Weiss Brandon J, Singh J Suzane, Hope Debra A
University of Nebraska-Lincoln.
Clin Case Stud. 2011 Aug;10(4):324-342. doi: 10.1177/1534650111420706. Epub 2011 Sep 14.
Cognitive-behavioral therapy (CBT) for the treatment of Social Anxiety Disorder (SAD) has demonstrated efficacy in numerous randomized trials. However, few studies specifically examine the applicability of such treatment for ethnic minority clients. Thus, the purpose of this article is to present two case studies examining the utility of individualized CBT for SAD with two clients who immigrated to the United States, one from Central America and one from China, for whom English was not their primary language. Both clients demonstrated improvement on a semi-structured interview and self-report measures. Necessary adaptations were modest, suggesting that therapy could be conducted in a culturally sensitive manner without much deviation from the treatment protocol. Results are discussed in terms of adapting treatment to enhance acceptability for and better fitting the needs of ethnic minority clients and non-native speakers of English. Implications for treating ethnic minority clients, as well as the practice of culturally sensitive treatment, are discussed.
认知行为疗法（CBT）在治疗社交焦虑障碍（SAD）方面已在众多随机试验中证明了其有效性。然而，很少有研究专门考察这种治疗方法对少数族裔客户的适用性。因此，本文的目的是呈现两个案例研究，探讨针对两名移民到美国的客户（一名来自中美洲，一名来自中国，英语并非其母语）的社交焦虑障碍个性化认知行为疗法的效用。两名客户在半结构化访谈和自我报告测量中均表现出改善。必要的调整幅度不大，这表明可以以文化敏感的方式进行治疗，而不会与治疗方案有太大偏差。本文将根据调整治疗方法以提高少数族裔客户和非英语母语者的接受度并更好地满足其需求来讨论研究结果。同时还将讨论对治疗少数族裔客户的启示以及文化敏感治疗的实践。
