Cultural Adaptation of CBT for Serious Mental Illness A Guide for Training and Practice

• A comprehensive guide designed to enable CBT practitioners to effectively engage people from diverse cultural backgrounds by applying culturally-sensitive therapeutic techniques
• Adapts core CBT techniques including reattribution, normalization, explanation development, formulating, reality testing, inference chaining and resetting expectations
• High profile author team includes specialists in culturally-sensitive CBT along with world-renowned pioneers in the application of CBT to serious mental illness
• Contains the most up-to-date research on CBT in ethnic minority groups available

Dr Shanaya Rathod is Consultant Psychiatrist, Clinical Services Director, and Director of Research at Southern Health NHS Foundation Trust, UK. Dr Rathod has been Fellow of the National Institute for Health and Care Excellence. She has published a number of papers in peer reviewed journals, book chapters, and books, including Back to Life, Back to Normality: Cognitive Therapy, Recovery and Psychosis (2009).

David Kingdon is Professor of Mental Health Care Delivery at the University of Southampton, UK, and Honorary Consultant Adult Psychiatrist for Southern Health NHS Foundation Trust. He has previously worked as Medical Director for Nottingham Health Care Trust and Senior Medical Officer (Severe Mental Illness) in the UK Department of Health, UK. He now does policy and implementation work for NHS England and is editor of their mental health web sites.

Dr Narsimha R Pinninti is Professor of Psychiatry at the Rowan University School of Osteopathic Medicine and Chief Medical Officer for Twin Oaks Community Services in New Jersey, USA. A certified cognitive therapist and psychiatrist for the Assertive Community Treatment Team, Dr Pinninti has published over 40 articles in peer-reviewed journals and authored two manuals on how to teach CBT interventions for case managers and clients.

Douglas Turkington is Professor of Psychosocial Psychiatry at Newcastle University, UK. Professor Turkington is an expert on the efficacy and effectiveness of CBT in the treatment of schizophrenia. A fellow of the Royal College of Psychiatrists and founding fellow of the Faculty of Cognitive Therapy in Philadelphia, he has written more than 100 articles on the subject of CBT in schizophrenia.

Dr Peter Phiri, PhD, is CBT Specialist and Research & Development Manager (Interim) at Southern Health NHS Foundation Trust and Honorary Lecturer at the University of Southampton, UK. He is an accredited member of the British Association of Behavioural and Cognitive Psychotherapy.

Foreword ix

Preface xi

Acknowledgements xiii

1 Introduction 1

2 Cultural Adaptation of Cognitive Behavioural Therapy: Principles and Challenges 14

3 Philosophical Orientation and Ethical and Service Considerations 46

4 The Therapeutic Relationship and Technical Adjustments 86

5 General Theoretical Modifications in Orienting Clients to Therapy 121

6 Individualized Case Formulation 135

7 Individualized Treatment Planning 165

8 Psychosis: Cultural Aspects of Presentation and Adaptations to Treatment 192

9 Depression: Cultural Aspects of Presentation and Adaptations to Treatment 227

10 Bipolar Affective Disorder: Cultural Aspects of Presentation and Adaptations to Treatment 248

11 Recovery, Relapse Prevention, and Finishing Therapy 273

12 Policy and Training Implications 293

Appendix

1 Social Factors: My Immigration Journey 306

2 Aida – Longitudinal Formulation 308

3 Setting Goals to Improve Quality of Life 310

4 Voices Diary 312

5 What Do Voices Say? 314

6 Working on Coping Strategies: Pleasant Events Schedule 315

7 Preventing a Relapse or Breakdown 317

8 Circle of Support 320

9 Relapse Prevention Plans 322

Index 326

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