Más Allá De Las Barreras: Competency and Practice Considerations in Language, Cultural, and Social Issues When Delivering Group CPT to Hispanic Immigrants

Abstract

High rates of under-assessed trauma and psychiatric disorders, particularly posttraumatic stress disorder (PTSD) have been reported among Hispanic immigrants, especially as related to immigration trauma. Multiple studies have shown group cognitive processing therapy (CPT) to be an effective evidence-based practice (EBP) for treatment of PTSD across a number of clinical populations. To date, however, no studies have examined important competency and practice issues in linguistic, cultural, and ethical areas that group CPT providers should consider when delivering group CPT to Hispanic immigrants. This paper aims to outline these and provide future directions for research.

Examining recipient and provider perceptions of mental health treatments and written exposure therapy for posttraumatic stress disorder with a Spanish-speaking sample.

“…While a large degree of heterogeneity exists among the Latinx populations residing in the United States (U.S.), prior work has consistently documented that Latinx individuals are more likely to encounter a myriad of barriers in accessing mental health treatment, which include language, transportation, cost, and stigma surrounding mental illness (Aguilar-Gaxiola et al, 2012; Benuto et al, 2019; Berdahl & Torres Stone, 2009; Bernal & Sáez-Santiago, 2006; Bridges et al, 2012; Kaltman et al, 2016; Sanchez et al, 2016). Such barriers are compounded by disparities in traumatic event exposure (Andrews et al, 2015; Vásquez et al, 2020), suggesting that novel interventions that can improve access to PTSD treatment are of significant need.…”

Inside Dating Relationships Involving Violence End Now: Participants’ perspectives at a 6‐month follow‐up

“…Latino culture is collectivistic, which is characterised by connectedness, fitting in, meeting other people's expectations, following social norms and caring deeply for those individuals closest to them (Campos & Kim, 2017). This value aligns with PEGs because individuals high in collectivism may quickly learn to value and adapt to the group environment (Torres-Rivera et al, 2014;Vasquez et al, 2020). In a similar way, the cultural value of personalismo emphasises warm, friendly and genuine interactions with other people, which is compatible with the nature of group psychotherapy (Torres-Rivera et al, 2014).…”

“…Research has also shown that group therapeutic modalities are compatible with Latino values such as collectivism and personalismo (Torres‐Rivera et al., 2014; Vasquez et al., 2020). Latino culture is collectivistic, which is characterised by connectedness, fitting in, meeting other people's expectations, following social norms and caring deeply for those individuals closest to them (Campos & Kim, 2017).…”

O estresse na condição migratória em oficinas-piloto para brasileiros em Cambridge, EUA: “Programa Ulisses”

“…Assim, construímos um gatilho para a conscientização quanto a necessidade do autocuidado. Ou seja, se há formas que levam o indivíduo a despertar-se para o referido processo, a mudança de atitude torna-se viável (Vasquez et al, 2020).…”