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). Phiri and colleagues used a systematic approach to culturally adapt CBTp (Rathod et al., Reference Rathod, Kingdon, Phiri and Gobbi2010) in England. When respect for diversity is taken to crazy This paper reports on the process of culturally adapted family intervention from a therapists perspective. Gooding, Patricia Their distress is compounded by views of their family at home and members of their community in their host country. I agree with the authors about the need for more research in this area. Wang, Katie So far, the uptake of these interventions into health systems has been low (Naeem et al., Reference Naeem, Rathod, Khan and Ayub2016a). Authors are encouraged to further this work by developing a manualized intervention that can be tested through experimental research. The fourth article emphasizes understanding a clients experience of racism as part of the assessment, formulation and treatment (Beck, Reference Beck2019). 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 population is at an increased risk of emotional and mental health problems. No Comments have been published for this article. 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. 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. 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). Rhodes, Jean E. This small-scale study offers in-depth insights based on the experience of front-line workers. 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). James, Kirsty Finally, the authors argue that more resources are required to understand and address the barriers to accessing mental health services for BME service users. The authors have used a variety of approaches to describe their experiences of working with people from diverse backgrounds. 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. DBT is an evidence-based practice (Linehan, 2014), and research reflects mindfulness and acceptance-based therapies to indicate some clinical promise with The authors concluded that the lay counsellors delivered the intervention flexibly and were able to learn the decision-making processes of the therapy manual. Pratt, Daniel Acceptance and commitment therapy (ACT) is a trans-diagnostic intervention that has been tried both in the West and outside the West. Cultural appropriation is the practice of using or taking something from another culture without giving proper recognition or respect to that culture, Mia Moody Cultural appropriation | Definition, History, Types, & Examples 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). They also discuss the sub-cultures within the army, based on religion, race or gender, etc. The authors provide their perspectives on the terms race, culture and ethnicity and share their understanding of these terms for CBT therapists. What Is Cultural Appropriation? | Britannica As far as I know, this is the first paper to address TSD in a cultural context. Culturally Adapted Dialectical Behavior Therapy in an Day, Crispin 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. The Different Perceptions of Cultural Appropriation Columbia 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. Cultural appropriation 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. 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 paper describes the development of a culturally adapted intervention and outlines a psychological skills group for unaccompanied asylum-seeking children (UASC). WebCultural appropriation takes place when members of a majority group adopt cultural elements of a minority group in an exploitative, disrespectful, or stereotypical way. Where does cultural appropriation come from? The original Beckian CBT model has been adapted over the years to help service users with anxiety, PTSD, OCD and psychosis. Lets explore a few different ways cultural appropriation can be perpetuated, taken from a largely American context: A member of a majority group profiting financially or socially from the culture of a minority group is cultural appropriation. Neufeld, Carmem Beatriz McQuillin, Samuel D. Scheer, Jillian R. Globalization is bringing people together, and increasing their knowledge and awareness of the latest technologies in healthcare. It is defined as situations where a person associated with one group uses cultural elements from Lisk, Stephen Family-based cognitive behavioural therapy was offered over 4 months with a successful treatment outcome. Exposure and response prevention was used to help the client. The protocol is discussed from the perspective of working with a refugee and asylum seeker population. Clark, Kirsty A. 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. Harmful Effects of Cultural Appropriation - Health The Atlantic Are You Culturally Appropriating Buddhism? | by The While some therapists might be less interested in these topics, others might not explore these areas due to their anxieties around race relations. How to Talk About Race 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). There are wider cultural variations in self-disclosure. This will require establishing trust and partnership with the community. Islam is not an exception, and there are variations in the application of Islamic beliefs in different cultures and traditions (The Economist, 2013). 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. Li, Shirley Xin It is heartening to see the breadth and width of topics covered in this special issue. 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. Jensen, Tine K. Brooks identifies some of the challenges that refugees, asylum seekers and survivors of torture may present with. However, it is yet to be determined how sustainable these therapies are in the long term. The lay counsellors, under supervision, demonstrated high levels of fidelity to the intervention. The term cultural appropriation is thought to WebLA-based artist Sam Durant made headline news in the summer of 2017 when his piece, Scaffold (2017), was exhibited at the Walker Art Centers sculpture park in Minneapolis, Minnesota and was subsequently protested by the Dakota community as a crime of historical violence and racial traumatization.Scaffold was originally installed in 2012 in 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). What Is Cultural Appropriation WebThe authors also suggest that culturally attuned enhancements that preserve and complement core principles and functions of DBT may improve treatment outcomes and Cultural appropriation: Using elements of a marginalized culture, including clothing, images, or ideas, in ways that disrespect the culture. The subculture of homelessness has been described as the culture of individuals who are homeless and share similar beliefs, values, norms, behaviours, social structures, and a common economic situation, all in response to a comparable living environment (Flaskerud and Strehlow, Reference Flaskerud and Strehlow2008). 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. 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). Most importantly, this definition does not limit culture to race, religion or The protocol was developed in a specialist NHS (National Health Service, England) programme for migrants with PTSD. It must also be emphasized that some elements of adaptation are universal, such as adapting to the language needs of the service users. The success of therapy was attributed to the culturally specific modifications. Similarly, their suggestion in adapting CBT is also in line with other papers in this issue. Hostname: page-component-75b8448494-jf2r5 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. 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). There was no association between time devoted to coping strategies and traumatic stress scores (Bober and Regehr, Reference Bober and Regehr2006). As the review included only a small number of case studies, it will be too early to draw any conclusions. Climbing the totem pole. Cultural adaptations of CBT: a summary and discussion of the Published online by Cambridge University Press: 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. and 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). 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. and This intervention was planned around three key themes: physical health needs, emotional wellbeing, and resilience-building. 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. 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. CBT research until recently has primarily focused on white, middle-class, well-educated service users, who are of European-American identities (Suinn, Reference Suinn2003). 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. This declaration asserts that cultural pluralism pre-supposes respect for human rights. The debate over cultural appropriation has been around for decades. 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). 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. Bertie, Lizl-Antoinette Therefore, sensitive use of TSD considered to be a useful tool (Goldfried et al., Reference Goldfried, Burckell and Eubanks-Carter2003) becomes even more critical when working with BME communities. The group intervention reduced depression, anxiety and emotional distress. Hudson, Jennifer L. The intervention is also available online (https://medicinehealth.leeds.ac.uk/downloads/download/131/results_and_resources_for_addressing_depression_in_muslim_communities). However, it might be applicable across cultures. "useRatesEcommerce": false Globalization also means rapid mobilization of people across national boundaries. Farrelly, Maria They offer practical advice on discussing these issues. They suggest more empirical research in this field. Culturally adapted dialectical behavior therapy in an 2022. This case report describes the application of CBT in dealing with family accommodation (defined as how relatives, in particular parents, may assist in compulsive rituals, provide reassurance or modify their routines to alleviate or avoid the distress experienced by the obsessive-compulsive child). The second article describes an evaluation of the transition from the Black, Asian and minority ethnic (BME) community mental health worker to the IAPT low-intensity psychological wellbeing practitioner (Hakim et al., Reference Hakim, Thompson and Coleman-Oluwabusola2019). 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). Most importantly, this definition does not limit culture to race, religion or nationality, thus recognizing cultural aspects of groups based on gender, gender preferences, age and disabilities. 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. Understanding ACT, DBT, and FAP: Similarities and Differences Historically, deciding exactly what culture is hasnt been easy. How to Handle Cultural Appropriation: 16 Examples, Next These authors describe an evidence-based framework that has evolved over a decade. In particular, it was possible to engage service users in family intervention for psychosis with and without biological family members. Three papers (d) focus on refugees, asylum seekers and the homeless. This paper reports the cultural adaptation of ACT for the Turkish-speaking community in England. Two papers (e) focus on CBT for two religious groups, i.e. This interesting article provides food for thought for every therapist. Both verbal and non-verbal language plays a vital role in psychotherapeutic encounters. Web1.12K subscribers. 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 They suggest that some BME client groups might test their therapist through initiating TSD. Developed by Linehan 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. Werntz, Alexandra The authors discourage unnecessary adaptations to standard DBT supported by Third wave therapies are good examples of integration of CBT with another model of therapy. Wing, Yun Kwok Psychological interventions, therefore, can play a vital role in engaging these clients. They argue that family systems, religion and local cultural beliefs should all be taken into consideration when providing culturally adapted CBT. They gathered information at multiple points using a variety of methods. Cultural Appropriation Cultural appropriation is the adoption of certain elements from another culture without the consent of people who belong to that culture. Understanding military culture becomes even more critical for civilian mental health professionals who are providing help to military personnel or veterans. Therapists often do not discuss service users experiences of racism. The authors considered adaptations at numerous levels. The Debate About Cultural Appropriation - O'Neill 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). } The idea of therapist matching has been a topic of debate; however, research in this area has reported mixed results (Flaskerud, Reference Flaskerud1990; Lambert, Reference Lambert2016). Culture can influence religions, such as a blue-eyed Jesus in Europe and an Indian-looking Jesus in South Asia (Trendpost, 2015). In addition to adapting BA, they have developed a self-help booklet.
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