SPECIAL SERIESUsing Mindfulness- and Acceptance-Based Treatments With Clients From Nondominant Cultural and/or Marginalized Backgrounds: Clinical Considerations, Meta-Analysis Findings, and Introduction to the Special Series: Clinical Considerations in using Acceptance- and Mindfulness-based Treatments With Diverse Populations☆
Section snippets
Acceptance-Based Behavioral Therapies
It has been suggested that Western/dominant cultural values are inherent in many current evidence-based treatments (Benish, Quintana, & Wampold, 2011). In particular, the emphasis placed in cognitive behavioral therapy (CBT) on individualism, present functioning, assertiveness, rationality, and behavior change reflects values that may not be shared by all clients, particularly those from non-Western/nondominant cultural backgrounds (Hays, 2009). In contrast, recent evolutions in CBT highlight
ABBTs and Underserved Populations
There are several ways that ABBTs may be particularly relevant to people from marginalized and/or underserved backgrounds. The therapeutic stance in many ABBTs is that the client's experience is influenced by sociopolitical and historical factors that affect the way that distress is experienced and expressed (Hayes, Luoma, Bond, Masuda, & Lillis, 2006). Emotional distress is viewed as a universal human experience that is inevitable and natural. Thus, a focus of these treatments is generally to
Culturally Competent and Responsive Mental Health Care
Although ABBTs may lend themselves to culturally responsive mental health care in many ways, therapists must also explicitly consider culture and culturally competent care when working with each client. We provide a brief overview of elements of culturally responsive therapy (see Hays, 2008, Lee et al., 2009, Sue and Sue, 2003, for more in-depth discussions of these important issues).
“Culture” has been defined broadly as a person's worldview, which is shaped by life experiences and affects the
Meta-Analysis of Acceptance- and Mindfulness-Based Behavioral Treatments With Underserved Populations
As noted previously, the literature base on the use of acceptance and mindfulness-based treatments with underserved populations is steadily growing. As a result, we conducted a meta-analytic review of the published and unpublished empirical studies to date that have used mindfulness- and acceptance-based treatments with individuals from nondominant cultural and/or marginalized backgrounds; more specifically individuals who are not traditionally the focus of psychological treatment outcome
Overview of the Special Series
In the articles that follow, researchers and clinicians present specific suggestions of how acceptance- and mindfulness-based behavioral treatments might be used with clients from nondominant cultural and/or marginalized backgrounds to optimize relevance and engagement. We invited submissions from clinicians and researchers working with a range of underserved populations to provide their clinical recommendations regarding the use of acceptance- and mindfulness-based treatments with the specific
Acknowledgements
We would like to express our gratitude to the members of the ACT and Mindfulness communities for responding to our solicitations to share their work and resources with us for inclusion in this review. Although not all contributions solicited were included in this paper, we would like to thank Sarah Bowen, Helen Coelho, Devon Hinton, Brjánn Ljótsson, Jonathan Kanter, Marco Kleen, Nancy Kocovski, David Neale-Lorello, and Katherine Rimes for responding to our requests.
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Cited by (0)
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Cara Fuchs is now at the Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior and Jonathan K. Lee is now at the Family Institute at Northwestern University.
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