Culturally Adapted Cognitive-Behavioral Therapy: Integrating Sexual, Spiritual, and Family Identities in an Evidence-Based Treatment of a Depressed Latino Adolescent
Culturally Adapted Cognitive-Behavioral Therapy: Integrating Sexual, Spiritual, and Family Identities in an Evidence-Based Treatment of a Depressed Latino Adolescent
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DOI：
10.1002/jclp.20710
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发表时间：
2010-08-01
影响因子：
3
通讯作者：
Bonilla, Karen
中科院分区：
文献类型：
--
作者：
Duarte-Velez, Yovanska;Bernal, Guillermo;Bonilla, Karen
本文描述并说明了文化适应的认知行为疗法（CBT）如何保持对治疗方案的忠实性，同时允许相当大的灵活性来解决患者的价值观，偏好和背景。对一名拉丁裔同性恋青少年进行了基于手册的CBT，内容涉及他的性认同、家庭价值观和精神观念。这名青少年患有严重的抑郁症，并在一个保守和马基斯塔波多黎各家庭中将自己视为同性恋和基督徒。CBT促进个人接受和积极质疑同性恋恐惧的思想在家庭尊重的气氛。CBT使身份的形成和整合成为女同性恋，男同性恋，双性恋和变性青年性身份发展的核心，缓解了患者的抑郁症和更好的家庭结局。(C)2010 Wiley Periodicals，Inc. J Clin Psychol：In Session 66：895-906，2010.
The article described and illustrated how a culturally adapted cognitive-behavioral therapy (CBT) can maintain fidelity to a treatment protocol while allowing for considerable flexibility to address a patient's values, preferences, and context. A manual-based CBT was used with a gay Latino adolescent regarding his sexual identity, family values, and spiritual ideas. The adolescent suffered from a major depression disorder and identified himself as gay and Christian within a conservative and machista Puerto Rican family. CBT promoted personal acceptance and active questioning of homophobic thoughts in a climate of family respect. CBT enabled identity formation and integration, central to the development of a sexual identity for lesbian, gay, bisexual, and transgender youth, with remission of the patient's depression and better family outcomes. (C) 2010 Wiley Periodicals, Inc. J Clin Psychol: In Session 66:895-906, 2010.