Culturally adapted cognitive-behavior therapy: integrating sexual, spiritual, and family identities in an evidence-based treatment of a depressed Latino adolescent
✍ Scribed by Yovanska Duarté-Vélez; Guillermo Bernal; Karen Bonilla
- Publisher
- John Wiley and Sons
- Year
- 2010
- Tongue
- English
- Weight
- 132 KB
- Volume
- 66
- Category
- Article
- ISSN
- 0021-9762
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✦ Synopsis
Abstract
The article described and illustrated how a culturally adapted cognitive‐behavioral therapy (CBT) can maintain fidelity to a treatment protocol while allowing for considerable flexibility to address a patient's values, preferences, and context. A manual‐based CBT was used with a gay Latino adolescent regarding his sexual identity, family values, and spiritual ideas. The adolescent suffered from a major depression disorder and identified himself as gay and Christian within a conservative and machista Puerto Rican family. CBT promoted personal acceptance and active questioning of homophobic thoughts in a climate of family respect. CBT enabled identity formation and integration, central to the development of a sexual identity for lesbian, gay, bisexual, and transgender youth, with remission of the patient's depression and better family outcomes. © 2010 Wiley Periodicals, Inc. J Clin Psychol: In Session 66:895–906, 2010.