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Exam 9: Multicultural Evidencebased Practice (EBP)

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Question 1

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What is trauma-focused cognitive-behavioral therapy (TF-CBT) ? Name some of the cultural groups this type of treatment has been evaluated on. Describe some of the components of this type of therapy and who might be included in the treatment.

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TF-CBT is described as a conjoint child and family psychotherapy that has been comprehensively evaluated and designated by the National Crime Victims Research and Treatment Center as having the highest level of research support as an "efficacious treatment" for childhood abuse and trauma. This type of treatment has been evaluated with Caucasian and African American children and adapted for American Indian/Alaska Native populations,Latinos,hearing-impaired individuals,immigrant Cambodians,and children of countries including Zambia,Uganda,South Africa,Pakistan,the Netherlands,Norway,Sweden,Germany,and Cambodia (National Child Traumatic Stress Network,2008) . Components of TF-CBT include a focus on reducing negative emotional and behavioral responses resulting from trauma and correcting trauma-related beliefs through gradual exposure to memories and emotional associations with the traumatic event. Relaxation training is also used to reduce negative emotions. Parents are included in the treatment process as an emotional support for the child. Parents are also provided with strategies for helping to manage their child's emotional reaction to the trauma.

Question 2

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What are empirically supported relationships (ESRs) ? How is an evidence-based practice (EBP) different than an empirically supported treatment (EST) , and how do they relate to evidence-based practice?

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Empirically supported relationships are ...

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Question 3

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Which of the following is considered a shortcoming of empirically supported treatments?

An egalitarian stance and encouragement of sharing and self-disclosure facilitates the development of empathy.

How does cognitive empathy differ from empathy? Provide an example of a cultural adaptation that would employ cognitive empathy.

When differences exist between a client's view of a problem and the therapist's theoretical conceptualization, __________ dynamics are likely to occur.

When treating clients with specific disorders, multicultural therapists have had the choice of ignoring ESTs or adapting them. Describe what "cultural adaptations" of certain ESTs might entail. Give three examples of this with a particular people group.

Explain what some of the outcomes of cultural adaptations might be.

Behaviors such as asking clients how they would like to be addressed, showing that their comments and insights are valuable, and tailoring your interaction according to their needs are ways of communicating ___________.

Cultural adaptations can include factors such as

Findings from qualitative research can inform an empirically supported treatment.

It is easier to integrate multicultural sensitivity with evidence-based practice than with empirically supported treatments.

Which of the following is NOT an important aspect of the therapeutic alliance?

Although there is optimism about the convergence of multicultural psychology and evidence-based practices, there is still resistance to _____________ -______________________________among some individuals in the field.

Which of the following are well-established empirically supported treatments?

________________ interventions are increasingly promoted in social work, school psychology, clinical psychology, counseling, and psychiatry.

Which of the following is an empirically supported relationship variable?

______________ involves the therapist's emotional reaction to the client based on the therapist's own set of attitudes, beliefs, values, or experiences.

An agreement on ______________ between the therapist and client is an important relationship variable.

Western approaches to psychological treatment are often based on ____________ value systems instead of the interdependent values found in many ethnic minority communities.