Although conceptual models of cultural adaptations of psychotherapy have been developed, little is known about how therapists apply these models in clinical practice. The purpose of the current study was to examine, using a directed content analysis, how therapists culturally adapt cognitive-behavioral therapy, one of the most widely used evidence-based approaches, for application with clients of Asian ancestry. The study also examined if there were major differences in adaptation strategies between therapists who practice in the United States (N ϭ 9), a predominantly individualistic society, as opposed to those who practice in Japan (N ϭ 6), a predominantly collectivistic society. Semistructured, openended interviews revealed that interdependent conceptualizations of the self and indirect communication were addressed by therapists in both countries, and therapist credibility issues were addressed only by therapists in the United States. These results imply that when culturally adapting psychotherapy, therapists incorporate elements of conceptual models that are relevant to their clients' cultures.
What is the public significance of this article?This study suggests that therapists in the United States and Japan culturally adapt psychotherapy for their Asian clients. These adaptations may make psychotherapy more relevant to clients from diverse cultural backgrounds.
While adoptions are as 'old as humanity itself ', transracial adoptions are a fairly recent phenomenon, particularly in the United States. This article reviews the state of transracial adoption research through an examination of the domestic and international transracial adoption literatures. Special attention is paid to the controversy that erupted in the 1970s over Black-White adoption placements and to the emergence of international adoption as the dominant form of transracial adoption.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.