There has been a limited amount of attention to cultural issues in CBT. You will find a few relevant posts scattered earlier in this forum. The studies I have seen have found that CBT works well with a variety of different cultures and sub-cultures, but more research would be quite useful. As with any form of psychotherapy, it is important for the therapist to understand the client's world-view, to understand the social/cultural context in which he or she is operating, and to respect the client even when the client's beliefs and values are quite different from the therapist's. The therapist needs to recognize his or her own biases and to handle them so that they do not interfere with treatment. The therapist needs to be able to communicate so that the client understands what the therapist means and finds it believable. These things are easy to say but often are not easy to do in real life. The client often can be a useful source of information about their culture if you take time to find out about the culture and show genuine interest and respect.
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