Transcultural Cognitive Behaviour Therapy for Anxiety and Depression : A Practical Guide book cover
1st Edition

Transcultural Cognitive Behaviour Therapy for Anxiety and Depression
A Practical Guide

ISBN 9781138890480
Published March 22, 2016 by Routledge
196 Pages

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Book Description

Transcultural Cognitive Behaviour Therapy for Anxiety and Depression is a practical and accessible guide, drawing on current research in CBT and clinical practice. It aims to support therapists in taking a reflective and evidence based approach to genuinely improving access and outcomes for Black and Minority Ethnic service users. It highlights the skills that clinicians need to undertake Culturally Adapted and Culturally Sensitive CBT and provides practical ideas and case examples that will enable therapists to feel confident in adapting models of assessment and treatment across cultures.

The emphasis of this book is on practical clinical techniques and approaches but it is firmly grounded in the research literature on this topic. Therapists, supervisors and service leads will find useful ideas to support and enrich transcultural working and develop their confidence when applying evidence based interventions across cultures.

Transcultural Cognitive Behaviour Therapy for Anxiety and Depression will be of interest to Improving Access to Psychological Therapies (IAPT) trained cognitive behaviour therapists, clinical psychologists and cognitive behaviour therapists. The book will also appeal to those undertaking advanced or postgraduate studies in CBT.

Table of Contents

1. Introduction:  why we need to think and work transculturally  2. How to discuss ethnicity and culture with service users and why it can improve outcomes  3. Using family systems, migration histories and acculturation in assessment and formulation   4. Disorder specific models in transcultural CBT  5. Post-traumatic stress disorder: Culturally Adapted or Culturally Sensitive CBT?   6. Integrating religious or spiritual beliefs and practices with CBT  7. Interpreter mediated CBT: the limits of language might not be the limits of thought  8. Why service wide change is needed to support transcultural CBT   9. How confident can clinicians be about using outcome measures across cultures?  10. How to use supervision to enhance and support transcultural CBT


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Andrew Beck has been working as a cognitivebehaviour therapist since 1997 and has published several research papers on transcultural CBT, including work on clinical outcomes and the views of service users who have benefited from CBT. He is senior lecturer on the North West England IAPT training programme and Honorary Senior Lecturer on the Doctorate in Clinical Psychology at Manchester University. Beck is Chair of the Equality and Culture Special Interest Group of the British Association for Behavioural and Cognitive Psychotherapists (BABCP) and has worked with colleagues in Chennai to establish the first stand-alone CBT training course in India. Twitter handle: @andrewbeck45


"Dr Beck’s masterful book on CBT brings therapy to life with multiple case examples. The book is timely, considering most societies are becoming more and more multicultural, and therefore therapists need to have a better understanding of their client’s cultural backgrounds. Dr Beck has done an excellent job of emphasising the complexity of working across cultures, while simplifying the process of delivering culturally responsive therapy. We know that both the populations in low and middle income countries and ethnic minority groups in high income countries have less access to psychological interventions; in my opinion Dr Beck’s book will make a significant contribution towards reducing the huge treatment gap. This is an important book for all who are involved in offering therapies across cultures." - Dr Nusrat Husain, Reader in Psychiatry, Lead Global Mental Health Institute of Brain, Behaviour & Mental Health, University of Manchester, Director Research Global Health, Manchester Academic Health Sciences Centre (MAHSC)

"Central to the CBT model is a bringing together of relationship and structure. Without relationship, CBT works poorly. Similarly, CBT provides a model to help people work out why they feel as they do, and make changes that they wish to make. But classical CBT is western-developed and can exclude, rather than engage, those from other backgrounds and cultures. That's why I am so excited by this essential book. It provides a wealth of ideas, tools and approaches to build relationships, and culturally adapt the CBT model to engage people from diverse backgrounds. It makes essential reading for clinicians, supervisors and service managers wanting to include all members of the community in health care delivery." - Professor Chris Williams, University of Glasgow and President of the British Association for Behavioural and Cognitive Psychotherapies, lead author of