DBT is an evidence-based practice (Linehan, 2014), and research reflects mindfulness and acceptance-based therapies to indicate some clinical promise with 12 Culturally Appropriative Words and Phrases While the authors mention elements of cultural adaptation of the manual, no systematic attempts were made to adapt the manual culturally. Homoerotic themes were prevalent in poetry and other literary genres written in major languages of the Muslim world from the eighth century into the modern era (El-Rouayheb, Reference El-Rouayheb2005). Cultural appropriation is the adoption of certain elements from another culture without the consent of people who belong to that culture. The Use of Dialectical Behavioral Therapy with the Cultural adaptations of CBT: a summary and discussion University of Toronto and Centre for Addiction and Mental Health, Toronto, Canada, Volume 12: Special Issue: Cultural Adaptations of CBT, https://doi.org/10.1017/S1754470X19000278, Reference Stone, Beck, Hashempour and Thwaites, Reference Tam, Wong, Chow, Ng, Ng, Cheung and Mak, Reference Altweck, Marshall, Ferenczi and Lefringhausen, Reference Berry, Day, Mulligan, Seed, Degnan and Edge, Reference Kolonia, Tsartsara and Giakoumaki, Reference Murray, Haroz, Pullmann, Dorsey, Kane, Augustinavicius and Bolton, Reference Perry, Gardener, Oliver, Ta and zen, Reference Zwiebach, Lannert, Sherrill, McSweeney, Sprang, Goodnight and Rauch, Reference Zgueb, Ouali, Achour, Jomli and Nacef, Reference Chessell, Brady, Akbar, Stevens and Young, Reference Hakim, Thompson and Coleman-Oluwabusola, Reference Phiri, Rathod, Gobbi, Carr and Kingdon, Reference Gureje, Nortje, Makanjuola, Oladeji, Seedat and Jenkins, Reference Hwang, Myers, Chiu, Mak, Butner, Fujimoto and Miranda, Reference Edge, Degnan, Cotterill, Berry, Baker, Drake and Abel, Reference Fearon, Kirkbride, Morgan, Dazzan, Morgan, Lloyd and Murray, Reference Morgan, Dazzan, Morgan, Jones, Harrison, Leff and Fearon, Reference Pharoah, Mari, Rathbone and Wong, Reference Li, Zhang, Luo, Liu, Liu, Lin and Naeem, Reference Naeem, Habib, Gul, Khalid, Saeed, Farooq and Kingdon, Reference Naeem, Saeed, Irfan, Kiran, Mehmood, Gul and Kingdon, Reference Rathod, Kingdon, Phiri and Gobbi, Reference Rathod, Phiri, Harris, Underwood, Thagadur, Padmanabi and Kingdon, Reference Bolton, Lee, Haroz, Murray, Dorsey, Robinson and Bass, Reference Weiss, Murray, Zangana, Mahmooth, Kaysen, Dorsey and Bolton, Reference Bonilla-Escobar, Fandio-Losada, Martnez-Buitrago, Santaella-Tenorio, Tobn-Garca, Muoz-Morales and Bolton, Reference Patel, Weiss, Chowdhary, Naik, Pednekar, Chatterjee and Kirkwood, Reference Rahman, Hamdani, Awan, Bryant, Dawson, Khan and Ommeren, Reference Rathod, Pinninti, Irfan, Gorczynski, Rathod, Gega and Naeem, Reference Ramaiya, Fiorillo, Regmi, Robins and Kohrt, Reference Sue, Zane, Nagayama Hall and Berger, Reference Naeem, Phiri, Munshi, Rathod, Ayub, Gobbi and Kingdon, Reference Kayrouz, Dear, Kayrouz, Karin, Gandy and Titov, Reference Reger, Etherage, Reger and Gregory, Reference Soeters, Winslow, Weibull and Caforio, Reference Hoge, Castro, Messer, McGurk, Cotting and Koffman, Reference Stevelink, Malcolm, Mason, Jenkins, Sundin and Fear, Reference Spoont, Sayer, Thuras, Erbes and Winston, Reference Linehan, Armstrong, Suarez, Allmon and Heard, Reference Mndez-Bustos, Calati, Rubio-Ramrez, Oli, Courtet and Lopez-Castroman, Reference Panos, Jackson, Hasan and Panos, Reference Hawton, Witt, Taylor Salisbury, Arensman, Gunnell, Hazell and van Heeringen, Reference Ismail, Wright, Rhodes and Small, Reference Shea, Cachelin, Gutierrez, Wang and Phimphasone, Reference Shabtai, Pirutinsky, Rosmarin, Ben-Avie, Ives and Loewenthal, Reference McEvoy, Williamson, Kada, Frazer, Dhliwayo and Gask, Reference Mir, Meer, Cottrell, McMillan, House and Kanter, Reference Walpole, McMillan, House, Cottrell and Mir, Reference Memon, Taylor, Mohebati, Sundin, Cooper, Scanlon and Visser, Reference Baillie, Harrop, Hopewell-Kelly, Stephens, Byrne and Nelson, Reference ODonnell, Dorsey, Gong, Ostermann, Whetten, Cohen and Whetten, Reference Woods-Jaeger, Kava, Akiba, Lucid and Dorsey, Reference Chigwedere, Thwaites, Fitzmaurice and Donohoe, Reference Sodeke-Gregson, Holttum and Billings, Reference Goldfried, Burckell and Eubanks-Carter, Online CBT is effective in overcoming cultural and language barriers in patients with depression, Engaging minority ethnic communities to improve access to palliative care: barriers and strategies, Transcultural Cognitive Behaviour Therapy for Anxiety and Depression: A Practical Guide, Psychotherapy for ethnic minorities: issues, context and practice. Published online by Cambridge University Press: Globalization is bringing people together, and increasing their knowledge and awareness of the latest technologies in healthcare. 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. Gender and sexual minorities (GSM) are over-represented in the migrating population. Finally, Kada endorses community-based services (Beck and Naz, Reference Beck and Naz2019), the use of neutral places for therapy, and the importance of social media and online platforms in this context. 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). This paper describes one of the themes from that study in greater detail, i.e. Furthermore, individuals might vary in their level of acculturation and religiosity, and this should be taken into consideration (Joseph and DiDuca, Reference Joseph and DiDuca2007). Bains, Anmol DBT combined techniques from behaviour therapy and Zen Buddhism (Reddy and Vijay, Reference Reddy and Vijay2017) and was developed to help suicidal behaviours among borderline personality disorder service users (Linehan et al., Reference Linehan, Armstrong, Suarez, Allmon and Heard1991). 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). Climbing the totem pole. The authors describe the process of cultural adaptation in some detail, e.g. They suggest more empirical research in this field. But what is cultural appropriation? 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. 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). They also discuss the sub-cultures within the army, based on religion, race or gender, etc. 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. Culture, religion and spirituality influence the belief systems of people, including beliefs about illness, its causes and treatment (Cinnirella and Loewenthal, Reference Cinnirella and Loewenthal1999; Ismail et al., Reference Ismail, Wright, Rhodes and Small2005; Razali et al., Reference Razali, Khan and Hasanah1996). Revue Canadienne de Psychiatrie, Interventions for treating depression in Muslim patients: a systematic review, A culturally adapted depression intervention for African American adults experiencing depression: Oh Happy Day, Community-based mental health treatments for survivors of torture and militant attacks in Southern Iraq: a randomized control trial, The art and skill of delivering culturally responsive trauma-focused cognitive behavioral therapy in Tanzania and Kenya, Psychological Trauma: Theory, Research, Practice and Policy. 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). This paper highlights the need to improve the BME communitys access to CBT. The review focuses on seven case studies of cultural adaptations of CBT for social anxiety disorder (SAD) for a culturally diverse population published separately. Finally, I agree with the authors that this intervention should be used across the board. 2021. The prevalence rates of mental health difficulties among UASC are understandably higher than among children seeking asylum with their families, or children who are not from refugee or asylum-seeking backgrounds. Their experience of racism, perceived biases and discrimination mean that TSD can play a vital role in building trust and improving engagement (Beck and Naz, Reference Beck and Naz2019). Teaching About Cultural Appropriation Lets explore a few different ways cultural appropriation can be perpetuated, taken from a largely American context: A member of a majority group profiting financially or socially from the culture of a minority group is cultural appropriation. 11. Another survey from Canada reported time spent with trauma victims to be the strongest predictor of the traumatic stress. Key elements of 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. Only limited literature is available on CBT with Arab clients (Kayrouz et al., Reference Kayrouz, Dear, Kayrouz, Karin, Gandy and Titov2018). Peter Phiri and colleagues present findings from a sub-analysis of a qualitative study to culturally adapt CBT for psychosis for people of Afro-Caribbean and South Asian background (Rathod et al., Reference Rathod, Kingdon, Phiri and Gobbi2010). 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. Estrada, Suzanne In particular, it was possible to engage service users in family intervention for psychosis with and without biological family members. and Weaver, Timothy This population is at an increased risk of emotional and mental health problems. 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). A Cochrane Review reported that DBT reduces the frequency of repetition of self-harm, although no differences were observed in the proportion of patients repeating self-harm or other outcomes such as suicidal ideation and depression (Hawton et al., Reference Hawton, Witt, Taylor Salisbury, Arensman, Gunnell, Hazell and van Heeringen2016). To fully Cultural Appropriation The authors emphasize some of the salient features of military culture: the organizational structure of the military and its branches, a timeline of major wars and operations, the ranking hierarchy, and its language that should be considered in adapting therapy for this group. Both verbal and non-verbal language plays a vital role in psychotherapeutic encounters. This approach is supported by the World Health Organization (WHO) as depicted in mhGAP (WHO, 2015), which promotes scaling up of evidence-based interventions and emphasizes the role of lay counsellors in delivering these interventions directly to the community members. Similarly, researchers do not record information concerning participants sexual orientation (Bowen and Boehmer, Reference Bowen and Boehmer2007). Therefore, practical measures to improve access and providing training in culturally adapted therapy might be the most practical way forward. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. 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. 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. What Is Cultural Appropriation? | Britannica Byford, Sarah The Different Perceptions of Cultural Appropriation Columbia 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. Web1.12K subscribers. It's a controversial topic, one that activists and celebrities like Adrienne Keene and Jesse Williams have helped bring into the national spotlight. Hostname: page-component-75b8448494-jf2r5 and Currently, the IASP (Improving Access to Structures Psychotherapies) CBT Training Program in Ontario, Canada, is incorporating culturally adapted CBT practices. The term cultural appropriation is thought to CULTURAL APPROPRIATION IS one of the most misunderstood and abused phrases of our tortured age. Human societies are evolving at a fast pace. No Comments have been published for this article. Cultural appropriation There is (a) one systematic review of CBT for social anxiety among the culturally diverse population (Jankowska, Reference Jankowska2019). 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). This paper describes the development of a culturally adapted intervention and outlines a psychological skills group for unaccompanied asylum-seeking children (UASC). It was the very definition of cultural appropriation: when a dominant group of people adopt the customs, practices and ideas of another group of people, often Gooding, Patricia and 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. Developmental considerations included focusing on concrete concepts, using simplified language, vocabulary, and age-appropriate activities. Fonagy, Peter Wing, Yun Kwok This small-scale study offers in-depth insights based on the experience of front-line workers. 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. It is not common practice to report participants cultural or religious background in CBT research. Authors suggest that there can be significant benefits for services to provide IAPT training to people already providing culturally specific services. Evidence from fully powered trials will help towards implementation not just in England but in Muslim countries too. Evans, Claire They also discuss the integration of ACT and compassion-focused therapy (CFT) in helping this population. 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. Rodak, Terri The ideas proposed by the authors should also appeal to therapists from non-Western cultures. Case studies in this review were reported from the USA and Japan. 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). Islam is not an exception, and there are variations in the application of Islamic beliefs in different cultures and traditions (The Economist, 2013). 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 debate over cultural appropriation has been around for decades. Has data issue: false The treatment outcomes were generally promising in all cases, reporting a significant decrease of SAD symptoms, which were maintained over time. We know that racism creates an inherently invalidating environment. In this article, Michelle Brooks emphasizes the need for the reflective practice, self-practice and critical incident analysis model when working with service users with complex needs, such as refugees, asylum seekers and survivors of torture attending the IAPT (Improving Access to Psychological Therapies) programme. Kil, Hali 2022. To the extent that the cultural-appropriation police are urging their targets to respect others who are different, they are saying something that everyone needs to hear. Didactic adaptations focused on improving engagement and included the use of audiovisual material. 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). WebIntroduction. WebCultural appropriation takes place when members of a majority group adopt cultural elements of a minority group in an exploitative, disrespectful, or stereotypical way. 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). The protocol was developed in a specialist NHS (National Health Service, England) programme for migrants with PTSD. 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. 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). They suggest that educating service users on CBT plays a vital role in cultures where people, in general, are not aware of CBT. We are already discovering that behavioural approaches might need few changes in their application across cultures (Alatiq and Alrshoud, Reference Alatiq and Alrshoud2018). The authors argue that holding on to the Politeness Plural linguistic schema may reinforce emotional distancing and might compromise schema healing. Read Culturally adapted dialectical behavior therapy in an Cultural appropriation | Definition, History, Types, & Examples These authors suggest that young children cannot be treated without considering attachment patterns, the broader family system and cultural variables. It tells us that the items and beliefs we hold dear and sacred There is also evidence to suggest that using online platforms for delivering CBT might address cultural barriers (Alavi et al., Reference Alavi, Hirji, Sutton and Naeem2016). I agree that community centres might be a suitable alternative to deal with stigma. Does clienttherapist gender matching influence therapy course or outcome in psychotherapy? 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. Therapists working with traumatized individuals are at increased risk of burnout, compassion fatigue and vicarious trauma (Iqbal, Reference Iqbal2015). The authors used thematic analysis to further elaborate on critical elements of this theme and how this could impact on (a) therapists reaction towards TSD, (b) the therapeutic alliance, and ultimately (c) the outcomes of therapy. The over-arching theme of the paper is the engagement of the BME community in a collaborative manner while addressing stigma and with an emphasis on services being flexible in order to engage BME communities. } 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). 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). 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dbt cultural appropriation