Application of cognitive behavior therapy to interpersonal problems: A case study of a Japanese female client

Toyokawa, Teru; Nedate, Kaneo

doi:10.1016/s1077-7229(96)80019-8

Cited by 6 publications

(17 citation statements)

References 14 publications

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“…Asian clients typically only seek treatment once the problem has resulted in significant interference and distress, for which they desire relatively quick symptom reduction (Toyokawa & Nedate, 1996). Thus, CBT may be particularly useful for Asian clients, given the short-term, problem-focused nature of the treatment modality, in addition to its focus on contextual factors (Iwamasa et al, 2006).…”

Section: Recommendations To Clinicians and Studentsmentioning

confidence: 99%

Cognitive-Behavioral Therapy for Immigrants Presenting With Social Anxiety Disorder

Weiß

Singh²,

Hope

2011

Clinical Case Studies

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Cognitive-behavioral therapy (CBT) for the treatment of Social Anxiety Disorder (SAD) has demonstrated efficacy in numerous randomized trials. However, few studies specifically examine the applicability of such treatment for ethnic minority clients. Thus, the purpose of this article is to present two case studies examining the utility of individualized CBT for SAD with two clients who immigrated to the United States, one from Central America and one from China, for whom English was not their primary language. Both clients demonstrated improvement on a semi-structured interview and self-report measures. Necessary adaptations were modest, suggesting that therapy could be conducted in a culturally sensitive manner without much deviation from the treatment protocol. Results are discussed in terms of adapting treatment to enhance acceptability for and better fitting the needs of ethnic minority clients and non-native speakers of English. Implications for treating ethnic minority clients, as well as the practice of culturally sensitive treatment, are discussed.

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Section: Recommendations To Clinicians and Studentsmentioning

confidence: 99%

Cognitive-Behavioral Therapy for Immigrants Presenting With Social Anxiety Disorder

Weiß

Singh²,

Hope

2011

Clinical Case Studies

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“…All reviewed case studies highlighted the importance of cultural knowledge (e.g. of cultural norms and values, Weiss et al ., 2011; Yoshinaga et al ., 2013; Ashworth et al ., 2011; McIndoo and Hopko, 2014; Toyokawa and Nedate, 1996; Fink et al ., 1996; socio-cultural and historical contexts, Yoshinaga et al ., 2013; the relevance of cultural background to the presenting problems, McIndoo and Hopko, 2014), cultural sensitivity (Weiss et al, 2011; Yoshinaga et al, 2013) and the need to develop and practice cultural awareness (including being open to and frequently discussing culture, e.g. McIndoo and Hopko, 2014).…”

Section: Resultsmentioning

confidence: 99%

“…Weiss et al ., 2011; Ashworth et al ., 2011), socio-cultural construction of therapy and therapeutic relationship (e.g. more authoritarian and directive therapist style, the need for a therapy to be more structured, concrete and focused on solutions, McIndoo and Hopke, 2014; Toyokawa and Nedate, 1996; Ashworth et al ., 2011; Yoshinaga et al ., 2013), potential difficulties in managing expectations, such as, for instance, Japanese clients’ wish for quick symptom reduction (Toyokawa and Nedate, 1996) and tackling culturally taboo topics, such as family's past and shame or sex (Toyokawa and Nedate, 1996).…”

Section: Resultsmentioning

confidence: 99%

Cultural modifications of cognitive behavioural treatment of social anxiety among culturally diverse clients: a systematic literature review

Jankowska

2019

tCBT

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The aim of this study was to conduct a systematic literature review to ascertain whether cognitive behavioural therapy (CBT) for social anxiety disorder (SAD) can be successfully used in non-Western contexts and demonstrate sufficient effectiveness. This area is largely under-researched with conflicting evidence presented in quantitative studies, with virtually no qualitative studies published. This review utilized realist review methodology and focused on qualitative case studies presented by clinicians. A systematic search of EBSCO HOST, The Cochrane Library Database, Google, Google Scholar and reference mining, using various combinations of terms relating to: (1) CBT, (2) social anxiety and (3) cultural diversity were employed. Seven case studies of cultural adaptations of CBT treatment for culturally diverse SAD sufferers were included. The treatment outcomes were generally promising in all cases (reporting significant decrease of SAD symptoms, maintained over time) and the success of therapy was often attributed to culturally specific modifications introduced. CBT can be an acceptable and effective treatment for culturally diverse SAD sufferers with ‘modest’ modifications, without major diversions from the original CBT models and protocols, but this finding must be treated with caution and more methodologically rigorous research (qualitative and quantitative) is needed to more fully understand what works, for whom and in what circumstances.

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“…Together with two more studies of CBT in depressives, from Hong Kong (Wong, 2008) and Korea (Kwon & Oei, 2003), respectively, the findings by Fujisawa et al (2010) demonstrate the applicability and relevance of CBT procedures in Asia and open the field to further investigations. A case study by Toyokawa and Nedate (1996) provides a glimpse of the culturally shaped manifestations of interpersonal difficulties in Japan, their incorporation into the functional analysis of antecedents, target behaviors, and consequences, and the eventual behavior change in a cultural context. Of more general relevance is the recent account of the subjective experience of depression in Japan by Kitanaka (2012).…”

Section: Cognitive Behavioral Therapy and Evidence Based Treatmentmentioning

confidence: 99%

Cross-Cultural and International Extensions of Evidence-Based Psychotherapy: Toward More Effective and Sensitive Psychological Services Everywhere

Draguns

2013

An International Journal of Psychological Sciences

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A brief overview is provided of the current state of the efforts to extend the relevance and application of Evidence-Based Treatments (EBT) beyond the Euro-American milieus in which EBTs originated. In the multicultural settings of North America, meta-analyses have demonstrated superior outcomes for culturally adapted psychotherapies as compared with the standard, unmodified versions of the same services. In particular, the key components of effective psychotherapeutic interventions such as empathy, therapist-client relationship, and therapeutic alliance appear to be promising objects for further investigation.Internationally, psychotherapy is widely applicable and effective, cognitive behavioral therapy (CBT) has been extensively studied in multicultural settings in the US, and its investigation in Japan and elsewhere in East Asia has been initiated. Future developments are envisaged in applying EBTs to locally developed and practiced therapies and in continuing to modify imported therapies to fit local needs and meet local expectations. The eventual goal is to answer the question, "What works with whom on a worldwide basis?" and thereby establish a specific empirical link between psychotherapy and culture.

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Application of cognitive behavior therapy to interpersonal problems: A case study of a Japanese female client

Cited by 6 publications

References 14 publications

Cognitive-Behavioral Therapy for Immigrants Presenting With Social Anxiety Disorder

Cognitive-Behavioral Therapy for Immigrants Presenting With Social Anxiety Disorder

Cultural modifications of cognitive behavioural treatment of social anxiety among culturally diverse clients: a systematic literature review

Cross-Cultural and International Extensions of Evidence-Based Psychotherapy: Toward More Effective and Sensitive Psychological Services Everywhere

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