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). 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). The t-v (tu-vos) distinctions are common around the globe and expressed in a variety of forms. Authors are encouraged to further this work by developing a manualized intervention that can be tested through experimental research. Cultural Appreciation is appreciating another culture in an effort to broaden their perspective and connect with others cross-culturally, while cultural appropriation is taking one aspect of a culture that is not their own, such as culturally distinct items, aesthetics, or spiritual practices, and mimics it without consent, permission, or any Kada suggests adaptations both at the individual therapist level (to make therapy acceptable) and at the service level (to improve access and engagement). 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). Future research in this area should explore stakeholders views on improving access to IAPT services for BME communities. https://medicinehealth.leeds.ac.uk/downloads/download/131/results_and_resources_for_addressing_depression_in_muslim_communities, https://doi.org/10.1017/S1754470X1800017X, https://doi.org/10.1097/PRA.0000000000000119, https://doi.org/10.1136/bmjspcare-2014-000653.28, https://www.routledge.com/Transcultural-Cognitive-Behaviour-Therapy-for-Anxiety-and-Depression-A/Beck/p/book/9781138890480, https://doi.org/10.1017/S1754470X18000223, https://doi.org/10.1017/S1754470X18000016, https://doi.org/10.1017/S1754470X18000156, https://doi.org/10.1111/j.1600-0447.2005.00712.x, https://doi.org/10.1111/j.1752-0118.1998.tb00385.x, https://doi.org/10.1093/brief-treatment/mhj001, https://doi.org/10.1371/journal.pmed.1001757, https://doi.org/10.1371/journal.pone.0208483, https://doi.org/10.1007/s10552-007-0115-1, https://doi.org/10.1017/S1754470X19000023, https://doi.org/10.1017/S1754470X18000272, https://www.cfhi-fcass.ca/WhatWeDo/extra/improvement-projects/Cohorts/2010EXTRACompetitionResults/project6, https://doi.org/10.1017/S1754470X19000114, https://culturalatlas.sbs.com.au/chinese-culture/greetings, http://www.ncbi.nlm.nih.gov/books/NBK525363/, https://www.ncbi.nlm.nih.gov/books/NBK525366/, https://www.press.uchicago.edu/ucp/books/book/chicago/B/bo3613572.html, https://doi.org/10.1017/S0033291706008774, https://doi.org/10.3109/01612849009006520, https://doi.org/10.1080/01612840802319688, https://doi.org/10.1016/j.cbpra.2011.12.004, https://doi.org/10.1016/j.ecosys.2016.04.002, https://doi.org/10.1016/S2215-0366(15)00013-9, https://doi.org/10.1017/S1754470X18000296, https://doi.org/10.1080/00981389.2010.513914, https://doi.org/10.1002/14651858.CD012189, https://doi.org/10.1176/appi.ps.201400358, https://www.vox.com/science-and-health/2019/3/29/18264703/mindfulness-meditation-buddhism-david-forbes, https://doi.org/10.1017/S1754470X18000211, https://doi.org/10.1080/13674670601050295, https://doi.org/10.1017/S1754470X18000120, https://doi.org/10.1080/16506073.2018.1445124, https://doi.org/10.1017/S1754470X18000260, https://journals.sagepub.com/doi/full/10.1177/1363461515598949, https://doi.org/10.1017/S1754470X18000302, https://doi.org/10.4172/2471-9919.1000108, https://doi.org/10.1017/S1754470X19000096, https://doi.org/10.1186/s12888-017-1290-6, https://doi.org/10.1186/s12913-017-2509-4, https://doi.org/10.1136/bmjopen-2016-012337, https://doi.org/10.1037/0033-2909.129.5.674, https://doi.org/10.1017/S1754470X19000059, https://doi.org/10.1016/j.jad.2015.03.060, https://doi.org/10.1017/S1754470X18000144, https://doi.org/10.1017/S1352465814000332, https://doi.org/10.3109/09540261.2015.1067598, https://doi.org/10.1016/j.schres.2015.02.015, https://doi.org/10.1017/S1754470X19000060, https://doi.org/10.1016/S1077-7229(96)80017-4, https://doi.org/10.1016/S0140-6736(10)61508-5, https://doi.org/10.1017/S1754470X18000041, https://doi.org/10.1002/14651858.CD000088.pub2, https://doi.org/10.1017/S1754470X19000102, https://doi.org/10.1016/j.cbpra.2016.12.005, https://doi.org/10.1017/S1352465810000378, https://doi.org/10.1016/j.schres.2012.11.007, https://doi.org/10.1017/S1754470X18000247, https://doi.org/10.1111/j.1600-0447.1996.tb09854.x, https://doi.org/10.4103/IJPSYM.IJPSYM_132_17, https://doi.org/10.1080/08995600701753144, https://doi.org/10.1080/13674676.2014.902923, https://doi.org/10.1016/0272-7358(89)90006-8, https://doi.org/10.1007/978-3-319-21933-2_7, https://doi.org/10.1017/S1754470X18000235, https://www150.statcan.gc.ca/n1/pub/82-624-x/2014001/article/14121-eng.htm, https://doi.org/10.1136/oemed-2014-102207, https://doi.org/10.1017/S1754470X19000084, https://doi.org/10.1017/S1754470X18000181, https://doi.org/10.1017/S1754470X11000080, https://doi.org/10.1146/annurev.psych.60.110707.163651, https://www.economist.com/international/2013/05/04/minds-unmade, https://www.economist.com/open-future/2018/06/06/how-homosexuality-became-a-crime-in-the-middle-east, https://trendspost.com/depictions-of-jesus-around-the-world/, http://portal.unesco.org/en/ev.php-URL_ID=13649&URL_DO=DO_TOPIC&URL_SECTION=-471.html, https://doi.org/10.1016/j.jad.2012.06.035, https://doi.org/10.1186/s12888-015-0622-7, http://www.who.int/mental_health/mhgap/en/, https://doi.org/10.1017/S1754470X18000119, https://doi.org/10.1017/S1754470X18000132. Therefore, practical measures to improve access and providing training in culturally adapted therapy might be the most practical way forward. WebThe authors also suggest that culturally attuned enhancements that preserve and complement core principles and functions of DBT may improve treatment outcomes and and 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 first article discusses the need for service change to improve access to culturally adapted therapy (Beck and Naz, Reference Beck and Naz2019). Finally, I agree with the authors that this intervention should be used across the board. Pachankis, John E. Schema Therapy emphasizes the need for creating a warm therapistclient relationship as a pre-requisite for schema healing. Andrade, Brendan F. However, much of the public remains confused about what the client initiated therapist self-disclosure (TSD). Followed by their pioneering work, more studies have been published from Tanzania (ODonnell et al., Reference ODonnell, Dorsey, Gong, Ostermann, Whetten, Cohen and Whetten2014; Woods-Jaeger et al., Reference Woods-Jaeger, Kava, Akiba, Lucid and Dorsey2017). 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). We encourage the authors to share in-depth details of adaptations for application across countries and cultures. Therapy was delivered by lay counsellors in Iraq and Thailand to treat trauma victims. 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. Sclare, Irene In terms of the mode of delivery, a group approach was considered more suitable to provide peer support and normalization for the UASC. The lay counsellors, under supervision, demonstrated high levels of fidelity to the intervention. and hasContentIssue false, British Association for Behavioural and Cognitive Psychotherapies 2019. A survey of compassion satisfaction, burnout and secondary traumatic stress of British therapists working with traumatized individuals reported that a higher risk of secondary traumatic stress was predicted in therapists engaging in more individual supervision and self-care activities and those with a personal trauma history (Sodeke-Gregson et al., Reference Sodeke-Gregson, Holttum and Billings2013). This interesting article provides food for thought for every therapist. These authors have touched on a highly sensitive issue in a very skilful, diligent and empathic manner. 2022. This brief manualized intervention can be delivered in four sessions and might be applicable across cultures. Structural adaptations included changes in the language. Cultural appropriation: Using elements of a marginalized culture, including clothing, images, or ideas, in ways that disrespect the culture. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Does clienttherapist gender matching influence therapy course or outcome in psychotherapy? This paper describes the use of CBT with four patients with vaginismus in Tunisia. 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). DBT is an evidence-based practice (Linehan, 2014), and research reflects mindfulness and acceptance-based therapies to indicate some clinical promise with 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). While the authors mention elements of cultural adaptation of the manual, no systematic attempts were made to adapt the manual culturally. To fully understand its consequences, though, we need to make sure we have a working definition of culture itself. 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. So far, the uptake of these interventions into health systems has been low (Naeem et al., Reference Naeem, Rathod, Khan and Ayub2016a). 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). Yarrum, Jynna
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