The authors describe culturally adapted techniques they used to make therapy compatible with the local cultural context. Therapists working with traumatized individuals are at increased risk of burnout, compassion fatigue and vicarious trauma (Iqbal, Reference Iqbal2015). client initiated therapist self-disclosure (TSD). This paper describes the use of CBT with four patients with vaginismus in Tunisia. The authors considered adaptations at numerous levels. 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). 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. Most importantly, this definition does not limit culture to race, religion or Teaching About Cultural Appropriation When respect for diversity is taken to crazy WebIntroduction. Culturally Adapted Dialectical Behavior Therapy in an It is not common practice to report participants cultural or religious background in CBT research. Lisk, Stephen substance use disorders. Carter, Ben They offer practical advice on discussing these issues. Finally, the authors argue that more resources are required to understand and address the barriers to accessing mental health services for BME service users. These values underpin the principle of cultural adaptation of evidence-based psychosocial interventions for people from diverse cultural and sub-cultural backgrounds. Self-practice, self-reflection (Chigwedere et al., Reference Chigwedere, Thwaites, Fitzmaurice and Donohoe2019) and the critical incident analysis model can be useful tools for these therapists. They have presented a succinct rationale for the use of ACT and CFT to help Muslim GSM who might migrate to the West to avoid harsh treatment, but might feel trapped due to their experience of racism and anti-Islamic feelings in their host societies. DBTACES in a multicultural community mental health Brooks identifies some of the challenges that refugees, asylum seekers and survivors of torture may present with. Bertie, Lizl-Antoinette It is defined as situations where a person associated with one group uses cultural elements from We know that racism creates an inherently invalidating environment. This systematic review reports case studies, as there were no randomized controlled trials (RCTs) in this area. A collaborative approach might not be acceptable across cultures. Three papers (d) focus on refugees, asylum seekers and the homeless. Because cultural appropriation of Buddhism creates suffering for marginalized communities. 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). Harmful Effects of Cultural Appropriation - Health Scotton, Isabela Lamante Kil, Hali The number of Muslims migrating to Europe and North America has increased over the last decade. There are wider cultural variations in self-disclosure. 2021. Cultural appropriation is the adoption of certain elements from another culture without the consent of people who belong to that culture. Cultural appropriation All these patients had a strict religious upbringing and had dysfunctional beliefs underpinned by their cultural and religious values. 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). Exposure and response prevention was used to help the client. A simple definition of cultural appropriation is the idea of someone adopting something from a culture that is not their own. This paper highlights a gap and provides the way forward in working with a highly stigmatized group. Cultural Appropriation and This interesting article provides food for thought for every therapist. Aminihajibashi, Samira At its core, DBT helps people build four major skills: mindfulness. Finally, this special issue publishes seven articles (f) on issues related to service delivery, practice, training and supervision when working with a diverse population. The Debate About Cultural Appropriation - O'Neill Scheer, Jillian R. This brief manualized intervention can be delivered in four sessions and might be applicable across cultures. 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. There is evidence to suggest that DBT is an effective treatment (Mndez-Bustos et al., Reference Mndez-Bustos, Calati, Rubio-Ramrez, Oli, Courtet and Lopez-Castroman2019; Panos et al., Reference Panos, Jackson, Hasan and Panos2014). Globalization also means rapid mobilization of people across national boundaries. 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). Kada suggests adaptations both at the individual therapist level (to make therapy acceptable) and at the service level (to improve access and engagement). They also highlight the culturally sensitive practice of involving faith or religious healers in therapy (Kada, Reference Kada2019; Mir et al., Reference Mir, Ghani, Meer and Hussain2019; Naeem et al., Reference Naeem, Phiri, Munshi, Rathod, Ayub, Gobbi and Kingdon2015a). 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). The success of therapy was attributed to the culturally specific modifications. Acceptance and commitment therapy (ACT) is a trans-diagnostic intervention that has been tried both in the West and outside the West. Cultural considerations in dialectical behavior therapy. - APA Therefore, there is a need to build robust evidence to convince funders, policy makers and service managers. 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. 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. 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. 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. Dialectical Behavioral Therapy (DBT) - Healthline and 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. Therefore, it makes sense to adapt CBT when working with diverse populations. Evidence from fully powered trials will help towards implementation not just in England but in Muslim countries too. Yarrum, Jynna There is at least some evidence that people from some non-Western culture are less likely to self disclose (Chen, Reference Chen1995; Yoo, Reference Yoo2012). I agree that community centres might be a suitable alternative to deal with stigma. A systematic review of interventions for treating depression in Muslim patients reported that many studies do not distinguish between beliefs and values that are religious and those that are cultural, and that most of the evidence was methodologically weak or included assertions made without qualification (Walpole et al., Reference Walpole, McMillan, House, Cottrell and Mir2013). The intervention is also available online (https://medicinehealth.leeds.ac.uk/downloads/download/131/results_and_resources_for_addressing_depression_in_muslim_communities). However, therapy was not adapted using a systematic approach. 2021. However, it might be applicable across cultures. Some of this information might even be useful when working with service users from other Abrahamic religions. It is, however, envisaged that therapists shared the same cultural values as the client, might be mindful of these norms, and possibly delivered therapy in Arabic some vital aspects of cultural adaptation.