Using metaphors in therapy: dichos and Latino clients

The clinical literature has given increased attention to the importance of culturally appropriate interventions with diverse populations. The use of metaphor as a tool in psychotherapy has become increasingly salient. Metaphor can also be used in work with Latino clients through the incorporation of dichos, or sayings, that exist in Mexican American and other Latino cultures. These folk sayings exhibit cultural beliefs and ideals embedded in figurative language that describe the human condition. The Spanish language has crystallized human situations, frailties, and anecdotes in the dichos used in everyday conversations. These dichos offer the clinician culturally viable tools for mitigating resistance, enhancing motivation, or reframing problems. Importantly, dichos provide an ambience that contributes to culturally sensitive treatment.