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Culturally adapted cognitive‐behavior therapy: integrating sexual, spiritual, and family identities in an evidence‐based treatment of a depressed Latino adolescent
Author(s) -
DuartéVélez Yovanska,
Bernal Guillermo,
Bonilla Karen
Publication year - 2010
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.20710
Subject(s) - psychology , transgender , context (archaeology) , lesbian , flexibility (engineering) , psychotherapist , family therapy , identity (music) , fidelity , clinical psychology , depression (economics) , cognitive behavioral therapy , sexual identity , homosexuality , cognition , developmental psychology , human sexuality , psychiatry , psychoanalysis , gender studies , paleontology , statistics , physics , mathematics , macroeconomics , sociology , acoustics , electrical engineering , economics , biology , engineering
The article described and illustrated how a culturally adapted cognitive‐behavioral therapy (CBT) can maintain fidelity to a treatment protocol while allowing for considerable flexibility to address a patient's values, preferences, and context. A manual‐based CBT was used with a gay Latino adolescent regarding his sexual identity, family values, and spiritual ideas. The adolescent suffered from a major depression disorder and identified himself as gay and Christian within a conservative and machista Puerto Rican family. CBT promoted personal acceptance and active questioning of homophobic thoughts in a climate of family respect. CBT enabled identity formation and integration, central to the development of a sexual identity for lesbian, gay, bisexual, and transgender youth, with remission of the patient's depression and better family outcomes. © 2010 Wiley Periodicals, Inc. J Clin Psychol: In Session 66:895–906, 2010.