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Addictions treatment: Is therapy culture bound?
If we survey the field of counseling paradigms and techniques we may be drawn to note that each of these different schools of thought seems to be based on a particular worldview. As the world marches on so must the field of psychotherapy. Many of the traditional counseling techniques were developed in America about 30-40 years ago. The focus of American culture at the time was on White, male, middle-class Americans. Thus many of these techniques do not seem to be applicable on other population demographics. Western counseling methods are not easily transported and have major limitations when used cross-culturally. If counselors have completely different values there is a risk of culturally-biased therapy. This has led to minority groups rejecting medical health services. It is very important for a therapist to listen to clients and determine why they are seeking help that is appropriate for them. A skilled clinician will be able to accomplish this task without introducing cultural bias. Could it be that the problem rests not with Western technique but rather in individual therapists? I certainly think that slavish methodolatry will preclude a counselor from addressing his/her clients individual needs. »
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