Cognitive behaviour therapy training in a developing country: a pilot study in Tanzania

Stone, Lydia; Warren, Fiona

doi:10.1017/s1754470x11000080

Cited by 4 publications

(5 citation statements)

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“…The fourth article emphasizes understanding a client's experience of racism as part of the assessment, formulation and treatment (Beck, 2019). The fifth study reports findings from a qualitative study of therapists' experience of CBT training in Tanzania (Stone and Warren, 2011). Finally, two papers describe the importance of self-reflection, self-practice and supervision (Brooks, 2019) and therapist self-disclosure (Phiri et al, 2019).…”

Section: Summary and Discussionmentioning

confidence: 99%

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Cultural adaptations of CBT: a summary and discussion of the Special Issue on Cultural Adaptation of CBT

Naeem

2019

tCBT

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Cognitive behavioural therapy (CBT) in its current form might not be acceptable to service users from a variety of backgrounds. Therefore, it makes sense to adapt CBT when working with diverse populations. Contributors to this special issue of theCognitive Behaviour Therapisthave tackled the issues around the cultural adaptation of CBT from various perspectives, using a variety of methods, and have addressed topics ranging from cultural adaptation to improving access to CBT. Here, I briefly summarize and discuss the papers in this special issue. I start with a systematic review of CBT for social anxiety across cultures. Seven articles cover aspects of adaptation of therapies for people from different backgrounds. Three papers discuss the issues of gender and sexuality when using CBT, while another three papers focus on refugees, asylum seekers and the homeless, and two papers describe the application of CBT with religious populations. Finally, there are seven papers on issues related to service delivery, practice and training and supervision when working with a diverse population. Collectively, papers in this special issue provide us with sufficient evidence that cultural considerations play a vital role when using CBT, offer practical suggestions for improving cultural competence and most importantly, can catalyse future research. However, the full potential of culturally adapted interventions will not be realized until and unless access to CBT is improved. Therefore, there is a need to build robust evidence to convince funders, policy makers and service managers.

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Section: Summary and Discussionmentioning

confidence: 99%

“…Stone and Warren previously reported the development and implementation of a CBT training course for clinicians working in Tanzania (Stone and Warren, 2011). Followed by their pioneering work, more studies have been published from Tanzania (O'Donnell et al, 2014; Woods-Jaeger et al, 2017).…”

Section: Summary and Discussionmentioning

confidence: 99%

Cultural adaptations of CBT: a summary and discussion of the Special Issue on Cultural Adaptation of CBT

Naeem

2019

tCBT

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“…We acknowledge that this study is a very preliminary step in investigating how CBT may contribute to mental health services in Tanzania. Having introduced a relatively short training course to a small group of clinicians working in typical circumstances in mental health services in Tanzania, we have evidence that the training and basic model is acceptable (see also an evaluation of the pilot training course in Stone and Warren, 2011). The next steps would be to make cultural modifications and conduct a study looking at effectiveness and acceptability of 'Tanzanian CBT' in a specified patient cohort.…”

Section: Discussionmentioning

confidence: 99%

“…Taking the findings of this literature into account, we were interested in the views of local clinicians who were familiar with these issues in their day-to-day interactions with and treatment of Tanzanian psychiatric patients. Quantitative measures were initially used, and these results are published elsewhere (Stone and Warren, 2011). However, we felt a qualitative approach could enhance our understanding of this topic as these methods access a broader range of opinions, unrestricted by quantitative measures.…”

Section: Introductionmentioning

confidence: 99%

Cognitive behavioural therapy training in Tanzania: a qualitative study of clinicians’ experiences

Stone¹,

Arroll²

2019

tCBT

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Cognitive behaviour therapy (CBT) in an effective technique used widely in Western countries. However, there is limited evidence as to the utility, perception and understanding of CBT in developing countries. This study describes and investigates the experience of CBT training and practice in a group of practitioners in Tanzania. A qualitative approach to the investigation was used, and seven participants from Tanzania’s only psychiatric hospital who had completed CBT training were interviewed. The resulting verbatim transcripts were analysed via interpretative phenomenological analysis. Five superordinate themes emerged from the analysis: ‘the medical model’, ‘novelty’, ‘practicalities’, ‘process’ and ‘therapist effects’. The two themes ‘therapist effects’ and ‘process’ are discussed in detail as these may be particularly relevant to the clinical application of the therapy in a new culture and context. The implications for future development of CBT in Tanzania are considered. In developing CBT for dissemination in Tanzania, specific cultural and clinical issues highlighted by indigenous clinicians need consideration.Key learning aims(1)To identify what range of factors may influence clinicians’ perception of and learning about CBT when CBT training is delivered in a mental health setting in Tanzania, or to those with East African origins.(2)To consider the use of qualitative research approaches to inform the early stages of adapting CBT for use in new settings and applications.(3)To be able to apply knowledge about cultural differences to standard CBT in order to promote culturally sensitive practice.

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“…Inequality in the provision of evidence-based therapies for persons with schizophrenia appears to continue notwithstanding our knowledge gains in this area. More recently, studies have examined feasibility, methodology, and cultural adaptability (Rathod et al, 2010(Rathod et al, , 2013 of CBTp trainings in countries such as Tanzania (Stone & Warren, 2011), Japan (Kikuchi, 2013), China (Li et al, 2017), India (Kumar, 2018), and Pakistan (Naeem et al, 2015(Naeem et al, , 2016.…”

Section: Dissemination and Application To Diverse Populationsmentioning

confidence: 99%

Psychosis.

Stolar¹,

Wolfe²

2021

Handbook of Cognitive Behavioral Therapy: Applications (Vol. 2).

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I n medical school, one of us (NS) was advised by attending psychiatrists to ignore the content of voices and delusions, except to classify the latter as paranoid, grandiose, and so on. Beyond that, it was considered unnecessary to delve into what voices said or what material was contained in the delusions. To do so was a waste of time, as once the presence of hallucinations and/or delusions was established, it was only necessary to determine the presence of other symptoms that would clarify which diagnosis-containing psychosis as a symptom-was correct and, from there, which medications to order. It did not take this author long to question this approach. It was difficult to believe that someone reporting voices telling him to commit suicide was not also experiencing that same urge to do so. Likewise, it seemed that someone with a delusion of being married and having children and a career would also have those same desires. 1 A number of years from then, in the mid-1990s, a book called Cognitive-Behavioral Therapy for Schizophrenia was published (Kingdon, & Turkington, 1994). British authors David Kingdon and Douglas Turkington (cf., Kingdon & Turkington, 2002) described how the content of voices and delusions are important and are used to facilitate treatment efforts. Cognitive behavioral therapy for psychosis (CBTp) helps clients examine the beliefs associated with their voices and delusions by testing their veracity. Other British clinical research groups and clinicians (

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Cognitive behaviour therapy training in a developing country: a pilot study in Tanzania

Cited by 4 publications

References 17 publications

Cultural adaptations of CBT: a summary and discussion of the Special Issue on Cultural Adaptation of CBT

Cultural adaptations of CBT: a summary and discussion of the Special Issue on Cultural Adaptation of CBT

Cognitive behavioural therapy training in Tanzania: a qualitative study of clinicians’ experiences

Psychosis.

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