Seeking cultural competence from the ground up
Abstract
[Clin Psychol Sci Prac 18: 232–237, 2011] The present article briefly reviews early evidence of the applicability of acceptance and commitment therapy and its underlying psychological flexibility model to Asians and Asian Americans. Cultural adaptation is an important goal, and we describe how it might be due within a functional contextual approach, namely, by linking cultural knowledge to processes and principles of psychopathology and behavior change. This approach in essence links cultural adaptation to functional analysis. Ideas in the target article, for example about a transcendent sense of self, are used as examples of how this can be performed.
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ACT's values-based approach, defined by the individual, may help with cultural responsivity.
“its values-based approach, defined by the individual, not the therapeutic modality, may help with cultural responsivity [22].”
Cites
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Hayes, S. C. (2002) · Cognitive and Behavioral Practice · doi:10.1016/s1077-7229(02)80041-4 · Cited by 196 · see citing works
Muto, T., Hayes, S. C., & Jeffcoat, T. (2011) · Behavior Therapy · doi:10.1016/j.beth.2010.08.009 · Cited by 144 · cited 2× · see citing works
“The study by Muto et al. (2011) was based on the idea that these stigma-based barriers might be overcome by distributing an ACT self-help book to an entire population regardless of mental health status.”
BackgroundThe development of false-belief understanding in Japanese children: Delay and difference?
Naito, M., & Koyama, K. (2006) · International Journal of Behavioral Development · doi:10.1177/0165025406063622 · Cited by 128 · see citing works
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Establishing a Deictic Relational Repertoire in Young Children
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a handbook for Counseling International Students in the United States
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Acceptance-based coping and the psychological adjustment of asian and caucasian Americans
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The contribution of cultural competence to evidence-based care for ethnically diverse populations
Huey, S. J., Tilley, J. L., Jones, E. O., & Smith, C. A. (2014) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032813-153729 · Cited by 247 · see citing works
“F or p er so na l u se o nl y. CP10CH12-Huey ARI 20 February 2014 7:41 client’s sociocultural context (e.g., Hayes et al. 2011, Henggeler et al. 1992, Reid et al. 2001).”
BackgroundCulturally Responsive Cognitive Behavioral Therapy for Ethnically Diverse Populations
Huey, S. J., Park, A. L., Galán, C. A., & Wang, C. X. (2023) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-080921-072750 · Cited by 160 · see citing works
Acceptance and Commitment Therapy: Western adoption of Buddhist tenets?
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“In this instance, freely chosen values can be expanded to include collectivistic values depending on the particular clinical, cultural, and functional context (Hayes et al., 2011; Hayes, Strosahl, & Wilson, 2012).”
BackgroundTreatment development: can we find a better way?
Hayes, S. C., Long, D. M., Levin, M. E., & Follette, W. C. (2013) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.09.009 · Cited by 75 · see citing works
“It is treated as a middle level term, and is linked clinically to various contemplative and experiential exercises (e.g., see Chapter 8 in Hayes et al., 2011).”
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A preliminary evaluation of Acceptance and Commitment Therapy (ACT) training in Sierra Leone
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“From the perspective of ACT, values ‘are freely chosen, verbally constructed consequences of patterns of action that establish intrinsic qualities of action as reinforcers in the present’ (Hayes et al., 2011a; P236).”
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“It may be useful to integrate ACT with psychoeducation about perceived racial discrimination in one integrated protocol that is focused on the Hispanic population (Hayes et al., 2011).”
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Exploring Mechanisms of Mental Illness Stigma Reduction in Asian Canadian Men
Fung, K. P.-L., Liu, J. J. W., & Wong, J. P. (2021) · The Canadian Journal of Psychiatry · doi:10.1177/07067437211018674 · Cited by 17 · see citing works
“As a mindfulness-based intervention, it promotes psychological flexibility by expanding the individual capacity to become aware of thoughts and feelings in the here and now non-judgmentally, observe and defuse from stigmatizing narratives, be in touch with individual and cultural values related to promoting individual…”
BackgroundBaires, N. A., Cañón, L. F., García-Zambrano, S., Guerrero-Wickham, P., & Castro-Hostetler, M. (2023) · Behavior Analysis in Practice · doi:10.1007/s40617-023-00788-y · Cited by 16 · see citing works
“…which is conceptualized as a pattern of behavior characterized by rigid responses and experiential avoidance of thoughts and emotions (i.e., private events), resulting in detachment from personal values and increased difficulty in interacting with the present moment (Hayes et al., 2011).”
BackgroundFlynn, M. K., Hernandez, J. O., Hebert, E. R., James, K. K., & Kusick, M. K. (2018) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2017.11.003 · Cited by 15 · see citing works
“This is consistent with the theory that ACT's processes are universally applicable and Englishspeaking Hispanic college students would respond to the measure in the same way whether they were born in the United States or Mexico (e.g., Hayes et al., 2006; Hayes et al., 2011).”
BackgroundResultPsychological treatments for chronic pain in East and Southeast Asia: a systematic review.
Yang, S.-Y., McCracken, L. M., & Moss-Morris, R. (2016) · International Journal of Behavioral Medicine · doi:10.1007/s12529-015-9481-3 · Cited by 15 · see citing works
“As well as these structural and economic challenges within these healthcare contexts, differing cultural attitudes and beliefs about psychological treatments for chronic pain may present barriers and require further study [11, 12].”
BackgroundYoon, S., Kim, S., Cho, S., & Choi, H. (2024) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2024.100838 · Cited by 13 · see citing works
Geda, Y. E., Krell‐Roesch, J., Fisseha, Y., Tefera, A., Beyero, T., Rosenbaum, D., Szabo, T. G., Araya, M., & Hayes, S. C. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.732800 · Cited by 13 · see citing works
“Indeed, ACT-based interventions have been delivered in different cultures using general health care workers (57, 58).”
BackgroundKurz, A. S., Flynn, M. K., & Bordieri, M. J. (2016) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2016.07.005 · Cited by 11 · see citing works
Talaeizadeh, F. (2020) · Journal of Intellectual Disability - Diagnosis and Treatment · doi:10.6000/2292-2598.2020.08.01.3 · Cited by 10 · see citing works
“Acceptance and commitment therapy protocol [38]: This package has been confirmed in the study conducted by Zolfaghari (2016) [39].”
MethodMasuda, A., Le, J., & Cohen, L. L. (2013) · International Journal for the Advancement of Counselling · doi:10.1007/s10447-013-9188-6 · Cited by 10 · see citing works
Yang, S.-Y., McCracken, L. M., & Moss-Morris, R. E. (2016) · Pain Medicine · doi:10.1093/pm/pnw175 · Cited by 9 · see citing works
“None of these studies were conducted in Southeast Asia.”
BackgroundInfluentialKrieg, A. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.00418 · Cited by 9 · see citing works
“Making use of its sensitivity to subtle idiographic factors impacting an individual’s behavior in a specific context, several attempts have been made to capitalize on the potential for cultural sensitivity it offers (Hayes et al., 2011; Pasillas and Masuda, 2014; Sabucedo, 2017).”
BackgroundLangroudi, K. F., & Skinta, M. D. (2019) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x19000096 · Cited by 8 · see citing works
“Cultural adaptation in contextual behaviour therapy emphasizes the importance of obtaining culture-specific information that can inform a functional analysis, such that an individual ’ s history is always viewed through the lens of being grounded in a particular social history (Hayes et al. , 2011).”
BackgroundOnline ACT Matrix Parent Training for Japanese-Speaking Mothers with Distress in the United States
Kurumiya, Y., García, Y., Griffith, A. K., & Szabo, T. G. (2022) · Journal of Child and Family Studies · doi:10.1007/s10826-022-02477-w · Cited by 8 · see citing works
“, 2021) between a clinician and a client in the moment (Hayes et al., 2011; Masuda, 2014).”
BackgroundMethodInfluentialPsychologically Flexible Self-Acceptance
Jeffcoat, T., & Hayes, S. C. (2013) · Springer eBooks · doi:10.1007/978-1-4614-6806-6_5 · Cited by 7 · see citing works
Ginsberg, K. H., Alsweiler, J., Rogers, J., Cavadino, A., Douglas, M., & Serlachius, A. (2024) · Contemporary Clinical Trials · doi:10.1016/j.cct.2024.107519 · Cited by 7 · see citing works
Poverty: third wave behavioral approaches
Thompson, M. (2015) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2014.11.010 · Cited by 6 · see citing works
Assessing and Treating Asian Americans
Okazaki, S., & Ling, A. (2013) · Elsevier eBooks · doi:10.1016/b978-0-12-394420-7.00016-3 · Cited by 4 · see citing works
The clinician, the clinician-researcher, and the contextual behavioral science research agenda
Persons, J. B. (2022) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2022.03.001 · Cited by 4 · see citing works
commit and act in Sierra Leone
Stewart, C., Ebert, B., & Bockarie, H. (2017) · Palgrave Macmillan UK eBooks · doi:10.1057/978-1-137-39510-8_31 · Cited by 3 · see citing works
Examining the ACT Model in the Case Study of Taro
Hayes, S. (2016) · Pragmatic Case Studies in Psychotherapy · doi:10.14713/pcsp.v11i4.1931 · Cited by 2 · see citing works
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“…adaptation of ACT, which includes modifications to the therapeutic techniques, as well as the need for therapists to demonstrate cultural sensitivity depending on the clients’ context, including their learning history and current sociocultural environment (Hayes et al., 2011; Masuda, 2020).”
脱フュージョン・エクササイズの作用機序のさらなる明確化に向けて—伊井（2016）へのコメント—
武藤, 崇. (2016) · 行動療法研究 · doi:10.24468/jjbt.42.3_363
スティーブ・C・ヘイズ, H. (2016) · Pragmatic Case Studies in Psychotherapy · doi:10.14713/pcsp.v11i4.1938
Perspective Chapter: Therapeutic Alliance, Rupture and Repair in Group Therapy
Lynch, E., Lynch, J., McClintick, K., Pippen, B., Womack, K., & Hinson, K. (2023) · IntechOpen eBooks · doi:10.5772/intechopen.110700
Morroni, D., Charalambous, E., & Karekla, M. (2025) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2025.100919
- Authors
- Hayes, S. C., Muto, T., & Masuda, A.
- Affiliations
- University of Nevada, Reno (US)
- Doshisha University (JP)
- Georgia State University (US)
- Venue
- Clinical Psychology Science and Practice
- Published
- 2011-09
- Volume
- 18
- Issue
- 3
- Pages
- 232-237
- ISSN
- 0969-5893 (ISSN-L)
- 1468-2850
- OpenAlex
- W1553262158
- Cited by
- 38
- References
- 29
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 4 · 2022: 3 · 2021: 2 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 3 · 2016: 8 · 2015: 2 · 2014: 2 · 2013: 5
- FWCI
- 2.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Science and Practice (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Social Psychology › Counseling Practices and Supervision
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Keywords
- acceptance and commitment therapy, psychological flexibility, cultural competence, cultural adaptation, Asian Americans, psychopathology, behavior change, cultural knowledge
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