Multicultural CBT

Power

Ability to decide who gets resource

Privelege

Advantages and benefits of the dominant group

What should clinicians be knowledgeable about in therapeutic stance?

About experiences of marginalized communities and how those experiences can lead to different outcomes

What kinds of conversations should clinicians initiate when speaking with clients in therapeutic stance? What does this show?

Initiate conversations with clients about experiences about marginalization, shows client that such issues can be discussed openly in therapy

What is psychoeducation?

Teaching about relevant psychological or behavioral principles related to client difficulties

What is an important component of enhancing psychoeducation?

Should be based in client's lived experiences, consistent with their identities

What is cognitive restructuring?

A CT technique that encourages clients to examine their thought process for faulty logic and irrational or automatic thoughts

People from marginalized groups often have negative thoughts that are _____, because _________

Rational; because of their experiences

How should clinicians respond to negative thoughts in a culturally competent manner?

Clinician should validate both the emotions and the reality of such situations

Therapists help clients _____ what experiences mean about them, and target _______ _____-_________ automatic thoughts

reframe; negative self-focussed

Automatic thought - standard dispute - competent dispute

AT: People will think I'm stupid because I am Black

SD: What evidence do I have that people will think I'm stupid based on my race?

CD: What evidence do I have that I'm stupid?

What does it mean to modify exposure situations?

To explore relative cultural meaning about situations that evoke anxiety

What are modifying exposure situations based on?

Client therapy goals and cultural values

You can use exposure situations to...

- Increase assertiveness and/or comfort

- Decrease social interactions involving discrimination

- Increase social interactions with people who share important identities

- Meet client's larger therapy goals