CBT and Maori

Question 1

What are 7 practical ways that CBT be adapted for maori?

Answer 1

Culturally relevant examples in psychoeducational material (e.g., whakatauki)
Refer to a Maori model of health (te whare tapa wha)
Opening and closing with a whakatauki or karakia
Greater self-disclosure on the part of the therapist
Deeper exploration of whakapapa (genealogy)
Use of Maori metaphor to guide sessions (i.e., whakatauki)
Encourage whanau involvement in sessions and treatment objectives

Question 2

What is one way Maori language can be incorporated into CBT with Maori?

Answer 2

Use of Maori labels one the 5 part model (situation, thoughts, feelings, physical, behaviour)

Question 3

What is one way whakatauki can be incorporated into CBT sessions?

Answer 3

Use of flash cards with whakatauki on one side and English translation on other side.

E.g., “a rough sea can still be navigated”

Question 4

How can the whare metaphor be used to guide formulation?

Answer 4

Roof - coping strategies (maintaining factors)
Four walls - intermediate assumptions and rules for living
Floor - formation of core beliefs
Foundations - early experiences

Question 5

How can you incorporate Genograms into CBT?

Answer 5

Could show client your own genogram before they show you theirs - reduces power imbalance
Doing genogram with client a useful tool for understanding their role within the whanau, their supports, and any relationship difficulties with whanau members

Question 6

What are the 5 phases of CBT with Maori adapted by Simon Bennett

Answer 6

1. Whakawhanaungatanga (builds trust and rapport, instills hope)
2. Nga maramatanga (building insight through psychoeducation)
3. Whanonga pai (behavioural strategies)
4. Whakaro pai (cognitive strategies)
5. Ora pai (staying well)