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Cultural appropriation: Using elements of a marginalized culture, including clothing, images, or ideas, in ways that disrespect the culture. It is possible that people presenting with biological symptoms of depression and anxiety attend the modern health facilities, while those with predominantly psychological symptoms or those with a spiritual model of illness, attend faith or religious healers (Naeem, Reference Naeem2013; Naeem et al., Reference Naeem, Phiri, Munshi, Rathod, Ayub, Gobbi and Kingdon2015a). Day, Crispin Beck discusses issues related to a topic sensitively and compassionately that many might find challenging. Globalization also means rapid mobilization of people across national boundaries. and 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. Kenneth Fung has reported high levels of acceptance of ACT while working with the Cambodian community in Toronto (Fung, Reference Fung2015). 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). Understanding ACT, DBT, and FAP: Similarities and Differences 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. Ghazala Mir and co-workers have culturally adapted behavioural activation (BA) for Muslim service users in England. This paper, therefore, is a welcome addition to the existing literature in the area. This area merits further research. Collectively, papers in this special issue provide us with sufficient evidence that cultural considerations play a vital role when using CBT, offer practical suggestions for improving cultural competence and most importantly, can catalyse future research. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Ethical travel tips: How to avoid cultural appropriation when Has data issue: false They describe some examples from their work to show how the services can better understand the needs of minority populations. WebDialectical behavior therapy (DBT) has become the treatment of choice for complex clinical disorders. A collaborative approach might not be acceptable across cultures. 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). When respect for diversity is taken to crazy McConocha, Erin These values underpin the principle of cultural adaptation of evidence-based psychosocial interventions for people from diverse cultural and sub-cultural backgrounds. 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). Three papers (c) address the issues of gender and sexuality. They suggest that some BME client groups might test their therapist through initiating TSD. 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 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 is a need to improve knowledge of evidence-based therapies through popular electronic and social media, as well as teaching and training health workers. There is evidence to suggest that CBT needs to be culturally adapted for the Mexicans (Organista and Muoz, Reference Organista and Muoz1996; Shea et al., Reference Shea, Cachelin, Gutierrez, Wang and Phimphasone2016) and we therefore envisage that adaptation took place at three levels: (1) for broader Mexican culture, (2) for the homeless, and (3) for the youth. Cultural Clark, Kirsty A. 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. Future research in this area should explore stakeholders views on improving access to IAPT services for BME communities. They also discuss the sub-cultures within the army, based on religion, race or gender, etc. The results of the qualitative analysis found five superordinate themes: the medical model, novelty, practicalities, process and therapist effects. Barletta, Janana Bianca Werntz, Alexandra Hostname: page-component-75b8448494-jf2r5 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. However, the authors point out that there was little discussion or consideration given to other, non-culture-related factors that could potentially contribute to the success of therapy. Cognitive behavioural therapy (CBT) in its current form might not be acceptable to service users from a variety of backgrounds. Brown, June The protocol was developed in a specialist NHS (National Health Service, England) programme for migrants with PTSD. Sclare, Irene Chan, Joey Wing Yan Cultural appropriation, defined Culture refers to the traditions, customs, beliefs, and practices of any given ethnic, racial, or religious group. 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 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. WebCultural appropriation is the act of adopting elements of an outside, often minority culture, including knowledge, practices, and symbols, without understanding or respecting the original culture and context. Some of this information might even be useful when working with service users from other Abrahamic religions. Engaging local mental health professionals can play a vital role in this regard to understand the ground realities, rather than taking a public health approach. How dysfunctional are the dysfunctional attitudes in another culture? This article emphasizes the role of mental health services and accreditation bodies. Culturally adapted dialectical behavior therapy in an Kada suggests adaptations both at the individual therapist level (to make therapy acceptable) and at the service level (to improve access and engagement). 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). One example often used to illustrate cultural appropriation is history, experience and traditions. The protocol is discussed from the perspective of working with a refugee and asylum seeker population. 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. These adaptations are in line with our current knowledge of cultural adaptations described by other authors in this special issue. Scotton, Isabela Lamante Finally, there are seven papers on issues related to service delivery, practice and training and supervision when working with a diverse population. It can be described as the act by a member of a relatively dominant culture of taking a traditional cultural expression and repurposing it in a different context, without authorization, acknowledgement and/or compensation, in a way that causes harm to the traditional cultural expression holder (s). and Rhodes, Jean E. The term cultural appropriation is thought to 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. So far, the uptake of these interventions into health systems has been low (Naeem et al., Reference Naeem, Rathod, Khan and Ayub2016a). Therapy was delivered by lay counsellors in Iraq and Thailand to treat trauma victims. and The authors discourage unnecessary adaptations to standard DBT supported by Anti-Racism | isitdbt.net 02 September 2019. The authors report three cases to describe the therapy process, insights learned by therapists and compared those with the original model they developed. Same-sex relationships were generally tolerated in pre-modern Islamic societies. 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. Seven articles cover aspects of adaptation of therapies for people from different backgrounds. 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. This paper reports the cultural adaptation of ACT for the Turkish-speaking community in England. Because cultural appropriation of Buddhism creates suffering for marginalized communities. Therapists often do not discuss service users experiences of racism. The belief that not being a pious person is associated with depression or anxiety is also common among other religious groups (Mir et al., Reference Mir, Ghani, Meer and Hussain2019; Naeem et al., Reference Naeem, Phiri, Munshi, Rathod, Ayub, Gobbi and Kingdon2015a). Finally, the authors list available resources in training in military culture for therapists. Case studies in this review were reported from the USA and Japan. Therefore, practical measures to improve access and providing training in culturally adapted therapy might be the most practical way forward. Two papers (e) focus on CBT for two religious groups, i.e. This paper addresses issues above and beyond cultural adaptation of interventions and provides insights into the racial, political and health systems related issues, and most importantly the conflicts these issues can cause among therapists. There is (a) one systematic review of CBT for social anxiety among the culturally diverse population (Jankowska, Reference Jankowska2019). This systematic review reports case studies, as there were no randomized controlled trials (RCTs) in this area. 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). This implies that interventions adapted for religious groups should take into consideration the cultural factors as well. The authors concluded that if applied thoughtfully, CBT can be used for patients in Saudi Arabia. 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. Historically, deciding exactly what culture is hasnt been easy. 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. The authors argue that holding on to the Politeness Plural linguistic schema may reinforce emotional distancing and might compromise schema healing. Fonagy, Peter 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. Contributors to this special issue of the Cognitive Behaviour Therapist have tackled the issues around the cultural adaptation of CBT from various perspectives, using a variety of methods, and have addressed topics ranging from cultural adaptation to improving access to CBT.

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