Culturally Adapted Psychotherapy and the Legitimacy of Myth: A Direct-Comparison Meta-Analysis
Culturally Adapted Psychotherapy and the Legitimacy of Myth: A Direct-Comparison Meta-Analysis
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DOI：
10.1037/a0023626
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发表时间：
2011-07-01
影响因子：
3.9
通讯作者：
Wampold, Bruce E.
中科院分区：
文献类型：
--
作者：
Benish, Steven G.;Quintana, Stephen;Wampold, Bruce E.
心理治疗是一种文化封装的治疗实践，它是从特定的文化背景中创建并致力于特定的文化背景（Frank & Frank，1993; Wampold，2007; Wrenn，1962）。因此，传统的心理治疗是一种最适合北美和西欧主流文化群体的做法，但在文化上可能与少数民族和种族群体的价值观和世界观不一致。例如，在一个实施例中，D. W. Sue，Arredondo，& McDavis，1992）.在先前的荟萃分析中，文化适应性心理治疗对少数民族和种族比一组异质对照条件更有效（Griner & Smith，2006），但文化适应性心理治疗与非适应性的相对疗效，真正的心理治疗仍然没有建立。此外，一种特殊形式的适应，涉及疾病的解释，在人类学的背景下被称为疾病神话的普遍治疗做法（弗兰克和弗兰克，1993年），可能是负责适应和不适应的治疗少数民族和种族的客户之间的结果的差异。目前的多层次模型，直接比较荟萃分析发表和未发表的研究证实，文化适应的心理治疗是更有效的比不适应，真正的心理治疗的心理功能的主要措施，d = 0.32。疾病神话的适应是通过文化适应性心理治疗获得上级结果的唯一调节因素（d = 0.21）。神话适应文化适应心理治疗的影响，为未来的研究，培训和实践进行了讨论。
Psychotherapy is a culturally encapsulated healing practice that is created from and dedicated to specific cultural contexts (Frank & Frank, 1993; Wampold, 2007; Wrenn, 1962). Consequently, conventional psychotherapy is a practice most suitable for dominant cultural groups within North America and Western Europe but may be culturally incongruent with the values and worldviews of ethnic and racial minority groups (e. g., D. W. Sue, Arredondo, & McDavis, 1992). Culturally adapted psychotherapy has been reported in a previous meta-analysis as more effective for ethnic and racial minorities than a set of heterogeneous control conditions (Griner & Smith, 2006), but the relative efficacy of culturally adapted psychotherapy versus unadapted, bona fide psychotherapy remains unestablished. Furthermore, one particular form of adaptation involving the explanation of illness-known in an anthropological context as the illness myth of universal healing practices (Frank & Frank, 1993)-may be responsible for the differences in outcomes between adapted and unadapted treatments for ethnic and racial minority clients. The present multilevel-model, direct-comparison meta-analysis of published and unpublished studies confirms that culturally adapted psychotherapy is more effective than unadapted, bona fide psychotherapy by d = 0.32 for primary measures of psychological functioning. Adaptation of the illness myth was the sole moderator of superior outcomes via culturally adapted psychotherapy (d = 0.21). Implications of myth adaptation in culturally adapted psychotherapy for future research, training, and practice are discussed.