Culturally Safe Emotionally Focused Couple Therapy (EFCT) with Racialized Multi-barriered Newcomer Couples to Canada Where Depression is Present in One or Both Partners

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dc.contributor.authorBailey, Natasha
dc.date.accessioned2023-07-26T18:35:56Z
dc.date.available2023-07-26T18:35:56Z
dc.date.issued2023-05
dc.description.abstractThis Capstone explored how findings of relevant published literature could inform a culturally safe EFCT intervention with racialized multi-barriered newcomer couples to Canada experiencing depression that addresses settlement-related features and fosters mental health equity. In Canada, these newcomers are typically from African, Arab, Central Asian and Latin American countries with complex needs, including pre-arrival trauma. The researcher explored the effectiveness and limitations of EFCT with ethno-culturally diverse groups. The researcher also identified additional elements for an EFCT intervention that would adequately address identified needs, including the experiences of racism and discrimination, acculturative stress, and settlement-related issues. Key findings included: any pilot test of an EFCT intervention for racialized multi-barriered newcomers would need to involve them in an adaptation of the intervention in order to optimize cultural safety; make stress and emotional masking or reactivity due to oppression and settlement-related features explicit and reflected as part of the interactional cycle of the couple; make the assessment phase longer to take into account assessment of settlement barriers such as pre-migration trauma, loss of close networks, isolation, loneliness, low social support, language, employment difficulties and resulting financial stress, and provide a lengthier intervention to support needed psycho-education and to address trauma. Finally, cultural safety necessitates addressing the social determinants of health and power dynamics in the therapeutic interaction and mental health systems. Findings informed a framework for a culturally safe EFCT intervention with the target group as well as recommendations for the formulation of a pilot test of the framework.
dc.identifier.urihttps://hdl.handle.net/20.500.11803/2148
dc.language.isoen
dc.publisher.institutionCity University of Seattle (CityU)
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States
dc.rightsopenAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/
dc.subjectcultural safety
dc.subjectemotionally-focused therapy
dc.subjectimmigrants
dc.subjectracialized groups
dc.subjectmulti-barriered
dc.subjectmental health
dc.subjectsocial determinants of health
dc.subjectsettlement
dc.titleCulturally Safe Emotionally Focused Couple Therapy (EFCT) with Racialized Multi-barriered Newcomer Couples to Canada Where Depression is Present in One or Both Partners
dc.typeCapstone
thesis.degree.disciplineCounselling
thesis.degree.grantorCity University of Seattle (CityU)
thesis.degree.levelMasters
thesis.degree.nameMaster of Counselling
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