L. Mofrad
The treatment of depression and simple phobia through an interpreter in the North East of England : a case study
Mofrad, L.; Webster, L.A.D.
Authors
L.A.D. Webster
Abstract
A 35-year-old Middle Eastern woman, experiencing moderate depression compounded by animal phobia was referred to an Improving Access to Psychological Therapies (IAPT) service. Shared understandings were gradually developed using written functional analyses translated in session. Activity scheduling was integrated with graded exposure to increase access to positive reinforcement. Questionnaires and subjective data indicated a reduction in phobic avoidance and functioning increased. Despite the complexity of working as a triad, a positive therapeutic relationship was achieved with increased mutual cultural understanding. Indirect communication led to difficulties maintaining guided discovery and focus. There is limited evidence to support CBT when delivered through an interpreter. IAPT recommendations suggest staff reflect the community; the North East has one of the lowest foreign-born populations in the UK indicating that IAPT services may be ill prepared to work with ethnic minorities. Learning points for the therapist were: maintain simplicity, take time to formulate incorporation of cultural difference, and use transcultural interventions. The interpreter brought advantages; providing means of communication and understanding of cultural differences. Disadvantages were the potential for bias or lost information, increased time and complexity of delivering therapy. This case indicates a deficit in high intensity training and lack of literature to support therapists.
Citation
Mofrad, L., & Webster, L. (2013). The treatment of depression and simple phobia through an interpreter in the North East of England : a case study. The Cognitive Behaviour Therapist, 5(4), 102-111. https://doi.org/10.1017/s1754470x13000044
Journal Article Type | Article |
---|---|
Publication Date | Apr 1, 2013 |
Deposit Date | Apr 23, 2013 |
Publicly Available Date | Jan 15, 2014 |
Journal | The Cognitive Behaviour Therapist |
Publisher | Cambridge University Press |
Peer Reviewed | Peer Reviewed |
Volume | 5 |
Issue | 4 |
Pages | 102-111 |
DOI | https://doi.org/10.1017/s1754470x13000044 |
Keywords | Cognitive therapy training, Depression, Phobia, Therapist competence. |
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Copyright Statement
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013. This paper has been published in a revised form subsequent to editorial input by Cambridge University Press in 'The Cognitive behaviour therapist' (5: 4 (2013) 102-111) http://journals.cambridge.org/action/displayJournal?jid=CBT
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