underpin the principle of cultural adaptation of evidence-based psychosocial interventions for people from diverse cultural and sub-cultural backgrounds. Based on this initial research and their clinical experience, and in order to further improve strategies to improve therapeutic alliance and engagement, they discuss TSD in this article. This paper, therefore, is a welcome addition to the existing literature in the area. A collaborative approach might not be acceptable across cultures. Cultural appropriation: Using elements of a marginalized culture, including clothing, images, or ideas, in ways that disrespect the culture. Case studies in this review were reported from the USA and Japan. 2022. Transdiagnostic mental health interventions have been tested in Uganda, Iraq, Thailand, Pakistan and India (Bolton et al., Reference Bolton, Lee, Haroz, Murray, Dorsey, Robinson and Bass2014; Bonilla-Escobar et al., Reference Bonilla-Escobar, Fandio-Losada, Martnez-Buitrago, Santaella-Tenorio, Tobn-Garca, Muoz-Morales and Bolton2018; Patel et al., Reference Patel, Weiss, Chowdhary, Naik, Pednekar, Chatterjee and Kirkwood2010; Rahman et al., Reference Rahman, Hamdani, Awan, Bryant, Dawson, Khan and Ommeren2016; Weiss et al., Reference Weiss, Murray, Zangana, Mahmooth, Kaysen, Dorsey and Bolton2015). Another survey from Canada reported time spent with trauma victims to be the strongest predictor of the traumatic stress. The lay counsellors, under supervision, demonstrated high levels of fidelity to the intervention. As far as I know, this is the only evidence-based intervention that was adapted for a religious group in England and is being implemented in at least some parts of the service. Authors believe combining these two paradigms can help LGBTQ+ service users in effectively interacting with this population. Day, Crispin These enhancements are drawn from the clinical work and experience of intensively trained bilingual DBT therapists. As the UASCs have typically experienced multiple losses, traumatic experiences, significant disruption and psychosocial stressors, a trauma focus approach was used. 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. A simple definition of cultural appropriation is the idea of someone adopting something from a culture that is not their own. Nevertheless, third wave therapies should be culturally adapted and tested. These authors describe an evidence-based framework that has evolved over a decade. distress tolerance. 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. The attitudes towards LGBTQ+ in Muslim countries have been influenced by religion and Islamic jurisprudence, as well their social, political and cultural history. The authors suggest that ACT and CFT may provide a practical framework for a culturally adapted therapy that targets the needs of those experiencing intersectional LGBTQ+ and Muslim identities. 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. } Haddock, Gillian The ideas proposed by the authors should also appeal to therapists from non-Western cultures. 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. Read 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. The next step should be a large scale evaluation of the manualized form of this intervention. 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. James, Kirsty Most importantly, this definition does not limit culture to race, religion or 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). No Comments have been published for this article. The authors report three cases to describe the therapy process, insights learned by therapists and compared those with the original model they developed. Neufeld, Carmem Beatriz Rodak, Terri Chan, Ngan Yin This paper describes combining DBT with a sexual stigma model (Herek et al., Reference Herek, Gillis and Cogan2009) for LGBTQ+ service users receiving therapy for borderline personality disorders. and A Cochrane Review reported that DBT reduces the frequency of repetition of self-harm, although no differences were observed in the proportion of patients repeating self-harm or other outcomes such as suicidal ideation and depression (Hawton et al., Reference Hawton, Witt, Taylor Salisbury, Arensman, Gunnell, Hazell and van Heeringen2016). Rhodes, Jean E. Globalization also means rapid mobilization of people across national boundaries. 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. To fully understand its consequences, though, we need to make sure we have a working definition of culture itself. The authors considered adaptations at numerous levels. 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. They describe the triple-A principle which describes foci of adaptation. The authors have used a variety of approaches to describe their experiences of working with people from diverse backgrounds. Ghazala Mir and co-workers have culturally adapted behavioural activation (BA) for Muslim service users in England. 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 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). 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). 2021. They emphasize the need to provide training and supervision to deliver culturally competent care to BME service users and encourage self-reflection among therapists. WebCultural appropriation has been identified across a range of fields, including religion, music, sports, fashion, visual art, and film. Clark, Kirsty A. We are already discovering that behavioural approaches might need few changes in their application across cultures (Alatiq and Alrshoud, Reference Alatiq and Alrshoud2018). 2022. Family interventions might be more appealing to people from collectivistic cultural backgrounds, and therefore the adaptation of family intervention for this group might improve access, engagement and thus outcomes. They describe some examples from their work to show how the services can better understand the needs of minority populations. However, the authors point out that there was little discussion or consideration given to other, non-culture-related factors that could potentially contribute to the success of therapy. This brief manualized intervention can be delivered in four sessions and might be applicable across cultures. The authors suggest that any attempt at holding on to the Politeness Plural cultural, linguistic schema in the Greek-speaking culture employed by either the therapist or the client reinforces emotional distancing and prevents the therapy from working through those maladaptive coping and internalized dysfunctional mechanisms of self that perpetuate schemas on both. 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. However, findings from this review certainly draw attention to the need for more research in this area. Here, I briefly summarize and discuss the papers in this special issue. Wing, Yun Kwok 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). View all Google Scholar citations 2021. Kada suggests adaptations both at the individual therapist level (to make therapy acceptable) and at the service level (to improve access and engagement). This paper reports on the process of culturally adapted family intervention from a therapists perspective. The authors provide their perspectives on the terms race, culture and ethnicity and share their understanding of these terms for CBT therapists. Three papers (c) address the issues of gender and sexuality. 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. 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. 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. Scotton, Isabela Lamante Sclare, Irene Such a slippery verb, appropriate, from the Latin ad These include awareness of the service users culture, consideration of cultural issues during the assessment and engagement phase and areas in therapy that need adjustment for therapy to be effective. They suggest that CBT compliments many aspects of military culture, for example agenda setting (emphasis on the daily structure), explicit goals for treatment (focus on mission completion) and focus on skill training (development of strengths). 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. In this thought-provoking article, the authors argue that attempts to culturally adapt interventions for Black and Minority ethnic (BME) service users will not have the desired impact if sufficient measures are not in place to improve access to psychological services. There are (b) seven articles covering different aspects of adaptation of therapies for diverse populations which include: culturally adapted family intervention using case studies (Berry et al., Reference Berry, Day, Mulligan, Seed, Degnan and Edge2018), a discussion of maladaptive schema and schema therapy in the context of Greek culture (Kolonia et al., Reference Kolonia, Tsartsara and Giakoumaki2019), use of a transdiagnostic intervention in low resource countries (Murray et al., Reference Murray, Haroz, Pullmann, Dorsey, Kane, Augustinavicius and Bolton2019), application of acceptance and commitment therapy (ACT) with a Turkish population in London (Perry et al., Reference Perry, Gardener, Oliver, Ta and zen2019), a framework to culturally adapt CBT (Rathod et al., Reference Rathod, Phiri and Naeem2019), a case report of family-based CBT for obsessive compulsive disorder (OCD) from Saudi Arabia (Alatiq and Alrshoud, Reference Alatiq and Alrshoud2018) and a paper discussing CBT in military culture (Zwiebach et al., Reference Zwiebach, Lannert, Sherrill, McSweeney, Sprang, Goodnight and Rauch2019). 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. Sunderland Council Housing Benefit Phone Number,
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