Day, Crispin However, therapy was not adapted using a systematic approach. This intervention was planned around three key themes: physical health needs, emotional wellbeing, and resilience-building. In addition to providing some guidance for therapists, Phiri et al. There was no association between time devoted to coping strategies and traumatic stress scores (Bober and Regehr, Reference Bober and Regehr2006). This implies that interventions adapted for religious groups should take into consideration the cultural factors as well. They rightly point out that adaptation work does not suggest changes in mental health care systems. 2022. 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. This paper offers a wealth of information and insights, and highlights the need for incorporating religious and spiritual factors in formulation and treatment (Josephson, Reference Josephson2004; Miller, Reference Miller2004). 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. This small-scale study offers in-depth insights based on the experience of front-line workers. However, there is lack of evidence supporting this approach with culturally The authors examined the fidelity and flexibility of treatment elements. 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). The assertion that the expression of social anxiety is influenced by social and cultural factors (Hofmann et al., Reference Hofmann, Asnaani and Hinton2010) has common sense appeal. 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. 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). Rodak, Terri Very high rates of post-traumatic stress disorder (PTSD), depression, anxiety and psychological distress have been reported among army personnel and veterans (Hoge et al., Reference Hoge, Castro, Messer, McGurk, Cotting and Koffman2004; Statistics Canada, 2014; Stevelink et al., Reference Stevelink, Malcolm, Mason, Jenkins, Sundin and Fear2015). They also discuss the integration of ACT and compassion-focused therapy (CFT) in helping this population. Kada suggests adaptations both at the individual therapist level (to make therapy acceptable) and at the service level (to improve access and engagement). 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). As the review included only a small number of case studies, it will be too early to draw any conclusions. However, mindfulness might not be acceptable to everyone from outside the West due to religious or cultural reasons. for this article. Pachankis, John E. 2023. Brooks uses a case example to further elaborate the model and emphasize the need for further research in this area. Hostname: page-component-75b8448494-jf2r5 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. Pratt, Daniel 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. Several attempts have been made at adapting third wave therapies (Cheng and Merrick, Reference Cheng and Merrick2017; Fuchs et al., Reference Fuchs, Lee, Roemer and Orsillo2013; Mercado and Hinojosa, Reference Mercado and Hinojosa2017; Ramaiya et al., Reference Ramaiya, Fiorillo, Regmi, Robins and Kohrt2017). WebIntroduction. Farrelly, Maria Li, Shirley Xin The next step should be a large scale evaluation of the manualized form of this intervention. The authors suggest more process research in the use of transdiagnostic therapy manuals in low- and middle-income countries. At its core, DBT helps people build four major skills: mindfulness. This paper describes the use of CBT with four patients with vaginismus in Tunisia. This can indeed increase the risks mentioned above. The principles of CBT underpinned the intervention, with elements of DBT, CFT and ACT. Finally, two papers describe the importance of self-reflection, self-practice and supervision (Brooks, Reference Brooks2019) and therapist self-disclosure (Phiri et al., Reference Phiri, Rathod, Gobbi, Carr and Kingdon2019). This paper examines the Greek cultural, linguistic schema of Politeness Plural in the application of a Schema Therapy mode model. For sexual minorities, minority stress has been implicated as an increased risk of emotional and mental health disorders. Arun, whites would never claim cultural appropriation. Third wave therapies are good examples of integration of CBT with another model of therapy. I start with a systematic review of CBT for social anxiety across cultures. 2022. At first glance, it appears that this There is a need to adapt CBT for this group using a systematic approach. The first article discusses the need for service change to improve access to culturally adapted therapy (Beck and Naz, Reference Beck and Naz2019). Family-based cognitive behavioural therapy was offered over 4 months with a successful treatment outcome. Most importantly, they address the cultural issues too. Hakim et al. One paper describes a practice protocol for dissociative symptoms (Chessell et al., Reference Chessell, Brady, Akbar, Stevens and Young2019), another describes the use of CBT with asylum seekers (King and Said, Reference King and Said2019), and the third paper describes CBT with Mexican homeless girls (Castaos-Cervantes, Reference Castaos-Cervantes2019). 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. One example often used to illustrate cultural appropriation is history, experience and traditions. 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). These authors start by highlighting the need to recognize a military culture in therapeutic encounters. The mental health systems in low- and middle-income countries (LAMICs) are under-resourced, limited to big cities and fragmented (Rathod et al., Reference Rathod, Pinninti, Irfan, Gorczynski, Rathod, Gega and Naeem2017). 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). 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). Weaver, Timothy They propose further investigation in this area. In some non-Western cultures, these expressions are accompanied by a set of gestures, for example, lowering of eyes or head (Cultural Atlas, 2019). They describe their efforts in adapting therapy for their service users on an individual level, barriers to access to IAPT services and lack of training for therapists from majority ethnic backgrounds. client initiated therapist self-disclosure (TSD). 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). 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. 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. 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. 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). These authors pioneered cultural adaptation of a CBT-based family intervention for psychosis for African-Caribbean people in England, and found it to be feasible and acceptable (Edge et al., Reference Edge, Degnan, Cotterill, Berry, Baker, Drake and Abel2018a,b). 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. 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). Here, I briefly summarize and discuss the papers in this special issue. WebCultural appropriation is a murky concept. The major limitation of this framework is that it focuses on CBT and might not be generalizable to other therapies. Structural adaptations included changes in the language. The notion that mindfulness-based therapies might be readily acceptable to people from a non-Western background has a common sense appeal. Byford, Sarah 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). All these patients had a strict religious upbringing and had dysfunctional beliefs underpinned by their cultural and religious values. Psychological interventions, therefore, can play a vital role in engaging these clients. 12. Susana Castaos-Cervantes (Castaos-Cervantes, Reference Castaos-Cervantes2019) describes the preliminary efficacy of a brief cognitive behavioural group therapy group intervention tailored to Mexican homeless girls. 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. Nitty gritty. Developed by Linehan We are becoming more mindful of the need to equal rights of all members of society, and to all societies and cultures and sub-cultures. Lisk, Stephen Clark, Kirsty A. Has data issue: false Wang, Katie The lay counsellors, under supervision, demonstrated high levels of fidelity to the intervention. Military personnel share a common bond, feeling of unity and a sense of purpose and direction. Nevertheless, third wave therapies should be culturally adapted and tested.