Dialogical relationship and cultural imagination: a hermeneutic approach to intercultural psychotherapy.
Effective intercultural psychotherapy generally has been conceptualized in terms of a specific knowledge and skills base, combined with relevant attention to the practitioner's cultural attitudes and beliefs. Although such an approach continues to be the gold standard in the field, it has yet to be demonstrated that these components are either necessary or sufficient for effective treatment. This paper presents an approach to intercultural therapy based on Gadamer's philosophical hermeneutics. Humans are always in the process of making sense of the world around them, a process which is predicated on culturally given preunderstandings. Cultural difference means that the preunderstandings are rarely mutual, and therefore, communication and psychotherapy are often problematic. These preunderstandings often show up in the form of racial and ethnic prejudice and the therapist is rarely aware of this. Therapist preunderstanding influences all aspects of the psychotherapy process, such as treatment planning, interventions chosen, and the therapeutic relationship. Recommendations are given for improving the intercultural therapy process, and draw strongly on the twin notions of the dialogical relationship and cultural imagination.
Qureshi
Adil
A
Transcultural Psychiatry Program, Servei de Psiquiatria, Hospital Universitari Vall d'Hebron, Pg Vall d'Hebron 119-129, 08035 Barcelona, Spain. aqureshi@vhebron.net
D001291:Attitude of Health Personnel; D003142:Communication; D003466:Cultural Characteristics; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D011369:Professional-Patient Relations; D011613:Psychotherapy