Culturally Responsive CBT for Psychological and Physical Symptoms in Pakistani Youth: Role of Religious and Cultural Attunement

IF 2.9 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Tania Nadeem, Nargis Asad, Sahar Nadeem Hamid, Pinar Farooq, Fauzia Mahr
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Abstract

Cognitive Behavioral Therapy (CBT) is used widely throughout the world in diverse populations for successful treatment of a wide range of psychiatric and comorbid conditions. Over the years clinicians have been making efforts to culturally adapt CBT to various groups. This paper discusses the assessment and treatment of a young female from Pakistan with depression and anxiety with comorbid headache. After ruling out all organic causes, the treatment continued over 20 sessions with the initial phase consisting of introduction to CBT, risk assessment, and identification of treatment goals. Following this, the patient was helped in identifying automatic thoughts, feelings, and behaviors. Finally, tools such as thought substitutions, reappraisals, and positive diversions were used effectively to decrease automatic negative thoughts. A focus on the patient’s religio-cultural identity was maintained throughout. Understanding of contextual factors like religio-cultural values and family dynamics helped to bring about favorable therapy outcomes. A case conceptualization that cohesively addressed factors relating to ethnicity, class, and gender yielded a positive result in our case. Involvement of the family and psychoeducation regarding neurobiological causes also proved to be helpful. Such an approach can facilitate a culturally responsive application of CBT in Pakistani youth experiencing comorbid medical and psychiatric disorders.

针对巴基斯坦青少年心理和生理症状的文化适应性 CBT:宗教和文化调适的作用
认知行为疗法(CBT)在世界各地广泛应用于不同人群,成功治疗了多种精神疾病和合并症(Pearce 等人,2015 年)。多年来,临床医生一直在努力使 CBT 疗法适应不同群体的文化。本文讨论了对一名患有抑郁和焦虑并伴有头痛的巴基斯坦年轻女性的评估和治疗。在排除了所有器质性病因后,治疗持续了 20 个疗程,初始阶段包括介绍 CBT、风险评估和确定治疗目标。随后,帮助患者识别自动思维、情感和行为。最后,有效使用思想替代、重新评估和积极转移等工具来减少自动的消极想法。在整个过程中,始终关注患者的宗教文化身份。对宗教文化价值观和家庭动态等背景因素的了解有助于取得良好的治疗效果。在我们的病例中,针对种族、阶级和性别因素的病例概念化取得了积极的效果。事实证明,家庭的参与和有关神经生物学原因的心理教育也很有帮助。这种方法可以促进 CBT 在巴基斯坦青少年中的文化适应性应用,这些青少年同时患有内科和精神科疾病。
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来源期刊
Cognitive and Behavioral Practice
Cognitive and Behavioral Practice PSYCHOLOGY, CLINICAL-
CiteScore
4.80
自引率
3.40%
发文量
118
审稿时长
84 days
期刊介绍: Cognitive and Behavioral Practice is a quarterly international journal that serves an enduring resource for empirically informed methods of clinical practice. Its mission is to bridge the gap between published research and the actual clinical practice of cognitive behavior therapy. Cognitive and Behavioral Practice publishes clinically rich accounts of innovative assessment and diagnostic and therapeutic procedures that are clearly grounded in empirical research. A focus on application and implementation of procedures is maintained.
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