Culturally Adapting Cognitive Behavioural Therapy for Psychosis for Treatment in Cultures with Different Causal Attributions
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Authors
Bentz, Stephen
Issue Date
2024
Type
Capstone
Language
en
Keywords
cultural adaptation , psychosis , cognitive behavioural therapy for psychosis , stigmatization , non-Western culture , causal explanation , comorbid symptoms of psychosis
Alternative Title
Abstract
This review seeks to gain an understanding on the applicability of culturally adapting cognitive behavioural therapy for psychosis (CBTp) for use in non-Westernized cultures where psychosis is not recognized as a mental illness. The author conducted a methodological analysis, review of the current literature, and discusses ethical considerations of the literature included in this review. Some non-Westernized cultures use causal explanations for psychosis, attributing the symptoms to religious or supernatural causes rather than biological or social ones. This makes the targeting of positive psychotic symptoms, such as delusions and hallucinations, less desirable for these individuals as the positive symptoms have a larger impact on the individual’s identity and self-esteem. Reducing symptoms of distress and comorbid symptoms can have a significant impact on the affected individual’s quality of life and ability to function. Non-Western cultures generally put more value into social relationships compared to Western cultures. Diagnosed individuals are likely to isolate themselves away from family and social relationships for fear of judgement. Findings from studies done in non-Westernized countries as well as Western countries find that individuals from non-Western cultural backgrounds face stronger stigmatization when compared to individuals with Western cultural backgrounds. Due to stigmatization, individuals from non-Western cultures are more likely to seek mental health treatment from religious and faith healers rather than from mental health professionals. The studies included in this review offer an initial look into the adaptations that can be made to CBTp to make it more acceptable and effective in non-Western cultures. Recommendations include individualizing CBTp interventions, offering family therapy to individuals of non-Western cultural backgrounds, and gaining knowledge of traditional cultural healing practices.
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Citation
Publisher
License
Attribution-NonCommercial-NoDerivs 3.0 United States
openAccess
openAccess