title: Culturally Adapted Cognitive Behavioral Therapy for Body Dysmorphic Disorder: Case Examples.
abstract: Individuals with Body Dysmorphic Disorder (BDD) have distressing or impairing preoccupations with imagined or slight defects in their appearance (e.g., nose too big). BDD is a severe psychiatric disorder often associated with high rates of suicidality as well as social and occupational impairment (Phillips, Coles et al., 2005). Researchers have only recently begun to investigate psychological treatments for BDD, with available data suggesting that cognitive behavioral therapy (CBT) appears efficacious for BDD (Williams, Hadjistavropoulos, & Sharpe, 2006). To our knowledge, however, there are no reports of whether CBT for BDD can be effectively generalized to ethnic minority and other special populations. The current report suggests specific modifications within the CBT for BDD framework that might improve the effectiveness and retention rates of CBT among ethnic minority patients with BDD. Specifically, the present study describes the cases of Ben, a 40-year-old, Jewish, married male, and John, a 30-year-old, African American, single male, both with a primary diagnosis of BDD. Various treatment techniques were used to make the course of CBT more culturally responsive. This case report illustrates the challenges and benefits of integrating cultural variables into a CBT framework for BDD, and it highlights the need for more work in this area.
authors.affiliation: George Mason University.
authors.forename: Hilary
authors.initials: H
authors.lastname: Weingarden
authors.affiliation: Massachusetts General Hospital and Harvard Medical School.
authors.forename: Luana
authors.initials: L
authors.lastname: Marques
authors.affiliation: Boston University.
authors.forename: Angela
authors.initials: A
authors.lastname: Fang
authors.affiliation: Massachusetts General Hospital and Harvard Medical School.
authors.forename: Nicole
authors.initials: N
authors.lastname: LeBlanc
authors.affiliation: Humboldt-Universität zu Berlin, Rhode Island Hospital and Alpert Medical School of Brown University.
authors.forename: Ulrike
authors.initials: U
authors.lastname: Buhlmann
authors.affiliation: Humboldt-Universität zu Berlin, Rhode Island Hospital and Alpert Medical School of Brown University.
authors.forename: Katharine A
authors.initials: KA
authors.lastname: Phillips
authors.affiliation: Massachusetts General Hospital and Harvard Medical School.
authors.forename: Sabine
authors.initials: S
authors.lastname: Wilhelm
keywords: BDD; Body Dysmorphic Disorder; Cultural Adaptation; cognitive behavioral therapy; treatment