Foulks E F, Peña J M
Veterans Administration Medical Center, New Orleans, Louisiana, USA.
Psychiatr Clin North Am. 1995 Sep;18(3):607-20.
With a focus on the use of psychotherapy as a component in the comprehensive treatment of African Americans addicted to cocaine, this article reviews the literature on ethnicity and psychotherapy and discusses the main problems relevant to the planning of mental health and substance abuse services to minority populations in the United States. Some of the more salient areas are the relationship of cultural factors and substance abuse, the culturally determined possibilities and constraints in the treatment of substance abuse, the establishment of a culturally responsive psychotherapeutic approach that takes into account notions such as ethnic consciousness and self-esteem, and the therapist's effects on the proximal treatment situation. Research issues also are discussed, among them therapist-matching strategies, therapist's clinical skills, culturally responsive adaptations of psychotherapeutic frames and processes, and their effect on outcome.
本文聚焦于将心理治疗作为对可卡因成瘾非裔美国人综合治疗的一个组成部分，回顾了有关种族与心理治疗的文献，并讨论了与美国少数族裔心理健康和药物滥用服务规划相关的主要问题。一些较为突出的领域包括文化因素与药物滥用的关系、药物滥用治疗中由文化决定的可能性和限制、建立一种考虑到种族意识和自尊等概念的具有文化适应性的心理治疗方法，以及治疗师对近端治疗情境的影响。还讨论了研究问题，其中包括治疗师匹配策略、治疗师的临床技能、心理治疗框架和过程的文化适应性调整及其对治疗结果的影响。
