Hinton Devon E, Patel Anushka
Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, 15 Parkman Street, WACC 812, Boston, MA 02114, USA.
Department of Psychology, The University of Tulsa, 800 South Tucker Drive, Tulsa, OK 74104, USA.
Psychiatr Clin North Am. 2017 Dec;40(4):701-714. doi: 10.1016/j.psc.2017.08.006. Epub 2017 Sep 19.
In increasingly multicultural societies, cognitive behavioral therapy (CBT) must be made appropriate for diverse groups. This article examines cultural adaptations of CBT, focusing on anxiety and depressive disorders. The article presents a culturally informed, transdiagnostic model of how anxious-depressive distress is generated and culturally shaped. Guided by this model, it discusses how interventions can be designed to decrease anxiety-type and depressive-type psychopathology in a culturally sensitive way. It describes such concepts as explanatory model bridging, cultural grounding, and contextual sensitivity.
在日益多元文化的社会中，认知行为疗法（CBT）必须适用于不同群体。本文探讨了认知行为疗法的文化适应性，重点关注焦虑症和抑郁症。本文提出了一个基于文化的、跨诊断的模型，用以说明焦虑抑郁困扰是如何产生以及如何受到文化塑造的。在这个模型的指导下，本文讨论了如何以文化敏感的方式设计干预措施，以减少焦虑型和抑郁型精神病理学症状。文中描述了解释模型桥接、文化基础和情境敏感性等概念。
