scholarly journals “You Didn’t Cause Racism, and You Have to Solve it Anyways”: Antiracist Therapist Adaptations to Dialectical Behavior Therapy (DBT)

2021 ◽  
Author(s):  
Ashley Pierson ◽  
Vinushini Arunagiri ◽  
Debra Bond
Keyword(s):  
African American ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Culturally Responsive ◽  
Theoretical Models ◽  
Cultural Responsiveness ◽  
Evidence Based ◽  
Future Directions ◽  
Black African ◽  
Evidence Based Treatment

AbstractThere are currently no published studies that investigate or discuss the cultural responsiveness of Dialectical Behavior Therapy (DBT) to the needs of Black/African-American patients. In addition, no published scholarly works offer guidance to therapists on how to practice antiracism within the context of delivering evidence-based treatment. Methods for developing culturally responsive treatment are discussed within a dialectical framework. We propose that an antiracist adaptation to DBT is needed to correct for context minimization errors in the DBT model that create an invisibility of racism. Recommendations are made for an additional DBT Therapist Agreement that encourages labeling and targeting therapist treatment-interfering racist behavior. An additional Therapist Consultation Agreement is also proposed to guide therapist antiracist advocacy and functional validation for Black/African-American patients. The DBT technology is used in conjunction with other multicultural theoretical models to recommend strategies for developing White DBT therapists’ antiracist competencies. Future directions for qualitative research and applications to DBT supervision are discussed.

Culturally Responsive Cognitive Behavioral Therapy

2016 ◽  
Vol 15 (6) ◽  
pp. 427-442 ◽  
Author(s):  
Julia C. Zigarelli ◽  
Janine M. Jones ◽  
Cinthia I. Palomino ◽  
Reiko Kawamura
Keyword(s):  
African American ◽  
Cognitive Behavioral Therapy ◽  
Cultural Values ◽  
Culturally Responsive ◽  
Behavioral Therapy ◽  
Cultural Factors ◽  
Cognitive Behavioral ◽  
Evidence Based ◽  
Evidence Based Treatment

This case study provides an analysis of culturally responsive cognitive behavioral therapy with a 15-year-old African American female. The focus of this case study is on the course of treatment and how it was influenced by the implementation of the Jones Intentional Multicultural Interview Schedule (JIMIS)—a process that was completed at the beginning of treatment. A total of 20 therapy sessions were recorded and transcribed for the analysis. The research team analyzed the data qualitatively by identifying culturally salient codes that were stated within each session and coding transcripts using Dedoose software version 6.1.18. Results showed that four culturally salient codes were prominent throughout treatment and that these codes were strongly related to African American culture: gender norms, informal kinship, socioeconomic status, and race/ethnicity. The connections between the coded themes, the cultural values of the client, as well as the implications for treatment outcomes are described. This study provides evidence of the value of initiating discussion of cultural factors at the beginning of treatment to shape the direction of evidence-based treatment. The study also suggests that integrating cultural factors with African American clients is important and does not reduce the quality of care or diminish from the fidelity of the evidence-based treatment. Based on these findings, recommendations for researchers and clinicians are also discussed.

Promoting Cultural Responsiveness and Closing the Achievement Gap with Standards Blending

2009 ◽  
Vol 12 (6) ◽  
pp. 2156759X0901200
Author(s):  
Rita Schellenberg ◽  
Timothy Grothaus
Keyword(s):  
African American ◽  
Achievement Gap ◽  
School Counseling ◽  
African American Males ◽  
Group Intervention ◽  
Culturally Responsive ◽  
Self Esteem ◽  
Cultural Responsiveness ◽  
Closing The Achievement Gap ◽  
Content Areas

In this article, standards blending–-the integration of core academic and school counseling standards–-is demonstrated as a culturally responsive strategy to assist in closing the achievement gap for a group of third-grade African American males. The small-group intervention described resulted in knowledge gains in both the school counseling and academic curriculum content areas. All participants also reported experiencing increased self-esteem.

PTSD Treatment of African American Adults in Primary Care: The Gap Between Current Practice and Evidence-Based Treatment Guidelines

2011 ◽  
Vol 103 (7) ◽  
pp. 585-593 ◽  
Author(s):  
Ruth Elaine Graves ◽  
John R. Freedy ◽  
Notalelomwan U. Aigbogun ◽  
William B. Lawson ◽  
Thomas A. Mellman ◽  
...  
Keyword(s):  
Primary Care ◽  
African American ◽  
Current Practice ◽  
Treatment Guidelines ◽  
Evidence Based ◽  
Evidence Based Treatment ◽  
Ptsd Treatment ◽  
African American Adults

One-Session Treatment of Specific Phobias in Children: Recent Developments and a Systematic Review

2019 ◽  
Vol 15 (1) ◽  
pp. 233-256 ◽  
Author(s):  
Thompson E. Davis ◽  
Thomas H. Ollendick ◽  
Lars-Göran Öst
Keyword(s):  
Systematic Review ◽  
Children And Adolescents ◽  
Skills Training ◽  
Evidence Based ◽  
Future Directions ◽  
Research And Practice ◽  
Evidence Based Treatment ◽  
Specific Phobias ◽  
Recent Developments ◽  
Graduated Exposure

One-Session Treatment is a well-established evidence-based treatment for specific phobias in youths that incorporates reinforcement, cognitive challenges, participant modeling, psychoeducation, and skills training into a single, massed session of graduated exposure. This review begins by briefly examining the phenomenology, etiology, epidemiology, and assessment of specific phobias and then pivots to a description of One-Session Treatment. We examine the use of One-Session Treatment with children and adolescents, briefly discussing its components and application, and subsequently review almost two decades of research supporting its efficacy. Finally, we propose future directions for research and practice.

scholarly journals Cardiac Sarcoidosis: When and How to Treat Inflammation

2021 ◽  
Vol 7 ◽  
Author(s):  
Gerard T Giblin ◽  
Laura Murphy ◽  
Garrick C Stewart ◽  
Akshay S Desai ◽  
Marcelo F Di Carli ◽  
...  
Keyword(s):  
Cardiac Involvement ◽  
Cardiac Sarcoidosis ◽  
Multidisciplinary Treatment ◽  
Current Evidence ◽  
Myocardial Inflammation ◽  
Evidence Based ◽  
Future Directions ◽  
Evidence Based Treatment ◽  
Inflammatory Phase ◽  
Treatment Indications

Sarcoidosis is a complex, multisystem inflammatory disease with a heterogeneous clinical spectrum. Approximately 25% of patients with systemic sarcoidosis will have cardiac involvement that portends a poorer outcome. The diagnosis, particularly of isolated cardiac sarcoidosis, can be challenging. A paucity of randomised data exist on who, when and how to treat myocardial inflammation in cardiac sarcoidosis. Despite this, corticosteroids continue to be the mainstay of therapy for the inflammatory phase, with an evolving role for steroid-sparing and biological agents. This review explores the immunopathogenesis of inflammation in sarcoidosis, current evidence-based treatment indications and commonly used immunosuppression agents. It explores a multidisciplinary treatment and monitoring approach to myocardial inflammation and outlines current gaps in our understanding of this condition, emerging research and future directions in this field.

scholarly journals A systematic review of cognitive behavior therapy and dialectical behavior therapy for adolescent eating disorders

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Emily N. Vogel ◽  
Simar Singh ◽  
Erin C. Accurso
Keyword(s):  
Systematic Review ◽  
Eating Disorders ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Treatment Options ◽  
Current Evidence ◽  
Evidence Based ◽  
Cognitive Behavior ◽  
Adolescent Eating Disorders

Abstract Background Eating disorders have serious psychological and physical consequences. Current evidence-based treatments for adolescents with eating disorders have modest effects, underscoring the need to improve current treatment approaches. Cognitive behavior therapy (CBT) and dialectical behavior therapy (DBT) have been proposed as alternative treatment options, with burgeoning research in this area. This review aims to summarize and critically analyze the current literature on the feasibility, acceptability, effectiveness, and efficacy of CBT and DBT for adolescent eating disorders, and then proposes areas of future research. Methods PsycINFO and PubMed were searched using the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines to identify studies examining the feasibility, acceptability, effectiveness and/or efficacy of CBT or DBT for adolescent eating disorders. Results Eligible studies (N = 50; CBT: n = 40, DBT: n = 10) indicated that both treatments are reasonably feasible, acceptable, and possibly effective for adolescent eating disorders across diagnoses and levels of care, though efficacy trials are lacking. Conclusions CBT and DBT demonstrate promise as alternatives to family-based approaches for adolescent eating disorders. Adequately powered trials to establish the effectiveness and efficacy of CBT and DBT are needed, particularly ones that compare these treatments against other leading approaches. Plain English summary Despite high rates of relapse and likelihood for severe and enduring illness, there is a dearth of evidence-based treatment options for adolescents with eating disorders. Potentially viable but less well-studied treatments for adolescents with eating disorders include cognitive behavior therapy (CBT) and dialectical behavior therapy (DBT). This systematic review of CBT and DBT for adolescent eating disorders focuses on feasibility (i.e., how easy it was to implement the treatment), acceptability (i.e., how well the intervention was received by patients and therapists), effectiveness (i.e., how well the intervention performed under routine, real-world circumstances), and efficacy (i.e., how well the intervention performed in highly-controlled research settings). This review concludes that research supports the feasibility and acceptability of these approaches, as well as preliminary evidence of their effectiveness. However, the field is lacking studies that systematically compare CBT and DBT to other evidence-based approaches. Recommendations to advance research on CBT and DBT for adolescent eating disorders are provided, including a call for efficacy studies that clarify their performance compared to other leading approaches.

Culturally Responsive Adaptations in Evidence-Based Treatment: the Impact on Client Satisfaction

2016 ◽  
Vol 21 (3) ◽  
pp. 211-222 ◽  
Author(s):  
Janine Jones ◽  
Lisa Lee ◽  
Julia Zigarelli ◽  
Yoko Nakagawa
Keyword(s):  
Culturally Responsive ◽  
Client Satisfaction ◽  
Evidence Based ◽  
Evidence Based Treatment ◽  
The Impact

Cultural Adaptation of Dialectical Behavior Therapy for a Chinese International Student With Eating Disorder and Depression

2016 ◽  
Vol 16 (1) ◽  
pp. 42-57 ◽  
Author(s):  
Pei-Han Cheng ◽  
Elizabeth Merrick
Keyword(s):  
Eating Disorder ◽  
Cultural Values ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Cultural Adaptation ◽  
Filial Piety ◽  
International Student ◽  
Cultural Adjustment ◽  
Evidence Based ◽  
Chinese International Student

Limited information exists on the application of evidence-based treatments for eating disorders among diverse populations. An increasing number of international and immigrant clients provides a pressing need for culturally responsive treatments. This case study highlights an eating disorder treatment that incorporates dialectical behavior therapy and cultural adaptation guidelines. This study explicates a culturally adapted dialectical behavior therapy (DBT) treatment of a 24-year-old female Chinese international student suffering from an eating disorder, depression, and cultural adjustment issues. In particular, this case addresses Chinese cultural values, including conformity, interdependence, and filial piety, and how these values intersect with the client’s presenting issues and treatment. Cultural modifications made to the case conceptualization and dialectical behavior therapy are discussed. The client reported a significant decrease in distress, an increase in the quality of social relationships, and an increase in satisfaction with social roles. These results provide support for the effectiveness and importance of integrating cultural adaptation and evidence-based treatment. Clinical implications and recommendations for clinicians and students are provided.

Sign in / Sign up

Export Citation Format

Share Document