title: Culturally adapted cognitive-behavior therapy: integrating sexual, spiritual, and family identities in an evidence-based treatment of a depressed Latino adolescent.
abstract: The article described and illustrated how a culturally adapted cognitive-behavioral therapy (CBT) can maintain fidelity to a treatment protocol while allowing for considerable flexibility to address a patient's values, preferences, and context. A manual-based CBT was used with a gay Latino adolescent regarding his sexual identity, family values, and spiritual ideas. The adolescent suffered from a major depression disorder and identified himself as gay and Christian within a conservative and machista Puerto Rican family. CBT promoted personal acceptance and active questioning of homophobic thoughts in a climate of family respect. CBT enabled identity formation and integration, central to the development of a sexual identity for lesbian, gay, bisexual, and transgender youth, with remission of the patient's depression and better family outcomes.
authors.affiliation: University of Puerto Rico, San Juan, Puerto Rico. ymduarte@ipsi.uprrp.edu
authors.forename: Yovanska
authors.initials: Y
authors.lastname: Duarté-Vélez
authors.forename: Guillermo
authors.initials: G
authors.lastname: Bernal
authors.forename: Karen
authors.initials: K
authors.lastname: Bonilla
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D001008:Anxiety Disorders / Q000208:ethnology / Q000523:psychology / Q000628:therapy; D001289:Attention Deficit Disorder with Hyperactivity / Q000208:ethnology / Q000523:psychology / Q000628:therapy; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D015897:Comorbidity; D003466:Cultural Characteristics; D054521:Cultural Competency / Q000523:psychology*; D003865:Major Depressive Disorder / Q000208:ethnology* / Q000523:psychology / Q000628:therapy*; D004493:Education / Q000379:methods; D055317:Evidence-Based Practice; D019260:Expressed Emotion; D005783:Gender Identity; D006630:Hispanic or Latino / Q000523:psychology*; D018451:Homosexuality, Male / Q000208:ethnology / Q000523:psychology; D006801:Humans; D007063:Identity Crisis; D008297:Male; D016487:Parenting / Q000208:ethnology / Q000523:psychology; D019529:Sexuality / Q000208:ethnology* / Q000523:psychology; D012945:Social Values; D029181:Spirituality