Lorraine T. Benuto Frances R. Gonzalez Jonathan Singer Editors Handbook of Cultural Factors in Behavioral Health A Guide for the Helping Professional Handbook of Cultural Factors in Behavioral Health Lorraine T. Benuto Frances R. Gonzalez Jonathan Singer Editors Handbook of Cultural Factors in Behavioral Health A Guide for the Helping Professional Editors Lorraine T. Benuto Frances R. Gonzalez Department of Psychology Department of Psychology University of Nevada, Reno University of Nevada, Reno Reno, NV, USA Reno, NV, USA Jonathan Singer Department of Psychology University of Nevada, Reno Reno, NV, USA ISBN 978-3-030-32228-1 ISBN 978-3-030-32229-8 (eBook) https://doi.org/10.1007/978-3-030-32229-8 © Springer Nature Switzerland AG 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland I would like to dedicate this book to the inaugural DICE lab members: Frances, Rory, and Jena for their passion, excitement, kindness, and hard work. They embody all that a clinical psychologist should. By Lorraine T. Benuto A mi papá, gracias por tus sacrificios, apoyo, y amor. You are my greatest teacher. A mi mamá, que sigues cuidando de mí. To my best friend, Robert, and the rest of my family for your support. To Lorraine, my mentor and hada madrina. By Frances R. Gonzalez I would like to dedicate this book to my primary mentor and advisor Dr. Tony Papa and my professional and clinical mentor Dr. Amy Hughes Lansing. Dr. Tony Papa has pushed me to be a better researcher, writer, and most importantly, a better person. Dr. Hughes Lansing has guided my professional development and pushed me to be a better clinician, understanding how to be culturally competent and aware of my own biases in order to improve my diverse clients’ lives. L’Chaim!!! By Jonathan Singer Contents 1 Cultural Factors in Behavioral Health: Training, Practice, and Future Directions ���������������������������������������������������� 1 Lorraine T. Benuto, Jonathan Singer, and Frances R. Gonzalez 2 The Elusive Construct of Cultural Competence . 11 Melissa Tehee, Devon Isaacs, and Melanie M. Domenech Rodríguez 3 Ethical Guidelines for Working with Culturally Diverse Clients �������������������������������������������������������������������������������� 25 Roberto Rentería, Amber Schaefer, and Cristalís Capielo Rosario 4 Epidemiological Considerations Working with Culturally Diverse Populations �������������������������������������������� 39 Deidre M. Anglin, Rachel Tayler, and Rona Tarazi 5 Using Empirically Supported Assessments with Cultural Minority Clients: Are They Effective? . 53 Ahmed Fasfous, Julia C. Daugherty, and Antonio E. Puente 6 Cultural Considerations in Psychological Assessment and Evaluation . 63 Brian D. Leany 7 Cultural Considerations in the Context of Establishing Rapport: A Contextual Behavioral View on Common Factors . 75 Joanne Qinaʻau and Akihiko Masuda 8 Friend or Foe: Empirically Supported Treatments for Culturally Minority Clients ���������������������������������������������������� 93 Silvia Alves Nishioka, Cindy Y. Huang, and Nolan Zane 9 Behavioral Health Service Delivery with African Americans . 111 Monnica T. Williams, Jamilah R. George, and Destiny M. B. Printz 10 Behavioral Health Service Delivery with Asian Americans . 131 Gordon C. Nagayama Hall and Ellen R. Huang vii viii Contents 11 Behavioral Health Service Delivery with Pacific Islanders �������� 143 Lisa A. Duke and Hikianaliʻa Foster 12 Behavioral Health Service Delivery with Latinos . 163 Ana J. Bridges and Aubrey R. Dueweke 13 Cultural Considerations in Behavioral Health Service Delivery with LGBT Populations ������������������������������������ 177 Frances R. Gonzalez 14 Behavioral Health and Muslim Clients: Considerations for Achieving Positive Outcomes �������������������������������������������������� 185 Cory E. Stanton 15 Behavioral Health Service Delivery with Immigrants ���������������� 197 Gabriela Hurtado, Laurie Cook Heffron, and Josephine V. Serrata 16 Behavioral Health Service Delivery Among Persons with Disabilities ������������������������������������������������������������������������������ 211 Susan Stuntzner and Jacquelyn A. Dalton 17 Culturally Responsive Assessment and Treatment of Generalized Anxiety Disorder �������������������������������������������������� 231 Jessica R. Graham-LoPresti, Tahirah Abdullah, and Amber Calloway 18 Cross-Cultural Factors in the Treatment of Trauma- Related Disorders: Overview . 247 Aileen Torres, Sumithra Raghavan, and A. Keshani Perera 19 Cultural Considerations in Behavioral Health Service Delivery for Social Anxiety ������������������������������������������������������������ 271 Frances R. Gonzalez 20 Cultural Considerations When Treating Anxiety Disorders with Mindfulness-Based Interventions . 277 Holly Hazlett-Stevens 21 Obsessive-Compulsive and Related Disorders ���������������������������� 293 Elisabeth Cordell and Robert Holaway 22 Cultural Considerations in Treating Depression . 309 Esteban V. Cardemil, Néstor Noyola, and Emily He 23 Cultural Considerations and Sleep . 323 Ruth Gentry 24 Eating Disorders . 331 Kimberly Yu and Marisol Perez 25 Cultural Considerations in the Treatment of Sexual Dysfunction �������������������������������������������������������������������� 345 Rory T. Newlands, Janet Brito, and Dominic M. Denning Contents ix 26 Cultural Considerations for Schizophrenia Spectrum Disorders Part I: Symptoms, Diagnosis, and Prevalence . 363 Julia E. Maietta, Nina B. Paul, and Daniel N. Allen 27 Cultural Considerations for Schizophrenia Spectrum Disorders II: Assessment and Treatment . 381 Nina B. Paul, Julia E. Maietta, and Daniel N. Allen 28 Cultural Considerations in the Behavioral Assessment and Treatment of Substance-Related Disorders �������������������������� 403 Nina B. Paul, Lance A. Lopez, Michelle N. Strong, and Bradley Donohue 29 Behavioral Problems in Children . 419 Natalie Bennett and A. Paige Blankenship 30 Cultural Considerations in the Context of Romantic Relationships ������������������������������������������������������������ 431 Kristin M. Lindahl and Sara Wigderson Index �������������������������������������������������������������������������������������������������������� 447 Cultural Factors in Behavioral Health: Training, Practice, 1 and Future Directions Lorraine T. Benuto, Jonathan Singer, and Frances R. Gonzalez Cultural Factors in Behavioral define cultural competency as consisting of Health: Training, Practice, knowledge/awareness and skills (Benuto, Casas, and Future Directions & O’Donohue, 2018). Benuto and colleagues highlighted that given the diverse nature of the Across the behavioral health field there is an USA, psychologists must develop a sophisticated urgency to employ cultural considerations into level of knowledge regarding cultures and sub- professional practice. As such American cultures. Indeed, given the rapid diversification Psychological Association (APA, 2002) revised of the USA, there is a need for guidelines for their standards to require that psychologists be working with diverse clients. This book attempts aware of and respect the cultural characteristics of to fulfill this need. their clients. These cultural characteristics include This book is designed for clinicians who work age, gender, ethnicity, race, religion, and other cul- with culturally diverse clients, for scholars who tural factors. Additionally, the APA called for psy- write about and research this area, and for students chologists to be aware of any biases and prejudice who are learning about how cultural factors are they may hold (APA, 2002). Since then, much has relevant to the helping profession. In the USA, been written about cultural competency. minority ethnic groups are growing substantially, Cultural competency is commonly defined with 28% of the US population identifying as using a three-dimensional model (Sue et al., races other than White (Colby & Ortman, (2014). 2009). This model consists of a therapist’s cul- Additionally, approximately 65 million people in tural awareness and beliefs; knowledge of a cli- America speak a foreign language that is not ent’s cultural background, worldview, and English, with over 25 million people having lim- therapy expectations;