Culturally and Linguistically Sensitive Applications in Other Countries

2021 ◽  
pp. 180-194
Author(s):  
Hiroko Fujisato ◽  
Noriko Kato ◽  
Dominique Phillips ◽  
Estefany Sáez-Clarke
Keyword(s):  
Children And Adolescents ◽  
Emotional Disorders ◽  
Cultural Context ◽  
Japanese Culture ◽  
Cultural Groups ◽  
Cultural Adaptations ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Intervention Protocol

Cultural adaptation can help maintain a balance between scientifically rigorous interventions and culturally sensitive, effective practice. When introducing the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents (UP-C/A) into a new cultural context, translating the treatment may be sufficient in some countries and regions, while others may require more systematic modification. This chapter discusses specific steps that were taken for adapting the UP-C/A in the context of Japanese culture and presents a case study in Japan. When introducing the UP-C/A into the Japanese context, modifications were made to increase the treatment’s acceptability and comprehension, but there were no significant modifications in the content of the intervention protocol. In the future, as the UP-C/A is introduced into other cultures, its effectiveness will be further evaluated and the cultural adaptations needed to accommodate new cultural groups will become increasingly apparent.

Cross-Cultural Applications of the Unified Protocol

2017 ◽  
pp. 268-290
Author(s):  
Amantia A. Ametaj ◽  
Nina Wong Sarver ◽  
Obianujunwa Anakwenze ◽  
Masaya Ito ◽  
Michel Rattner-Castro ◽  
...  
Keyword(s):  
Emotional Disorders ◽  
Culturally Diverse ◽  
Cross Cultural ◽  
Evidence Based ◽  
Treatment Goals ◽  
Treatment Dropout ◽  
Cultural Adaptations ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Culturally Adapted

Growing evidence supports the importance of culturally adapting evidence-based interventions to increase their effectiveness and prevent treatment dropout. This chapter discusses several strategies for tailoring treatment to culturally diverse individuals and summarizes two cultural adaptations of the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP) in two countries, Japan and Colombia. In Japan, the protocol retained a high degrees of fidelity to the original UP while being translated into Japanese, adding illustrations, and changing the structure of the treatment goals. In Colombia, the protocol was culturally adapted to treat patients suffering from the aftereffects of trauma from the armed conflict. Descriptions of the cultural adaptations made to the protocol are outlined. In addition, a case from each setting is presented to illustrate the application of these adaptations.

Targeting Comorbid Anxiety and Depression Using the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents

2018 ◽  
Vol 17 (2) ◽  
pp. 59-76 ◽  
Author(s):  
Jamie A. Sherman ◽  
Niza A. Tonarely ◽  
Jill Ehrenreich-May
Keyword(s):  
Emotional Disorders ◽  
Emotional Disorder ◽  
Adolescent Male ◽  
Individual Treatment ◽  
Obsessive Compulsive ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Wide Range ◽  
Core Features

This article presents the use of an emotion-focused, transdiagnostic therapy approach designed for adolescents with a range of anxiety, obsessive-compulsive, depressive, and related disorders, referred to here as emotional disorders. Preliminary work suggests that emotional disorders share underlying temperament factors, such as high neuroticism and low extroversion in adults and adolescents, possibly influencing the development and maintenance of emotional disorders across the life span. The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A) and similar core dysfunction-focused, transdiagnostic therapy approaches may lead to successful treatment by targeting higher order factors that cut across an array of emotional disorders The utility of UP-A for adolescents experiencing a variety of emotional disorder symptoms is demonstrated here through the case illustration of Tony, a 15-year-old adolescent male with severe social and generalized anxiety and mild levels of depression. After 16 individual treatment sessions, Tony demonstrated significant reductions in anxiety and depressive symptoms, as well as an ability to respond more adaptively to a range of emotional experiences. This case study illustrates how short-term, transdiagnostic treatment using the UP-A can effectively ameliorate a wide range of emotional disorder symptoms in adolescents and may also lead to changes in core features of neuroticism, potentially preventing development of further emotional difficulties over time.

scholarly journals The Unified Protocol for Transdiagnostic Treatment of Perinatal Depression: A Case Study

2020 ◽  
Vol 19 (6) ◽  
pp. 491-508 ◽  
Author(s):  
Elena Crespo-Delgado ◽  
Verónica Martínez-Borba ◽  
Jorge Osma
Keyword(s):  
Emotional Disorders ◽  
Individual Treatment ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Group Format ◽  
Regulation Strategies ◽  
Anxiety Depression ◽  
Perinatal Women

This case study aims to present the application of the Unified Protocol (UP) for the Transdiagnostic Treatment of Emotional Disorders in the case of a 38-year-old pregnant woman with a peripartum onset of major depressive disorder and anxiety symptoms. The UP is a cognitive-behavioral intervention based on the shared etiological and maintenance mechanisms of emotional disorders (i.e., mood, anxiety, and related disorders). The UP helps to modify maladaptive emotion-regulation strategies and enhance tolerance of unpleasant and intense emotions (sadness, anxiety, anger, etc.). Whereas previous studies demonstrate the efficacy of the UP in different emotional disorders, to our knowledge, none of them have used the UP to treat perinatal emotional disorders. After the eight UP modules of individual treatment, a significant decrease in anxiety, depression, negative affect, and anxiety sensitivity, and also an increase in positive affect were observed. These results were maintained at the 12-month follow-up. In addition to its clinical utility and acceptance, these results indicate that the UP can be adapted and personalized for the treatment of perinatal emotional disorders. Future studies with larger samples and controlled experimental designs should be developed to demonstrate its efficacy. Furthermore, as the UP seems to be useful in a group format, future efforts should be focused on the UP with perinatal women in a group format.

Attending to the Alliance in the Application of the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders: A Case Study

2019 ◽  
Vol 18 (4) ◽  
pp. 282-299 ◽  
Author(s):  
Joseph M. Donahue ◽  
Julia M. Hormes ◽  
Elana B. Gordis ◽  
Drew A. Anderson
Keyword(s):  
Therapeutic Alliance ◽  
Emotional Disorders ◽  
Behavioral Therapy ◽  
Symptom Improvement ◽  
Current Case ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Treatment Naïve ◽  
Flexible Application

As conceptualizations of mood and anxiety disorders shift toward a dimensional approach, transdiagnostic treatments have gained recognition and support. The Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP) is an evidence-based cognitive behavioral therapy that targets the core processes that underlie common and comorbid mental disorders. It is designed to help clients learn how to confront, experience, and respond to their emotions in adaptive ways through the modification of their emotion regulation strategies. The current case study describes the flexible application of the UP with a treatment-naïve 25-year-old female who presented to outpatient therapy with symptoms of anxiety and depression. Additions to the UP were made to address issues related to the therapeutic alliance and information discovered over the course of treatment. Outcome measures administered to the client reflect significant symptom improvement and add to a growing body of literature that supports the usefulness of transdiagnostic approaches to treating a range of disorders. Moreover, quantitative and qualitative data point to the necessity for clinicians to attend to the therapeutic alliance and consider cultural factors when delivering manualized treatment approaches to individuals from diverse backgrounds.

Treating a Cluster of Internalizing Disorders With the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: A Case Study

2020 ◽  
pp. 153465012096799
Author(s):  
Brianna R. Altman ◽  
Mitch Earleywine
Keyword(s):  
Emotional Disorders ◽  
Emotion Dysregulation ◽  
Romantic Relationship ◽  
Treatment Manual ◽  
Obsessive Compulsive ◽  
Current Case ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Treatment Manuals

Psychotherapy outcome research rarely focuses on the ideographic application of treatment manuals, though some modules might prove markedly more important for a client than others. Clients in need of psychoeducation, emotion regulation skills, and changes in maladaptive patterns of thinking might balk at portions of the Unified Protocol for the Treatment of Emotional Disorders that seem irrelevant to their concerns. The current case study focused on emotion dysregulation and perfectionism given their role in anxiety, depression, obsessions, and compulsions. The Overall Anxiety Severity and Impairment Scale (OASIS), Overall Depression Severity and Impairment Scale (ODSIS), and Yale-Brown Obsessive Compulsive Scale (Y-BOCS) confirmed qualitative reports and therapist observations of improvement. Additional sessions focused on fostering self-compassion and processing the termination of a romantic relationship rather than completing every section of the manual. This case demonstrates that flexible adaptation of a transdiagnostic treatment manual, in conjunction with a strong working alliance and other non-specifics of therapy, can produce beneficial outcomes even when other modules are not applied. These results might support ideographic application of select modules from treatment manuals and support a symptoms approach to psychotherapy.

scholarly journals The Development of the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders: A Case Study

2010 ◽  
Vol 17 (1) ◽  
pp. 102-113 ◽  
Author(s):  
Christina L. Boisseau ◽  
Todd J. Farchione ◽  
Christopher P. Fairholme ◽  
Kristen K. Ellard ◽  
David H. Barlow
Keyword(s):  
Emotional Disorders ◽  
Transdiagnostic Treatment ◽  
Unified Protocol

The Power of Art to Cope With Trauma: Psychosocial Intervention After the Tsunami in Japan

2020 ◽  
pp. 002216782098214
Author(s):  
Tami Gavron
Keyword(s):  
Natural Disasters ◽  
Psychosocial Intervention ◽  
Cultural Context ◽  
Psychosocial Interventions ◽  
Kindergarten Teachers ◽  
Japanese Culture ◽  
Art Making ◽  
Cultural Expression ◽  
The Arts

This article describes the significance of an art-based psychosocial intervention with a group of 9 head kindergarten teachers in Japan after the 2011 tsunami, as co-constructed by Japanese therapists and an Israeli arts therapist. Six core themes emerged from the analysis of a group case study: (1) mutual playfulness and joy, (2) rejuvenation and regaining control, (3) containment of a multiplicity of feelings, (4) encouragement of verbal sharing, (5) mutual closeness and support, and (6) the need to support cultural expression. These findings suggest that art making can enable coping with the aftermath of natural disasters. The co-construction underscores the value of integrating the local Japanese culture when implementing Western arts therapy approaches. It is suggested that art-based psychosocial interventions can elicit and nurture coping and resilience in a specific cultural context and that the arts and creativity can serve as a powerful humanistic form of posttraumatic care.

scholarly journals Initial Effectiveness Evaluation of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders for Homeless Women

2020 ◽  
pp. 014544552098256
Author(s):  
Sara Rodriguez-Moreno ◽  
Todd J. Farchione ◽  
Pablo Roca ◽  
Carolina Marín ◽  
Ana I. Guillén ◽  
...  
Keyword(s):  
Negative Affect ◽  
Emotional Disorders ◽  
Group Treatment ◽  
Linear Trend ◽  
Control Period ◽  
Well Being ◽  
Homeless Women ◽  
Depression And Anxiety ◽  
Transdiagnostic Treatment ◽  
Unified Protocol

The purpose of this study is to evaluate the effectiveness of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders adapted for homeless women (UPHW). Eighty-one homeless women participated in this single-blinded quasi-experimental clinical trial, involving up to 12 sessions of group treatment, and 3-and 6-month follow-ups. The participants received either immediate treatment with the UPHW ( n = 46) or delayed treatment, following a 12-week wait-list control period (WLC; n = 35). Primary outcomes included depression and anxiety. Secondary measures comprised positive and negative affect, psychological well-being, health perception, and social support. The UPHW resulted in significant improvement on measures of anxiety, depression and negative affect. Improvements in anxiety and depression were maintained over a 3-month follow-up period, but not at 6-month. The reliability of the clinical changes showed significant differences between UPHW and WLC for depression. Moreover, the inter-session assessment in the UPHW group showed a linear trend reduction for depression and anxiety scores along the 12 sessions. The clinical implications on the UPHW in social settings are also discussed.

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