Malgady R G, Rogler L H, Costantino G
Program in Quantitative Studies, New York University, New York 10003.
J Consult Clin Psychol. 1990 Dec;58(6):704-12. doi: 10.1037//0022-006x.58.6.704.
Recognition of cultural distance between Hispanic clients and non-Hispanic therapists has prompted efforts to introduce culture into therapy, but there is little evidence that such efforts influence treatment outcomes. This article evaluates treatment outcomes from a program of research on modeling therapy with Puerto Ricans, targeting anxiety symptoms, acting-out behavior, and self-concept problems. Evaluation of outcomes confirmed the impact of culturally sensitive modeling therapy on anxiety symptoms and other selected target behaviors, but negative treatment effects also were evident. Results suggest that new approaches to psychotherapy for special populations, such as Hispanic children and adolescents, should be buttressed by programmatic research oriented toward the comparative evaluation of treatment outcomes and should be attuned to therapeutic processes mediating between culture and outcome.
认识到西班牙裔客户与非西班牙裔治疗师之间的文化差异，促使人们努力将文化因素引入治疗过程，但几乎没有证据表明这些努力会影响治疗效果。本文评估了一项针对波多黎各人的模拟疗法研究项目的治疗效果，该项目针对焦虑症状、外化行为和自我概念问题。结果评估证实了具有文化敏感性的模拟疗法对焦虑症状和其他选定目标行为的影响，但负面治疗效果也很明显。结果表明，针对特殊人群（如西班牙裔儿童和青少年）的心理治疗新方法，应以旨在比较评估治疗效果的系统性研究为支撑，并应关注文化与治疗效果之间的中介治疗过程。
