Cognitive-behavioral treatment of chronically parasuicidal borderline patients, Improving access to mental health care in an Orthodox Jewish community: a critical reflection upon the accommodation of otherness, Perceived barriers to accessing mental health services among black and minority ethnic (BME) communities: a qualitative study in Southeast England, Culturally adapted dialectical behavior therapy in an underserved community mental health setting: a latina adult case study, Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence, Psychotherapy with military personnel: lessons learned, challenges ahead, International Journal of Emergency Mental Health, Adapted behavioural activation for the treatment of depression in Muslims, First episode psychosis and ethnicity: initial findings from the AESOP study, Using cognitive behaviour therapy with South Asian Muslims: findings from the culturally sensitive CBT project, An evidence-based framework for cultural adaptation of cognitive behaviour therapy: process, methodology and foci of adaptation, World Cultural Psychiatry Research Review, Treating unresolved grief and posttraumatic stress symptoms in orphaned children in Tanzania: group-based trauma-focused cognitive behavioral therapy, Cognitive behavioral therapy with Latinos, Meta-analysis and systematic review assessing the efficacy of dialectical behavior therapy (DBT), The effectiveness of a lay health worker led intervention for depressive and anxiety disorders in primary care: the MANAS cluster randomized trial in Goa, India, Effect of a multicomponent behavioral intervention in adults impaired by psychological distress in a conflict-affected area of Pakistan: a randomized clinical trial, A cultural adaptation of dialectical behavior therapy in Nepal, Developing culturally sensitive cognitive behaviour therapy for psychosis for ethnic minority patients by exploration and incorporation of service users and health professionals views and opinions, Cognitive behaviour therapy for psychosis can be adapted for minority ethnic groups: a randomised controlled trial, Belief in supernatural causes of mental illness among Malay patients: impact on treatment, Empirical reality of dialectical behavioral therapy in borderline personality, Civilian psychologists in an army culture: the ethical challenge of cultural competence, Culturally competent adaptation of cognitive-behavioural therapy for psychosis: cases of Orthodox Jewish patients with messianic delusions. Cultural appropriation is defined as the use of objects or elements of a non-dominant culture in a way that doesnt respect their original meaning, give credit to their source, or reinforces stereotypes or contributes to oppression (Verywell Mind).Appropriation is often confused with appreciation, but the two are very different. Singh, Anneesa D. pause before claiming cultural While some therapists might be less interested in these topics, others might not explore these areas due to their anxieties around race relations. 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. I have tried to divide these articles according to the broader themes, although most articles will fit in more than one thematic area. The mental health systems in low- and middle-income countries (LAMICs) are under-resourced, limited to big cities and fragmented (Rathod et al., Reference Rathod, Pinninti, Irfan, Gorczynski, Rathod, Gega and Naeem2017). 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. They identified six significant themes: training experience in two different roles, the broader context of both services and their accessibility to the BME service users, differences encountered, adapting therapy for BME service users and therapists language and cultural expertise not being valued. 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. 12 Culturally Appropriative Words and Phrases 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. 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. Culturally adapted dialectical behavior therapy in an These adaptations are in line with our current knowledge of cultural adaptations described by other authors in this special issue. Culturally adapting CBT is the only way access to this evidence-based therapy can be improved for marginalized communities in Europe and North America and for the local population outside of these regions where more than 80% of the world population lives. Most importantly, they address the cultural issues too. Scheer, Jillian R. The group intervention reduced depression, anxiety and emotional distress. These ideas have significant implications for equity in terms of service provision. When respect for diversity is taken to crazy The authors advise that a schema therapist needs to remain inquisitive of potential maladaptive or/and internalized dysfunctional coping mechanisms of inter-relating that are masked by the use of the Politeness Plural linguistic schema. In particular, it was possible to engage service users in family intervention for psychosis with and without biological family members. The dissociative responses are explained using the 6 Fs cascade. The finding that behavioural techniques need few adjustments and are almost culture free has been previously reported (Naeem et al., Reference Naeem, Gobbi, Ayub and Kingdon2010). 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. Hudson, Jennifer L. Wang, Katie There is a need for more research in culture free aspects of CBT and to test these ideas across cultures. Same-sex relationships were generally tolerated in pre-modern Islamic societies. Pachankis, John E. Stallard, Paul This area merits further research. 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. They describe their experience of successfully training therapists in delivering culturally adapted BA, which supports Muslim service users who choose to use positive religious coping as a resource for health. 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. As the author rightly points out, the dearth of CBT studies in this area is troubling. These are commendable efforts. In addition to adapting BA, they have developed a self-help booklet. Family intervention reduces hospital admission, encourage compliance with medication, improves general social impairment and the levels of expressed emotion within the family (Pharoah et al., Reference Pharoah, Mari, Rathbone and Wong2010), and therefore is recommended by NICE (NICE, 2014). Finally, cultural considerations should be an essential part of the CBT courses and training of new CBT therapists. Hagler, Matthew A. Three papers (d) focus on refugees, asylum seekers and the homeless. This article emphasizes the role of mental health services and accreditation bodies. 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. The UNESCO (United Nations Educational, Scientific and Cultural Organization) universal declaration on cultural diversity defines culture as the set of distinctive spiritual, material, intellectual and emotional features of society or a social group, and that it encompasses, in addition to art and literature, lifestyles, ways of living together, value systems, traditions and beliefs (UNESCO, 2001). This implies that interventions adapted for religious groups should take into consideration the cultural factors as well. Stone and Warren previously reported the development and implementation of a CBT training course for clinicians working in Tanzania (Stone and Warren, Reference Stone and Warren2011). The lay counsellors, under supervision, demonstrated high levels of fidelity to the intervention. Chan, Joey Wing Yan
dbt cultural appropriation
dbt cultural appropriation