How do clinicians define cultural sensitivity?: A mixed methods study

Benuto, Lorraine T.; Singer, Jonathan; González, Frances; Casas, Jena; Ruork, Allison K.

doi:10.1080/00207411.2020.1830611

Cited by 9 publications

(6 citation statements)

References 26 publications

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“…Interestingly, Dunn et al (2006) noted that these scales tended to lack evidence of divergent validity and there was concern about the overlap between cultural competency (as defined by these measures) and general competency. Given the concerns raised by Dunn et al (2006) and the equivocal state of the field regarding how cultural competency is defined (Benuto, Singer, Casas, Gonzalez, & Ruork, 2017), future researchers and training programs should consider other strategies for assessing cultural competency, including the assessment of skills.…”

Section: Discussionmentioning

confidence: 99%

Training culturally competent psychologists: A systematic review of the training outcome literature.

Benuto

Casas

O’Donohue

2018

Training and Education in Professional Psychology

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Section: Discussionmentioning

confidence: 99%

Training culturally competent psychologists: A systematic review of the training outcome literature.

Benuto

Casas

O’Donohue

2018

Training and Education in Professional Psychology

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“…A clear definition of cultural adaptation , as well as its distinction from related terms, is ambiguous in the literature (Benuto et al, 2021; Huey et al, 2014). The construction of the term cultural adaptations drew upon concepts of cultural competence and cultural sensitivity , which heavily emphasize clinician awareness and knowledge of cultural factors and cultural groups (Benuto et al, 2021). However, awareness refers to a cognitive task, whereas delivery of culturally adapted psychotherapy—especially DBT—is largely behavioral in nature (Benuto et al, 2021).…”

Section: Dbtmentioning

confidence: 99%

“…awareness refers to a cognitive task, whereas delivery of culturally adapted psychotherapy-especially DBT-is largely behavioral in nature (Benuto et al, 2021). Therefore, a conceptualization of cultural adaptations that incorporates behavioral elements of treatment delivery (e.g., assigning skills to practice, psychoeducation, clinicianclient interactions) in addition to cognitive elements (e.g., case formulations, clinician cultural knowledge) is likely to be the most useful to the field.…”

Section: Defining Cultural Adaptations and The Ecological Validity Fr...mentioning

confidence: 99%

“…The construction of the term cultural adaptations drew upon concepts of cultural competence and cultural sensitivity , which heavily emphasize clinician awareness and knowledge of cultural factors and cultural groups (Benuto et al, 2021). However, awareness refers to a cognitive task, whereas delivery of culturally adapted psychotherapy—especially DBT—is largely behavioral in nature (Benuto et al, 2021). Therefore, a conceptualization of cultural adaptations that incorporates behavioral elements of treatment delivery (e.g., assigning skills to practice, psychoeducation, clinician–client interactions) in addition to cognitive elements (e.g., case formulations, clinician cultural knowledge) is likely to be the most useful to the field.…”

Section: Dbtmentioning

confidence: 99%

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Cultural adaptations of dialectical behavior therapy: A systematic review.

Haft¹,

O’Grady²,

Shaller³

et al. 2022

Journal of Consulting and Clinical Psychology

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Objective: Adapting mental health-care interventions to the race, ethnicity, or culture of the target group can enhance the acceptance and effectiveness of the treatment. Dialectical behavior therapy (DBT) is an evidence-based treatment that is principle-driven, rendering it well-suited for adaptations across cultural contexts. This article conducts a systematic review of the literature to determine the nature and extent of cultural adaptations of DBT to date. Method: We searched databases for original articles describing cultural adaptations of DBT, as applied to both (a) people of color within Western countries and (b) populations within non-Western countries. Consistent with the focus on descriptively characterizing extant DBT cultural adaptations, we included both published and nonpublished studies, as well as both observational and experimental studies. Results: Our search yielded 18 articles that met inclusion criteria. Of these articles, half described adaptations made with people and communities of color within the U.S. Most adaptations involved modifications to language, metaphors, methods, and context. Conclusions: Culturally adapted DBT has been implemented and accepted among several racial, ethnic, and cultural groups, although there is insufficient evidence to determine whether culturally adapted DBT is more efficacious than nonadapted DBT. We conclude with recommendations for best practices for DBT researchers and clinicians, and situate our findings among larger efforts to render existing evidence-based psychotherapies more optimal for people of color and people from non-Western countries.What is the public health significance of this article? Dialectical behavior therapy (DBT) may require cultural adaptation to be efficacious and accepted by all racial, ethnic, and cultural groups. The studies reviewed detail a number of cultural adaptations of DBT, most commonly in terms of language translation and addition of culturally congruent metaphors and sayings. The field must continue to both train culturally competent DBT clinicians and further adapt DBT to different cultural contexts.

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“…Even less is known regarding the potential moderating effects of other cultural domains (e.g., SES, sexual orientation, disability) on psychotherapy outcomes as the bulk of existing research has focused on ethnicity (Sue, Zane, Nagayama Hall, & Berger, 2009; Weinrach & Thomas, 2002). Fortunately the field has moved forward as there has been a shift from ESTs to the employment of Evidence Base Psychology Practice (EBPP) which requires the integration of research, clinical expertise, and patient characteristics (APA Presidential Task Force on Evidence-Based Practice, 2006) highlighting the need for culturally sensitive services (American Psychological Association, 2017; Benuto, Singer, Casas, Gonzales, & Ruork, 2018; Benuto, Singer, Gonzales, Casas, & Ruork, 2020; Gainsbury, 2017). This has resulted in the development of tools and resources for clinicians (see Bernal & Domenech Rodriguez [2012] Cultural Adaptations: Tools for Evidence-Based Practice with Diverse Populations and Sue & Sue [2016] Counseling the Culturally Diverse ).…”

Section: The Intersection Of Evidence and Cultural Sensitivitymentioning

confidence: 99%

Culturally sensitive clinical practices: A mixed methods study.

Benuto

Newlands

Singer

et al. 2021

Psychological Services

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The purpose of this mixed methods study was to discover if and how clinicians integrate cultural factors into treatment, what specific 'culturally sensitive' practices clinicians utilize, and who clinicians use these practices with. In Study 1(N ϭ 9) qualitative interviews were conducted with psychologists who shared information about the culturally sensitive clinical practices that they utilize. Based on the results from Study 1, a survey was created for Study 2 and completed by 142 psychologists. There were three overriding conceptual themes that were generated from the analysis of the data regarding how clinicians provide culturally sensitive psychological services and what specific culturally sensitive clinical practices clinicians use when working with clients. It was evident from the data that the delivery of culturally sensitive services was best conceptualized as a process. The process began with being aware that cultural factors existed. This awareness led to the development of hypotheses, which guided the assessment process. Based on the results of the assessment process clinicians then tailored the services they provided to the unique characteristics of their clients. The quantitative results from Study 2 indicate that that the qualitative results from Study 1 are generalizable to a larger sample of psychologists. Results from Study 2 also indicated that the vast majority of participants indicated that they engaged in culturally sensitive clinical practices regardless of client minority-status. Impact StatementThe results from this study indicate that culturally sensitive clinical practices include being aware of cultural factors, using this awareness to guide the assessment process, and using the results from the assessment process to tailor services to the unique characteristics of their clients. Additionally, clinicians apply this process broadly to cultural groups (as opposed to reserving or restricting this process to a subset of clients from a particular cultural background).

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How do clinicians define cultural sensitivity?: A mixed methods study

Cited by 9 publications

References 26 publications

Training culturally competent psychologists: A systematic review of the training outcome literature.

Training culturally competent psychologists: A systematic review of the training outcome literature.

Cultural adaptations of dialectical behavior therapy: A systematic review.

Culturally sensitive clinical practices: A mixed methods study.

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