Although conceptual models of cultural adaptations of psychotherapy have been developed, little is known about how therapists apply these models in clinical practice. The purpose of the current study was to examine, using a directed content analysis, how therapists culturally adapt cognitive–behavioral therapy, one of the most widely used evidence-based approaches, for application with clients of Asian ancestry. The study also examined if there were major differences in adaptation strategies between therapists who practice in the United States (N = 9), a predominantly individualistic society, as opposed to those who practice in Japan (N = 6), a predominantly collectivistic society. Semistructured, open-ended interviews revealed that interdependent conceptualizations of the self and indirect communication were addressed by therapists in both countries, and therapist credibility issues were addressed only by therapists in the United States. These results imply that when culturally adapting psychotherapy, therapists incorporate elements of conceptual models that are relevant to their clients’ cultures.

中文翻译：

---

心理治疗的文化适应：治疗师对亚洲人和亚裔美国人的概念模型的应用。

尽管心理治疗的文化适应概念模型已经开发出来，但对治疗师如何在临床实践中应用这些模型知之甚少。当前研究的目的是使用定向内容分析来检查治疗师如何在文化上适应认知行为疗法，这是最广泛使用的循证方法之一，以应用于亚洲血统的客户。该研究还检查了在美国（N = 9）（一个以个人主义为主的社会）执业的治疗师与在日本（N = 6）（一个以集体主义为主的社会）执业的治疗师之间的适应策略是否存在重大差异。半结构化，开放式访谈显示，两国的治疗师都解决了自我和间接交流的相互依赖的概念化问题，而治疗师的可信度问题仅由美国的治疗师解决。这些结果意味着，在文化适应心理治疗时，治疗师会结合与客户文化相关的概念模型元素。