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Western models of psychology have long been dominant in the discipline. However, the presumed universality of Western psychological treatment models is increasingly coming under scrutiny; there is a clear need for research to evaluate the cross-cultural applicability of these treatment models. Schema therapy (ST) has been widely disseminated in recent years due to its efficacy in treating chronic psychological difficulties. However, the acceptability and efficacy of ST have yet to be examined in non-Western cultural contexts. This study aimed to investigate the suitability of ST in Hong Kong and Singapore. A thematic analysis of qualitative interviews with clinicians practicing ST in Hong Kong (n = 6) and Singapore (n = 6) was undertaken. Overall, the ST model was generally acceptable to clinicians in Hong Kong and Singapore. However, therapists reported some cultural challenges in the practice of ST. Four key themes describe these cultural challenges: language differences, difficulties in the expression of affect, issues related to filial piety, and differences in social norms and expectations. While the ST model appears acceptable to clinicians in Hong Kong and Singapore, there are some important adjustments needed in the practical application of ST to ensure more culturally sensitive treatment.

clinical psychologist

A qualitative inquiry into the acceptability of schema therapy in Hong Kong and Singapore: implications for cultural responsiveness in the practice of schema therapy