Cultural Adaptations of Psychotherapy: Therapists' Applications of Conceptual Models With Asians and Asian Americans

Cultural Adaptations of Psychotherapy: Therapists' Applications of Conceptual Models With Asians and Asian Americans
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DOI:
10.1037/aap0000122
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发表时间:
2019-03-01
影响因子:
1.5
通讯作者:
Ibaraki, Alicia Y.
Ibaraki, Alicia Y.
中科院分区:
心理学4区
文献类型:
--
作者:
Hall, Gordon C. Nagayama;Kim-Mozeleski, Jin E.;Ibaraki, Alicia Y.

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虽然心理治疗的文化适应的概念模型已经开发出来,很少有人知道治疗师如何在临床实践中应用这些模型。目前的研究的目的是检查,使用定向内容分析,治疗师如何在文化上适应认知行为治疗,最广泛使用的循证方法之一,与亚洲血统的客户应用。该研究还探讨了在美国(N = 9),一个主要的个人主义社会,而不是那些谁在日本(N = 6),一个主要的集体主义社会的实践治疗师之间的适应策略有重大差异。半结构化,开放式访谈显示,相互依存的概念化的自我和间接沟通的治疗师在这两个国家,治疗师的信誉问题,只有在美国治疗师解决。这些结果意味着,当文化适应心理治疗,治疗师纳入概念模型的元素,是相关的客户的文化。
Although conceptual models of cultural adaptations of psychotherapy have been developed, little is known about how therapists apply these models in clinical practice. The purpose of the current study was to examine, using a directed content analysis, how therapists culturally adapt cognitive-behavioral therapy, one of the most widely used evidence-based approaches, for application with clients of Asian ancestry. The study also examined if there were major differences in adaptation strategies between therapists who practice in the United States (N = 9), a predominantly individualistic society, as opposed to those who practice in Japan (N = 6), a predominantly collectivistic society. Semistructured, open-ended interviews revealed that interdependent conceptualizations of the self and indirect communication were addressed by therapists in both countries, and therapist credibility issues were addressed only by therapists in the United States. These results imply that when culturally adapting psychotherapy, therapists incorporate elements of conceptual models that are relevant to their clients' cultures.