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date: 24 February 2021

Abstract and Keywords

Standard psychotherapies may be useful for those who fit well in mainstream US culture, but they may need to be culturally adapted for those whose fit is not as good. We review the literature on the generalizability of standard cognitive-behavioral therapy (CBT) as well as the literature on cultural adaptations of CBT. We offer a conceptual model for assessing an individual’s goodness of fit with his or her sociocultural and cultural environments and for determining implications for interventions. The model considers an individual’s fit in the mainstream culture and in the traditional culture and provides treatment recommendations on the basis of relative cultural match or mismatch. Considering goodness of fit with cultural and sociocultural environments may provide guidance on the relative merits of culturally adapted versus unadapted psychotherapy.

Keywords: cultural adaptation, cultural competence, cultural diversity, discrimination, goodness of fit

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