TY - JOUR
T1 - Reactions to an Acceptance-Based Behavior Therapy for GAD
T2 - Giving Voice to the Experiences of Clients From Marginalized Backgrounds
AU - Fuchs, Cara H.
AU - West, Lindsey M.
AU - Graham, Jessica R.
AU - Kalill, Kathleen Sullivan
AU - Morgan, Lucas P.K.
AU - Hayes-Skelton, Sarah A.
AU - Orsillo, Susan M.
AU - Roemer, Lizabeth
N1 - Funding Information:
This work was supported by National Institute of Mental Health Grant MH074589, awarded to the last two authors.
Publisher Copyright:
© 2015
PY - 2016/11/1
Y1 - 2016/11/1
N2 - There is emerging evidence supporting the acceptability of mindfulness and acceptance-based therapies with individuals from marginalized backgrounds. The current phenomenological study aimed to understand the extent to which clients from marginalized backgrounds who had completed an acceptance-based behavioral therapy (ABBT) for GAD felt that their identities affected their experience of the treatment and the therapist. Purposeful sampling methods were used to identify seven clients from a larger RCT who identified with one or more marginalized identities. Nine themes related to the treatment components, treatment focus and/or delivery, and the therapist emerged. Themes reflected aspects of treatment that clients were satisfied with and areas where they experienced some discord with treatment. Clinical implications for working with marginalized individuals include the importance of inviting conversations about barriers to valued actions, balancing the need to maintain treatment fidelity with the need to be responsive to clients’ concerns, the utility of assessing responses to mindfulness exercises as they are presented, and making client-centered adjustments to either the content or delivery of mindfulness practice to help make connections between exercises and clients’ lives.
AB - There is emerging evidence supporting the acceptability of mindfulness and acceptance-based therapies with individuals from marginalized backgrounds. The current phenomenological study aimed to understand the extent to which clients from marginalized backgrounds who had completed an acceptance-based behavioral therapy (ABBT) for GAD felt that their identities affected their experience of the treatment and the therapist. Purposeful sampling methods were used to identify seven clients from a larger RCT who identified with one or more marginalized identities. Nine themes related to the treatment components, treatment focus and/or delivery, and the therapist emerged. Themes reflected aspects of treatment that clients were satisfied with and areas where they experienced some discord with treatment. Clinical implications for working with marginalized individuals include the importance of inviting conversations about barriers to valued actions, balancing the need to maintain treatment fidelity with the need to be responsive to clients’ concerns, the utility of assessing responses to mindfulness exercises as they are presented, and making client-centered adjustments to either the content or delivery of mindfulness practice to help make connections between exercises and clients’ lives.
KW - Cultural adaptations
KW - Marginalized identities
KW - Mindfulness
KW - Treatment acceptability
KW - Valued action
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U2 - 10.1016/j.cbpra.2015.09.004
DO - 10.1016/j.cbpra.2015.09.004
M3 - Article
AN - SCOPUS:84953250045
SN - 1077-7229
VL - 23
SP - 473
EP - 484
JO - Cognitive and Behavioral Practice
JF - Cognitive and Behavioral Practice
IS - 4
ER -