dbt cultural appropriationdbt cultural appropriation

dbt cultural appropriation dbt cultural appropriation

Pratt, Daniel 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. There is no agreed definition. The suggestion that individual variations and environmental factors shape stress response might apply to groups of individuals (Ellis et al., Reference Ellis, Jackson and Boyce2006). 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). This study reports the results of post-intervention effects of a culturally adapted ACT group. This paper describes the authors experience of delivering training in culturally sensitive CBT, thoughtful commentary on race relations in England, and improving access to CBT for BME clients. These authors describe an evidence-based framework that has evolved over a decade. 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. In particular, it was possible to engage service users in family intervention for psychosis with and without biological family members. 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). 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). 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. Rhodes, Jean E. Phiri and colleagues used a systematic approach to culturally adapt CBTp (Rathod et al., Reference Rathod, Kingdon, Phiri and Gobbi2010) in England. CBT involves exploration and attempts to modify core beliefs. Shearer, James and This paper examines the Greek cultural, linguistic schema of Politeness Plural in the application of a Schema Therapy mode model. 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). 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. Even when the participants background is reported, a broader term such as White, Asian or Black is used, ignoring variations among these groups. Where does cultural appropriation come from? 2022. While egalitarian societies are subtle in acceptance of authority figures, in other societies showing respect for authority is a cultural norm and therefore hard to negotiate. and poor communication, inadequate recognition or response to mental health needs, cultural naivety, insensitivity and discrimination as well as lack of awareness of different services among service users and providers. DBT is especially suited for cultural adaptations in several ways. 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). Tanzania, like many other low- and middle-income countries, has a long tradition of faith healers (Li, Reference Li2011). 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 intervention reduced anxiety, depression and emotional dysregulation, and improved assertiveness. They offer practical advice on discussing these issues. This paper, therefore, is a welcome addition to the existing literature in the area. Here, I briefly summarize and discuss the papers in this special issue. Two papers (e) focus on CBT for two religious groups, i.e. Additionally, they have to adjust to the differences in the expression of love, lust and romance. Based on this initial research and their clinical experience, and in order to further improve strategies to improve therapeutic alliance and engagement, they discuss TSD in this article. Cultural and sub-cultural background also influence beliefs about wellbeing, causes of illness and its cure, help-seeking behaviours, healing systems and even the healers (Altweck et al., Reference Altweck, Marshall, Ferenczi and Lefringhausen2015; Bhugra, Reference Bhugra2006; Bhugra and Bhui, Reference Bhugra and Bhui1998; Hagmayer and Engelmann, Reference Hagmayer and Engelmann2014). 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). These findings are consistent with North American literature on culturally adapting CBT (Rosen et al., Reference Rosen, Rebeta and Rothschild2014; Shabtai et al., Reference Shabtai, Pirutinsky, Rosmarin, Ben-Avie, Ives and Loewenthal2016) and to improve access to mental health services for Jews (McEvoy et al., Reference McEvoy, Williamson, Kada, Frazer, Dhliwayo and Gask2017). They describe some examples from their work to show how the services can better understand the needs of minority populations. 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 special issue addresses a variety of problems, populations and psychotherapies. 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. 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. The ideas proposed by the authors should also appeal to therapists from non-Western cultures. The authors provide their perspectives on the terms race, culture and ethnicity and share their understanding of these terms for CBT therapists. 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. Acceptance and commitment therapy (ACT) is a trans-diagnostic intervention that has been tried both in the West and outside the West. Chan, Joey Wing Yan We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Sclare, Irene 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. Didactic adaptations focused on improving engagement and included the use of audiovisual material. Religious beliefs about causes and treatment of epilepsy, The Dimensions of Religiosity Scale: 20-item self-report measure of religious preoccupation, guidance, conviction, and emotional involvement, Formulation and treatment: integrating religion and spirituality in clinical practice, Child and Adolescent Psychiatric Clinics of North America, Meta-analysis of the efficacy and acceptability of cognitive-behavioural therapy for Arab adult populations experiencing anxiety, depression or post-traumatic stress disorder. These findings confirm some of the findings from cultural adaptation of individual CBT for psychosis (Li et al., Reference Li, Zhang, Luo, Liu, Liu, Lin and Naeem2017; Naeem et al., Reference Naeem, Habib, Gul, Khalid, Saeed, Farooq and Kingdon2014; Naeem et al., Reference Naeem, Saeed, Irfan, Kiran, Mehmood, Gul and Kingdon2015b; Rathod et al., Reference Rathod, Kingdon, Phiri and Gobbi2010; Rathod et al., Reference Rathod, Phiri, Harris, Underwood, Thagadur, Padmanabi and Kingdon2013), in particular the role played by trauma, coercive treatment and racism (Rathod et al., Reference Rathod, Kingdon, Phiri and Gobbi2010). Their distress is compounded by views of their family at home and members of their community in their host country. Historically, deciding exactly what culture is hasnt been easy. These results indicated that the level of distinctiveness threat experienced increases the perception of cultural appropriation. Figure: Detailed depiction of the study designs and categories of cultural appropriation. 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). Therapy was delivered by lay counsellors in Iraq and Thailand to treat trauma victims. Chan, Ngan Yin 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. I encourage the author to develop this work in the form of a training workshop. 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. 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. Currently, the IASP (Improving Access to Structures Psychotherapies) CBT Training Program in Ontario, Canada, is incorporating culturally adapted CBT practices. and These adaptations are in line with our current knowledge of cultural adaptations described by other authors in this special issue. 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. Scheer, Jillian R. As language can be a barrier, authors provide some guidance on training interpreters. Military personnel share a common bond, feeling of unity and a sense of purpose and direction. DBT is an evidence-based practice (Linehan, 2014), and research reflects mindfulness and acceptance-based therapies to indicate some clinical promise with Arun, whites would never claim cultural appropriation. Developed by Linehan They suggest more empirical research in this field. 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. They suggest that CBT compliments many aspects of military culture, for example agenda setting (emphasis on the daily structure), explicit goals for treatment (focus on mission completion) and focus on skill training (development of strengths). Seven participants from Tanzanias only psychiatric hospital who had completed CBT training were interviewed. The term cultural appropriation, is by far a familiar one. They argue that family systems, religion and local cultural beliefs should all be taken into consideration when providing culturally adapted CBT. Family-based cognitive behavioural therapy was offered over 4 months with a successful treatment outcome. The authors suggest more process research in the use of transdiagnostic therapy manuals in low- and middle-income countries. 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). 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). Read 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. 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). However, findings from this review certainly draw attention to the need for more research in this area. 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. They gathered information at multiple points using a variety of methods. Evidence from fully powered trials will help towards implementation not just in England but in Muslim countries too. 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. and I have tried to divide these articles according to the broader themes, although most articles will fit in more than one thematic area. This paper describes the use of CBT with four patients with vaginismus in Tunisia. 2023. Some of this information might even be useful when working with service users from other Abrahamic religions. Stone and Arroll report a qualitative study to explore the experiences of therapists trained in CBT in Tanzania. 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. There was no association between time devoted to coping strategies and traumatic stress scores (Bober and Regehr, Reference Bober and Regehr2006). This special edition, therefore, is a welcome addition to a fast-growing area in CBT research and practice: the cultural adaptation of CBT. Li, Shirley Xin Qualitative responses indicated that the culturally adapted ACT was feasible and acceptable. The review focuses on seven case studies of cultural adaptations of CBT for social anxiety disorder (SAD) for a culturally diverse population published separately. The adaptations were made at structural and didactic levels. This interesting article provides food for thought for every therapist. 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. CULTURAL APPROPRIATION IS one of the most misunderstood and abused phrases of our tortured age. The protocol was developed in a specialist NHS (National Health Service, England) programme for migrants with PTSD. Cultural appropriation: Using elements of a marginalized culture, including clothing, images, or ideas, in ways that disrespect the culture. Understanding military culture becomes even more critical for civilian mental health professionals who are providing help to military personnel or veterans. Finally, there are seven papers on issues related to service delivery, practice and training and supervision when working with a diverse population. There is a need for more research in culture free aspects of CBT and to test these ideas across cultures. These enhancements are drawn from the clinical work and experience of intensively trained bilingual DBT therapists. This paper describes one of the themes from that study in greater detail, i.e. 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). They also discuss the integration of ACT and compassion-focused therapy (CFT) in helping this population. How is cultural appropriation used in real life? But what is cultural appropriation? 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 authors discourage unnecessary adaptations to standard DBT supported by 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. However, this will require a two-pronged approach: improving race relations at a national level and working closely with the accreditation bodies and service providers through canvassing, and emphasizing the role social factors play in the management of emotional and mental health problems. They discuss two themes (therapist effects and process) in detail, as they believe these to be particularly relevant to the clinical application of the therapy in this context. However, there is lack of evidence supporting this approach with culturally A simple definition of cultural appropriation is the idea of someone adopting something from a culture that is not their own. View all Google Scholar citations 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). Reviewers report that therapists claimed that they practised cultural awareness and were open to discuss culture and were attentive to cultural norms as well as culture-specific expressions of SAD and the level of acculturation. WebCultural appropriation has been identified across a range of fields, including religion, music, sports, fashion, visual art, and film. First, DBT emphasizes client expectations, attributions, values, roles, beliefs, coping styles, and The dissociative responses are explained using the 6 Fs cascade. When working cross-culturally, many consider a universalist approach to help focus on the similarities across cultures, rather than emphasizing differences (Beck, Reference Beck2016). 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. As far as I know, this is the first paper to address TSD in a cultural context. Total loading time: 0 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). Andrade, Brendan F. The authors have used a variety of approaches to describe their experiences of working with people from diverse backgrounds. Cultural appropriation is distinct from cultural exchange, in which two cultures participate in each others rituals and customs on an equal footing. Bertie, Lizl-Antoinette This one and half-hour part two online training was designed to provide an overview of the culturally adapted Dialectical Behavior Therapy (DBT) for Hispanic WebCultural appropriation takes place when members of a majority group adopt cultural elements of a minority group in an exploitative, disrespectful, or stereotypical way. 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 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). 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. Three papers (d) focus on refugees, asylum seekers and the homeless. WebDialectical behavior therapy (DBT) has become the treatment of choice for complex clinical disorders. Evans, Claire It is not the content of the TSD they are testing per se, but how the therapist responds. 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. Kenneth Fung has reported high levels of acceptance of ACT while working with the Cambodian community in Toronto (Fung, Reference Fung2015). They emphasize the need to provide training and supervision to deliver culturally competent care to BME service users and encourage self-reflection among therapists. However, the full potential of culturally adapted interventions will not be realized until and unless access to CBT is improved. Deighton, Jessica 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). The major limitation of this framework is that it focuses on CBT and might not be generalizable to other therapies. They describe the critical elements of the adapted intervention using case summaries. WebThis case study suggests that a cultural adaptation of a 17-session DBT skills group use contributed to symptom reduction of depression and anxiety in a Latina adult clientand The authors concluded that CBT can be an acceptable and effective treatment for culturally diverse SAD sufferers with modest modifications, and that applying them increases the treatment compliance and its outcomes, although they issue caution based on the quality of reporting and multiple methodological issues. One paper discusses the application of dialectical behaviour therapy (DBT) with LGBTQ service users (Skerven et al., Reference Skerven, Whicker and LeMaire2019), another describes a case series of vaginismus therapy in Tunisia (Zgueb et al., Reference Zgueb, Ouali, Achour, Jomli and Nacef2019), while the third paper reports use of behaviour therapy when working with gender and sexual minorities in the context of Islamic culture (Langroudi and Skinta, Reference Langroudi and Skinta2019).

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