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Cultural, interpersonal and psychodynamic factors in caregiving: towards a greater understanding of treatment noncompliance
Author(s) -
Rivera Patricia A.,
Marlo Helen
Publication year - 1999
Publication title -
clinical psychology and psychotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.315
H-Index - 76
eISSN - 1099-0879
pISSN - 1063-3995
DOI - 10.1002/(sici)1099-0879(199902)6:1<63::aid-cpp185>3.0.co;2-i
Subject(s) - psychodynamics , psychology , acculturation , distress , interpersonal communication , depression (economics) , clinical psychology , psychotherapist , ethnic group , social psychology , sociology , anthropology , economics , macroeconomics
The proportion of Hispanic elderly is steadily increasing in the USA. Concomitant to this increase are the problems associated with aging in Hispanic elders including their experience of caregiving. The needs of Hispanic caregivers have, typically, been overlooked and are especially problematic given the high levels of distress and depression within this group. The following case study examines the treatment of a depressed, Mexican–American woman's noncompliance with a cognitive–behavioral program for caregivers. Case data is analyzed within the framework of acculturation versus alternation models of adaptation. In addition, interpersonal and psychodynamic factors are examined to illuminate reasons for treatment failure. Concrete suggestions for improving the process and outcome of her treatment are offered. Copyright © 1999 John Wiley & Sons, Ltd.