Citation

Glowacki CR, Glowacki ZR. Clin. Case Stud. 2021; 20(6): 435-451.

Copyright

(Copyright © 2021, SAGE Publishing)

DOI

10.1177/15346501211011255

PMID

unavailable

Abstract

There is a paucity of research of traditional psychotherapy approaches with individuals of South Asian descent, specifically Pakistani-Americans. In particular, there are very few cases in existing literature highlighting the effectiveness of Cognitive Processing Therapy (CPT) with Pakistani-Americans who have experienced sexual abuse. Due to cultural values, individuals of South Asian descent are less likely to pursue traditional psychotherapy and even far less likely to complete and/or benefit from it. The current case study focused on depression and trauma-related symptoms (e.g., guilt, shame, embarrassment) in the context of repeated sexual abuse for over 20 years. The PTSD Checklist (PCL-5) and Patient Health Questionnaire (PHQ-9) confirmed qualitative reports and therapist observations of improvement. This case suggests a westernized and protocol-driven treatment can be a viable intervention for individuals of SA descent with a history of sexual trauma. A strong therapeutic relationship and open discussion of diversity considerations were necessary for this treatment to work. This case reflects potential support for CPT as a treatment utilized across cultures for trauma-related symptoms. © The Author(s) 2021.

Language: en

Keywords

adult; human; mental health; sexual abuse; female; case report; depression; social support; psychosis; social network; behavior change; suicide attempt; eating disorder; sexual orientation; questionnaire; distress syndrome; clinical article; borderline state; social phobia; somatization; electroencephalogram; health care system; emotionality; Article; cultural value; Clinical Global Impression scale; checklist; yoga; emotional abuse; sexual assault; Patient Health Questionnaire 9; American; cognitive behavioral therapy; diversity; sexual trauma; pelvic pain; pain severity; embarrassment; cognitive processing therapy; Pakistani-American