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29 - Cross-Cultural CBT

from Part Six - Specialist Applications of Cognitive Behavioral Therapy for Anxiety Disorders and Depression

Published online by Cambridge University Press:  06 January 2022

By
Andrew Beck  and
Michelle Brooks-Ucheaga
Edited by
Gillian Todd  and
Rhena Branch
Gillian Todd
Affiliation:
University of East Anglia
Rhena Branch
Affiliation:
University of East Anglia
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Summary

Cognitive behavior therapy is the treatment of choice for a wide range of mental health difficulties in the United Kingdom, Europe, North America, Australia, and New Zealand, but research evidence suggests that access to this therapy and clinical outcomes for patients is worse for patients from Black and minority ethnic (BAME) backgrounds compared with patients from white majority communities in most of these countries. This chapter looks at the changes that services and therapists can make to adapt the way that they work to ensure that access and outcomes for minority communities improve. Some of these changes are modest, such as ensuring that therapists acknowledge ethnic and cultural differences; however, some might need more extensive adaptation such as developing family system maps that take into account the beliefs, practices, and migration histories of different family members or understanding how spiritual beliefs can be incorporated into treatment plans. This chapter provides a practical and accessible framework for adaptation and suggests further reading to support the development of therapist skills in trans-cultural assessment and treatment of mental health problems when working with patients from BAME communities.

Keywords

CBTtrans-culturalrefugeesasylum seekerscultural adaptationracism
Type
Chapter
Information
Evidence-Based Treatment for Anxiety Disorders and Depression
A Cognitive Behavioral Therapy Compendium
 , pp. 620 - 640
Publisher: Cambridge University Press
Print publication year: 2022

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References

Recommended Further Reading

Beck, A. (2016). Interpreter mediated CBT: The limits of language might not be the limits of cognition. In Transcultural cognitive behaviour therapy for anxiety and depression: A practical guide. Routledge.CrossRefGoogle Scholar
Beck, A., Naz, S., Brooks, M., & Jankowska, M. (2019). Black, Asian and minority ethnic service users positive practice guide.Google Scholar
Tribe, R., & Thompson, K. (2008). Working with interpreters in health settings: Guidelines for psychologists. British Psychological Society.Google Scholar

Resources

An extensive resource list to support the trans-cultural application of CBT is available as part of the IAPT BAME Positive Practice Guide: www.babcp.com/files/About/BAME/IAPT-BAME-PPG-2019.pdfGoogle Scholar
The Code of Professional Conduct for Interpreters. (2016). www.nrpsi.org.uk/for-clients-of-interpreters/code-of-professional-conduct.htmlGoogle Scholar

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