Adaptation of CBT for Traumatized South African Indigenous Groups: Examples from Multiplex CBT for PTSD

This article describes how Culturally Adapted Multiplex CBT, a treatment that emphasizes somatic processing and emotion regulation, was adapted for a traumatized South African indigenous group, the Sepedi. A model of psychopathology is presented, the Multiplex Model of Trauma-Related Disorder, which...

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Bibliographic Details
Published inCognitive and behavioral practice Vol. 25; no. 2; pp. 335 - 349
Main Authors Jalal, Baland, Kruger, Qunessa, Hinton, Devon E.
Format Journal Article
LanguageEnglish
Published Elsevier Ltd 01.05.2018
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Summary:This article describes how Culturally Adapted Multiplex CBT, a treatment that emphasizes somatic processing and emotion regulation, was adapted for a traumatized South African indigenous group, the Sepedi. A model of psychopathology is presented, the Multiplex Model of Trauma-Related Disorder, which depicts the processes that generate multiple comorbidities and prominent somatization in minority, refugee, and other non-Western populations. The nine dimensions of Culturally Adapted Multiplex CBT are discussed, and so too the “cultural adaptation diamond.” Concepts such as “explanatory model bridging” are presented. A culturally sensitive assessment measure of local somatic complaints and cultural syndromes (the Sepedi Symptom and Syndrome Addendum, or Sepedi SSA) is detailed, as well as how CBT techniques were implemented with this group—for example, modification of culturally specific catastrophic cognitions, doing exposure (e.g., interoceptive exposure), teaching attentional control and mindfulness techniques, and teaching “loving kindness.” Case examples with clinical outcomes are provided to further illustrate how Multiplex CBT was adapted for the South African indigenous group. •We illustrate how CBT can be adapted for traumatized South Africans•We illustrate the concept of the cultural adaptation diamond•We discuss a culturally sensitive assessment measure•We present cases to illustrate adaptation
ISSN:1077-7229
1878-187X
DOI:10.1016/j.cbpra.2017.07.003