Developing culturally sensitive cognitive behavioural therapy for psychosis for ethnic minority parents by exploration and incorporation of service users and health professionals views and opinions

Rathod, Shanaya, Kingdon, David, Phiri, Peter and Gobbi, Mary (2009) Developing culturally sensitive cognitive behavioural therapy for psychosis for ethnic minority parents by exploration and incorporation of service users and health professionals views and opinions London, UK. National Mental Health Development Unit

Abstract

A total of 114 participants were interviewed for the study. The results indicate that · Cognitive Behaviour therapy would be an acceptable treatment if culturally adapted. · The way the therapy is delivered would need to be adapted - so more pre-engagement, an understanding of a perspective where family and religion are at the centre of a person's thinking. · Some of the people interviewed saw the counsellor as the "expert" and expected them to have all the answers. This has implications for the relationship between counsellor and client in a CBT relationship. · There were complex language issues - even though the study focused on clients who speak English or can communicate with the use of interpreters- they would revert to their own language to be able to express a particular thought or feeling. E.g. African Caribbean client reverting to patois to explain a particular word. · There are findings on health beliefs, attributions to psychosis and help seeking pathways

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