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Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
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Cognitive therapy is a psychological approach designed to address distortions in thinking, which can lead to negative emotions and unrealistic beliefs. These cognitive distortions often influence how individuals interpret and respond to situations, exacerbating emotional distress. Below are some prevalent cognitive distortions, their characteristics, and examples of how they manifest in thought processes.
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Providing antiracist cognitive-behavioral therapy: Guidelines, tools, and tips.

Jude Mary Cénat1, Angela M Haeny2, Monnica T Williams3

  • 1School of Psychology, University of Ottawa, Ottawa, Ontario, Canada; Interdisciplinary Centre for Black Health, University of Ottawa, Ottawa, Ontario, Canada; University of Ottawa Research Chair on Black Health, University of Ottawa, Ottawa, Ontario, Canada.

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Summary

This article introduces anti-racist cognitive-behavioral therapy (CBT) guidelines to address racial trauma and systemic racism in mental health care. It offers practical tools for clinicians to improve outcomes for racialized patients.

Keywords:
Antiracist CBTCognitive behavioral therapyComplex racial traumaRacism

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Area of Science:

  • Psychology
  • Mental Health
  • Social Justice

Background:

  • Traditional cognitive-behavioral therapy (CBT) adaptations overlook critical racial issues impacting mental health.
  • Interpersonal, institutional, and systemic racism, along with internalized racism and racial trauma, are inadequately addressed.
  • This oversight leads to suboptimal mental health outcomes for racialized individuals.

Purpose of the Study:

  • To propose practical guidelines for clinicians to implement anti-racist CBT interventions.
  • To enhance CBT's theoretical framework and clinical application for racialized populations.
  • To promote culturally safe therapeutic environments and specialized training for serving diverse groups.

Main Methods:

  • Development of applicable guidelines for anti-racist CBT.
  • Re-designing the CBT theoretical framework to incorporate environmental racism impacts.
  • Providing practical tools and self-assessment strategies for clinicians.

Main Results:

  • Guidelines cover clinical self-development, framework redesign, and practical intervention tools.
  • The revised CBT framework acknowledges the pervasive effects of racism on health.
  • Emphasis on creating culturally safe spaces and specialized training for effective care.

Conclusions:

  • Proposed guidelines aim to transform CBT practice for racialized patients.
  • Interventions seek to increase trust and confidence in mental health services.
  • The ultimate goal is to decolonize cognitive-behavioral therapy interventions.