Close this message to accept cookies or find out how to manage your cookie settings. Authors describe a staged process of culturally adapting CBT that takes into account stakeholders opinions and experiences to develop guidelines that can be used to adapt CBT for clients from a non-Western background culturally. In terms of the mode of delivery, a group approach was considered more suitable to provide peer support and normalization for the UASC. Not all the LAMICs are the same, with wide variations in terms of the level of education, resources and availability of trained therapists. There are multiple arguments in favour of adapting CBT for people from a diverse background (Sue et al., Reference Sue, Zane, Nagayama Hall and Berger2009). WebCultural appropriation is a murky concept. These authors describe an evidence-based framework that has evolved over a decade. Some of this information might even be useful when working with service users from other Abrahamic religions. and The authors suggest more process research in the use of transdiagnostic therapy manuals in low- and middle-income countries. 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. 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 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. (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). I have tried to divide these articles according to the broader themes, although most articles will fit in more than one thematic area. Pachankis, John E. Mindfulness-based approaches as practised in the West have also been criticized as either lacking the philosophical, theoretical or theological underpinning (Kirmayer, Reference Kirmayer2015) or even being a tool misused by the capitalist West (Illing, Reference Illing2019). 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). 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. The protocol is discussed from the perspective of working with a refugee and asylum seeker population. Nitty gritty. This information can then be used to enhance therapeutic alliance and inform formulation and treatment. 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. WebCultural appropriation has been identified across a range of fields, including religion, music, sports, fashion, visual art, and film. The authors have used a variety of approaches to describe their experiences of working with people from diverse backgrounds. In addition to providing some guidance for therapists, Phiri et al. The dissociative responses are explained using the 6 Fs cascade. interpersonal effectiveness. As language can be a barrier, authors provide some guidance on training interpreters. Skerven et al. 2021. Dialectical Behavioral Therapy (DBT) - Healthline 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. Tanzania, like many other low- and middle-income countries, has a long tradition of faith healers (Li, Reference Li2011). The adaptations were made at structural and didactic levels. (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. At its core, DBT helps people build four major skills: mindfulness. There are wider cultural variations in self-disclosure. WebThis chapter will discuss culturally specific enhancements of DBT for use with monolingual Spanish-speaking Latinos in community mental health settings. 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. Most importantly, they address the cultural issues too. 2022. 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. 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. For sexual minorities, minority stress has been implicated as an increased risk of emotional and mental health disorders. Curbing cultural appropriation in the fashion industry The first article discusses the need for service change to improve access to culturally adapted therapy (Beck and Naz, Reference Beck and Naz2019). The authors report three cases to describe the therapy process, insights learned by therapists and compared those with the original model they developed. and 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). Cultural adaptations of CBT: a summary and discussion of the Adaptation of CBT for service users from a variety of cultures and sub-cultures can be seen as an extension of this process. Carter, Ben 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). Both verbal and non-verbal language plays a vital role in psychotherapeutic encounters. WebDBT is an intervention that has demonstrated efficacy for reducing suicidality (Swales et al., 2000), which may be effective among Native American clients. Finally, the authors list available resources in training in military culture for therapists. 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. pause before claiming cultural 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). Here, I briefly summarize and discuss the papers in this special issue. Such a slippery verb, appropriate, from the Latin ad The authors also report feasibility, acceptability and preliminary effectiveness of the intervention. 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. Evans, Claire 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. This declaration asserts that cultural pluralism pre-supposes respect for human rights. This paper, therefore, is a welcome addition to the existing literature in the area. It is not common practice to report participants cultural or religious background in CBT research. and Seven articles cover aspects of adaptation of therapies for people from different backgrounds. 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 term cultural appropriation, is by far a familiar one. While some therapists might be less interested in these topics, others might not explore these areas due to their anxieties around race relations. The authors argue that holding on to the Politeness Plural linguistic schema may reinforce emotional distancing and might compromise schema healing. Cultural appropriation is the adoption of certain elements from another culture without the consent of people who belong to that culture. 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. Three papers (c) address the issues of gender and sexuality. What Does Cultural Appropriation Really Mean? - New York Times 2021. Hakim et al. 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. Andrew Beck starts by presenting evidence that experience of racism can be a cumulative risk factor for developing mental health problems. The authors describe culturally adapted techniques they used to make therapy compatible with the local cultural context. The authors discuss the impact of minority stress, shame and migration stress in this group. First, DBT emphasizes client expectations, attributions, values, roles, beliefs, coping styles, and Shearer, James Murray and colleagues (Reference Murray, Haroz, Pullmann, Dorsey, Kane, Augustinavicius and Bolton2019) present data from two previously conducted RCTs (Bolton et al., Reference Bolton, Lee, Haroz, Murray, Dorsey, Robinson and Bass2014; Weiss et al., Reference Weiss, Murray, Zangana, Mahmooth, Kaysen, Dorsey and Bolton2015) in which they tested a modular, multi-problem, transdiagnostic manual using the common elements treatment approach (CETA). 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). Third wave therapies are good examples of integration of CBT with another model of therapy. Family-based cognitive behavioural therapy was offered over 4 months with a successful treatment outcome. This paper reports on the process of culturally adapted family intervention from a therapists perspective. 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. CBT involves exploration and attempts to modify core beliefs. DBTACES in a multicultural community mental health Psychological interventions, therefore, can play a vital role in engaging these clients. They highlight the need for commitment and investment, by all stakeholders, such as therapists, supervisors, clinical leads, service managers, Clinical Commissioning Groups (CCGs) and NHS England.
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