Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA.
Ralph H. Johnson VAMC, Charleston, South Carolina, USA.
J Marital Fam Ther. 2024 Oct;50(4):915-932. doi: 10.1111/jmft.12732. Epub 2024 Sep 4.
Integrative Behavioral Couple Therapy (IBCT) posits that couple distress can, in part, be attributed to four factors labeled with the acronym DEEP: natural Uifferences between partners in their perspectives, beliefs, interests, and personalities, partner's Emotional sensitivities related to these differences, the External, contextual stressors that often exacerbate their differences and sensitivities, and the resultant Patterns of distressed interaction. Although an extensive assessment process captures these four components and thus tailors targets for intervention based on the unique characteristics of each couple, it does not explicitly consider the uniqueness of African American couples. Given the historical and contemporary realities that African American couples face (e.g., anti-Black racism), the purpose of this article is to help clinicians use IBCT with African American couples in a culturally responsive way. We begin this article by highlighting the unique needs of African American couples. We then provide a broad overview of the benefits of adopting a multicultural lens of awareness, knowledge, and skills in clinical work, present an atheoretical overview of IBCT, and offer specific recommendations to attend to the unique cultural experiences of African American couples. Finally, we present a case study to exemplify our suggestions and highlight implications of using IBCT with African American couples in a culturally responsible way.
整合行为夫妻治疗（IBCT）认为，夫妻的困扰可以部分归因于四个因素，这些因素用缩写 DEEP 表示：伴侣在观点、信仰、兴趣和个性方面的自然差异、伴侣对这些差异的情绪敏感性、常常加剧他们差异和敏感性的外部环境压力源，以及由此产生的困扰互动模式。虽然广泛的评估过程捕捉到了这四个组成部分，并因此根据每对夫妻的独特特征来定制干预目标，但它并没有明确考虑非裔美国夫妻的独特性。鉴于非裔美国夫妻所面临的历史和当代现实（例如，反黑人种族主义），本文的目的是帮助临床医生以文化敏感的方式使用 IBCT 与非裔美国夫妻合作。我们首先通过强调非裔美国夫妻的独特需求来开始这篇文章。然后，我们提供了一个广泛的概述，介绍在临床工作中采用多元文化意识、知识和技能的好处，介绍 IBCT 的理论概述，并提供具体建议，以关注非裔美国夫妻的独特文化体验。最后，我们提出了一个案例研究，以举例说明我们的建议，并强调以文化负责的方式使用 IBCT 与非裔美国夫妻合作的影响。
