Obsessive‐Compulsive and Related Disorders in Ethnoracial Minorities

Williams, Monnica T.; Sawyer, Broderick; Ellsworth, Melissa; Singh, Sonia; Tellawi, Ghazel

doi:10.1002/9781118890233.ch48

Cited by 10 publications

(13 citation statements)

References 97 publications

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“…This may pose additional difficulties that need to be addressed in treatment. Such clients may need more time to develop trust and rapport with a therapist, and may have additional fears about being stereotyped due to their unwanted OCD thoughts and behaviours (Williams et al, 2017c).…”

Section: Western Perspectivementioning

confidence: 99%

“…When working with people from unfamiliar cultural groups, therapists should educate themselves on the client's culture. This may include consulting with community members or clergy, or seeking supervision with a knowledgeable clinician (Huppert et al, 2007;Williams et al, 2017c). Furthermore, adopting approaches to build rapport and improve the therapeutic relationship can be important, and one recommended behaviourally based interpersonal approach is functional analytic psychotherapy (FAP;Miller et al, 2015).…”

Section: Awareness Of Personal Biases and Knowledge Gapsmentioning

confidence: 99%

“…Individuals from communities of colour experience greater mental health stigma, which reduces the likelihood of accessing mental healthcare (Turner et al, 2016;Williams et al, 2012b;Williams et al, 2017c). Stigma can be related to cultural concerns of bringing the family shame, being perceived as 'crazy' and being hospitalized, confirming false racial stereotypes, accessing mental healthcare that is viewed negatively in the cultural community, and beliefs that having a mental illness or accessing mental health care are signs of weakness (Turner et al, 2016).…”

Section: Stigma and Mental Health Literacymentioning

confidence: 99%

“…Mental health literacy references the ability to recognize specific disorders, know how to acquire mental health information and treatment, understand risk factors and causes, and adopt attitudes that facilitate recognition of disorders and appropriate help-seeking. Due to reduced representation, education and exposure to mental health care, individuals from minoritized communities may not recognize the development, presentation or treatment options for many mental health conditions (Turner et al, 2016;Williams et al, 2017c), including OCD which is not often recognized by laypersons (Chong et al, 2016), therapists (Glazier et al, 2013), physicians (Glazier et al, 2015a) and clergy (Jones et al, 2019). New immigrants may also be unaware of available resources or fear deportation if their mental health or documentation status is in question (Turner et al, 2016).…”

Section: Stigma and Mental Health Literacymentioning

confidence: 99%

“…New immigrants may also be unaware of available resources or fear deportation if their mental health or documentation status is in question (Turner et al, 2016). Recognition of a mental health problem as a legitimate concern may also be precluded by symptom somatization, as well as cultural mistrust of mental health professionals (Williams et al, 2017c).…”

Section: Stigma and Mental Health Literacymentioning

confidence: 99%

See 4 more Smart Citations

Cultural competency in the treatment of obsessive-compulsive disorder: practitioner guidelines

Williams

Rouleau

Torre

et al. 2020

tCBT

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This article provides clinical guidelines for basic knowledge and skills essential for successful work with clients who have obsessive-compulsive disorder (OCD) across ethnic, racial and religious differences. We emphasise multiculturalist and anti-racist approaches and the role of culture in shaping the presentation of OCD in clients. Several competencies are discussed to help clinicians differentiate between behaviour that is consistent with group norms versus behaviour that is excessive and psychopathological in nature. Symptom presentation, mental health literacy and explanatory models may differ across cultural groups. The article also highlights the possibility of violating client beliefs and values during cognitive behavioural therapy (CBT), and subsequently offers strategies to mitigate such problems, such as consulting community members, clergy, religious scholars and other authoritative sources. Finally, there is a discussion of how clinicians can help clients from diverse populations overcome a variety of obstacles and challenges faced in the therapeutic context, including stigma and cultural mistrust. Key learning aims (1) To gain knowledge needed for working with clients with OCD across race, ethnicity and culture. (2) To understand how race, ethnicity and culture affect the assessment and treatment of OCD. (3) To increase awareness of critical skills needed to implement CBT effectively for OCD in ethnoracially diverse clients. (4) To acknowledge potential barriers experienced by minoritized clients and assist in creating accessible spaces for services.

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Section: Western Perspectivementioning

confidence: 99%

Section: Awareness Of Personal Biases and Knowledge Gapsmentioning

confidence: 99%