Clark, Kirsty A. 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). The term cultural appropriation, is by far a familiar one. Currently, a quantitative evaluation is underway. Gooding, Patricia They gathered information at multiple points using a variety of methods. Therapists often do not discuss service users experiences of racism. This study reports the results of post-intervention effects of a culturally adapted ACT group. To fully understand its consequences, though, we need to make sure we have a working definition of culture itself. At its core, DBT helps people build four major skills: mindfulness. 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. Feature Flags: { Seven participants from Tanzanias only psychiatric hospital who had completed CBT training were interviewed. 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. This work encourages us to discuss the clients religious and cultural beliefs and to engage the client as experts not only in their problems but also in their culture and religion. 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. 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). McConocha, Erin 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. Rhodes, Jean E. However, prejudice towards this community worsened in the Islamic world, possibly due to the European laws during the colonial period and the rise of Islamist fundamentalism in the 1980s (The Economist, 2018). 02 September 2019. 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. The earliest known use of the term cultural appropriation is credited to Arthur E. Christy (1899 1946), a professor of literature at the University of Illinois (Martin, 2018). 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). Most importantly, he provides practical guidance on how to do this: the appropriate time to make such enquiries, co-developing a genogram, carefully phrasing questions and use of information gathered to guide treatment. Note 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 Wang, Katie How to Talk About Race Dialectical Behavioral Therapy (DBT) - Healthline Finally, cultural considerations should be an essential part of the CBT courses and training of new CBT therapists. 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. WebCultural appropriation has been identified across a range of fields, including religion, music, sports, fashion, visual art, and film. How dysfunctional are the dysfunctional attitudes in another culture? In addition to providing some guidance for therapists, Phiri et al. The Different Perceptions of Cultural Appropriation Columbia Cultural Appropriation 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). This small-scale study offers in-depth insights based on the experience of front-line workers. There is, however, a need to confirm the effectiveness of culturally adapted family interventions through fully powered RCTs. 2021. Finally, two papers describe the importance of self-reflection, self-practice and supervision (Brooks, Reference Brooks2019) and therapist self-disclosure (Phiri et al., Reference Phiri, Rathod, Gobbi, Carr and Kingdon2019). 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. Here, I briefly summarize and discuss the papers in this special issue. Huggett, Charlotte While frameworks in the past were based on therapists personal experience, these authors have described a systematic approach to culturally adapt CBT that is based on evidence and has been tested through RCTs. 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. Third wave therapies are good examples of integration of CBT with another model of therapy. Teaching About Cultural Appropriation Are You Culturally Appropriating Buddhism? | by The 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. They emphasize the need to provide training and supervision to deliver culturally competent care to BME service users and encourage self-reflection among therapists. These values underpin the principle of cultural adaptation of evidence-based psychosocial interventions for people from diverse cultural and sub-cultural backgrounds. The creation of a new workforce requiring additional funding might pose a barrier in uptake into the systems with low resources, or might not be necessary. However, it is yet to be determined how sustainable these therapies are in the long term. Family-based cognitive behavioural therapy was offered over 4 months with a successful treatment outcome. and I start with a systematic review of CBT for social anxiety across cultures. In addition to describing the culturally adapted CBT techniques, the authors highlight the issues of gender discrimination and female sexuality in Muslim countries (Gouda and Potrafke, Reference Gouda and Potrafke2016). Curbing cultural appropriation in the fashion industry James, Kirsty There is no agreed definition. Cultural appropriation The authors describe the process of cultural adaptation in some detail, e.g. Core beliefs, underlying assumptions and even the content of automatic thoughts vary across cultures (Sahin and Sahin, Reference Sahin and Sahin1992; Tam et al., Reference Tam, Wong, Chow, Ng, Ng, Cheung and Mak2007). and They describe the critical elements of the adapted intervention using case summaries. Scheer, Jillian R. 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 authors describe culturally adapted techniques they used to make therapy compatible with the local cultural context. The treatment outcomes were generally promising in all cases, reporting a significant decrease of SAD symptoms, which were maintained over time. How is cultural appropriation used in real life? 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. Cultural appropriation is the adoption of certain elements from another culture without the consent of people who belong to that culture. 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). Total loading time: 0 Finally, the authors list available resources in training in military culture for therapists. The Use of Dialectical Behavioral Therapy with the Only limited literature is available on CBT with Arab clients (Kayrouz et al., Reference Kayrouz, Dear, Kayrouz, Karin, Gandy and Titov2018). Most importantly, this definition does not limit culture to race, religion or Beck discusses issues related to a topic sensitively and compassionately that many might find challenging. We hope for further research to test this adapted therapy against standard ACT, using improved design and adequately powered RCTs that focus on specific problems. 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). They offer practical advice on discussing these issues. However, it might be applicable across cultures. This paper reports the cultural adaptation of ACT for the Turkish-speaking community in England. The major limitation of this framework is that it focuses on CBT and might not be generalizable to other therapies. Understanding military culture becomes even more critical for civilian mental health professionals who are providing help to military personnel or veterans. 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). This area merits further research. These authors start by highlighting the need to recognize a military culture in therapeutic encounters. WebCultural appropriation is a murky concept. Family interventions might be more appealing to people from collectivistic cultural backgrounds, and therefore the adaptation of family intervention for this group might improve access, engagement and thus outcomes. The authors concluded that the lay counsellors delivered the intervention flexibly and were able to learn the decision-making processes of the therapy manual. The term cultural appropriation is thought to Acceptance and commitment therapy: Western adoption of Buddhist tenets? Many authors have pointed to the uniqueness of military culture as being different from civilian culture, based on routines, structures, hierarchies and the dress codes, among many other attributes (Hall, Reference Hall2011; Reger et al., Reference Reger, Etherage, Reger and Gregory2008; Soeters et al., Reference Soeters, Winslow, Weibull and Caforio2006). This paper describes combining DBT with a sexual stigma model (Herek et al., Reference Herek, Gillis and Cogan2009) for LGBTQ+ service users receiving therapy for borderline personality disorders. There are wider cultural variations in self-disclosure. Brown, June Culture can influence religions, such as a blue-eyed Jesus in Europe and an Indian-looking Jesus in South Asia (Trendpost, 2015). 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). CBT involves exploration and attempts to modify core beliefs. As language can be a barrier, authors provide some guidance on training interpreters. The next step should be a large scale evaluation of the manualized form of this intervention. WebThe authors also suggest that culturally attuned enhancements that preserve and complement core principles and functions of DBT may improve treatment outcomes and For sexual minorities, minority stress has been implicated as an increased risk of emotional and mental health disorders. They describe some examples from their work to show how the services can better understand the needs of minority populations. Weaver, Timothy I encourage the author to develop this work in the form of a training workshop. Farrelly, Maria Carter, Ben Render date: 2023-05-01T13:32:05.576Z Rebessi, Isabela Pizzarro We know that racism creates an inherently invalidating environment. In some non-Western cultures, these expressions are accompanied by a set of gestures, for example, lowering of eyes or head (Cultural Atlas, 2019). 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).