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Working with Black vs. White patients: an experimental test of therapist decision-making in cognitive behavioral therapy for depression.

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Title: Working with Black vs. White patients: an experimental test of therapist decision-making in cognitive behavioral therapy for depression.
Authors: Ezawa, Iony D. (AUTHOR), Strunk, Daniel R. (AUTHOR)
Source: Cognitive Behaviour Therapy. May2022, Vol. 51 Issue 3, p229-242. 14p. 2 Diagrams, 4 Charts.
Subjects: Cognitive therapy, Black people, Attitude change (Psychology), Racial & ethnic attitudes, Mental depression, Decision making
Abstract: Whether and how therapists' delivery of cognitive behavioral therapy (CBT) for depression differs by patients' ethnicity or race remains unclear. In this study, 218 therapists were randomized to clinical vignettes that involved the same text but varied in whether the accompanying image depicted a Black or White patient. Therapists exhibited three key differences in their views of clinical strategies for working with Black as compared to White patients. They viewed cognitive change strategies as less therapeutic and validation strategies as more therapeutic for Black patients. They reported similar differences for the time they would spend on each kind of strategy. When asked to compare the relative importance of cognitive change vs. validation strategies specifically, therapists rated validation as more important for Black than White patients. Among therapists presented with Black patients, positive racial attitudes were associated with viewing cognitive change and validation strategies as more therapeutic. These results suggest therapists tend to believe it is desirable to incorporate cognitive methods more limitedly when working with Black patients. Whether such adaptations enhance or detract from the care of Black patients is an important issue that merits future investigation. [ABSTRACT FROM AUTHOR]
Copyright of Cognitive Behaviour Therapy is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Working with Black vs. White patients: an experimental test of therapist decision-making in cognitive behavioral therapy for depression.
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  Data: <searchLink fieldCode="AR" term="%22Ezawa%2C+Iony+D%2E%22">Ezawa, Iony D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Strunk%2C+Daniel+R%2E%22">Strunk, Daniel R.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Cognitive+Behaviour+Therapy%22">Cognitive Behaviour Therapy</searchLink>. May2022, Vol. 51 Issue 3, p229-242. 14p. 2 Diagrams, 4 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Black+people%22">Black people</searchLink><br /><searchLink fieldCode="DE" term="%22Attitude+change+%28Psychology%29%22">Attitude change (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Racial+%26+ethnic+attitudes%22">Racial & ethnic attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Decision+making%22">Decision making</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Whether and how therapists' delivery of cognitive behavioral therapy (CBT) for depression differs by patients' ethnicity or race remains unclear. In this study, 218 therapists were randomized to clinical vignettes that involved the same text but varied in whether the accompanying image depicted a Black or White patient. Therapists exhibited three key differences in their views of clinical strategies for working with Black as compared to White patients. They viewed cognitive change strategies as less therapeutic and validation strategies as more therapeutic for Black patients. They reported similar differences for the time they would spend on each kind of strategy. When asked to compare the relative importance of cognitive change vs. validation strategies specifically, therapists rated validation as more important for Black than White patients. Among therapists presented with Black patients, positive racial attitudes were associated with viewing cognitive change and validation strategies as more therapeutic. These results suggest therapists tend to believe it is desirable to incorporate cognitive methods more limitedly when working with Black patients. Whether such adaptations enhance or detract from the care of Black patients is an important issue that merits future investigation. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Cognitive Behaviour Therapy is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/16506073.2021.1970799
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        Text: English
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        StartPage: 229
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      – SubjectFull: Cognitive therapy
        Type: general
      – SubjectFull: Black people
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      – SubjectFull: Attitude change (Psychology)
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      – SubjectFull: Racial & ethnic attitudes
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      – SubjectFull: Mental depression
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      – SubjectFull: Decision making
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              Text: May2022
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