Oxford Text pg 319-324

Kinzie et al (1987)

examined long term TCA treatment, found cultural and educational factors influence compliance with treatment of depression

Kirmayer (2001)

concludes that there must be a clinical negotiation between the clinician and the patient because people interpret their symptoms differently

clinical negotionation

establish a common interpretation of the set of symptoms and frame it in culturally acceptable terms

internal model of illness

a culturally determined schematic representation of a mental disorder

Naeem et al (2012)

aimed to develop a culturally sensitive CBT programme, found 4 main themes

perceptions of depression

one of Naeem’s 4 main themes - physical symptoms mentioned more often

model of cuases

one of Naeem’s 4 main themes - were not aware of the existence of types of mental illness

modes of referral for help

one of Naeem’s 4 main themes - most were referred to the clinic by relatives

knowledge and experience concerning treatment of depression

one of Naeem’s 4 main themes - most believed they could be cured by “good quality medicine”

top down adaptations

making relatively superficial changes to the treatment

bottom-up adaptations

making relatively deep changes to the treatment

Ecological Validity Framework

outlines language, persons, metaphors, content, concepts, goals, method, and context as areas that may be adapted

Griner and Smith (2006)

conducted a meta-analysis to examine the benefit of culturally adapted treatments, found cultural adaptations carried out for specific subpopulations may be more effective

Kalibatseva and Leong (2014)

conducted a meta analysis using both individual and group CBT, found accommodation for culture-specific values