
Contents
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The Cultural Generalizability of CBT The Cultural Generalizability of CBT
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Limits to the Cultural Generalizability of CBT Limits to the Cultural Generalizability of CBT
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Cultural Adaptations of CBT Cultural Adaptations of CBT
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Objections to Cultural Adaptations of Treatments Objections to Cultural Adaptations of Treatments
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Assessing Cultural Competency Assessing Cultural Competency
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Goodness of Fit of CBT with Populations of Color Goodness of Fit of CBT with Populations of Color
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A Goodness-of-Fit Framework to Guide Assessment and Treatment A Goodness-of-Fit Framework to Guide Assessment and Treatment
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Goodness of Fit between Individuals and Their Environments Goodness of Fit between Individuals and Their Environments
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Discrimination Discrimination
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Culture Culture
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Sociopolitical History Sociopolitical History
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Conclusions Conclusions
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Author’s Note Author’s Note
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References References
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25 Multicultural Issues in Cognitive-Behavioral Therapy: Cultural Adaptations and Goodness of Fit
Get accessGordon C. Nagayama Hall, Department of Psychology and Center on Diversity and Community, University of Oregon
Alicia Yee Ibaraki, Department of Psychology, University of Oregon
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Published:07 April 2015
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Abstract
Standard psychotherapies may be useful for those who fit well in mainstream US culture, but they may need to be culturally adapted for those whose fit is not as good. We review the literature on the generalizability of standard cognitive-behavioral therapy (CBT) as well as the literature on cultural adaptations of CBT. We offer a conceptual model for assessing an individual’s goodness of fit with his or her sociocultural and cultural environments and for determining implications for interventions. The model considers an individual’s fit in the mainstream culture and in the traditional culture and provides treatment recommendations on the basis of relative cultural match or mismatch. Considering goodness of fit with cultural and sociocultural environments may provide guidance on the relative merits of culturally adapted versus unadapted psychotherapy.
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