Skip to main content
Article thumbnail
Location of Repository

An Investigation of Cultural Competency in the Experiences of Therapists Newly Trained to Deliver Cognitive-Behavioural Therapy

By Suki Bassey


Background: Policies and guidance on the provision of mental health services to the diverse UK population acknowledge the need for therapists to be able to deliver psychological interventions in a culturally sensitive way to meet the needs of Black and Minority Ethnic groups. The requirements are highly relevant to Cognitive-Behavioural Therapists employed under the national Improving Access to Psychological Therapies programme which was introduced to address common mental health problems. \ud Research rationale: Literature contains a wealth of material relevant to the cultural competency required of psychological practitioners, however writers have tended to focus on different facets of competency. A framework based on the guidance dispersed throughout the literature would serve as useful tool to investigate whether therapists emerging from IAPT training work in a way that is consistent with cultural competency practice guidance. A study could also explore how cultural competency, if evident, is acquired and how training contributes. \ud Method: A narrative review of the literature was conducted to generate a thematic template that could be contrasted with the views and practices of therapists who had recently undergone IAPT training. Focus group interviews were conducted with participants at three IAPT services and the captured data was thematically analysed using Template Analysis whereby the themes from the review could be incorporated into the template used for the analysis. \ud Findings: Participants demonstrated a range of perspectives and practices that were consistent with cultural competency guidance in the literature. Abilities were attributed to personal and professional experience, and to personal motivation to develop the capacity to work sensitively. Training was not considered to have significantly contributed to cultural competency and suggestions for how it may be improved were presented. It was concluded that it was possible for therapists to work in a culturally sensitive way without a comprehensive training based on cultural competency guidance, but that improvements for training could be drawn from the study

Publisher: University of Leicester
Year: 2011
OAI identifier:

Suggested articles


  1. (2007). A framework for enhancing multicultural counselling competence. doi
  2. (1992). Spring). The future of psychotherapy with ethnic minorities. doi
  3. (2009). Delivering race equality in mental health care: A review. London: Department of Health. doi
  4. (2009). Department of health single equality scheme.
  5. (2002). Transcultural counselling and psychotherapy: a philosophical framework. In doi
  6. (1991). Mental health, race and culture. doi
  7. (2006). Therapist multicultural competency: a study of therapy dyads. doi
  8. (2006). Race, culture and counselling: The ongoing challenge. (2nd ed.). Maidenhead: doi
  9. (1997). Replacing client-centred counselling with culture-centred counselling. doi
  10. (2006). Updating the models of identity development.
  11. (1997). Cross-cultural career psychology: Comment on Fouad, Harmon, and Borgen doi
  12. (2003). Culturally competent psychotherapy. doi
  13. (1997). Cultural competence in psychotherapy: A guide for clinicians and their supervisors.
  14. (2006). Cultural competence and psychotherapy: Applying anthropologically informed conceptions of culture. doi
  15. (2001). Applying Racial Identity Models in Multicultural Counselling.
  16. (2003). Models of multicultural counselling competence: A crticial evaluation. doi
  17. (2009). Race, culture and ethnicity in mental health care. In
  18. (2000). Clinical Psychology. Race and Culture: a training manual. Leicester:
  19. (2004). Do we need multicultural counseling competencies? doi
  20. (1995). The culture-bound counsellor as an unintentional racist.
  21. (2001). Multiculturalism and the paradigm shift in counselling. Controversies and alternative futures.
  22. (1993). Preventing prejudice. doi
  23. (2010). 15). Developing culturally doi
  24. (1999). Preparing culturally competent practitioners.
  25. (2004). Twelve practical suggestions for achieving multicultural competence. doi
  26. (2001). Multidimensional facets of cultural competence. doi
  27. (1992). March/April). Multicultural counseling competencies and Standards: A call to the profession. doi
  28. (1999). Counselling the culturally different. theory and practice. doi
  29. (2005). Racial-cultural competence: Awareness, knowledge, and skills. In
  30. (1998). In search of cultural competence in psychotherapy and counselling. doi
  31. (2003). In defense of cultural competency in psychotherapy and treatment. doi
  32. (1987). The role of culture and cultural techniques in psychotherapy: A critique and reformulation. doi
  33. (2009). A practical skills model for effectively engaging clients in multicultural settings. doi
  34. (1993). Association.
  35. (2003). Guidelines on multicultural education, training, research, practice, and organizational change for psychologists. doi
  36. (2011). Culturally competent practitioners in mental health: A review of the requirements. Unpublished doctoral dissertation,
  37. (2005). Cultural competence: a systematic review of health care provider educational interventions. doi
  38. (2007). Race equality training in mental health services in england. does one size fit all? London: Sainsbury Centre for Mental Health.
  39. (2001). Are empirically supported treatments valid for ethnic minorities? Toward an alternative approach for treatment research. doi
  40. (1980). Introduction to methodology. In doi
  41. (1988). Acculturation and mental health. In
  42. (1996). Acculturation and adaptation. In doi
  43. (2007). Ethnic inequalities and cultural capability framework in mental healthcare. In doi
  44. (2004). Cultural psychiatry research for the next decade. doi
  45. (2005). Counselling and Psychotherapy with Refugees. doi
  46. (2002). The process of cultural competence in the delivery of healthcare services: a model of care. doi
  47. (1991). Ethnocultural transference and countertransference in the therapuetic dyad. doi
  48. (1989). Towards a culturally competent system of care. Washington DC:
  49. (1995). The psychology of nigrescence: revising the Cross model. In doi
  50. (2004). Individual and cultural-diversity competency: Focus on the therapist. doi
  51. (2005). Delivering race equality in mental health care, an Action Plan for reform inside and outside services. London: Department of Health.
  52. (2008). Improving access to psychological therapies. doi
  53. (2009). Delivering race equality in mental health care; A review. London: Department of Health. doi
  54. (1981). Cross-talk' - The wider perspective.
  55. (1976). Beyond culture. doi
  56. (2003). Ethical principles of the psychology profession and ethnic minority issues. In doi
  57. (2001). Addressing cultural complexities in practice: A framework for clinicians and counselors. Washington DC: doi
  58. (2004). The ten essential shared capabilities – A framework for the whole of the mental health workforce. doi
  59. (2006). The psychotherapy adaptation and modification framework: application to Asian Americans. doi
  60. (1996). The Indian psyche. New Dehli:
  61. (2004). Template analysis.
  62. (2006). Race, Culture and Counselling: The Ongoing Challenge. doi
  63. (2006). Updating the models of identity development. In
  64. (2005). The management of PTSD in adults and children in primary and secondary care. Retrieved
  65. (1991). Multiculturalism as a generic approach to counseling. doi
  66. (2010). 15). Developing culturally sensitive cognitive behaviour therapy for psychosis for ethnic minority patients by exploration and incorporation of service users' and health professionals' views and opinions. Behavioural and Cognitive Psychotherapy, doi
  67. (1995). Overcoming unintentional racism in counseling and therapy: A practitioner's guide to intentional intervention. Thousand Oaks, doi
  68. (1988). In search of the self in India and Japan: Toward a cross-cultural psychology. doi
  69. (1986). In
  70. (2004). Qualitative research practice. doi
  71. (2009). The case for cultural competency in psychotherapeutic interventions. doi
  72. (2001). Context as a critical dimension of multicultural counseling: Articulating personal. professional, and institutional competence. doi
  73. (2003). Workng with interpreters in mental health. doi
  74. (2004). Culture and psychotherapy: Asian perspectives. doi
  75. (2000). Cultural Competence: A best practice process for psychiatric-mental health nursing. doi
  76. (1993). 9). Cultural Divide. Counselling News,
  77. (2002). A critical analysis of the multicultural counseling competencies: implications for the practice of mental health counseling. doi
  78. (2004). The AMCD multicultural counseling competencies: a critically flawed initiative. doi
  79. (1998). About the Journal Ethnicity and Inequalities in Health and Social Care promotes equality in health and social Please send submissions to the publishers: Jo Sharrocks, Publishing Manager, Pier Professional Suite N4, The Old Market, Upper Market Street,
  80. (1998). Getting Older, Getting Wiser (2nd edition). doi
  81. (1992). Services for People with Learning Disabilities and Challenging Behaviour or Mental Health Needs. doi

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.