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Cited by 35Counseling Practices and SupervisionCultural Competency in Health CareMigration, Health and Trauma

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Culturally sensitive psychotherapy—technique or attitude?

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Stingl, Markus, Hanewald, Bernd·2025·Frontiers in Psychology

Abstract

Culturally sensitive psychotherapy is essential in increasingly diverse societies, where cultural, religious, and linguistic differences shape how distress is experienced and communicated. This article conceptualizes culturally sensitive psychotherapy not only as a set of techniques, but as a reflective professional attitude. Drawing on models of intercultural competence and clinical examples, the article explores how culture affects the expression of symptoms, help-seeking behavior, and therapeutic relationships, especially among migrants. Integrating the cultural contexts enhances diagnostic accuracy, therapeutic alliance, and treatment outcomes. The approach balances awareness of cultural influence with the risk of stereotyping, urging clinicians to adopt a self-reflective stance. Culturally sensitive psychotherapy thus fosters effective and respectful care across diverse populations.

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Research works printed but not linked: 56

  1. Aggarwal, 2020, An introduction to the cultural formulation interview, Focus, 18, 77, 10.1176/appi.focus.18103 · DOI
  2. Ailon, 2008, Mirror, Mirror on the wall: “culture’s consequences” in a value test of its own design, Acad. Manag. Rev., 33, 885, 10.5465/amr.2008.34421995 · DOI
  3. Assion, 2004, Traditionelle Heilpraktiken türkischer Migranten. [traditional healing practices of Turkish migrants]
  4. Becker, 1998, Muslimische Patienten. Ein Leitfaden zur interkulturellen Verständigung in Krankenhaus und Praxis. [Muslim patients. A guide to intercultural understanding in hospitals and medical practices]
  5. Berg, 1998, Subjektive Krankheitskonzepte—eine kommunikative Voraussetzung für die Arzt- Patientin-Interaktion. [subjective concepts of illness—a communicative prerequisite for doctor-patient interaction]
  6. Berry, 1997, Immigration, acculturation, and adaptation, Appl. Psychol., 46, 1534, 10.1080/026999497378467 · DOI
  7. Beutel, 2016, Depression, anxiety and suicidal ideation among 1st and 2nd generation migrants—results from the Gutenberg health study, BMC Psychiatry, 16, 288, 10.1186/s12888-016-1002-0 · DOI
  8. Chen, 2017, Pre-migration and post-migration factors associated with mental health in humanitarian migrants in Australia and the moderation effect of post-migration stressors: findings from the first wave data of the BNLA cohort study, Lancet Psychiatry, 4, 218, 10.1016/S2215-0366(17)30032-9 · DOI · Paper page
  9. Cieza, 2008, The international classification of functioning disability and health: its development process and content validity, Eur. J. Phys. Rehabil. Med., 443, 303
  10. Engel, 1977, The need for a new medical model: a challenge for biomedicine, Science, 196, 129, 10.1126/science.847460 · DOI · Paper page
  11. Erim, 2007, Schmerz bei Migranten aus der Türkei. [Pain in migrants from Turkey], 231
  12. Fang, 2012, Yin Yang: a new perspective on culture, Manag. Organ. Rev., 8, 25, 10.1111/j.1740-8784.2011.00221.x · DOI
  13. Flores, 2005, The impact of medical interpreter services on the quality of health care: a systematic review, Med. Care Res. Rev., 62, 255, 10.1177/1077558705275416 · DOI
  14. Freud, 1930, Civilization and its discontents
  15. Fuchs-Heinritz, 1994, A
  16. Grawe, 1992, Komplementäre Beziehungsgestaltung als Mittel zur Herstellung einer guten Therapiebeziehung. [complementary relationship design as a means of establishing a good therapy relationship], 215
  17. Hartung, 2019, Sozialpsychologie (Social psychology), 10.17433/978-3-17-032927-0 · DOI
  18. Heim, 2004, Missverständnisse – nicht nur durch die Sprache. Probleme bei der hausärztlichen Versorgung von Migranten. [misunderstandings—not only due to language. Problems in the primary care of migrants], Adv. Med., 22, 4
  19. Hofstede, 2001, Culture's Consequenses. Comparing values, behaviors, institutions and organizations across nations
  20. Hofstede, 2010, Cultures and organizations: Software of the mind
  21. Hook, 2013, Cultural humility: measuring openness to culturally diverse clients, J. Cons. Psychol., 60, 353, 10.1037/a0032595 · DOI · Paper page
  22. Kaeding, 2006, “Du hast Scheiße gebaut!”. ["You've fucked up!"], 206
  23. Karliner, 2007, Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature, Health Serv. Res., 42, 727, 10.1111/j.1475-6773.2006.00629.x · DOI
  24. Kirmayer, 1998, Culture and somatization: clinical, epidemiological, and ethnographic perspectives, Psychosom. Med., 60, 420, 10.1097/00006842-199807000-00006 · DOI · Paper page
  25. Kizilhan, 2025, Psycho-emotionale Phasen der Migration [Psycho-emotional phases of migration], PiD., 26, 50, 10.1055/a-2289-5986 · DOI
  26. Klein, 1995, Evolution, Wandel, Prozeß. Zur Geschichte der Begriffe und theoretischen Modelle [Evolution, change, process. On the history of concepts and theoretical models]
  27. Knipper, 2014, Vorsicht Kultur! Ethnologische Perspektiven auf Medizin, Migration und ethnisch-kulturelle Vielfalt. [Caution: Culture! Ethnological perspectives on medicine, migration, and ethnic-cultural diversity], 52
  28. Knipper, 2010, Medizin und Ethnisch-Kulturelle Vielfalt—Migration und andere Hintergründe [Medicine and Ethnic-Cultural Diversity—Migration and Other Backgrounds], Dtsch. Arztebl., 107, A76
  29. Köpp, 1993, Psychogene Störungen bei ausländischen Patienten. [Psychogenic disorders in foreign patients], 54
  30. Levecque, 2007, Depression and generalised anxiety in the general population in Belgium: a comparison between native and immigrant groups, J. Affect. Disord., 97, 229, 10.1016/j.jad.2006.06.022 · DOI
  31. Lewin, Field theory in the social sciences
  32. Lewis-Fernández, 2014, Culture and psychiatric evaluation: operationalizing cultural formulation for DSM-5, Psychiatry, 77, 130, 10.1521/psyc.2014.77.2.130 · DOI
  33. Lewis-Fernández, 2020, The cultural formulation interview: Progress to date and future directions, Transcult. Psychiatry, 57, 487, 10.1177/1363461520938273 · DOI
  34. Machleidt, 2007, E2 lecture, April 23–27, 2007, as part of the 57th Lindau psychotherapy weeks
  35. Machleidt, 2018, Praxis der interkulturellen Psychiatrie und Psychotherapie
  36. Martinovic, 2012, Bilingualism and emotion: implications for mental health, The Handbook of Bilingualism and Multilingualism, 292, 10.1002/9781118332382.ch12 · DOI
  37. McSweeney, 2002, Hofstede’s model of national cultural differences and their consequences: a triumph of faith—a failure of analysis, Hum. Relat., 55, 89, 10.1177/0018726702055001602 · DOI
  38. Mewes, 2009, Sind somatoforme Beschwerden und Kausalattributionen bei türkischen Migranten durch den kulturellen Hintergrund oder den Migrationsprozess be-stimmt? [are somatoform complaints and causal attributions in Turkish migrants deter-mined by cultural background or the migration process?], J. Med. Psychol., 18, 135
  39. Missinne, 2012, Depressive symptoms among immigrants and ethnic minorities: a population based study in 23 European countries, Soc. Psychiatry Psychiatr. Epidemiol., 47, 97, 10.1007/s00127-010-0321-0 · DOI
  40. Myriam, 1998, Somatization patterns in Mediterranean migrants, 301
  41. 2023, Operationalized psychodynamic diagnostics OPD-3
  42. Ostermann, 1990, Wer versteht mich? Der Krankheitsbegriff zwischen Volksmedizin und High Tech. Zur Benachteiligung von AusländerInnen in deutschen Arztpraxen. [Who understands me? The concept of illness between folk medicine and high tech. Zur Benachteiligung von AusländerInnen in deutschen Arztpraxen]
  43. Özelsel, 1990, Gesundheit und Migration. Eine psychologisch-empirische Untersuchung an Deutschen sowie Türken in Deutschland und in der Türkei. [Health and migration. A psychological-empirical study of Germans and Turks in Germany and Turkey]
  44. Parlett, 1991, Reflections on field theory, Br. Gestalt J., 1, 68, 10.53667/PMAP3094 · DOI
  45. Perls, 1951, Gestalt therapy: Excitement and growth in the human personality
  46. Ryder, 2008, The cultural shaping of depression: Somatic symptoms in China, psychological symptoms in North America?, J. Abnorm. Psych., 117, 300, 10.1037/0021-843X.117.2.300 · DOI
  47. Seipel, 2013, Grundlegende Probleme des empirischen Kulturvergleichs. Ein problemorientierter Überblick über aktuelle Diskussionen [fundamental problems of empirical cultural comparison. A problem-oriented overview of current discussions], Berl. J. Soziol., 23, 257, 10.1007/s11609-013-0218-3 · DOI
  48. Sluzki, 2010, Psychologische Phasen der Migration und ihre Auswirkungen. [Psychological phases of migration and their consequences], 109
  49. Sue, 2003, Counseling the culturally diverse
  50. Tervalon, 1998, Cultural humility versus cultural competence: a critical distinction in defining physician training outcomes in multicultural education, J. Health Care Poor Underserved, 9, 117, 10.1353/hpu.2010.0233 · DOI · Paper page
  51. 2025, Global trends report 2024: Forced displacement in 2024
  52. 2018, International classification of diseases 11th revision (ICD-11)
  53. Yildirim-Fahlbusch, 2003, Türkische Migranten: Kulturelle Missverständnisse. [Turkish migrants: Cultural misunderstandings.], German Med. J., 100, A-1179/B-993/C-928
  54. Yontef, 1993, Awareness, dialogue and process
  55. Zielke-Nadkarni, 1999, Krankheits-, Gesundheits- und Pflegeverständnis türkischer Migrantinnen. Eine empirische Studie [the understanding of health, illness and care by Turkish immigrant women. An empirical study], Pflege, 12, 283, 10.1024/1012-5302.12.5.283 · DOI
  56. Zubin, 1977, Vulnerability: a new view of schizophrenia, J. Abnorm. Psychol., 86, 103, 10.1037/0021-843X.86.2.103 · DOI

Metadata

Authors
Stingl, M., & Hanewald, B.
Affiliations
Justus-Liebig-Universität Gießen (DE)
Corresponding author
Stingl, Markus
Venue
Frontiers in Psychology
Published
2025-10-02
Volume
16
Pages
1599855-1599855
ISSN
1664-1078 (ISSN-L)
OpenAlex
W4414755021
Cited by
35
References
2
Citations by year
2026: 33 · 2025: 2
FWCI
5.42
Type
journal article
Language
en
Open access
Locations
  • Frontiers in Psychology (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Universitätsbibliothek Gießen (cc-by)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Counseling Practices and Supervision
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Cultural Competency in Health Care
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Keywords
culturally sensitive psychotherapy, intercultural competence, professional attitudes, therapeutic relationship, help-seeking, migrants, diagnostic accuracy, stereotyping, self-reflection, cultural diversity in mental health care

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Stingl, M., & Hanewald, B. (2025). Culturally sensitive psychotherapy—technique or attitude? Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2025.1599855