This article describes a clinical protocol for supporting those presenting with PTSD and severe dissociative symptoms, particularly dissociative flashbacks, based on a cross-culturally applicable model. Estrada, Suzanne 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 next step should be a large scale evaluation of the manualized form of this intervention. One paper describes a practice protocol for dissociative symptoms (Chessell et al., Reference Chessell, Brady, Akbar, Stevens and Young2019), another describes the use of CBT with asylum seekers (King and Said, Reference King and Said2019), and the third paper describes CBT with Mexican homeless girls (Castaos-Cervantes, Reference Castaos-Cervantes2019). How to Talk About Race The authors discourage unnecessary adaptations to standard DBT supported by Andrew Beck starts by presenting evidence that experience of racism can be a cumulative risk factor for developing mental health problems. Climbing the totem pole. Brooks uses a case example to further elaborate the model and emphasize the need for further research in this area. But what is cultural appropriation? This paper highlights a gap and provides the way forward in working with a highly stigmatized group. 2021. Exposure and response prevention was used to help the client. mean to appreciate vs. appropriate culture They rightly point out that adaptation work does not suggest changes in mental health care systems. However, mindfulness might not be acceptable to everyone from outside the West due to religious or cultural reasons. These adaptations are in line with our current knowledge of cultural adaptations described by other authors in this special issue. Culturally Adapted Dialectical Behavior Therapy in an interpersonal effectiveness. The authors concluded that CBT can be an acceptable and effective treatment for culturally diverse SAD sufferers with modest modifications, and that applying them increases the treatment compliance and its outcomes, although they issue caution based on the quality of reporting and multiple methodological issues. The major limitation of this framework is that it focuses on CBT and might not be generalizable to other therapies. 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). Their experience of racism, perceived biases and discrimination mean that TSD can play a vital role in building trust and improving engagement (Beck and Naz, Reference Beck and Naz2019). How dysfunctional are the dysfunctional attitudes in another culture? WebDialectical behavior therapy (DBT) has become the treatment of choice for complex clinical disorders. Pachankis, John E. 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). In some non-Western cultures, these expressions are accompanied by a set of gestures, for example, lowering of eyes or head (Cultural Atlas, 2019). The protocol was developed in a specialist NHS (National Health Service, England) programme for migrants with PTSD. and The authors have used a variety of approaches to describe their experiences of working with people from diverse backgrounds. However, we should also keep in mind that service users from different cultural backgrounds vary in their tendency to self-disclosure (Chen, Reference Chen1995; Yoo, Reference Yoo2012). They describe the critical elements of the adapted intervention using case summaries. Seven participants from Tanzanias only psychiatric hospital who had completed CBT training were interviewed. Finally, there are seven papers on issues related to service delivery, practice and training and supervision when working with a diverse population. Bertie, Lizl-Antoinette Acceptance and commitment therapy: Western adoption of Buddhist tenets? 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). 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). 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). Cultural appropriation 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. Skar, Ane-Marthe Solheim McQuillin, Samuel D. Not only was vippasana diluted and stripped into mindfulness (heavily used in CBR and other forms of therapy), now DBT, an up and coming form of therapy, heavily relies on eastern meditation techniques without proper attribution. Does clienttherapist gender matching influence therapy course or outcome in psychotherapy? for this article. There is also a need to test the culture-free aspects of CBT. This will require establishing trust and partnership with the community. These effects persisted on follow-up. Li, Shirley Xin 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. Hagler, Matthew A. How to Handle Cultural Appropriation: 16 Examples, Next Stone and Arroll report a qualitative study to explore the experiences of therapists trained in CBT in Tanzania. This brief manualized intervention can be delivered in four sessions and might be applicable across cultures. This paper describes the use of CBT with four patients with vaginismus in Tunisia. When working with refugees, these therapists have to face multiple barriers, such as language, religion and culture. 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. This declaration asserts that cultural pluralism pre-supposes respect for human rights. Two papers (e) focus on CBT for two religious groups, i.e. Cultural Authors believe combining these two paradigms can help LGBTQ+ service users in effectively interacting with this population. Ho, Pin-Cheng Clark, Kirsty A. 2022. These are commendable efforts. This special issue addresses a variety of problems, populations and psychotherapies. To fully understand its consequences, though, we need to make sure we have a working definition of culture itself. hasContentIssue false, British Association for Behavioural and Cognitive Psychotherapies 2019. and Harmful Effects of Cultural Appropriation - Health DBT is especially suited for cultural adaptations in several ways. Barletta, Janana Bianca 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). This review did not require ethics committee approval. and However, it is yet to be determined how sustainable these therapies are in the long term. The intervention reduced anxiety, depression and emotional dysregulation, and improved assertiveness. Hostname: page-component-75b8448494-jf2r5 The treatment outcomes were generally promising in all cases, reporting a significant decrease of SAD symptoms, which were maintained over time. 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 This article emphasizes the role of mental health services and accreditation bodies. At its core, DBT helps people build four major skills: mindfulness. When working cross-culturally, many consider a universalist approach to help focus on the similarities across cultures, rather than emphasizing differences (Beck, Reference Beck2016). The results of the qualitative analysis found five superordinate themes: the medical model, novelty, practicalities, process and therapist effects. Similarly, racism as a barrier to access to help and as a cause for the emotional and mental health problem has been previously reported (Rathod et al., Reference Rathod, Kingdon, Phiri and Gobbi2010; Ward and Brown, Reference Ward and Brown2015). 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). distress tolerance. WebIntroduction. What Does Cultural Appropriation Really Mean? - New York Times 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. Sufism, an equivalent of mindfulness in Islam, might be more acceptable for Muslim clients and is worth exploring in this context. What Is Cultural Appropriation? | Britannica 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. Some of this information might even be useful when working with service users from other Abrahamic religions. Memon et al. 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. Culturally adapted dialectical behavior therapy in an 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). 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.
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