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 } 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). Seven participants from Tanzanias only psychiatric hospital who had completed CBT training were interviewed. 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). Does clienttherapist gender matching influence therapy course or outcome in psychotherapy? Shearer, James Case studies in this review were reported from the USA and Japan. I agree with the authors about the need for more research in this area. 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. However, the full potential of culturally adapted interventions will not be realized until and unless access to CBT is improved. This paper, therefore, is a welcome addition to the existing literature in the area. 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. Strategies for reducing secondary or vicarious trauma: do they work? The group intervention reduced depression, anxiety and emotional distress. 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). distress tolerance. Day, Crispin The authors discuss the impact of minority stress, shame and migration stress in this group. Byford, Sarah When respect for diversity is taken to crazy Wing, Yun Kwok Farrelly, Maria Barletta, Janana Bianca The protocol was developed in a specialist NHS (National Health Service, England) programme for migrants with PTSD. The authors examined the fidelity and flexibility of treatment elements. This area merits further research. and This information can then be used to enhance therapeutic alliance and inform formulation and treatment. 12. Cultural appropriation is the practice of using or taking something from another culture without giving proper recognition or respect to that culture, Mia Moody Rebessi, Isabela Pizzarro WebThis chapter will discuss culturally specific enhancements of DBT for use with monolingual Spanish-speaking Latinos in community mental health settings. We encourage the authors to share in-depth details of adaptations for application across countries and cultures. Same-sex relationships were generally tolerated in pre-modern Islamic societies. 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. In the end, political will, lobbying, public awareness and public demand play an important role in changes in service delivery and improving access to care. The authors describe the process of cultural adaptation in some detail, e.g. It is heartening to see the breadth and width of topics covered in this special issue. They describe some examples from their work to show how the services can better understand the needs of minority populations. All these patients had a strict religious upbringing and had dysfunctional beliefs underpinned by their cultural and religious values. The next step should be a large scale evaluation of the manualized form of this intervention. 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. A qualitative study from Montreal to explore the reasons for the under-use of conventional mental health services by people of Caribbean origin reported that tendency of physicians to prescribe pills is a significant barrier. The principles of CBT underpinned the intervention, with elements of DBT, CFT and ACT. Cultural Appropriation Hudson, Jennifer L. Authors suggest that there can be significant benefits for services to provide IAPT training to people already providing culturally specific services. Here, I briefly summarize and discuss the papers in this special issue. substance use disorders. These findings are consistent with North American literature on culturally adapting CBT (Rosen et al., Reference Rosen, Rebeta and Rothschild2014; Shabtai et al., Reference Shabtai, Pirutinsky, Rosmarin, Ben-Avie, Ives and Loewenthal2016) and to improve access to mental health services for Jews (McEvoy et al., Reference McEvoy, Williamson, Kada, Frazer, Dhliwayo and Gask2017). Bertie, Lizl-Antoinette 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. Even when the participants background is reported, a broader term such as White, Asian or Black is used, ignoring variations among these groups. 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 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. Most importantly, they address the cultural issues too. Beck discusses issues related to a topic sensitively and compassionately that many might find challenging. To fully 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). Three papers (d) focus on refugees, asylum seekers and the homeless. Finally, there are seven papers on issues related to service delivery, practice and training and supervision when working with a diverse population. What Is Cultural Appropriation? | Britannica The authors describe culturally adapted techniques they used to make therapy compatible with the local cultural context. Feature Flags: { Human societies are evolving at a fast pace. Globalization is bringing people together, and increasing their knowledge and awareness of the latest technologies in healthcare. 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. 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. and for this article. 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. They also highlight the culturally sensitive practice of involving faith or religious healers in therapy (Kada, Reference Kada2019; Mir et al., Reference Mir, Ghani, Meer and Hussain2019; Naeem et al., Reference Naeem, Phiri, Munshi, Rathod, Ayub, Gobbi and Kingdon2015a). Climbing the totem pole. This review did not require ethics committee approval. Therapy was delivered by lay counsellors in Iraq and Thailand to treat trauma victims. 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. This paper offers a wealth of information and insights, and highlights the need for incorporating religious and spiritual factors in formulation and treatment (Josephson, Reference Josephson2004; Miller, Reference Miller2004). There is a need for more research in culture free aspects of CBT and to test these ideas across cultures. Finally, this special issue publishes seven articles (f) on issues related to service delivery, practice, training and supervision when working with a diverse population. 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 Web1.12K subscribers. There is no agreed definition. The ethical considerations of counselling psychologists working with trauma: is there a risk of vicarious traumatisation? DBT is especially suited for cultural adaptations in several ways. McQuillin, Samuel D. The intervention reduced anxiety, depression and emotional dysregulation, and improved assertiveness. In some non-Western cultures, these expressions are accompanied by a set of gestures, for example, lowering of eyes or head (Cultural Atlas, 2019). James, Kirsty discuss the pros and cons of TSD. Gooding, Patricia Very high rates of post-traumatic stress disorder (PTSD), depression, anxiety and psychological distress have been reported among army personnel and veterans (Hoge et al., Reference Hoge, Castro, Messer, McGurk, Cotting and Koffman2004; Statistics Canada, 2014; Stevelink et al., Reference Stevelink, Malcolm, Mason, Jenkins, Sundin and Fear2015). The treatment outcomes were generally promising in all cases, reporting a significant decrease of SAD symptoms, which were maintained over time. 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. Culturally Adapted Dialectical Behavior Therapy for Hispanic Fonagy, Peter At first glance, it appears that this 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). Memon et al. The authors have expanded on their work over a decade in developing a framework for cultural adaptation of CBT that can be replicated (Naeem et al., Reference Naeem, Phiri, Munshi, Rathod, Ayub, Gobbi and Kingdon2015a; Naeem et al., Reference Naeem, Rathod, Khan and Ayub2016a,b; Naeem et al., Reference Naeem, Phiri, Rathod and Ayub2019; Rathod et al., Reference Rathod, Kingdon, Phiri and Gobbi2010). WebDBT is an intervention that has demonstrated efficacy for reducing suicidality (Swales et al., 2000), which may be effective among Native American clients. Teaching About Cultural Appropriation Two papers (e) focus on CBT for two religious groups, i.e. Qualitative responses indicated that the culturally adapted ACT was feasible and acceptable. Future research in this area should explore stakeholders views on improving access to IAPT services for BME communities. Nevertheless, third wave therapies should be culturally adapted and tested. 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.
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