Cultural Considerations in Cognitive-Behavioral Assessment. (from the chapter) A large body of research points toward the utility of evidence-based psychological assessment and interventions for ethnic minority populations (Miranda et al., 2005). However, cultural influences in the assessment of psychopathology still present a challenge for cognitive-behavioral therapists given the legitimate critique that cognitive-behavioral assessment measures (as well as treatments) have not been adequately validated in minority cultures (Bemal & Scharron-del-Rio, 2001; Hall, 2001; Haynes & O'Brien, 1990; Iwamasa, 1997; Wood, Garb, Lilienfeld, & Nezworski, 2002). Of course, cognitive-behavioral assessment is not alone in this regard; most measures of personality and psychopathology are limited in their cross-cultural validity. Moreover, the clinical self-report assessment instruments that have the best cross-cultural validation are the Minnesota Multiphasic Personality Inventory (MMPI) and the MMPI-2 (Wood et al., 2002), which are not as widely used in cognitive-behavioral therapy (CBT). Recognizing these limitations, this chapter provides an overview of major issues that may be helpful in conducting cognitive-behavioral assessments with culturally diverse clients. We include both self-report and behavioral measures, as CBT involves the evaluation of clients' cognitions in various forms and behavioral performance. First, information is provided regarding cross-cultural differences in self-reported affect, behavior, and well-being–research that has important implications for cognitive-behavioral assessments that rely heavily on self-report data. Second, the use of cognitive-behavioral instruments for assessing specific disorders, cognitive styles, and behavior with ethnic minority clients is discussed with special attention to one of the most commonly used self-report measures, the Beck Depression Inventory (BDI) and the BDI-II. Finally, several clinical approaches to culturally responsive cognitive-behavioral assessment are described, including functional analysis, the Culturally Informed Functional Assessment (CIFA) interview, the ADDRESSING framework, the Multicultural Assessment Procedure (MAP), the Explanatory Model Interview Catalogue (EMIC), and a bicultural evaluation procedure used in New Zealand. A case example is used to illustrate functional analysis and the CIFA interview. (PsycINFO Database Record (c) 2007 APA, all rights reserved) https://www.upress.umn.edu/test-division/bibliography/2000-2009/2006/okazaki_cultural_2006 https://www.upress.umn.edu/logo.png

Sumie Okazaki and Junko Tanaka-Matsumi (2006)

Cultural Considerations in Cognitive-Behavioral Assessment.

Miscellaneous publication.

Keywords

Affect
American Psychological Association
APA
Assessment instruments
Attention
BDI
BDI-II
Beck Depression Inventory
Behavior
behavioral measures
Body
Challenge
Clients
Cognition
Cognitive behavioral assessment
Cognitive behavioral therapy
Cognitive style
Cognitive-behavioral assessments
Cross-cultural differences
Cultural considerations
Cultural influences
culturally diverse clients
Culture
Depression
Depression inventories
Ethnic minorities
Functional analysis
Intervention
Interview
Minnesota Multiphasic Personality Inventory
MMPI
MMPI 2
MMPI-2
multicultural assessment
Performance
Personality
Research
Treatment
University
Validation
Validity

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Cultural Considerations in Cognitive-Behavioral Assessment.